keyword
https://read.qxmd.com/read/38497689/pulmonary-embolism-response-teams-a-description-of-the-first-36-month-australian-experience
#1
JOURNAL ARTICLE
Bapti Roy, Jin-Gun Cho, Luke Baker, Liza Thomas, Jennifer Curnow, John J Harvey, Paul Geenty, Ashoke Banerjee, Kevin Lai, Mauro Vicaretti, Odette Erksine, Jane Li, Rafid Alasady, Vanessa Wong, Jian E Tai, Caitlin Thirunavukarasu, Imran Haque, Jimmy Chien
BACKGROUND: High/intermediate-risk pulmonary embolism (PE) confers increased risk of cardiovascular morbidity and mortality. International guidelines recommend the formation of a PE response team (PERT) for PE management because of the complexity of risk stratification and emerging treatment options. However, there are currently no available Australian data regarding outcomes of PE managed through a PERT. AIMS: To analyse the clinical and outcome data of patients from an Australian centre with high/intermediate-risk PE requiring PERT-guided management...
March 18, 2024: Internal Medicine Journal
https://read.qxmd.com/read/38497130/value-of-multiplanar-reconstruction-in-multi-slice-computed-tomography-for-the-detection-of-foreign-body-in-the-pulmonary-artery-a-case-report
#2
JOURNAL ARTICLE
Qinxiang Mao, Zheng Lv, Qiuli Han, Wei Zhang
Multi-slice computed tomography (MSCT) is the primary method for the detection and visualization of foreign bodies in the pulmonary artery because it provides high sensitivity and accuracy. It is very difficult to diagnose a patient with a non-iatrogenic pulmonary artery foreign body who does not have a history of a penetrating trauma. This case report describes a 36-year-old male that presented with coughing and haemoptysis. Based on conventional coronal and cross-sectional CT, the foreign body was misdiagnosed as pulmonary tuberculosis and pulmonary artery thrombosis...
March 2024: Journal of International Medical Research
https://read.qxmd.com/read/38496151/elastic-banding-compression-as-a-novel-treatment-to-maintain-hemodynamics-in-a-patient-with-klippel-trenaunay-syndrome
#3
Satoshi Kamiya, Takahiro Kato, Masakazu Yasuuji, Hiroyuki Tanaka, Yasuo M Tsutsumi
Klippel-Trenaunay syndrome (KTS) is also associated with venous thrombosis originating from varicose veins in the lower extremities, pulmonary embolism, and pulmonary hypertension. This study describes the anesthetic management of laparoscopic cholecystectomy in a 54-year-old male KTS patient with orthostatic hypotension due to massive varicose veins in the lower extremities and pulmonary thromboembolism. Compressing the varicosities with an elastic bandage can maintain stable circulatory dynamics even under general anesthesia management to prevent position and insufflation-induced changes that can occur spontaneously...
February 2024: Curēus
https://read.qxmd.com/read/38494772/-mid-term-analysis-of-prospective-cohort-study-of-rivaroxaban-in-preventing-crt-in-breast-cancer
#4
JOURNAL ARTICLE
D Sang, S M Fan, S Y Li, J T Zhang, H M Wang, X H Zhao, L J Zheng, P Liang, G B Xi, L M Zhao, Y R Zhang, P Yuan
Objective: To explore the efficacy and safety of Rivaroxaban in preventing catheter related thrombosis (CRT) in patients with breast cancer who are undergoing central venous catheter chemotherapy, and provide basis for making standardized prevention and treatment strategies. Methods: In this research, a prospective cohort study was adopted, and breast cancer patients who received central venous catheter chemotherapy in Sanhuan Cancer Hospital during September 2020 to March 2022 were selected as a treatment group to take the rivaroxaban anticoagulation therapy with 10 mg...
March 23, 2024: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38494711/pulmonary-vein-intervention-for-severe-pulmonary-vein-stenosis-after-atrial-fibrillation-ablation%C3%A3-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Kensuke Yokoi, Tomonori Katsuki, Takanori Yamaguchi, Toyokazu Otsubo, Yoshimitsu Soga, Kenichi Hiroshima, Shinjo Sonoda, Koichi Node
BACKGROUND: Pulmonary vein (PV) stenosis (PVS) is a serious complication of atrial fibrillation (AF) ablation. The objective of this study was to describe interventional treatments for PVS after AF ablation and long-term outcomes in Japanese patients.Methods and Results: This multicenter retrospective observational study enrolled 30 patients (26 [87%] male; median age 55 years) with 56 severe PVS lesions from 43 PV interventional procedures. Twenty-seven (90%) patients had symptomatic PVS and 19 (63%) had a history of a single AF ablation...
