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Article • Diagnostic and care support

Atrial fibrillation: digital technology to the rescue?

Machine learning (ML) for personalised care, large language models for empathy training of cardiologists, wearable sensor data for better screening, and more: Digital technologies hold great potential to improve diagnosis and treatment of patients with atrial fibrillation (AF). At the ESC 2024 cardiology congress in London, four experts explored the benefits of new solutions and pointed out…

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Article • Spanish registry offers unprecedented data

ROSSETTI: Towards a more personalized treatment of stroke

The boom in interventional radiology procedures has enabled great strides in ischemic stroke management. But while a myriad of techniques are available, the challenge remains in choosing the most appropriate thrombectomy treatment on the spot, according to Jordi Blasco Andaluz, a neuroradiologist at Hospital Clinic Barcelona. The new ROSSETTI registry is designed to change this.

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Ultrasound

ACUSON P500 Ultrasound System

Highlights• Innovative technologies that automatically ­detect and prevent motion artifacts, reduce noise, and simultaneously enhance color• 15" infrared touch screen improves gesturing accuracy• Increase patient throughput with mobile quick scanning and boot-up times of less than 30 seconds• The IntraCardiac Echocardiography (ICE) Edition integrates the imaging…

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Accessories / Complementary Systems

Advanced Edge Enhancement

HighlightsEnhanced visibility of catheters, fine structures and bonesBetter visualization of foreign structures in the imageEnhanced display of fine structuresBetter definition of the structures in soft tissue and low dose area’sObtain enhanced images suitable for measurement or other applicationsCatheter, small structure and bone settings depending on the specific applicationImproved…

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Sponsored • Optimization for CT

An update for contrast agent injection

The Accutron CT-D Vision is the next generation of the leading contrast agent injector for computed tomography from Medtron AG. Focusing on the needs of the user, the latest development stage of the Accutron CT-D improves the usability of the CT double-piston contrast agent injector and optimizes its integration into the radiological environment.

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Article • Appeal to healthcare providers and medical device vendors

ECRI reports top 10 health technology hazards for 2023

ECRI’s annual top ten technology hazard list alerts hospitals and healthcare providers of situations, products, and procedures they need to diligently monitor and/or take steps to improve. This non-profit technology Pennsylvania research firm has worked for over 50 years to make healthcare safer. The list reflects the organization’s collective judgment about the health technology risks that…

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Article • Benefits of multimodality imaging

Stroke: The importance of workflow

When a patient suffers a stroke, speed in treatment can mean the difference between successful recovery, permanent disability, or death. For Christopher Hess, success in stroke diagnosis is a question of workflow and efficient care delivery.

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Article • A potentially devastating impact

Covid-19 alters antibiotic use

The long-term impact of the coronavirus pandemic on antimicrobial resistance remains difficult to predict. Infectious diseases consultant Professor Alison Holmes reflects on Covid-19's effect on antibiotic use in hospitals and beyond.

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Article • Healthcare among the stars

Taking French interventional radiology to space

French interventional radiologists are pushing the frontier by looking at opportunities to perform minimally invasive procedures in manned space flights. A new strategy explored by the French Society of Radiology (SFR) is to equip astronauts with an interventional kit when flying outside of the earth’s orbit, a leading interventional radiologist explained ahead of the JFR, the SFR’s annual…

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News • Cardiology research

Transcatheter aortic valve replacement: new insights on life expectancy

Researchers at Karolinska Institutet have examined long-term outcomes in patients who received pacemaker implantations after transcatheter aortic valve replacement (TAVR) through their groin. The result showed no significant difference in mortality for the patients with pacemakers compared to those without. The study is published in the journal JACC: Cardiovascular Interventions.

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News • Transient implant

A pacemaker that dissolves when it's no longer needed

Researchers at Northwestern and George Washington (GW) universities have developed the first-ever transient pacemaker — a wireless, battery-free, fully implantable pacing device that disappears after it’s no longer needed. The thin, flexible, lightweight device could be used in patients who need temporary pacing after cardiac surgery or while waiting for a permanent pacemaker. All components…

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News • Digital patients, promising results

Are 'virtual' trials the future of research?

A study involving virtual rather than real patients was as effective in evaluating a medical device used  to treat brain aneurysms, according to new research. The findings are proof of concept for what are called in-silico trials, where instead of recruiting people to a real-life clinical trial, researchers build digital simulations of patient groups, loosely akin to the way virtual…

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Sponsored • Greater comfort, safer use

CT injection progresses with Accutron CT-D Vision

‘Accutron CT-D Vision is the latest evolution of Medtron`s flagship CT injector. Designed to enhance operability, the updated user interface is displayed on larger touch screens and provides a simplified programming and more comprehensive follow-up of each injection step,’ the company reports. ‘The new IDS (Injection Data Sharing) option enables injection data to be shared through RIS/PACS…

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News • New cardiology approach

Super saturated oxygen therapy reduces consequences of heart attack

In Germany, more than 200,000 people suffer a heart attack every year. Despite good medical care, many are left with reduced cardiac output. This is particularly true for patients with severe heart attacks: more than 30 percent of those affected develop heart failure, and almost half of them die within the next five years. Experts at the Department of Cardiology and Angiology at Hannover Medical…

