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https://www.readbyqxmd.com/read/29322704/evaluation-of-cerebral-venous-thrombosis-by-ct-mri-and-mr-venography
#1
Pratibha Issar, Sirasapalli Chinna, Sanjeev Kumar Issar
Objective: To study and compare cerebral parenchymal changes and sinuses involvement in CT with MRI and MRV in Cerebral Venous Thrombosis patients. Method: This study was carried out in the Department of Radiodiagnosis, JLN Hospital and Research Center, Bhilai, Chhattisgarh from October 2012 to Nov 2014 and includes fifty patients of all age groups presenting with clinical symptoms of CVT, admitted in Neurology, Neurosurgery, Medicine, Pediatric, obstetric and Gynecology wards...
November 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/29275396/variant-of-lemierre-s-syndrome-with-internal-jugular-vein-aneurysm
#2
Siew Houy Chua, Sidney Ching Liang Ong, Yuan Hwen Liew
Internal jugular vein (IJV) aneurysm is a rare entity, and a thrombosed aneurysm poses diagnostic and management challenges. We came across a 53-year-old woman who presented with fever, vomiting and right neck swelling for a week. Laboratory investigations showed neutrophilic leucocytosis, raised acute phase reactant and blood culture yielded Klebsiella pneumoniae Ultrasound and contrast-enhanced CT neck revealed a large fusiform aneurysm of the right IJV with filling defect extending from the aneurysm into the right transverse sinus...
December 22, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29240058/-venous-thromboembolic-complications-in-patients-with-cardiovascular-implantable-electronic-devices
#3
R E Kalinin, I A Suchkov, I I Shitov, N D Mzhavanadze, V O Povarov
The problem of venous thromboembolic complications (VTECs) in patients with cardiovascular implantable electronic devices (CIEDs) is extremely important today because of an annually increasing number of surgical interventions for life-threatening arrhythmias and chronic heart failure. There are hitherto no clearly defined reliable risk factors for VTECs due to heterogeneity of the available literature data. Some sources point to elevated thrombus formation in patients with a large number of electrodes, in repeat operative interventions, in the presence of a temporary pacemaker, in implantation on the left side, silicon cover of an electrode, others refute these facts...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29207361/patient-factors-but-not-the-use-of-novel-anticoagulants-or-warfarin-are-associated-with-internal-jugular-vein-access-site-hematoma-after-right-heart-catheterization
#4
Osama Dasa, Qaiser Shafiq, Mohammed Ruzieh, Luai Alhazmi, Maen Al-Dabbas, Zaid Ammari, Samer Khouri, George Moukarbel
INTRODUCTION: Right heart catheterization (RHC) is routinely performed to assess hemodynamics. Generally, anticoagulants are held prior to the procedure. At our center, anticoagulants are continued and ultrasound guidance is always used for internal jugular vein access. A micropuncture access kit is used to place a 5 or 6 Fr sheath using the modified Seldinger technique. Manual compression is applied for 10-15 min and the patient is observed for at least 2 hours after the procedure. In a retrospective analysis, we investigated the risk of bleeding complications associated with RHC via the internal jugular vein in patients with and without full anticoagulation...
December 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29203046/-post-traumatic-carotido-jugular-fistula-case-report-and-review-of-the-literature
#5
A Dammak, H Ben Jmaà, S Hadhri, H Cheikhrouhou, F Dhouib, S Haddar, L Kammoun, T Ben Jmaà, B Hammami, S Masmoudi, N Elleuch, M Ben Jmaà, I Frikha
The neck, being not protected by skeleton, is vulnerable to external trauma and injury which can involve blood vessels, muscles, nerves, and trachea. Carotid injuries can be potentially life-threatening by hemorrhage and stroke. We present a case of a 26-year-old manual worker who presented a neck injury caused by a metallic projectile. The injury involved the right common carotid artery with an internal jugular vein fistula, and tracheal damage. The patient was managed with surgical repair of the tracheal lesion, reconstruction of the carotid section using a PTFE graft bypass, and ligation of the internal jugular vein...
