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[PMID]:28366754
[Au] Autor:Khan AB; Weiss EH; Khan AW; Omeis I; Verla T
[Ad] Endereço:School of Medicine, Baylor College of Medicine, Houston, Texas, USA.
[Ti] Título:Back Muscle Morphometry: Effects on Outcomes of Spine Surgery.
[So] Source:World Neurosurg;103:174-179, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This review seeks to synthesize emerging literature on the effects of back muscle size on outcomes in spine surgery. Risk factors that contribute to poor surgical outcomes continue to be an area of interest in spine surgery because proper risk stratification can result in reduction in morbidity and enhanced patient care. However, the impact of muscle size on spine surgical outcomes is an understudied avenue with paucity of data evaluating the relationship among back muscles and surgical outcomes, patient's quality of life, and functional improvement postoperatively. METHODS: This review was centered around identifying studies that assessed the impact of back muscle size on spine surgery outcomes. RESULTS: Five retrospective studies were selected for review. All studies set out to see if differences in muscle size existed in patients with disparate post-operative outcomes as a primary objective. The studies support the association between larger back muscles and improved outcomes. The size and relative cross sectional area of paraspinal muscles and the size of the psoas muscle were associated with functional outcomes, incidence of complications and also fusion rates. CONCLUSION: With reduction in surgical complications and improvement in postoperative functional outcomes, back muscle morphometry ought to be included in the preoperative surgical planning as a predictor of outcomes.
[Mh] Termos MeSH primário: Músculos do Dorso/anatomia & histologia
Complicações Pós-Operatórias/epidemiologia
Músculos Psoas/anatomia & histologia
Doenças da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Músculos do Dorso/diagnóstico por imagem
Seres Humanos
Procedimentos Neurocirúrgicos
Tamanho do Órgão
Músculos Paraespinais/anatomia & histologia
Músculos Paraespinais/diagnóstico por imagem
Prognóstico
Músculos Psoas/diagnóstico por imagem
Recuperação de Função Fisiológica
Medição de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE


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[PMID]:28338730
[Au] Autor:Meersseman C; Letaief R; Léjard V; Rebours E; Guillocheau G; Esquerré D; Djari A; Chamberlain A; Vander Jagt C; Klopp C; Boussaha M; Renand G; Maftah A; Petit D; Rocha D
[Ad] Endereço:GABI, INRA, AgroParisTech, Université Paris-Saclay, 78350 Jouy-en-Josas, France.
[Ti] Título:Genetic variability of the activity of bidirectional promoters: a pilot study in bovine muscle.
[So] Source:DNA Res;24(3):221-233, 2017 Jun 01.
[Is] ISSN:1756-1663
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Bidirectional promoters are regulatory regions co-regulating the expression of two neighbouring genes organized in a head-to-head orientation. In recent years, these regulatory regions have been studied in many organisms; however, no investigation to date has been done to analyse the genetic variation of the activity of this type of promoter regions. In our study, we conducted an investigation to first identify bidirectional promoters sharing genes expressed in bovine Longissimus thoracis and then to find genetic variants affecting the activity of some of these bidirectional promoters. Combining bovine gene information and expression data obtained using RNA-Seq, we identified 120 putative bidirectional promoters active in bovine muscle. We experimentally validated in vitro 16 of these bidirectional promoters. Finally, using gene expression and whole-genome genotyping data, we explored the variability of the activity in muscle of the identified bidirectional promoters and discovered genetic variants affecting their activity. We found that the expression level of 77 genes is correlated with the activity of 12 bidirectional promoters. We also identified 57 single nucleotide polymorphisms associated with the activity of 5 bidirectional promoters. To our knowledge, our study is the first analysis in any species of the genetic variability of the activity of bidirectional promoters.
[Mh] Termos MeSH primário: Músculos do Dorso/metabolismo
Regulação da Expressão Gênica
Polimorfismo de Nucleotídeo Único
Regiões Promotoras Genéticas
Proteínas/genética
[Mh] Termos MeSH secundário: Animais
Bovinos
Perfilação da Expressão Gênica
Masculino
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Proteins)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1093/dnares/dsx004


