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1.
Zhongguo Dang Dai Er Ke Za Zhi ; 23(3): 201-212, 2021 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-33691911

RESUMO

Peripherally inserted central catheter (PICC) has been widely used in the neonatal intensive care unit (NICU) in recent years, but there are potential risks for complications related to PICC. Based on the current evidence in China and overseas, the operation and management guidelines for PICC in neonates were developed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) in order to help the NICU staff to regulate the operation and management of PICC.


Assuntos
Cateterismo Venoso Central , Cateterismo Periférico , Cateterismo Venoso Central/efeitos adversos , Cateterismo Periférico/efeitos adversos , Cateteres , China , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal
3.
Int Heart J ; 62(2): 256-263, 2021 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-33678797

RESUMO

Radial access is recommended for primary percutaneous coronary intervention (PCI), because it has fewer bleeding complications than trans-femoral PCI. However, even if trans-radial PCI is chosen, patients with ST-elevation myocardial infarction (STEMI) presenting with anemia on admission might have poor clinical outcomes. The aim of this retrospective study was to investigate whether anemia on admission was associated with mid-term clinical outcomes in patients who underwent trans-radial primary PCI. The primary endpoint was a composite of all-cause death, recurrent acute myocardial infarction, and readmission for heart failure. A total of 288 consecutive patients with STEMI who underwent trans-radial primary PCI were divided into an anemia group (n = 79) and a non-anemia group (n = 209). The median follow-up duration was 301 days. The anemia group was significantly older than the non-anemia group (77.3 ± 11.9 versus 64.4 ± 12.7 years, respectively; P < 0.001). There were significantly more females in the anemia group than in the non-anemia group (36.7% versus 14.4%, respectively; P < 0.001). Kaplan-Meier analysis revealed that the composite outcome-free survival was significantly worse in the anemia group than in the non-anemia group (P < 0.001). Multivariate Cox hazard model analysis revealed that hemoglobin levels on admission were significantly associated with the composite outcome (per 1 g/dL increase: hazard ratio 0.76, 95% confidence interval 0.66-0.88, P < 0.001) after controlling for confounding factors. In conclusion, baseline anemia was significantly associated with poor clinical outcomes. Patients with STEMI presenting with anemia should be managed carefully, even if trans-radial primary PCI is chosen.


Assuntos
Anemia/etiologia , Cateterismo Periférico/métodos , Intervenção Coronária Percutânea/métodos , Medição de Risco/métodos , Infarto do Miocárdio com Supradesnível do Segmento ST/cirurgia , Idoso , Anemia/epidemiologia , Eletrocardiografia , Feminino , Mortalidade Hospitalar/tendências , Humanos , Incidência , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Artéria Radial , Estudos Retrospectivos , Fatores de Risco , Infarto do Miocárdio com Supradesnível do Segmento ST/mortalidade , Resultado do Tratamento
6.
AJR Am J Roentgenol ; 216(4): 981-988, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33594912

RESUMO

OBJECTIVE. Coupled ECG-electromagnetic (EM) guidance shows promise for use in placement of peripherally inserted central catheters (PICCs) when compared with the classic blind technique. However, ECG-EM guidance has not been appropriately compared with the reference standard of fluoroscopy (FX) guidance. Here, we aimed to compare ECG-EM guidance with FX guidance with regard to the final tip position of PICCs. SUBJECTS AND METHODS. A total of 120 patients (age range, 19-94 years) referred for PICC placement were randomized to the ECG-EM or FX group. All interventions were performed by PICC team members who had the same standardized training and experience. Final tip position was assessed using chest radiography and was classified as optimal, suboptimal, or inadequate requiring repositioning on the basis of the distance from the PICC tip to the cavoatrial junction (CAJ). Statistical analyses were performed using the Mann-Whitney U test for final catheter tip position (mean distance from CAJ) and Fisher and chi-square tests for proportions. RESULTS. PICCs were successfully inserted in 118 patients (53 men and 65 women). Catheter tip positions were optimal or suboptimal in 100% of the FX group and 77.2% of the ECG-EM group. Furthermore, precision of placement was significantly better (p = .004) in the FX group (mean distance from the PICC tip to the CAJ = 0.83 cm) than in the ECGEM group (mean distance from the PICC tip to the CAJ = 1.37 cm). Thirteen (22.8%) of the PICCs placed using ECG-EM guidance, all of which were inserted from the left side, were qualified as inadequate requiring repositioning and required another intervention. CONCLUSION. Our results revealed significant differences in final tip position between the ECG-EM and FX guidance techniques and indicate that ECG-EM guidance cannot appropriately replace FX guidance among unselected patients. However, ECGEM guidance could be considered as an acceptable technique for patients in whom the PICC could be inserted from the right side. TRIAL REGISTRATION. ClinicalTrials.gov NCT03652727.