December 2017: Journal de Médecine Vasculaire
https://www.readbyqxmd.com/read/29174178/radiation-burden-of-pediatric-ultrasound-guided-percutaneous-central-venous-access-devices-a-prospective-cohort-study
#6
Mohit Bajaj, Jon Wells, Anuja Liyanage, Stephen Evans, James Hamill
Permanent central venous access is essential for the management of many pediatric patients. Knowing the amount of ionizing radiation used during the insertion of these devices is important. Our aim was to identify the radiation used in percutaneous insertion of central venous access devices, and to correlate radiation exposure to patient weight. METHODS: Data was prospectively collected during a 12-month period from August 2015 to August 2016 on all ultrasound-guided percutaneous central venous access device insertions...
October 26, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29159156/self-expandable-graft-stenting-in-an-iatrogenic-fistula-between-common-carotid-artery-and-internal-jugular-vein
#7
Sung Chul Jin, Dong Hyuk Lee, Chae Wook Huh
A 47-year-old woman with stage IV chronic kidney disease developed a fistula between common carotid artery (CCA) and internal jugular vein (IJV) during central catheterization of the right IJV. The patient was treated with a self-expandable graft stent, which achieved successful closure of the carotid-jugular fistula. As demonstrated in our case, self-expandable graft stents could be a feasible treatment option for CCA-IJV fistulas without additional interventional procedures such as balloon angioplasty.
September 2017: Journal of Cerebrovascular and Endovascular Neurosurgery
https://www.readbyqxmd.com/read/29155934/controlled-flow-diversion-in-hybrid-venoarterial-venous-extracorporeal-membrane-oxygenation
#8
Mehmet Cakici, Fatih Gumus, Evren Ozcinar, Cagdas Baran, Onat Bermede, Mustafa Bahadir Inan, Mustafa Serkan Durdu, Mustafa Sirlak, Ahmet Ruchan Akar
OBJECTIVES: Patients on venoarterial or venovenous extracorporeal membrane oxygenation (ECMO) support may require venoarterial-venous (VAV-ECMO) configuration during follow-up. We report 12 cases of VAV-ECMO with significant outflow steal. METHODS: Between October 2014 and November 2016, a total of 97 patients (56.6 ± 12.0 years; 59 men/38 women; body surface area 1.84 ± 0.36 m 2 ) were supported with venoarterial ECMO ( n  = 85) or venovenous ECMO ( n  = 12)...
August 16, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29132805/feasibility-of-the-use-of-transesophageal-echocardiography-as-a-surface-probe-for-puncturing-and-catheterization-of-the-internal-jugular-vein-a-randomized-controlled-pilot-study
#9
Yi Teng, Mengchan Ou, Hai Yu
OBJECTIVE: To compare the transesophageal echocardiography (TEE) probe as a surface probe with the vascular probe for guiding internal jugular vein (IJV) catheterization. DESIGN: Prospective, randomized, controlled pilot study. SETTING: University hospital. PARTICIPANTS: One hundred cardiac surgery patients, including 50 adult and 50 pediatric patients. INTERVENTIONS: Patients in the TEE probe group received right IJV catheterization using the TEE probe, while the vascular probe group used the vascular probe for catheterization...
October 4, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29127193/maintained-exercise-enhanced-brain-executive-function-related-to-cerebral-lactate-metabolism-in-men
#10
Takeshi Hashimoto, Hayato Tsukamoto, Saki Takenaka, Niels D Olesen, Lonnie G Petersen, Henrik Sørensen, Henning B Nielsen, Niels H Secher, Shigehiko Ogoh
High-intensity interval exercise (HIIE) improves cerebral executive function (EF), but the improvement in EF is attenuated after repeated HIIE, perhaps because of lower lactate availability for the brain. This investigation examined whether improved EF after exercise relates to brain lactate uptake. Fourteen healthy, male subjects performed 2 HIIE protocols separated by 60 min of rest. Blood samples were obtained from the right internal jugular venous bulb and from the brachial artery to determine differences across the brain for lactate (a-v difflactate), glucose (diffglucose), oxygen (diffoxygen), and brain-derived neurotrophic factor (BDNF; diffBDNF)...
