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Catheterization - Springer Nature

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Last Updated: 10 January 2023

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Association of periprocedural phentolamine infusion with favorable outcome in patients with chronic kidney disease and chronic coronary syndrome undergoing coronary catheterization: a prospective randomized controlled pilot study

Background In chronic coronary syndrome patients undergoing coronary catheterization, chronic kidney disease is a significant risk factor for contrast-induced acute kidney injury. stenting u00b1 stenting. We wanted to investigate the effectiveness of phentolamine in preventing CI-AKI in CKD and CCS patients undergoing percutaneous coronary catheterization for diagnostic angiography. CI-AKI was significantly lower in group 2 compared to group 1 in group 2 compared to group 1. The urine output and the urine output within 72 hours post-testation were substantially higher in group 2 over group 1 relative to baseline serum creatinine at 72 hours post-treatment, and the incidence of major adverse cardiac and cerebrovascular events within 90 days after surgery was much higher in group 2 than group 1 compared to group 1 compared to group 1, respectively.

Source link: https://doi.org/10.1186/s12882-022-03050-9


Do COVID-19 pandemic-related behavior changes affect perioperative respiratory adverse events in children undergoing cardiac interventional catheterization?

In China, the novel coronavirus disease mysteriously broke out in December 2019. Children with congenital heart disease may experience perioperative respiratory adverse events. We compared the incidence of perioperative respiratory disease in CHD patients with and without upper respiratory infection during cardiac catheterization preparations before and during the COVID-19 pandemic. Between January 2019 and March 2021, a total of 359 children with CHD with and without recent URI were recorded. Before and during the COVID-19 pandemic, the overall incidence of PRAEs in non-URI and URI children undergoing elective cardiac catheterization was low. During the COVID-19 pandemic period, the incidence of URIs has decreased dramatically. During the pandemic epidemic, agitation in children without URI was less frequent during the pandemic than before. Conclusions COVID-related behaviour changes were attributed to a decrease in PRAEs in non-URI and URI children undergoing elective therapeutic cardiac catheterization.

Source link: https://doi.org/10.1186/s12871-022-01951-8


Hydrophilic versus non-hydrophilic catheters for clean intermittent catheterization: a meta-analysis to determine their capacity in reducing urinary tract infections

The aim of this study and meta-analysis were to determine the effect of hydrophilic coated catheters versus uncoated catheters on the rate of UTI in patients using CIC. The first published controlled trials or randomized crossover studies comparing UTI and hematuria rates in patients using hydrophilic vs. non-hydrophilic catheters for CIC were discovered. Overall, the use of hydrophilic catheters resulted in a lower risk of UTIs relative to uncoated catheters. We were unable to determine differences between the use of hydrophilic catheters compared to uncoated catheters in the reduction of hematuria risk reduction. Conclusion We found a risk reduction of UTIs related to the use of hydrophilic catheters in adults but there was no homogeneity. In the pediatric population, we do not find a significant difference in UTI risk reduction.

Source link: https://doi.org/10.1007/s00345-022-04235-5


A prospective observational study on impact of epinephrine administration route on acute myocardial infarction patients with cardiac arrest in the catheterization laboratory (iCPR study)

Epinephrine is used in cardiac arrest on a regular basis; however, it is unknown if the route of administration has an effect on acute myocardial infarction patients with cardiac arrest. Methods – Prospective two-center pilot cohort trial of acute myocardial infarction patients who died of heart arrest in the cardiac catheterization laboratory during percutaneous coronary intervention. We compared the results of patients who received epinephrine via peripheral IV, central IV, or IC. Compared to central IV and IC administration, the Peripheral IV epinephrine administration route was correlated with lower chances of achieving spontaneous circulation restoration in comparison to central IV and IC administrations. With the IC route, the chances of stent thrombosis were significantly higher. When compared to peripheral IV, central IV and IC routes were more effective for central IV and IC routes. Compared to peripheral IV administration, Epinephrine administration by central IV and IC routes resulted in a higher incidence of ROSC and improved neurologic results than peripheral IV administration.

Source link: https://doi.org/10.1186/s13054-022-04275-8

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions