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Inferior cava vein guidelines

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https://www.readbyqxmd.com/read/29112545/european-guidelines-on-perioperative-venous-thromboembolism-prophylaxis-intensive-care
#1
Jacques Duranteau, Fabio Silvio Taccone, Peter Verhamme, Walter Ageno
: Venous thromboembolism is a common and potentially life-threatening complication that occurs in 4 to 15% of patients admitted to ICUs despite the routine use of pharmacological prophylaxis. We therefore recommend an institution-wide protocol for the prevention of venous thromboembolism (Grade 1B). The routine use of ultrasonographic screening for deep vein thrombosis is not recommended when thromboprophylactic measures are in place (Grade 1B), as the detection of asymptomatic deep vein thrombosis may prompt therapeutic anticoagulation that may increase bleeding risk but has no proven reduction of clinically significant thrombotic events...
November 6, 2017: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29097267/spontaneous-neonatal-renal-vein-thromboses-should-we-treat-them-all-a-report-of-five-cases-and-a-literature-review
#2
François Niada, René Tabin, Simon Kayemba-Kay's
Renal vein thrombosis (RVT) is a rare but well-known neonatal entity for which several therapeutic modalities are reported in the literature because of the lack of consensus management guidelines. POPULATION AND METHODS: A retrospective study of the medical records of children managed between January 1990 and December 2013, and whose final diagnosis was RVT. The diagnosis was initially clinical and subsequently confirmed by the abdominal ultrasonography (AUS) and Doppler imaging if necessary...
October 9, 2017: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/29078243/-endovascular-therapy-of-chronic-venous-outflow-obstruction
#3
Michael Lichtenberg, Houman Jalaie
Current national and international guidelines recommend endovascular therapy of iliofemoral thromboses in young patients, as a treatment option to avoid the post-thrombotic syndrome. Possible techniques include endovascular local lysis therapy, as well as pharmacomechanical or purely mechanical procedures. Endovascular therapy of chronic obstruction of the inferior V. cava or pelvic veins is an effective therapy for patients suffering from post-thrombotic syndrome. If there is involvement of the V. femoralis communis, hybrid operations may be considered in which an AV fistula is formed or endophlebectomy is carried out...
October 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/28929091/thrombosis-of-the-abdominal-veins-in-childhood
#4
REVIEW
Riten Kumar, Bryce A Kerlin
Abdominal venous thrombosis is a rare form of venous thromboembolic disease in children. While mortality rates are low, a significant proportion of affected children may suffer long-term morbidity. Additionally, given the infrequency of these thrombi, there is lack of stringent research data and evidence-based treatment guidelines. Nonetheless, pediatric hematologists and other subspecialists are likely to encounter these problems in practice. This review is therefore intended to provide a useful guide on the clinical diagnosis and management of children with these rare forms of venous thromboembolic disease...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28611523/surgical-management-of-liver-diseases-invading-the-hepatocaval-confluence-based-on-ih-classification-the-surgical-guideline-in-our-center
#5
Wei Li, Jun Han, Zhao-Ping Wu, Hong Wu
AIM: to investigate the short-term outcomes and risk factors indicating postoperative death of patients with lesions adjacent to the hepatocaval confluence. METHODS: We retrospectively analyzed 54 consecutive patients who underwent hepatectomy combined with inferior vena cava (IVC) and/or hepatic vein reconstruction (HVR) from January 2012 to January 2016 at our liver surgery center. The patients were divided into 5 groups according to the range of IVC and hepatic vein involvement...
May 28, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28584010/androstenedione-and-17-%C3%AE-hydroxyprogesterone-are-better-indicators-of-adrenal-vein-sampling-selectivity-than-cortisol
#6
Giulio Ceolotto, Giorgia Antonelli, Giuseppe Maiolino, Maurizio Cesari, Giacomo Rossitto, Valeria Bisogni, Mario Plebani, Gian Paolo Rossi
For identification of potentially surgically curable primary aldosteronism, guidelines recommend use of adrenal vein sampling (AVS) that requires selective catheterization of both adrenal veins as verified by using the cortisol-derived selectivity index. Unfortunately, bilaterally selective studies are not obtained under unstimulated conditions in a proportion of the cases ranging between 15% and 50% depending on the cutoff used. We therefore investigated whether 17-α-hydroxyprogesterone and androstenedione, which showed a higher step-up between adrenal vein and inferior vena cava blood than cortisol, can ascertain selectivity when cortisol failed to do so...
