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Specialty: Surgery
Condition: Bleeding

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Total 190 results found since Jan 2013.

Perioperative management of patients on new oral anticoagulants
ConclusionManagement of NOACs in elective and emergency conditions requires knowledge of time of last intake of drug, current renal function and the planned procedure in order to assess the overall risk of bleeding. Currently no antidote exists to reverse the effects of these drugs.
Source: British Journal of Surgery - April 29, 2014 Category: Surgery Authors: A. Lai, N. Davidson, S. W. Galloway, J. Thachil Tags: Review Source Type: research

FDA Warns of Serious Risks With LVADs
(MedPage Today) -- Pump thrombosis, stroke, and bleeding events reported
Source: MedPage Today Surgery - August 5, 2015 Category: Surgery Source Type: news

Inadvertent Arterial Placement of Central Venous Catheters: Diagnostic and Therapeutic Strategies
Central venous catheterization (CVC) is among the most ubiquitous medical procedures. Inadvertent arterial placement of the catheter presents a challenging dilemma to the interventionalist. Treatment options include: removal and manual compression, off-label use of percutaneous closure devices and/or stent grafts, and open surgical removal. Potential sequelae include bleeding, thrombosis, stroke, limb ischemia, neurologic deficit, and death. Our aim is to evaluate the use of open and endovascular techniques for the management of iatrogenic carotid, subclavian, and brachiocephalic arterial injuries related to inadvertent ar...
Source: Annals of Vascular Surgery - August 6, 2015 Category: Surgery Authors: Dustin Y. Yoon, Suman Annambhotla, Scott A. Resnick, Mark K. Eskandari, Heron E. Rodriguez Source Type: research

Propensity-matched analysis of minimally invasive mitral valve repair using a nationwide surgical database
Conclusions MICS-mitral via RT was successful without compromising the clinical outcomes. Although the operation time and postoperative bleeding should be improved, an RT approach is safe in appropriately selected patients, especially those <60 years of age or treated in a high-volume center.
Source: Surgery Today - August 15, 2015 Category: Surgery Source Type: research

A new device for the prevention of pulmonary embolism in critically ill patients: Results of the European Angel Catheter Registry
CONCLUSION: Early bedside placement of an IVC filter–catheter is possible, and our results suggest that this is a safe, effective alternative to short-term PE prophylaxis for high-risk patients with contraindications to anticoagulation. LEVEL OF EVIDENCE: Therapeutic study, level V.
Source: Journal of Trauma and Acute Care Surgery - September 1, 2015 Category: Surgery Tags: Original Articles Source Type: research

Heparins – DOACS – VKA
Patients with cancer are at increased risk of venous thromboembolism (VTE). At the same time they have often an underlying bleeding risk. That can often make decisions surrounding the administration of anticoagulants complicate. Individual risk-benefit calculation is necessary. During hospital stage the patients get, if there are no contraindications, a medical VTE prophylaxis with low molecular weight heparin (LMWH). Whereas outpatients don`t get a prophylaxis because they are at low risk of thromboembolism. If additional risk factor for VTE exists a decision for medical VTE prophylaxis should be taken into account. In pa...
Source: Phlebologie - December 2, 2015 Category: Surgery Source Type: research

Pancreatogastrostomy Versus Pancreatojejunostomy for RECOnstruction After PANCreatoduodenectomy (RECOPANC, DRKS 00000767): Perioperative and Long-term Results of a Multicenter Randomized Controlled Trial
Conclusions: The rate of grade B/C fistula after PG versus PJ was not different. There were more postoperative bleeding events with PG. Perioperative morbidity and mortality of pancreatoduodenectomy seem to be underestimated, even in the high-volume center setting.
Source: Annals of Surgery - February 8, 2016 Category: Surgery Tags: Randomized Controlled Trials Source Type: research

Urgent Aggressive Best Medical Therapy Prior to Carotid Surgery Dramatically Reduces Recurrent Stroke Prior to Surgery Without Significantly Increasing Peri-operative Bleeding Complications
Abstract
Source: European Journal of Vascular and Endovascular Surgery - February 25, 2016 Category: Surgery Authors: R.K. Ramachandran, A. Owen-Falkenberg, B. Gottschalksen, K. Ellemann, S. Shahidi Source Type: research

Dual antiplatelet therapy reduces stroke but increases bleeding at the time of carotid endarterectomy
This study examined the effect of preoperative dual antiplatelet therapy (aspirin and clopidogrel) on in-hospital CEA outcomes.
Source: Journal of Vascular Surgery - February 28, 2016 Category: Surgery Authors: Douglas W. Jones, Philip P. Goodney, Mark F. Conrad, Brian W. Nolan, Eva M. Rzucidlo, Richard J. Powell, Jack L. Cronenwett, David H. Stone Tags: Clinical paper Source Type: research

Long-term Outcome After EndoVAC Hybrid Repair of Infected Vascular Reconstructions.
CONCLUSION: The EndoVAC technique is an alternative, less invasive, option for treatment of infected vascular reconstructions in selected cases, when neither traditional radical surgery, nor conservative simple negative pressure wound therapy are considered feasible or safe. The exact indications for this alternative hybrid treatment need to be established. PMID: 26944600 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 1, 2016 Category: Surgery Authors: Thorbjørnsen K, Djavani Gidlund K, Björck M, Kragsterman B, Wanhainen A Tags: Eur J Vasc Endovasc Surg Source Type: research

Invited commentary
The key findings were that adding clopidogrel to regular aspirin therapy ≤48 hours of carotid endarterectomy (CEA) was associated with significant reductions in postoperative stroke, at the expense of increased bleeding complications.1 The latter will, inevitably, reinforce certain prejudices regarding dual-antiplatelet therapy (DAPT), even though the rate of bleeding complications was only 1.2% (DAPT) vs 0.7% (monotherapy). However, before uncritically disregarding any role for DAPT, it is worth considering why this debate is so important.
Source: Journal of Vascular Surgery - April 21, 2016 Category: Surgery Authors: A. Ross Naylor Tags: Clinical research study Source Type: research

Use of Protamine for Anticoagulation During Carotid Endarterectomy: A Meta-Analysis
Use of protamine following carotid endarterectomy (CEA) is associated with a reduction in bleeding complications without increasing major thrombotic outcomes of stroke, myocardial infarction or death.
Source: Journal of Vascular Surgery - May 23, 2016 Category: Surgery Authors: K.A. Newhall, E.C. Saunders, R.J. Larson Tags: Abstract Source Type: research

Protamine Reduces Bleeding Complications without Increasing the Risk of Stroke after Carotid Endarterectomy: A Meta-analysis
The aim was to evaluate the safety and efficacy of heparin reversal with protamine after completion of carotid endarterectomy (CEA), summarising the available data from both randomised and non-randomised studies.
Source: European Journal of Vascular and Endovascular Surgery - July 3, 2016 Category: Surgery Authors: J.D. Kakisis, C.N. Antonopoulos, K.G. Moulakakis, F. Schneider, G. Geroulakos, J.B. Ricco Tags: Review Source Type: research