November 10, 2017: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/29114973/internal-jugular-vein-stenosis-induced-intracranial-hypertension-can-be-resolved-by-stenting
#11
Da Zhou, Ran Meng, Xuxiang Zhang, Linlin Guo, Sijie Li, Weijuan Wu, Jiangang Duan, Haiqing Song, Yuchuan Ding, Xunming Ji
BACKGROUND: Idiopathic intracranial hypertension (IIH) is characterized by abnormally elevated intracranial pressure (ICP) without identifiable etiology. Recently, however, a subset of patients with presumed IIH have been found with isolated internal jugular vein (IJV) stenosis in the absence of intracranial abnormalities. METHODS: Fifteen consecutive patients were screened from 46 patients suspected as IIH and were finally confirmed as isolated IJV stenosis. The stenotic IJV was corrected with stenting when a trans-stenotic mean pressure gradient (∆MPG) was equal or higher than 5...
November 8, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29097337/electrocardiographic-guided-technique-for-placement-of-ventriculo-atrial-shunts-a-valid-and-cost-effective-technical-simplification
#12
Giuseppe Maria Della Pepa, Giovanni Sabatino, Elisabetta Peppucci, Carmelo Lucio Sturiale, Alessio Albanese, Alfredo Puca, Alessandro Olivi, Enrico Marchese, Valerio Perotti
BACKGROUND: Ventriculo-atrial (VA) shunt is a routine technique for the treatment of hydrocephalus. Correct position at superior vena cava-right atrium junction is generally assessed by X-ray. We herein present the first experience of an alternative, non-radiographic technique to assess the distal end of the VA-shunts through an electrocardiographic (EKG) method. Such a technique is mutuated from the very large experience on central-venous catheters (CVC) worldwide: the EKG-guided method is a common and validated alternative to the standard radiological control of the location of the tip of any CVC...
October 30, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29095736/outcomes-with-the-tandem-protek-duo-dual-lumen-percutaneous-right-ventricular-assist-device
#13
Ashwin K Ravichandran, David A Baran, Kelly Stelling, Jennifer A Cowger, Christopher T Salerno
Recently, a percutaneous right ventricular assist device (RVAD) called the TandemLife Protek Duo (TPD; TandemLife, Pittsburgh, PA) has been introduced. The Protek Duo (TPD) is a temporary RVAD placed via the right internal jugular vein, capable of providing up to 4.5 L of flow. We report a two-center experience using the TPD in 17 patients with right ventricular (RV) failure, 12 of whom were post-left ventricular assist device (LVAD) implantation.
October 31, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/29091252/difficulties-of-distal-catheter-insertion-of-ventriculoatrial-shunting-in-infants-and-little-children
#14
Hakan Erdogan, Adnan Altun, Enis Kuruoglu, Ahmet Hilmi Kaya, Adnan Dagcinar
AIM: Ventriculoatrial (VA) shunting is a well-described cerebrospinal fluid diversion method for the treatment of hydrocephalus. However, it may be very challenging in infants and little children because of atrial catheter placement difficulties. This study aimed to create an algorithm to solve problems faced during open surgical procedures based on the present authors' experience. MATERIAL AND METHODS: We conducted a retrospective analysis on 18 infants and children who underwent VA shunt insertion at the Department of Neurosurgery, Ondokuz Mayıs University School of Medicine Hospital between 2005 and 2012...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29055877/surgical-treatment-of-locally-advanced-papillary-thyroid-carcinoma-after-response-to-lenvatinib-a-case-report
#15
Mitsuhiro Tsuboi, Hiromitsu Takizawa, Mariko Aoyama, Akira Tangoku
INTRODUCTION: Differentiated thyroid carcinomas (DTC) have good prognoses after complete resection. Nevertheless, when DTC is associated with an aerodigestive invasion, curative surgery is difficult to perform. However, there is no established neoadjuvant therapy for advanced DTC. PRESENTATION OF CASE: A 73-year-old man with thyroid papillary carcinoma was referred to our hospital. A computed tomography examination revealed a tumor in the upper right lobe of the thyroid, and multiple bilateral enlarged lymph nodes in the neck, involving the surrounding structures...
