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Fischer S, Weber A, Carolus A, Drescher F, Götz F, Weber W. Coiling of wide-necked carotid artery aneurysms assisted by a temporary bridging device (Comaneci): preliminary experience. J Neurointerv Surg 2016; 9:1039-1097. [PMID: 27742747 PMCID: PMC5740552 DOI: 10.1136/neurintsurg-2016-012664] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Revised: 09/21/2016] [Accepted: 09/29/2016] [Indexed: 11/16/2022]
Abstract
Background Endovascular treatment of wide-necked aneurysms remains challenging without the use of adjunctive devices to preserve the parent artery. Objective To present our initial experience with a temporary bridging device, the Comaneci (Rapid Medical, Israel). The compliant remodeling mesh protects the parent artery during coil occlusion without flow arrest in the distal vasculature. Permanent dual antiplatelet therapy is not required since the device is fully removed at the end of the procedure. Methods All intracranial aneurysms treated by coil occlusion with the Comaneci device between December 2014 and November 2015 were included. Angiographic and clinical results were retrospectively analysed, including follow-up examinations. All aneurysms were unruptured. Results 18 aneurysms of the internal carotid artery were included. Successful coil occlusion assisted by the Comaneci device as intended was possible in 14 cases (77.8%). Insufficient coverage of the aneurysmal neck was observed in four cases (22.2%), with modification of the treatment to stent-assisted coiling or remodeling. One clinically relevant complication occurred (5.6%). Conclusions Our initial experience shows that use of the Comaneci device is straightforward for the treatment of selected wide-necked aneurysms. Further studies with long-term follow-up data are needed to identify the significance of the presented technique in the neurointerventional armamentarium.
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Pfeiffer A, Gebauer S, Rubin D, Schulze M, Buchholz G, Klein H, von Lilienfeld-Toal H, Reinert G, Simon M, Müssig K, Skurk T, Hauner H, Tombek A, Müller M, Fischer S, Weickert M, Hoffmann D. Ernährungsempfehlungen zur Behandlung des Diabetes mellitus – Empfehlungen zur Proteinzufuhr. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0042-111088] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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103
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Akil A, Redwan B, Reichelt J, Freermann S, Micu C, Semik M, Fischer S. Elektrisch betriebenes Stapler-System (iDrive) versus mechanischer Klammernahthandgriff in der Lungenchirurgie: Ergebnisse einer prospektiv randomisierten Studie. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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104
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Akil A, Reichelt J, Freermann S, Micu C, Redwan B, Semik M, Fischer S. Endobronchiale Ventil-Implantation bei Patienten mit brochopleuraler Fistel (BPF): Eine alternative Behandlungsstrategie. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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105
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Brüning E, Richter L, Höpfner V, Freermann S, Reichelt J, Akil A, Semik M, Ziegler S, Fischer S. Bedeutung eines atmungstherapeutischen (AT)- Algorithmus für das Outcome nach thorakoskopischer Lungenvolumenreduktion (LVRS). Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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106
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Reichelt J, Akil A, Redwan B, Micu C, Freermann S, Mokhtari ML, Dickgreber N, Semik M, Fischer S. Chirurgische Therapie des nicht-tuberkulösen Destroyed Lung-Syndroms (DLS): Video-assistierte (VATS) vs. offene anatomische Lungenresektion. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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107
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Richter L, Brüning E, Höpfner V, Freermann S, Reichelt J, Akil A, Semik M, Ziegler S, Fischer S. Perioperatives Management mittels Single-Port veno-venöser extrakorporaler Membran Oxygenierung (v-v-ECMO) erhöht beim wachen, nicht-intubierten Patienten die Effektivität der postoperativen Atmungstherapie nach Lungenvolumenreduktionsoperation (LVRS). Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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108
