Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Effect of catheter-based patent foramen ovale closure on the occurrence of arterial bubbles in scuba divers

J. Honěk, M. Srámek, L. Sefc, J. Januška, J. Fiedler, M. Horváth, A. Tomek, S. Novotný, T. Honěk, J. Veselka,

. 2014 ; 7 (4) : 403-8. (Cardiovascular interventions)

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, pozorovací studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc15008190

OBJECTIVES: This study sought to evaluate the effect of catheter-based patent foramen ovale (PFO) closure on the occurrence of arterial bubbles after simulated dives. BACKGROUND: PFO is a risk factor of decompression sickness in divers due to paradoxical embolization of bubbles. To date, the effectiveness of catheter-based PFO closure in the reduction of arterial bubbles has not been demonstrated. METHODS: A total of 47 divers (age 35.4 ± 8.6 years, 81% men) with a PFO (PFO group) or treated with a catheter-based PFO closure (closure group) were enrolled in this case-controlled observational trial. All divers were examined after a simulated dive in a hyperbaric chamber: 34 divers (19 in the PFO group, 15 in the closure group) performed a dive to 18 m for 80 min, and 13 divers (8 in the PFO group, 5 in the closure group) performed a dive to 50 m for 20 min. Within 60 min after surfacing, the presence of venous and arterial bubbles was assessed by transthoracic echocardiography and transcranial color-coded sonography, respectively. RESULTS: After the 18-m dive, venous bubbles were detected in 74% of divers in the PFO group versus 80% in the closure group (p = 1.0), and arterial bubbles were detected in 32% versus 0%, respectively (p = 0.02). After the 50-m dive, venous bubbles were detected in 88% versus 100%, respectively (p = 1.0), and arterial bubbles were detected in 88% versus 0%, respectively (p < 0.01). CONCLUSIONS: No difference was observed in the occurrence of venous bubbles between the PFO and closure groups, but the catheter-based PFO closure led to complete elimination of arterial bubbles after simulated dives. (Nitrogen Bubble Detection After Simulated Dives in Divers With PFO and After PFO Closure; NCT01854281).

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc15008190
003      
CZ-PrNML
005      
20150612103625.0
007      
ta
008      
150306s2014 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.jcin.2013.12.199 $2 doi
035    __
$a (PubMed)24630875
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Honěk, Jakub $u Department of Cardiology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic; Institute of Pathological Physiology, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic.
245    10
$a Effect of catheter-based patent foramen ovale closure on the occurrence of arterial bubbles in scuba divers / $c J. Honěk, M. Srámek, L. Sefc, J. Januška, J. Fiedler, M. Horváth, A. Tomek, S. Novotný, T. Honěk, J. Veselka,
520    9_
$a OBJECTIVES: This study sought to evaluate the effect of catheter-based patent foramen ovale (PFO) closure on the occurrence of arterial bubbles after simulated dives. BACKGROUND: PFO is a risk factor of decompression sickness in divers due to paradoxical embolization of bubbles. To date, the effectiveness of catheter-based PFO closure in the reduction of arterial bubbles has not been demonstrated. METHODS: A total of 47 divers (age 35.4 ± 8.6 years, 81% men) with a PFO (PFO group) or treated with a catheter-based PFO closure (closure group) were enrolled in this case-controlled observational trial. All divers were examined after a simulated dive in a hyperbaric chamber: 34 divers (19 in the PFO group, 15 in the closure group) performed a dive to 18 m for 80 min, and 13 divers (8 in the PFO group, 5 in the closure group) performed a dive to 50 m for 20 min. Within 60 min after surfacing, the presence of venous and arterial bubbles was assessed by transthoracic echocardiography and transcranial color-coded sonography, respectively. RESULTS: After the 18-m dive, venous bubbles were detected in 74% of divers in the PFO group versus 80% in the closure group (p = 1.0), and arterial bubbles were detected in 32% versus 0%, respectively (p = 0.02). After the 50-m dive, venous bubbles were detected in 88% versus 100%, respectively (p = 1.0), and arterial bubbles were detected in 88% versus 0%, respectively (p < 0.01). CONCLUSIONS: No difference was observed in the occurrence of venous bubbles between the PFO and closure groups, but the catheter-based PFO closure led to complete elimination of arterial bubbles after simulated dives. (Nitrogen Bubble Detection After Simulated Dives in Divers With PFO and After PFO Closure; NCT01854281).
650    _2
$a dospělí $7 D000328
650    12
$a srdeční katetrizace $x přístrojové vybavení $7 D006328
650    _2
$a studie případů a kontrol $7 D016022
650    _2
$a dekompresní nemoc $x etiologie $x prevence a kontrola $x ultrasonografie $7 D003665
650    _2
$a potápění $x škodlivé účinky $7 D004242
650    _2
$a echokardiografie transezofageální $7 D017548
650    _2
$a vzduchová embolie $x etiologie $x prevence a kontrola $x ultrasonografie $7 D004618
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a foramen ovale apertum $x terapie $x ultrasonografie $7 D054092
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a prediktivní hodnota testů $7 D011237
650    _2
$a rizikové faktory $7 D012307
650    _2
$a septální okluder $7 D055989
650    _2
$a časové faktory $7 D013997
650    _2
$a výsledek terapie $7 D016896
650    _2
$a ultrasonografie dopplerovská transkraniální $7 D017585
655    _2
$a časopisecké články $7 D016428
655    _2
$a pozorovací studie $7 D064888
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Srámek, Martin $u Institute of Pathological Physiology, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic; Department of Neurology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic.
700    1_
$a Sefc, Luděk $u Institute of Pathological Physiology, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic.
700    1_
$a Januška, Jaroslav $u Cardiocentrum, Hospital Podlesí, Třinec, Czech Republic.
700    1_
$a Fiedler, Jiří $u Department of Cardiology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic.
700    1_
$a Horváth, Martin $u Department of Cardiology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic.
700    1_
$a Tomek, Aleš $u Department of Neurology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic.
700    1_
$a Novotný, Stěpán $u Hyperbaric Chamber, Kladno Regional Hospital, Kladno, Czech Republic.
700    1_
$a Honěk, Tomáš $u Department of Cardiology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic.
700    1_
$a Veselka, Josef $u Department of Cardiology, Charles University in Prague, Second Faculty of Medicine and Motol University Hospital, Prague, Czech Republic. Electronic address: veselka.josef@seznam.cz.
773    0_
$w MED00186218 $t JACC. Cardiovascular interventions. Cardiovascular interventions $x 1876-7605 $g Roč. 7, č. 4 (2014), s. 403-8
856    41
$u https://pubmed.ncbi.nlm.nih.gov/24630875 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20150306 $b ABA008
991    __
$a 20150612104016 $b ABA008
999    __
$a ok $b bmc $g 1065463 $s 890990
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2014 $b 7 $c 4 $d 403-8 $i 1876-7605 $m JACC. Cardiovascular interventions $n JACC Cardiovasc Interv $x MED00186218 $o Cardiovascular interventions
LZP    __
$a Pubmed-20150306

Najít záznam

Citační ukazatele

Pouze přihlášení uživatelé

Možnosti archivace