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Specialty: Surgery
Condition: Thrombosis

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Total 198 results found since Jan 2013.

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts Source Type: research

Pulmonary embolism and stroke associated with mechanical thrombectomy
Mechanical thrombectomy offers the advantage of rapid removal of venous thrombi. It allows venous obstructions to be removed and requires shorter duration of infusion of thrombolytic agents. However, aspiration of thrombi can lead to complications, particularly pulmonary embolism and hemolysis. The validity of using vena cava filters during thrombectomy in order to avoid embolism has not yet been established. The authors report a case of massive pulmonary embolism associated with ischemic stroke in a patient with a hitherto undiagnosed patent foramen ovale. The patient developed respiratory failure and neurological deficit...
Source: Jornal Vascular Brasileiro - September 6, 2014 Category: Surgery Source Type: research

Cryptogenic Stroke Following Abdominal Free Flap Breast Reconstruction Surgery
Conclusion Surgeons and cardiologists should be aware of this cerebrovascular complication secondary to PFO following major reconstructive surgery such as microvascular breast reconstruction. It also serves to challenge microvascular surgeons to reconsider routine use of central venous pressure lines in free flap patients who might otherwise have good peripheral vessels for postoperative fluids and antibiotic administration.
Source: International Journal of Surgery Case Reports - November 11, 2014 Category: Surgery Source Type: research

Case report: Intraluminal thrombus attached to the lesser curvature of the aortic arch and cerebral ischemic stroke after its surgical removal
Some cases of thrombi at the ascending and descending aorta have been reported, but there are only a few reports of intraluminal aortic arch thrombi. Most intraluminal thrombi are associated with atherosclerotic lesions at the aortic wall. Here we report a case of an intraluminal thrombus attached to the lesser curvature of the aortic arch. The thrombus was successfully and completely excised, and the pathological study suggested no obvious atherosclerotic changes in the aortic wall. Two months after surgical removal of the thrombus, the patient suffered a severe cerebral ischemic stroke caused by a newly formed thromboemb...
Source: Annals of Vascular Surgery - March 11, 2015 Category: Surgery Authors: Qiang Fu, Liang Zhang, Bo Wei, Xinjin Luo, Yuetang Wang, Diancai Zhao, Yang Sun, Cuntao Yu Source Type: research

Intraluminal Thrombus, Intraplaque Hemorrhage, Plaque Thickness, and Current Smoking Optimally Predict Carotid Stroke
Optimal discrimination of carotid-source stroke was obtained with intraluminal thrombus, intraplaque hemorrhage, plaque thickness, and smoking history but not ulceration or stenosis.
Source: Journal of Vascular Surgery - April 24, 2015 Category: Surgery Authors: J.S. McNally, M.S. McLaughlin, P.J. Hinckley Source Type: research

Intraluminal Thrombus Attached to the Lesser Curvature of the Aortic Arch and Cerebral Ischemic Stroke after Its Surgical Removal
Some cases of thrombi at the ascending and descending aorta have been reported, but there are only a few reports of intraluminal aortic arch thrombi. Most intraluminal thrombi are associated with atherosclerotic lesions at the aortic wall. Here, we report a case of an intraluminal thrombus attached to the lesser curvature of the aortic arch. The thrombus was successfully and completely excised, and the pathologic study suggested no obvious atherosclerotic changes in the aortic wall. Two months after surgical removal of the thrombus, the patient suffered a severe cerebral ischemic stroke caused by a newly formed thromboembo...
Source: Annals of Vascular Surgery - March 11, 2015 Category: Surgery Authors: Qiang Fu, Liang Zhang, Bo Wei, Xinjin Luo, Yuetang Wang, Diancai Zhao, Yang Sun, Cuntao Yu Tags: Case Report Source Type: research

