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Intrafissural fat mimicking pulmonary embolism!

Intrafissural fat mimicking pulmonary embolism! Acta Cardiol. 2017 Aug 11;:1 Authors: Talebi S, Moradi A, Reyes HA, Pekler G, Hassen GW PMID: 28799455 [PubMed - as supplied by publisher]
Source: Acta Cardiologica - Category: Cardiology Tags: Acta Cardiol Source Type: research

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Percutaneous cryoablation for lung cancer is a feasible and relatively safe option for the treatment of lung cancer in patients who cannot undergo surgery. Although percutaneous cryoablation is a minimally invasive ablation technique, it may cause complications such as pneumothorax, pulmonary hemorrhage, or ablation-zone infections (1). Minor complications are very common, whereas major complications are rare. Pulmonary embolism is a serious complication with a high mortality rate in the first 3 months after diagnosis.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Special Letter Section Source Type: research
Authors: Parakh R, Krishna PR, Amin P, Bedi VS, Desai S, Dumra HS, Gupta PC, Gupta V, Hydrabadi R, Kamerkar D, Mahajan N, Pai P, Patel P, Rai K, Sekhar R, Selvaraj D, Sharma A, Subrammaniyan SR Abstract It is estimated that around 2.5 lac patients are identified as having an acute venous thrombo-embolic event in India annually. This includes patients with deep vein thrombosis and pulmonary embolism, and is estimated to result in more than 3.7 lacs deaths each year in European countries. The 'Consensus on Management of Deep Vein Thrombosis with Emphasis on NOACs (Non-Vitamin K Antagonist Oral Anticoagulants): Recomm...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
A 40-something presented with palpitations and had a regular pulse at 170.Here is his 12-lead ECG:The computer reads supraventricular tachycardia.What is it?It is atrial flutter with 2:1 conduction. It is not PSVT and not sinus.There are clear flutter waves in lead II across the bottom. In V1, there are upright waves that appear to be P-waves but are not: they are atrial waves and it is typical for atrial flutter waves to be upright in V1, whereas sinus P-waves are biphasic in V1.The flutter rate is relatively fast at 334, such that the ventricular rate is 167 (one half the atrial rate).As easy as it may seem to ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Pulmonary embolism (PE) is the third most common cause of cardiovascular death, affecting between 300,000 and 600,000 patients annually. Presentation is nonspecific, resulting in the reflexive decision to evaluate with computed tomography (CT) pulmonary angiography, which has a low diagnostic yield (10%-20%). However, clinical tools such as the Wells ’ Criteria for Pulmonary Embolism and D-dimer levels are validated nonradiographic methods to rule out PE and effectively reduce diagnostic time, cost, and potential complications.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2017 Western Vascular Society Annual Meeting Source Type: research
Conclusion: For patients with posterior circulation stroke due to basilar artery or vertebral artery occlusion who present to the hospital 6 h after symptom onset and who exhibit deterioration of symptoms after drug treatment, multimodal recanalization of the occluded artery may be a feasible and safe therapy.Intervent Neurol 2017;6:254-262
Source: Interventional Neurology - Category: Neurology Source Type: research
This article in our point-of-care ultrasound (PoCUS) series discusses the benefits of focused cardiac ultrasound (FoCUS) for the regional anesthesiologist and pain specialist. Focused cardiac US is an important tool for all anesthesiologists assessing patients with critical conditions such as shock and cardiac arrest. However, given that ultrasound-guided regional anesthesia is emerging as the new standard of care, there is an expanding role for ultrasound in the perioperative setting for regional anesthesiologists to help improve patient assessment and management. In addition to providing valuable insight into cardiac phy...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Review Articles Source Type: research
CONCLUSION: Maternal outcomes in patients with treated BCS are favourable and fetal outcomes beyond 20 wk gestation are good. There has been increased rate of caesarean section. Pulmonary hypertension is an important finding that needs further validation. These patients should be managed in centers experienced in treating high-risk pregnancies. PMID: 28824745 [PubMed]
Source: World Journal of Hepatology - Category: Gastroenterology Tags: World J Hepatol Source Type: research
The right ventricle has unique structural and functional characteristics. It is now well recognized that the so‚Äźcalled forgotten ventricle is a key player in cardiovascular physiology. Furthermore, there is accumulating evidence that demonstrates right ventricular dysfunction as an important marker of morbidity and mortality in several commonly encountered clinical situations such as heart failure, pulmonary hypertension, pulmonary embolism, right ventricular myocardial infarction, and adult congenital heart disease. In contrast to the left ventricle, echocardiographic assessment of right ventricular function is more cha...
Source: Echocardiography - Category: Cardiology Authors: Tags: REVIEW Source Type: research
Cerebral gas embolism (CGE) from the thoracic cavity is commonly associated with invasive procedures, and cases of spontaneous CGE are rare. A 78-year-old man presented with severe spontaneous CGE associated with combined pulmonary fibrosis and emphysema (CPFE). To the best of our knowledge, the comorbidity of CGE in a CPFE patient has not been documented until now. The patient became unconscious with left hemiparesis at approximately 2 a.m. Computed tomography scan revealed minute air densities scattered in the deep white matter of the right frontal lobe.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Tags: Case Studies Source Type: research
There are few areas of more vigorous debate than the management of severe pulmonary embolism (PE). In recent years the publication of pivotal trials, development of new catheter-based treatment modalities, and particularly the advent of advanced multidisciplinary decision-making teams have created significant opportunities for practicing IRs. In this issue we present thirteen articles spanning everything that the physician involved in the care of patients with PE should know: demographics, diagnosis, risk stratification, medical, surgical, and endovascular management as well as state of the art reviews of the evidence, pre...
Source: Techniques in Vascular and Interventional Radiology - Category: Radiology Authors: Source Type: research
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