Assuntos
Cateterismo Periférico/métodos , Eletrocardiografia/métodos , Fluoroscopia , Radiografia Intervencionista , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo Periférico/normas , Feminino , Fluoroscopia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia Intervencionista/métodos , Radiografia Torácica , Adulto Jovem
7.
Vasc Endovascular Surg ; 55(4): 361-366, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33541256

RESUMO

INTRODUCTION: Transcatheter arterial embolization is the first-line treatment for visceral artery pseudoaneurysms (VAPAs); however, the intraprocedural rupture of pseudoaneurysms is an important complication. The present study was performed to evaluate the safety of embolization for VAPAs, including the incidence of intraprocedural rupture. METHODS: Among 56 consecutive patients with 57 VAPAs who underwent treatment between April 2009 and October 2020, 46 patients with 47 VAPAs underwent embolization. Complications related to embolization including intraprocedural rupture, the technical success rate, and clinical outcomes were evaluated. Complications that required extended hospitalization, an advanced level of care, or resulted in permanent adverse sequelae or death were classified as major complications, while the remainder were considered to be minor. Technical success was defined as the completion of embolization. RESULTS: The intraprocedural rupture of pseudoaneurysms occurred in 3 out of 47 VAPAs treated with embolization (6%) and resulted in minor complications. One liver abscess requiring drainage was regarded as a major complication (2%). Focal infarction after embolization was observed as a minor complication in 20 cases. Complications occurred in 24 out of 47 cases (51%), comprising one major complication (2%) and 23 minor complications (48%). The technical success rate was 100% (47/47). Fifty-three out of 56 patients (95%) were alive in a median follow-up period of 18 months (range: 2 days-137 months). CONCLUSIONS: Embolization is safe and useful for the treatment of VAPAs; however, the intraprocedural rupture of pseudoaneurysms may occur, and, thus, care is needed during this procedure.


Assuntos
Aneurisma Roto/epidemiologia , Aneurisma/terapia , Artérias , Cateterismo Periférico/efeitos adversos , Embolização Terapêutica/efeitos adversos , Vísceras/irrigação sanguínea , Adulto , Idoso , Idoso de 80 Anos ou mais , Aneurisma/diagnóstico por imagem , Aneurisma/epidemiologia , Aneurisma Roto/diagnóstico por imagem , Artérias/diagnóstico por imagem , Feminino , Humanos , Incidência , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Resultado do Tratamento
8.
AJR Am J Roentgenol ; 216(4): 880-893, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33566631

