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Vena cava thrombosis

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https://www.readbyqxmd.com/read/29676871/-management-of-renal-cell-carcinoma-associated-with-an-extensive-inferior-vena-cava-tumor-thrombus
#1
C Battisti, F Sohngen, J P Lavigne, R Andrianne
Each main kind of cancer has rather typical or atypical clinical presentations, depending upon several factors related to histopathology or staging. The diagnosis of renal cell carcinoma associated with an extensive inferior vena cava tumor thrombus usually implies prognostic, workup, and surgical management issues. The incidental discovery of this rare clinical entity presented as deep vein thrombosis is narrated, with some therapeutic elements, including an example of alternative surgical treatment. The importance of preoperative assessment - particularly local regarding operability, is emphasized as well...
April 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29642860/atrophic-inferior-vena-cava-is-a-marker-of-chronicity-of-intra-filter-and-inferior-vena-cava-thrombosis-based-on-ct-findings
#2
Liang Chen, Wanyin Shi, Jianping Gu, Xu He, Wensheng Lou
BACKGROUND: A permanently indwelling filter in the inferior vena cava (IVC) may induce caval thrombosis, which could develop and evolve from an acute to a chronic phase. The differential diagnosis of acute and chronic thromboses determines the treatment strategy. The role of computed tomography (CT) in diagnosing acute and chronic intra-filter and IVC thromboses has not been well established. This retrospective study summarizes the CT signs that indicate acute and chronic phases of intra-filter and IVC thromboses...
April 11, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29627780/double-venous-compression-due-to-duplicated-inferior-vena-cava-induced-right-common-iliac-vein-thrombosis
#3
Yuichi Mukai, Shuhei Nozawa, Toshiro Suzuki
Venous compression syndromes are caused by extrinsic venous compression of anatomical structures, such as the adjacent arteries and bones. Chronic venous compression and pulsative vibratory arterial pressure accelerate the development of deep vein thrombosis. Herein, we report the first case of double venous compressions due to a duplicated inferior vena cava-induced right-sided common iliac vein thrombosis. The thrombus was induced by left-sided inferior vena cava entrapment and right-sided common iliac vein compression, resembling nutcracker syndrome and May-Thurner syndrome, respectively...
April 7, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29616156/a-case-of-postpartum-ovarian-vein-thrombosis
#4
Sidra Khalid, Aariez Khalid, Hamed Daw
Ovarian vein thrombosis (OVT) is an rare condition, which can present in the postpartum period. We present a case of a 35-year-old female who presented with right lower quadrant pain and fever. Her computed tomography (CT) abdomen revealed a dilated right ovarian vein with soft tissue attenuation material in its lumen that extended into the inferior vena cava, along with fat stranding of the surrounding soft tissues signifying thrombophlebitis. She was treated with enoxaparin and piperacillin-tazobactam, which lead to a resolution of the thrombus...
February 1, 2018: Curēus
https://www.readbyqxmd.com/read/29607624/burden-and-consequences-of-retained-cardiovascular-implantable-electronic-device-lead-fragments-after-heart-transplantation
#5
Paulino A Alvarez, Brett W Sperry, Antonio L Perez, Kenneth Varian, Timothy Raymond, Michael Tong, Ayman A Hussein, David O Taylor
We performed a retrospective review of 402 consecutive patients who underwent heart transplantation at our institution between January 2009 and March 2017. A retained cardiovascular implantable electronic device (CIED) fragment was identified after transplantation in 49 of the 301 patients (16.2%) with CIED at baseline. Patients with retained fragments had leads with longer dwell times (median 2596 [1982, 3389] vs 1384 [610, 2202] days, p<0.001), higher prevalence of previously abandoned leads (14.3% vs 2...