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News • Merging modalities

AI combines ECG and X-ray to diagnose arrhythmic disorders

Kobe University Hospital’s Dr. Makoto Nishimori and Project Assistant Professor Kunihiko Kiuchi et al. (of the Division of Cardiovascular Medicine, Department of Internal Medicine) have developed an AI that uses multiple kinds of test data to predict the location of surplus pathways in the heart called ‘accessory pathways’, which cause the heart to beat irregularly. In this study, the…

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Interview • Interventional Radiology

Endovascular simulator – your coach for complex interventions

With interventional procedures becoming more and more complex the demands on the interventionalists are also increasing. Endovascular simulators allow practical angiography training. In December 2020, the University Hospital Essen, Germany, was the first European facility to install Mentice’s VIST G7+. Professor Dr Jens Theysohn, senior physician at the Institute of Diagnostic and…

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Video • Evaluation of contact-free interaction model

Talking to a 'robotic doc'? Most patients wouldn't mind

In the era of social distancing, using robots for some health care interactions is a promising way to reduce in-person contact between health care workers and sick patients. However, a key question that needs to be answered is how patients will react to a robot entering the exam room. Researchers from MIT and Brigham and Women’s Hospital recently set out to answer that question. In a study…

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Video • Wearable for blood pressure, heart rate, glucose and more

New patch monitors multiple markers at once

Engineers at the University of California San Diego have developed a soft, stretchy skin patch that can be worn on the neck to continuously track blood pressure and heart rate while measuring the wearer’s levels of glucose as well as lactate, alcohol or caffeine. It is the first wearable device that monitors cardiovascular signals and multiple biochemical levels in the human body at the same…

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News • Atrial fibrillation treatment

Gold-tipped, force sensing ablation catheter approved for CE-market

Electrophysiologists in Europe will now have access to state-of-the-art, gold-tipped force sensing ablation catheters following the Biotronik announcement that AlCath Force is CE-market approved. With the release of the unique catheter, a full suite of specialized tools for a complete solution in the treatment of complex atrial fibrillation (AF) cases is available to physicians.

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Article • A technique evolves

Cardiac CT: a diagnostic jack-of-all-trades

According to Professor Fabian Bamberg, Medical Director at the Clinic for Diagnostic and Interventional Radiology at University Hospital Freiburg, Germany, ‘In recent years, cardiac CT has seen a mindboggling technological evolution.’ It is, he believes, a very robust procedure that allows the routine acquisition of high-resolution images with very few side effects.

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    News • Expanding image-guided therapy devices portfolio

    Philips to acquire Intact Vascular

    Royal Philips announced that it has signed an agreement to acquire Intact Vascular, Inc., a U.S.-based developer of medical devices for minimally-invasive peripheral vascular procedures. Intact Vascular will enhance Philips’ image-guided therapy portfolio, combining Philips’ interventional imaging platform and diagnostic and therapeutic devices with Intact Vascular’s unique, specialized…

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    News • Atrial fibrillation ablation

    Superfast procedure to treat heart arrhythmia

    A new procedure to correct atrial fibrillation (AF) has been performed for the first time in the UK last week at Leicester's Hospitals. AF affects 1-2% of the general population, which amounts to more than 1 million people in the UK, and increases the risk of stroke by five times. Treating the condition with medicine is often ineffective, with many patients continuing to suffer from…

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    News • 'Ancientbiotics'

    Medieval medicine against antibiotic resistance

    Antibiotic resistance is an increasing battle for scientists to overcome, as more antimicrobials are urgently needed to treat biofilm-associated infections. However, scientists from the School of Life Sciences at the University of Warwick say research into natural antimicrobials could provide candidates to fill the antibiotic discovery gap.

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    Sponsored • Product of the month

    VeinViewer® - Innovation in visualization

    The VeinViewer® uses harmless near-infrared (NIR) light which is directed towards the patient’s skin. Haemoglobin in the blood absorbs the NIR and the surrounding tissue reflects it back to the VeinViewer® device, where the data is processed into an image, colour is added and the image sent back to the skin to provide a real time visualization of the blood vessels and patterns up to 10mm…

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    News • Irregular heartbeat treatment

    Holograms help physicians during cardiac procedures

    Bringing a little bit of science fiction into an operating room, a team of engineers and physicians at Washington University in St. Louis has shown for the first time that using a holographic display improves physician accuracy when performing a procedure to treat irregular heartbeat. Jennifer N. Avari Silva, MD, associate professor of pediatrics at the School of Medicine, and Jonathan Silva,…

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    News • Angiology

    Introducing a thinner, stronger, more flexible iliac stent

    Medical device company Biotronik is proud to announce the availability of its next-generation balloon-expandable cobalt chromium iliac stent system, Dynetic-35. When compared to leading competitors, the new peripheral stent has up to 14 times greater flexibility and up to 23% higher radial strength. It is indicated for the treatment of de novo or restenotic atherosclerotic lesions in the iliac…

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    News • Weaning from respiration

    COVID-19: novel Diaphragm Therapy shows promise

    Department B for Internal Medicine of the University Medical Center Greifswald successfully used, within an international multi-center trial, a special diaphragmatic stimulation therapy to treat a COVID-19 patient as the first clinical site in Europe. "The first patient treated in this trial happened to be a woman who survived COVID-19, but was not able to be weaned from mechanical…