RESUMO

OBJECTIVE. The purpose of this study was to conduct a meta-analysis to assess the safety and efficacy of empiric embolization compared with targeted embolization in the treatment of acute upper gastrointestinal bleeding (UGIB). MATERIALS AND METHODS. We searched the PubMed and Cochrane Library databases for studies performed without language restrictions from January 2000 to November 2019. Only clinical studies with a sample size of five or more were included. Clinical success, rebleeding and complication rates, survival rates, bleeding cause, embolic materials, and vessels embolized were recorded. Empiric embolization and targeted embolization (i.e., embolization performed based on angiographic evidence of ongoing bleeding) were compared when possible. Meta-analysis was performed. RESULTS. Among 13 included studies (12 retrospective and 1 prospective), a total of 357 of 725 patients (49.2%) underwent empiric embolization for UGIB. The clinical success rate of empiric embolization was 74.7% (95% CI, 63.1-86.3%) among the 13 studies, and the survival rate was 80.9% (95% CI, 73.8-88.0%) for 10 studies. On the basis of comparative studies, no statistically significant difference was observed between empiric and targeted embolization in terms of rebleeding rate in 111 studies (36.5% vs 29.6%; odds ratio [OR], 1.13; 95% CI, 0.77-1.65; p = .53), mortality in eight studies (23.3% vs 18.0%; OR, 1.44; 95% CI, 0.89-2.33; p = .14), and need for surgery to control rebleeding in four studies (17.8% vs 13.4%; OR, 1.34; 95% CI, 0.58-3.07; p = .49). The pooled embolization-specific complications were 1.9% (empiric) and 2.4% (targeted). CONCLUSION. According to all available published evidence, empiric embolization assessed with endoscopic or preprocedural imaging findings (or both) appears to be as effective as targeted embolization in preventing rebleeding and mortality in patients with angiographically negative acute UGIB. Because of its favorable safety profile, empiric embolization should be considered for patients in this clinical scenario.


Assuntos
Cateterismo Periférico , Embolização Terapêutica , Hemorragia Gastrointestinal/terapia , Cateterismo Periférico/efeitos adversos , Cateterismo Periférico/métodos , Embolização Terapêutica/efeitos adversos , Embolização Terapêutica/métodos , Humanos
11.
J Stroke Cerebrovasc Dis ; 30(3): 105589, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33418445

RESUMO

OBJECTIVES: The transradial approach (TRA) is technically feasible for both diagnostic and therapeutic neurointerventions. It improves patient comfort and is not associated with increased procedural complications when compared to the transfemoral approach (TFA). To date, no studies have looked at barriers to adoption of TRA in the neurointerventionalist community. This study aims to obtain neurointerventionalist perspectives on their adoption of TRA. MATERIALS AND METHODS: Online survey distributed to neurointerventionalists. RESULTS: A total of 55 neurointerventionalists, 52 of whom utilized TRA, responded to our survey. Overall, participants were not concerned about TRA's technical feasibility for diagnostic or therapeutic neurointerventions or about procedural complications. Most of our cohort adopted TRA due to its increased patient comfort and to reduce access site complications. In-institution interventionalists were strongly perceived to be the most effective method of teaching TRA when compared to other methods. Catheters and equipment issues were reported by about 30% of our cohort as a barrier to TRA adoption. CONCLUSIONS: The neurointerventionalist community largely perceives TRA to be technically feasible and was not concerned about its procedural complications. In-person institutionalists are strongly perceived to be the most effective method of teaching the approach. A significant barrier to adoption seems to be related to catheters and equipment issues.


Assuntos
Cateterismo Periférico/tendências , Procedimentos Endovasculares/tendências , Neurologia/tendências , Neurorradiografia/tendências , Padrões de Prática Médica/tendências , Artéria Radial , Adulto , Cateterismo Periférico/efeitos adversos , Procedimentos Endovasculares/efeitos adversos , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Neurorradiografia/efeitos adversos , Punções
12.
Medicina (Kaunas) ; 57(2)2021 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-33498309

