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Nursing diagnoses in patients post-angioplasty transluminal percutaneous coronary based on the horta’s assumption
Luciene Ramos de Lima, Marina Morato Stival, Luciano Ramos de Lima
Revista de Enfermagem UFPE On Line , 2008,
Abstract: The objective of this study was to identify and to analyse the nursing diagnoses of patients post-percutaneous transluminal coronary angioplasty, based on the Taxonomy II of the North American Nursing Diagnosis Association International and ones the Horta’s Conceptual Model. It was developed and validated a questionnaire for data collection, based on the basic human needs. Twenty adult patients were participants of this study, from the first 12 hours after the procedure, and majority of them men, from 29 to 80 years old, married with incomplete primary education. It has been identified obesity in 30% of the patients and the practice of smoking in 45% ones. Nineteen nursing diagnoses have been identified, the most frequent has been: impaired physical mobility, integrity of impaired skin, in self deficit for intimate hygiene, risk of injury in the kidney and risk of infection, increased control of the treatment regimen, pain acute in the inguinal region. The nursing diagnoses were highlighted by physiological changes in post-recovery period of examination, which shows that the nursing team must be aware the hemodynamic changes and conditions that promote stability, as well, to assess the patient based on a theory, in the post-procedure, for identifying the nursing diagnosis.
Treatment of subclavian steal syndrome with percutaneous transluminal angioplasty and stenting: case report
Fregni, Felipe;Castelo-Branco, Luiz Eduardo Coutinho;Conforto, Adriana Bastos;Yamamoto, Fabio Iuji;Campos, Cynthia Resende;Puglia Jr., Paulo;Caldas, José Guilherme Mendes Pereira;Scaff, Milberto;
Arquivos de Neuro-Psiquiatria , 2003, DOI: 10.1590/S0004-282X2003000100018
Abstract: subclavian steal syndrome refers to the association of neurological symptoms related to vertebrobasilar insufficiency and the phenomenon of subclavian steal. we report the case of a 63 year-old male patient that presented subclavian steal syndrome and severe proximal (80%) stenosis of the left subclavian artery. the patient was submitted to percutaneous transluminal angioplasty and stenting on the left sa. the procedure was well tolerated and immediately afterwards, there was complete remission of the symptoms and of the phenomenon of subclavian steal evaluated by angiography and transcranial doppler. we propose that percutaneous transluminal angioplasty with stenting placement is a good therapeutic option for subclavian steal syndrome.
Treatment of subclavian steal syndrome with percutaneous transluminal angioplasty and stenting: case report
Fregni Felipe,Castelo-Branco Luiz Eduardo Coutinho,Conforto Adriana Bastos,Yamamoto Fabio Iuji
Arquivos de Neuro-Psiquiatria , 2003,
Abstract: Subclavian steal syndrome refers to the association of neurological symptoms related to vertebrobasilar insufficiency and the phenomenon of subclavian steal. We report the case of a 63 year-old male patient that presented subclavian steal syndrome and severe proximal (80%) stenosis of the left subclavian artery. The patient was submitted to percutaneous transluminal angioplasty and stenting on the left SA. The procedure was well tolerated and immediately afterwards, there was complete remission of the symptoms and of the phenomenon of subclavian steal evaluated by angiography and transcranial doppler. We propose that percutaneous transluminal angioplasty with stenting placement is a good therapeutic option for subclavian steal syndrome.
