Peter R. Bream
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View article: Use of a novel configuration of ports for patients needing intermittent long‐term apheresis
Use of a novel configuration of ports for patients needing intermittent long‐term apheresis Open
Purpose In patients with a need for frequent but intermittent apheresis, vascular access can prove challenging. We describe the migration of the use of a Vortex LP dual lumen port (Angiodynamics, Latham, NY) to one Powerflow and one ClearV…
Natural History of the Pelvic Binder or “Sheet-wrap” in the Early Treatment of Patients with Life-threatening Pelvic Ring Injuries at a Busy Level One Regional Trauma Center. A Retrospective Study. Open
Objective: Pelvic binders and “sheet-wraps” (PB/SW) are critical tools in splinting the injured pelvis of severely injured trauma patients. Our study reviews the management, logistics, and documentation of PB/SW use in a busy academic Leve…
View article: Hemodialysis Arteriovenous Access Cosmesis Scale (AVACS): A new measure for vascular access
Hemodialysis Arteriovenous Access Cosmesis Scale (AVACS): A new measure for vascular access Open
Rationale and objective: This study aimed to develop a cosmesis scale to evaluate the cosmetic appearance of hemodialysis (HD) arteriovenous (AV) accesses from the perspective of the patient and clinician, which could be incorporated into …
Percutaneous Balloon-Assisted Suprapubic Cystostomy Tube Placement: A Novel Technique Open
Suprapubic catheters are commonly used in patients with urinary retention requiring bladder decompression if placement of a Foley catheter is not possible or not desirable.[1] [2] Often times, patients with chronic bladder outlet obstructi…
A pilot study of eye movement during mammography interpretation: Eyetracker results and workstation design implications Open
Digital mammography can potentially improve mammography image and interpretation quality. On-line interpretation from a workstation may improve interpretation logistics and increase availability of comparison images. Interpretation of eigh…
Transjugular intrahepatic portosystemic shunt and transcatheter embolization treatment of duodenal variceal bleeding Open
We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a large duodenal varix. Our i…
View article: Update on Insertion and Complications of Central Venous Catheters for Hemodialysis
Update on Insertion and Complications of Central Venous Catheters for Hemodialysis Open
Central venous catheters are a popular choice for the initiation of hemodialysis or for bridging between different types of access. Despite this, they have many drawbacks including a high morbidity from thrombosis and infection. Advances i…