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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.
Percutaneus transluminal angioplasty of radiotherapy induced carotid stenosis: Case report  [PDF]
Sagi? D.,Kecmanovi? V.,Vidakovi? R.,Kova?evi? V.
Acta Chirurgica Iugoslavica , 2009, DOI: 10.2298/aci0904047s
Abstract: Frequent delayed effect of radiation therapy in the region of neck is stenosis of carotid arteries. We report the case of 32 years old man with history of radiation therapy due to Hodgkin lymphoma, and severe stenosis of the right common carotid artery. Stenosis was successfully treated by percutaneous transluminal angioplasty with implantation of two bare-metal stents.
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
The Effect of Coronary Risk Factors on Restenosis after Transluminal Coronary Angioplasty and Stenting
Cetin GUL,Mustafa YILDIZ,Ersan TATLI,Fatih OZCELIK
Trakya Universitesi Tip Fakultesi Dergisi , 2002,
Abstract: Objectives: We investigated the relationship between coronary risk factors (age, gender, smoking, diabetes mellitus, hypertension, family history, and hypercholesterolemia) and the development of restenosis after percutaneous transluminal coronary interventions. Patients and Methods: A total of 162 patients underwent successful percutaneous transluminal coronary angioplasty with or without stenting. Follow-up coronary angiograms were performed in 107 patients (15 females, 92 males; mean age 55.5 years, range 39 to 77 years) after a mean of 184 days. Logistic regression was used for the analysis of the associations between the variables and restenosis. Results: Restenosis was detected in 47 patients (39%). Age, gender, smoking, hypertension, hypercholesterolemia, family history, a history of previous myocardial infarction, ejection fraction, and the degree and location of stenosis were not found as significant variables in the development of restenosis. However, restenosis was significantly correlated with diabetes mellitus (-2 log likelihood 28.28, p=0.0002). The rate of restenosis was significantly lower in the stent group (n=56, 52%) (p<0.01). Conclusion: Diabetes mellitus presents as the most significant risk factor in the development of restenosis after coronary angioplasty and stenting.
Nursing care on percutaneous transluminal coronary angioplasty: integrative literature review
Alessandra Mazzo, Elisa Mara Lima Magalh?es, Helena Megumi Sonobe, Fernanda Berchelli Gir?o
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: to identify in the literature studies about the performance of the nursing team in care to patients subject to Percutaneous Transluminal Coronary Angioplasty (PTCA). Methodology: the integrative literature review was carried out in the MEDLINE and LILACS databases, through the guiding question: how is nursing care performed during Percutaneous Transluminal Coronary Angioplasty? The inclusion criteria were articles published in English and Portuguese between 1999 and 2009. Results: of the 20 articles found, four were selected in MEDLINE and analyzed using a data collection instrument. All of them were published in the last five years, three in European journals and one in an American, and 50% presented low level of evidence. The subjects studied were the withdrawal of the introducer, nursing care and different protocols, variants of the time spent in nursing activity according to the type of access in PTCA, and nurses’ educative actions. Conclusion: nursing has a very important role in patient care in PTCA and there is need for more and deeper studies regarding this subject.
Percutaneous transluminal coronary angioplasty in Nepalese diabetic patients: Do they carry extra risk to revascularization process?  [PDF]
F Khatun,B Rawat,A Vaidya,S Rajbhandari,Y Bhatta
Journal of Kathmandu Medical College , 2012, DOI: 10.3126/jkmc.v1i1.7250
Abstract: Background and Objectives: There is evidence that diabetes carries risk of various complications and adverse outcome with coronary revascularisation procedures. The aim of this study was to analyze the outcomes and complications of Percutaneous Transluminal Coronary Angioplasty in Nepalese diabetic patients compared to non-diabetic patients. Method: A hospital-based comparative cross-sectional study was conducted at Norvic International Hospital, Kathmandu, Nepal. A total of 702 consecutive Percutaneous Transluminal Coronary Angioplasty patients coming to the hospital from 2002 to 2010 were included. Angioplasty was performed using radial and femoral routes in a standard setting with standard techniques. Information on other background risk factors was recorded. Success of the procedures and presence of major and minor complications were observed. Results: Of the 702 patients participating in this study, 259 were diabetic and 443 were non-diabetic. Success rates were similar: 256 (98.8%) of diabetic and 438 (98.8%) of non-diabetic had a successful Percutaneous Transluminal Coronary Angioplasty. Complications of the procedure were however higher in the diabetic patients with higher in-hospital death (odds ratio 3.4, 95% confidence Interval: 0.6-19.1), compared to non-diabetic patients. Conclusion: The overall outcome of Percutaneous Transluminal Coronary Angioplasty was equally successful in diabetic and non-diabetic populations groups. But the complications were higher with the diabetic group which were because of presence of other co-morbidities in this group and were not procedure-related. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7250 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.16-20
Angioplastia infra-inguinal em pacientes com isquemia crítica grau III, categoria 5 de Rutherford
Farret Neto, Abdo;Faria, Eduardo Baptista;Laurentino, Alessander;
Radiologia Brasileira , 2008, DOI: 10.1590/S0100-39842008000300009
Abstract: objective: to evaluate the efficacy of infra-inguinal, primary angioplasty as a method of limb salvage in patients with trophic lesions secondary to critical ischemia. materials and methods: thirty-six patients submitted to primary percutaneous transluminal angioplasty without stenting were evaluated. all of them presented critical limb ischemia with trophic lesion (rutherford grade iii, category 5). eighty-four angioplasties were performed for 17 lesions in superficial femoral artery, 16 lesions in popliteal artery, and 51 lesions in below-knee arteries. additionally, prevalence in relation to sex, age, limb involved and main comorbidities have been discussed, with technical considerations regarding procedures and materials utilized. results: clinical success has been defined as complete healing of the trophic lesion or amputation level limited to toes or forefoot, not requiring bypass surgery, independently from time, drugs utilized and number of debridement procedures performed. conclusion: femoropopliteal and belowknee angioplasties present high technical success, low mortality and low complications rates and are highly effective in the treatment of patients with critical lower limb ischemia.
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
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