keyword
https://read.qxmd.com/read/38514135/-basic-and-advanced-techniques-of-anastomosis-in-deep-surgical-fields-sta-sca-anastomosis
#21
JOURNAL ARTICLE
Tomohiro Inoue, Sho Tsunoda, Masafumi Segawa, Ryuichi Noda, Hiroshi Matsufuji, Yuya Sakakura, Mariko Kawashima, Atsuya Akabane, Chikayuki Ochiai
This article detailly describes the subtemporal-transtentorial STA-SCA bypass technique. Through temporal base drilling, copious cerebrospinal fluid evacuation before retraction, and sufficient retraction of the temporal lobe preserving the veins of the temporal base would be primodial to obtain an appropriate surgical field. Refrection of the tentrial free edge and identification of recipient SCA posterior to the entry point of the trochlear nerve into the cavernous sinus is a micro-anatomical key. Bilateral bayonet-type needle holders and forceps should be used not to shadow the surgical corridor with one's hands...
March 2024: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/38513797/initial-experience-with-the-ambulatory-management-of-acute-iliofemoral-deep-vein-thrombosis-with-may-thurner-syndrome-with-percutaneous-mechanical-thrombectomy-angioplasty-and-stenting
#22
JOURNAL ARTICLE
Daniel Nguyen, Scott S Berman, Joshua A Balderman, Joseph E Sabat, Bernardo Mendoza, Luis R Leon, John P Pacanowski, Cody Kraemer
OBJECTIVE: Patients undergoing intervention for acute iliofemoral deep vein thrombosis (IFDVT) with May-Thurner syndrome (MTS) typically require inpatient (IP) hospitalization for initial treatment with anticoagulation and management with pharmacomechanical thrombectomy. Direct anticoagulants (DOACs) and percutaneous mechanical thrombectomy (PMT) devices offer the opportunity for outpatient (OP) management. Our approach with these patients is described in this report. METHODS: Patients receiving intervention for acute IFDVT from January 2020 through October 2022 were retrospectively reviewed...
March 19, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38513152/intercalary-resection-of-the-tibia-for-primary-bone-tumors-are-vascularized-fibula-autografts-with-or-without-allografts-a-durable-reconstruction
#23
JOURNAL ARTICLE
Domenico Andrea Campanacci, Roberto Scanferla, Mariagrazia Marsico, Federico Scolari, Guido Scoccianti, Giovanni Beltrami, Luca Delcroix, Marco Innocenti, Rodolfo Capanna
BACKGROUND: Reconstruction with vascularized fibula grafts (VFG) after intercalary resection of sarcoma may offer longevity by providing early graft-host union and fracture healing. The ability of the fibula to hypertrophy under mechanical stress, as well as vascularized bone in the area, may also be advantageous, given that soft tissues may be compromised because of resection, chemotherapy, or radiation therapy. VFG with a massive allograft combines the primary mechanical stability of the graft with the biological potential of the vascularized fibula; however, complications and the durability of this combined reconstruction are not well described...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38512390/trends-in-the-prevalence-and-risk-factors-for-peripherally-inserted-central-catheter-related-complications-in-cancer-patients-from-2016-to-2022-a-multicenter-study
#24
JOURNAL ARTICLE
Shengxiao Nie, Lei Wang, Shengmiao Ma, Hong Sun
PURPOSE: To identify the trends in the prevalence of peripherally inserted central catheter (PICC) related complications in cancer patients and explore the risk factors for complications and occurrence speed. METHODS: A total of 3573 cancer patients with PICC were recruited at 17 hospitals from 2016 to 2022. Logistic and COX regression were performed to identify influencing factors of PICC-related complications and incidence speed, respectively. RESULTS: The proportion of symptomatic PICC-related thrombosis, phlebitis, and infections reported had decreased from 59...
March 21, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38510368/anticoagulation-management-in-elderly-patients-with-proximal-femur-fractures%C3%A2-overview-of-current-concepts
#25
REVIEW
Yasmin Youssef, Anna K I M Dietrich, Annika Hättich
OBJECTIVES: Proximal femur fractures (PFF) are common injuries in elderly patients and can have considerable effects on their quality of life, morbidity, and mortality. Due to pre-existing comorbidities, the prevalence of anticoagulated patients is increasing. The right timing for surgery and perioperative anticoagulation treatment remains controversial. CONTENT: This overview aims to summarize current practices in the pre- and postoperative anticoagulation management and the recommended time to surgery in elderly patients with PFF...