Percutaneous transluminal angioplasty in the treatment of stenosis of arteriovenous fistulae for hemodialysis
Daniel Miquelin, Luis Reis, Adinaldo da Silva, José de Godoy
International Archives of Medicine , 2008, DOI: 10.1186/1755-7682-1-16
Abstract: To evaluate the primary patency of arteriovenous fistulae following percutaneous transluminal angioplasty.Patients submitted to percutaneous transluminal angioplasty in the Angiology service of Hospital de Base in 2004 were analyzed over an average follow-up of 10 months (2 to 16 months).A total of 22 angioplasties were performed in 20 fistulae of 19 patients. Of the 19 patients, one did not complete follow-up and one presented with a rupture of the fistulae. The following complications occurred in the remaining 18 fistulae, three deaths with two fistulae patent until death; one exeresis of prosthesis due to infection (53 days after the procedure); two thromboses (3 and 49 days after the procedure) and four restenosis (3 were submitted to a second angioplasty and one treated surgically). At the end of the follow-up, 11 fistulae (55%) were patent and with a flow rate in hemodialysis > 300 mL/min. Primary patency was 82.4% over three months; 81.2% over six months; 54.5% over 9 months and 50% over 1 year.Percutaneous transluminal angioplasty is an efficacious method for the correction of stenosis of arteriovenous fistulae for hemodialysis, prolonging the patency of the fistula and enabling new interventions.The increase in the prevalence of patients with chronic renal failure on hemodialysis has made several measures to maintain the vascular access patent and efficacious necessary as, the morbimortality of these patients is directly related to the effectiveness of hemodialysis. This requires repeated punctures of large vessels capable of offering a rapid blood flow of adequate volume [1-3].Thrombosis is the most frequent complication of arteriovenous fistulae that results in the loss of the access for hemodialysis. Most episodes of thrombosis coincide with the development of stenosis (in more than 85% of cases), generally located in the venous segment proximal to the arteriovenous anastomosis [4-6]. Stenosis in the arterial segment has been studied less but also compro
Percutaneous transluminal angioplasty between 1998 and 2002: Outcomes of interventions proximal and distal to the inguinal ligament
Louise Egberg,Anne-Cathrine Mattiasson,Karl-Gösta Ljungström,Johan Styrud
Open Access Surgery , 2008,
Abstract: Louise Egberg1,2, Anne-Cathrine Mattiasson1,2,3, Karl-G sta Ljungstr m1, Johan Styrud11Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Surgery, Stockholm, Sweden; 2Sophiahemmet University College, Stockholm, Sweden; 3Department of Nursing, Health and Culture University West, Trollh ttan, SwedenObjective: The aim of this study was to examine patients who have undergone percutaneous transluminal angioplasty (PTA) in order to describe patient characteristics and outcomes of interventions proximal and distal to the inguinal ligament and to assess whether different living situations may be associated with the outcome of PTA-intervention.Design: A retrospective descriptive chart review.Setting: A Swedish University Hospital between January 1998 and December 2002.Participants: All patients who have undergone PTA.Main outcome measure: Medical and nursing records from medical, surgical, orthopedic, and geriatric clinics were reviewed to obtain data. A study-specific protocol was developed.Results: Eighty-seven patients were treated with PTA proximal and 101 distal to the inguinal ligament. No significant differences regarding outcome were found. Fifty-two patients had hematoma/bruise as a complication, which was more common among non-diabetic patients; 46 without diabetes versus 6 diagnosed with diabetes (p = 0.001). When comparing patients living situations and mortality, 76 of the deceased patients had been living alone compared to 38 of the survivors (p = 0.001).Conclusions: The patients were younger in the proximal group, however no differences in outcome were found between patients who had undergone PTA whether proximal or distal to the inguinal ligament. Hematomas/bruises as a complication were more common among nondiabetic patients. Amputation was a strong predictor of death during follow-up.Keywords: angioplasty, balloon, peripheral vascular diseases, treatment outcome
Percutaneous transluminal angioplasty between 1998 and 2002: Outcomes of interventions proximal and distal to the inguinal ligament
Louise Egberg, Anne-Cathrine Mattiasson, Karl-G sta Ljungstr m, Johan Styrud
Open Access Surgery , 2008, DOI: http://dx.doi.org/10.2147/OAS.S3898
