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https://www.readbyqxmd.com/read/29349395/delayed-migration-of-a-thrombosed-aortic-endograft-within-a-thrombosed-aneurysm-sac-resulting-in-continued-sac-expansion-and-rupture
#1
Edvard Skripochnik, Nicos Labropoulos, Shang A Loh
We present the case of delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac that expanded and ruptured. Dilation of the aortic neck likely led to endograft migration and exposure of the occluded endograft and aneurysm sac to systemic pressure. Although no endoleak was identified, a key finding on ultrasound showed mobility of the sac thrombus. This may be an indicator of flow within the sac that may predict potential for rupture. Despite thrombosis of the aortic sac and endograft, the risk of rupture still lingers, and thus continued surveillance of occluded endografts may be prudent...
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349391/inguinal-pain-and-fullness-due-to-an-intravascular-leiomyoma-in-the-external-iliac-vein
#2
Edvard Skripochnik, Lisa Marie Terrana, Nicos Labropoulos, Melissa Henretta, Todd Griffin, Shang A Loh
Intravascular leiomyomatosis (IVL) is a benign smooth muscle tumor that evolves from the pelvic veins and can spread to the central veins and heart. Cardiac involvement is the most commonly reported presentation. Initial diagnosis is difficult, and IVL is commonly misdiagnosed as thrombus or atrial myxoma. Appropriate imaging and a high clinical suspicion are required for accurate diagnosis. We report a rare case of IVL in the external iliac vein that recurred 4 years after hysterectomy. Only four cases have been reported in the literature to involve the external iliac vein as it has no direct connection to pelvic venous drainage...
June 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29336975/mechanical-and-biochemical-role-of-fibrin-within-a-venous-thrombus
#3
REVIEW
Anirudh Chandrashekar, Gurtej Singh, Jonah Garry, Nicholas Sikalas, Nicos Labropoulos
BACKGROUND: The physical properties of a venous thrombus are derived from molecular characteristics, including fibrin polymer diameter, density, branching, and cross-linking. Dense thrombi with thin, highly branched fibrin fibres and small pores in the meshwork have been observed to be more rigid, less permeable, and more resistant to lysis. The three dimensional fibrin meshwork acts as the main structure to entrap and capture erythrocytes, platelets and plasma components. Attached factors become integrated into the developing thrombus, co-localise with fibrin deposition and act in either a pro- or anticoagulant capacity...
January 12, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29229465/diverse-management-of-isolated-calf-deep-venous-thrombosis-in-a-university-hospital
#4
Raudel Garcia, Kristan Probeck, Doreen M Elitharp, Antonios P Gasparis, Nicos Labropoulos
BACKGROUND: The management of patients with isolated deep venous thrombosis (DVT) is controversial, leading to overtreatment and undertreatment with several complications and increased cost. The aim of this study was to describe the management of isolated calf DVT (ICDVT) in a university hospital. METHODS: Data on patients with acute DVT in our hospital are prospectively entered in a database through our venous thromboembolism team. All patients had an objective diagnosis with duplex ultrasound (DU) in our accredited vascular laboratory...
December 8, 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29097042/clinical-characteristics-and-outcome-of-isolated-infrarenal-aortic-stenosis-in-young-patients
#5
Spyridon Monastiriotis, Shang Loh, Apostolos Tassiopoulos, Nicos Labropoulos
OBJECTIVE: The objective of this study was to identify young patients with isolated infrarenal aortic atherosclerotic stenosis and to determine the clinical characteristics and midterm results of angioplasty and stenting. METHODS: Data from patients younger than 50 years with significant infrarenal aortic stenosis and at least 1 year of follow-up were prospectively collected. Patients with coexistent suprarenal or iliofemoral disease and Takayasu arteritis were excluded...
October 30, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29042075/evolution-of-type-ii-endoleaks-based-on-different-ultrasound-identified-patterns
#6
Spyridon Monastiriotis, Ignatius Lau, Shang Loh, John Ferretti, Apostolos Tassiopoulos, Nicos Labropoulos
OBJECTIVE: The objective of this study was to delineate the specific types of waveforms that exist in type II endoleaks (T2ELs) and their effect on aneurysm sac size. METHODS: Patients who underwent an endovascular aneurysm repair and were diagnosed with a T2EL were included in the study. The flow velocity characteristics of the T2ELs were evaluated in detail with duplex ultrasound. Four different flow patterns were identified: high resistance, low flow; low resistance, low flow; low resistance, high flow; and to-fro flow...
