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1.
Rev Fish Biol Fish ; 33(2): 475-499, 2023.
Article in English | MEDLINE | ID: mdl-36404946

ABSTRACT

Shark depredation is a complex social-ecological issue that affects a range of fisheries worldwide. Increasing concern about the impacts of shark depredation, and how it intersects with the broader context of fisheries management, has driven recent research in this area, especially in Australia and the United States. This review synthesises these recent advances and provides strategic guidance for researchers aiming to characterise the occurrence of depredation, identify the shark species responsible, and test deterrent and management approaches to reduce its impacts. Specifically, the review covers the application of social science approaches, as well as advances in video camera and genetic methods for identifying depredating species. The practicalities and considerations for testing magnetic, electrical, and acoustic deterrent devices are discussed in light of recent research. Key concepts for the management of shark depredation are reviewed, with recommendations made to guide future research and policy development. Specific management responses to address shark depredation are lacking, and this review emphasizes that a "silver bullet" approach for mitigating depredation does not yet exist. Rather, future efforts to manage shark depredation must rely on a diverse range of integrated approaches involving those in the fishery (fishers, scientists and fishery managers), social scientists, educators, and other stakeholders.

2.
PLoS One ; 15(2): e0228280, 2020.
Article in English | MEDLINE | ID: mdl-32107488

ABSTRACT

Stingrays are thought to play important ecological roles in coral reef ecosystems. However, little is known about juvenile stingray movement patterns and habitat use in coral reefs. This study used active acoustic telemetry to determine fine-scale diel movement patterns and habitat use of juvenile cowtail stingrays (Pastinachus ater) in a coral reef flat environment. Seven cowtail stingrays (4 males and 3 females) were manually tracked between April and December 2016. Each individual was tracked over 2 days, generating a total of 14 active tracks ranging from 4.91 to 9 h. Specimens moved at an average speed of 2.44 m min-1 ± 0.87 SE, with minimum distances travelled ranging from 546 to 1446 m. Tracking data showed that juvenile cowtail stingrays move in response to tidal cycles, moving faster and in straighter pathways during incoming and outgoing tides. Juvenile cowtail stingrays also showed a strong affinity to sand flat areas and mangrove edge areas. These areas provide food resources and potential refuges for juvenile rays to avoid predators. Coral reef flats were identified as secondary refuge for juveniles during the lowest tides. Future research is necessary to fully unveil the major drivers of juvenile cowtail stingray seasonal and ontogenetic movement patterns and habitat use within coral reef flat environments. This information is important to establish a full understanding of juvenile cowtail stingray ecology, but could also improve management and conservation policies.


Subject(s)
Coral Reefs , Skates, Fish/physiology , Animals , Behavior, Animal , Female , Male , Seasons , Skates, Fish/growth & development
3.
Sci Rep ; 9(1): 9254, 2019 06 25.
Article in English | MEDLINE | ID: mdl-31239504

ABSTRACT

The elasmobranch bycatch of the Gulf of Papua Prawn Fishery is investigated in detail for the first time. Fisheries observers collected data on the elasmobranch bycatch from a total of 403 trawl sets (1,273 hrs) in the Gulf of Papua. A total of 40 species of elasmobranchs were recorded ranging in size from a 12 cm disc width stingray to a 350 cm total length sawfish. High mortality rates were recorded (>80%), attributed to the long trawl durations (up to 4 hours). The future inclusion of bycatch reduction devices would likely reduce the number of larger elasmobranchs being caught, based on evidence from the prawn trawl fisheries of northern Australia, and is being investigated by the PNG National Fisheries Authority. Differences in catch compositions were detected across the management zones as well as between the two monsoonal seasons (SE Monsoon and NW Monsoon). Increased monitoring and additional research is required and management plans should address the elasmobranch bycatch and in particular their high mortality rate.

