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MitraClip Therapy Demonstrates Benefits

Results of an observational study presented at the European Society of Cardiology (ESC) meeting in Paris demonstrate that the percutaneous catheter-based MitraClip treatment improves symptoms and promotes reverse left ventricular (LV) remodeling in patients with mitral regurgitation (MR), who do not respond to cardiac resynchronization therapy (CRT).

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Cardiac Disease: Coronary or not?

Acute myocardial Infarction (AMI) is a major cause of death and disability. Worldwide, one in eight patients die of an ischemic heart disease. Its rapid and accurate diagnosis is critical for the initiation of effective evidence based medical management, including early revascularization, but is still an unmet clinical need. The gradual implementation of high-sensitive cardiac troponins (hs-cTnT)…

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The PRODIGY study

However, the PROlonging Dual antiplatelet treatment after Grading stent-induced Intimal hyperplasia studY (PRODIGY) also found a consistently greater risk of haemorrhage in the 24-month dual therapy group according to all prespecified bleeding definitions, including the recently proposed Bleeding Academic Research Consortium classification. The need for transfusion was also increased in the…

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From tissue uniformity to volume imaging

Explaining the value of the iU22 xMATRIX ultrasound system, Philips describes its new array transducer within the system – the X6-1 PureWave xMATRIX – as revolutionary.‘It harnesses the power of over 9000 active elements, more than 35 times greater than conventional transducers, to capture crisp, high-resolution images of even technically challenging patients,’ the company points out,…

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Papworth Hospital: A constant continuing success

Recent events have again underlined the reason why Papworth Hospital in ambridgeshire, England, maintains a enowned international reputation for cardiac and thoracic procedures. As Britains largest specialist cardiothoracic hospitals, over 2,000 major heart operations were performed there in 2010. In the year ending 1 April 2011, 824 patients had coronary bypass operations, including urgent,…

Investigating treatment options for atrial fibrillation

The first patient has been enrolled for the largest pan-European study to determine whether an early comprehensive rhythm control strategy for the treatment of atrial fibrillation (AF) will benefit patients. Patients with recent-onset AF at risk for stroke or death are eligible for the trial. The researchers plan to enrol more than 3,000 patients from 200 centres in 11 European countries.

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MRI and plaque imaging

Cardiovascular disease is the leading cause of death in industrial nations. More than 50 percent of those deaths are associated with pathologies of the coronary arteries, despite the fact that luminal obstructions that lead to myocardial infarction or ischemia do not occur out of the blue. The initial symptoms are preceded by a whole slew of arteriosclerosis stages and the early detection of…

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A time to tackle controversies face-to-face

A hefty debate on controversial issues in cardiology is the definite intent of Congress President Professor Michel Komajda and the ESC 2011 congress organisers. To that end, he plans to open the event with a focus on disagreements among cardiologists over treatment methods. This is not the only promise of a lively meeting for congress participants, as Prof Komajda explained in conversation with…

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Transcatheter aortic valve implants

Although transcatheter aortic valve implantation (TAVI) is increasingly the most used surgical procedure in Germany, only two products have been approved for routine use. Although this has prompted other medical device manufacturers to go into action, according to Professor Justus Strauch, head of cardiac surgery at the Klinikum Bergmannsheil, Bochum, no one has yet taken the lead in this…

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The New York Academy of Sciences Conference

This two-day international scientific symposium follows two previously successful conferences held by the New York Academy of Sciences (NYAS), ‘la Caixa’ Welfare Projects, and the International Centre for Scientific Debate (ICSD) for researchers, physicians, scientists and representatives of the related industries, working in cardiology, vascular disease, inflammation, regenerative medicine,…

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Elastography in breast ultrasound

In recent years, the technique of breast ultra-sonography has become an essential procedure in the diagnostic evaluation of breast tissue. The improvement of ultrasound technology, especially with regards to the high resolution of modern devices and the use of colour Doppler sonography, has made this technique indispensable in our daily routine. Although the value of conventional breast…

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High-end ultrasound at Sahlgrenska University Hospital

Sahlgrenska University Hospital provides emergency and basic care for the 700,000 inhabitants of the Gothenburg region. It also provides highly specialised care for the 1.7 million inhabitants in Sweden’s west because, in this country, endoscopic ultrasound examinations are only provided in university hospitals. Thus Sahlgrenska’s physicians receive referrals of difficult diagnostic cases…

True values versus relative Measurements

Detecting prostate cancer with transrectal ultrasound using strain elastography is quite tricky: it works by applying pressure to the transducer to measure relative stiffness of tissue, Professor Correas points out and states that ‘more than 80 percent of prostate cancer develops in the peripheral zone which is against the rectal wall. If we apply pressure to this zone the deformation of the…

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‘Our products are competitive’

In recent years the ultrasound division of Siemens Healthcare appeared to be a Sleeping Beauty slumbering on in the shadow of large slice imaging equipment such as PET/CT and MR/PET, the medical technology giant’s favourite daughters. With many of the world’s wealthy princes, particularly from India, Brazil, China, and so on, knocking on Siemens’ doors, the giant has at last decided to wake…

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Determining the site of deep brain implants

Uncontrollable convulsions, tremor or spasms can considerably impair the lives of neurodegenerative disease patients. Deep brain stimulation (DBS) – for which tiny electrodes are implanted in the brain to stimulate the target areas continuously with electrical impulses – can significantly reduce the movement disorder.

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CT, PET-CT, MRT and transthoracic ultrasound in lung cancer staging

Dr Helmut Prosch, at the University Clinic for Radio-Diagnostics, Vienna, Austria, is examining the role of imaging in lung cancer diagnosis and staging. The key message of his presentation in the session EUS and EBUS vs. CT, MR and PET-CT in the staging of lung cancer is that the modalities do not compete with one another – as the title suggests – but are perfectly complimentary in the…

Ultrasound and the lung

Lung ultrasound is a technique with widespread uses and advantages in a range of areas from critical care through to less urgent medical areas. Most of all, it is of particular help in the rapid diagnosis of acute respiratory failure. During a session at WFUMB, its benefits and the latest techniques will be outlined by medical intensivist Dr Daniel Lichtenstein -- Lung Ultrasound in Acute…

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From punch to vacuum to RF-guided breast intervention with ultrasound

More than 90% of patients who present with suspect or highly suspect breast lesions (BI-RADS categories 4 or 5) now undergo biopsies. Further treatment is only carried out after the precise histological clarification of the tissue sample is obtained. The intervention is routinely carried out via ultrasound guided punch biopsy. Thanks to new techniques the procedure is now becoming even more…

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