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Specialty: Surgery
Condition: Thrombosis

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Total 198 results found since Jan 2013.

Carotid Artery Entrapment by the Hyoid Bone —A Rare Cause of Recurrent Strokes in a Young Patient
We report a case of recurrent strokes in a 32-year-old woman due to an elongated hyoid bone causing thrombus formation in her right internal carotid artery (ICA), resulting in recurrent embolic strokes confirmed on diffusion-weighted magnetic resonance imaging.
Source: Annals of Vascular Surgery - September 12, 2018 Category: Surgery Authors: Anastasia Plotkin, Matthew G. Bartley, Kathryn E. Bowser, Jeniann A. Yi, Gregory A. Magee Tags: Case Report Source Type: research

Carotid Artery Entrapment By Hyoid Bone - A Rare Cause of Recurrent Strokes in a Young Patient
We report a case of recurrent strokes in a 32 year-old woman due to an elongated hyoid bone causing thrombus formation in her right internal carotid artery (ICA) resulting in recurrent embolic strokes confirmed on diffusion-weighted magnetic resonance imaging (MRI).
Source: Annals of Vascular Surgery - September 12, 2018 Category: Surgery Authors: Anastasia Plotkin, Matthew G. Bartley, Kathryn E. Bowser, Jeniann A. Yi, Gregory A. Magee Source Type: research

Thromboembolic disease in females and males aged 10 to 39 years in Germany.
CONCLUSIONS: The presented data show higher hospitalization rates for females in the age group 10 to 39 years for different venous thrombosis but not for MI and ES. PMID: 30200845 [PubMed - as supplied by publisher]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 11, 2018 Category: Surgery Authors: von Beckerath O, Santosa F, Waldhausen R, Moerchel C, Kröger K Tags: Vasa Source Type: research

Contemporary trends and outcomes of thrombolytic therapy for acute lower extremity ischemia.
Conclusion Thrombolysis remains an effective treatment for acute limb ischemia with increased utilization over time. There was a significant increase in thrombolysis and endovascular procedure leading to improved outcomes. Thrombolysis alone carried the highest mortality and stroke rate, with T+OPEN associated with the highest amputation and complications. Although thrombolysis is effective, 25% of patients required an open procedure suggesting that patient selection for thrombolysis first instead of open surgery continues to be a clinical challenge. PMID: 30193552 [PubMed - as supplied by publisher]
Source: Vascular - September 7, 2018 Category: Surgery Authors: Bath J, Kim RJ, Dombrovskiy VY, Vogel TR Tags: Vascular Source Type: research

Safety and efficacy of a new thromboprophylaxis regiment for total knee and total hip replacement: a retrospective cohort study in 265 patients.
Conclusion: The regimen consisting of sequential enoxaparin and rivaroxaban is associated with a significant bleeding risk, although the risk of patients requiring a return to theatre is low. Further prospective trials are required to compare the safety and efficacy profiles of this regimen with established thromboprophylaxis regimens. PMID: 30123323 [PubMed]
Source: Patient Safety in Surgery - August 22, 2018 Category: Surgery Authors: Fallaha MA, Radha S, Patel S Tags: Patient Saf Surg Source Type: research

Post-operative Infection of Prosthetic Materials or Stents Involving the Supra-aortic Trunks: A Comprehensive Review.
CONCLUSION: Appropriate pre-operative imaging is mandatory and treatment modality should be determined by patient condition. Complete removal of the infected material, followed by in situ arterial reconstruction with venous material seems advisable, despite high morbidity. However, alternative strategies may be considered for fragile and high risk patients. A multidisciplinary approach is mandatory to ensure optimum results. PMID: 30121172 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - August 15, 2018 Category: Surgery Authors: Lejay A, Koncar I, Diener H, de Ceniga MV, Chakfé N Tags: Eur J Vasc Endovasc Surg Source Type: research

Carotid artery disease: clinical features and management
Publication date: June 2018Source: Surgery (Oxford), Volume 36, Issue 6Author(s): A. Ross NaylorAbstractThe most common single cause of ischaemic carotid territory stroke is thromboembolism from stenoses in the extracranial internal carotid artery (ICA). In the majority, embolism is preceded by an acute change in plaque morphology predisposing the patient to overlying thrombus formation and embolization. The management of patients with carotid artery disease mandates risk factor modification, antiplatelet and statin therapy in everyone. There is grade A, level I evidence that recently symptomatic patients with 50–99% NAS...
Source: Surgery (Oxford) - July 11, 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 11, 2018 Category: Surgery Source Type: research

Carotid artery disease: clinical features and management
Publication date: June 2018Source: Surgery (Oxford), Volume 36, Issue 6Author(s): A. Ross NaylorAbstractThe most common single cause of ischaemic carotid territory stroke is thromboembolism from stenoses in the extracranial internal carotid artery (ICA). In the majority, embolism is preceded by an acute change in plaque morphology predisposing the patient to overlying thrombus formation and embolization. The management of patients with carotid artery disease mandates risk factor modification, antiplatelet and statin therapy in everyone. There is grade A, level I evidence that recently symptomatic patients with 50–99% NAS...
Source: Surgery (Oxford) - July 5, 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

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

Use of a NobleStitch ™ EL Device for PFO Closure.
Use of a NobleStitch™ EL Device for PFO Closure. Surg Technol Int. 2018 Jun 01;32:219-223 Authors: de Cillis E, Acquaviva T, D'Alessandro P, Bortone AS Abstract Cryptogenic stroke is the final diagnosis in almost 40% of ischemic acute cerebrovascular events. There is currently no definitive clinical evidence that percutaneous closure of patent foramen ovale (PFO) can prevent the recurrence of stroke or transient ischemic attack (TIA). Identification of the causes of neurologic ischemic syndromes is essential for any strategy intended to prevent the catastrophic consequences of cerebral infarction. Sin...
Source: Surgical Technology International - May 25, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

Carotid artery disease: clinical features and management
The most common single cause of ischaemic carotid territory stroke is thromboembolism from stenoses in the extracranial internal carotid artery (ICA). In the majority, embolism is preceded by an acute change in plaque morphology predisposing the patient to overlying thrombus formation and embolization. The management of patients with carotid artery disease mandates risk factor modification, antiplatelet and statin therapy in everyone. There is grade A, level I evidence that recently symptomatic patients with 50 –99% NASCET stenoses gain significant benefit from carotid endarterectomy (CEA), despite a small risk of perioperative stroke.
Source: Surgery (Medicine Publishing) - April 25, 2018 Category: Surgery Authors: A. Ross Naylor Tags: Vascular surgery – I 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

Low carotid stump pressure as a predictor for ischemic symptoms and as a marker for compromised cerebral reserve in octogenarians undergoing carotid endarterectomy
Carotid artery occlusive disease can cause stroke by embolization, thrombosis, and hypoperfusion. The majority of strokes secondary to cervical carotid atherosclerosis are believed to be of embolic etiology. However, cerebral hypoperfusion could be an important factor in perioperative stroke. We retrospectively reviewed the stump pressure (SP) of carotid endarterectomy (CEA) of patients at Pennsylvania Hospital to identify whether physiologic perfusion differences account for differences in perioperative stroke rates, particularly in octogenarians.
Source: Journal of Vascular Surgery - February 23, 2018 Category: Surgery Authors: Sam C. Tyagi, Matthew J. Dougherty, Shinichi Fukuhara, Douglas A. Troutman, Danielle M. Pineda, Hong Zheng, Keith D. Calligaro Tags: Clinical paper Source Type: research