4.
Sci Rep ; 7: 46061, 2017 04 21.
Article in English | MEDLINE | ID: mdl-28429742

ABSTRACT

Conservation and management of migratory species can be complex and challenging. International agreements such as the Convention on Migratory Species (CMS) provide policy frameworks, but assessments and management can be hampered by lack of data and tractable mechanisms to integrate disparate datasets. An assessment of scalloped (Sphyrna lewini) and great (Sphyrna mokarran) hammerhead population structure and connectivity across northern Australia, Indonesia and Papua New Guinea (PNG) was conducted to inform management responses to CMS and Convention on International Trade in Endangered Species listings of these species. An Integrated Assessment Framework (IAF) was devised to systematically incorporate data across jurisdictions and create a regional synopsis, and amalgamated a suite of data from the Australasian region. Scalloped hammerhead populations are segregated by sex and size, with Australian populations dominated by juveniles and small adult males, while Indonesian and PNG populations included large adult females. The IAF process introduced genetic and tagging data to produce conceptual models of stock structure and movement. Several hypotheses were produced to explain stock structure and movement patterns, but more data are needed to identify the most likely hypothesis. This study demonstrates a process for assessing migratory species connectivity and highlights priority areas for hammerhead management and research.

5.
J Fish Biol ; 88(3): 1149-74, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26806022

ABSTRACT

Two Australian endemic elasmobranchs, the Argus skate Dipturus polyommata and the eastern spotted gummy shark Mustelus walkeri, were collected from the by-catch of a prawn Melicertus plebejus trawl fishery off Queensland. Age and growth parameters were estimated from growth band counts in vertebral sections of 220 D. polyommata and 44 M. walkeri. Dipturus polyommata males and females had an observed maximum age of 10 years and reached maximum sizes of 369 and 371 mm total length (LT ), respectively. Mustelus walkeri lived longer, with the oldest female aged 16 years and measuring 1050 mm stretched total length (LST ), and oldest male aged 9 years and 805 mm LST . Dipturus polyommata grew relatively fast with a von Bertalanffy growth completion parameter of k = 0·208 year(-1) with males reaching maturity at 4·0 years (c. 278 mm LT ) and females at 5·1 years (c. 305 mm LT ). Mustelus walkeri grew more slowly with k = 0·033 year(-1) with males estimated to mature at 7-9 years (670-805 mm LST ) and females at 10-14 years (833-1012 mm LST ). Length at birth inferred from neonate D. polyommata was 89-111 mm LT while for M. walkeri it was estimated to be 273 LST based on the value of L0 from the von Bertalanffy growth model. Both species appeared to have continuous reproductive cycles and low fecundity with an average ovarian fecundity of eight follicles for D. polyommata and a litter size of five to seven pups for M. walkeri. Based on these life-history traits, D. polyommata is more resilient to fishing pressure than M. walkeri.


Subject(s)
Sharks/physiology , Skates, Fish/physiology , Animals , Australia , Body Size , Female , Fertility , Fisheries , Male , Queensland , Sexual Maturation , Sharks/growth & development , Skates, Fish/growth & development , Spine/anatomy & histology
6.
Rapid Commun Mass Spectrom ; 30(1): 29-44, 2016 Jan 15.
Article in English | MEDLINE | ID: mdl-26661968

ABSTRACT

RATIONALE: Stable isotope ratios (δ(13)C and δ(15)N values) provide a unique perspective into the ecology of animals because the isotope ratio values of consumers reflect the values in food. Despite the value of stable isotopes in ecological studies, the lack of species-specific experimentally derived diet-tissue discrimination factors (DTDFs) and turnover rates limits their application at a broad scale. Furthermore, most aquatic feeding experiments use temperate, fast-growing fish species and few have considered medium- to large-sized adults with low growth rates from tropical ecosystems. METHODS: A controlled-diet stable isotope feeding trial was conducted over a 196-day period for the adult predatory reef fish leopard coralgrouper (Plectropomus leopardus). This study calculated δ(13)C and δ(15)N DTDFs and turnover rates in five tissues (liver, plasma, red blood cells (RBC), fin, and muscle) using a continuous flow isotope ratio mass spectrometer equipped with an elemental analyzer. In addition, the effect of chemical lipid extraction (LE) on stable isotope values was examined for each tissue. RESULTS: Turnover was mainly influenced by metabolism (as opposed to growth) with LE δ(15)N half-life values lowest in fin (37 days) and plasma (66 days), and highest in RBC (88 days) and muscle (126 days). The diet-tissue discrimination factors for δ(15)N values in all tissues (Δ(15)N: -0.15 to 1.84‰) were typically lower than commonly reported literature values. Lipid extraction altered both δ(15) N and δ(13)C values compared with untreated samples; however, for the δ(15)N values, the differences were small (mean δ(15)N(LE-Bulk) <0.46‰ in all tissues). CONCLUSIONS: This study informs future interpretation of stable isotope data for medium- to large-sized fish and demonstrates that DTDFs developed for temperate fish species, particularly for δ(15)N values, may not apply to tropical species. Sampling of muscle and/or RBC is recommended for a relatively long-term representation of feeding habits, while plasma and/or fin should be used for a more recent indication of diet.


