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Biomedical subjects

J Ciccone

Publications and source records attributed to J Ciccone.

7 recordsLinked to original sources

Comparison of 7 and 8 French guiding catheters for elective PTCA: results of a prospective randomized trial.

A prospective randomized trial was performed to detect technical and clinical differences of 7F compared to 8F guiding catheters (GC) used in elective coronary angioplasty (PTCA). One hundred and fifteen patients undergoing elective PTCA with standard balloon dilatation catheters were randomized to 7F (55 pts) or 8F (58 pts) guiding catheters. The endpoints were primarily coronary artery and peripheral vascular complications; and secondarily, technical details and quantitative and qualitative angiographic quality. There was no difference between 7F or 8F GC for development of coronary or peripheral vascular complications. With 7F GC there was less blood loss (Hct, 3.5 +/- 3.4% vs. 6.5 +/- 9.6%, P = .033), and less contrast medium (160 +/- 88 mL vs. 200 +/- 119 mL, P = .049) used. Angiographic quality was similar, although visualization of lesions in the left anterior descending coronary artery in the left anterior oblique projection was improved with the 8F GC. There is no advantage of 7F GC for the prevention of coronary or peripheral vascular complications, although there was less blood loss and contrast medium used with the 7F systems.

Aged↗

Dilating guide wire: use of a new ultra-low-profile percutaneous transluminal coronary angioplasty system.

The following case reports represent two examples using the newly released Dilating Guide Wire. The balloon-wire system is specifically designed to be used as a steerable percutaneous transluminal coronary angioplasty (PTCA) guide wire. It can be utilized as a predilatation device in combination with a standard PTCA dilating balloon or as a free-standing dilatation catheter. As applied to the following situations, predilatation proved to be an effective time- and step-saving approach when confronting severely stenosed coronary artery lesions.

Adult↗

Entrapment of an angioplasty balloon catheter: a case report.

This report presents a case in which an angioplasty balloon catheter became entrapped within the lumen of a coronary artery after rupture during percutaneous transluminal coronary angioplasty (PTCA). Prior to this report, balloon rupture had been considered a relatively benign occurrence. However, this case demonstrates that balloon rupture may lead to serious complications.

Angioplasty, Balloon↗

Comparative efficacy of continuous and pulsed argon laser ablation of human diseased ventricle.

We compared the tissue lesions obtained in a saline medium using single continuous argon laser discharges with paired sequential continuous laser discharges in nine segments of diseased human ventricle resected from patients with and without ventricular tachycardia (VT) at cardiac surgery. Single continuous argon laser discharges were delivered to separate sites on the endocardial surface of the tissue segments for periods of 10, 20, and 30 seconds at laser beam power of 5 W (group IA) and 8 W (group IIA). Paired sequential argon laser discharges of 5, 10, and 15 seconds in duration were delivered to separate sites at a laser power of 5 W (group IB) and 8 W (group IIB). Gross and microscopic examination of each tissue lesion and its dimensions were performed. Laser irradiation of excised human ventricle resulted in a circular discrete burn at the site of application. Histologic examination showed crater formation due to tissue vaporization with the crater lining consisting of charred tissue and a zone of coagulation necrosis. Analysis of lesion dimensions in groups IA and IIA showed comparable lesion depth and diameter with single continuous and paired sequential laser discharges at energies of 50 J (p greater than .2), 100 J (p greater than .2), and 150 J (p greater than .2). Similarly, lesion depth and diameter were comparable in groups IB and IIB at the same energies. We conclude that paired sequential argon laser discharges may be used to produce comparable tissue lesions to single continuous argon laser discharges in diseased human ventricle.

Argon↗

Inhibition of the Na+/K+ cotransport system by cyclic AMP and intracellular Ca2+ in human red cells.

Human erythrocytes are able to incorporate cyclic AMP (cAMP) in amounts larger than those required to saturate cAMP-dependent protein kinase. In contrast to previous observations in avian red blood cells in which cAMP stimulates the Na+/K+ cotransport system, we demonstrate that cAMP inhibits this system in human erythrocytes. The cotransport inhibition is enhanced by addition of phosphodiesterase inhibitor 1-methyl-3-isobutylxanthine to the incubation medium. The cAMP concentration giving half-maximal cotransport inhibition showed a wide variation among different individuals (from 0.1 to 5 mM external cAMP concentration). In contrast to cAMP, cyclic GMP showed little effect on the cotransport system. Ca2+ introduced into the cell interior was an inhibitor of the Na+/K+ cotransport system. These results suggest that in human cells in which endogeneous levels of cAMP and Ca2+ are modulated by hormones, the Na+/K+ cotransport system may be under hormonal regulation.

Biological Transport, Active↗

Special needs of low-income mothers of developmentally delayed children.

The needs that were created or intensified for 36 low-income mothers in the first years after learning that they were the parents of a developmentally delayed child were investigated, and intervention strategies to help these mothers get their special needs met were identified. Results suggest that the overwhelming need of these mothers was to learn how to cope with the many unknowns about their child's future and that an effective intervention strategy might be the establishment of groups run by and for parents in conjunction with early intervention programs for the children.

Adaptation, Psychological↗