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    Interview • Abbott cardiovascular

    An increasingly dynamic cardiovascular presence

    In the world of laboratory diagnostics, ‘Abbott’ is a household name. Few people however are aware of the fact that the company, headquartered in Illinois, USA, is also leading in other fields. A number of innovations in cardiac and vascular diagnostics and therapy might soon put Abbott in the limelight. Dr Angela Germer, Regional Director DACH, and Volker Keller, Head of Marketing DACH,…

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    Article • Magnetic pull on catheters

    Fringe Field Navigation transforms endovascular surgery

    A new technique could enable vascular surgeons to reach even the more difficult body regions. Instead of pushing catheters into minute veins, the system, devised in Canada by Professor Sylvain Martel and team at the Polytechnique Montréal Nanorobotics Laboratory, uses magnetic forces to pull a guidewire, or catheter, into remote physical locations, guiding medical instruments into narrow and…

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    Article • More power for interventionists

    Combining image-guided diagnosis and robot-assisted treatment

    Siemens Healthineers AG took a big step last October. To incorporate treatment along an entire clinical path, the firm acquired Corindus Vascular Robotics, Inc., to combine image-guided diagnosis with robot-assisted surgery. A couple of months later, the Corindus endovascular robotic system CorPath GRX was used to implant a vascular stent into an obstructed coronary artery – the first use of…

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    Article • Corona consequences in Spain

    COVID-19 fears put interventional cardiology on lockdown

    The number of primary angioplasties – the main treatment for heart attack – has dropped by 40% in Spain since the beginning of the coronavirus lockdown. Other key diagnostic and therapeutic procedures have also considerably diminished. Spanish cardiologists are urging the population to call the emergency medical systems whenever symptoms of myocardial infarction occur, in spite of fears…

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    News • Automated helper

    Robot uses AI and imaging to draw blood

    Engineers at Rutgers University have created a tabletop device that combines a robot, artificial intelligence and near-infrared and ultrasound imaging to draw blood or insert catheters to deliver fluids and drugs. Their most recent research results, published in the journal Nature Machine Intelligence, suggest that autonomous systems like the image-guided robotic device could outperform people on…

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    Sponsored • Customer story

    Ultrasound improves renal care at St Helier Hospital

    St Helier Hospital in the London Borough of Sutton – part of the Epsom and St Helier University Hospitals NHS Trust – has one of the largest renal medicine departments in the UK, and relies on Fujifilm SonoSite point-of-care ultrasound (POCUS) systems to improve care and patient safety. Dr Pritpal Virdee, a senior registrar in the department, explained: “We have a very busy renal department…

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    News • Hyperventilation vs cardiac arrhythmia

    Hold your breath – save your heart?

    A technique that enables patients suffering from heart conditions to hold their breath safely for over 5 minutes could have potential as part of a new treatment for cardiac arrhythmias, say researchers at the University of Birmingham. In a new study, published in Frontiers in Physiology, researchers initially proposed the technique as a new means for earlier diagnosis of ischaemic heart disease.…

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    Sponsored • Percutaneous coronary intervention (PCI)

    Robotic angioplasty: The future of endovascular interventions

    An exciting development from an innovative French company is poised for a major breakthrough in European markets. As is now well-known, coronary angioplasty is a procedure that widens and/or unblocks the arteries to the heart by the insertion and inflation of a balloon and/or stent into the vessel lumen. In modern practice, a stent is normally left in place to ensure the blood flow remains…

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    Article • Today’s improved lower leg treatments

    Peripheral vascular therapies

    Interventional radiotherapy for tibial arteries has increased in recent years. Why? People are getting older and better techniques and materials now permit treatment even of very thin vessels. Professor Dierk Vorwerk, Director of the Institute for Radiology at Ingolstadt Hospital, where almost a third of all interventions in his department are performed on the lower leg, described the most…

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    Sponsored • Lab medicine

    Four perspectives on preanalytics and patient safety

    BD participated in the 5th European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) conference on preanalytical phase in Zagreb, Croatia 22–23 March 2019. At the conference, we met Mr Steve McManus, Prof Ana-Maria Simundic, EFLM conference chair, Prof Mario Plebani and Dr Alexander von Meyer, member of the EFLM conference scientific committee. Prof Simundic and Dr von Meyer…

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    News • Meta-analysis

    Benefit and risk: drug-coated balloon angioplasty

    Scientists of Jena University Hospital, Germany, conducted a meta-analysis to evaluate benefit and risk of paclitaxel-coated balloon angioplasty compared to conventional balloon angioplasty as therapy of intermittent claudication. The study confirms an increased all-cause mortality, which has formerly been stated, and found a broad heterogeneity in the effectivity of the procedure depending on…

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    News • Catheter ablation support

    Software lets surgeon see real-time 3D map of heart

    Innovative software that allows a surgeon to view inside a patient’s heart in real time while applying treatment has been used for the first time in the UK in operations at the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC). University of Leicester Professor and Leicester’s Hospitals Cardiologist Andre Ng used the new technique in operations on two…

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    News • Interventional radiology

    Safe, cheap embolisation for emerging countries

    Vincent Vidal (Marseille, France) and colleagues have demonstrated the in vivo feasibility of arterial embolization with permanent and absorbable suture fragments, leading them to propose what they have termed the “FAIR-Embo” concept to the wider interventional radiology (IR) community. Writing in Cardiovascular and Interventional Radiology (CVIR), they conclude: “Embolization by absorbable…

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    News • "Bless you!"

