Glossary entry

German term or phrase:

einstellen

English translation:

to expose / exposure of the valve

Added to glossary by Sonja Poeltl
Feb 7, 2015 01:24
9 yrs ago
7 viewers *
German term

einstellen

German to English Medical Medical: Cardiology
Eroeffnung der Aorta quer. ***Einstellen*** der Aortaklappe. Sie ist bikuspide (eher Monokuspiedel) angelegt. Es zeigt sich eine floride Endokarditis (Entzuendung der Klappe. Die Lage der Koronarostien ist atypisch. Herausschneiden der Klappe.

Any suggestions what "einstellen" means in that context? Maybe "focusing on"?
Change log

Feb 7, 2015 16:36: Steffen Walter changed "Field (specific)" from "Medical (general)" to "Medical: Cardiology"

Discussion

Barbara Schmidt, M.A. (X) Feb 7, 2015:
As far as I can see, the term 'positioning' seems to refer to the implant, not to the original valve the patient was born with - which is being removed shortly thereafter due to inflammation.
The surgical sequence in my opinion is this: opening up the chest, taking a good look at the valve, making a decision, and removing the valve. It will then, of course, have to be replaced by an implant which, indeed, needs to be carefully positioned.
Donald Jacobson Feb 7, 2015:
Positioning is done before the removal. It is the determination of the diameter and angle of the original valve prior to the actual placement of the new valve. Please see my reference from Dresden. The positioning is discussed in a colored box in the article starting with the TEE approach. Also, nothing is being repositioned as the old valve is being removed.
Sonja Poeltl (asker) Feb 7, 2015:
Zuerst wird sie positioniert...... und dann wird sie herausgeschnitten?

Proposed translations

+6
8 hrs
Selected

to expose / exposure of the valve

It might be possible that this refers to the 'uncovering' of the valve so as to allow the surgeons to see what's up:

Nach Eröffnung des Herzbeutels und Freilegung des Herzens, wird die Herz-Lungen-Maschine angeschlossen. Sie ermöglicht die Blutversorgung des Körpers unter Ausschaltung des Herzens durch Abklemmen der großen Gefäße. Mittels kardiopleger Lösung wird das Herz dazu zum Stillstand gebracht. Nun wird die betroffene Herzklappe freigelegt.

See also http://thoracic.surgery.virginia.edu/adult-cardiac-surgery/c...
Example sentence:

The conventional incision to replace the aortic valve is to open the breast bone entirely through a full sternotomy. The heart-lung machine is used and the valve is replaced. This incision provides the best exposure of the valve and is used when additiona

Peer comment(s):

agree Susanne Schiewe : du warst schneller :-)
1 min
Dankeschön, Susanne!
agree Siegfried Armbruster
1 hr
agree Steffen Walter : Im deutschen Text sollte es m. E. eher "darstellen/Darstellung" heißen.
6 hrs
agree Lirka : yes, it's clear from the context, but I agree with steffen re. the word itself
9 hrs
agree Anne Schulz
10 hrs
agree uyuni
1 day 46 mins
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4 KudoZ points awarded for this answer. Comment: "Thanks!"
+2
1 hr

adjust or reposition [the aortic valve]

---
Patent WO2007123952A2 - Sutureless heart valve - Google ...
www.google.com/patents/WO2007123952A2?cl=en
Google
Nov 1, 2007 - Also with sutures, it is not convenient or easy to re-position or adjust the heart valve once the sutures are made. Thus, conventional techniques ..
Peer comment(s):

agree Michael Martin, MA
2 hrs
agree Ramey Rieger (X) : Definitely not the gerund. Reposition
5 hrs
Something went wrong...
2 hrs

positioning

Correct position of the device in the proper anatomical location (placement in the annulus with no impedance on device function),
Intended performance of the prosthetic valve (aortic valve area > 1.2 cm2 for 26, 29 and 31mm valves, ≥ 0.9 cm2 for 23mm valve (by echocardiography using the continuity equation) and mean aortic valve gradient < 20 mmHg or peak velocity < 3 m/sec, without moderate or severe prosthetic valve aortic regurgitation)
Only one valve implanted in the proper anatomical location
ClinicalTrials.gov Identifier:
NCT01240902

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Note added at 2 hrs (2015-02-07 04:11:05 GMT)
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TEE Untersuchung: Aortenklappenring
• Einstellung bei 110°-150°, ideale Einstellung sehr variabel bei
verschiedenen Patienten, max. Durchmesser einstellen
• Einstellung bei 40°-70°, Darstellung aller drei Segel im Querschnitt, insb.
auf schollige Verkalkungen achten
• mehrere Herzzyklen aufnehmen – CAVE: Der Aortenklappenring wird oft
unterschätzt !
• auf bikuspide Klappen achten

http://www.kardiologiedresden.de/Aktuelles/Klappen_Heft_14.p...

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Note added at 7 hrs (2015-02-07 08:29:21 GMT)
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Transcatheter aortic valve implantation (TAVI) has evolved as a routine procedure to treat selected high-risk patients with severe aortic stenosis. The new J-Valve™ prosthesis is designed for antegrade transapical implantation, it is characterized by a porcine aortic prosthesis attaching to a self-expandable Nitinol stent. The key feature of the device are three U-shape anatomically oriented devices - “graspers” which could facilitate intuitive ‘self-positioning’ valve implantation. Hereby, we report a successful case of trans-apical TAVI in an elderly high-risk patient with severe aortic stenosis using J-Valve™ system.

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Note added at 7 hrs (2015-02-07 08:32:09 GMT)
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J Cardiothorac Surg, 2015 vol. 10(1)


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Note added at 7 hrs (2015-02-07 08:40:01 GMT)
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Gerunds are often used in medical English: placement, location, locating, position, positioning, emplacement
the act of putting something in a certain place

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Note added at 7 hrs (2015-02-07 08:52:10 GMT)
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Technical refinements in TAVI are rapidly evolving. The JenaValve has several advantages compared with the current armamentarium of prostheses; a major advantage of this device is the approval not only for aortic stenosis, but for aortic regurgitation. The initial experiences with this device for treatment of pure aortic regurgitation have recently been reported and preliminary results are promising [4]. Furthermore, the device is retrievable, which potentially reduces the risk for malpositioning and improves device success rate, compared with irretrievable self-expandable prostheses.


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Note added at 7 hrs (2015-02-07 08:53:39 GMT)
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Neth Heart J. 2015 Jan; 23(1): 33–34.
Published online 2014 Nov 19. doi: 10.1007/s12471-014-0633-x
PMCID: PMC4268223
Valve implantations on the move
E. M. A. Wiegerinck and J. J. Piekcorresponding author

Something went wrong...
+2
8 hrs

expose

Ich denke, dass "Einstellen" hier "Darstellen" bedeuten könnte - du kannst dir auch das Youtube-Video ansehen; da wird die Klappe nach der Darstellung und Inspektion auch direkt herausgeschnitten.

https://www.youtube.com/watch?v=C-sIdppyaPQ

http://flexikon.doccheck.com/de/Aortenklappenersatz
Zur Darstellung der Aortenklappe wird der aufsteigende Teil der Aorta quer eingeschnitten.
Peer comment(s):

agree Siegfried Armbruster
1 hr
agree Anne Schulz
10 hrs
Something went wrong...
18 hrs

visualization

Als Alternative.
Vom Sinn her stimme ich Barbara und Susanne zu.
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