Subject(s)
Carbon Isotopes/analysis , Carbon Isotopes/metabolism , Nitrogen Isotopes/analysis , Nitrogen Isotopes/metabolism , Perciformes/metabolism , Animal Feed , Animals , Diet , Tissue Distribution
7.
J Fish Biol ; 86(5): 1567-86, 2015 May.
Article in English | MEDLINE | ID: mdl-25846994

ABSTRACT

This study used stable-isotope analysis to define the nearshore regional residency and movements of the small-bodied Australian sharpnose shark Rhizoprionodon taylori. Plasma and muscle δ(13) C and δ(15) N of R. taylori were collected from across five embayments and compared with values of seagrass and plankton from each bay. Linear distances between adjacent bays ranged from 30 to 150 km. There was a positive geographic correlation between R. taylori tissue and environmental δ(13) C values. Populations with the highest tissue δ(15) N were collected from bays that had the highest environmental δ(15) N values. These results suggest that R. taylori did not forage more than 100 km away from their capture location within 6 months to 1 year. The successful application of isotope analysis to define R. taylori movement demonstrates that this technique may be used in addition to traditional methods to study the movement of sharks, even within similar habitats across regionally small spatial scales (<100 km).


Subject(s)
Ecosystem , Motor Activity , Sharks/physiology , Animals , Bayes Theorem , Bays , Carbon Isotopes/analysis , Nitrogen Isotopes/analysis , Queensland
8.
J Fish Biol ; 84(5): 1340-53, 2014 May.
Article in English | MEDLINE | ID: mdl-24702252

ABSTRACT

Estimates of life-history parameters were made for shark-like batoids of conservation concern Rhynchobatus spp. (Rhynchobatus australiae, Rhynchobatus laevis and Rhynchobatus palpebratus) and Glaucostegus typus using vertebral ageing. The sigmoid growth functions, Gompertz and logistic, best described the growth of Rhynchobatus spp. and G. typus, providing the best statistical fit and most biologically appropriate parameters. The two-parameter logistic was the preferred model for Rhynchobatus spp. with growth parameter estimates (both sexes combined) L(∞) = 2045 mm stretch total length, LST and k = 0·41 year⁻¹. The same model was also preferred for G. typus with growth parameter estimates (both sexes combined) L∞ = 2770 mm LST and k = 0·30 year⁻¹. Annual growth-band deposition could not be excluded in Rhynchobatus spp. using mark-recaptured individuals. Although morphologically similar G. typus and Rhynchobatus spp. have differing life histories, with G. typus longer lived, slower growing and attaining a larger maximum size.