Abstract: cutaneous transluminal angioplasty between 1998 and 2002: Outcomes of interventions proximal and distal to the inguinal ligament Original Research (3960) Total Article Views Authors: Louise Egberg, Anne-Cathrine Mattiasson, Karl-G sta Ljungstr m, Johan Styrud Published Date September 2008 Volume 2008:1 Pages 9 - 19 DOI: http://dx.doi.org/10.2147/OAS.S3898 Louise Egberg1,2, Anne-Cathrine Mattiasson1,2,3, Karl-G sta Ljungstr m1, Johan Styrud1 1Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Surgery, Stockholm, Sweden; 2Sophiahemmet University College, Stockholm, Sweden; 3Department of Nursing, Health and Culture University West, Trollh ttan, Sweden Objective: The aim of this study was to examine patients who have undergone percutaneous transluminal angioplasty (PTA) in order to describe patient characteristics and outcomes of interventions proximal and distal to the inguinal ligament and to assess whether different living situations may be associated with the outcome of PTA-intervention. Design: A retrospective descriptive chart review. Setting: A Swedish University Hospital between January 1998 and December 2002. Participants: All patients who have undergone PTA. Main outcome measure: Medical and nursing records from medical, surgical, orthopedic, and geriatric clinics were reviewed to obtain data. A study-specific protocol was developed. Results: Eighty-seven patients were treated with PTA proximal and 101 distal to the inguinal ligament. No significant differences regarding outcome were found. Fifty-two patients had hematoma/bruise as a complication, which was more common among non-diabetic patients; 46 without diabetes versus 6 diagnosed with diabetes (p = 0.001). When comparing patients living situations and mortality, 76 of the deceased patients had been living alone compared to 38 of the survivors (p = 0.001). Conclusions: The patients were younger in the proximal group, however no differences in outcome were found between patients who had undergone PTA whether proximal or distal to the inguinal ligament. Hematomas/bruises as a complication were more common among nondiabetic patients. Amputation was a strong predictor of death during follow-up.
Percutaneous transluminal coronary angioplasty in the right ventricle myocardial infarction treatment  [PDF]
Rafajlovski Sa?a I.,Orozovi? Vjekoslav,Risti?-An?elkov An?elka,Ra?en Goran
Vojnosanitetski Pregled , 2005, DOI: 10.2298/vsp0510731r
Abstract: Background/Aim. To present the results of percutaneous transluminal coronary angioplasty (PTCA) in the treatment of the patients with acute right ventricle myocardial infarction (ARVMI), with adjuvant analyses of the obtained results in the period of five years (2000-2004). Methods. Thrombolytic therapy and the primary percutaneous transluminal coronary angioplasty (PPTCA) was applied within the first 6 hours from the onset of anginous disorders, and rescue PTCA in the period from 6 24 hours from the onset of ARVMI. Results. A total number of 1175 patients, both sexes, 763 (64.8%) males and 412 females (35.2%), mean age 58.4 ± 7.8 years, were treated for acute myocardial infarction (AIM) of different localization in the period of five years (2000-2004). Anterior infarction was found in 645 (54.8%) of the patients, and inferoposterior infarction (IPI) was localized in 530 patients (45.2%) patients of which in 134 (25.2%) AIMDK was proven. Out of 134 patients with proven acute myocardial of the right ventricle AIMDK, 53 (39.5%) got thrombolytic therapy, 64 patients (47.7%) were treated with the conservative heparin therapy, whereas in 17 patients (12.8%), primary percutaneous coronary angioplasty (PPTCA) was done. Delayed or rescue PTCA was done in 22 (18.8%) patients, in 8 (36.3%) from the group which got thrombolytic therapy, and in 14 (63.7%) treated with the heparin therapy. Out of the total number of 22 patients who got heparin or thrombolytic therapy combined with rescue PTCA, in 7 patients (31.8%) the complete clinical and angiographic effect of thrombolysis with AIM was achieved only by using a balloon. Baloon dilatation with the implantantion of intracoronary stent was performed in another 11 patients (50%), while 2 (9.1%) were sent to revascularization of the myocard due to diffusion changes in each of the 3 blood vessels, and 2 patients (9.1%) died. Of the patients, 17 (12.6%) had PPTCA with the implantation of intracoronary stent with the additional direct inhibitor of the platelet membrane glycoproteins IIb/IIIa (abciximab). All the patients treated in this way survived. They had no side effects nor serious complications. Their clinical recovery was satisfactory. In the first three weeks of the intrahospital period in the group of 45 patients (33.5%) with AIMDK, who got only thrombolytic therapy, 7 patients (15.5%) died, whereas in the group of 50 patients (37.3%) treated only with heparin, 13 (26%) died. In the group of 22 patients (18.8%) treated with the combined therapy with rescue PTCA and heparin or thrombolytic therapy, 2 patients (9.1