April 1, 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29602758/new-method-for-ultrasound-guided-inferior-vena-cava-filter-placement
#6
Xiaojuan Qin, Chengfa Lu, Pingping Ren, Jin Gu, Yi Zheng, Chen Yu, Jian Wang, Mingxing Xie
OBJECTIVE: Transabdominal ultrasound (TAUS)-guided inferior vena cava filter (IVCF) placement currently uses an inferior vena cava (IVC) longitudinal plane with cross-section of the right renal artery or the transverse plane of the right renal vein (RRV)-IVC intersection. The goal of this study was to introduce a new method for TAUS-guided IVCF placement. METHODS: The study enrolled patients who were at high risk for or had pulmonary embolism from October 22, 2010, to June 30, 2016...
March 27, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29600068/superior-vena-cava-replacement-combined-with-venovenous-shunt-for-lung-cancer-and-thymoma-a-case-series
#7
Wei Dai, Jifu Dong, Hongwei Zhang, Xiaojun Yang, Qiang Li
Background: Superior vena cava (SVC) replacement is infrequently performed and technically challenging in low-volume centers. Venovenous shunt (VVS) technique is used to reduce SVC pressure during SVC replacement and has not been well reported. This study aimed to add information on this subject and evaluate the surgical outcomes of patients who underwent SVC replacement combined with VVS in our center. Methods: A retrospective analysis of six patients who underwent SVC replacement combined with VVS from September 2011 to February 2017 was performed...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29575841/-clinical-application-of-ldlt-after-reconstruction-of-ivc-using-artificial-blood-vessel-in-the-treatment-of-hcc-beyond-milan-criteria
#8
B C Sun, G Q Li, X L Huang, J J Qin, X X Mu
Objective: To assess application of reconstruction of retrohepatic inferior vena cava using artificial blood vessel in right lobe living donor liver transplantation (LDLT) in the treatment of hepatocellular carcinoma (HCC) beyond Milan Criteria. Methods: The clinical data of 9 HCC patients who underwent right lobe liver transplantation after reconstruction of retrohepatic inferior vena cava using artificial blood vessel between June 2015 and Nov 2016 at Liver Transplantation Center of the First Affiliated Hospital of Nanjing Medical University were retrospectively analyzed...
March 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/29572716/comparison-of-single-coil-lead-versus-dual-coil-lead-of-implantable-cardioverter-defibrillator-on-lead-related-venous-complications-in-a-canine-model
#9
Ziqing Yu, Yuan Wu, Shengmei Qin, Jingfeng Wang, Xueying Chen, Ruizhen Chen, Yangang Su, Junbo Ge
PURPOSE: Dual- coil lead (DCL) of implantable cardioverter defibrillator (ICD) is preferred clinically in patients. However, it is related to higher risk of venous stenosis and thrombosis. The present study was done to compare the fibrosis and extraction of the leads between the single-coil lead (SCL) and DCL in animal models. METHODS: This was a chronic animal study with a follow-up duration of 6 months. Twenty mongrel dogs were randomly divided into DCL group or SCL group...
March 23, 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/29571064/spontaneous-migration-of-thrombosed-synthetic-vascular-graft-to-the-duodenum-after-living-donor-liver-transplantation-a-case-report
#10
Ahmed Mohamed Sultan, Ahmed Shehta, Tarek Salah, Mohamed Elshoubary, Mohamed Abdel Wahab
INTRODUCTION: Spontaneous migration of synthetic grafts had been described after abdominal vascular procedures into the duodenum and small bowel. In the setting of liver transplantation, synthetic grafts are commonly used for overcoming shortened or poor-quality vasculatures. We describe a case of spontaneous migration of thrombosed synthetic vascular graft after living-donor liver transplantation (LDLT). PRESENTATION: A 59 years male patient with end stage liver disease underwent LDLT utilizing a right hemi-liver graft...
