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https://www.readbyqxmd.com/read/28430313/successful-balloon-assisted-percutaneous-thrombin-injection-of-right-subclavian-artery-pseudoaneurysm
#1
Andrew D Brown, Dhruvin H Hirpara, Arash Jaberi, George D Oreopoulos, Martin E Simons
PURPOSE: To report the use of a balloon catheter to facilitate percutaneous ultrasound-guided thrombin injection of a subclavian artery pseudoaneurysm. CASE REPORT: A 36-year-old man presented with hoarseness after the insertion of a right temporary internal jugular line. Arteriography showed a short neck right subclavian artery pseudoaneurysm. A 6 mm × 40 mm balloon catheter was positioned across the neck of the pseudoaneurysm to permit percutaneous ultrasound-guided thrombin injection...
April 11, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/28422778/ultrasound-as-a-screening-tool-for-central-venous-catheter-positioning-and-exclusion-of-pneumothorax
#2
Rabia Amir, Ziyad O Knio, Feroze Mahmood, Achikam Oren-Grinberg, Akiva Leibowitz, Ruma Bose, Shahzad Shaefi, John D Mitchell, Muneeb Ahmed, Amit Bardia, Daniel Talmor, Robina Matyal
OBJECTIVES: Although real-time ultrasound guidance during central venous catheter insertion has become a standard of care, postinsertion chest radiograph remains the gold standard to confirm central venous catheter tip position and rule out associated lung complications like pneumothorax. We hypothesize that a combination of transthoracic echocardiography and lung ultrasound is noninferior to chest radiograph when used to accurately assess central venous catheter positioning and screen for pneumothorax...
April 18, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28416472/oesophageal-cancer-presenting-as-lemierre-s-syndrome-caused-by-streptococcus-anginosus
#3
Mohammed Osman, Saqib Hasan, Ghassan Bachuwa
A 59-year-old man presented to the emergency department with complaints of dysphagia, right-sided neck swelling, fever and chills. Physical examination was remarkable for fever and tender swelling over the right side of the neck. Laboratory investigations revealed leucocytosis with neutrophilia. CT of the neck showed right internal jugular vein thrombosis with an overlying abscess and a nodular opacity in the right lung apex with air locules. He underwent surgical drainage of the neck abscess. Aerobic cultures from the drainage and blood cultures grew Streptococcus anginosus Given his initial complaint of dysphagia, upper endoscopy was performed which showed a mass in the upper oesophagus...
April 17, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28414658/septic-cerebral-venosinus-thrombosis-secondary-to-an-odontogenic-infection
#4
Hongvan Le, Shane Prejean, Madeleine Heck
BACKGROUND: Cerebral venosinus thrombosis (CVT); is an uncommon, potentially fatal disease that is more common in young adults and children. Thrombophilia, elevated estrogenic states, and infections are the most common risk factors in patients who develop CVT. CASE: A 69-year-old man with a right-sided odontogenic infection presented with fever, headache, opthalmoplegia, and periorbital swelling. Imaging revealed evidence of meningitis and thrombosis of bilateral ophthalmic veins, the cavernous sinus, right internal jugular vein, and sigmoid sinus...
March 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28393771/an-analysis-of-the-factors-producing-multiple-ventricular-arrhythmias-during-pulmonary-artery-catheterization
#5
Hajime Satoh, Yuka Miyata, Tomohiko Hayasaka, Tsutomu Wada, Yukio Hayashi
BACKGROUND: The development of arrhythmias during placement of a pulmonary artery catheter (PAC) is common. AIMS: This study was designed to examine factors influencing development of ventricular arrhythmias in adult patients undergoing cardiovascular operations during the catheter placement. SETTINGS AND DESIGNS: Prospective, observational, cohort study. METHODS: We prospectively studied 174 patients undergoing cardiovascular operations...
April 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/28390643/a-46-year-old-man-with-dyspnea-hypoxemia-and-radiographic-asymmetry-after-redo-bilateral-lung-transplantation
#6
Sofya Tokman, Michael A Smith, A Samad Hashimi, Ashraf Omar
A 46-year-old man underwent redo bilateral sequential lung transplantation for rapidly progressive bronchiolitis obliterans syndrome that developed 3.5 years after initial transplantation. In the operating room, he was sedated and intubated with a dual lumen endotracheal tube with subsequent single right-lung ventilation and left allograft implantation. His pulmonary arterial pressure became elevated with reperfusion of the newly implanted left lung, which required initiation of cardiopulmonary bypass to facilitate implantation of the right lung...
April 2017: Chest
https://www.readbyqxmd.com/read/28356671/brachial-plexus-compression-due-to-subclavian-artery-pseudoaneurysm-from-internal-jugular-vein-catheterization
#7
T N Mol, A Gupta, U Narain
Internal jugular vein (IJV) catheterization has become the preferred approach for temporary vascular access for hemodialysis. However, complications such as internal carotid artery puncture, vessel erosion, thrombosis, and infection may occur. We report a case of brachial plexus palsy due to compression by right subclavian artery pseudoaneurysm as a result of IJV catheterization in a patient who was under maintenance hemodialysis.
