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Specialty: Surgery
Condition: Thrombosis
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Total 198 results found since Jan 2013.
The results of thrombectomy from the arteries of the lower extremities in patients infected with SARS-CoV-2 Omicron variant with different severity of respiratory failure
CONCLUSION: In patients infected with COVID-19 and on artificial lung ventilation, a more aggressive course of the disease is noted, expressed in an increase in laboratory parameters (C-reactive protein, ferritin, interleukin-6, and D-dimer) of the degree of pneumonia (CT-4 in overwhelming number) and localization of thrombosis of the arteries of the lower extremities, mainly in the tibial arteries.PMID:36867526 | DOI:10.1177/17085381231160933
Source: Vascular - March 3, 2023 Category: Surgery Authors: Anton N Kazantsev Alina S Zharova Dmitriy V Shmatov Aslan B Zakeryaev Roman Yu Lider Elizaveta G Kazantseva Goderzi S Bagdavadze Alexander V Korotkikh Victor A Lutsenko Roman V Sultanov Oleg V Lebedev Alexey A Sirotkin Elena V Snopova Petr D Palagin Source Type: research
Paradoxical Emboli as a Cause of Stroke
We present two cases of PDE resulting in acute ischemic events. A 63-year-old female presented for evaluation of left upper extremity numbness. Imaging was significant for an acute right middle cerebral artery infarct and evidence of a large saddle pulmonary embolism. The patient's stroke was postulated to have been secondary to a patent foramen ovale (PFO). An 87-year-old male presented for evaluation of chest pain. The patient underwent three-vessel CABG and experienced an acute left hemispheric stroke post-operatively. Transthoracic echocardiogram demonstrated a biatrial thrombus transversing a PFO and was postulated to...
Source: The American Surgeon - February 28, 2023 Category: Surgery Authors: Ilya Sakharuk Peter Drevets Philip Coffey Wasef Nijim Vijay Patel Source Type: research
Use of Secondary Iliac Branch Devices after Previous Endovascular Abdominal and Thoraco-Abdominal Aortic Aneurysm Repair < sup > † < /sup >
CONCLUSION: Secondary IBD after EVAR is a safe and effective procedure with high technical success and low complication rates. The technique of choice to revascularise the IIA seems to not affect early and follow up results. Long term durability of IBD repair is acceptable with low rates of IIA re-interventions.PMID:36707020 | DOI:10.1016/j.ejvs.2023.01.033
Source: PubMed: Eur J Vasc Endovasc ... - January 27, 2023 Category: Surgery Authors: Paolo Spath Yamel Cardona-Gloria Giovanni Torsello Enrico Gallitto Tugce Öz Efthymios Beropoulis Jan Stana Mauro Gargiulo Nikolaos Tsilimparis Source Type: research
Low-Dose Heparin Infusion as Venous Thromboembolism Chemoprophylaxis in Patients With Blunt Cerebrovascular Injury
Blunt cerebrovascular injury (BCVI) can result in devastating stroke. Because of operative inaccessibility, the most common treatment for BCVI is aspirin or a low-dose systemic heparin infusion. While it is assumed that low dose heparin infusion imparts venous thromboembolism (VTE) prophylaxis, this has not been evaluated in the BCVI population. The purpose of this study was to evaluate VTE rates in patients receiving low-dose heparin infusion as treatment for BCVI.
Source: Journal of Surgical Research - January 27, 2023 Category: Surgery Authors: Gregory R. Stettler, Joshua J. Sumislawski, Margot Debot, Ernest E. Moore, Clay Cothren Burlew Tags: Acute Care Surgery Source Type: research
Activated Clotting Time Guided Heparinisation During Open Abdominal Aortic Aneurysm Repair (ACTION-1) - Rationale and Design of a Randomised Trial
Unfractionated heparin has been used by vascular surgeons worldwide for more than 70 years during non-cardiac arterial procedures (NCAP) to prevent clot formation and reduce thromboembolic complications (TEC), for example, arterial thrombosis, peripheral emboli, myocardial infarction, colonic ischaemia, deep venous thrombosis, and stroke.1,2 In this Research Letter, shortcomings and high variation in current intra-operative heparin use, the need for scientific evidence, and the design of a randomised controlled trial (RCT) are discussed.
Source: European Journal of Vascular and Endovascular Surgery - January 12, 2023 Category: Surgery Authors: Max Hoebink, Liliane C. Roosendaal, Arno M. Wiersema, Vincent Jongkind, the ACTION-1 research collaborative Tags: Research Letter Source Type: research
Bleeding Issues During Thrombolysis for Acute Leg Ischaemia
When we started testing catheter directed low dose thrombolysis (CDT) for acute leg ischaemia (ALI) in the 1980s, it was the first time endovascular intervention advanced beyond simple balloon angioplasty. In many respects, CDT kick started the endovascular revolution. Clots could be removed without surgery, and from arteries too small for embolectomy catheters to reach. But there was a price to pay: thrombolytic drugs caused bleeding, mainly from catheter puncture sites, but also from distant areas, such as haemorrhagic stroke.