August 2017: Hypertension
https://www.readbyqxmd.com/read/28414995/case-report-of-an-intracaval-leiomyomatosis-10-months-after-complete-hysterectomy
#7
Hannah Maria Schäfer, Andrej Isaak, Lorenz Gürke
INTRODUCTION: Intravenous leiomyomatosis (IVL) is a rare smooth muscle tumor, usually found in women with tumors of the reproductive organs, such as uterus myomatosous. Surgically, this case belies the call for sternotomy and two-stage surgery in caval IVL extending to the right atrium: we suggest one-stage median laparotomy as a minimal procedure with maximal benefit. PRESENTATION OF CASE: We present the case of a 60-year-old postmenopausal woman with suspected intravenous leiomyomatosis of the right internal iliac vein...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28242032/indications-complications-and-outcomes-of-inferior-vena-cava-filters-a-retrospective-study
#8
Andrew Wassef, Wendy Lim, Cynthia Wu
INTRODUCTION: Inferior vena cava filters are used to prevent embolization of a lower extremity deep vein thrombosis when the risk of pulmonary embolism is thought to be high. However, evidence is lacking for their benefit and guidelines differ on the recommended indications for filter insertion. The study aim was to determine the reasons for inferior vena cava filter placement and subsequent complication rate. MATERIALS AND METHODS: A retrospective cohort of patients receiving inferior vena cava filters in Edmonton, Alberta, Canada from 2007 to 2011...
February 20, 2017: Thrombosis Research
https://www.readbyqxmd.com/read/28150413/monitoring-of-gas-emboli-during-hysteroscopic-surgery-a-prospective-study
#9
Sheng-Qun Liu, Su-Zhen Zhao, Zhan-Wen Li, Su-Ping Lv, Yue-Qiang Liu, Yi Li
OBJECTIVES: Previous studies have demonstrated a high frequency of gas emboli during hysteroscopy, but guidelines for the prevention, early detection, and intervention of gas embolism during hysteroscopic procedures are still lacking. This study aimed to gain a clearer understanding of risk factors and specific signs and symptoms associated with gas emboli. METHODS: This prospective study enrolled 120 women scheduled for hysteroscopy using 5% glucose as distension medium...
April 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27766049/management-of-venous-thromboembolism-an-update
#10
REVIEW
Siavash Piran, Sam Schulman
Venous thromboembolism (VTE), which constitutes pulmonary embolism and deep vein thrombosis, is a common disorder associated with significant morbidity and mortality. Landmark trials have shown that direct oral anticoagulants (DOACs) are as effective as conventional anticoagulation with vitamin K antagonists (VKA) in prevention of VTE recurrence and associated with less bleeding. This has paved the way for the recently published guidelines to change their recommendations in favor of DOACs in acute and long-term treatment of VTE in patients without cancer...
2016: Thrombosis Journal
https://www.readbyqxmd.com/read/27754247/os-35-07-a-novel-method-for-adrenal-vein-sampling-via-median-cubital-vein
#11
Xiongjing Jiang, Hui Dong, Meng Peng, Yubao Zou, Wuqiang Che
OBJECTIVE: Adrenal venous sampling (AVS) is recommended by clinical guidelines to distinguish surgically curable types of primary aldosteronism, but remains widespread underused mainly due to difficulty in successful sampling. When considering that the right adrenal vein is angled caudally, AVS through upper extremity approach may be more appropriate. The purpose of this study was to establish the technique ofAVS via median cubital vein (MCV), and evaluate its safety and feasibility. DESIGN AND METHOD: From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via MCV at the Fuwai Hospital...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27741102/hepatocellular-carcinoma-after-the-fontan-procedure-in-a-16-year-old-girl-a-case-report
#12
Chaeyoun Oh, Joong Kee Youn, Ji-Won Han, Gi Beom Kim, Hyun-Young Kim, Sung-Eun Jung
INTRODUCTION: The Fontan procedure (FP) has become the standard operation for patients with single ventricle physiology. However, a long period of elevated systemic venous pressure and low cardiac output after the procedure result in chronic inflammation and liver cirrhosis, which may eventually lead to the occurrence of hepatocellular carcinoma (HCC). CLINICAL FINDINGS: We described the case of a 16-year-old female who developed HCC after the FP. At 21 months, the patient received a lateral tunnel FP, and 14 years later, she began complaining of abdominal distension, telangiectasia, and fatigue...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27643212/os-35-07-a-novel-method-for-adrenal-vein-sampling-via-median-cubital-vein
#13
Xiongjing Jiang, Hui Dong, Meng Peng, Yubao Zou, Wuqiang Che
OBJECTIVE: Adrenal venous sampling (AVS) is recommended by clinical guidelines to distinguish surgically curable types of primary aldosteronism, but remains widespread underused mainly due to difficulty in successful sampling. When considering that the right adrenal vein is angled caudally, AVS through upper extremity approach may be more appropriate. The purpose of this study was to establish the technique ofAVS via median cubital vein (MCV), and evaluate its safety and feasibility. DESIGN AND METHOD: From January 2012 to June 2015, 194 consecutive patients diagnosed as primary aldosteronism underwent AVS via MCV at the Fuwai Hospital...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27479452/neonatal-central-venous-catheter-thrombosis-diagnosis-management-and-outcome
#14
Christina K Park, Bosco A Paes, Kim Nagel, Anthony K Chan, Prashanth Murthy
Thrombotic occlusion of central venous catheters (CVCs) is a common problem in newborns. No guideline systematically addresses the diagnosis, management, and prevention of this complication. The objective of this review is to establish evidence-based guidance for the management of CVC thrombosis. A comprehensive literature search was conducted from 1948 to 2012. Twenty-six articles fulfilling four criteria - humans, neonates aged less than 28 days, CVC insertion, and English language - were included for analysis...