Subject(s)
Aging , Body Size , Elasmobranchii/growth & development , Animals , Conservation of Natural Resources , Female , Logistic Models , Male
9.
J Fish Biol ; 82(4): 1192-210, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23557299

ABSTRACT

This study examined the characteristics of a blacktip reef shark Carcharhinus melanopterus population in turbid coastal habitats through a multi-year fishery-independent sampling and tag-recapture programme. Results revealed a highly structured population comprised almost entirely of juveniles and adult females with individuals between 850 and 1050 mm total length effectively absent. Mature males were also rarely encountered with adult sex ratio highly biased towards females (female:male = 7:1). Mating scars were observed on adult females between December and April, and parturition was observed from December to March. Regression analysis showed that catch rates were significantly higher during the summer wet season between November and May. Recapture data suggested a highly resident population with a recapture rate of 21% and a mean recapture distance of 0·8 km. In addition, 33% of recaptured animals were captured multiple times, indicating long-term residency. Most recaptures were, however, of adults with few juveniles recaptured. Widespread sampling at the study site and in adjacent areas suggested that the population was highly localized to a specific bay. The bimodal and sex-segregated population structure observed here differs from previous reports for this species, and in combination with reproductive observations, suggests population structuring to facilitate reproductive and recruitment success. These data also highlight the potential ecosystem functions performed by coastal habitats in sustaining C. melanopterus populations.


Subject(s)
Ecosystem , Sex Ratio , Sharks/physiology , Animal Identification Systems , Animals , Body Size , Female , Male , Queensland , Seasons
10.
J Fish Biol ; 82(3): 764-88, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23464543

ABSTRACT

Life-history characteristics of six tropical Lethrinus species sampled from the Great Barrier Reef World Heritage Area were compared. Two species groups were identified based on fork length (LF ): large species with maximum LF > 640 mm (longface emperor Lethrinus olivaceus, yellowlip emperor Lethrinus xanthochilus and spangled emperor Lethrinus nebulosus) and small species with maximum LF < 480 mm (Pacific yellowtail emperor Lethrinus atkinsoni, pink ear emperor Lethrinus lentjan and ornate emperor Lethrinus ornatus). Lifespan was not correlated with LF . Early growth for all species was rapid and similar during the first few years of life, but coefficients of the von Bertalanffy growth function varied considerably among species. Growth also differed between sexes for L. atkinsoni. Reproductive characteristics varied among species, with peak periods of spawning occurring in November to December for L. atkinsoni, July to August for L. nebulous, September to October for L. olivaceus and a protracted season for L. lentjan, although fewer samples were available for the last two species. Sex-specific LF and age distributions and gonad histology of L. lentjan were suggestive of a functional protogynous reproductive pattern, as observed in other lethrinids. Gonad histology indicated non-functional protogynous hermaphroditism for L. atkinsoni and L. nebulosus. The diversity of life histories among these closely related species emphasizes the difficulty in devising single management strategies appropriate for multi-species fisheries and illustrates the importance of understanding species-specific life histories to infer responses to exploitation.


Subject(s)
Perciformes/physiology , Reproduction , Age Distribution , Animals , Australia , Body Size , Female , Male , Perciformes/growth & development , Seasons , Species Specificity
11.
J Fish Biol ; 83(5): 1401-6, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24580674

ABSTRACT

Baseline, post-angling and maximum attainable blood lactate concentrations were measured for the fishery species redthroat emperor Lethrinus miniatus to gain insight into the condition of fish released following c. 30 s angling and <45 s air exposure. Mean ± S.D. baseline blood lactate was 1·5 ± 0·6 mmol l⁻¹, which increased and plateaued around 6 mmol l⁻¹ at 15-30 min post-angling. These values were significantly lower than those obtained from fish maximally exhausted with a prolonged chase and air exposure protocol following capture (10·9 ± 1·8 mmol l⁻¹), suggesting that L. miniatus is not maximally exhausted during standard angling practices.


Subject(s)
Behavior, Animal , Lactic Acid/blood , Perciformes/blood , Stress, Physiological , Swimming , Animals , Fatigue , Perciformes/physiology
12.
J Fish Biol ; 81(4): 1225-33, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22957866

ABSTRACT

Precaudal vertebral counts were used to distinguish between 237 morphologically similar Carcharhinus limbatus and Carcharhinus tilstoni and were congruent with differences in reproductive ecology between the species. In addition to differing lengths at maturity and adult body size, the two species had asynchronous parturition, were born at different sizes and the relative frequencies of neonates differed in two coastal nursery areas. Despite evidence that hybridization can occur, these differences suggest the species are largely reproductively isolated.


