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407 results on '"Kickuth, R."'

3. Transarterial chemoembolization with drug-eluting beads versus conventional transarterial chemoembolization in locally advanced hepatocellular carcinoma

Author

Baur J, Ritter CO, Germer CT, Klein I, Kickuth R, and Steger U

Subjects
Transarterial Chemoembolisation, Hepatocellular Carcinoma, Drug Eluting Beads, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Johannes Baur,1 Christian O Ritter,2 Christoph-Thomas Germer,1 Ingo Klein,1 Ralph Kickuth,2 Ulrich Steger,1 1Department of General, Visceral, Vascular, and Pediatric Surgery, 2Institute of Radiology, University Hospital Würzburg, Würzburg, Germany Purpose: In hepatocellular carcinoma patients with large or multinodal tumors, where curative treatment options are not feasible, transarterial therapies play a major role. Transarterial chemoembolization (TACE) with drug-eluting beads (DEB-TACE) is a promising new approach due to higher intratumoral and lower systemic concentration of the chemotherapeutic agent compared to conventional TACE (cTACE). Patients and methods: In a retrospective analysis, 32 patients with hepatocellular carcinoma who received either DEB or a cTACE were compared regarding survival time, disease recurrence, and side effects such as pain and fever. Results: No significant differences could be detected between the cTACE and DEB-TACE groups with regard to mean hospital stay, appearance of postinterventional fever, or 30-day mortality. However, the application of intravenous analgesics as postinterventional pain medication was needed more often in patients treated with DEB-TACE (57.1% vs 12.5%, P=0.0281). The overall median survival after the initial procedure was 10.8 months in the cTACE group and 9.2 months in the DEB-TACE group, showing no significant difference. Conclusion: No survival benefit for patients treated with either DEB-TACE or cTACE was observed. Surprisingly, a higher rate of postinterventional pain could be detected after DEB-TACE. Keywords: transarterial chemoembolization, hepatocellular carcinoma, drug-eluting beads

Published
2016

23. Advanced Lemierre Syndrome Requiring Surgery

Author

Escher, R., Haltmeier, S., von Steiger, N., Dutly, A., Arnold, A., Kickuth, R., Schiemann, U., Escher, R., Haltmeier, S., von Steiger, N., Dutly, A., Arnold, A., Kickuth, R., and Schiemann, U.

Abstract

A 38-year-old homeless man was admitted with a 2-week history of a sore throat, increasing shortness of breath, and high fever. Clinical examination showed enlarged and tender submandibular and anterior cervical lymph nodes and a pronounced enlargement of the left peritonsillar region (Figure 1a). CT scan of the throat and the chest showed left peritonsillar abscess formation, occlusion of the left internal jugular vein with inflammatory wall thickening and perijugular soft tissue infiltration, pulmonary abscesses, and bilateral pleural effusions (Figures 1b-e, arrowed). Anaerobe blood cultures grew Fusobacterium necrophorum, leading to the diagnosis of Lemierre's syndrome. Treatment with high-dose amoxicillin and clavulanic acid improved the oropharyngeal condition, but the patient's general status declined further, marked by dyspnea and tachypnea. Repeated CT scans showed progressive lung abscesses and bilateral pleural empyema. Bilateral tonsillectomy, ligation of the left internal jugular vein, and staged decortication of bilateral empyema were performed. Total antibiotic therapy duration was 9 weeks, including a change to peroral clindamycin. Clinical and laboratory findings had returned to normal 12 weeks after surgery. The patient's history and the clinical and radiological findings are characteristic for Lemierre's syndrome. CT scans of the neck and the chest are the diagnostic methods of choice. F. necrophorum is found in over 80% of cases of Lemierre's syndrome and confirms the diagnosis. Prolonged antibiotic therapy is usually sufficient, but in selected patients, a surgical intervention may be necessary. Reported mortality rates are high, but in surviving patients, the recovery of pulmonary function is usually good

Published
2018

30. Endovaskuläre Behandlung von Bauchaortenaneurysmen mit angulierter Gefäßanatomie – 1-Jahres-Resultate mit dem Aorfix™-Stentgraft

Author

Kellersmann, R, Kickuth, R, Busch, A, Lorenz, U, and Bühler, C

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Einleitung: Die endovaskuläre Behandlung (EVAR) des abdominellen Aortenaneurysmas (AAA) ist in den vergangenen Jahren zur Standardtherapie herangereift. Dennoch scheint ein nicht unwesentlicher Teil der AAA auch heute noch für Stentgrafts wenig geeignet zu sein. Problematisch verhalten sich[for full text, please go to the a.m. URL], 131. Kongress der Deutschen Gesellschaft für Chirurgie

Published
2014
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39. The Adrenal Vein Sampling International Study (AVIS) for identifying the major subtypes of primaryaldosteronism

Author

Rossi, Gianpaolo, Barisa, Marlena, Allolio, B, Auchus, Rj, Amar, L, Cohen, D, Degenhart, C, Deinum, J, Fischer, E, Gordon, R, Kickuth, R, Kline, G, Lacroix, A, Magill, S, Miotto, Diego, Naruse, M, Nishikawa, T, Omura, M, Pimenta, E, Plouin, Pf, Quinkler, M, Reincke, M, Rossi, E, Rump, Lc, Satoh, F, Schultzekool, L, Seccia, TERESA MARIA, Stowasser, M, Tanabe, A, Trerotola, S, Vonend, O, Widimsky J., Jr, Wu, Kd, Wu, Vc, and Pessina, A. C.