Source: European Journal of Vascular and Endovascular Surgery - January 6, 2023 Category: Surgery Authors: Jonothan Earnshaw Tags: Invited Commentary Source Type: research
Adverse events are not increased with trainee participation in transcarotid revascularization
CONCLUSION: Vascular surgery trainee's involvement during TCAR did not increase adverse outcomes, such as stroke and death, in the perioperative period. The results presented herein should encourage other teaching institutions to provide surgical trainees with supervised, hands-on experience during TCAR.PMID:36377465 | DOI:10.1177/17085381221140158
Source: Vascular - November 15, 2022 Category: Surgery Authors: Regina Husman Akiko Tanaka Naveed U Saqib Aleem Mirza Mitchell J George Arash Keyhani Kourosh Keyhani S Keisin Wang Source Type: research
A systematic review and meta-analysis of carotid artery stenting for the treatment of cervical carotid artery dissection
CONCLUSION: Both primary stenting and stenting of spontaneous CAD yielded unfavorable results regarding stent thrombosis and stroke rates. Conversely, stenting following FMT displayed acceptable mortality and complication rates corroborating the use of stenting in the setting of CAD as a second line treatment. Due to the low quality of the included studies, definite conclusions cannot be drawn necessitating further research.PMID:35961627 | DOI:10.1016/j.ejvs.2022.07.048
Source: PubMed: Eur J Vasc Endovasc ... - August 12, 2022 Category: Surgery Authors: Vangelis Bontinis Constantine N Antonopoulos Alkis Bontinis Andreas Koutsoumpelis Vassilios Zymvragoudakis Vasileios Rafailidis Argirios Giannopoulos Panagiotis Stoiloudis Kiriakos Ktenidis Source Type: research
Endovascular Thrombectomy for Acute Arterial Mesenteric Ischaemia: No Benefit of Mechanical Over Manual Thrombus Aspiration
Early vessel recanalisation is the cornerstone of treatment of acute arterial mesenteric ischaemia (AMI) and can be achieved by either percutaneous endovascular techniques or open repair. Depending on the mechanism of superior mesenteric artery (SMA) occlusion, endovascular techniques include intra-arterial thrombolysis, thrombus aspiration, or stenting. Endovascular thrombus aspiration has been shown to be beneficial for cerebral stroke, lower limb ischaemia, and myocardial infarction. Regarding AMI, endovascular thrombus aspiration has only been evaluated in small series,1 and SMA thrombus aspiration methods (manual or m...
Source: European Journal of Vascular and Endovascular Surgery - May 11, 2022 Category: Surgery Authors: Lorenzo Garzelli, Iannis B. Abdallah, Alexandre Nuzzo, Olivier Corcos, Yves Castier, Maxime Ronot Tags: Research Letter Source Type: research
Mechanical Embolectomy for Superior Cerebellar Artery Embolism
This article describes the admission of a 69-year-old man with acute superior cerebellar artery embolization. Compared with the imaging data of the patient 2 weeks before the onset of the disease, cerebral angiography revealed that there was a mural thrombus covering the opening of the superior cerebellar artery. it is also a bold attempt for this patient to undergo mechanical thrombectomy. The patient finally recovered well from neurological symptoms. This case report details the causes of the rare mural thrombosis leading to superior cerebellar artery embolism, and also has a new understanding of arterial embolism in acute stroke.
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Physiological reno-portal bypass in liver transplantation with non-tumorous portal vein thrombosis
AbstractReno-portal anastomosis (RPA) in presence of spleno-renal shunts (SRS) is a physiological option to restore blood flow in liver transplantation with portal vein thrombosis (PVT). Diffuse splanchnic venous system thrombosis (complex PVT) is its main indication but RPA proved to be useful in selected cases of less extensive thrombosis (non-complex PVT). Up until now only two monocentric and one multicentric case series has been published on this topic in addition to few anecdotal reports. After 2014, we introduced RPA in our institution to manage some cases of complex PVT in presence of SRS. Here, we present the evol...
Source: Updates in Surgery - April 20, 2022 Category: Surgery Source Type: research
Extent of mural thrombus is not associated with increased 5-year mortality following elective AAA repair
CONCLUSIONS: In our experience, the extent of mural thrombus in AAA does not influence long-term survival after elective repair. AAA repair may provide protection against circulating components of mural thrombus which have the potential to promote atherosclerotic-related adverse events. Patients with renal insufficiency and larger AAA have increased risk of mortality 5 years after elective repair.PMID:35331063 | DOI:10.1177/17085381211063282
Source: Vascular - March 25, 2022 Category: Surgery Authors: Bilal Siddiq Matthew Dejong Emily Decicco Tara Zielke Melissa D'Andrea Bernadette Aulivola Matthew Blecha Source Type: research
