The lesions were treated percutaneously using 34 vascular plugs and 19 coils.
Conclusions. Vascular fistulas can be occluded percutaneously with good results. Small fistulas can be closed using coils, while vascular plugs are preferable for large lesions. Both devices are highly effective as occluders
and no particular difficulty or significant complication was observed.”
“Subclinical rejection (SCR) is quite common early following renal transplantation and decreases progressively with time. The immunological profile of the recipient, the immunosuppressive regimen used, and the occurrence of prior episodes of clinical acute rejection (AR) are Staurosporine cell line all risk factors for SCR. SCR, in turn, is a risk factor for chronic interstitial
and tubular fibrosis and has been associated with worse glomerular filtration rate (GFR) and graft survival. Early SCR should be initially treated with pulse steroids. SCR is a form of biopsy-proven AR and, particularly if treated, must be fairly reported and displayed as a solid endpoint in clinical studies.”
“Introduction and objectives. Postoperative atria] fibrillation is a common complication of carrying out cardiac surgery with extracorporeal circulation VX-809 clinical trial (ECC). The aim of this study was to determine whether preoperative left atrial contractile dysfunction, as assessed by tissue Doppler echocardiography, is associated with the development of postoperative new-onset atrial fibrillation (PAF).
Methods. Transthoracic Doppler echocardiography was performed preoperatively in patients undergoing elective cardiac surgery. Left atrial contractile function was evaluated by tissue Doppler imaging (TDI) of the mitral annulus.
study included 92 selleck patients in sinus rhythm preoperatively who underwent elective cardiac surgery with ECC: 73 (79%) were male and 19 (21%) were female, and their mean age was 67 +/- 10 years. Of these, 19 (20.6%) developed PAF 34 +/- 12 h postoperatively. Bivariate analysis showed that PAF was associated with older age (71 +/- 7 years vs. 66 +/- 10 years; P=.034), a large left atrial diameter (LAD), and a low peak atrial systolic mitral annular velocity (A velocity) and a high mitral E/A ratio on TD1. Logistic regression analysis showed that PAF was independently associated with a large LAD (odds ratio [OR]=2.23; 95% confidence interval [Cl], 1.05-4.76; P=.033) and a low A velocity (OR=0.70; 95%Cl, 0.55-0.99; P=.034).
Conclusions. Preoperative left atrial dysfunction, as assessed by TDI, was associated with an increased risk of PAF.”
“Donor advocacy is a critical feature of live donor transplantation.
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