Published
2012

44. Prospective randomized study of doxorubicin-eluting-bead embolization in the treatment of hepatocellular carcinoma: results of the PRECISION V study

Author

Watkinson, A., Avajon, Y., Gruenberger, T., Pomoni, M., Schuchmann, M., Mueller, C., Lencioni, R., Lammer, J., Langenberger, H., Schoder, M., Funovics, M., Loewe, C., Moyses, J., Grunberger, T., Waldenberger, P., Chemelli, A., Graziadei, I., Vogl, T., Khan, V., Hammerstingl, R., Lee, C., Eichler, K., Pitton, M., Klockner, R., Duber, C., Otto, G., Worns, M. A., Greten, T., Kirchhoff, T., Rosenthal, H., Lotz, J., Huppert, P., Wietholtz, H., Limmer, A., Pilleul, F., Ficarelli, S., Mennesson, N., Rauscher, N., Dumortier, J., Guillaud, O., Vilgrain, V., Sibert, A., Chevallier, P., Novellas, S., Tran, A., Ouzan, D., Gugenheim, J., Sergent, G., Otal, P., Joffre, F., Auriol, J., Peron, J. M., Benhamou, Y., Ratzui, V., Clluzel, P., Baere, T., Deschamps, F., Roo, P., Ajavon, Y., Awad, S., Bellin, M. F., Samuel, D., Castaing, D., Adam, R., Vallee, J. C., Saliba, F., Azoulay, D., Denys, A., Triller, J., Kickuth, R., Terraz, S., Becker, C. D., Majno, P., Spahr, L., Pfammatter, T., Weishaupt, D., Muellhaupt, B., Malagari, K., Maria, P., Kelekis, D., Kelekis, N., Kelekis, A., Emmanouil, E., Pisa University Hospital and School of Medicine, Department of Chemistry, North Carolina Raleigh, North Carolina State University [Raleigh] (NC State), University of North Carolina System (UNC)-University of North Carolina System (UNC), Centre de Recherche et d'Application en Traitement de l'Image et du Signal (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-École Supérieure Chimie Physique Électronique de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Département d'hépatologie, Hospices Civils de Lyon (HCL), Hôpital Beaujon, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7)-Hôpital Beaujon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centre hospitalier universitaire de Nantes (CHU Nantes), Centre de Recherche en Cancérologie Nantes-Angers (CRCNA), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM)-Hôtel-Dieu de Nantes-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hôpital Laennec-Centre National de la Recherche Scientifique (CNRS)-Faculté de Médecine d'Angers-Centre hospitalier universitaire de Nantes (CHU Nantes), Centre d'investigation clinique en cancérologie (CI2C), Animal et gestion intégrée des risques (UPR AGIRs), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad), Institut Arnault Tzanck, Service de Chirurgie Digestive et Transplantation Hépatique, Hôpital Archet II, Service de Radiologie [Rangueil / Larrey], CHU Toulouse [Toulouse]-Hôpital de Rangueil, CHU Toulouse [Toulouse], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Imagerie thérapeutique (radiologie interventionnelle), Département d'imagerie médicale [Gustave Roussy], Institut Gustave Roussy (IGR)-Institut Gustave Roussy (IGR), ETH Hoenggerberg, Institute of Geophysics, Institut de biologie et chimie des protéines [Lyon] (IBCP), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS), Centre hépato-biliaire (CHB), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hépato-Biliaire, Stadtspital Triemli Zürich, Université de Lyon-Université de Lyon-École Supérieure de Chimie Physique Électronique de Lyon (CPE)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Service de Chirurgie Digestive / Centre de Transplantation Hépatique [CHU Nice], Centre Hospitalier Universitaire de Nice (CHU Nice), and Ratiney, Helene

Subjects
[SDV.IB.IMA] Life Sciences [q-bio]/Bioengineering/Imaging, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2010

45. Stentgrafting eines Iliacalaneurysmas mit bivalentem chirurgischem Zugang

Author

Keith, C, Bühler, C, Kickuth, R, Ritter, C, and Kellermann, R

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Einleitung: Nach aortoiliacalen Bypassoperationen kann es zu aneurysmatischen Erweiterungen der iliacalen Strombahn kommen. Bei multimorbiden Patienten stellt eine konventionelle Zweitoperation ein Risiko dar, ein interventionelles Vorgehen transfemoral kann durch die vorhandene Prothese erschwert oder[for full text, please go to the a.m. URL], 127. Kongress der Deutschen Gesellschaft für Chirurgie

Published
2010
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