October 14, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28943005/correlation-between-pelvic-congestion-syndrome-and-body-mass-index
#7
Ruhani Nanavati, Patrick Jasinski, Demetri Adrahtas, Antonios Gasparis, Nicos Labropoulos
OBJECTIVE: Previous studies of men suggested that patients with varicocele may be leaner than the normal population. No such work exists in women with pelvic congestion syndrome (PCS). This study evaluated the correlation between body mass index (BMI) and PCS. METHODS: A case-control study at a single institution was performed of women who had the objective diagnosis of PCS. Data were prospectively collected for 100 consecutive patients with PCS. BMI was calculated for every patient and categorized into normal weight (BMI <25), overweight (BMI 25-29...
September 21, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28931347/symptomatic-duodenal-perforation-by-inferior-vena-cava-filter
#8
Anna Pw Baptista Sincos, Igor R Sincos, Nicos Labropoulos, Bruno C Donegá, Andrea Klepacz, Ricardo Aun
Objectives Duodenal perforation by an inferior vena cava filter is rare and life threatening. Our objective is to find out number of occurrences and compare diagnosis and treatments. Method The reference list of Malgor's review in 2012 was considered as well as all new articles with eligible features. Search was conducted on specific databases: MEDLINE, Web of Sciences, and Literatura Latino-Americana e do Caribe em Ciências da Saúde. Results Most of the patients presented with upper abdominal pain and the use of radiologic studies was crucial for diagnosis...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28763509/mediterranean-diet-and-cognitive-health-initial-results-from-the-hellenic-longitudinal-investigation-of-ageing-and-diet
#9
Costas A Anastasiou, Mary Yannakoulia, Mary H Kosmidis, Efthimios Dardiotis, Giorgos M Hadjigeorgiou, Paraskevi Sakka, Xanthi Arampatzi, Anastasia Bougea, Ioannis Labropoulos, Nikolaos Scarmeas
BACKGROUND: The Mediterranean dietary pattern has been associated with a decreased risk of many degenerative diseases and cognitive function in particular; however, relevant information from Mediterranean regions, where the prototype Mediterranean diet is typically adhered to, have been very limited. Additionally, predefined Mediterranean diet (MeDi) scores with use of a priori cut-offs have been used very rarely, limiting comparisons between different populations and thus external validity of the associations...
2017: PloS One
https://www.readbyqxmd.com/read/28623997/a-rare-case-of-idiopathic-bilateral-ovarian-vein-thrombosis
#10
Raudel Garcia, Antonios P Gasparis, Shang A Loh, Nicos Labropoulos
Ovarian vein thrombosis (OVT) is a rare medical disorder most often diagnosed in the peripartum period and maybe associated with other risk factors for thrombosis. Rarely, OVT is considered idiopathic. It occurs in the right ovarian vein alone in two-thirds of patients. In this report, we present a case of idiopathic and bilateral OVT in a 35-year-old woman who presented with 2-day history of left flank pain. Duplex ultrasound imaging and computed tomography confirmed the diagnosis. Oral anticoagulation achieved a favorable outcome...
July 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28539057/abdominal-aortic-aneurysm-screening-do-we-need-to-shift-toward-a-targeted-strategy
#11
Konstantinos Spanos, Nicos Labropoulos, Athanasios Giannoukas
No abstract text is available yet for this article.
January 1, 2017: Angiology
https://www.readbyqxmd.com/read/28411701/lack-of-symmetry-in-the-major-lower-limb-veins
#12
Anirudh Chandrashekar, Antonios Gasparis, Nicos Labropoulos
BACKGROUND: Contemporary texts frequently present the venous system of the lower limb as a prime example of bilateral symmetry. However, overt bilateral asymmetry may be noted. This study was designed to examine and to quantify the level of symmetry in the lower extremity veins. METHODS: This prospective cohort study evaluated major anatomic differences between right and left lower extremity veins in adult patients. Two hundred patients presenting with signs and symptoms of chronic venous disease (CVD; class 2-6) and venous reflux on duplex ultrasound were examined...
May 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28327952/risk-of-venous-thromboembolism-and-operative-duration-in-patients-undergoing-neurosurgical-procedures
#13
Kimon Bekelis, Nicos Labropoulos, Shannon Coy
BACKGROUND: The association of operative duration with the risk of venous thromboembolism (VTE) has not been quantified in neurosurgery. OBJECTIVE: To investigate the association of surgical duration for several neurosurgical procedures and the incidence of VTE. METHODS: We performed a retrospective cohort study involving patients who underwent neurosurgical procedures from 2005 to 2012 and were registered in the American College of Surgeons National Quality Improvement Project registry...
