CT-guided Percutaneous Laser Disc Decompression (PLDD): prospective clinical outcome

2004 ◽  
Author(s):  
Hugues G. Brat ◽  
Tarik Bouziane ◽  
Jean Lambert ◽  
Luisa Divano
Author(s):  
Christoph Rehnitz ◽  
Simon David Sprengel ◽  
Burkhard Lehner ◽  
Karl Ludwig ◽  
Georg Omlor ◽  
...  

2019 ◽  
Vol 52 (5) ◽  
pp. 419-423
Author(s):  
George Asafu Adjaye Frimpong ◽  
Evans Aboagye ◽  
Akosua Asafu‐Adjaye Frimpong ◽  
Nana Esi Coleman ◽  
Pierre Amankwah ◽  
...  
Keyword(s):  

2004 ◽  
Author(s):  
Hugues G. Brat ◽  
Tarik Bouziane ◽  
Jean Lambert ◽  
Luisa Divano
Keyword(s):  

2010 ◽  
Vol 75 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Katrin Eichler ◽  
Stephan Zangos ◽  
Axel Thalhammer ◽  
Volkmar Jacobi ◽  
Felix Walcher ◽  
...  

2012 ◽  
Vol 31 (12) ◽  
pp. 598-604 ◽  
Author(s):  
Yi Wang ◽  
Wei-Jun Ye ◽  
Le-Hui Du ◽  
Ai-Ju Li ◽  
Yu-Feng Ren ◽  
...  

2014 ◽  
Vol 6 (3) ◽  
pp. 66-71
Author(s):  
Bhupendra Kumar Jain ◽  
Pooja Sharma ◽  
Ashok Bajpai ◽  
Satish Motiwale ◽  
Nikhilesh Pasari ◽  
...  

Background: Nonresolving pneumonia is a pneumonia with a delayed or slow resolution of radiographic infiltrates or clinical symptoms despite adequate treatment with antibiotics for a minimum period of 10 days. Fibreoptic bronchoscopy (FOB) and CT guided FNAC has a specific role in diagnosis of Non resolving pneumonia. Aims and Objectives: To assess the diagnostic efficacy of fibreoptic bronchoscopy (FOB) and computed tomography (CT)- guided fi ne needle aspiration cytology (FNAC) in evaluation of non-resolving or slowly resolving pneumonia with special emphasis on clinical outcome. Material and Methods: The study was designed as a prospective observational study. We reviewed FOB in Sixty-five consecutive patients of Non-resolving pneumonia admitted under Respiratory Medicine unit of Sri aurobindo medical college and PG Institute Indore from June 2012 to May 2014. We also reviewed role of CT guided FNAC in selected case where FOB result was inconclusive. Result: Out of total Sixty-five case of non resolving pneumonia, Fifty-two patient (81%) were diagnosed with the help of FOB and Eleven patients (91%) were diagnosed with help of CT guided FNAC out of Twelve patient subjected for procedure. Conclusion: FOB should be the first option before CT-guided FNAC in evaluating non-resolving pneumonia. Both the procedures were safe and no major complication was observed. DOI: http://dx.doi.org/10.3126/ajms.v6i3.10727  Asian Journal of Medical Sciences Vol.6(3) 2015 66-71


2000 ◽  
Vol 10 (8) ◽  
pp. 1239-1241 ◽  
Author(s):  
A. Gevargez ◽  
D. W. H. Groenemeyer ◽  
F. Czerwinski

Author(s):  
Jens Schwarz ◽  
Frederik Franz Strobl ◽  
Philipp M Paprottka ◽  
Melvin D’Anastasi ◽  
Fritz W. Spelsberg ◽  
...  

Purpose To observe the technical and clinical outcome as well as safety of CT fluoroscopy-guided drain placement in the multimodal clinical complication management of superinfected gastric leakage after sleeve gastrectomy. Materials and Methods All consecutive patients who underwent CT fluoroscopy-guided drain placement to treat superinfected postoperative leakage after sleeve gastrectomy in our department between 2007 and 2014 were included in this retrospective study. All interventions were performed on a 16- or 128-row CT scanner under intermittent CT fluoroscopy guidance (15–25 mAs, 120 kV). The technical and clinical success rates as well as complications, additional therapies and patient radiation dose were analyzed. Results 14 patients (mean age: 43.8 ± 11.3 years, mean BMI: 52.9 ± 13.5, 7 women) who underwent a total of 31 CT fluoroscopy-guided drain placement procedures were included. 30 of 31 interventions (96.8 %) were technically successful. 7 patients underwent more than one intervention due to drain obstruction or secondary dislocation or as further treatment. During and after the intervention no procedure-associated complications occurred. In all patients, inflammation parameters decreased within days after the CT-guided intervention. The total interventional dose length product (DLP) was 1561 ± 1035 mGy*cm. Conclusion CT fluoroscopy-guided drain placement has been shown to be a safe minimally invasive procedure that rarely leads to complications for treating superinfected gastric leakage occurring after sleeve gastrectomy. We assume that operative revisions in a high-risk patient group can be avoided using this procedure. Key Points:  Citation Format


Author(s):  
Levin Häni ◽  
Mario D. Ropelato ◽  
Franca Wagner ◽  
Andreas Nowacki ◽  
Nicole Söll ◽  
...  

Abstract Background/Objective In order to monitor tissue oxygenation in patients with acute neurological disorders, probes for measurement of brain tissue oxygen tension (ptO2) are often placed non-specifically in a right frontal lobe location. To improve the value of ptO2 monitoring, placement of the probe into a specific area of interest is desirable. We present a technique using CT-guidance to place the ptO2 probe in a particular area of interest based on the individual patient’s pathology. Methods In this retrospective cohort study, we analyzed imaging and clinical data from all patients who underwent CT-guided ptO2 probe placement at our institution between October 2017 and April 2019. Primary endpoint was successful placement of the probe in a particular area of interest rated by two independent reviewers. Secondary outcomes were complications from probe insertion, clinical consequences from ptO2 measurements, clinical outcome according to the modified Rankin Scale (mRS) as well as development of ischemia on follow-up imaging. A historical control group was selected from patients who underwent conventional ptO2 probe placement between January 2010 and October 2017. Results Eleven patients had 16 CT-guided probes inserted. In 15 (93.75%) probes, both raters agreed on the correct placement in the area of interest. Each probe triggered on average 0.48 diagnostic or therapeutic adjustments per day. Only one infarction within the vascular territory of a probe was found on follow-up imaging. Eight out of eleven patients (72.73%) reached a good outcome (mRS ≤ 3). In comparison, conventionally placed probes triggered less diagnostic and therapeutic adjustment per day (p = 0.007). Outcome was worse in the control group (p = 0.024). Conclusion CT-guided probe insertion is a reliable and easy technique to place a ptO2 probe in a particular area of interest in patients with potentially reduced cerebral oxygen supply. By adjusting treatment aggressively according to this individualized monitoring data, clinical outcome may improve.


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