Temat: stenosis - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Large prospective validation and cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire for patients with lumbar spinal stenosis
Autorzy:: Tomaszewski, Krzysztof Andrzej
Kłosiński, Michał
Henry, Brandon Michael
Skinningsrud, Bendik
Kucharska, Ewa
Dudkiewicz, Zbigniew
Chrzanowski, Robert
Mikos, Marcin
Głowacki, Roman
Pąchalska, Maria
Powiązania:: https://bibliotekanauki.pl/articles/986690.pdf
Data publikacji:: 2017
Wydawca:: Instytut Medycyny Wsi
Tematy:: quality of life
lumbar spinal stenosis
swiss spinal stenosis questionnaire
polish validation study
Opis:: Objective. The aim of this prospective cohort study was to translate, validate and perform a cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire (P-SSSQ), a disease-specific questionnaire for assessing symptom severity, physical function and satisfaction with treatment in patients with lumbar spinal stenosis (LSS). Materials and method. Patients were prospectively recruited at two orthopedic centres in Krakow, Poland, between January 2011 – October 2016. During the interview, each patient completed the P-SSSQ, SF-36 Health Survey, and a demographic data questionnaire. After translation, cross-cultural adaptation, and pilot testing, assessment was made of the internal consistency, test–retest reliability, construct validity, and responsiveness of the P-SSSQ subscales. Results. Finally, 171 consecutive patients were included in the study. Cronbach’s alpha and ICC values were above 0.8 for all three subscales of the P-SSSQ. The symptom severity domain was highly negatively correlated with physical functioning and bodily pain of SF-36, with Pearson correlation coefficients of -0.68 and -0.63, respectively. The physical function domain was highly negatively correlated with physical functioning (r = -0.62). The satisfaction subscale was also highly negatively correlated with the change in the symptom severity (r = −0.61) and physical function scale (r = −0.65). Conclusions. The proposed version of the P-SSSQ showed excellent measurement properties and can be considered validated for use in Polish. It is easy to understand, quick to complete, and the psychometric properties of the original version are maintained.
Źródło:: Annals of Agricultural and Environmental Medicine; 2017, 24, 4
1232-1966
Pojawia się w:: Annals of Agricultural and Environmental Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Endovascular technologies and reconstructive interventions on profound femoral artery at revascularization of multilevel stenotic-occlusive process of infrainguinal arterial channel
Autorzy:: Herasymiuk, Nazar I.
Husak, Mykhailo O.
Venher, Ihor K.
Kovalskyy, Dmytro V.
Loyko, Ihor I.
Selskyy, Boryslav P.
Powiązania:: https://bibliotekanauki.pl/articles/1580660.pdf
Data publikacji:: 2020-01-27
Wydawca:: Uniwersytet Mikołaja Kopernika w Toruniu. Wydział Nauk o Ziemi i Gospodarki Przestrzennej. Katedra Kultury Fizycznej
Tematy:: arterial stenosis
revascularization
shunting interventions
Opis:: Introduction. Number of patients with obliterating lesions of the aorta and main arteries of the lower extermities has been steadily increasing every year. When choosing the scope of surgical treatment all the features of the multilevel stenotic-occlusive process of the infrainguinal arterial bed should be taken into account. Purpose. To improve the results of revascularization of the infrainguinal arterial bed by applying surgical intervention on profound femoral artery and endovascular methods to restore permeability of the outflow arteries. Materials and methods. The work is based on the results of examination and surgical treatment of 264 patients with stenotic-occlusive process of the infrainguinal arterial bed. There were four groups of patients. The basis of revascularization interventions on the infranguinal artery was shunt surgery. Bypass surgery was performed using a reverse autovein. The combined shunt was used for localization of the distal anastomosis at the level of the popliteal, shin arteries, tibioperinel trunk. Results. In atherosclerotic stenotic-occlusive lesions of the infrainguinal arterial bed of the lower extremity, the volume of surgical treatment depends on the level of the occlusive process, the functional state of the PFA and the blood flow pathways. And the method of surgical intervention in shunt interventions is determined by the type of distal lesion and the level of imposition of distal and proximal anastomoses. Conclusion. The use of endovascular methods of revascularization and reconstructive interventions on PFA in combination with femoral-distal shunt operations contributes to good and satisfactory results of surgical treatment of stenotic-occlusive processes of the infrainguinal arterial bed.