    Common cold virus could revolutionise bladder cancer treatment

    A strain of the common cold virus has been found to potentially target, infect and destroy cancer cells in patients with bladder cancer. No trace of the cancer was found in one patient following treatment with the virus. The researchers published their findings in the medical journal Clinical Cancer Research. Researchers from the University of Surrey and Royal Surrey County Hospital investigated…

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    News • GBO customer magazine

    bioLOGICAL: Safety when it matters

    The latest issue of Greiner Bio-One's (GBO) customer magazine bioLOGICAL is out now. The third edition of the magazine contains exciting articles about arterial and venous catheter as well as the General Data Protection Regulation in health care section. On a trip to Helsingborg, GBO introduces Vigmed and its products. The Swedish company was taken over by Greiner Bio-One in 2017.

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    News • Brachytherapy

    Single dose of targeted radiotherapy: safe and effective for prostate cancer

    A single high dose of radiation that can be delivered directly to the tumour within a few minutes is a safe and effective technique for treating men with low risk prostate cancer, according to a study presented at the ESTRO 38 conference. Radiotherapy traditionally involves a series of lower dose treatments that take place over several days or week. The new treatment is called high dose-rate…

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    Article • Differentiate and select

    Myths and truths about antibiotics, antiseptics and vaccination

    Sixty-two percent of Germans fear antibiotic resistance, according to a survey recently conducted by the German Federal Institute for Risk Assessment. ‘Patients colonised by multi-resistant pathogens are particularly scared. But many of these fears are rooted in misunderstandings,’ explained Professor Mathias Pletz at the Congress for Infectious Diseases and Tropical Medicine (KIT).

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    News • Simplified catheter ablation

    “Back to basics” atrial fibrillation procedure could cut waiting lists

    A day case catheter ablation procedure which includes only the bare essentials and delivers the same outcomes could slash waiting lists for atrial fibrillation patients, according to late-breaking results from the AVATAR-AF trial presented today at EHRA 2019, a European Society of Cardiology (ESC) congress. With the simplified protocol, 30% more patients could receive catheter ablation for the…

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    News • Precision medicine

    Europe looks to cells for a healthier future

    How can we detect the first signs of disease as early as possible? Could closer investigation at the cellular level help to quickly prevent disease progression through appropriate treatment? The European Union is now investing a million euros over a one-year period to devise the plan for a fundamentally new approach to understanding the constant changes within cells and their relationships to one…

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    News • Brain health after surgery

    Post-operative cognitive decline: mostly a myth, says study

    Patients who undergo heart surgery do not experience major memory changes—either better or worse—when compared with those who have a much less invasive, catheter-based procedure, according to a study published online in The Annals of Thoracic Surgery. “It was comforting to see that the differences in cognitive decline between the two heart procedures are small, even though one involves…

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    Article • Medica 2018

    The Czech med-tech market is thriving

    The Czech Republic has a long tradition of ground-breaking medical innovations. At Medica 2018, the presence of Czech companies and traders underlined that medical devices and technologies from this country have continuing strength and value. Having recorded steady growth over the past few years, the Czech medical technology sector now produces a volume of around €870 million. 13,400 people…

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    Article • Cut device-related pressure ulcers

    Biomedical designers must increase safety

    Whilst acknowledging that state-of-the-art bioengineering approaches are being applied in preventing Medical Device Related Pressure Ulcers (MDRPUs), Professor Amit Gefen, from the Department of Biomedical Engineering at Tel Aviv University, believes there are gaps in knowledge and technology in this area and therefore more must be done to improve patient care and avoid additional healthcare…

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    Sponsored • Point-of-care

    Improving the safety and quality of pediatric emergency care with POC ultrasound

    Point-of-care ultrasound (POCUS) has become an important adjunct to clinical diagnosis and procedural guidance in the Pediatric Emergency Department (PED), supported by literature demonstrating that its use can improve patient safety and expedite life-saving care. POCUS further helps to reduce costs and children’s exposure to ionizing radiation. Not only is POCUS ideally suited for…

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    News • ANESTHESIOLOGY 2018

    Virtual reality reduces children’s anxiety and pain

    Innovative virtual reality (VR) technologies hold promise in reducing children’s anxiety and pain before and after medical procedures and surgery, suggest two studies that were presented at the Anesthesiology 2018 annual meeting. The first study found virtual reality hypnosis (VRH) reduced anxiety, total postoperative opioid consumption and vomiting in children after scoliosis surgery.…

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    Sponsored • Fungal testing

    One test winning over a run of 10 New β-Glucan test delivers rapid results

    Fungal testing plays a critical role in patient care. However, the turnaround for results can be lengthy because the existing tests need 10 samples in a run. Professor Maurizio Sanguinetti, Professor of Microbiology at the Catholic University of the Sacred Heart (Università Cattolica del S. Cuore), in Rome, Italy, is comparing the results of a new test with those from existing tests. Created by…

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    Interview • Cardiac imaging on ICE

    The benefits of Intracardiac echocardiography

    Intracardiac echocardiography (ICE) is an increasingly important guiding tool for structural heart disease interventions – without general anaesthesia. José Ribeiro, who works in the thorax and circulation unit at Gaia Hospital Centre, Portugal, who has worked with this technology for the past two years, explained its benefits and limitations.