March 16, 2024: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/38492853/time-dependent-ultrastructural-changes-during-venous-thrombogenesis-and-thrombus-resolution
#6
JOURNAL ARTICLE
Irina N Chernysh, Subhradip Mukhopadhyay, Tierra A Johnson, Jacob A Brooks, Rajabrata Sarkar, John W Weisel, Toni M Antalis
BACKGROUND: Deep venous thrombosis (DVT) is a common vascular event that can result in debilitating morbidity and even death due to pulmonary embolism. Clinically, patients with faster resolution of a venous thrombus have improved prognosis, but the detailed structural information regarding changes that occur in a resolving thrombus over time is lacking. OBJECTIVE: To define the spatial-morphological characteristics of venous thrombus formation, propagation, and resolution at the submicron level over time...
March 14, 2024: Journal of Thrombosis and Haemostasis: JTH
https://read.qxmd.com/read/38492618/unraveling-disparities-probing-gender-race-and-geographic-inequities-in-pulmonary-heart-disease-mortality-in-the-united-states-an-extensive-longitudinal-examination-1999-2020-leveraging-cdc-wonder-data
#7
REVIEW
Waqar Arif, Riteeka Kumari Bhimani, Mohsin Ali Shah, Zainab Tausif, Umer Nisar, Rohet Kumar, Parshant Dileep Bhimani, Syed Shoaibullah, Muhammad Abdullah Naveed, Adarsh Raja, Sandesh Raja, Fnu Deepak, Muhammad Ashir Shafique, Muhammmad Saqlain Mustafa
This comprehensive study delves into the epidemiological landscape of Pulmonary Heart Disease (PHD) mortality in the United States from 1999 to 2020, leveraging the extensive CDC WONDER database. PHD encompasses conditions affecting the right side of the heart due to lung disorders or elevated pressure in the pulmonary arteries, including pulmonary hypertension, pulmonary embolism, and chronic thromboembolic pulmonary hypertension (CTEPH). Analyzing data from death certificates, demographic characteristics, and geographical segmentation, significant trends emerge...
March 14, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38490955/diagnosis-and-treatment-of-venous-thromboembolism-during-pregnancy-relate-to-genetic-polymorphism
#8
REVIEW
Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li
OBJECTIVES: Previous research had shown that age, a positive family history, comorbidities, major surgical operations, gestation, and use of several medications could increase the incidence of venous thromboembolism (VTE). With the development of medical and clinical individualized treatment, many people exposed to above risk factors did not develop VTE, suggested that genetic factors are also involved in the development of VTE. In this review, we aim to summarize VTE diagnosis and treatment in pregnancy women related to gene polymorphism...
March 15, 2024: Vascular
https://read.qxmd.com/read/38490654/impact-of-chronic-oral-glucocorticoid-treatment-on-mortality-in-patients-with-covid-19-analysis-of-a-population-based-cohort
#9
JOURNAL ARTICLE
Margret J Einarsdottir, Brian Kibiwott Kirui, Huiqi Li, Daniel Olsson, Gudmundur Johannsson, Fredrik Nyberg, Oskar Ragnarsson
OBJECTIVES: While glucocorticoid (GC) treatment initiated for COVID-19 reduces mortality, it is unclear whether GC treatment prior to COVID-19 affects mortality. Long-term GC use raises infection and thromboembolic risks. We investigated if patients with oral GC use prior to COVID-19 had increased mortality overall and by selected causes. DESIGN: Population-based observational cohort study. SETTINGS: Population-based register data in Sweden...
