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PubMedDate not supplied

[Individual protective devices: gloves].

Gloves are an essential device to avoid cutaneous contact with aggressive agents. There is no "ideal glove"; therefore, it is necessary to select them on the basis of their effectiveness. Gloves can protect from different hazards: mechanical, chemical, biological, thermical and electrical. Specific protective gloves can be used for certain risk factors: i.e. welding operations, concussions and vibrations, food manipulation and health care. Protecting gloves are made of different materials, natural and synthetic, according to the risk they are projected for. Often the same glove can protect against multiple hazards. Finally, the choice of an "adequate" glove should be the result of a fruitful collaboration among employers, industrial hygienists and occupational physician.

Gloves, Protective↗
PubMed2004

Comparison between glycoprotein IIb/IIIa blockade and distal protection device for the restoration of myocardial perfusion during percutaneous coronary intervention for acute myocardial infarction.

We compared the use of abciximab with a distal balloon occlusion device in preserving myocardial perfusion among patients undergoing acute percutaneous coronary intervention for ST-segment elevation myocardial infarction. Of 114 patients, 40 were treated with abciximab and 74 with distal protection. Although pre-treatment with abciximab resulted in marginally better myocardial perfusion at initial coronary angiography, distal protection emerged superior at the end of the procedure. The use of distal protection was associated with an adjusted odds of 4 (p = 0.017) for achieving normal myocardial perfusion and adjusted reduction of 11 corrected TIMI frame counts (p = 0.001) compared with abciximab.

Abciximab↗
PubMed1994

The corneal quilt: a protective device designed to reduce intraoperative retinal phototoxicity.

The corneal quilt is a simple, safe, inexpensive, and effective device designed to decrease the risk of intraoperative retinal phototoxicity from the operating microscope. Retinal injury is a well documented hazard, especially during prolonged procedures. The corneal quilt can be easily used as an adjunct to other methods designed to protect the retina from excessive incident light. In this study, we fashioned an approximately 6- x 5-millimeter semi-transparent corneal occluder from the nonadhesive portion of a 3M Steridrape. We determined spectrophotometrically that the corneal quilt reduced the transmission not only of visible light, but of ultraviolet and blue wavelengths as well, the wavelengths known to be the most phototoxic to the retina. However, no data were obtained actually demonstrating the degree to which light is scattered after transmission through the corneal quilt.

Bandages↗
PubMed2002

[Cerebral protection devices for treatment of carotid stenoses: Where do we stand today?].

The carotid bifurcation is currently a subject of controversial discussion within the vascular territory. These controversies are obvious for diagnostic imaging but the more so for therapy. Performing stenting as a treatment tool, controversies exist also as to whether angioplasty is performed without or obligatory with cerebral protection. Théron and colleagues first described the concept of cerebral protection during carotid angioplasty and stent placement. Currently, there are three temporary cerebral protection systems, i. e. balloon occlusion, filtration baskets, and systems for flow reversal in the internal carotid artery. While these systems provide a considerable degree of protection, as has been shown in in vitro and preliminary clinical studies, embolization might still occur, even under protection. In addition, it is still not clear what the minimum size of emboli is that need to be stopped to prevent a stroke, and what the relevance of cerebral microemboli is. Clinical evidence suggests that the usage of protection systems favours a good outcome of the intervention; however, whether or not such systems should be used routinely remains a matter of discussion and should thus be verified in further clinical studies.

Angioplasty, Balloon↗
PubMed2004

Should we be using bilateral carotid distal protection devices during the percutaneous closure of patent foramen ovale in patients with a history of paradoxical embolus?

Percutaneous closure of patent foramen ovale (PFO) is becoming standard practice, particularly in patients with a history of embolic phenomena. The acute risk of cerebrovascular accident in patients undergoing this procedure is approximately 1%. We report the first successful use of bilateral carotid artery distal protection in this situation.

Cardiac Catheterization↗
PubMed2003

Endovascular management of symptomatic vertebral artery dissection achieved using stent angioplasty and emboli protection device.

Extracranial vertebral artery (VA) dissection may lead to significant arterial stenosis, occlusion, or pseudoaneurysm formation with subsequent hemodynamic and embolic infarcts. To prevent thromboembolic complications, anticoagulation with intravenous heparin followed by oral warfarin has been recommended for all patients with acute dissections, regardless of the type of symptoms, unless there are contra-indications. Nevertheless, anticoagulation is not innocuous, may be contra-indicated or may be ineffective to prevent symptoms or dissection progression. Because it is effective and less invasive than other surgical procedures, endovascular treatment of VA dissection has recently attracted interest. We present a case of a traumatic VA dissection, presenting with multiple embolic infarctions that was managed with protected stent-assisted angioplasty. Protected stent-assisted VA angioplasty has not been previously reported and appears to be a safe, effective and immediate method of restoring vessel lumen integrity and should be considered in the therapy of selected cases of VA dissection.

Adolescent↗