October 14, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29044814/determination-of-the-optimal-depth-of-a-left-internal-jugular-venous-catheter-in-infants-a-prospective-observational-study
#16
Ji-Hyun Lee, Hyo-Jin Byon, Yoon-Hyeong Choi, In-Kyung Song, Jin-Tae Kim, Hee-Soo Kim
BACKGROUND: Few reports exist regarding the optimal depth of a left-sided central venous catheter in pediatric patients. We aimed to provide a guideline for the optimal depth of central venous catheters at the left internal jugular vein in infants, using anatomical landmarks, age, height, and weight. METHODS: A two-stage study was conducted. In the first observational study, infants aged ≤1 year and scheduled for elective surgery requiring a central venous catheter were enrolled...
October 17, 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/28977057/importance-of-clinical-and-laboratory-findings-in-the-diagnosis-and-surgical-prognosis-of-patients-with-constrictive-pericarditis
#17
Fábio Fernandes, Dirceu Thiago Pessoa de Melo, Felix José Alvarez Ramires, Ricardo Ribeiro Dias, Marcio Tonini, Vinicius Dos Santos Fernandes, Carlos Eduardo Rochitte, Carlos Henrique Valente Moreira, Charles Mady
BACKGROUND: International studies have reported the value of the clinical profile and laboratory findings in the diagnosis of constrictive pericarditis. However, Brazilian population data are scarce. OBJECTIVE: To assess the clinical characteristics, sensitivity of imaging tests and factors related to the death of patients with constrictive pericarditis undergoing pericardiectomy. METHODS: Patients with constrictive pericarditis surgically confirmed were retrospectively assessed regarding their clinical and laboratory variables...
October 2, 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28974915/a-case-of-upper-left-extremity-deep-vein-thrombosis-with-right-side-middle-lobe-syndrome
#18
Sathish Babu, Tom Devasia, Yeshwanth Rao Karkal, Ashwini Mohapatra
Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenopathy. Computed tomography (CT) of the neck also showed a hypodense 0.6 cm × 0.8 cm × 1.2 cm lesion in the right middle lobe bronchus, causing complete occlusion and collapse of the right middle lobe of the lung...
July 2017: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/28966158/hybrid-transcatheter-left-ventricular-reconstruction-for-the-treatment-of-ischemic-cardiomyopathy
#19
Carlo Zivelonghi, Patrick Klein, Martin J Swaans, Pierfrancesco Agostoni
AIMS: Treatment of advanced ischemic cardiomyopathy is often challenging, with recurrent episodes of cardiac decompensation and consequent need for multiple hospitalizations. Mixed outcomes have been previously reported after conventional surgical left ventricle(LV) reconstruction. Aim of this report is to describe a novel hybrid transcatheter technique to reconstruct the remodeled LV. METHODS AND RESULTS: In this manuscript, we provide a detailed step-by-step description of a novel procedure, called Less Invasive Ventricular Enhancement(LIVE), which reconstructs the remodeled LV by plication of anteroseptal LV scar, thus reducing the enlarged volume, decreasing wall stress and increasing ejection fraction...
October 3, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28957991/venovenous-extracorporeal-membrane-oxygenation-for-the-management-of-contralateral-iatrogenic-bronchus-perforation-during-lower-bilobectomy
#20
Dejan Radakovic, Marc Lazarus, Rainer G Leyh, Ivan Aleksic
Tracheobronchial rupture by a double-lumen endobronchial tube is a rare but life-threatening complication. We report a case of bronchial rupture during contralateral bilobectomy. Venovenous extracorporeal membrane oxygenation support was instituted via the right femoral vein and the internal jugular vein with the patient in the left lateral decubitus position. Sleeve resection of the ruptured bronchus was performed. The patient was successfully discharged home. Rapid institution of venovenous extracorporeal membrane oxygenation is helpful to manage this intraoperative complication...
August 22, 2017: European Journal of Cardio-thoracic Surgery
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