March 15, 2024: BMJ Open
https://read.qxmd.com/read/38488702/thromboembolic-risk-of-carfilzomib-or-bortezomib-in-combination-with-lenalidomide-and-dexamethasone-for-newly-diagnosed-multiple-myeloma-a-comparative-systematic-review-and-meta-analysis
#10
JOURNAL ARTICLE
Bruno Almeida Costa, Thomaz Alexandre Costa, Sara Diaz Saravia, Nicole Felix, Carlyn Rose Tan, Neha Korde, Joshua Richter
Thrombosis represents a frequent and potentially severe complication in individuals diagnosed with multiple myeloma (MM). These events can be driven by both the disease as well as the therapies themselves. Overall, available evidence is inconclusive about the differential thrombogenicity of carfilzomib/lenalidomide/dexamethasone (KRd) and bortezomib/lenalidomide/dexamethasone (VRd). This meta-analysis compares the risk for venous thromboembolism (VTE; including deep venous thrombosis and pulmonary embolism) and arterial thromboembolism (ATE; including myocardial infarction and ischemic stroke) with KRd versus VRd as primary therapy for newly diagnosed MM (NDMM)...
March 15, 2024: American Journal of Hematology
https://read.qxmd.com/read/38487548/the-paradigm-shift-in-treatment-of-severe-venous-thromboembolism
#11
REVIEW
Fábio Henrique Rossi, Francisco José Osse, Patricia Ellen Thorpe
Pulmonary embolism (PE) is the third leading cause of cardiovascular death and the main cause of preventable in-hospital death in the world. The PERT® (Pulmonary Embolism Response Team) concept involves multidisciplinary diagnosis and immediate treatment. Deep venous thrombosis (DVT) is the initial cause of most cases of PE and is responsible for complications such as chronic thromboembolic recurrence, postthrombotic syndrome, and chronic thromboembolic pulmonary hypertension. An aggressive approach to severe cases of iliofemoral DVT similar to the PERT® system can not only reduce the immediate risk of PE and death but can also reduce later sequelae...
2024: Jornal Vascular Brasileiro
https://read.qxmd.com/read/38484730/analysis-of-treatment-related-adverse-events-and-wound-complications-of-surgical-resection-after-neoadjuvant-chemoimmunotherapy-for-non-small-cell-lung-cancer
#12
JOURNAL ARTICLE
Yihang Li, Xiaodong Hu, Ruhu Zhang, Nan Wu, Qingqing Xia, Peijie Gu
Neoadjuvant chemoimmunotherapy is becoming an increasingly important part of the management of lung cancer to facilitate surgical resection. This study aimed to summarize the treatment-related adverse events (TRAEs) and wound complications of neoadjuvant chemoimmunotherapy in non-small cell lung cancer (NSCLC). Eligible studies of neoadjuvant chemoimmunotherapy for NSCLC were identified from PubMed, Embase and Web of Science. The endpoints mainly included TRAEs and wound complications. Stata18 software was used for statistical analysis with p < 0...
March 2024: International Wound Journal
https://read.qxmd.com/read/38483845/ultrasound-assisted-catheter-directed-thrombolysis-for-the-management-of-pulmonary-embolism-a-single-center-experience-in-a-community-hospital
#13
JOURNAL ARTICLE
Jasmine Ventenilla, Todd Rushing, Becky Ngu, David Shavelle, Neepa Rai
Current guidelines recommend anticoagulation alone for low-risk pulmonary embolism (PE) with the addition of systemic thrombolysis for high-risk PE. However, treatment recommendations for intermediate-risk PE are not well-defined. Due to bleeding risks associated with systemic thrombolysis, ultrasound-assisted catheter-directed thrombolysis (USAT) has evolved as a promising treatment modality. USAT is thought to decrease the rate of major bleeding by using localized delivery with lower thrombolytic dosages...
2024: Journal of Cardiovascular Pharmacology and Therapeutics
https://read.qxmd.com/read/38482093/pulmonary-embolism-in-a-patient-with-rheumatoid-arthritis-on-etanercept-therapy
#14
Moni Roy, Himanshu Rathore, Ashish K Roy
Pulmonary embolism (PE) represents mechanical obstruction of one or more branches of pulmonary vasculature due to thromboembolism from a deep vein thrombosis. Hormonal contraceptives, hormonal replacement therapy, antipsychotics and fibrates are medications that are associated with increased risk of venous thromboembolism(VTE). Etanercept is a TNF alpha and beta receptor blocker. Rarely this medication has been identified as a risk factor for VTE. There is a possible correlation between rheumatoid arthritis(RA) and risk of VTE in patients with RA...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38481002/risk-of-venous-thromboembolism-with-tofacitinib-versus-tumor-necrosis-factor-inhibitors-in-cardiovascular-risk-enriched-rheumatoid-arthritis-patients
#15
JOURNAL ARTICLE
Christina Charles-Schoeman, Roy Fleischmann, Eduardo Mysler, Maria Greenwald, Steven R Ytterberg, Gary G Koch, Deepak L Bhatt, Cunshan Wang, Ted R Mikuls, All-Shine Chen, Carol A Connell, John C Woolcott, Sujatha Menon, Yan Chen, Kristen Lee, Zoltán Szekanecz
OBJECTIVE: The ORAL Surveillance trial found a dose-dependent increase in venous thromboembolism (VTE) and pulmonary embolism (PE) events with tofacitinib versus tumor necrosis factor inhibitors (TNFi). We aimed to assess VTE incidence over time and explore risk factors of VTE, including disease activity, in ORAL Surveillance. METHODS: Patients with rheumatoid arthritis (RA) aged ≥50 years with ≥1 additional cardiovascular risk factor received tofacitinib 5 or 10 mg twice daily (BID) or TNFi...
