8 results on '"Qing-Quan Zu"'
Search Results
2. Does the presence of systemic artery–pulmonary circulation shunt during bronchial arterial embolization increase the recurrence of noncancer-related hemoptysis? A retrospective cohort study
- Author
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Hai-Tao Yan, Guang-Dong Lu, Jin Liu, Sheng Liu, Hai-Bin Shi, Chun-Gao Zhou, and Qing-Quan Zu
- Abstract
Background The presence of systemic artery–pulmonary circulation shunt (SPS) during the bronchial arterial embolization (BAE) procedure, has been inferred to be a potential risk factor for recurrence. The aim of this study is to reveal the impact of SPS on the recurrence of noncancer-related hemoptysis after BAE. Methods In this study, 134 patients with SPS (SPS-present group) and 192 patients without SPS (SPS-absent group) who underwent BAE for noncancer-related hemoptysis from January 2015 to December 2020 were compared. Four different Cox proportional hazards regression models were used to clarify the impact of SPSs on hemoptysis recurrence after BAE. Results During the median follow-up time of 39.8 months, recurrence occurred in 75 (23.0%) patients, including 51 (38.1%) in the SPS-present group and 24 (12.5%) in the SPS-absent group. The 1-month, 1-year, 2-year, 3-year and 5-year hemoptysis-free survival rates in the SPS-present and SPS-absent groups were 91.8%, 79.7%, 70.6%, 62.3%, and 52.6% and 97.9%, 94.7%, 89.0%, 87.1%, and 82.3%, respectively (P Conclusions The presence of SPS during BAE increases the recurrence probability of noncancer-related hemoptysis after BAE.
- Published
- 2023
3. Risk factor for vital signs elevation during percutaneous microwave ablation of liver tumor under deep sedation
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Qing-Quan Zu, Wei-Zhong Zhou, Sheng Liu, Wen-Tao Wu, Zhen-Yu Jia, Yu Chen, Hai-Bin Shi, and Bin Leng
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medicine.medical_specialty ,Respiratory rate ,Sedation ,Vital signs ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Heart rate ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Risk factor ,Microwaves ,Retrospective Studies ,Univariate analysis ,Vital Signs ,business.industry ,Liver Neoplasms ,Microwave ablation ,Middle Aged ,Treatment Outcome ,030220 oncology & carcinogenesis ,Catheter Ablation ,Cardiology ,Deep Sedation ,medicine.symptom ,Propofol ,business ,medicine.drug - Abstract
To evaluate the frequency and the degree of vital signs elevation, as well as to elucidate the risk factors for elevation of cardiopulmonary parameters. We retrospectively evaluated the medical records of 101 patients who received microwave ablation (MWA) under deep sedation with propofol. Univariate analysis followed by multivariate linear regression analysis was performed to determine the risk factors associated with the elevation of cardiopulmonary parameters. The heart rate (HR), mean blood pressure (BP) and respiratory rate (RR) were elevated in 53.5%, 45.5% and 30.7%. Hyperhemodynamic state (mean BP or HR increased > 30% of the baseline) and high RR (RR > 20 times/min) were detected in 23.8% and 13.9%. Age ≤ 50 years was signifiant for mean BP and HR elevation (p = 0.032; p = 0.027), ablation zone abutting the parietal peritoneum (p = 0.001; p = 0.001; p
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- 2021
4. Skeletal-muscle index predicts survival after percutaneous transhepatic biliary drainage for obstructive jaundice due to perihilar cholangiocarcinoma
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Hai-Tao Yan, Qing-Quan Zu, Hai-Bin Shi, Chun-Gao Zhou, Jin Liu, Ye Ding, Sheng Liu, and Jin-Xing Zhang
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Male ,medicine.medical_specialty ,education ,030230 surgery ,Gastroenterology ,Cholangiocarcinoma ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Perihilar Cholangiocarcinoma ,Muscle, Skeletal ,Survival analysis ,Aged ,Retrospective Studies ,business.industry ,Hazard ratio ,Cancer ,Middle Aged ,Hepatology ,medicine.disease ,Confidence interval ,Jaundice, Obstructive ,Bile Duct Neoplasms ,Sarcopenia ,Drainage ,030211 gastroenterology & hepatology ,Surgery ,business ,Klatskin Tumor ,Abdominal surgery - Abstract
Sarcopenia is emerging as a prognostic factor in patients with malignant diseases. The prognostication of perihilar cholangiocarcinoma (PHC) with obstructive jaundice was complex, because these patients suffered compete mortality events beyond cancer itself. Our study was to investigate the association between low skeletal-muscle index and overall survival (OS) after percutaneous transhepatic biliary drainage (PTBD) for obstructive jaundice due to PHC. We performed a retrospective survival analysis of patients undergoing PTBD for PHC-related obstructive jaundice between January 2016 and March 2019. Using computed tomography, we measured skeletal-muscle mass at the third lumbar vertebra (L3) to obtain a skeletal-muscle index (SMI). Then, we compared OS between low- and high-SMI groups. Furthermore, factors that could potentially affect OS were assessed. One hundred and four patients (56 males; mean age 66 ± 12 years) were analyzed. Median OS after PTBD was 150 days. OS was shorter in patients with low SMI than in those with high SMI (median OS, 120 vs. 270 days; P