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    Article • Cardiology congress

    ESC 2018: At the heart of research

    When delegates from around 150 countries converge on Munich for ESC Congress 2018 they will no doubt reflect on what they themselves eat. Yes, nutrition is up for debate, questioning, for example, whether weight loss therapies can also prevent heart attacks and strokes. Results from the CAMELLIA-TIMI 61 trial of 12,000 overweight individuals with established cardiovascular disease or diabetes…

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    News • After a stroke

    ‘Hole in the heart’: Experts recommend catheter based closure

    A catheter based procedure to close a type of ‘hole in the heart’ followed by antiplatelet drugs (e.g. aspirin) should be recommended for patients under 60 years old, who have also had a stroke, say a panel of experts in The BMJ today. The procedure involves slowly moving a catheter into the heart to close the hole. Most guidelines currently advise against the closure procedure and instead…

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    Sponsored • Radiation garment

    Zero-Gravity suspended radiation protection

    In today’s operating rooms, increasing fluoroscopic procedures keep interventionists at work longer, wearing the hugely heavy lead aprons necessary for protection against radiation. Chronic back pain is often accepted as something that simply comes with the job. Relief has arrived at last in the form of Zero-Gravity, a suspended radiation protection system designed to increase radiation…

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    Article • Joining strengths

    Vaccination and infection control: Two pillars of prevention

    Synchronised efforts between preventive medicine and immunology enable powerful vaccination strategies in a Spanish seniors hub. Efficient prevention also comes with proper infection control and regulating antibiotics use in primary care, local expert in preventive medicine explained in an exclusive interview with EH. Working in a small structure has its perks, one of which is that departments…

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    Sponsored • World-class technologies

    New cutting-edge products and clinical applications

    “With Your Stories – lifetime healthcare support” is the ­future-driven approach combining the best of two worlds by using our insight and expertise in medical imaging systems and laboratory instrumentation to benefit patients through even better prevention, diagnosis, treatment and follow-up and thus help them in the pursuit of a healthy life.

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    Video • TCAR (Transcarotid artery revascularization)

    Reversing blood flow reduces stroke risk during carotid artery procedure

    Loyola Medicine is the first academic medical center in Illinois to use the TCAR system, which reduces stroke risk during carotid artery procedures by temporarily reversing blood flow. Carotid arteries on each side of the neck supply blood to the brain. In patients with carotid artery disease, a build-up of plaque can cause blockages. A common method to open the artery involves a balloon…

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    News • Ventricular tachycardia

    Deadly heart rhythm halted by noninvasive radiation therapy

    Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy — aimed directly at the heart — can be used to treat patients with a life-threatening heart rhythm. They treated five patients who had irregular heart rhythms, called ventricular tachycardia, at the School of Medicine. The patients…

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    News • Prognosis and diagnosis

    Deep insight into the heart

    By no means are only elderly people at risk from heart diseases. Physically active individuals can also be affected, for example if a seemingly harmless flu bug spreads to the heart muscle. Should this remain undetected and if, for example, a builder continues with his strenuous job or an athlete carries on training, this can lead to chronic inflammation and in the worst case even to sudden…

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    Sponsored • Point-of-care ultrasound

    Gambian trip offers dialysis hope

    Point-of-care ultrasound is a valuable tool for successful dialysis fistula surgery, allowing pre-operative mapping to find a suitable site and post-operative fistula scanning to check for stenosis and adequate blood flow. Anna Jerram, a clinical vascular scientist at the Manchester Royal Infirmary, discusses the role POC ultrasound played during a recent trip to the Gambia to provide critical…

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    News • Recommendations

    First European advice on deep vein thrombosis

    The first comprehensive European advice on deep vein thrombosis is published in the current issue of European Heart Journal. The recommendations were produced by the European Society of Cardiology (ESC) Working Group on Aorta and Peripheral Vascular Diseases and Working Group on Pulmonary Circulation and Right Ventricular Function.

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    Article • ESC Congress 2017

    Entering the future of cardiology

    With 4,500 accepted abstracts, 600 sessions and 30,000 expected attendees, ESC Congress 2017 is undoubtedly the world’s largest cardiovascular event. On healthcare-in-europe.com, Dr Stephan Achenbach, Congress Program Committee Chairperson, gives an overview of issues and events unfolding in Barcelona from August 26-30.