Subject(s)
Ecology , Reproduction/physiology , Sharks/anatomy & histology , Sharks/physiology , Spine/anatomy & histology , Animals , Australia , Female , Male , Reproductive Isolation , Species Specificity
13.
J Fish Biol ; 80(4): 767-84, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22471798

ABSTRACT

An array of acoustic receivers deployed in Cleveland Bay, north Queensland, Australia, passively tracked 20 adult spottail sharks Carcharhinus sorrah over 2 years (2009-2010) to define patterns in movement and habitat use. Individuals were present in the study site for long periods, ranging from 8 to 408 days (mean = 185). Size and location of home ranges did not vary over time. A high level of segregation occurred among C. sorrah, with individuals using different types of habitat and showing strong attachment to specific regions. The depth of habitat individuals used varied between sexes. Males tended to use a narrow range of habitat depths within the study site (2·8-6·0 m), whereas females used shallower habitats (1·4-6·2 m) and displayed a seasonal shift in the depth of habitat used. Mean monthly habitat depth used varied by as much as 2 m for females, with individuals using shallower habitats during the winter months. Long-term presence and consistent home ranges suggest that Cleveland Bay provides important habitat for C. sorrah. By defining patterns in the use of nearshore habitats for C. sorrah, this study improves the understanding of the movement and habitat use of smaller-bodied coastal sharks and may help provide guidance for the management of their populations.


Subject(s)
Ecosystem , Sharks/physiology , Animals , Behavior, Animal , Female , Male , Queensland , Tropical Climate
14.
J Fish Biol ; 78(7): 2026-51, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21651548

ABSTRACT

The life histories of two globally endangered hammerhead sharks, Sphyrna lewini and Sphyrna mokarran, were examined using samples collected from a range of commercial fisheries operating along the east coast of Australia. The catch of S. lewini was heavily biased towards males, and there were significant differences in von Bertalanffy growth parameters (L(∞) and k) and maturity [stretched total length (L(ST)) and age (A) at which 50% are mature, L(ST50) and A(50)] between those caught in the tropics (L(∞) = 2119 mm, k = 0·163, L(ST50) = 1471 mm, A(50) = 5·7 years) and those caught in temperate waters (L(∞) = 3199 mm, k = 0·093, L(ST50) = 2043 mm, A(50) = 8·9 years). The best-fit estimates for a three-parameter von Bertalanffy growth curve fit to both sexes were L(∞) = 3312 mm, L(0) = 584 mm and k = 0·076. Males attained a maximum age of 21 years and grew to at least 2898 mm L(ST). The longevity, maximum length and maturity of females could not be estimated as mature animals could not be sourced from any fishery. Length at birth inferred from neonates with open umbilical scars was 465-563 mm L(ST). There was no significant difference in length and age at maturity of male and female S. mokarran, which reached 50% maturity at 2279 mm L(ST) and 8·3 years. Sphyrna mokarran grew at a similar rate to S. lewini and the best-fit estimates for a two-parameter von Bertalanffy equation fit to length-at-age data for sexes combined with an assumed mean length-at-birth of 700 mm were L(∞) = 4027 mm and k = 0·079. Females attained a maximum age of 39·1 years and grew to at least 4391 mm L(ST). The oldest male S. mokarran was 31·7 years old and 3691 mm L(ST). Validation of annual growth-band deposition in S. mokarran was achieved through a mark, tag and recapture study.


Subject(s)
Endangered Species , Sharks/physiology , Animals , Australia , Body Size , Female , Longevity , Male , Reproduction , Sex Factors , Sexual Maturation , Sharks/anatomy & histology , Sharks/growth & development
15.
Conserv Biol ; 24(5): 1212-8, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20337690

