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Specialty: Surgery
Condition: Thrombosis

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Total 198 results found since Jan 2013.

Combined brachial embolectomy and stent graft endovascular exclusion in the treatment of acute arm ischemia due to subclavian artery aneurysms thrombosis or distal embolization.
CONCLUSION: Endovascular repair is a less invasive alternative to open repair especially in high risk patients. long term results must still be confirmed in further studies. KEY WORDS: Arm ischemia, Endovascular treatment, Subclavian aneurysm. PMID: 27807319 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - November 5, 2016 Category: Surgery Tags: Ann Ital Chir Source Type: research

Insurance Type and Major Complications After Hysterectomy
Objectives: The aim of this study was to investigate the relationship between primary insurance type and major complications after hysterectomy. Methods: A retrospective analysis was performed on women with Medicaid, Medicare, and private insurance who underwent hysterectomy from January 1, 2012, to July 1, 2014, and were included in the Michigan Surgical Quality Collaborative. Major complications within 30 days of surgery included the following: deep/organ space surgical site infection, deep venous and pulmonary thromboembolism, myocardial infarction or stroke, pneumonia or sepsis, blood transfusion, readmission, and dea...
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Management of anticoagulation with rivaroxaban in trauma and acute care surgery: Complications and reversal strategies as compared to warfarin therapy
CONCLUSION: Reversal of rivaroxaban was less common and required fewer agents, whereas bleeding complications and hemostatic interventions do not seem to be different between these AC types. LEVEL OF EVIDENCE: Therapeutic study, level II.
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Original Articles Source Type: research

Medical Treatment Strategies To Reduce Peri-operative Morbidity and Mortality after Carotid Surgery
There is a paucity of high quality evidence regarding what constitutes ‘optimal medical therapy’ for the purposes of reducing morbidity/mortality following carotid endarterectomy (CEA). All patients should be prescribed antiplatelet therapy. Low dose aspirin (75-325mg) should be continued throughout the peri-operative period and there is no evidence that higher dos es confer additional benefit. There is emerging evidence that early implementation of dual antiplatelet therapy in recently symptomatic patients (aspirin 75mg plus clopidogrel 75mg) may reduce recurrent cerebral events prior to CEA and that dual antiplatelet...
Source: Seminars in Vascular Surgery - April 27, 2017 Category: Surgery Authors: Ross Naylor Source Type: research

Acute facial necrosis due to an extensive carotid thrombosis
The face is richly vascularized by arteries which develop multiple anastomoses between their terminal branches, and most these arteries originate from the external carotid artery.1 Facial necrosis due to an extensive carotid thrombosis was never described in the literature. We observed the case of a 62 years old man who presented an extensive facial necrosis due to carotid thrombosis. Angio-CT confirmed the diagnosis and the patient died following a massive stroke with cerebral engagement. His only risk factor was a massive tobacco addiction (40 pack-years).
Source: Annals of Vascular Surgery - May 4, 2017 Category: Surgery Authors: Mohamed Zoulati, Tarik Bakkali, Nabil Aghoutane, Youssef Lyazidi, Hassan Chtata, Mustapha Taberkant Source Type: research

Medical treatment strategies to reduce perioperative morbidity and mortality after carotid surgery
There is a paucity of high-quality evidence regarding what constitutes “optimal medical therapy” for the purposes of reducing morbidity/mortality after carotid endarterectomy (CEA). All patients should be prescribed antiplatelet therapy. Low-dose aspirin (75 to 325 mg) should be continued throughout the perioperative period and there is no evidence that higher dose s confer additional benefit. There is emerging evidence that early implementation of dual antiplatelet therapy in recently symptomatic patients (aspirin 75 mg plus clopidogrel 75 mg) can reduce recurrent cerebral events before CEA and that dual antiplatelet ...
Source: Seminars in Vascular Surgery - April 27, 2017 Category: Surgery Authors: A. Ross Naylor Source Type: research

PC164 Fast-Track Thrombolysis for Acute Lower Extremity In-Stent Occlusions: A Novel Approach to Minimize Complications of Standard Thrombolytic Therapy
The role of catheter-directed thrombolysis (CDT) in the treatment of acute lower extremity ischemia may require prolonged periods of time to achieve successful lysis. Prolonged thrombolysis infusion has demonstrated increased incidence of intracranial bleeding, stroke, and local complications. It is expensive and increases hospital length of stay. To minimize these potentially negative outcomes, we developed a fast track approach (FTA) that included the use of aggressive balloon angioplasty and stenting before the thrombus was completely lysed.
Source: Journal of Vascular Surgery - May 17, 2017 Category: Surgery Authors: Syed Ali Rizvi, Anil Hingorani, Enrico Ascher, Natalie Marks Tags: C10: Poster Competition Source Type: research