Źródło:: Journal of Education, Health and Sport; 2021, 11, 1; 153-162
2391-8306
Pojawia się w:: Journal of Education, Health and Sport
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Ocena leczenia operacyjnego pacjentów ze stenozą zwyrodnieniową w odcinku lędźwiowym metodą hemilaminektomii
An assessment of surgical treatment using hemilaminectomy in patients with degenerative lumbar stenosis
Autorzy:: Sobański, Dawid
Strohm, Wiesław
Kolasa, Paweł
Powiązania:: https://bibliotekanauki.pl/articles/1053271.pdf
Data publikacji:: 2014
Wydawca:: Medical Communications
Tematy:: choroba zwyrodnieniowa
kręgosłup lędźwiowy
stenoza
hemilaminektomia
chromanie neurogenne
degenerative stenosis
lumbar spine
stenosis
hemilaminectomy
neurogenic claudication
Opis:: Degenerative stenosis of a lumbar segment relates in particular to older people. The most often method, bringing satisfying results is surgical treatment consisting primarily on decompression of vertebral canal. Conservative treatment is rarely used therapy in this disease. One hundred and twenty patients were subjected to retrospective researches, men and women, in whom was diagnosed degenerative stenosis of a lumbar segment. Sixty patients in one group was threaten surgically by hemilaminectomy, and next was analyzed postsurgical results. In similar comparative group was applied conservative treatment. In postsurgical evaluation among patients was proven significant increase of distance of neurogenic claudication and increase of postoperative result, 51 patients was satisfied of treatment. In comparative group fraction of patients satisfied of applied treatment was significantly smaller. Distance of neurogenic claudication was increase significantly in research group where was used surgical treatment. While in patients of comparative group treated rehabilitation method, distance of neurogenic claudication didn’t change. Postoperative result was significantly better, than after conservative treatment. The result of operation was that dimension A-P of spinal canal was increased. A removal of vertebral arches which extraction of adjacent yellow ligaments and overgrown elements of joint is proper method of laminectomy and doesn’t expose patient for increment of complications connected with surgical treatment. Hemilaminectomy was used by Poletti and Yong-Cheol et al. also. Surgical treatment clearly exceeds rehabilitation methods at patients with degenerative stenosis of a lumbar segment.
Stenoza zwyrodnieniowa lędźwiowego odcinka kręgosłupa dotyczy szczególnie ludzi starszych. Najskuteczniejszą metodą terapeutyczną jest leczenie operacyjne, polegające na odbarczeniu kanału kręgowego. Badaniu retrospektywnemu poddano 120 pacjentów z klinicznie i radiologicznie zdiagnozowaną stenozą zwyrodnieniową kręgosłupa lędźwiowego. Grupę badaną stanowiło 60 chorych, których leczono operacyjnie – metodą hemilaminektomii. Grupę porównawczą tworzyło 60 pacjentów rehabilitowanych. U osób z grupy badanej znacznie wydłużył się dystans pokonywany bez objawów chromania neurogennego. W grupie porównawczej nie zaobserwowano zmian w tym zakresie. Wynik leczenia operacyjnego okazał się znacznie lepszy od rezultatów leczenia zachowawczego. Po operacji odbarczającej powiększył się również wymiar kanału kręgowego A-P. Usunięcie łuku kręgu po jednej stronie – wraz z przyległymi więzadłami żółtymi i przerośniętymi elementami stawu – to metoda wystarczająca do właściwego odbarczenia i nienarażająca pacjenta na duże ryzyko okołooperacyjne. Hemilaminektomia została zastosowana przez takich autorów, jak Poletti czy Yong-Cheol i wsp. W wyniku przeprowadzonych badań można jednoznacznie stwierdzić, że leczenie operacyjne pacjentów ze stenozą w lędźwiowym odcinku kręgosłupa jest skuteczniejsze od rehabilitacji.
Źródło:: Aktualności Neurologiczne; 2014, 14, 1; 70-74
1641-9227
2451-0696
Pojawia się w:: Aktualności Neurologiczne
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 4.

Tytuł:: Relevance of Primitive Carotidobasilar Anastomosis for Internal Carotid Artery Stenosis
Autorzy:: Udelnow, Andrej
Goertler, Michael
Meyer, Frank
Halloul, Zuhir
Powiązania:: https://bibliotekanauki.pl/articles/1395747.pdf
Data publikacji:: 2014-04-01
Wydawca:: Index Copernicus International
Tematy:: internal crotid artery stenosis
primitive carotidobasilar anastomosis
Opis:: Primitive carotido-basilar anastomoses (PCA) are persistent fetal vessels. The aim of the study was to compare the clinical characteristics of patients operated on for internal carotid artery (ICA) stenosis with or without PCA in order to evaluate the impact of PCA on the treatment. Material and methods. Consecutive patients operated on for ICA stenosis at our university hospital were included. Surgical treatment consisted in carotid endarterectomy (CEA) with patch plastic. Results. Of the 380 CEA performed between 2006 and 2012, PCA were found in six patients (1.6%). All patients with PCA were symptomatic vs. 54% of patients without PCA (p=0.035). Significantly less posterior collateral flow was present in patients with PCA (33%) compared to those without PCA (85%, p=0.01). Only two of the six patients with PCA were diagnosed prior to surgery, none was ligated intraoperatively. PCA was not associated with stroke and restenosis at long-term follow up. Conclusions. PCA are rarely diagnosed prior to surgery in patients with ICA stenosis and need not to be ligated during CEA
Źródło:: Polish Journal of Surgery; 2014, 86, 4; 166-171
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 5.