March 15, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29567048/-central-venous-access-for-cancer-chemotherapy
#11
Eric Desruennes, Frédéric Gomas
The tip of a long term central venous access should be located at the junction of the superior vena cava with the right atrium in order to reduce the incidence of dysfunction and venous thromboses. Picc-lines have their place for treatments of less than 6 months with obvious advantages in terms of discretion and comfort. Long-term sequential chemotherapy is an indisputable indication of an implantable port, while long-term parenteral nutrition is an indication of a tunneled cuffed catheter. In case of mediastinal compression, the risk-benefit ratio favors femoral access...
March 19, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29563380/a-pitfall-in-the-diagnosis-of-bilateral-deep-vein-thrombosis-in-a-young-man
#12
Yusuke Adachi, Kenichi Sakakura, Tomohisa Okochi, Takaaki Mase, Mitsunari Matsumoto, Hiroshi Wada, Hideo Fujita, Shin-Ichi Momomura
A 32-year-old man with a history of bronchial asthma was referred for low back pain and bilateral femur pain. Vascular sonography revealed bilateral deep vein thrombosis (DVT) from the femoral veins to the popliteal veins. Computed tomography revealed hypoplasia of the inferior vena cava (IVC) and dilated lumbar veins, ascending lumbar veins, and azygos vein as collaterals. There was no evidence of malignant neoplasm. The results of the thrombophilia tests were within normal limits. Hypoplasia of the IVC is a rare cause of DVT...
March 20, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29563129/serpentine-thrombus-in-the-heart-a-rare-case-of-trapped-thrombus-in-patent-foramen-ovale
#13
Dominika M Zoltowska, Yashwant Agrawal, Jagadeesh K Kalavakunta
A 77-year-old Caucasian woman with recent abdominal surgery was diagnosed with multiple paradoxical systemic emboli in the mesenteric and renal circulation. Diagnosis was made by direct visualisation of a serpentine thrombus traversing both atria through patent foramen ovale (PFO) by transesophageal echocardiogram (TEE). Concomitantly, the patient was found to have deep venous thrombosis and pulmonary embolism. A decision was made to pursue cardiothoracic surgery preceded by inferior vena cava filter placement...
March 21, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29562788/retrievable-inferior-vena-cava-filter-utilization-in-obstetric-patients
#14
Amihai Rottenstreich, Yosef Kalish, Uriel Elchalal, Alexander Klimov, Allan I Bloom
OBJECTIVES: To evaluate patterns of use and outcomes of retrievable inferior vena cava filters (rIVCF) in obstetric patients. METHODS: A single center review of consecutive patients who underwent rIVCF placement during pregnancy/postpartum in 2005-2016. A pooled analysis of the relevant cases in the English literature was conducted. RESULTS: The current cohort comprised 24 women, median age 27 [interquartile range 24-30] years. Among 10 filters placed during pregnancy, the most common indication (n = 4) was the need to withhold anticoagulation therapy before delivery, in the presence of acute thrombosis...
March 21, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29550177/outcomes-of-endovascular-reconstruction-of-the-inferior-vena-cava-with-self-expanding-nitinol-stents
#15
Tim Sebastian, Jörn F Dopheide, Rolf P Engelberger, David Spirk, Nils Kucher
BACKGROUND: Occlusion of the inferior vena cava (IVC) often causes venous claudication, leg swelling, or skin changes. We hypothesized that the outcome of nitinol stents for endovascular reconstruction of the IVC is similar to the outcome reported for steel alloy stents. METHODS: From the prospective Bern Venous Stent Registry, we investigated technical success, patency rates, and clinical outcome in consecutive patients with endovascular IVC reconstruction. During routine follow-up visits, stent patency was assessed by duplex ultrasound...
