Temat: stenosis - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Usage of excimer laser in coronary and peripheral artery stenosis – analysis of its safety aspect
Autorzy:: Machowiec, P.A.
Reka, G.
Piecewicz-Szczesna, H.
Powiązania:: https://bibliotekanauki.pl/articles/2098216.pdf
Data publikacji:: 2020
Wydawca:: Instytut Medycyny Wsi
Tematy:: excimer laser
stenosis
atherosclerosis
angioplasty
coronary artery disease
Opis:: Introduction. The technology of laser atherectomy has been known for about 20 years. Initial studies were not encouraging due to similar or lower efficacy compared to conventional angioplasty and greater complication rate. The introduction of new, low-profile catheters with high parameters of transmitted energy, a change in the procedure for performing angioplasty and the proper qualification of the lesions resulted in a reduction of adverse effects. Objective. The aim of the study was to present the current state of knowledge regarding the usage of excimer laser in coronary and peripheral arteries stenosis, its indications and contraindications as well as safety aspect. The article reviews 32 recent publications available on the PubMed and Google Scholar databases. Abbreviated description of the state of knowledge. The excimer laser emits ultraviolet energy and ablates the tissue in a vessel. The main indications for the use of the laser include: restenosis in the stent, ostial lesions, long, calcified lesions >20 mm and moderately and severely calcified lesions. There are isolated reports describing the use of ELCA in the treatment of acute coronary syndromes. Excimer laser also can be applied in a treatment of stenosis of peripheral arteries. Conclusion. Excimer laser coronary atherectomy is a safe and feasible technique for the treatment of ISR and is associated with a relatively low recurrent restenosis compared to scoring balloon dilatation alone. It is a very important and safe alternative to classic treatment methods, but further research assessing the usefulness of this procedure is required.
Źródło:: Journal of Pre-Clinical and Clinical Research; 2020, 14, 4; 145-150
1898-2395
Pojawia się w:: Journal of Pre-Clinical and Clinical Research
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Evaluation of the safety and effects of pregabalin premedication on sleep quality, haemodynamic changes and pain in elderly patients with comorbidities undergoing spinal stenosis
Autorzy:: Kilic, E.T.
Powiązania:: https://bibliotekanauki.pl/articles/2098198.pdf
Data publikacji:: 2020
Wydawca:: Instytut Medycyny Wsi
Tematy:: pregabalin
stenosis
intraoperative monitoring
analgesia
sleep quality
hemodynamic change
pain
elderly patient
Opis:: Objective. The aim of the study was to determine the effects of pregabalin premedication on preoperative sleep quality, intraoperative haemodynamic parameters, anesthesia consumption, blood loss, and postoperative pain control in patients over 65 years of age who had undergone surgery for spinal stenosis. The study also aimed to determine whether pregabalin premedication was safe for that age group and compare its effects with those of diazepam. Materials and method. The retrospective study was conducted in a single centre after approval by the local Ethics Committee. The study sample consisted of 95 patients over 65 years of age who had undergone surgery for spinal stenosis. The sample was divided into two groups: Pregabalin premedication patients (PG; n = 45) and Diazepam patients (D; n = 51). Demographic data, American Society of Anesthesiologists (ASA) scores, comorbidities, indications for operation, pre- operative sleep quality, total anaesthesia consumption during surgery, intraoperative haemodynamic parameters and blood loss, time to leaving the post- anaesthetic care unit (Aldrete’s > 9), postoperative visual analog pain scale (VAS), total fentanyl consumption via a patient-controlled analgesia (PCA) device, additional demand for analgesic, first mobilization, first oral intake, and side-effects were recorded. Results. Participants did not significantly differ by demographic data and duration of surgery. The PG group had better sleep quality, lower systolic and diastolic blood pressure, heart rate, intraoperative bleeding, postoperative VAS scores, additional analgesic consumption, and total fentanyl consumption via a PCA, and earlier mobilization and oral intake than the D group. No serious side-effects were observed in the groups. Conclusion. Pregabalin premedication is a safe and effective alternative medication for patients over 65 years of age.
Źródło:: Journal of Pre-Clinical and Clinical Research; 2020, 14, 4; 111-116
1898-2395
Pojawia się w:: Journal of Pre-Clinical and Clinical Research
Dostawca treści:: Biblioteka Nauki

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