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: 6.

Tytuł:: Lyell’s syndrome as a factor which escalates the risk of laryngotracheal stenosis and atresia after intubation
Autorzy:: Nowak, Nel
Kotowski, Michał
Sroczyński, Jakub
Szydłowski, Jarosław
Powiązania:: https://bibliotekanauki.pl/articles/1399653.pdf
Data publikacji:: 2019
Wydawca:: Index Copernicus International
Tematy:: Lyell’s Syndrome
subglottic stenosis
intubation
laryngotracheal reconstruction
Opis:: Toxic epidermal necrolysis (TEN) also known as Lyell’s Syndrome is a rare, acute hypersensitivity reaction characterized by cutaneous and mucosal necrosis covering more than 30% of surface [1]. Lyell’s syndrome is self limited, but potentially recurrent disease. The mortality for toxic epidermal necrolysis is approaching to 20–66% [2]. Lyell Syndrome is extremely rare diseases with an estimated overall incidence of 1–2 per 1 million inhabitants per year [3]. TEN is more common in women, it can occur at any age, whereas mostly occurs in older patients in their fifth to seventh decades. Death is caused either by sepsis or by respiratory distress which is either due to pneumoniae or damage to the linings of the airway [4]. Subglottic stenosis is the most common anomaly of larynx and trachea requiring tracheostomy in pediatric population [5]. Subglottic part of larynx is the narrowest section of laryngotracheal area of airways in childhood [5]. It is estimated that most of subglottic stenosis cases is acquired and developed as a result of injury caused by long-term use of endotracheal tube,only 5% of subglottic stenosis is congenital [6]. Latest improvements about construction of endotracheal tube and rules of procedures reduced frequency of subglottic stenosis to less than 1%. There are no statistics or medical reports about tracheal atresia caused by intubation or Lyell’s syndrome. This situation forced us to recognise Lyell’s syndrome and endotracheal intubation overlapping on each other as a cause of medical state of our 2 years old patient.
Źródło:: Polski Przegląd Otorynolaryngologiczny; 2019, 8, 3; 50-54
2084-5308
2300-7338
Pojawia się w:: Polski Przegląd Otorynolaryngologiczny
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Carotid access in Transcatheter Aortic Valve Implantation – an alternative to the gold standard. A single-center experience
Autorzy:: Stańska, Aleksandra
Wierzbowska, Aleksandra
Targoński, Radosław
Karolak, Wojciech
Mickiewicz, Agnieszka
Jaguszewski, Miłosz
Jagielak, Dariusz
Powiązania:: https://bibliotekanauki.pl/articles/895733.pdf
Data publikacji:: 2020-01-09
Wydawca:: Gdański Uniwersytet Medyczny
Tematy:: transcatheter aortic valve implantation
aortic stenosis
carotid artery
elderly
Opis:: Background: Transfemoral access is regarded as the TAVI gold standard for the transcatheter aortic valve implantation (TAVI) procedure. However, other options for vascular access have developed in the last few years. Access via the carotid artery is one such alternative. Materials and methods: The study included 9 elderly patients who underwent transcarotid TAVI procedure at the Cardiac and Vascular Surgery Department of the Medical University of Gdańsk. Procedures were performed by a local Heart Team in a hybrid operating room under general anesthesia. Data was collected before the implantation and at discharge. Results: The mean patients’ age was 81 years of age (64-88) and the mean logistic EuroSCORE was 10.8 (7-16). Implantations were performed with 100% device success rate. Intra-operative valve-in-valve procedure was performed in one patient; there were no access-related and valve-related complications during the surgery. Post-procedural complications included minor bleeding, hematoma and pneumothorax. Echocardiographic parameters were significantly improving after the procedure. The mean hospital stay was 5 days (2-7 days). Conclusions: Transcatheter aortic valve implantation via the carotid artery appears to be safe and effective alternative to standard TAVI vascular access.
Źródło:: European Journal of Translational and Clinical Medicine; 2019, 2, 2; 80-84
2657-3148
2657-3156
Pojawia się w:: European Journal of Translational and Clinical Medicine
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 8.