ABSTRACT

General consensus among scientists, commercial interests, and the public regarding the status of shark populations is leading to an increasing need for the scientific community to provide information to help guide effective management and conservation actions. Experience from other marine vertebrate taxa suggests that public, political, and media pressures will play an increasingly important part in setting research, management, and conservation priorities. We examined the potential implications of nonscientific influences on shark research. In particular, we considered whether lethal research sampling of sharks is justified. Although lethal sampling comes at a cost to a population, especially for threatened species, the conservation benefits from well-designed studies provide essential data that cannot be collected currently in any other way. Methods that enable nonlethal collection of life-history data on sharks are being developed (e.g., use of blood samples to detect maturity), but in the near future they will not provide widespread or significant benefits. Development of these techniques needs to continue, as does the way in which scientists coordinate their use of material collected during lethal sampling. For almost half of the known shark species there are insufficient data to determine their population status; thus, there is an ongoing need for further collection of scientific data to ensure all shark populations have a future. Shark populations will benefit most when decisions about the use of lethal sampling are made on the basis of scientific evidence that is free from individual, political, public, and media pressures.


Subject(s)
Conservation of Natural Resources/methods , Endangered Species , Sharks/physiology , Specimen Handling/methods , Specimen Handling/veterinary , Animals , Population Dynamics , Research , Species Specificity
16.
Skeletal Radiol ; 37(9): 797-804, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18551289

ABSTRACT

OBJECTIVE: The aim of this study was to determine if the presence of focal normal bone marrow fat signal within a tumor on magnetic resonance imaging excludes malignancy. MATERIALS AND METHODS: One hundred eighty-four histologically proven tumors with available magnetic resonance imaging (MRI) of the appendicular skeleton and pelvis from 184 patients were collected and reviewed at two separate institutions. There were 111 malignant and 73 benign tumors. Two radiologists at each institution, blinded to the diagnosis, reviewed the MRIs independently and reported the presence or absence of normal marrow fat signal within the tumor based upon T1-weighted imaging without fat suppression and T2-weighted imaging with fat suppression and/or short inversion-time inversion recovery (STIR). Discrepancies were then reviewed in consensus to determine the presence or absence of focal normal marrow signal. For each institution, a Fisher's exact test was used to compare the frequency of focal normal marrow fat signal in benign and malignant tumors. This comparison was performed for each reader, as well as for the consensus reading at each site. Positive and negative predictive values were also calculated for each reader, as well as the consensus reading at each site. Fisher's exact test was also used to compare the frequency of intratumoral fat in benign and malignant lesions for the pooled sample. Bayes theorem was used to calculate the positive and negative predictive values for the pooled consensus data. Ninety-five percent confidence intervals were constructed for the pooled estimates using a bootstrapping algorithm. RESULTS: There was good interobserver reliability of 95.3% and 96.7% at sites 1 and 2, respectively. There were three discrepancies (one malignant and two benign) at site 1 and four discrepancies (two malignant and two benign) at site 2. Reader consensus at site 1 identified normal marrow fat signal within 1 of 50 (2.0%) malignant and three of 14 (21.4%) benign tumors. Findings were statistically significant with a p value of 0.030. The positive predictive value (PPV) and negative predictive value (NPV) at site 1 was 81.7% and 75.0%, respectively. Reader consensus at site 2 identified normal marrow fat signal within three of 61 (4.9%) malignant and 14 of 59 (23.7%) benign tumors. Findings were statistically significant with a calculated p value of 0.004. The PPV and NPV at site 1 was 56.3% and 82.4%, respectively. For the pooled consensus, the frequency of intratumoral fat in benign lesions (17/73, 23.3%) is significantly greater than the frequency in malignant lesions (4/111, 3.6%), p < 0.001. CONCLUSION: The presence of focal normal marrow signal within a tumor is highly suggestive of a benign tumor.


Subject(s)
Adipose Tissue/pathology , Bone Marrow/pathology , Bone Neoplasms/pathology , Magnetic Resonance Imaging/methods , Pelvic Bones/pathology , Algorithms , Bayes Theorem , Female , Humans , Male , Neoplasm Metastasis , Predictive Value of Tests , Reproducibility of Results
17.
Am J Cardiol ; 87(6): 789-91, A8, 2001 Mar 15.
Article in English | MEDLINE | ID: mdl-11249907

ABSTRACT

Femoral closure devices help early ambulation after cardiac catheterization without incurring additional risk to the patients. This report summarizes the safety and efficacy data of the 6Fr Angio-Seal device.