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Akil A, Redwan B, Freermann S, Reichelt J, Semik M, Fischer S. F-099USE OF iDRIVE POWERED STAPLING SYSTEM FOR MINIMALLY INVASIVE LUNG VOLUME REDUCTION SURGERY: RESULTS OF A RANDOMIZED TRIAL. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.98] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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109
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Bruening E, Richter L, Redwan B, Huepfner V, Fischer S. P-244EXTRACORPOREAL LUNG SUPPORT FOR PATIENTS WITH ACUTE EXACERBATED CHRONIC OBSTRUCTIVE PULMONARY DISEASE FAILING NON-INVASIVE VENTILATION: IMPLEMENTATION OF A NOVEL ALGORITHM OF RESPIRATORY THERAPY. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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110
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Tselmin S, Fischer S, Pistrosch F, Müller G, Julius U. Cardiovascular events in patients treated by lipoprotein apheresis (LA) – Analysis of possible reasons. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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111
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Schatz U, Fischer S, Julius U, Bornstein S, Tselmin S. Elevated lipoprotein(a) levels result in a high cardiovascular risk – A prospective analysis of a lipidology outpatients unit. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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112
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Fischer S, Kremer T, Horter J, Schaefer A, Ziegler B, Kneser U, Hirche C. Suprathel ® for severe burns in the elderly: Case report and review of the literature. Burns 2016; 42:e86-e92. [DOI: 10.1016/j.burns.2016.05.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Revised: 04/22/2016] [Accepted: 05/01/2016] [Indexed: 01/24/2023]
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113
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Küntzel A, Fischer S, Bergmann A, Steffens M, Trefz P, Miekisch W, Schubert JK, Köhler H, Reinhold P. Flüchtige organische Substanzen als Biomarker bakterieller Infektionen im Tiermodell. Pneumologie 2016. [DOI: 10.1055/s-0036-1584383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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114
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Fischer S, Vogl TJ, Kresing M, Marzi I, Zangos S, Mack MG, Eichler K. Minimally invasive screw fixation of fractures in the thoracic spine: CT-controlled pre-surgical guidewire implantation in routine clinical practice. Clin Radiol 2016; 71:997-1004. [PMID: 27426675 DOI: 10.1016/j.crad.2016.06.112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Revised: 05/24/2016] [Accepted: 06/14/2016] [Indexed: 11/24/2022]
Abstract
AIM To evaluate the feasibility and accuracy of minimally invasive, transpedicular screw placement in cervicothoracic fractures with the help of computed tomography (CT)-controlled guidewires. MATERIALS AND METHODS Two hundred and ninety-three guidewires were inserted in 35 patients (42.9±21.2 years) under CT fluoroscopy (286 thoracic, seven cervical). There were 28 traumatic cases, three pathological fractures, three fractures due to infectious infiltrations, and one osteoporotic fracture. In 151 pedicles, screw placement was performed in the CT room. CT images were reviewed regarding accuracy and cortical violations using the popular 2 mm increment deviation classification of Gertzbein and Robbins. RESULTS Guidewire implantation resulted in only 28 cortical contacts. Minor encroachments of the pedicle wall by inserted screws occurred in 39.1% (59 of 151) and in 23.8% if taking unavoidable encroachments into account (30 of 59). Pedicular isthmus width correlated to cortical guidewire contacts (r=-0.449; p=0.077) and pedicle violations (all graded "A") by the inserted screws (r=-0.581; p=0.049). Total procedural duration was 138.6±44.2 minutes, representing 14.5±11.6 minutes for each pedicle, while showing a significant correlation against higher vertebral levels (r=-0.849; p=0.0002) and the occurrence of pedicle violations (r=-0.641; p=0.027). CONCLUSIONS The treatment of vertebral fractures with a guidewire-based pedicle screw insertion technique under CT imaging results in very high accuracy and a low complication rate.
