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Specialty: Surgery
Condition: Thrombosis

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Total 198 results found since Jan 2013.

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

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

Safety and Efficacy of the New Micromesh-Covered Stent CGuard in Patients Undergoing Carotid Artery Stenting: Early Experience From a Single Centre.
CONCLUSIONS: The technical and clinical outcomes of this single centre study suggest that the CGuard may be a safe and effective device for endovascular treatment of symptomatic and asymptomatic subjects, independent of aortic arch anatomy. Further larger comparative studies are needed to confirm these benefits. PMID: 29089282 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - October 28, 2017 Category: Surgery Authors: Casana R, Tolva V, Odero A, Malloggi C, Paolucci A, Triulzi F, Silani V Tags: Eur J Vasc Endovasc Surg 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

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

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

Impact of health utility after thrombotic complications following total hip and knee arthroplasty
ConclusionObjective calculation of both the benefit and risks of anticoagulation in the post‐operative patient is significantly altered by including the effect on patient's quality of life utility value. Therapeutic anticoagulation in some common situations is probable to be of more detriment than benefit when considering health utility.
Source: ANZ Journal of Surgery - July 31, 2017 Category: Surgery Authors: Bikram Karmakar Tags: Original Article 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

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

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 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

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

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

Carotid free-floating thrombus causing stroke in a young woman with lupus anticoagulant: A case report and review of the literature
Conclusion In this case we chose surgical treatment resulting in complete resolution of symptoms and non-recurrence within 6 month follow-up.
Source: International Journal of Surgery Case Reports - February 20, 2017 Category: Surgery Source Type: research

Systemic thrombolysis increases hemorrhagic stroke risk without survival benefit compared with catheter-directed intervention for the treatment of acute pulmonary embolism
Conclusions ST for acute PE may not improve in-hospital mortality compared with CDI but increases the overall risk of hemorrhagic stroke compared with CDI. Further prospective studies should examine the comparative effectiveness and safety of these two treatments.
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - January 15, 2017 Category: Surgery Source Type: research