RESUMO

Background and Objectives: The most utilized approach for the embolization of uterine arteries is the transfemoral path. However, the transradial approach (TRA) has been gaining popularity among cardiologic interventions in the last years but only few studies have shown its applicability in uterine myoma treatment. The objective of this paper is to assess the feasibility, safety and efficacy of TRA when compared with the transbrachial, transulnar or transfemoral approach (TFA) for uterine arteries embolization (UAE). Materials and methods: A systematic review of the literature that analyzes the TRA for UAE it was carried out, in order to assess its safety and effectiveness. It was systematically searched the literature (Google Scholar, PubMed/MEDLINE, Cochrane Library and Embase) using the words ''uterine artery embolization''/''uterine embolization'' and ''transradial''/''radial''. All the relevant papers published until March 2020 were retrieved and analyzed. Results: Ten studies were considered eligible for this topic. TRA is a comparable method with TFA for uterine artery embolization. Conclusions: These studies allowed us to conclude that TRA is as safe and efficient as TFA. Its advantages include few complications, shorter hospitalization period, and rapid mobilization but a steeper learning curve has the disadvantage of a longer learning curve compared to TFA. Yet, these findings are built on few reports and more research is needed.


Assuntos
Cateterismo Periférico , Leiomioma , Embolização da Artéria Uterina , Feminino , Artéria Femoral , Humanos , Leiomioma/terapia , Artéria Radial , Resultado do Tratamento
13.
Expert Rev Cardiovasc Ther ; 19(3): 191-200, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33455484

RESUMO

Introduction: Post-thrombotic syndrome (PTS) is a common lifelong condition affecting up to 50% of those suffering from deep vein thrombosis (DVT). PTS compromises function and quality of life with subsequent venous ulceration in up to 29% of those affected.Areas covered: A literature review of surgical and non-surgical approaches in the prevention and treatment of PTS was undertaken. Notable areas include the use of percutaneous endovenous interventions and the use of graduated compression stockings (GCS) after acute proximal DVT.Expert opinion: In patients with acute iliofemoral DVT, we think it is important to have a frank conversation with the patient about catheter-directed thrombolysis, aiming to reduce the severity of PTS experienced. We advocate ultrasound-accelerated thrombolysis with adjunctive procedures, such as deep venous stenting for proximal iliofemoral DVT. For patients with isolated femoral DVT, we believe that anticoagulation and GCS should be recommended. In patients with established PTS, we recommend GCS for symptomatic relief. We recommend that patients engage in regular exercise where possible with the prospect of gaining symptomatic relief. For those with severe PTS that has a significant effect on quality of life, we discuss the patient's case at a multi-disciplinary team meeting to plan for endovenous intervention.


Assuntos
Síndrome Pós-Trombótica/terapia , Terapia Trombolítica/métodos , Trombose Venosa/terapia , Doença Aguda , Cateterismo Periférico , Veia Femoral/fisiopatologia , Humanos , Extremidade Inferior , Síndrome Pós-Trombótica/fisiopatologia , Qualidade de Vida , Stents , Resultado do Tratamento
14.
Zhonghua Zhong Liu Za Zhi ; 43(1): 143-146, 2021 Jan 23.
Artigo em Chinês | MEDLINE | ID: mdl-33472328

RESUMO

Objective: To discuss the safety and feasibility of transradial access (TRA) in performing peripheral arterial intervention. Methods: The clinical data of the patients underwent peripheral vascular intervention via TRA in our hospital from September 2017 to March 2019 were reviewed. The success rate of radial artery puncture and subsequent operation after puncture, and related postoperative complications within 30 days were analyzed. Results: The clinical data of 112 peripheral arterial intervention procedures via TRA performed on 106 patients were reviewed, including transcatheter arterial chemoembolization in 83 cases, bronchial arterial infusion in 4 cases, pelvic tumor embolization in 11 cases and 14 other cases. The success rate of all interventional punctures was 97.3% (109/112), the operative success rate of interventional procedures was 98.2% (107/109). The TRA operation was failed in 5 patients, who were then converted to receive the femoral artery puncture and complete successfully. The severe complication of the operation was aortic dissection (2 cases). Minor complications included 2 cases of radial artery occlusion, radial artery spasm, arm pain and puncture point hematoma for each case. The severe complication and the minor complication rates were 1.8% (2/112) and 4.5% (5/112), respectively. Sixteen emergency operations were performed successfully, and no complication occurred. Conclusion: The TRA is a clinically safe and feasible approach for peripheral arterial interventional procedure.


