PracticeForces™’s Post

💥 Merit Medical Systems, Inc. expands endoscopy portfolio with EsophyX Z+ device EndoGastric Solutions designed the EsophyX Z+ device as a minimally invasive, non-pharmacological treatment for patients with gastroesophageal reflux disease (GERD). GERD is a digestive disorder that occurs when the lower oesophageal sphincter fails to close properly, allowing digestive juices from the stomach to enter the oesophagus. It may result in serious health conditions, such as oesophageal damage and cancer. Read more online: https://lnkd.in/enBNtDbR 📰 Follow Medical Device Developments to receive the latest medical device news daily and to subscribe to our weekly newsletter #MedicalDeviceDevelopments #medicaldevices #medicalmanufacturing

First application of the HemoPill® monitor capsule for 28 days in patient with fundus variceal bleeding technically successful and clinically straightforward Key findings Long term out of hospital monitoring (28 days) of potential re-bleeding after endoscopic treatment in patient with fundus variceal bleeding 10 events were detected by the system throughout the monitoring period, with a combined estimated time of 90 minutes, showing the system’s ability to detect even small haemorrhages Mucosal haemorrhage due to penetrating cyanoacrylate was postulated as a possible cause of the self-limiting bleeding Patient was able to handle the system easily and without complications Case details Capsule was fixed with an OTSC® Clip in the distal corpus as part of an EGD (duration 8 min) Control endoscopies were performed on day 15 and day 28 Patient had daily blood pressure measurements and weekly Hb checks Clip and capsule were removed on day 28 with the remOVE System without complications Brand M, Meining A. A new capsule for long term monitoring in suspected upper GI-bleeding – first in human use of the HemoPill monitor™. ESGE Days 2024 (25-27 April), Berlin, Germany. Contact Sales@Synmed.co.uk for more information. #gibleed #endoscopy #scientificnews #ovesco

#OCT #abbott🫀🏥Patient admitted (50 years old) for left-sided chest pain, described as oppressive with sweating and radiation to the left arm (…). 🚨🫀Increased frequency of pain episodes prompted an Emergency Room visit. ❌❌Medical history: Active smoking at 20 pack-years. Father had a myocardial infarction at 40 years old. 🤔💭The #ECG shows a regular sinus rhythm at 66 beats per minute, normal axis, narrow QRS at 78ms, suspected subtle ST-segment elevation in aVF. ☑️☑️Echocardiography reveals a normal left ventricular ejection fraction without kinetic abnormalities. ❌❌Positive troponin levels. ➡️➡️Decision to perform a #coronary #angiography: - Right #radial access using a 6 French sheath. - Diagnostic coronary angiography using a 5 French catheter (JL3.5 5F and JR4 5F). - ❌✅Short significant stenosis in the proximal part of the right coronary artery with a thrombotic appearance. - ❌✅Optical coherence tomography (#OCT by Abbott - Abbott | Cardiovascular) inteavascular imaging performed with a JR3.5 5F launcher guiding catheter: confirmation of the #thrombotic appearance. - ✅✅Initiation of first-line medical treatment: triple antithrombotic therapy (aspirin, Brilique, and Lovenox) followed by a re-evaluation in 72 hours with possible OCT for scar assessment and +/- angioplasty. ℹ️ The OCT module is directly incorporated into our catheterization bay (Philips) !! Better comfort for the interventional cardiologist who can perform procedures in a sterile environment ! Dr. Louis-Marie Desroche 🫶🏼🏥👏🏻 👌🏻➡️David Philippe

Transition From Transvenous to Subcutaneous to Extravascular #ICD: Nicole Mamprejew, MD, and colleagues present a case illustrating the importance of tailoring ICD selection to each patient. https://okt.to/ip75x2

Transcatheter mitral valve (MV) implantation is a viable treatment option for elderly patients with mitral annular calcification (MAC) at prohibitive surgical risk. This CASE report demonstrates the use of a novel echocardiographic software as an alternative to contrast-enhanced CCT for preprocedural valve-in-MAC screening and outlines technical considerations aimed at mitigating the risk of left ventricular outflow tract obstruction (LVOTO).

Among patients undergoing mitral valve repair, the addition of tricuspid annuloplasty is associated with a higher incidence of permanent pacemaker implantation, and subsequently linked with reduced long-term survival and higher rates of heart failure hospitalization and infective endocarditis, an analysis of patient data shows. Read more on #CRTonline. https://ow.ly/RFR450RG70z #cardiacnurse #cardiologists #cardiology #cardiologyfellow #cardiologyfellows #cardiologynurse #cardiologynurses #cathlab #cathlabnurse #cathlabtech #interventionalcardiologists #interventionalcardiology #interventionalcardiologyfellow #interventionalcardiologyfellows #MCRN #medicalequity

<< What happens to the nodules in your hands and feet if you have radiotherapy for Dupuytren's or Ledderhose disease? >> A video I recorded in collaboration with the British Dupuytren's Society with Anna Schurer to answer one of the questions patients often ask me in clinic. #radiationtherapy #radiotherapy #radonc #medicine #healthcare #dupuytrens #handsurgery

survival after surgical treatment of functional #mitralregurgitation. #FMR - tricky subject - what comes first - recurrence leading to reduced survival or poor LV resulting in recurrence AND worse survival. Sam argument applies to #TEER #mitraclip

Precision. Quite Simply. 👉 Wirecath is safe and reliably use to assess Pd/Pa and FFR for clinical decision-making in a typical patient population undergoing PCI. 👉 The differences between FFR and resting indices obtained by the sensor-tipped versus Wirecath were explained by a hydrostatic pressure component. https://lnkd.in/dVJBS6Cf #cardiovascular #medicaldevices #interventionalcardiology #wirecath #pressurewire

🔴Bradycardia : Evaluation and Management 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient unstable? 🔹 Unstable: HR generally < 50, Progressively worsening brady, Signs of Shock, SBP <90, AMS, SOB from CHF, Chest Pain 🔹 ECG: Bad block? Ischemia? HyperK? 2) Give Meds • Atropine 0.5mg IV q3-5min, max 3mg • Epi 2-20mcg/min IV • Dopamine 2-20mcg/kg/min IV • Isuprel 2-10mcg/min IV 🔹Set up Transcutaneous Pacing: 1. Pads in AP position. Connect ECG Leads. 2. Set pacemaker to Demand mode. 3. Turn rate to 30bpm above intrinsic rate (start 60bpm). 4. Set mA to 70 (estimate: 1 mA/kg). 5. Start pacing. Increase by 5mA/q few seconds until pacing rate captured on monitor. Then increase to 10% above this level (usually 5-10 mA above). 6. Confirm mechanical capture. 7. Administer sedative & pain medication. 3) Consider DDx - Don't Let your Patients DIE: Drugs, Ischemia, Electrolytes #bradycardia #diagnosis #differential #management #cardiology #CardioEd #CardioTwitter #cardiology #MedEd #cardiovascular #internalmedicine