March 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28328591/accidental-cannulation-of-persistent-left-superior-vena-cava-in-a-case-of-absent-right-internal-jugular-vein-role-of-ultrasonography-and-x-ray
#8
Nilesh B Sonawane, Falguni Rajendra Shah, Prakash Jagadish Gawankar
Persistent left superior vena cava is a rare vascular anatomical variant. Although ultrasonography has facilitated the process of central venous catheterization, it cannot be used to locate the tip of a catheter. Postprocedure chest X-ray is desirable for locating the course and tip of the catheter. In our case, initial ultrasonography demonstrated the absence of the right internal jugular vein. This prompted insertion of a central venous catheter on the left side of the neck in the presence of normal vascular anatomy...
March 15, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28323663/percutaneous-single-site-cannulation-for-acute-right-sided-support
#9
Mahim Malik, Ahmet Kilic, Bryan A Whitson
Right ventricular failure (RVF) is a challenging problem after left ventricular device implantation, leading to considerable morbidity and mortality. When inotropic support is no longer adequate, a temporary right ventricular assist device is needed which often mandates reopening of the sternotomy for implant and explant. We describe our technique to percutaneously place a right-internal jugular cannula for extra-corporeal support.
March 16, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28300678/magnetic-resonance-imaging-of-internal-jugular-veins-in-multiple-sclerosis-inter-observer-agreement-and-comparison-with-doppler-ultrasound-examination
#10
S J Laukontaus, J Pekkola, J Numminen, T Kagayama, M Lepäntalo, M Färkkilä, S Atula, P Tienari, M Venermo
OBJECTIVES: Doppler ultrasound (US) has been widely used to evaluate the cervical venous system of multiple sclerosis (MS) patients according to the hypothesis of chronic cerebrospinal venous insufficiency (CCSVI) with contradictory results. Venous anatomy and pathology can be examined with less operator-dependent magnetic resonance imaging (MRI). DESIGN: To assess the inter-observer agreement in measuring internal jugular vein (IJV) cross-sectional area (CSA) in MR-images and to explore the agreement between US and MRI in the detection of calibres of ≤ 0...
March 11, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28274588/unilateral-absence-of-an-external-jugular-vein-in-two-english-bulldogs-with-pulmonary-valve-stenosis
#11
E H Chapel, B A Scansen
Two English bulldogs referred for interventional palliation of severe pulmonary valve stenosis were incidentally diagnosed with unilateral absence of an external jugular vein (left in one case, right in the other) by computed tomography and Doppler ultrasound. The right internal jugular vein also could not be visualized in the dog with absence of the left external jugular vein. Cervical venous anomalies can impact diagnostic or interventional venous catheterization procedures such as balloon pulmonary valvuloplasty...
March 5, 2017: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://www.readbyqxmd.com/read/28257155/surgical-retrieval-of-a-guide-wire-lost-during-central-venous-catheterization-in-a-dog
#12
Jade M Hardy, Jennifer L Lansdowne, Carol A Himsel, Sean R Freer
OBJECTIVE: To report a case of successful surgical removal of a guide wire lost during central venous catheterization. CASE SUMMARY: A 28 kg, 4-year-old female neutered mixed breed dog presented to the primary care veterinarian with diabetic ketosis. During the process of central venous catheterization, the guide wire was accidently released and the entire length of the guide wire slipped into the jugular vein. Due to the absence of nearby interventional radiology facilities, surgical intervention was proposed...
March 3, 2017: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/28198716/incidence-of-cannula-associated-deep-vein-thrombosis-after-veno-venous-ecmo
#13
Jay Menaker, Ali Tabatabai, Raymond Rector, Katelyn Dolly, Joseph Kufera, Eugenia Lee, Zachary Kon, Pablo Sanchez, Si Pham, Daniel L Herr, Michael Mazzeffi, Ronald P Rabinowitz, James V OʼConnor, Deborah M Stein, Thomas M Scalea
Limited literature regarding the incidence of cannula associated deep vein thrombosis (CaDVT) following veno-venous extracorporeal membrane oxygenation (VV ECMO) exists. The purpose of this study was to identify the incidence of post decannulation CaDVT and identify any associated risk factors. Forty eight patients were admitted between August 2014 and January 2016 to the Lung Rescue Unit were included in the study. Protocolized anticoagulation levels (partial thromboplastin time 45-55 second) and routine post decannulation DVT screening were in place during the study period...
February 13, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28166752/a-rare-case-of-bilateral-cervical-vagal-neurofibromas-role-of-high-resolution-ultrasound
#14
Bin Liu, Yuanding Zhang, Lili Zhang, Fan Zhang, Hongyu Li, Shuang Li, Yafang Liu, Jie Du, Lirong Zhao
BACKGROUND: Neurofibromas originating from vagus nerves are rarely reported in the literature. In particular, plexiform neurofibromas of the bilateral cervical vagus nerve are extremely rare. CASE PRESENTATION: A 21-year-old female presented with a 2-year history of swelling on the right side of her neck. Physical examination revealed a soft-tissue mass on the right side of her neck. Ultrasonography (US) and magnetic resonance (MR) imaging showed a tumor centered in the right carotid sheath between the internal jugular vein and the common carotid artery...