Assuntos
Carcinoma Hepatocelular , Cateterismo Periférico , Quimioembolização Terapêutica , Neoplasias Hepáticas , Cateterismo Periférico/efeitos adversos , Estudos de Viabilidade , Humanos , Artéria Radial/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
15.
BMJ Case Rep ; 14(1)2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509893

RESUMO

A 62-year-old man presented as a trauma alert after a farm tractor accident. He was managed according to ATLS protocol. During initial trauma resuscitation, he developed an iatrogenic air embolus. The patient was treated conservatively by positioning him head down and tilted to the left (Durant's manoeuvre). Repeat CT scan performed 4 hours later showed resolution of the air embolus. He had no sequelae.


Assuntos
Embolia Aérea/diagnóstico por imagem , Hidratação/efeitos adversos , Ventrículos do Coração/diagnóstico por imagem , Artéria Pulmonar/diagnóstico por imagem , Veia Subclávia/diagnóstico por imagem , Cuidados de Suporte Avançado de Vida no Trauma , Doenças Assintomáticas , Cateterismo Periférico , Tratamento Conservador , Embolia Aérea/etiologia , Embolia Aérea/terapia , Humanos , Doença Iatrogênica , Masculino , Pessoa de Meia-Idade , Posicionamento do Paciente , Osso Púbico/lesões , Diástase da Sínfise Pubiana/cirurgia , Tomografia Computadorizada por Raios X
16.
Vasc Endovascular Surg ; 55(3): 221-227, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33308092

RESUMO

PURPOSE: Symptomatic rectus muscle sheath hematoma may be the result of bleeding originating from the inferior epigastric artery. We report the technique and the results from a series of consecutive patients treated by transcatheter embolization, evaluating both ipsilateral and contralateral retrograde approaches. METHODS: This was a retrospective study including patients with verified rectus muscle sheath hematoma as a result of active extravasation from the inferior epigastric artery referred for transcatheter embolization. Technical success, clinical success and major complications were calculated. In addition, minor complications, blood transfusions required after a technically successful embolization, length of stay, peri-procedural and 30-day mortality and overall survival at 6 months were obtained. All statistical analysis was performed using SPSS. RESULTS: Twenty-one patients (mean age = 59.67 ± 19.51 years old) were included. The cause of the bleeding in the vast majority was iatrogenic trauma (n = 12/21, 57.14%). Both contralateral (n = 12/21, 57.14%%) and ipsilateral (n = 9/21, 42.86%) retrograde approaches were used. Embolic materials included micro-coils (n = 13/20, 65%), microspheres (PVA) (n = 1/20, 5%), a combination of PVA and micro-coils (n = 5/20, 25%) and gel-foam (n = 1/20, 5%). Overall technical success was 95.2% (n = 20/21) while clinical success was achieved in all but one of the technically successful cases 95% (n = 19/20). One patient died peri-procedurally due to profound hemodynamic shock. There were no other major complications. Additional transfusion was necessary in 7 patients (n = 7/21, 33.33%). There was a significant increase in the hemoglobin levels after the embolization (7.03 ± 1.78 g/dL pre-procedure Vs 10.91 ± 1.7 g/dL post-procedure, p = 0.048). The median hospital stay was 8 days. The peri-procedure and 30-day mortality was 4.8% (n = 1/21) and 28.6% (n = 6/21) respectively. The 6-month survival was 61.9% (13/21). CONCLUSION: Percutaneous embolization of the inferior epigastric artery is a minimally invasive method with satisfactory results. Both ipsilateral and contralateral retrograde approaches are feasible.