Tytuł:: Aortic valve stenosis and its recent treatment techniques
Autorzy:: Witkowski, Adam
Powiązania:: https://bibliotekanauki.pl/articles/1916637.pdf
Data publikacji:: 2020
Wydawca:: Polska Akademia Nauk. Czytelnia Czasopism PAN
Tematy:: acquired aortic valve stenosis
transcatheter aortic valve implantation
comorbidities
Opis:: Aortic stenosis is the most common acquired valvular heart disease. Aortic stenosis has growing prevalence in people older than 75 years and natural course of disease is characterized by high mortality rate. According to epidemiological data all patients with aortic stenosis will die after 2–5 years from the first signs of disease if not undergo aortic valve replacement. However, even 40% of patients do not have surgery because of comorbidities related to advanced age. This was the main reason why in 80- and 90-ties of XX century there were intensive attempt to developed an alternative, less invasive treatment methodology for people with aortic stenosis and comorbidities and at high surgical risk. Transcatheter aortic valve implantation (TAVI) was introduced by Dr Alain Cribier in February 2nd, 2002 in Rouen, France. Since that day different aortic transcatheter bioprostheses were used in many randomized clinical trials comparing their safety and effectiveness versus surgical aortic valve replacement. Gradually, it became clear that in all older patients in all risk groups TAVI was equally or even more safe and effective than surgery. Complications after TAVI are relatively rare, but some of them are life-threatening. Heart Team plays a key role in patients selection to TAVI.
Źródło:: Nauka; 2020, 2
1231-8515
Pojawia się w:: Nauka
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 9.

Tytuł:: Severe aortic stenosis in a patient with breast cancer
Autorzy:: Mańczak, Rafał
Wilk, Michał
Walaszkowska-Czyż, Anna
Florczyk, Michał
Szmit, Sebastian
Powiązania:: https://bibliotekanauki.pl/articles/1064894.pdf
Data publikacji:: 2016
Wydawca:: Medical Education
Tematy:: anthracyclines
aortic stenosis
aortic valve replacement
breast cancer
echocardiography
Opis:: We present a case of 68-year-old female with severe symptomatic aortic stenosis and locally advanced breast cancer disqualified from mastectomy due to heart failure and from aortic valve replacement due to malignant neoplasm. The patient received neoadjuvant chemotherapy without anthracyclines. The aortic valve replacement was performed and then mastectomy and lymphadenectomy were made without hemodynamic complications. Adjuvant hormonotherapy was started. During 42 months of follow-up the patient remained free of recurrent cancer disease as well as no progression of heart failure was observed.
Źródło:: OncoReview; 2016, 6, 2; A49-56
2450-6125
Pojawia się w:: OncoReview
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 10.

Tytuł:: Long term results of the use of compression anastomosis clips (CAC) in gastrointestinal surgery – the first report
Autorzy:: Kuśnierz, Katarzyna
Lampe, Paweł
Powiązania:: https://bibliotekanauki.pl/articles/1395643.pdf
Data publikacji:: 2015-06-01
Wydawca:: Index Copernicus International
Tematy:: compression anastomosis clip
gastrointestinal anastomoses
long term results
stenosis
Opis:: The aim of the study was to present the first long-term results on the clinical use of compression anastomosis clips (CAC) in upper and lower gastrointestinal tract anastomoses. Material and methods. The study included 50 patients who underwent anastomosis of the upper (n = 32) or lower GI tract (n = 18) with the use of CAC. In the period of 6‑7 months after the surgery, patients underwent endoscopic examination and computed tomography evaluation of the anastomosis. Each anastomosis was evaluated macro and microscopically. The width of anastomoses was evaluated using a 4-point-scale for grading stenosis. Results. Of the 50 patients who underwent anastomosis with compression anastomosis clip, 28 (56%) patients reported to the follow-up examination within 190‑209 days of the execution of the anastomosis. Among the 22 patients who did not report to the study, 18 (36%) patients died within 91‑154 days from the execution of the anastomosis (mean 122 days), 4 (8%) patients were impossible to contact after discharge from hospital. Two mild stenoses (I0) were diagnosed; 1 of them was found in the gastroenterostomy and 1 in Braun enteroenterostomy. Microscopic changes were diagnosed in 4 anastomoses (3 gastroenterostomies, 1 Braun enteroenterostomy). Anastomoses were well-formed and wide, scars in the line of anastomoses were thin. Conclusions. During the period of 6 months after the anastomoses performed using CAC have been formed, they were evaluated as unobstructed and functioning properly; therefore, they can be safely performed within the upper and lower gastrointestinal tract.
Źródło:: Polish Journal of Surgery; 2015, 87, 6; 295-300
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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