Timing of Hospital-Acquired Venous Thromboembolism (VTE) and its Relationship With VTE Prevention Measures in Immobile Patients
This study describes the timing of venous thromboembolism (VTE) diagnosis in patients with cerebral or spinal trauma and stroke and the relationships between VTE prevention and timing of VTE diagnosis at a community hospital.
Source: Journal of Vascular Surgery - July 20, 2017 Category: Surgery Authors: Hao Pham, Todd Russell, Andrew Seiwert, Gregory Kasper, Fedor Lurie Tags: Abstract from the 2017 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Hypertension, acute stent thrombosis and paraplegia 6 months after TEVAR for blunt thoracic aortic injury in a 22 year old patient
TEVAR is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR.A 22-year old male was admitted to the Emergency Department following a high-impact road traffic collision. Whole body CT scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke. We decided to treat him in an endovascular fashion with a Zenith Cook (Cook Incorporated, Bloomington, IN) endograft.
Source: Annals of Vascular Surgery - September 8, 2017 Category: Surgery Authors: O. Martinelli, F. Faccenna, A. Malaj, J. Jabbour, S. Venosi, R. Gattuso, B. Gossetti, L. Irace Source Type: research

Hypertension, Acute Stent Thrombosis, and Paraplegia 6  Months after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury in a 22-Year-Old Patient
Thoracic endovascular aortic repair (TEVAR) is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR. A 22-year-old male was admitted to the emergency department following a high-impact road traffic collision. Whole-body computed tomography (CT) scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke.
Source: Annals of Vascular Surgery - September 8, 2017 Category: Surgery Authors: Ombretta Martinelli, Federico Faccenna, Alban Malaj, Jihad Jabbour, Salvatore Venosi, Roberto Gattuso, Bruno Gossetti, Luigi Irace Tags: Case Report Source Type: research

Perioperative handling of anticoagulation.
Abstract A growing number of patients in Germany receive a long-term prophylactic anticoagulation with phenprocoumone or one of the novel direct oral anticoagulants (NOAC), such as dabigatran, rivaroxaban or apixaban. The most common indication for an oral anticoagulant therapy is atrial fibrillation (approximately 75%) where the anticoagulant therapy can reduce the risk for an embolic event, particularly stroke by 60%. Operations carried out during such a therapy can result in major bleeding complications. On the other hand, suspending anticoagulant therapy can lead to an increased risk of thromboembolisms. Thu...
Source: Der Chirurg - January 10, 2018 Category: Surgery Authors: Lock JF, Wagner J, Luber V, Dietz UA, Lichthardt S, Matthes N, Krajinovic K, Germer CT, Knop S, Wiegering A Tags: Chirurg Source Type: research

The Relationship Between Age and Chronic Kidney Disease in Patients Undergoing Pancreatic Resection
ConclusionCKD of any stage was associated with an increased risk of postoperative major complication, and severe CKD was associated with increased mortality among patients undergoing pancreatectomy for malignancy. These associations were not diminished in elderly patients. Our findings could inform preoperative counseling and decision-making.
Source: Journal of Gastrointestinal Surgery - April 5, 2018 Category: Surgery Source Type: research

Acute multi-visceral thrombosis and ischemia in a 3-year-old child
We present a 3-year old boy with acute thrombosis of the celiac trunk, superior mesenteric artery, and left renal artery in addition to stenoses of his intracranial carotid arteries. The patient presented with extensive small and large bowel ischemia and perforations, gastric perforation, gallbladder necrosis, acute kidney injury and stroke. Here we describe our medical, surgical and percutaneous interventions for the successful treatment of this child.
Source: Journal of Pediatric Surgery Case Reports - June 30, 2018 Category: Surgery Source Type: research

Paget-Schroetter syndrome as a result of 1st rib stress fracture due to gym activity presenting with Urschel’s sign – A case report and review of literature
ConclusionIn addition to the unusual location in the left upper extremity in our case, the absence of common etiologic factors makes our case of Paget-Schroetter Syndrome a very unique one. This case report aims to discuss the common causes of PSS in order to raise a high index of suspicion in certain groups of patients. This will allow early identification and avoidance of catastrophic outcomes such as pulmonary embolism and stroke.
Source: International Journal of Surgery Case Reports - July 5, 2018 Category: Surgery Source Type: research