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Specialty: Surgery
Condition: Thrombosis
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Total 198 results found since Jan 2013.
Aortoiliac Occlusive Disease Presenting as Sudden Onset Paraplegia
Thromboembolism and atherosclerotic stenosis both can cause arterial occlusion. Aortoiliac occlusive disease involving bifurcation of the aortoiliac artery induces symptoms of ischemia such as claudication and pain of buttocks and thighs, decreased bilateral femoral pulses, and impotence. Here, we describe a 58-year-old woman with a past history of atrial fibrillation and lacuna stroke with minimal right side weakness. She presented to our emergency department with sudden onset bilateral pain in the legs and paraplegia. A comprehensive examination revealed paresthesia and decreasing bilateral distal pulses. Computed tomogr...
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Chien-Hung Lai, Cheng-Hsien Wang, Shih-Yun Wu, Hong-Mo Shih Tags: Case Report Abstracts Source Type: research
Identification of Patients with a Histologically Unstable Carotid Plaque Using Ultrasonic Plaque Image Analysis.
CONCLUSIONS: Computerized plaque analysis has the potential to identify patients with histologically unstable carotid plaques. This model requires validation, but offers the potential to influence patient selection for emergency interventions and the monitoring of medical therapy.
PMID: 24947079 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - June 16, 2014 Category: Surgery Authors: Salem MK, Bown MJ, Sayers RD, West K, Moore D, Nicolaides A, Robinson TG, Naylor AR Tags: Eur J Vasc Endovasc Surg Source Type: research
Identification of Patients with a Histologically Unstable Carotid Plaque Using Ultrasonic Plaque Image Analysis
Objectives: In patients with carotid stenosis the risk of stroke is highest in the first few days after onset of symptoms and it is low in asymptomatic patients. The ability to identify patients with a high (or low) probability of having a histologically unstable plaque might become a complimentary method that can refine the indications for surgical intervention.Methods: Two histopathologists, using validated American Heart Association criteria, independently graded plaques harvested during carotid endarterectomy. Preoperative Duplex images were independently assessed for juxtaluminal black area, plaque type, plaque area, ...
Source: European Journal of Vascular and Endovascular Surgery - June 18, 2014 Category: Surgery Authors: M.K. Salem, M.J. Bown, R.D. Sayers, K. West, D. Moore, A. Nicolaides, T.G. Robinson, A.R. Naylor Tags: Carotid Disease Source Type: research
Minimal Thoracotomy Thoracic Bifemoral Bypass in the Endovascular Era
Conclusions: Mini-TBF bypass provides another alternative to successfully revascularize Trans-Atlantic Inter-Society Consensus II type D lesions in patients with prior abdominal revascularization, pelvic anatomy with a critical IMA, or calcification/thrombus of the infrarenal/juxtarenal aorta precludes control.
Source: Annals of Vascular Surgery - April 3, 2014 Category: Surgery Authors: Amy E. Reppert, Omid Jazaeri, Ashok Babu, Joshua I. Greenberg, Erica Deluka, Mark R. Nehler, Thomas B. Reece Tags: Clinical Research Source Type: research
Therapeutic application of contrast-enhanced ultrasound and low-dose urokinase for thrombolysis in a porcine model of acute peripheral arterial occlusion
In this study, we investigated the effect of additional US and microbubbles on standard low-dose intra-arterial thrombolysis in a porcine model of extensive peripheral arterial occlusion.
Source: Journal of Vascular Surgery - April 24, 2014 Category: Surgery Authors: Harm P. Ebben, Johanna H. Nederhoed, Jeroen Slikkerveer, Otto Kamp, Geert W.J.M. Tangelder, René J.P. Musters, Willem Wisselink, Kak K. Yeung Source Type: research
Balloon tamponade repair after inadvertent subclavian artery catheterization.
CONCLUSIONS: In patients with inadvertent subclavian artery catheterization, balloon tamponade is an effective first step in management, with primary technical success approaching 100% in cases of single lumen injury. It appears less effective in patients with double lumen injury. However, the ease of transition from balloon tamponade to stent placement supports an initial attempt at hemostasis with tamponade prior to placement of a permanent stent.
PMID: 25198816 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - November 27, 2014 Category: Surgery Tags: J Vasc Access Source Type: research
Cerebral venous thrombosis in a breast cancer patient taking tamoxifen: Report of a case
Conclusion Clinicians should warn about the possibility of thromboembolic complications with tamoxifen.
Source: International Journal of Surgery Case Reports - November 29, 2014 Category: Surgery Source Type: research
Regional collaborative quality improvement for trauma reduces complications and costs
We examined the relationship between outcomes and expenditures for trauma patients treated in collaborative participant and nonparticipant hospitals.
METHODS: Payer claims and collaborative registry data were analyzed for 30-day episode payments and serious complications in patients admitted with trauma diagnoses. Patients were categorized as treated in hospitals that had different CQI status: (1) never participated (Never-CQI); (2) collaborative participant, but patient treated before CQI initiation (Pre-CQI); or (3) active collaborative participant (Post-CQI). DRG International Classification of Diseases—9th Rev. codes...
Source: Journal of Trauma and Acute Care Surgery - December 25, 2014 Category: Surgery Tags: AAST Plenary Papers Source Type: research
Tranexamic Acid Use in Severely Injured Civilian Patients and the Effects on Outcomes: A Prospective Cohort Study
Conclusions: TXA as part of a major hemorrhage protocol within a mature civilian trauma system provides outcome benefits specifically for severely injured shocked patients.
Source: Annals of Surgery - January 8, 2015 Category: Surgery Tags: Original Articles 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
Frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the impact on prognosis
Little is known about acute peripheral arterial thrombosis in patients with concomitant cancer. Small studies suggest that revascularization in this patient group is associated with thrombosis and increased risk of amputation and death. We investigated the frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the long-term risk of amputation, mortality, myocardial infarction, and stroke in a national cohort.
Source: Journal of Vascular Surgery - September 15, 2015 Category: Surgery Authors: Chalotte Winther Nicolajsen, Maja Holch Dickenson, Jacob Budtz-Lilly, Nikolaj Eldrup Source Type: research
Increased activity of factor VIII causing acute intestinal ischemic disorder with recurrent and multiple arterial thromboses
We present the case of a 52-year-old man with hypercoagulability-induced acute arterial occlusive mesenteric ischemia. The patient suffered from arterial occlusive mesenteric ischemia, recent ischemic stroke, and previous renal infarction. He had no history of atrial fibrillation, atherosclerosis, vascular diseases, autoimmune diseases, malignancy, liver diseases, copper deficiency, or other risk factors for arterial thromboembolism. Segmental resection of the gangrenous bowel with primary end-to-end anastomosis was performed. A pathological examination revealed multiple thrombi within the mesenteric arteries of the infarc...
Source: Formosan Journal of Surgery - November 17, 2015 Category: Surgery Source Type: research
Outcomes of ventricular assist device implantation in children and young adults: the Melbourne experience
ConclusionsChildren requiring pre‐transplant VAD support have a higher mortality and morbidity compared with young adults. Survival after heart transplantation those supported with VADs was similar to patients of similar age who did not require pre‐transplant support.
Source: ANZ Journal of Surgery - November 27, 2015 Category: Surgery Authors: William Y. Shi, Silvana F. Marasco, Pankaj Saxena, Yves d'Udekem, Matthew S. Yong, Sergei Mitnovetski, Christian P. Brizard, David C. McGiffin, Robert G. Weintraub, Igor E. Konstantinov Tags: Original Article 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