December 2023: Innovative Surgical Sciences
https://read.qxmd.com/read/38510098/endovascular-release-of-an-adams-deweese-clip-and-iliocaval-reconstruction-for-debilitating-lower-extremity-swelling
#26
Eric Sung, Joel L Ramirez, Devin Zarkowsky
More than 10 million cases of venous thromboembolisms are reported on an annual basis and are major contributors to morbidity and mortality. Studies have found that ≤90% of pulmonary embolisms originate from the abdominal and lower extremity veins. The mainstay of venous thromboembolism treatment has been, and still continues to be, anticoagulation. However, for patients for whom anticoagulation is contraindicated or has failed, physicians have turned to surgical innovations such as inferior vena cava (IVC) filters to create partial interruption of the IVC...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510086/extensive-iliofemoral-and-femoropopliteal-venous-thrombosis-in-a-young-patient-with-iliocaval-atresia
#27
Antonio Solano, Alejandro Pizano, Valentin Figueroa, Andrea Klein, Jacqueline Babb, Vivek Prakash, Khalil Chamseddin, Gerardo Gonzalez-Guardiola, Melissa L Kirkwood, Michael C Siah
Inferior vena cava (IVC) atresia is a rare congenital anomaly. Standardized treatment is not well defined due to its uncommon presentation, with this pathology associated with an increased risk of unprovoked lower extremity deep vein thrombosis (DVT). We present a case of a 32-year-old man who was admitted for bilateral lower extremity edema and pain and was found to have bilateral extensive iliofemoral and femoropopliteal DVT, absence of IVC filling, and extensive tortuous collateralization arising from the pelvic veins to the azygos vein...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38509585/renal-damage-and-old-age-risk-factors-for-thrombosis-in-patients-with-anca-associated-vasculitis
#28
JOURNAL ARTICLE
Xin Chen, Shuo Zhang, Ruilian You, Yixin Ma, Peng Xia, Xiaoxiao Shi, Haiting Wu, Ke Zheng, Yan Qin, Xinping Tian, Limeng Chen
INTRODUCTION: Thrombosis in ANCA-associated vasculitis (AAV) was prevalent and has been neglected in Chinese patients. This study tried to describe the clinical characteristics, identify the risk factors, and investigate the causal relationship between AAV and venous thromboembolism (VTE) by two-sample Mendelian randomization (MR) analysis. METHODS: In this retrospective, observational study, we included all hospitalized AAV patients from Jan 2013 to Apr 2022 in Peking Union Medical College Hospital...
March 20, 2024: Thrombosis Journal
https://read.qxmd.com/read/38509493/analysis-of-the-incidence-and-risk-factors-of-blood-transfusion-in-total-knee-revision-a-retrospective-nationwide-inpatient-sample-database-study
#29
JOURNAL ARTICLE
Xiaoyin Li, Hao Xie, Shuxia Liu, Jian Wang, Zhanjun Shi, Qiaobing Yao, Qinfeng Yang, Qiuhong Li, Liangxiao Bao
OBJECTIVE: This study sought to determine the incidence and risk factors of blood transfusion among patients undergoing total knee revision (TKR) using a nationwide database. METHODS: A retrospective data analysis was conducted based on the Nationwide Inpatient Sample (NIS), enrolling patients who underwent TKR from 2010 to 2019 with complete information. The patients were divided into two groups based on whether they received blood transfusion or not. The demographic characteristics (race, sex, and age), length of stay (LOS), total charge of hospitalization, hospital characteristics (admission type, insurance type, bed size, teaching status, location, and region of hospital), hospital mortality, comorbidities, and perioperative complications were analyzed...
March 20, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38507055/incidence-and-characteristic-of-deep-venous-thrombosis-in-hospitalized-chronic-heart-failure-patients
#30
JOURNAL ARTICLE
Jia-Lin Yuan, Wen Kang Xiao, Chao Qiong Zhang, Le Sun, Ying Kang Lin, Chuang-Xiong Hong
BACKGROUND: This study was conducted to investigate the incidence of deep venous thrombosis (DVT), outcomes and its characteristics in patients with chronic heart failure (CHF) in a retrospective setting. OUTCOMES: Patients died of cardiac shock or acute exacerbation of heart failure (HF), admitted to intensive care unit (ICU) due to acute exacerbation of HF, patients decided to withdraw treatment and return home due to acute exacerbation of HF. METHODS: From January 2015 to June 2022, we admitted 359 patients diagnosed with CHF, and lower limb ultrasonography was performed for the examination of DVT after admission...
