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  • Open Access

    BOOK REVIEW

    Progress in clean intermittent catheterization

    Jian-Guo Wen

    Canadian Journal of Urology, Vol.32, No.5, pp. 367-368, 2025, DOI:10.32604/cju.2025.073520 - 30 October 2025

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Hemodynamic Profile Based on Right Heart Catheterization in Adult Acyanotic Congenital Heart Disease with Pulmonary Hypertension

    Dina Anggraini1, Kurnia Wahyudi2, Melawati Hasan3, Sri Endah Rahayuningsih4,*, Charlotte Johanna Cool3

    Congenital Heart Disease, Vol.20, No.2, pp. 133-141, 2025, DOI:10.32604/chd.2025.064164 - 30 April 2025

    Abstract Background: Congenital heart disease (CHD) occurs in 9 out of 100 births and is the leading cause of birth defects, with acyanotic CHD being more common. The incidence of adult CHD is rising faster than pediatric CHD. Pulmonary hypertension is the most common complication in untreated CHD patients. Methods: This study is retrospective descriptive research based on medical record data and the results of right heart catheterization examinations in adult acyanotic CHD aged ≥18 years and free from other organ disorders. Results: A total of 103 patients met the inclusion criteria, the majority were young… More >

  • Open Access

    ARTICLE

    A practical approach to the difficult urethral catheterization for urology trainees

    Wyatt MacNevin1,*, Daniel T. Keefe1,2, Karen Milford1,2, Nicholas R. Paterson1

    Canadian Journal of Urology, Vol.32, No.1, pp. 5-13, 2025, DOI:10.32604/cju.2025.064697 - 20 March 2025

    Abstract Urethral catheterization is an important skill to develop as consultations for “difficult catheterization” are common in practice. Developing a broad approach to difficult urethral catheterization is crucial to improve trainee success rates. Strategies and techniques to improve catheterization success are often passed down and shared between trainees without formal documentation or dissemination of techniques. Herein, we present a framework for difficult urethral catheterization based on clinical history and patient examination, while also providing additional techniques and troubleshooting to overcome common challenges with urethral catheterization in adult and pediatric patients. More >

  • Open Access

    EDITORIAL

    Femoral Access with Ultrasound-Guided Puncture and Z-Stitch Hemostasis for Adults with Congenital Heart Diseases Undergoing Electrophysiological Procedures

    Fu Guan1,*, Matthias Gass2, Florian Berger2, Heiko Schneider1, Firat Duru1,3, Thomas Wolber1,3,*

    Congenital Heart Disease, Vol.19, No.1, pp. 85-92, 2024, DOI:10.32604/chd.2024.047266 - 20 March 2024

    Abstract Aims: Although the application of ultrasound-guided vascular puncture and Z-stitch hemostasis to manage femoral access has been widely utilized, there is limited data on this combined application in adult congenital heart disease (ACHD) patients undergoing electrophysiological (EP) procedures. We sought to evaluate the safety and efficacy of ultrasound-guided puncture and postprocedural Z-stitch hemostasis for ACHD patients undergoing EP procedures. Methods and Results: The population of ACHD patients undergoing transfemoral EP procedures at the University of Zurich Heart Center between January 2019 and December 2022 was observed and analyzed. During the study period, femoral access (left/right, arterial/venous)… More >

  • Open Access

    ARTICLE

    Cost-effectiveness analysis of arterial catheter insertion on robotic-assisted laparoscopic prostatectomy

    Rogelio Valdez1,2, Johnathan Drevik3, Megan Prunty1,2, Ilaha Isali1,2, Mohit Sindhani4, Lee Ponsky1,2, Alberto Castro Bigalli5, David Chen5, Kirtishri Mishra1,2, Alexander Kutikov5, Adam Calaway1,2, Laura Bukavina1,5

    Canadian Journal of Urology, Vol.30, No.2, pp. 11495-11501, 2023

    Abstract Introduction: To evaluate the utility, outcomes, and cost of arterial line placement in a single institution cohort of patients undergoing robotic-assisted laparoscopic prostatectomy (RALP).
    Materials and methods: A retrospective chart review was performed at a large tertiary care center from July 2018 through January 2021. Hospital costs and cost-effective analysis was performed on patients with and without arterial line placement. Means with standard deviations were used to report continuous variables, while numbers and percentages were utilized to describe categorical variables. T-tests and Chi-square tests compared categorical and continuous variables across study cohorts, respectively. Multivariable analyses were used… More >

  • Open Access

    ARTICLE

    Proposal to decrease incidence, morbidity, and associated healthcare costs regarding difficult and traumatic urethral catheterization – a protocol for DMC hospitals: A pilot study