The effect of femoral and popliteal percutaneous transluminal balloon angioplasty on patients' quality of life
Slovacek, Ladislav;Slovackova, Birgita;Chovanec, Vendelin;
Sao Paulo Medical Journal , 2007, DOI: 10.1590/S1516-31802007000400012
Abstract: context and objective: peripheral arterial occlusive disease (paod) is a prevalent atherosclerotic disorder characterized by limb pain on exertion, limb loss and a high mortality rate. because of its chronic nature, it often has a negative impact on patients' quality of life (qol). this study aimed to assess qol among patients with paod that was treated by endovascular intervention using femoral and popliteal percutaneous transluminal balloon angioplasty (ptba). design and setting: this study was local, prospective and longitudinal. it was carried at the second department of internal medicine of charles university hospital in hradec kralove, czech republic. methods: thirty paod patients (20 male and 10 female) were treated by endovascular intervention using femoral and popliteal ptba. the czech version of the international generic european quality of life questionnaire (eq-5d) was applied. results: the statistical evaluation demonstrated that qol presented highly significant statistical dependence on femoral and popliteal ptba (p < 0.0001). conclusion: the results showed that femoral and popliteal ptba had a highly positive effect on the qol of patients with paod.
Primary percutaneous transluminal coronary angioplasty in the acute infarction of the right ventricle  [PDF]
Gligi? Branko,Orozovi? Vjekoslav,Obradovi? Slobodan,Rusovi? Sini?a
Vojnosanitetski Pregled , 2003, DOI: 10.2298/vsp0301081g
Abstract: Background. Predilection site for the acute myocardial infarction of the right ventricle, (AMI-RV) is the upper third of the right coronary artery and for this reason such an infarction is followed by numerous complications, primarily by conduction disorders and very often by sudden and rapid cardiogenic shock development. Methods. Primary percutaneous transluminal coronary angioplasty (PPTCA) was performed on three patients in whom the acute infarction of the right ventricular was diagnosed and who had been hospitalized six hours after the beginning of chest pain. In all three patients intracoronary stent was implanted. On the admission patients had been in the threatening cardiogenic shock, with the prominent chest pain and with the elevation of ST-segment in V4R>2 mV. In the course of intervention patients were administered low-molecular intracoronary heparin with direct platelet glycoprotein IIb/IIIa inhibitors (abciximab), according to the established procedure applied in such cases. Results. The complete dilatation of the infarcted artery was established with the signs of reperfusion and the further clinical course was completely normal, there was no heart failure and patients had no subjective difficulties. Conclusion. Invasive approach in the treatment of AMI-RV is justifiable, and possibly the therapy of choice of these patients, providing well trained and equipped team is available.
Optimization and audit of radiation dose during percutaneous transluminal coronary angioplasty  [cached]
Livingstone Roshan,Timothy Peace B,Chandy Sunil,George Paul
Journal of Medical Physics , 2007,
Abstract: The percutaneous transluminal coronary angioplasty (PTCA) is one of the interventional procedures which impart high radiation doses to patients compared to the other cardiologic procedures. This study intends to audit and optimize radiation dose imparted to patients undergoing PTCA. Forty-four patients who underwent PTCA involving single or multiple stent placement guided under cardiovascular X-ray machine were included in the study. Radiation doses were measured using dose area product (DAP) meter for patients undergoing single and multiple stent placements during PTCA. A dose reduction of 27-47% was achieved using copper filters and optimal exposure parameters. The mean DAP values before optimization were 66.16 and 122.68 Gy cm 2 for single and multiple stent placement respectively. These values were 48.67 and 65.44 Gy cm 2 respectively after optimization. In the present scenario, due to the increase in the number of PTCAs performed and the associated risk from radiation, periodical audit of radiation doses for interventional procedures are recommended.
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