March 20, 2024: Heart and Vessels
https://read.qxmd.com/read/38503987/advances-in-d-dimer-testing-progress-in-harmonization-of-clinical-assays-and-innovative-detection-methods
#31
REVIEW
Rong Zhao, Mengran Li, Peng Xiao, Dewei Song, Hongmei Li
The D-dimer is a sensitive indicator of coagulation and fibrinolysis activation, especially valuable as a biomarker of intravascular thrombosis. Measurement of plasma D-dimer levels plays a crucial role in the diagnosis and monitoring of conditions such as deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of immunoassays, including enzyme-linked immunosorbent assays, latex-enhanced immunoturbidimetric assays, whole-blood aggregation analysis, and immunochromatography assays, are widely used in clinical settings to determine D-dimer levels...
March 20, 2024: Analytical and Bioanalytical Chemistry
https://read.qxmd.com/read/38500896/hemolytic-anemia-as-a-provoking-factor-for-recurrent-venous-thromboembolism-a-case-report
#32
Pablo Demelo-Rodríguez, Sabela Castañeda-Pérez, Leyre Alonso-Gonzalo, Sergio Moragón-Ledesma, Francisco Galeano-Valle
Warm antibody autoimmune hemolytic anemia (WAIHA) is a rare disease that leads to the destruction of red blood cells in the reticuloendothelial system through the mediation of agglutinins (immunoglobulin G (IgG) type in most cases) that attach to the erythrocyte wall at 37 °C. The association of WAIHA and venous thromboembolism (VTE) seems to be higher than other hemolytic disorders classically associated with VTE and there is a current investigation aimed at clarifying this association and establishing some criteria to use anticoagulant treatment in patients with WAIHA...
February 2024: Curēus
https://read.qxmd.com/read/38500418/-application-of-anterior-region-suture-of-popliteal-hiatus-in-treatment-of-discoid-lateral-meniscus-injury-with-instability-in-popliteal-tendon-region
#33
JOURNAL ARTICLE
He Wu, Zhu Dai, Yuxi Chen, Weijie Fan, Ying Liao, Chao Liu, Jianghua Liu, Yu Ming
OBJECTIVE: To discuss the application of anterior region suture of the popliteal hiatus (PH) under arthroscopy in the treatment of discoid lateral meniscus (DLM) injury with instability in the popliteal tendon region. METHODS: The clinical data of 53 patients (56 knees) with DLM injury who met the selection criteria between March 2014 and November 2022 were retrospectively analyzed. There were 15 males and 38 females, aged 8-55 years with an average age of 36.5 years...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38498701/interactions-between-integrin-%C3%AE-9%C3%AE-1-and-vcam-1-promote-neutrophil-hyperactivation-and-mediate-post-stroke-dvt
#34
JOURNAL ARTICLE
Nilesh Pandey, Harpreet Kaur, Mehul R Chorawala, Sumit Kumar Anand, Lakshmi Chandaluri, Megan Butler, Richa Aishwarya, Shiva Jashwanth Gaddam, Xinggui Shen, Mabruka Alfaidi, Jian Wang, Xiaolu Xhang, Kavitha Beedupalli, Md Shenuarin Bhuiyan, Mohammad Alfrad Nobel Bhuiyan, Prabandh Buchhanolla, Prashant Rai, Rahul Shah, Himanshu Chokhawala, Dedrick Jordan, Tarek Magdy, A Wayne Orr, Karen Y Stokes, Oren Rom, Nirav Dhanesha
Venous thromboembolic events are significant contributors to morbidity and mortality in patients with stroke. Neutrophils are among the first cells in the blood to respond to stroke and are known to promote deep vein thrombosis (DVT). Integrin α9 is a transmembrane glycoprotein, highly expressed on neutrophils and stabilizes neutrophil adhesion to activated endothelium via vascular cell adhesion molecule 1 (VCAM-1). Nevertheless, the causative role of neutrophil integrin α9 in post-stroke DVT remains unknown...
March 18, 2024: Blood Advances
https://read.qxmd.com/read/38496264/case-of-circulating-tumor-cells-discovered-in-extensive-deep-venous-thrombosis-in-a-patient-with-known-urothelial-carcinoma
#35
Ekrem Yetiskul, Ali Kimyaghalam, Shahkar Khan, Yisroel Grabie, Taqi A Rizvi, Salman Khan
BACKGROUND: Currently, minimal data are available to explore the composition of venous thromboembolism in patients with cancer. This case report discusses a presentation of venous thromboembolism in a patient with high-grade urothelial carcinoma and highlights the pathology findings in thrombi. Case Presentation . A 55-year-old female who was diagnosed with high-grade urothelial carcinoma with multiple metastases developed an extensive deep vein thrombosis in her left lower extremity...
