Percutaneous Laser Discectomy: Experience and Long Term Follow-Up

Menchetti, Pier Paolo Maria; Canero, G.; Bini, Walter

doi:10.1007/978-3-211-99370-5_18

Cited by 30 publications

(19 citation statements)

References 9 publications

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“…After the solid‐state lasers, gas lasers were developed 24–28. In the last decade, the diode laser 29–31, which currently dominates in surgical use, was introduced. Its size and the ability to set the wavelength, output powers, and delivery through quartz fibers make it applicable to many different procedures.…”

Section: Introductionmentioning

confidence: 99%

Marital Status and Outcome of Patients Presenting with Acute Coronary Syndrome: An Observational Report

Khafaji

Habib

Asaad

et al. 2012

Clinical Cardiology

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Background & hypothesis:Data on the clinical characteristics and outcome of patients presenting with acute coronary syndrome (ACS) according to their marital status is not clear.Methods:A total of 5334 patients presenting with ACS in 65 hospitals in 6 Middle East countries in the 2nd Gulf Registry of Acute Coronary Events (Gulf RACE‐2) were studied according to their marital status (5024 married, 100 single, and 210 widowed patients).Result:When compared to married patients, widowed patients were older and more likely to be female. Widowed patients were more likely to have diabetes mellitus, hypertension, history of heart failure, and peripheral vascular disease and were less likely to be tobacco users when compared to the other groups. Widowed patients were also more likely to present with atypical symptoms and have advanced Killip class. Widowed patients were more likely to present with non‐ST‐elevation myocardial infarction (NSTEMI) when compared to the other 2 groups. Widowed patients were more likely to have heart failure (P = 0.001), cardiogenic shock (P = 0.001), and major bleeding (P = 0.002) when compared to the other groups. No statistically significant difference was observed in regard to duration of hospital stay, door to needle time in STEMI patients, or cardiac arrhythmias between the various groups. Widowed patients had higher in‐hospital, 30‐day, and 1‐year mortality rates (P = 0.001). Marital status was an independent predictor for in‐hospital mortality.Conclusion:Widowed marital status was associated with worse cardiovascular risk profile, and worse in‐hospital and 1‐year outcome. Future work should be focused on whether the provision of psychosocial support will result in improved outcomes among this high‐risk group. Clin. Cardiol. 2011 DOI: 10.1002/clc.22034Gulf RACE is a Gulf Heart Association (GHA) project and was financially supported by the GHA, Sanofi Aventis, and the College of Medicine Research Center at King Khalid University Hospital, King Saud University, and Riyadh, Saudi Arabia.The authors have no other funding, financial relationships, or conflicts of interest to disclose.

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Section: Introductionmentioning

confidence: 99%

Marital Status and Outcome of Patients Presenting with Acute Coronary Syndrome: An Observational Report

Khafaji

Habib

Asaad

et al. 2012

Clinical Cardiology

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“…These authors concluded that the 980-nm diode laser had excellent ablation capacity with minimal thermal side effects on nearby tissues. 1 Although application of the 980-nm diode laser in the neurosurgical field has been demonstrated in intracranial neoplasms and lumbar discogenic pain, 2,8,9 we demonstrate its use with endoscopy for the first time. Our intention is to reduce the invasiveness of intracranial procedures while preventing brain tissue trauma, to decrease the risk of neurological and mental deficits.…”

Section: 418mentioning

confidence: 81%

Application of a 980-nanometer diode laser in neuroendoscopy: a case series

Reis

Teixeira

Mancini³

et al. 2016

JNS

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V entricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. About 30% of patients with hydrocephalus meet the criteria for this technique, which may prevent the need for a ventriculoperitoneal shunt, resulting in reduced costs and low incidence of late complications. 4,5,6,7,12,15,17 Nonetheless, because a ventricular endoscope is used through a single bur hole, additional resources to enable cutting, coagulation, and ablation of injuries are extremely relevant to reduce surgical time and hospital length of stay, and increase the safety of the procedure and the patient's postoperative comfort. 8,10,18 Increasing experience in several centers has proven that laser-assisted endoscopic procedures are useful options, because they are safe, effective, and advantageous in cases of distorted anatomy. 4,18 We have previously shown favorable results of surgical Nd:YAG and therapeutic laser (diode 685 nm) in neuroendoscopic procedures, such as excision of colloid cysts and myelomeningocele repair. 10,11 Furthermore, the use of 980-nm diode laser in brain tissue of Wistar rats has been tested in recent studies and was associated with a remarkable ablating capacity, minimal thermal damage to surrounding tissue, and lower recovery time than other lasers with different wavelengths or electrocoagulators. The 980-nm-wavelength diode laser provides proper absorption in both water and hemoglobin, which is an adabbreviatioNs μ A (H 2 O) = absorption coefficient of water; CW = continuous wave; ETV = endoscopic third ventriculostomy. obJective Ventricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. Highpower (surgical) Nd:YAG laser and low-level laser therapy (using 685-nm-wavelength diode laser) have been used in conjunction with neuroendoscopy with favorable results. This study evaluated the use of surgical 980-nm-wavelength diode laser for the neuroendoscopic treatment of ventricular diseases. methods Nine patients underwent a neuroendoscopic procedure with 980-nm diode laser. Complications and followup were recorded. results Three in-hospital postoperative complications were recorded (1 intraventricular hemorrhage and 2 meningitis cases). The remaining 6 patients had symptom improvement after endoscopic surgery and were discharged from the hospital within 24-48 hours after surgery. Patients were followed for an average of 14 months: 1 patient developed meningitis and another died suddenly at home. The other patients did well and were asymptomatic until the last follow-up consultation. coNclusioNs The 980-nm diode laser is considered an important therapeutic tool for endoscopic neurological surgeries. This study showed its application in different ventricular diseases.

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“…Then, laser technology was developed and Ion Resonance Laser, Excimer Laser and Argon Laser types were developed. In a retrospective study performed by Menchetti et al , they applied PLDD in selected patients and they reported that there was a 70% success rate in the 5 years follow-up period and there was no complication 11 . Gronemeyer had 74% successful results in the 4 years follow-up period of 200 patients 12 .…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation

Ilık¹

2017

Kafkas J Med Sci

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Percutaneous Laser Discectomy: Experience and Long Term Follow-Up

Cited by 30 publications

References 9 publications

Marital Status and Outcome of Patients Presenting with Acute Coronary Syndrome: An Observational Report

Marital Status and Outcome of Patients Presenting with Acute Coronary Syndrome: An Observational Report

Application of a 980-nanometer diode laser in neuroendoscopy: a case series

Efficacy of the Percutaneous Laser Disc Decompression in Patients with Lumbar Disc Herniation

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