March 14, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29534678/cryoballoon-ablation-for-paroxysmal-atrial-fibrillation-in-a-case-of-persistent-left-superior-vena-cava
#16
Shiwei Huang, Binglin Pan, He Zou, Wei Lin
BACKGROUND: Atrial fibrillation (AF) usually originates from pulmonary veins (PVs) but can also be caused by pulmonary veins outside, such as the coronary sinus (CS), the superior vena cava (SVC), and the ligament of Marshall. CASE PRESENTATION: A 69-year-old male with a history of palpitations for 10 years was referred to our institute because of its recurrence for half a day. A dynamic electrocardiogram revealed sinus rhythm (SR) and paroxysmal AF. Echocardiography demonstrated normal cardiac structure, and physical examination results were unremarkable...
March 13, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29531941/congenital-membranous-occlusion-of-the-suprahepatic-inferior-vena-cava-in-a-pediatric-liver-transplant
#17
Ashley Suah, J Michael Millis, Adam S Bodzin
Congenital membranous occlusion of the inferior vena cava (IVC) in pediatric liver recipients may present with outflow occlusion and if unrecognized, result in graft loss. Prompt evaluation of outflow obstruction in the setting of unexplained inflow compromise is paramount. We report a case of successful IVC reconstruction in a patient with recurrent hepatic artery thrombosis (HAT). A 2-year-old child with history of two liver transplantations developed fevers, ascites, and abdominal tenderness one month after her second liver transplant...
February 2018: Hepatobiliary Surgery and Nutrition
https://www.readbyqxmd.com/read/29528017/budd-chiari-syndrome-diagnosed-in-a-patient-listed-for-liver-transplant-and-considered-to-be-contraindicated-for-the-operation
#18
Kakharman Yesmembetov, Zhansaya Muratova, Sergey Borovskiy, Irina Ten, Kulpash Kaliaskarova
We report the clinical case of 23-year-old patient with liver cirrhosis of unknown genesis, significant resistant ascites, and 2 episodes of bleeding from esophageal varices. Evaluation did not find any cause of liver disease, and the patient was placed on the transplant wait list due to subcompensated liver function (Model for End-Stage Liver Disease score of 16, Child-Pugh class B) and poorly controlled severe portal hypertension. After treatment with diuretics, largevolume paracentesis, antibiotics, and vasoconstrictors, hepatorenal syndrome and spontaneous bacterial peritonitis resolved and liver function improved significantly...
March 2018: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29527984/surgical-challenge-in-pediatric-kidney-transplant-vascular-anastomosis
#19
Atsushi Aikawa, Masaki Muramatsu, Yusuke Takahashi, Yuko Hamasaki, Junya Hashimoto, Mai Kubota, Takeshi Kawamura, Yoshihiro Itabashi, Yoiji Hyodou, Seiichiro Shishido
During pediatric kidney transplant, surgical challenges occasionally occur. In particular, vascular anastomosis should be considered for children with small body weight < 12 kg, multiple renal arteries, vascular anomaly, and inferior vena cava occlusion. In pediatric patients, a living-donor renal graft is usually donated from a parent. Therefore, the renal artery and vein are too large to be anastomosed with the recipient's internal iliac artery and external iliac vein. In children who are > 12 kg, the renal artery and vein could be anastomosed with the external iliac artery and the external iliac vein...
March 2018: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29526653/deep-vein-thrombosis-exhibits-characteristic-serum-and-vein-wall-metabolic-phenotypes-in-the-inferior-vena-cava-ligation-mouse-model
#20
Yeji Sung, Konstantina Spagou, Marina Kafeza, Michael Kyriakides, Brahman Dharmarajah, Joseph Shalhoub, Jose A Diaz, Thomas W Wakefield, Elaine Holmes, Alun H Davies
OBJECTIVES: Deep vein thrombosis (DVT) is a major health problem, responsible for significant morbidity and mortality. The identification of a simple and effective diagnostic biomarker of DVT remains a challenge. Metabolomics have recently emerged as a new powerful scientific tool to characterise metabolic phenotypes of complex diseases and investigate small molecules in biofluids. The aim of the study was to identify the blood and vein wall metabolomic signature of DVT in a murine experimental model...
March 8, 2018: European Journal of Vascular and Endovascular Surgery
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