44 research outputs found

    Transvenous Lead Extraction during Cardiac Implantable Device Upgrade: Results from the Multicenter Swiss Lead Extraction Registry.

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    BACKGROUND Device patients may require upgrade interventions from simpler to more complex cardiac implantable electronic devices. Prior to upgrading interventions, clinicians need to balance the risks and benefits of transvenous lead extraction (TLE), additional lead implantation or lead abandonment. However, evidence on procedural outcomes of TLE at the time of device upgrade is scarce. METHODS This is a post hoc analysis of the investigator-initiated multicenter Swiss TLE registry. The objectives were to assess patient and procedural factors influencing TLE outcomes at the time of device upgrades. RESULTS 941 patients were included, whereof 83 (8.8%) had TLE due to a device upgrade. Rotational mechanical sheaths were more often used in upgraded patients (59% vs. 42.7%, p = 0.015) and total median procedure time was longer in these patients (160 min vs. 105 min, p < 0.001). Clinical success rates of upgraded patients compared to those who received TLE due to other reasons were not different (97.6% vs. 93.0%, p = 0.569). Moreover, multivariable analysis showed that upgrade procedures were not associated with a greater risk for complications (HR 0.48, 95% confidence interval 0.14-1.57, p = 0.224; intraprocedural complication rate of upgraded patients 7.2% vs. 5.5%). Intraprocedural complications of upgraded patients were mostly associated with the implantation and not the extraction procedure (67% vs. 33% of complications). CONCLUSIONS TLE during device upgrade is effective and does not attribute a disproportionate risk to the upgrade procedure

    Transvenous Lead Extraction during Cardiac Implantable Device Upgrade: Results from the Multicenter Swiss Lead Extraction Registry

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    BACKGROUND: Device patients may require upgrade interventions from simpler to more complex cardiac implantable electronic devices. Prior to upgrading interventions, clinicians need to balance the risks and benefits of transvenous lead extraction (TLE), additional lead implantation or lead abandonment. However, evidence on procedural outcomes of TLE at the time of device upgrade is scarce. METHODS: This is a post hoc analysis of the investigator-initiated multicenter Swiss TLE registry. The objectives were to assess patient and procedural factors influencing TLE outcomes at the time of device upgrades. RESULTS: 941 patients were included, whereof 83 (8.8%) had TLE due to a device upgrade. Rotational mechanical sheaths were more often used in upgraded patients (59% vs. 42.7%, p = 0.015) and total median procedure time was longer in these patients (160 min vs. 105 min, p < 0.001). Clinical success rates of upgraded patients compared to those who received TLE due to other reasons were not different (97.6% vs. 93.0%, p = 0.569). Moreover, multivariable analysis showed that upgrade procedures were not associated with a greater risk for complications (HR 0.48, 95% confidence interval 0.14-1.57, p = 0.224; intraprocedural complication rate of upgraded patients 7.2% vs. 5.5%). Intraprocedural complications of upgraded patients were mostly associated with the implantation and not the extraction procedure (67% vs. 33% of complications). CONCLUSIONS: TLE during device upgrade is effective and does not attribute a disproportionate risk to the upgrade procedure

    Pose estimation for face recognition using stereo cameras

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    Automatic pose estimation for range images on the GPU

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    Object pose (location and orientation) estimation is a common task in many computer vision applications. Although many methods exist, most algorithms need manual initialization and lack robustness to illumination variation, appearance change, and partial occlusions. We propose a fast method for automatic pose estimation without manual initialization based on shape matching of a 3D model to a range image of the scene. We developed a new error function to compare the input range image to pre-computed range maps of the 3D model. We use the tremendous dataparallel processing performance of modern graphics hardware to evaluate and minimize the error function on many range images in parallel. Our algorithm is simple and accurately estimates the pose of partially occluded objects in cluttered scenes in about one second. 1

    Hunting Nessie - real-time abnormality detection from webcams

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    We present a data-driven, unsupervised method for unusual scene detection from static webcams. Such time-lapse data is usually captured with very low or varying framerate. This precludes the use of tools typically used in surveillance (e.g., object tracking). Hence, our algorithm is based on simple image features. We define usual scenes based on the concept of meaningful nearest neighbours instead of building explicit models. To effectively compare the observations, our algorithm adapts the data representation. Furthermore, we use incremental learning techniques to adapt to changes in the data-stream. Experiments on several months of webcam data show that our approach detects plausible unusual scenes, which have not been observed in the data-stream before. ©2009 IEEE.Breitenstein M.D., Grabner H., Van Gool L., ''Hunting Nessie - real-time abnormality detection from webcams'', 9th IEEE international workshop on visual surveillance - VS2009, held in conjunction with ICCV 2009, October 3, 2009, Kyoto, Japan.status: publishe
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