- Published
- 2020
5. Emergency transarterial embolization followed by staged hepatectomy versus emergency hepatectomy for ruptured hepatocellular carcinoma: a single-center, propensity score matched analysis
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Qing-Quan Zu, Sheng Liu, Bin Wang, Hai-Bin Shi, Chu Zhang, Chun-Gao Zhou, and Chun Zhou
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Adult ,Male ,medicine.medical_specialty ,Carcinoma, Hepatocellular ,Blood transfusion ,medicine.medical_treatment ,Single Center ,Disease-Free Survival ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Transarterial embolization ,medicine ,Hepatectomy ,Humans ,Radiology, Nuclear Medicine and imaging ,Propensity Score ,Aged ,Retrospective Studies ,Rupture, Spontaneous ,business.industry ,Liver Neoplasms ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Embolization, Therapeutic ,Surgery ,Perioperative blood loss ,Radiation therapy ,Treatment Outcome ,Liver ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Propensity score matching ,Feasibility Studies ,Female ,Emergencies ,business - Abstract
To compare the feasibility and efficacy of emergency transarterial embolization (TAE) followed by staged hepatectomy (SH) with emergency hepatectomy (EH) for ruptured hepatocellular carcinoma (HCC). Between January 2012 and December 2017, 102 patients with HCC rupture received EH or emergency TAE followed by SH in our center. Patients were followed until April 2019. Propensity score matching (PSM) analysis was used at a 1:2 ratio, resulting in 20 patients in the SH group and 40 patients in the EH group. We retrospectively compared the operative variables, recurrence status, disease-free survival (DFS), and overall survival (OS) of patients between the two matched groups. Compared with the matched EH group, the SH group showed significantly decreased perioperative blood loss or blood transfusion, shortened intraoperative duration of clamping and postoperative hospital stay (P
- Published
- 2020
6. Efficacy and prognostic factors of transarterial embolization as initial treatment for spontaneously ruptured hepatocellular carcinoma: a single-center retrospective analysis in 57 patients
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Sheng Liu, Bin Wang, Chun-Gao Zhou, Hai-Bin Shi, Chun Zhou, and Qing-Quan Zu
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Adult ,Male ,medicine.medical_specialty ,Carcinoma, Hepatocellular ,medicine.medical_treatment ,Single Center ,Gastroenterology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Embolization ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Rupture, Spontaneous ,business.industry ,Proportional hazards model ,Liver Neoplasms ,Hazard ratio ,Middle Aged ,Prognosis ,medicine.disease ,Embolization, Therapeutic ,Confidence interval ,Survival Rate ,Radiation therapy ,Treatment Outcome ,Liver ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Multivariate Analysis ,Lipiodol ,Female ,business ,medicine.drug - Abstract
To evaluate the efficacy and prognostic factors following transarterial embolization (TAE) as initial treatment for spontaneously ruptured hepatocellular carcinoma (HCC). From June 2012 to June 2016, a total of 57 spontaneously ruptured HCC patients who received TAE as initial therapy were retrospectively studied at our institution. Patients were followed until October 2016. Survival rates were estimated using the Kaplan–Meier method, and prognostic factors related to survival were evaluated using Cox regression analysis. Among them, 8 (14.0%) patients died within 30 days after initial TAE. The median overall survival time was 208 days. The 6-month, 1-year, and 2-year cumulative overall survival rates were 50.3%, 35.9%, and 14.7%, respectively. Multivariate analysis indicated that tumor size [HR (hazard ratio) 1.12; 95% CI (confidence interval) 1.02–1.23, P = 0.022] Child–Pugh class (HR 1.78; 95% CI 1.13–2.80; P = 0.013), absence of shock on admission (HR 0.40; 95% CI 0.17–0.95; P = 0.039), and embolization with lipiodol and gelatin sponge particles (HR 0.33; 95% CI 0.16–0.70; P = 0.004) were independent prognostic factors for survival. TAE appeared to be an effective initial treatment for spontaneously ruptured HCC. The results indicated that large tumors, poor Child–Pugh class, and shock on admission were associated with poor prognosis. For these patients, embolization with lipiodol and gelatin sponge particles could achieve better survival than PVA particles used.