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[PMID]:28271614
[Au] Autor:Hides JA; Stanton WR
[Ad] Endereço:Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, Australia.
[Ti] Título:Predicting football injuries using size and ratio of the multifidus and quadratus lumborum muscles.
[So] Source:Scand J Med Sci Sports;27(4):440-447, 2017 Apr.
[Is] ISSN:1600-0838
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:Deficits in muscles of the lumbo-pelvic region, such as a relatively small multifidus muscle, have been used to predict lower limb injuries in professional football players. Results have been less consistent for the size of the quadratus lumborum (QL) muscle. Changes in size of the multifidus and QL muscles could be functionally related to each other, and modeling this relationship could improve prediction of lower limb injuries. Ultrasound imaging examinations were performed on male elite football players at the start of the Australian Football League (AFL) pre-season and playing season. Injury data were obtained from records collected by each club. Results indicated that the cross-sectional area of the multifidus muscle was related to the occurrence of an injury in the pre-season (odds ratio [OR] = 2.08/cm decrease below the mean; OR for dichotomized measure = 12.2) and in the season (OR = 2.43/cm ). The size of the QL muscle was significantly related to an injury in the pre-season (OR = 2.12/cm increase above the mean; OR for dichotomized measure = 7.26) but not in the season. A significant link was found between the ratio of the multifidus and QL muscles, and the incidence of pre-season (OR = 14.71) and season injuries (OR = 5.29). The sensitivity and specificity of the model in the pre-season were 75% and 85.7%, respectively; values for the playing season were 88.4% and 62.5%. A model was developed for prediction of lower limb injuries in football players. Combining size measurements of the multifidus and QL muscles improved predictive power. This information may have clinical implications for injury screening and prevention.
[Mh] Termos MeSH primário: Traumatismos em Atletas/epidemiologia
Músculos Paraespinais/diagnóstico por imagem
Futebol/lesões
[Mh] Termos MeSH secundário: Adolescente
Austrália/epidemiologia
Músculos do Dorso/anatomia & histologia
Músculos do Dorso/diagnóstico por imagem
Seres Humanos
Masculino
Razão de Chances
Tamanho do Órgão
Músculos Paraespinais/anatomia & histologia
Medição de Risco
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1111/sms.12643


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[PMID]:28192850
[Au] Autor:Hung CC; Chuang HY; Lin HL; Chu YT; Cheng CH
[Ad] Endereço:Department of Neurosurgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.
[Ti] Título:Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review.
[So] Source:J Neurol Surg A Cent Eur Neurosurg;78(4):412-416, 2017 Jul.
[Is] ISSN:2193-6323
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.
[Mh] Termos MeSH primário: Músculos do Dorso/cirurgia
Ventrículos Cerebrais/cirurgia
Derivações do Líquido Cefalorraquidiano/efeitos adversos
Migração de Corpo Estranho/cirurgia
Átrios do Coração/cirurgia
[Mh] Termos MeSH secundário: Adulto
Migração de Corpo Estranho/etiologia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE
[do] DOI:10.1055/s-0036-1597904


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[PMID]:28158957
[Au] Autor:Sions JM; Elliott JM; Pohlig RT; Hicks GE
[Ti] Título:Trunk Muscle Characteristics of the Multifidi, Erector Spinae, Psoas, and Quadratus Lumborum in Older Adults With and Without Chronic Low Back Pain.
[So] Source:J Orthop Sports Phys Ther;47(3):173-179, 2017 Mar.
[Is] ISSN:1938-1344
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Study Design Cross-sectional study. Objective To determine whether there are differences in trunk muscle characteristics between older adults with and without chronic low back pain (LBP), while controlling for age, sex, and body mass index. Background Muscle support for the trunk is provided by the multifidi, erector spinae, psoas, and quadratus lumborum. Trunk muscle characteristics may be altered with aging and/or chronic LBP. To date, most trunk muscle research has been conducted among younger adults. Given age-related muscle changes, such as reduced size and increased intramuscular fat, studies are needed in older adults, including those comparing older adults with and without LBP. Methods One hundred two older adults with (n = 53) and without (n = 49) chronic LBP were included. Cross-sectional area (CSA) measurements were taken by tracing inside the fascial borders on magnetic resonance images. Pixel intensity summaries were obtained to compute muscle-to-fat indices and relative muscle CSA, that is, CSA void of fat. Right/left averages for levels L2 through L5 were determined. Mixed-design analyses of covariance were used to test for differences between groups, based on LBP presence and sex, across levels (P≤.05). Results Older adults with LBP had a greater average multifidus muscle-to-fat index (0.51 versus 0.49) and smaller average erector spinae relative muscle CSA (8.56 cm versus 9.26 cm ) when compared to control participants without LBP. No interactions between LBP status and average muscle characteristics were found for the psoas or quadratus lumborum (P>.05). Conclusion Up to 54% of older adult trunk muscle CSA may be fat. Women have smaller muscles and greater intramuscular fat (at lower spinal levels) than men. J Orthop Sports Phys Ther 2017;47(3):173-179. Epub 3 Feb 2017. doi:10.2519/jospt.2017.7002.
[Mh] Termos MeSH primário: Músculos do Dorso/patologia
Dor Crônica/fisiopatologia
Dor Lombar/fisiopatologia
Força Muscular/fisiologia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Análise de Variância
Músculos do Dorso/diagnóstico por imagem
Estudos de Casos e Controles
Estudos Transversais
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE
[do] DOI:10.2519/jospt.2017.7002