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    Sponsored • Point-of-care

    The TUBE approach to perioperative point-of-care ultrasound

    Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound. Dr Christophe Aveline, Consultant Anaesthetist in critical care and surgery at the Sévigné Private hospital in Rennes, is an advocate of TUBE and works closely on its…

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    News • Microdevices

    A miniscule robot could assist in minimally invasive surgeries

    A tiny robot that gets into the human body through the simple medical injection and, passing healthy organs, finds and treats directly the goal – a non-operable tumor… Doesn’t it sound at least like science-fiction? To make it real, a growing number of researchers are now working towards this direction with the prospect of transforming many aspects of healthcare and bioengineering in the…

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    Article • Surgery 4.0

    Robots will not see off human specialists

    Big Data, automation, and artificial intelligence – no doubt, all these developments will have an impact on surgery. During our interview, Professor Hubertus Feußner, Head of the interdisciplinary research group ‘Minimally invasive interdisciplinary therapy intervention’ at the Technical University Munich, Germany, and Professor Christoph Thümmler, Professor for eHealth at Edinburgh…

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    Sponsored • Experience

    25 years of point-of-care ultrasound in anaesthesia

    Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia.

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    Article • Guidelines

    Reprocessing - staff qualifications are vital

    The reprocessing of medical devices in Europe is very inconsistent, according to a European Commission survey that was carried out in the 27 EU member states among politicians, medical device manufacturers and reprocessing companies, as well as doctors, hospitals and related professional parties

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    Article • Mobility

    Hitachi puts punch in portablility

    When Ferdinando Draghi, M.D. speaks, the world of ultrasound listens carefully. The Editor-in-Chief of the Journal of Ultrasound, the author of 90 publications that have been cited in other peer-reviewed publications hundreds of times, Dr. Draghi is widely known for his authoritative knowledge in diseases affecting the musculoskeletal (MSK) system.

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    Article • Stroke

    Imaging in intra-arterial interventions

    Stroke patients will first undergo a CT scan as they enter the hospital. Before any further imaging scan is carried out, the medical team must decide whether they need to intervene intra or extra cranially. ‘Imaging enables you to see which pathology you are dealing with and helps you select patients for either recanalisation or revascularisation or, in some cases, occlusion by embolisation,’…

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    Article • Research

    Device trial could benefit stroke patients

    In the fast-evolving field of left atrial appendage closure a new study has delivered data that could benefit thousands of patients at risk of stroke. Led by Professor Martin Bergmann, head of Interventional Cardiology at Cardiologicum Hamburg in Germany, the EWOLUTION study was conducted to evaluate the Watchman Left Atrial Appendage (LAA) closure device from manufacturer Boston Scientific.

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    Article • Predicting plaques

    Exposing the secrets of the heart

    Coronary interventions often rely more on art than science as the decision to treat a patient tends to be based on what clinicians can see, a subjective interpretation of cardiac imaging. Two new techniques have emerged for cardiovascular diagnostics that are enabling software to help surgeons and cardiologists measure, and thereby better manage cardiac disease.

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    Article • Controversy

    TAVI is approved for lower risk patients

    The Medtronic CoreValve Evolut R System received its CE Mark of approval this August to treat aortic stenosis in patients with an intermediate risk for undergoing conventional surgery for a valve replacement. This is a controversial indication for transcatheter aortic valve implantations (TAVI) – one that has been eagerly sought by some clinicians but resisted by others. Younger patients will…

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    Article • Data management

    Cardiac IT made simple

    When Michael Ziller, Head of IT at the Bethanien Hospital in Moers, Germany, was looking for a provider of cardiac IT applications that not only offered standard applications for ECGs as well as long-term ECGs and long-term blood pressure measurements, he realised there was not much on the market. ‘We had an additional challenge for this project in that we wanted all data to run via just one…

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    Article • Intervention

    Hybrid ORs: not equally beneficial for all facilities

    The hybrid operating room is one of the most innovative developments in the surgical sector. The combination of interventional and minimally invasive surgical procedures is exciting for many clinical disciplines. The room design, intraoperative imaging techniques as well as interdisciplinary collaboration play a pivotal role in this.

    News • Staphylococcus aureus

    Women more likely to die within 30-days from bacterial blood infection

    Clinicians around the world have long suspected that bacteraemia due to Staphylococcus aureus has a worse outcome in women compared to men, but direct evidence has been elusive. A study just published confirms that significantly more women than men diagnosed with Staphylococcus aureus bacteraemia (SAB) – a blood infection of the common bacteria – die within 30 days.

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    News • Micra TPS

    The world’s smallest pacemaker

    Jersey Shore University Medical Center, part of Meridian CardioVascular Network, is the first hospital in New Jersey to implant the Micra® Transcatheter Pacing System (TPS) – the world’s smallest pacemaker – since the device gained U.S. Food and Drug Administration (FDA) approval in April 2016.

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    Article • Obesity

    Bariatric arterial embolisation

    Radiology is going beyond assessing body fat, bringing a notable contribution in weight loss therapy. Clifford Weiss from Johns Hopkins University is one of the pioneers of a new procedure, bariatric arterial embolisation, details of which he will unveil at the ECR 2016.

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    Article • CSI

    3-D printed hearts

    The CSI Congress (Congenital, Structural and Valvular Interventions) is one of the major fixtures for catheter therapy of congenital and structural heart defects. Key moments in this high profile event are live broadcasts and the audience can not only to listen to but also interact with the teams in the cath labs involved.

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    News • Biogel

    Intelligent gel attacks cancer

    A new injectable “biogel” is effective in delivering anti-cancer agents directly into cancerous tumours and killing them. This technology, developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM), has already been successfully tested in the laboratory. If it works in patients, the therapy could one day revolutionize treatment for many forms of cancer.