    Jordan Sarver, Remington Farley, Shane Daugherty, Jordan Bilbrew, Joshua Palka

    Canadian Journal of Urology, Vol.30, No.4, pp. 11624-11628, 2023

    Abstract Introduction: Difficult and traumatic urethral catheterization is a common reason for urologic consult. Catheter insertion and management is common for patients who are managed in the hospital setting.
    Materials and methods: A four-question survey was distributed across three hospitals at a single-institution.
    Results: A total of 41 nursing staff responses were recorded. Forty-four percent of the nursing staff reported prior participation in a traumatic catheter insertion. Ninety percent of total responders reported a prior involvement with a difficulty catheter.
    Conclusion: Patient morbidity and healthcare costs regarding traumatic and difficult catheterization is significant. Utility of protocols and education could potentially More >

  • Open Access

    ARTICLE

    Effects of General Anesthesia on the Results of Cardiac Catheterization in Pediatric Patients with Ventricular Septal Defect

    Kiyotaka Go1,2, Taichi Kato2,*, Machiko Kito1, Yoshihito Morimoto1,2, Satoru Kawai1, Hidenori Yamamoto2, Yoshie Fukasawa2, Kazushi Yasuda1

    Congenital Heart Disease, Vol.18, No.2, pp. 235-243, 2023, DOI:10.32604/chd.2023.027590 - 15 March 2023

    Abstract Background: There is no gold standard sedation method for pediatric cardiac catheterization. In congenital heart diseases with intracardiac shunts, hemodynamic parameters are prone to change depending on the ventilation conditions and anesthetics, although few studies have examined these effects. The purpose of this study was to investigate the effects of two different sedation methods on the hemodynamic parameters. Methods: This study retrospectively evaluated consecutive patients with ventricular septal defect (VSD) below 1 year of age who underwent cardiac catheterization at Aichi Children’s Health and Medical Center, who were divided into age- and VSD diameter-matched general anesthesia… More >

  • Open Access

    ARTICLE

    Early Cardiac Catheterizations within 30 Days Post Congenital Heart Surgery in Children

    Daniel Quandt1,4,5,#,*, Alessia Callegari1,4,5,#, Oliver Niesse1,4,5, Martin Christmann1,4,5, Anke Meinhold2,4,5, Hitendu Dave3,4,5, Walter Knirsch1,4,5, Oliver Kretschmar1,4,5

    Congenital Heart Disease, Vol.18, No.1, pp. 79-95, 2023, DOI:10.32604/chd.2022.022401 - 09 January 2023

    Abstract Background: This study set out to assess the indications, feasibility, safety, and outcome of early cardiac catheterizations (CC) within 30 days after congenital heart surgery (CHS) in children. Methods and Results: This is a retrospective, single-center case review study of all CC within 30 days after CHS between 1/2010-12/2020. A total of 317 (138 diagnostic, 179 interventional) CC were performed in 245 patients at a median of 4 days (IQR 13) after CHS. The median age was 3 months (IQR 6), and body weight was 5 kg (IQR 4). A total of 194 (61.2%) CC were performed… More >

  • Open Access

    ARTICLE

    Exercise Catheterization for Hemodynamic Evaluation of Adults with Coarctation of the Aorta

    Irene Martin de Miguel1, C. Charles Jain1, Alexander C. Egbe1, Jason H. Anderson2, Heidi M. Connolly1, William R. Miranda1,*

    Congenital Heart Disease, Vol.17, No.6, pp. 605-615, 2022, DOI:10.32604/chd.2022.023969 - 11 October 2022

    Abstract Background: Coarctation of the aorta (CoA) is associated with a generalized arteriopathy and long-term complications despite repair. Data on invasive exercise hemodynamics in this population are lacking. Accordingly, we reviewed adults with CoA undergoing exercise catheterization to assess 1. hemodynamic profile; 2. feasibility for assessment of CoA severity. Methods: Twenty patients undergoing exercise cardiac catheterization (12 arm adduction and 8 supine cycle ergometry) at a quaternary care center between 2004 and 2021 were identified. Resting and exercise hemodynamic data were abstracted from the procedure logs. Results: Mean age was 43.6 ± 12.0 years. Eleven patients (55%) had resting pulmonary… More >

  • Open Access

    ARTICLE

    Carotid Artery Cut-Down in Pediatric Cardiac Catheterization: When and How?

    Onur Doyurgan1,*, Osman Akdeniz2, Fatih Özdemir1, Yiğit Kılıç1, Bedri Aldudak3

    Congenital Heart Disease, Vol.17, No.3, pp. 313-323, 2022, DOI:10.32604/chd.2022.018479 - 03 May 2022

    Abstract Background: Vascular access used for pediatric cardiac catheterization is one of the most important factors that affects the success of the procedure. We aimed to compare the effect, success, and complications of cardiac catheterizations performed by carotid cut-down or femoral puncture in newborns or young infants. Methods: We included who underwent catheterization in our department between 28 January 2017 and 15 April 2021. These patients underwent balloon aortic valvuloplasty, balloon coarctation angioplasty, ductal stenting, diagnostic procedures for aortic arch pathologies, and modified Blalock-Taussig in-shunt intervention. Patients were divided into two groups: femoral puncture (group = 1)… More >

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