Assuntos
Cateterismo Periférico , Embolização Terapêutica , Artérias Epigástricas , Hematoma/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo Periférico/efeitos adversos , Embolização Terapêutica/efeitos adversos , Embolização Terapêutica/instrumentação , Artérias Epigástricas/diagnóstico por imagem , Feminino , Hematoma/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculares/diagnóstico por imagem , Doenças Musculares/terapia , Reto do Abdome , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
17.
ASAIO J ; 67(1): 67-73, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33346992

RESUMO

Different arterial cannulation strategies are feasible for veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in postcardiotomy shock. We aimed to analyze potential benefits and safety of different arterial cannulation strategies. We identified 158 patients with postcardiotomy cardiogenic shock requiring VA-ECMO between 01/10 and 01/19. Eighty-eight patients were cannulated via axillary or femoral artery (group P), and 70 centrally via the ascending aorta directly or through an 8 mm vascular graft anastomosed to the ascending aorta (group C). Demographics and operative parameters were similar. Change of cannulation site for Harlequin's syndrome or hyperperfusion of an extremity occurred in 13 patients in group P but never in group C (p = 0.001). Surgical revision of cannulation site was also encountered more often in group P than C. The need for left ventricular (LV) unloading was similar between groups, whereas surgical venting was more often implemented in group C (11.4% vs. 2.3, p = 0.023). Stroke rates, renal failure, and peripheral ischemia were similar. Weaning rate from ECMO (52.9% vs. 52.3%, p = NS) was similar. The 30 day mortality was higher in group P (60% vs. 76.1%, p = 0.029). Central cannulation for VA-ECMO provides antegrade flow without Harlequin's syndrome, changes of arterial cannula site, and better 30 day survival. Complication rates regarding need for reexploration and transfusion requirements were similar.


Assuntos
Cateterismo Venoso Central/métodos , Cateterismo Periférico/métodos , Oxigenação por Membrana Extracorpórea/métodos , Choque Cardiogênico/terapia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Choque Cardiogênico/etiologia
18.
Cardiovasc Intervent Radiol ; 44(1): 156-160, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33033887

RESUMO

PURPOSE: To describe a sequential deployment technique of the Zenith® t-Branch™ device for branched endovascular aortic aneurysm repair that might reduce potential rotation and increases optimal positioning of the device. TECHNIQUE: After obtaining bilateral groin and right brachial access, the device is advanced over a through-and-through brachio-femoral guidewire and positioned based on prior measurements and landmarks. The t-Branch device is deployed one branch at a time and each visceral branch is sequentially catheterized from brachial access using live CT-fusion and intravascular ultrasound guidance. Full deployment prior to branch catheterization is avoided to maintain device stability, reduced spontaneous rotation, wider working room and freedom in positioning of the device while target artery catheterization is secured. CONCLUSION: Sequential catheterization amid progressive deployment of the Zenith® t-Branch™ device is an effective method of deployment of the device that ensures optimal positioning and secured catheterization of the target vessels.


Assuntos
Aneurisma da Aorta Torácica/cirurgia , Implante de Prótese Vascular/métodos , Cateterismo Periférico/métodos , Procedimentos Endovasculares/métodos , Stents , Idoso , Aneurisma da Aorta Torácica/diagnóstico , Artéria Braquial , Feminino , Artéria Femoral , Humanos , Masculino , Desenho de Prótese , Resultado do Tratamento
19.
Cardiovasc Intervent Radiol ; 44(1): 102-109, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33083854

RESUMO

PURPOSE: To evaluate the safety and efficacy of transcatheter arterial microembolization for patients with trapezius myalgia. MATERIALS AND METHODS: We retrospectively evaluated the prospectively collected data of patients with trapezius myalgia for > 6 months who were refractory to conservative treatment and were treated by transcatheter arterial microembolization between October 2017 and January 2019. Transcatheter arterial microembolization was performed using imipenem/cilastatin on the vessels of the transverse cervical artery, suprascapular artery, and circumflex scapular artery according to the region of pain. RESULTS: Forty-two patients were treated by transcatheter arterial microembolization and followed up for 6 months. No major adverse events occurred related to the procedures. The brief pain inventory worst pain scores significantly improved at 1, 2, 3, and 6 months after transcatheter arterial microembolization (8.6 ± 1.3 (before procedure) vs. 5.1 ± 2.9, 4.4 ± 2.9, 4.1 ± 2.8, and 3.9 ± 2.9, respectively, P < 0.001). The brief pain inventory pain interference scores, including general activity, mood, walking ability, normal work, relations with others, sleep, and enjoyment of life, also significantly decreased at 1, 2, 3, and 6 months after transcatheter arterial microembolization compared to those at baseline (all P < 0.01). The clinical success rate at 6 months after transcatheter arterial microembolization was 71.4% (95% confidence interval, 55.4-84.3%). CONCLUSION: Transcatheter arterial microembolization is a safe and effective treatment for persistent trapezius myalgia. Further evaluation with a control group is needed to confirm the effects of transcatheter arterial microembolization. LEVEL OF EVIDENCE: Level 4, Case Series.