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    News • Hygiene

    Care, human dignity and the management of excreta

    It's a topic which is frequently marginalised and tacitly accepted – care recipients are given a nappy even though they're continent simply because it's awkward and time-consuming for them to get to the toilet. The medical service of the German Central Federal Association of Health Insurance Funds and the National Association of Statutory Health Insurance Funds highlighted this problem in their…

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    Article • Procurement

    Good money for good products?

    Whether they are wireless pacemakers or catheter-guided heart valve implants, new, really innovative products must reach patients – somehow. Thus manufacturers need to ensure that the hospitals that buy their products will be reimbursed. New diagnostic and treatment methods are not captured by a system based on the analysis of older methods. Holger Zorn spoke with Nicole Eisenmenger, Director…

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    News • Trinias MiX-Package

    Shorter treatment times and less contrast media

    In the year of its 140th anniversary, Shimadzu has released the new Trinias MiX package (Minimally invasive eXperience) to support less invasive treatments through a variety of applications. The Trinias MiX package is an exten¬sion of the Trinias angiography system, which facilitates high-level interventions through proprietary image processing technology. Shimadzu provides functional…

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    News • Simulation

    Treating aortic aneurysms through virtual reality

    Virtual models can be created in the angiography room thanks to an approach developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM) and the university’s departments of radiology, radiation oncology, and nuclear medicine. The latest advances were presented by Dr. Gilles Soulez at the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) conference…

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      Article • Thrombectomy

      Stroke is a surgical disease!

      They did it for heart attacks. Can cardiologists now lead an effort to speed up the emergency medical response for stroke? Over the past five years, the Stent for Life initiative organised by interventional cardiologists has pushed majors medical centres to assure 24/7 coverage and reduce the time to treatment for patients showing up with severe chest pain.

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      Radial artery catheter failure

      2.5 million radial arterial catheters (RAC) are used annually in Europe (USA: 8 million), commonly to monitor arterial blood pressure and take blood samples in surgical, A&E and ICU units. They can fail. For a study of mechanisms that might lie behind premature RAC failure and complications related to RAC in clinical use*, at team at the Radiology/Ultrasound and Anaesthesiology Department,…

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      News • Technology

      Diabetes: Smart insulin patch could replace painful injections

      Painful insulin injections could become a thing of the past for the millions of Americans who suffer from diabetes, thanks to a new invention from researchers at the University of North Carolina and NC State, who have created a “smart insulin patch” that can detect increases in blood sugar levels and secrete doses of insulin into the bloodstream whenever needed.

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      Article • Stroke treatment

      Six international studies endorse thrombectomy

      Results from six international randomised controlled studies conclusively and uniformly confirm, for the very first time, the effectiveness of thrombectomy in patients with acute, severe ischaemic strokes caused by a blood clot in one of the proximal cerebral arteries. The endovascular procedure is an add-on to conventional thrombolysis. EH reports from a German Stroke Society (DSG) press…

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      Article • Infectious diseases

      Carrying home a nosocomial infection

      About 6-8% of Spanish patients will develop an infection during or after a hospital stay. Can these infections be avoided? How is Spain facing up to the challenge? Dr Juan Pablo Horcajada, Head of the Department of Infectious Diseases at Hospital del Mar, Barcelona, and spokesperson of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), assessed the situation and…

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      Endurance athletes should be tested for fatal heart condition

      Some athletes who take part in endurance exercise such as marathon running, endurance triathlons or alpine cycling can develop irregularities in their heartbeats that can, occasionally, lead to their sudden death. Evidence published in the European Heart Journal by Professor La Gerche and colleagues has shown that doctors who try to detect these arrhythmias by focusing on the left ventricle of…

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      Who benefits from a catheter - and who does not?

      A new detailed guide gives doctors and nurses information to help decide which hospital patients may benefit from a urinary catheter - and which ones do not. That should help spare patients the pain, embarrassment, and potentially serious side effects that can come with having a catheter placed - which may bring more risk than benefit to the patient.

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      Sponsored • First hand experience

      Improving point-of-care ultrasound training in intensive care medicine

      Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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      Article • Cardiology III

      Restrictive ruling on cardiac procedure

      In the future, TAVIs can only be carried out in German hospitals with cardiac surgery departments and cardiac wards, as decided by the German Government’s Expert Panel on Health (G-BA) last January. An interim arrangement in force until 2016 is anticipated for Heart Centres that currently carry out the TAVI procedure without cardiac surgery departments on site. The Federal Ministry of Health is…

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      Article • Paediatric imaging

      MRI in paediatric cardiology

      'In paediatric cardiology, echocardiography is the method of choice for preoperative diagnostic purposes,' explains Professor Dr Emanuela Valsangiacomo-Büchel, senior cardiologist and director of cardiovascular imaging at the University Children’s Hospital Zurich, Switzerland. Report: Axel Viola

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      Liquid biopsy

      It sounds amazingly simple: a structured medical Seldinger guidewire is inserted via a peripheral venous catheter to ‘fish’ for circulating tumour cells (CTC) in the blood of cancer patients. Report: Bettina Döbereiner

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        Seeking congenital cardiac defects

        Congenital heart defects are the most common congenital disorders found in newborns – around one in a hundred babies are affected. This type of heart defect can be reliably diagnosed with ultrasound, usually during the detailed foetal scan carried out halfway through the pregnancy. Report: Brigitte Dinkloh

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        Zero percent and other illusions

        Professor Tobias Welte MD, President of the 24th International Congress of the European Respiratory Society, gave EH some personal views on the symposium ‘New perspectives in the management of nosocomial pneumonia’. Interview: Ralf Mateblowski

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        It’s cool, Man!