2024: Case Reports in Hematology
https://read.qxmd.com/read/38496200/riedel-s-lobe-and-beaver-tail-variant-a-cadaveric-case-report
#36
Femina Sam, Jenny Jacob, Suganthy Rabi
Variations of the liver in the form of accessory lobes account for about less than 1%. One of the commonest accessory lobes on the right is Riedel's lobe. An occasional anatomical variant of the left lobe is the beaver tail variant. Both variants are reported to be common in females. We hereby report two cases. A 45-year-old female cadaver was noticed to have Riedel's lobe and beaver tail variant. Riedel's lobe appeared to be a tongue-like projection from the right inferior margin of the liver, almost reaching the level of the iliac crest...
February 2024: Curēus
https://read.qxmd.com/read/38496153/familial-deep-vein-thrombosis-in-a-child-with-antithrombin-iii-deficiency-a-case-report
#37
Shivani Kale, Devika Jadhav, Sampada Tambolkar, Avinash Daru
Deep vein thrombosis (DVT) is caused by a clot (thrombus) formed in the deep veins, usually the legs. The incidence of DVT is notably less prevalent in children than in adults. Here, we present a rare case of DVT in an eight-year-old female child with a significant family history involving the untimely death of the maternal aunt. The child presented with pain and edema in the left lower limb causing immobilization without any obvious cause. The clinical features suggested the possibility of DVT. On further evaluation and radiological investigations, the diagnosis of DVT was confirmed...
February 2024: Curēus
https://read.qxmd.com/read/38495393/deep-vein-thrombosis-as-the-presenting-sign-in-an-adolescent-with-new-onset-type-2-diabetes
#38
Felicia Cooper, Mauri Carakushansky, Craig M Johnson, Shilpa Gurnurkar
Prothrombin G20210A mutation occurs in only 2% to 3% of the population, but usually does not become apparent unless the individual exhibits another risk factor for clotting. A risk factor such as hyperglycemia in the setting of diabetes mellitus may accelerate this clotting process, even at a very young age. In this case report, we discuss a 15-year-old boy presenting with left calf swelling and pain, found to have extensive deep vein thrombosis in the setting of hyperglycemia and a newly discovered prothrombin G20210A mutation...
March 2024: JCEM Case Rep
https://read.qxmd.com/read/38493553/quality-of-referrals-for-lower-extremity-ultrasonography-and-computed-tomography-pulmonary-angiography-and-associations-with-positive-findings-of-venous-thromboembolism
#39
JOURNAL ARTICLE
S Naimi, K J Ødegaard, K K Jenssen, P M Lauritzen
INTRODUCTION: The referral is the basis for radiologists' assessment of modality, protocol and urgency, and insufficient information may threaten patient safety. The aim of this study was to assess the completeness of referrals for lower extremity venous duplex ultrasonography (LEVDUS) and computed tomography pulmonary angiography (CTPA), and to investigate associations between the provided clinical information including risk factors, symptoms and lab results in the referrals and positive findings of deep vein thrombosis (DVT) and pulmonary embolism (PE), respectively...
March 16, 2024: Radiography
https://read.qxmd.com/read/38493540/effect-of-corticosteroids-on-ischemia-reperfusion-injury-of-deep-inferior-epigastric-perforator-flap-after-re-exploration-for-anastomosis-thrombosis-a-prospective-randomized-trial
#40
JOURNAL ARTICLE
Simone La Padula, Pasquale M Bufalino, Romain Bosc, Michele Maruccia, Rossella Elia, Francesco D'Andrea, Jean P Meningaud, Barbara Hersant, Rosita Pensato
Patients undergoing breast reconstruction with the deep inferior epigastric perforator (DIEP) flap are at risk of arterial and venous thrombosis, necessitating flap salvage surgery. However, this carries the risk of ischemia-reperfusion injury (IRI) and potential significant partial or complete flap loss. The objective of this study was to evaluate the potential benefit of corticosteroids in reducing IRI related complications in DIEP flaps that are returned to the operation theater for attempted salvage after venous or arterial failure...
February 29, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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