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[PMID]:28157133
[Au] Autor:Calatayud J; Casaña J; Martín F; Jakobsen MD; Colado JC; Andersen LL
[Ad] Endereço:From the Research Unit in Sports and Health (J. Calatayud, FM, JCC), and Department of Physiotherapy (J. Casaña), University of Valencia, Valencia, Spain; National Research Centre for the Working Environment, Copenhagen, Denmark (J. Calatayud, MDJ, LLA); and Physical Activity and Human Performance group, SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark (LLA).
[Ti] Título:Progression of Core Stability Exercises Based on the Extent of Muscle Activity.
[So] Source:Am J Phys Med Rehabil;96(10):694-699, 2017 Oct.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this cross-sectional study was to evaluate a variety of isometric plank exercises. DESIGN: Twenty university students performed the following eight different variants of plank exercises in random order and with 1-min rest intervals: stable prone plank, suspended prone plank, stable roll-out plank, suspended roll-out plank, unilateral stable prone plank, unilateral suspended prone plank, stable lateral plank, and suspended lateral plank. Surface electromyography signals were recorded for the upper rectus abdominis, lower rectus abdominis, external oblique, lumbar erector spinae, and normalized to the maximum voluntary isometric contraction. RESULTS: The suspended prone plank and the suspended roll-out plank provided the greatest upper rectus abdominis activity. The greatest lower rectus abdominis activity was induced by the suspended roll-out plank. The highest lumbar erector spinae activity was provided by the suspended and stable lateral planks. The suspended prone plank and the suspended roll-out plank provided the greatest external oblique activity, although not significantly different from the suspended lateral plank. CONCLUSIONS: Muscle activity could be progressed using the different exercises. Although suspended prone plank and the suspended roll-out plank were most efficient for the abdominal muscles, suspended and stable lateral planks were most efficient for the lumbar muscles.
[Mh] Termos MeSH primário: Músculos Abdominais/fisiologia
Músculos do Dorso/fisiologia
Terapia por Exercício/métodos
[Mh] Termos MeSH secundário: Estudos Transversais
Eletromiografia
Feminino
Seres Humanos
Contração Isométrica/fisiologia
Masculino
Decúbito Ventral
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000713


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[PMID]:28150321
[Au] Autor:Gibbon KC; Debuse D; Hibbs A; Caplan N
[Ad] Endereço:Faculty of Health and Life Sciences, Northumbria University, Newcastle Upon Tyne, England.
[Ti] Título:Reliability and Precision of Sonography of the Lumbar Multifidus and Transversus Abdominis During Dynamic Activities.
[So] Source:J Ultrasound Med;36(3):571-581, 2017 Mar.
[Is] ISSN:1550-9613
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the intrarater reliability and precision of lumbar multifidus and transversus abdominis thickness measurements using freehand sonography in a range of static and dynamic conditions. METHODS: Fifteen asymptomatic participants performed a range of exercises while sonography was used to measure absolute muscle thickness and changes in muscle thickness from rest. Exercise conditions included the abdominal drawing-in maneuver, active straight leg raise, contralateral arm lift, both unloaded and loaded, treadmill walking, and using the Functional Readaptive Exercise Device. Intraday and interday reliability was assessed by intraclass correlation coefficients, and the standard error of measurement was used to assess measurement precision. RESULTS: Good to excellent reliability was achieved for absolute transversus abdominis and lumbar multifidus thickness in all conditions. Measurement precision for absolute lumbar multifidus thickness was ≤2.8 mm for the unloaded contralateral arm lift, ≤1.8 mm for the loaded contralateral arm lift, ≤3.1 mm for treadmill walking, and ≤3.8 mm for the Functional Readaptive Exercise Device; for absolute transversus abdominis thickness, precision was ≤0.6 mm for the abdominal drawing-in maneuver, ≤0.5 mm for the active straight leg raise, ≤0.7 mm for treadmill walking, and ≤0.5 mm for the Functional Readaptive Exercise Device. Good to excellent reliability was achieved for relative transversus abdominis and lumbar multifidus thickness in all conditions. Measurement precision for relative lumbar multifidus thickness was ≤3.7% for the unloaded contralateral arm lift, ≤3.8% for the loaded contralateral arm lift, ≤6.3% for treadmill walking, and ≤7.6% for the Functional Readaptive Exercise Device; for relative transversus abdominis thickness, precision was ≤13.6% for the abdominal drawing-in maneuver, ≤6.9% for the active straight leg raise, ≤11.1% for treadmill walking, and ≤7.2% for the Functional Readaptive Exercise Device. CONCLUSIONS: Acceptable reliability and precision of measurement is achieved for absolute and relative measures of deep spinal muscle thickness using freehand sonography in relatively static and dynamic exercises.
[Mh] Termos MeSH primário: Músculos Abdominais/anatomia & histologia
Músculos Abdominais/fisiologia
Músculos do Dorso/anatomia & histologia
Músculos do Dorso/fisiologia
Exercício
Ultrassonografia
[Mh] Termos MeSH secundário: Adulto
Pesos e Medidas Corporais/métodos
Feminino
Seres Humanos
Região Lombossacral/anatomia & histologia
Região Lombossacral/fisiologia
Masculino
Contração Muscular/fisiologia
Variações Dependentes do Observador
Valores de Referência
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.7863/ultra.16.03059