        Evidence is scant on the cooling of comatose patients who have suffered cardiac arrest, stroke or traumatic brain injuries; nevertheless, new methods for cooling patients are continuously being developed.

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        NICE sets new guidelines

        Pointing out that it is unacceptable that some 300,000 people become adversely infected while being in the care of the UK’s National Health Service every year, the National Institute for Health and Care Excellence (NICE), which provides national guidance and advice to improve health and social care, has launched a new set of quality standards.

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        The fall and rise of cardiac surgery innovations

        Grandly announced, the da Vinci became the must-have of any self-respecting cardiac surgeon, only to sink into obscurity as quickly as it had risen to stardom. Once the wunderkind of robotic surgery, today this surgical system is merely collecting dust on many a hospital cupboard. A whole slew of methods and technologies were launched with varied fanfares over the past ten years. European…

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        The first wireless ultrasound transducer

        This spring, when Siemens Healthcare launched the world’s first wireless ultrasound transducer, the Erlangen-based company ushered in a development that might make mobile scanning in, say, 20 years’ time, as commonly used as mobile phones are today.

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        Endoscopic Hemostat stems bleeding

        A few years ago the American forces succeeded in dramatically lowering the mortality of soldiers from gunshot wounds with the help of a new, haemostatic powder. These silicate crystals, which attach to a wound, not only stem external bleeding but also internal bleeding resulting from stomach or duodenal ulcers, tumours or rare types of vascular deformities.

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        Art meets science

        The future will be aesthetic or, put another way, Art meets Science. With this motto, the 43rd Congress of the German Society for Endoscopy and Imaging Procedures e.V., jointly held in Munich with six other specialist associations, demonstrated that aesthetic means the brilliance of images generated by the latest generation of X-ray, CT, MRI and ultrasound equipment.

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        Article • cTCA vs. cardiovascular diseases

        CT coronary angiography

        Cardiovascular diseases, the most common cause of death in the West, includes diseases for which early detection is an important objective in cardiac imaging – particularly for coronary artery stenosis. Diagnosis is often made in the cardiac catheter laboratory. Now, however, CT scanning advances provide a lower impact alternative to that invasive exam. PD Dr Thomas Schlosser, Consultant at the…

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        Sepsis

        Along with a call for earlier identification and intervention in sepsis cases, intensive care consultant Dr Ron Daniels also stressed that timely intervention is cost-effective for health systems as it leads to fewer sepsis patients needing treatment in intensive care units (ICU).

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        Diabetes and CAD

        Anja Behringer reports on a neglected risk factor. With an aging population multimorbidity is increasingly a major challenge for hospital care. Diabetes is one of the medical conditions frequently encountered in multimorbid patients since cardiac and vascular diseases are often accompanied by dysfunctions of the blood sugar metabolism.

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        IROS 2012

        Controversies were certainly aired when 800 radiologists gathered in Salzburg for The Interventional Radiological Olbert Symposium - a meeting of the German, Austrian and Swiss Societies for Interventional Radiology (DEGIR ÖGIR and SGCVIR) – and certainly some striking new interventions were presented. Michael Krassnitzer reports

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        Siemens Presents Premium Ultrasound System

        High-performance system makes exceptional image quality and advanced clinical applications accessible to a broader base of customers and patients. At the European Congress of Radiology (ECR) in Vienna, Austria, Siemens Healthcare showcases its latest premium ultrasound platform, the Acuson S1000 ultrasound system.

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        MRI will improve the treatment of wake-up strokes

        Neurointensivists need to act quickly and carefully – as well as consider later complications or the psychological impact on stroke victims. This potentially debilitating disease was a central discussion among 1,400 participants from 10 countries during the three-day 29th Annual Conference of Neurointensive Medicine (ANIM), an event hosted in January by The German Society for Neuro-Intensive…

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        Post-operative care

        The list of post-operative complications is long. Most common are fever, chest infection, pneumonia, wound infection, bleeding or deep vein thrombosis. As these post-surgical complications can range from minor, self-limiting problems to major life-threatening events, their definition and severity staging can be challenging.

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        Better safe than sorry

        Five recommendations to prevent central venous catheter-related infections. Catheter-related bloodstream infections are the third frequent infection in the intensive care unit (ICU) after pneumonia and peritonitis worldwide. The incidence of CVC infections lies between 1-4 for 1,000 catheterdays. This means for the USA, as an example, that more than five million patients annually need a central…

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        New technique successfully dissolves blood clots in the brain and lowers risk of brain damage after stroke

        Johns Hopkins neurologists report success with a new means of getting rid of potentially lethal blood clots in the brain safely without cutting through easily damaged brain tissue or removing large pieces of skull. The minimally invasive treatment, they report, increased the number of patients with intracerebral hemorrhage (ICH) who could function independently by 10 to 15 percent six months…

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