May 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28214497/incidence-of-pulmonary-embolism-in-patients-with-isolated-calf-deep-vein-thrombosis
#14
REVIEW
Alvin R Wu, Jonah Garry, Nicos Labropoulos
BACKGROUND: The severity of pulmonary embolism (PE) after isolated calf deep vein thrombosis (C-DVT) is controversial, which leads to inconsistent clinical decision making when treating C-DVT. This systematic review assessed PE frequency and severity in patients with C-DVT. METHODS: Database searches were completed using MEDLINE and Scopus along with cross-referencing. Two independent reviewers used using rigorous inclusion and exclusion criteria to screen the papers...
March 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28214490/saphenous-vein-wall-thickness-in-age-and-venous-reflux-associated-remodeling-in-adults
#15
Nicos Labropoulos, Kelli Leilani Summers, Ignacio Escotto Sanchez, Joseph Raffetto
OBJECTIVE: This prospective study was designed to determine the great saphenous vein (GSV) wall thickness in age-related and venous reflux-associated remodeling. METHODS: GSV wall thickness was measured in the thigh and calf using a duplex ultrasound 17-MHz transducer. Interobserver and intraobserver variability studies were performed. Two healthy control groups, each with 10 individuals (20 limbs), were selected on the basis of age. Group 1 had a mean age of 21 years, and group 2 had a mean age of 64 years...
March 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28152728/new-fields-in-the-patient-record-a-tool-or-a-nuisance
#16
Kalliope Stathaki, Theodore Poufos, Frosso Vlachou, Olympia Spyri, Lina Hatziyiasemi, Georgios Rigakos, Stefanos V Labropoulos, Ioanna Prasini, Evangelia Razis
235 Background: The Contemporary Oncology Team was the first practice in Greece to participate in the Quality in Oncology Practice Initiative (QOPI). As a result, several corrective measures were designed and implemented to improve the quality of the services provided to patients. METHODS: The plan-do-check-act approach was used to implement changes, primarily in the follow up form, over a period of 18 months. Several improvement opportunities were identified. 1.) A numerical scale for pain intensity quantification became a required field...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27799418/a-standardized-ultrasound-approach-to-pelvic-congestion-syndrome
#17
Nicos Labropoulos, Patrick T Jasinski, Demetri Adrahtas, Antonios P Gasparis, Mark H Meissner
Pelvic congestion syndrome is one of the many causes of chronic pelvic pain and is often diagnosed based on exclusion of other pathologies. Over the past decades, pelvic congestion syndrome was recognized to be a more common cause of chronic pelvic pain. Multiple diagnostic modalities including pelvic duplex ultrasonography, transvaginal ultrasonography, computed tomography, and magnetic resonance were studied. In the current literature, selective ovarian venography, an invasive imaging approach, is believed to be the gold standard for diagnosing pelvic congestion syndrome...
October 2017: Phlebology
https://www.readbyqxmd.com/read/27598472/endothermal-venous-ablation-of-the-saphenous-vein-on-patients-who-are-on-anticoagulation-therapy
#18
Shekeeb Sufian, Alejandro Arnez, Nicos Labropoulos, Sanjiv Lakhanpal
BACKGROUND: The purpose of this study was to evaluate the risks of bleeding, deep venous thrombosis (DVT), endovenous heat induced thrombosis (EHIT) and failure of ablation on patients who undergo ablation while on oral anticoagulation. METHODS: We compared 378 (3.4%) out of 11252 patients (group A) who had undergone 724 endovenous ablation of the saphenous veins from January 1, 2011 to September 30, 2014 while on oral anticoagulation to a randomly selected 375 patients (group B) who underwent 641endovenous ablation in the same time period but were not on anticoagulation...
June 2017: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/27567936/commentary-on-ultrasonography-of-skin-changes-in-legs-with-chronic-venous-disease
#19
N Labropoulos
No abstract text is available yet for this article.
October 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27546338/early-physician-follow-up-and-out-of-hospital-outcomes-after-cerebral-aneurysm-treatment-in-elderly-patients
#20
Kimon Bekelis, Dan Gottlieb, Yin Su, Nicos Labropoulos, Stavropoula Tjoumakaris, Pascal Jabbour, Todd A MacKenzie
BACKGROUND: The impact of early physician follow-up on out-of-hospital outcomes after cerebral aneurysm treatment has not been studied previously. We investigated the association of early physician follow-up (within 30 days of discharge) with mortality and readmissions for elderly patients undergoing treatment for cerebral aneurysms. METHODS: We performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who underwent treatment for cerebral aneurysms from 2007 to 2012...
November 2016: World Neurosurgery
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