Subject(s)
Catheterization, Peripheral , Coronary Angiography , Femoral Artery , Hemostatic Techniques/instrumentation , Punctures , Adult , Aged , Early Ambulation , Hemostatic Techniques/adverse effects , Humans , Middle Aged , Prospective Studies
18.
Rev Med Chil ; 129(10): 1212-21, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11775351

ABSTRACT

During the last 10 years, several "non-traditional" risk markers for atherosclerosis have been identified. Among them, new markers of lipoprotein metabolism (i.e. lipoprotein [a]), endothelial dysfunction (i.e. homocysteine), hemostasis (i.e. fibrinogen) and inflammation (i.e. C-reactive protein) have been linked to an excessive risk of cardiovascular disease. These factors should help the clinician to better identify individuals at risk of premature atherosclerotic disease and/or improve the predictive value of established risk factors for atherosclerosis. Finally, these factors are expected to improve the knowledge in the pathophysiology of cardiovascular diseases, and perhaps to impact future therapeutic decisions. In this review article, we will analyze the markers in which there are at least some evidence to support their acceptance as "non-traditional risk factors" for atherosclerotic disease.


Subject(s)
Arteriosclerosis/etiology , Arteriosclerosis/blood , Biomarkers/blood , C-Reactive Protein/metabolism , Homocysteine/metabolism , Humans , Hyperhomocysteinemia/etiology , Inflammation/complications , Lipoprotein(a)/metabolism , Risk Factors
19.
Am J Cardiol ; 86(7): 780-2, A9, 2000 Oct 01.
Article in English | MEDLINE | ID: mdl-11018201

ABSTRACT

We compared in-hospital femoral complications of Angio-Seal, Perclose, and manual compression in consecutive patients who underwent percutaneous coronary interventions in the era of glycoprotein IIb/IIIa platelet inhibition. Femoral closure devices have a similar overall risk profile as manual compression, even in patients treated with glycoprotein IIb/IIIa platelet inhibition, although certain rare complications such as retroperitoneal hemorrhage and severe access-site infection may be more common with the use of these devices.


Subject(s)
Angioplasty, Balloon, Coronary , Femoral Artery , Hemostatic Techniques/adverse effects , Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Vascular Diseases/etiology , Female , Femoral Artery/injuries , Humans , Male , Middle Aged , Pressure/adverse effects , Prospective Studies , Regression Analysis , Safety , Suture Techniques/adverse effects
20.
Am J Cardiol ; 81(5): 569-72, 1998 Mar 01.
Article in English | MEDLINE | ID: mdl-9514451

ABSTRACT

A collagen hemostatic puncture closure device has been developed as an alternative to traditional manual pressure techniques for achieving effective femoral arterial hemostasis after coronary angiography. The purpose of the current study was to determine if patients receiving this device can ambulate safely at 1 hour compared with patients receiving traditional manual pressure and bed rest after sheath removal for diagnostic cardiac catheterization. Patients (n = 304) were randomized to either the device group (n = 202) with ambulation at 1 hour after sheath removal or to the manual pressure control group (n = 102) with ambulation at 4 to 6 hours after sheath removal. The device group achieved earlier time to hemostasis (0.9 +/- 3 vs 17.0 +/- 8 minutes, p = 0.0001) and faster time to outpatient discharge (5.0 +/- 4 vs 7.7 +/- 4 hours, p = 0.0001) compared with the control group. There were bleeding or vascular complications in 19 patients (9%) in the device group and in 6 patients (6%) in the manual pressure group (p = 0.397). In patients undergoing diagnostic coronary angiography, this device, compared with traditional techniques for achieving hemostasis after sheath removal, allows for faster time to effective hemostasis with resultant earlier discharge from the hospital.


Subject(s)
Cardiac Catheterization , Coronary Angiography , Early Ambulation , Hemostasis, Surgical/instrumentation , Aged , Bed Rest , Evaluation Studies as Topic , Female , Femoral Artery , Humans , Male , Middle Aged , Pressure
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