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[PMID]:28106312
[Au] Autor:Larsen LH; Hirata RP; Graven-Nielsen T
[Ad] Endereço:Department of Health Science and Technology, Faculty of Medicine, Center for Neuroplasticity and Pain (CNAP), SMI, Aalborg University, Denmark.
[Ti] Título:Pain-evoked trunk muscle activity changes during fatigue and DOMS.
[So] Source:Eur J Pain;21(5):907-917, 2017 May.
[Is] ISSN:1532-2149
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Muscle pain may reorganize trunk muscle activity but interactions with exercise-related muscle fatigue and delayed onset muscle soreness (DOMS) is to be clarified. METHODS: In 19 healthy participants, the trunk muscle activity during 20 multi-directional unpredictable surface perturbations were recorded after bilateral isotonic saline injections (control) and during unilateral and bilateral hypertonic saline-induced low back pain (LBP) in conditions of back muscle fatigue (Day-1) and DOMS (Day-2). Pain intensity and distribution were assessed by visual analogue scale (VAS) scores and pain drawings. The degree of fatigue and DOMS were assessed by Likert scale scores. Root-mean-square electromyographic (RMS-EMG) signals were recorded post-perturbation from six bilateral trunk muscles and the difference from baseline conditions (Delta-RMS-EMG) was extracted and averaged across abdominal and back muscles. RESULTS: In DOMS, peak VAS scores were higher during bilateral control and bilateral saline-induced pain than fatigue (p < 0.001) and during bilateral compared with unilateral pain (p < 0.001). The saline-induced pain areas were larger during DOMS than fatigue (p < 0.01). In response to surface perturbations during fatigue and DOMS, the back muscle Delta-RMS-EMG increased during bilateral compared with unilateral pain and control injections (p < 0.001) and decreased during unilateral pain compared with control injections (p < 0.04). In DOMS compared with fatigue, the post-perturbation Delta-RMS-EMG in back muscles was higher during bilateral pain and lower during unilateral pain (p < 0.001). The abdominal Delta-RMS-EMG was not significantly affected. CONCLUSION: Facilitated and attenuated back muscle responses to surface perturbations in bilateral and unilateral LBP, respectively, was more expressed during exercise-induced back muscle soreness compared with fatigue. SIGNIFICANCE: Back muscle activity decreased during unilateral and increased during bilateral pain after unpredictable surface perturbations during muscle fatigue and DOMS. Accumulation effects of DOMS on pain intensity and spreading and trunk muscle activity after pain-induction.
[Mh] Termos MeSH primário: Dor Lombar/fisiopatologia
Fadiga Muscular/fisiologia
Músculo Esquelético/fisiopatologia
Mialgia/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Músculos do Dorso/fisiopatologia
Eletromiografia
Exercício/fisiologia
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Medição da Dor
Tronco/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.1002/ejp.993