February 6, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28150276/concomitant-fenestration-and-phlebectasia-of-the-right-internal-jugular-vein-an-unique-finding-in-anatomical-dissection
#15
Erika Cvetko, Marija Meznarič
The internal jugular vein (IJV) is an important vascular structure for oncologists and radiologists and is also a frequently used central venous route. The variations in the pattern of its course, and knowledge of its variations, are important. During the anatomical dissection of a 70-year-old male cadaver, fenestration involving a short segment (2.5 cm) of the right IJV in the superior part of the carotid triangle and a large dilatation (phlebectasia) of the IJV, involving its nonfenestrated segment were found - a case that has not previously been reported...
February 2, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28135706/the-different-impacts-on-the-long-term-survival-of-tunneled-internal-jugular-hemodialysis-catheters-based-on-tip-position-and-laterality
#16
Vedran Premuzic, Drazen Perkov, Ranko Smiljanic, Bruna Brunetta Gavranic, Bojan Jelakovic
BACKGROUND/AIMS: The aim of this study was to examine the impact of different catheter tip positions on the life of the catheter, dysfunction, infection, and quality of hemodialysis and possible differences between the access site laterality in jugular-tunneled hemodialysis catheters. METHODS: Catheters were evaluated for the following parameters: place of insertion, time of insertion, duration of use, and reason for removal. In all patients, the catheter tip position was checked using an X-ray...
2017: Blood Purification
https://www.readbyqxmd.com/read/28132796/randomized-comparison-of-three-guidewire-insertion-depths-on-incidence-of-arrhythmia-during-central-venous-catheterization
#17
Jung-Man Lee, Jiwon Lee, Jin-Young Hwang, Jee-Eun Chang, Heyrim Kim, Sohee Oh, Eun-Ah Oh, Seong-Won Min
OBJECTIVE: Guidewire-induced arrhythmias that occur during central venous catheterization can progress to malignant arrhythmias in rare cases. This study compared the incidence of arrhythmia during central venous catheterization using three different depths of guidewire insertion into the right internal jugular vein. METHODS: Sixty-nine patients undergoing elective surgery requiring central venous catheterization through the right internal jugular vein were enrolled in this double-blind, prospective, randomized, and controlled study...
January 12, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28125465/the-supraclavicular-approach-to-the-subclavian-vein-as-an-alternative-venous-access-site-for-ecmo-cannulae-a-retrospective-comparison
#18
Andja Bojic, Irene Steiner, Jutta Gamper, Peter Schellongowski, Wolfgang Lamm, Alexander Hermann, Katharina Riss, Oliver Robak, Thomas Staudinger
Venous reperfusion as well as double-lumen cannulae for extracorporeal gas exchange (ECMO) are usually inserted via the right internal jugular vein. The supraclavicular approach to the right or left subclavian vein could serve as a possible alternative. The aim of this analysis was to compare feasibility, complications, and performance of supraclavicular and jugular cannulation, respectively.We retrospectively analysed charts and registry data of patients undergoing veno-venous ECMO. Twenty-four patients underwent jugular cannulation and 11 patients underwent supraclavicular cannulation...
January 23, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28118211/perioperative-surface-ultrasound-for-placement-and-confirmation-of-central-venous-access-a-case-report
#19
Jeffrey Bortman, Ziyad Knio, Rabia Amir, Khadija Hamid, Feroze Mahmood, Robina Matyal
We present a case highlighting that the real-time visualization of the guidewire in the internal jugular vein with ultrasound, and confirmation of correct position of the guidewire tip at the superior vena cava to right atrial junction with surface ultrasound, is possibly the safest method of central venous catheter insertion.
April 15, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28114193/the-homburg-lung-efficacy-and-safety-of-a-minimal-invasive-pump-driven-device-for-veno-venous-extracorporeal-carbon-dioxide-removal
#20
Frederik Seiler, Franziska Trudzinski, Kai Hennemann, Tom Niermeyer, Christian Schmoll, Annegret Kamp, Robert Bals, Ralf Muellenbach, Hendrik Haake, Philipp M Lepper
Extracorporeal carbon dioxide removal (ECCO2R) is increasingly considered a viable therapeutic approach in the management of hypercapnic lung failure in order to avoid intubation or to allow lung-protective ventilator settings. This study aimed to analyze efficacy and safety of a minimal-invasive ECCO2R device, the Homburg lung. The Homburg lung is a pump-driven system for veno-venous ECCO2R with ¼" tubing and a 0.8 m surface oxygenator. Vascular access is usually established via a 19F/21cm bilumen cannula in the right internal jugular vein...
January 19, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
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