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Fischer S, Schatz U, Tselmin S, Bergmann S, Julius U, Bornstein S. Hohe Lipoprotein(a)-Werte als schwerwiegender Risikofaktor für die koronare Herzkrankheit – Darstellung von 6 Kasuistiken. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0042-106290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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116
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Fischer S, Engstler C, Procopio S, Becker T. EGFP-based evaluation of temperature inducible native promoters of industrial ale yeast by using a high throughput system. Lebensm Wiss Technol 2016. [DOI: 10.1016/j.lwt.2015.12.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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117
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Fischer S, Neurath MF, Atreya R. [Colitis ulcerosa - a diagnostic and therapeutic update]. MMW Fortschr Med 2016; 158:77-80. [PMID: 27116171 DOI: 10.1007/s15006-016-8152-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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118
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Lohr D, Wagner-Wiening C, Göhring-Zwacka E, Pfaff G, Wiltschko S, Fischer S. Q-Fieber-Ausbruch in einer psychiatrischen Klinik, Baden-Württemberg, 2015. DAS GESUNDHEITSWESEN 2016. [DOI: 10.1055/s-0036-1578924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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119
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Alhefzi M, Aycart M, Bueno E, Kueckelhaus M, Fischer S, Snook R, Sharfuddin A, Hadad I, Malla P, Amato A, Pomahac B, Marty F. Guillain-Barré syndrome associated with resistant cytomegalovirus infection after face transplantation. Transpl Infect Dis 2016; 18:288-92. [DOI: 10.1111/tid.12516] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 11/06/2015] [Accepted: 12/30/2015] [Indexed: 11/29/2022]
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120
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Zoellner I, Wagner-Wiening C, Reick D, Fischer S, Diedler A. Seroprävalenz von Antikörpern gegen Diphtherie, Tetanus, Masern, Röteln bei Erwachsenen in Baden-Württemberg. DAS GESUNDHEITSWESEN 2016. [DOI: 10.1055/s-0036-1578918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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121
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Göhring-Zwacka E, Hartelt K, Laupp G, Krebs M, Fischer S, Oehme R, Reick D. Labordiagnostische Arbeit zur Influenza-Surveillance in Baden-Württemberg am Beispiel der Saison 2014/15. DAS GESUNDHEITSWESEN 2016. [DOI: 10.1055/s-0036-1578936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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122
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Fischer S, Göhring-Zwacka E, Kömpf D, Bauer C, Reick D, Pfaff G, Wagner-Wiening C. Labordiagnostische Untersuchung eines großen Q-Fieber-Ausbruchs im Landkreis Heidenheim/Baden-Württemberg. DAS GESUNDHEITSWESEN 2016. [DOI: 10.1055/s-0036-1578893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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123
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Leithner D, Albrecht M, Scholtz J, Trömmer J, Martin S, Beeres M, Nour Eldin Mohammed N, Bucher A, Fischer S, Bauer R, Schopef U, Vogl T, Wichmann J. Vergleich verschiedener virtueller monoenergetischer und linear-blended Algorithmen in Dual-Energy CT-Angiografien des Thorax und des Abdomen: Auswirkungen auf Kontrast und Bildqualität. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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124
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Fischer S, Zangos S, Bauer R, Vogl T, Albrecht M. Strahlenreduktion bei dynamischer CT-Perfusionsbildgebung der Leber durch Reduktion der Scanzyklen. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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125
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Kueckelhaus M, Turk M, Kumamaru KK, Wo L, Bueno EM, Lian CG, Alhefzi M, Aycart MA, Fischer S, De Girolami U, Murphy GF, Rybicki FJ, Pomahac B. Transformation of Face Transplants: Volumetric and Morphologic Graft Changes Resemble Aging After Facial Allotransplantation. Am J Transplant 2016; 16:968-78. [PMID: 26639618 DOI: 10.1111/ajt.13544] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Revised: 09/03/2015] [Accepted: 09/18/2015] [Indexed: 01/25/2023]
Abstract
Facial allotransplantation restores normal anatomy to severely disfigured faces. Although >30 such operations performed worldwide have yielded promising short-term results, data on long-term outcomes remain scarce. Three full-face transplant recipients were followed for 40 months. Severe changes in volume and composition of the facial allografts were noted. Data from computed tomography performed 6, 18 and 36 months after transplantation were processed to separate allograft from recipient tissues and further into bone, fat and nonfat soft tissues. Skin and muscle biopsies underwent diagnostic evaluation. All three facial allografts sustained significant volume loss (mean 19.55%) between 6 and 36 months after transplant. Bone and nonfat soft tissue volumes decreased significantly over time (17.22% between months 6 and 18 and 25.56% between months 6 and 36, respectively), whereas fat did not. Histological evaluations showed atrophy of muscle fibers. Volumetric and morphometric changes in facial allografts have not been reported previously. The transformation of facial allografts in this study resembled aging through volume loss but differed substantially from regular aging. These findings have implications for risk-benefit assessment, donor selection and measures counteracting muscle and bone atrophy. Superior long-term outcomes of facial allotransplantation will be crucial to advance toward future clinical routine.
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