March 13, 2024: Arthritis & Rheumatology
https://read.qxmd.com/read/38479723/total-shoulder-arthroplasty-in-patients-with-factor-v-leiden
#16
JOURNAL ARTICLE
Katie M Zehner, Joshua G Sanchez, Meera M Dhodapkar, Maxwell Modrak, Xuan Luo, Jonathan N Grauer
BACKGROUND: Anatomic and reverse total shoulder arthroplasty (TSA) are effective treatment options for end-stage glenohumeral osteoarthritis. However, consideration for pre-existing conditions must be taken into account. Factor V Leiden (FVL), the most common inherited thrombophilia, is one such condition that predisposes to a prothrombotic state and may affect perioperative and longer-term outcomes following TSA. METHODS: Adult patients undergoing primary TSA for osteoarthritis indication were identified in the 2010 through October 2021 PearlDiver M157 database...
March 11, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38479493/abo-blood-type-and-thromboembolic-complications-after-intracerebral-hemorrhage-an-exploratory-analysis
#17
JOURNAL ARTICLE
Natasha Ironside, Kara Melmed, Ching-Jen Chen, Nisha Dabhi, Setareh Omran, Soojin Park, Sachin Agarwal, E Sander Connolly, Jan Claassen, Eldad A Hod, David Roh
BACKGROUND AND PURPOSE: Non-O blood types are known to be associated with thromboembolic complications (TECs) in population-based studies. TECs are known drivers of morbidity and mortality in intracerebral hemorrhage (ICH) patients, yet the relationships of blood type on TECs in this patient population are unknown. We sought to explore the relationships between ABO blood type and TECs in ICH patients. METHODS: Consecutive adult ICH patients enrolled into a prospective observational cohort study with available ABO blood type data were analyzed...
March 11, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38476537/pulmonary-embolism-secondary-to-acute-anterior-st-elevation-myocardial-infarction-a-case-report
#18
JOURNAL ARTICLE
Lin Yuan, Hong Li, Yuhong Mi, Ying Liang
No abstract text is available yet for this article.
2024: World Journal of Emergency Medicine
https://read.qxmd.com/read/38471662/the-current-evidence-of-pulmonary-embolism-response-teams-and-their-role-in-future
#19
JOURNAL ARTICLE
Lukas Hobohm, Ioannis T Farmakis, Daniel Duerschmied, Karsten Keller
Acute pulmonary embolism (PE) remains a critical medical condition requiring prompt and accurate management. The introduction and growing significance of pulmonary embolism response teams (PERT), also termed EXPERT-PE teams, signify a paradigm shift toward a collaborative, multidisciplinary approach in managing this complex entity. As the understanding of acute PE continues to evolve, PERTs stand as a linkage of optimized care, offering personalized and evidence-based management strategies for patients afflicted by this life-threatening condition...
March 12, 2024: Hämostaseologie
https://read.qxmd.com/read/38469015/multi-drug-resistant-tuberculosis-peritonitis-a-case-report
#20
Rhea Verma, Clinton Sonier, Nida Rizvi, Rahul Kashyap
The increasing incidence of tuberculosis raises concerns globally, impacting both developing and developed nations. Abdominal tuberculosis stands out as the most prevalent form of extrapulmonary tuberculosis. This case report details the diagnostic journey of a young male with abdominal TB complicated by concurrent HIV infection. The patient presented with night sweats and substantial weight loss, concurrently receiving a naive human immunodeficiency virus (HIV) diagnosis with an undetectable CD4 count...
February 2024: Curēus
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