Unstable presentation: One Stent trumps two
This report was a retrospective look at a large registry database. A one ‐stent strategy trumps a two‐stent approach in patients with acute coronary syndromes in this large registry. The primary endpoint and target lesion revascularization was half the rate if a one‐stent strategy was used. The incidence of stent thrombosis was more than three‐fold as high using a planned two‐stent strategy.
We present a 21-year-old female with no medical history who presente...
CONCLUSION: This case demonstrates the possibility of arterial compression by an adjacent venous stent graft, especially in a patient with a thin habitus and a brachial-brachial arteriovenous graft. Detailed identification of the outflow vein anatomy before stent implantation is mandatory to avoid such a complication. PMID: 31825299 [PubMed - as supplied by publisher]
Authors: Taylor CR, Dominguez JE, Habib AS Abstract Obesity is a significant global health problem. It results in a higher incidence of complications for pregnant women and their neonates. Cesarean deliveries are more common in obese parturients as well. The increased burden of comorbidities seen in this population, such as obstructive sleep apnea, necessitates antepartum anesthetic consultation. These patients pose unique challenges for the practicing anesthesiologist and may benefit from optimization prior to delivery. Complications from anesthesia and overall morbidity and mortality are higher in this population...
Conclusion: Recurrent VTE among cancer patients is associated with significant HRU and healthcare costs, notably hospitalizations. Strategies to reduce VTE recurrence in patients with cancer can contribute to reducing healthcare cost. PMID: 31818164 [PubMed - as supplied by publisher]
Publication date: Available online 11 December 2019Source: Canadian Journal of CardiologyAuthor(s): Jennifer Cautela, Franck Rouby, Joe-Elie Salem, Joachim Alexandre, Ugo Scemama, Charles Dolladille, Ariel Cohen, Franck Paganelli, Stéphane Ederhy, Franck ThunyAbstractIsolated cases of acute coronary syndromes (ACSs) associated with immune checkpoint inhibitors (ICIs) have been described without the establishment of a formal cause-and-effect relationship between treatment and adverse event.First, we reported a case of ACS after the first administration of an ICI and with a fatal recurrence in another coronary area im...
The concept of post Pulmonary Embolism syndrome includes various combinations of functional, haemodynamic or imaging abnormalities in patients after pulmonary embolism (PE). Although residual obstruction of pulmonary vascular bed is suggested to be a major cause of post Pulmonary Embolism syndrome (post-PE syndrome) other cardiopulmonary abnormalities can be responsible for functional impairment. Therefore, we analyzed the frequency of post-PE syndrome and its potential causes.
Bivalirudin is an alternative to heparin anticoagulation in infants and children in the setting of extracorporeal life support (ECLS). While activated partial thromboplastin time (aPTT) is widely accepted as the standard test to monitor bivalirudin therapy, the usefulness of thromboelastometry (ROTEM) to monitor bivalirudin infusion in the setting of ECLS is unknown.
ConclusionFree ‐floating ascending aortic thrombus is a rare source of peripheral embolization. We advocate for emergent surgical resection to prevent further embolization and stroke.