Assuntos
Cateterismo Periférico/métodos , Embolização Terapêutica/métodos , Mialgia/terapia , Músculos Superficiais do Dorso/irrigação sanguínea , Adulto , Idoso , Artérias , Tratamento Conservador , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
20.
Rev. enferm. UFSM ; 11: e20, 2021. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1177736

RESUMO

Objetivo: verificar a aplicabilidade prática da cartilha "Punção venosa periférica para família" junto aos familiares acompanhantes de crianças hospitalizadas em um hospital pediátrico do interior da Bahia. Método: estudo prospectivo realizado com 44 familiares, no período de julho a outubro de 2016. Foram avaliados 23 itens, categorizados em linguagem, ilustração, layout e motivação. Para a análise dos dados foram realizadas as frequências absolutas e relativas, adotando como consenso desejável os valores superiores a 70% de concordância. Também, aplicou-se o Teste de Legibilidade de Flesch para verificar a compreensão do texto da cartilha. Resultados: a cartilha apresentou aplicabilidade prática com avaliação satisfatória dos participantes, obtendo mais de 70% de aprovação em todas as variáveis avaliadas e alcançando nível de legibilidade de 70%. Conclusão: a cartilha pode ser utilizada como uma ferramenta na promoção de cuidado aos familiares de crianças submetidas à cateterização intravenosa periférica.


Objective: to verify the practical applicability of the booklet "Peripheral venipuncture for family" with the accompanying relatives of children hospitalized in a pediatric hospital in the interior of Bahia. Method: prospective study conducted with 44 family members, from July to October 2016. Twenty-three items were evaluated, categorized into language, illustration, layout and motivation. For data analysis, absolute and relative frequencies were performed, adopting as a desirable consensus the values above 70% of agreement. Also, the Flesch Readability Test was applied to verify the comprehension of the text of the booklet. Results: the booklet presented practical applicability with satisfactory evaluation of the participants, obtaining more than 70% of approval in all variables evaluated and reaching a level of readability of 70%. Conclusion: the booklet can be used as a tool to promote care for family members of children undergoing peripheral intravenous catheterization.


Objetivo: verificar la aplicabilidad práctica del folleto "Cateterismo venoso periférico para familia" con los familiares acompañantes de niños hospitalizados en un hospital pediátrico en el interior de Bahía. Método: estudio prospectivo realizado con 44 familiares, de julio a octubre de 2016. Se evaluaron 23 elementos, categorizados en lenguaje, ilustración, plano y motivación. Para el análisis de datos, se realizaron frecuencias absolutas y relativas, adoptando como consenso deseable los valores superiores al 70% del acuerdo. Además, se aplicó la prueba de legibilidad de Flesch para verificar la comprensión del texto del folleto. Resultados: el folleto presentaba aplicabilidad práctica con una evaluación satisfactoria de los participantes, obteniendo más del 70% de aprobación en todas las variables evaluadas y alcanzando un nivel de legibilidad del 70%. Conclusión: el folleto se puede utilizar como una herramienta para promover el cuidado a los familiares de niños sometidos a cateterismo intravenoso periférico.


Assuntos
Humanos , Enfermagem Pediátrica , Cateterismo Periférico , Família , Criança Hospitalizada , Tecnologia Educacional
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