- Published
- 2018
7. Recovery of oculomotor nerve palsy after endovascular treatment of ruptured posterior communicating artery aneurysm
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Qing-Quan Zu, Chun-Gao Zhou, Xing-Long Liu, Hai-Bin Shi, Jin-Guo Xia, Lin-Bo Zhao, Bin Wang, and Sheng Liu
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Adult ,Male ,medicine.medical_specialty ,Subarachnoid hemorrhage ,medicine.medical_treatment ,Aneurysm, Ruptured ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,Oculomotor Nerve Diseases ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Embolization ,Posterior communicating artery ,Oculomotor nerve palsy ,Aged ,Neuroradiology ,Aged, 80 and over ,business.industry ,Intracranial Aneurysm ,Retrospective cohort study ,Recovery of Function ,Middle Aged ,medicine.disease ,Embolization, Therapeutic ,Cerebral Angiography ,Treatment Outcome ,cardiovascular system ,Female ,Neurology (clinical) ,Radiology ,Neurosurgery ,Cardiology and Cardiovascular Medicine ,business ,030217 neurology & neurosurgery - Abstract
Oculomotor nerve palsy (ONP) may result from Posterior communicating artery (Pcom) aneurysms. Endovascular treatment of ruptured Pcom aneurysms generally is a safe procedure, but the effect of this therapy on ONP is incompletely elucidated. This retrospective study evaluates outcomes of ONP after endovascular treatment for ruptured Pcom aneurysm and with the intention to clarify predictors of recovery. From May 2010 to October 2015, 210 patients with Pcom aneurysms underwent endovascular treatment at our institution. Among them, 34 patients with ruptured aneurysms and either complete or incomplete ONP were identified. The outcomes and predictors of ONP recovery were analyzed. At the last available clinical follow-up, ONP resolution was complete in 21 (61.8%) patients and incomplete in 8 (23.5%) patients. The mean resolution time after embolization was 24.5 days. Five patients showed no signs of ONP recovery. In no case was an initial incomplete ONP observed to worsen. There was a statistically insignificant trend toward complete recovery among patients with initial incomplete ONP (OR = 4.17; 95% CI, 0.75–23.18; P = 0.103). Endovascular treatment appears to be an effective treatment modality for ruptured Pcom aneurysm and related ONP. The initial incomplete ONP might encourage complete ONP recovery after endovascular treatment.
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- 2017
8. Comparative study of the relative signal intensity on DWI, FLAIR, and T2 images in identifying the onset time of stroke in an embolic canine model
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Qing-Quan Zu, Hai-Bin Shi, Sheng Liu, Shan-Shan Lu, Xiao-Quan Xu, Jing Yu, Qiguang Cheng, and Ye Sheng
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Male ,medicine.medical_specialty ,Pathology ,Time Factors ,Neurology ,Dermatology ,Fluid-attenuated inversion recovery ,Dogs ,Image Interpretation, Computer-Assisted ,medicine ,Animals ,Stroke ,Neuroradiology ,medicine.diagnostic_test ,Receiver operating characteristic ,business.industry ,Angiography, Digital Subtraction ,Retrospective cohort study ,Magnetic resonance imaging ,General Medicine ,medicine.disease ,Magnetic Resonance Imaging ,Disease Models, Animal ,Psychiatry and Mental health ,Intracranial Embolism ,ROC Curve ,Sample size determination ,Female ,Neurology (clinical) ,Nuclear medicine ,business - Abstract
In acute stroke magnetic resonance imaging, many attempts have been made to identify the onset time of ischemic events using the simply quantitative judgment of relative signal intensity (rSI) from various MR images. However, no uniform opinion has been achieved broadly till now. The controversy might derive from the potential patients’ selection bias of clinical retrospective study, the discrepant MR parameters, and the various sample sizes among different studies. Thus, we evaluated the temporal change of the relative DWI signal intensity (rDWI), relative ADC value (rADC), relative FLAIR signal intensity (rFLAIR), and relative T2 signal intensity (rT2), and further compare their diagnostic value in identifying the hyperacute lesions based on our embolic canine model with clear onset time. Twenty ischemic models were successfully established. All rSI values were linearly correlated to time with significance until 24 h after model establishment (P < 0.05). Paired comparison of ROC curves showed that significant difference was found between rADC and other three rSIs (P < 0.0001). However, no significant difference was found among rDWI, rT2 and rFLAIR. Our results indicated that rDWI, rFLAIR and rT2 may be helpful to predict the onset time of ischemic events with the similar diagnostic value. However, the rADC does not have comparable predictive value in our embolic canine model.
- Published
- 2014
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