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Netuka I.,Institute Klinicke a Experimentalni Mediciny
Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti | Year: 2011

Severe right heart failure remains unfrequent but fatal complication of cardiac surgical procedures. Implantation of temporary right ventricular assist device may be life-saving procedure in various situations of right heart failure as: heart transplantation, LVAD therapy and post-cardiotomy failure. The aim of the study is an introduction of the implantation technique and retrospective review of current experience with the method. Since January 2007 isolated right ventricular assist device Levitronix CentriMag has been implanted in 16 patients. Patients were divided into 3 groups: post transplantation (post-Tx), post LVAD implantation (post-LVAD) and other cardiac procedures (OCP). Success rate of weaning from RVAD, 30-days mortality and major complications has been assessed. Distribution of implants in groups was: post-Tx 5 pts (31%), post-LVAD 6 pts (38%) and 5 in OCP group (31%). The mean support time was 12 days. Off-pump implantation was achieved in 9 pts. The device was successfully weaned in 13 (81%) patients. 30-days mortality occurred in 1 case only. Presented outcomes are encouraging for broader acceptance of the therapy. Excellent success rate has been reached in post-Tx and post-LVAD. This study emphasises decesive role of proactive approach in early indication of RVAD implantation for achieving satisfactory results.

Sukupova L.,Institute Klinicke a Experimentalni Mediciny
Ceska Radiologie | Year: 2015

The article deals with a comparison and assessment of imgaing performed by the clinical CT and cone-beam CT. These imaging modalities are desribed, mainly as reagrds image acquisition, image reconstruction, and image quality with related artifacts. A comprehensive description of detection mechanisms is a part of the article.

Kudla M.,Institute Klinicke a Experimentalni Mediciny
Aktuality v Nefrologii | Year: 2015

Precise and flawless insertion of peritoneal dialysis catheter is essential condition for good function of peritoneal dialysis. There is a description of the major techniques of catheter insertion. The attention is chiefly directed at laparoscopic catheter insertion, its indications and contraindications with main emphasis on the surgical technique of this procedure.

Final dietary recommendations for the CR population, which issued January 20, 2009 Society for Nutrition, based on European recommendations, however, they are adapted to Czech real options (option exemplary higher intake of trans fatty acids). Recommendations maintain a favorable ratio of individual groups of nutrients, fats, sugars, protein, fiber and so on. If we follow the recommended quantity and composition of food we can substantially contribute to improving our health and reduce the risk of manifestation of the serious diseases, so called civilization diseases, which include not only cardio- cerebrovascular diseases, type 2 diabetes mellitus, obesity, arterial hypertension and other complications of the atherosclerosis, but also cancer, certain gastrointestinal diseases, alergy and the like.

Prevention of thromboembolic complications in patients with atrial fibrillation represents a key therapeutic goal in the care of patients with this arrhythmia. Anticoagulation therapy with warfarin is capable of reducing the risk of stroke by 64%. However, treatment with warfarin is associated with a number of disadvantages, and thus only a portion of patients are treated and not all achieve the therapeutic range. Dabigatran is a direct thrombin inhibitor administered orally at a fixed dose without a need for monitoring the anticoagulant effect. Its safety and efficacy in preventing stroke and systemic embolization in patients with atrial fibrillation has been demonstrated in the RE-LY study.

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