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[PMID]:28100153
[Au] Autor:Inoue T; Imura M; Kaneda T; Saga T
[Ad] Endereço:1 Department of Cardiovascular Surgery, Mimihara General Hospital, Osaka, Japan.
[Ti] Título:Long-Term Survival After Coverage With Prevertebral Fascia for Abdominal Aortic Stump Closure.
[So] Source:Vasc Endovascular Surg;51(1):43-46, 2017 Jan.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Abdominal aortic graft-enteric fistula is an uncommon but grave complication. Acceptable early results of its management have been reported in recent years, but aortic stump disruption remains a dreaded problem in the remote period. This report describes a case of a 71-year-old male with graft-enteric fistula following after a distant abdominal aortic aneurysm repair. The patient underwent 1-stage operation with extra-anatomic bypass preceding the complete removal of the infected aortic graft and intestinal repair. For coverage of the aortic stump closure, the prevertebral fascia was harvested as a flap and was successfully used to buttress the closure. Additionally, omental wrap was secured around the stump and around the area after complete graft removal. Postoperative intravenous antibiotic with meropenem was administered for 8 weeks, followed by suppression with ongoing oral antibiotic with trimethoprim-sulfamethoxazole for 6 months. Although sigmoidectomy and the left ureteral reconstruction were required, the patient is doing well without recurrent infection and without stump disruption after 8 years of follow-up.
[Mh] Termos MeSH primário: Aorta Abdominal/cirurgia
Aneurisma da Aorta Abdominal/cirurgia
Músculos do Dorso/cirurgia
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/instrumentação
Prótese Vascular/efeitos adversos
Remoção de Dispositivo
Fístula Intestinal/cirurgia
Infecções Relacionadas à Prótese/cirurgia
Retalhos Cirúrgicos
Técnicas de Fechamento de Ferimentos
[Mh] Termos MeSH secundário: Idoso
Antibacterianos/uso terapêutico
Aorta Abdominal/diagnóstico por imagem
Aorta Abdominal/microbiologia
Aortografia/métodos
Angiografia por Tomografia Computadorizada
Seres Humanos
Fístula Intestinal/diagnóstico por imagem
Fístula Intestinal/microbiologia
Masculino
Omento/cirurgia
Infecções Relacionadas à Prótese/diagnóstico por imagem
Infecções Relacionadas à Prótese/microbiologia
Reoperação
Técnicas de Sutura
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE
[do] DOI:10.1177/1538574416687735


  10 / 301 MEDLINE  
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[PMID]:27943358
[Au] Autor:Migliore F; Allocca G; Calzolari V; Crosato M; Facchin D; Daleffe E; Zecchin M; Fantinel M; Cannas S; Arancio R; Marchese P; Zanon F; Zorzi A; Iliceto S; Bertaglia E
[Ad] Endereço:Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy.
[Ti] Título:Intermuscular Two-Incision Technique for Subcutaneous Implantable Cardioverter Defibrillator Implantation: Results from a Multicenter Registry.
[So] Source:Pacing Clin Electrophysiol;40(3):278-285, 2017 Mar.
[Is] ISSN:1540-8159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The traditional technique for subcutaneous implantable cardioverter defibrillator (S-ICD) implantation, which involves three incisions and a subcutaneous pocket, is associated with possible complications, including inappropriate interventions. The aim of this prospective multicenter study was to evaluate the efficacy and safety of an alternative intermuscular two-incision technique for S-ICD implantation. METHODS: The study population included 36 consecutive patients (75% male, mean age 44 ± 12 years [range 20-69]) who underwent S-ICD implantation using the intermuscular two-incision technique. This technique avoids the superior parasternal incision for the lead placement and consists of creating an intermuscular pocket between the anterior surface of the serratus anterior and the posterior surface of the latissimus dorsi muscles instead of a subcutaneous pocket. RESULTS: All patients were successfully implanted in the absence of any procedure-related complications with a successful 65-J standard polarity defibrillation threshold testing, except in one, who received a second successful shock after pocket revision. During a mean follow-up of 10 months (range 3-30), no complications requiring surgical revision were observed. At device interrogation, stable sensing without interferences was observed in all patients. Two patients (5.5%) experienced appropriate and successful shock on ventricular fibrillation and in four patients (11%), a total of seven nonsustained self-terminated ventricular tachycardias were correctly detected. No inappropriate interventions were observed. CONCLUSIONS: Our experience suggests that the two-incision intermuscular technique is a safe and efficacious alternative to the current technique for S-ICD implantation that may help reducing complications including inappropriate interventions and offer a better cosmetic outcome, especially in thin individuals.
[Mh] Termos MeSH primário: Músculos do Dorso/cirurgia
Desfibriladores Implantáveis
Insuficiência Cardíaca/prevenção & controle
Implante de Prótese/métodos
Sistema de Registros
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Itália
Masculino
Meia-Idade
Implante de Prótese/efeitos adversos
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE
[do] DOI:10.1111/pace.12987



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