July 29, 2016: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
https://www.readbyqxmd.com/read/27339635/acute-pancreatitis-complicated-with-deep-vein-thrombosis-and-pulmonary-embolism-a-case-report
#15
H M M T B Herath, Aruna Kulatunga
BACKGROUND: Acute pancreatitis is an acute inflammatory process of the pancreas that can trigger a systemic inflammatory response. Pulmonary embolism refers to obstruction of the pulmonary artery or one of its branches by material (usually a thrombus) that originated elsewhere in the body. Extensive lower limb deep vein thrombosis with pulmonary embolism is a rare complication of acute pancreatitis that has been described in a few case reports. Deep vein thrombosis and hypercoagulable states in pancreatitis are thought to be due to release of pancreatic proteolytic enzymes from a cyst that is connected to the pancreatic duct and penetrates into a vessel...
June 23, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27336339/-thrombectomy-and-plication-of-veins-as-a-method-of-preventing-pulmonary-artery-thromboembolism-at-a-multidisciplinary-surgical-hospital
#16
S V Galkin, N V Pashin, I G Dedyukhin, A G Aleksandrov, M V Lebedeva
The authors assessed efficacy and safety of the operation of plication of deep veins of lower extremities, pelvic veins, and the inferior vena cava as a method of preventing fatal pulmonary artery thromboembolism. A total of 48 patients were operated on. Of these, 23 patients belonged to traumatological-and-orthopaedical cohort, 3 to general surgical cohort, 4 to gynaecological, and 18 to vascular cohort (isolated deep vein thrombosis). The length of the floating head of the thrombus varied from 2 to 10 cm...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27067966/management-of-recurrent-venous-thromboembolism-in-cancer-patients
#17
REVIEW
Erica Romualdi, Walter Ageno
Cancer is one the most prevalent risk factors in patients diagnosed with deep vein thrombosis or pulmonary embolism. Patients with cancer and venous thromboembolism have a higher risk of mortality when compared to patients with cancer without venous thromboembolism and a higher risk of recurrent thrombosis when compared with patients with venous thromboembolism without cancer. This increased risk of recurrence is not only observed after anticoagulant treatment is stopped, but also during anticoagulant treatment...
April 2016: Thrombosis Research
https://www.readbyqxmd.com/read/27016804/acr-appropriateness-criteria-renal-cell-carcinoma-staging
#18
Raghunandan Vikram, Michael D Beland, M Donald Blaufox, Courtney Coursey Moreno, John L Gore, Howard J Harvin, Marta E Heilbrun, Stanley L Liauw, Paul L Nguyen, Paul Nikolaidis, Glenn M Preminger, Andrei S Purysko, Steven S Raman, Myles T Taffel, Zhen J Wang, Robert M Weinfeld, Erick M Remer, Mark E Lockhart
Renal cell carcinoma accounts for 2%-3% of all visceral malignancies. Preoperative imaging can provide important staging and anatomic information to guide treatment decisions. Size of the primary tumor and degree of local invasion, such as involvement of perinephric fat or renal sinus fat, and tumor thrombus in renal veins and inferior vena cava are important detriments to local staging of primary tumor. Both kidneys are assessed for presence of other synchronous lesions. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel...
May 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/26788164/cardiopulmonary-bypass-assisted-surgery-for-the-treatment-of-xp11-2-translocation-tfe3-gene-fusion-renal-cell-carcinoma-with-a-tumor-thrombus-within-the-inferior-vena-cava-a-case-report
#19
Guanchen Zhu, Xuefeng Qiu, Xianchen Chen, Guangxiang Liu, Gutian Zhang, Weidong Gan, Hongqian Guo
Renal cell carcinoma (RCC) accounts for 85-90% of kidney cancers, which in turn account for 2-3% of all malignant tumors in adults. Xp11.2 translocation/TFE3 gene fusion RCC is currently classified as a distinct type of RCC. RCC is capable of invading the renal vein and inferior vena cava to form a tumor thrombus. The incidence of RCC with tumor thrombi within the renal vein or inferior vena cava is 7-10% in China. In the present case report, the patient underwent radical resection of the renal tumor and removal of the tumor thrombus, assisted by cardiopulmonary bypass, for the treatment of Xp11...
December 2015: Oncology Letters
https://www.readbyqxmd.com/read/26535184/what-the-young-physician-should-know-about-may-thurner-syndrome
#20
Narese Donatella, Bracale Umberto Marcello, Vitale Gaetano, Porcellini Massimo, Midiri Massimo, Bracale Giancarlo
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation...
May 2015: Translational Medicine @ UniSa
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