Stroke from an External Carotid: Lesion Pattern and Mechanisms
Traditionally, patients with symptomatic external carotid stenosis present with neck or face pain, retinal ischaemic symptoms or jaw claudication. and rarely as ipsilateral cerebrovascular events. In this present case, our patient suffered a stroke from a paradoxical embolism from the external carotid, without involvement of the internal carotid artery. A plaque ulceration of the external carotid’s origin was the cause of this cerebral emboli. Duplex ultrasound showed a pathological left external carotid, with a floating thrombus in the internal carotid.
Source: Annals of Vascular Surgery - January 20, 2016 Category: Surgery Authors: Kagan Nicolas, Lathelyse Hubert, Leclere Franck Marie, Marchand Etienne, Martinez Robert Source Type: research

Commentary on ‘Protamine Reduces Bleeding Complications Without Increasing the Risk of Stroke After Carotid Endarterectomy: A Meta-analysis’
Kakisis et al. demonstrate in their meta-analysis that reversing the effect of heparin with protamine seems to reduce the number of major neck hematomas associated with CEA. One might fear that this would be at the cost of an increased level of cerebral thromboembolism. However, Kakisis et al. showed that administration of protamine does not seem to influence the rate of stroke.1
Source: European Journal of Vascular and Endovascular Surgery - July 13, 2016 Category: Surgery Authors: L.K. Rathenborg Tags: Invited Commentary Source Type: research

Ischemic stroke due to retrograde thromboembolism during arteriovenous graft thrombectomy.
Authors: Salahuddin H, Tietjen G, Jumaa M, Zaidi SF PMID: 28777414 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Posterior Cerebral Circulation Stroke Secondary to Foetal Origin of Posterior Communicating Artery: an Indication for Carotid Endarterectomy
Posterior cerebral circulation strokes are most commonly caused by posterior vasculature in situ thrombosis, cardiac emboli, or arterial dissection. However, the foetal origin of the posterior communicating artery is an anatomical variant of the cerebral circulation that results in communication between the internal carotid and posterior cerebral circulation. This can, therefore, rarely result in posterior cerebral territory infarction from internal carotid artery thromboembolism. This is a report of a case in which a patient suffered posterior circulatory stroke secondary to this anatomical variation of the circle of Willis.
Source: EJVES Extra - December 15, 2020 Category: Surgery Authors: Lydia Mann, Ryan Preece, Liz Haslam, Sharath Paravastu, Richard A. Bulbulia, Sachin R. Kulkarni Tags: Case Report Source Type: research

Atypical presentation of fistula dysfunction due to brachial arterial embolization mimicking stroke
In this report, failure to recognize the upper limb ischemia would have led to delayed treatment, potentially resulting in the fistula's complete thrombosis and further limb ischemia. We highlight the importance of a diagnosis method like Doppler ultrasound, which allows for rapid evaluation at the patient's bedside.PMID:35000475 | DOI:10.1177/11297298211067686
Source: The Journal of Vascular Access - January 10, 2022 Category: Surgery Authors: Rita Vicente Laura Rodriguez Joaquim Vallesp ín Carolina Rubiella Jose Ibeas Source Type: research

Acute ischemic stroke: The role of emergency carotid endarterectomy in isolated extracranial internal carotid artery occlusion
CONCLUSIONS: Emergency CEA in isolated eICA occlusion has proved to be a safe and effective treatment option in selected patients. CT perfusion, imaging the ischemic penumbra and quantifying the tissue suitable for reperfusion, offers a valid support in the diagnostic-therapeutic workup. Indeed, we can infer that the area of the ischemic penumbra is directly proportional to the margin of clinical improvement after revascularization, supposing that the appropriate intervention timing is respect.PMID:37594376 | DOI:10.1177/17085381231192712
Source: Vascular - August 18, 2023 Category: Surgery Authors: Pierfilippo Acciarri Alice Camagni Maddalena Bressan Gladiol Zenunaj Ilaria Casetta Andrea Bernardoni Vincenzo Gasbarro Luca Traina Source Type: research