keyword
https://read.qxmd.com/read/38530216/is-it-time-to-reappraise-for-black-box-warning-on-angiojet-rheolytic-thrombectomy-in-patients-with-pulmonary-embolism-a-systematic-review-and-meta-analysis
#1
JOURNAL ARTICLE
Cihangir Kaymaz, Barkın Kültürsay, Hacer Ceren Tokgöz, Aykun Hakgör, Berhan Keskin, Özgür Yaşar Akbal, Ayhan Tosun, Seda Tanyeri, Ahmet Sekban, Çağdaş Buluş, Şeyhmus Külahçıoğlu, Ali Karagöz, İbrahim Halil Tanboğa, Nihal Özdemir
BACKGROUND: AngioJet rheolytic thrombectomy (ART) system has been widely used as a catheter-directed treatment (CDT) method in acute pulmonary embolism (PE), however, there has been a controversy regarding the safety of its use. In this systematic review and meta-analysis, we evaluated the efficacy and safety outcomes of ART in patients with PE. METHODS: Our meta-analysis have been based on search in the MEDLINE, EMBASE, and Cochrane Library for studies published up to August 2022...
March 26, 2024: Anatolian Journal of Cardiology
https://read.qxmd.com/read/38529544/incidence-of-symptomatic-venous-thromboembolisms-in-stroke-patients
#2
JOURNAL ARTICLE
Mostafa Al Turk, Michael Abraham
Venous thromboembolism (VTE) is a common but preventable complication observed in critically ill patients. Deep vein thrombosis (DVT) is the most common type of VTE, with clinical significance based on location and symptoms. There is an increased incidence of DVT and pulmonary embolism (PE) in ischemic stroke patients using unfractionated heparin (UFH) for VTE prophylaxis compared with those using enoxaparin. However, UFH is still used in some patients due to its perceived safety, despite conflicting literature suggesting that enoxaparin may have a protective effect...
March 26, 2024: Journal of Intensive Care Medicine
https://read.qxmd.com/read/38525891/the-topos-study
#3
JOURNAL ARTICLE
Tim Sebastian, Stefano Barco, Davide Voci, Michael Lichtenberg, Oliver Schlager, Houman Jalaie, Rick de Graaf, Christian Erbel, Alexander Massmann, Marc Schindewolf, David Spirk
<b/> Background : We aimed to study the long-term safety and efficacy of oblique venous stents for post-thrombotic syndrome (PTS) with iliac vein compression. Patients and methods : In the multinational, prospective, single-arm TOPOS study, PTS patients scheduled for endovascular therapy with the sinus-Obliquus® stent and optional distal extension with the sinus-Venous® or sinus-XL Flex® stent were enrolled at eight European vascular centres between October 2016 and December 2020. The primary outcome was primary stent patency at 24 months, and secondary outcomes included the clinical course of PTS (Villalta score, revised Venous Clinical Severity Score [rVCSS], Visual Analog Scale [VAS] of pain), quality of life changes (Chronic Venous Insufficiency Quality of Life Questionnaire, CIVIQ-20), and device-related complications...
March 25, 2024: VASA. Zeitschrift Für Gefässkrankheiten
https://read.qxmd.com/read/38524682/multidisciplinary-approach-to-the-management-of-renal-angiomyolipoma-with-inferior-vena-cava-thrombus-and-pulmonary-embolism-a-case-report
#4
Jordyn Perdue, Alexandra Wells, Krishna Patel, Wihan Du Plessis, Jaya Varre, Patrick Salibi
Renal angiomyolipoma (AML) is a benign tumor with rare venous extension. We present a case of a patient with renal AML with inferior vena cava (IVC) tumor thrombus and acute pulmonary embolism (PE). A 34-year-old female presented with chest pain. Imaging revealed a 5 cm right renal AML, with tumor thrombus into the renal vein and IVC, and acute left lower lobe PE. Right radical nephrectomy and caval thrombectomy were performed using intraoperative ultrasound. Rarely, these benign tumors generate thrombus with caval extension...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38523954/management-of-acute-saddle-pulmonary-embolism-in-pregnancy-following-fetal-surgery
#5
Patrick J Connell, Leonardo A Marquez Roa, Jorge Araujo-Duran, Monica Cheriyan, Sabry Ayad
A 33-year-old gravidity three parity three (G3P3) woman at 34 weeks of pregnancy underwent fetal surgery to repair an open lumbosacral myelomeningocele at 22 weeks gestation and experienced preterm premature rupture of membranes as a result. She developed a saddle pulmonary embolus with signs of right heart strain while on prolonged bed rest. She was treated emergently with aspiration thrombectomy and suprarenal inferior vena cava (IVC) filter placement, followed by an uncomplicated cesarean delivery thereafter...
February 2024: Curēus
https://read.qxmd.com/read/38523224/from-pixels-to-prognosis-imaging-biomarkers-for-discrimination-and-outcome-prediction-of-pulmonary-embolism-original-research-article
#6
JOURNAL ARTICLE
Jennifer Gotta, Leon D Gruenewald, Simon S Martin, Christian Booz, Scherwin Mahmoudi, Katrin Eichler, Tatjana Gruber-Rouh, Teodora Biciusca, Philipp Reschke, Lisa-Joy Juergens, Melis Onay, Eva Herrmann, Jan-Erik Scholtz, Christof M Sommer, Thomas J Vogl, Vitali Koch
PURPOSE: Recent advancements in medical imaging have transformed diagnostic assessments, offering exciting possibilities for extracting biomarker-based information. This study aims to investigate the capabilities of a machine learning classifier that incorporates dual-energy computed tomography (DECT) radiomics. The primary focus is on discerning and predicting outcomes related to pulmonary embolism (PE). METHODS: The study included 131 participants who underwent pulmonary artery DECT angiography between January 2015 and March 2022...
March 25, 2024: Emergency Radiology
https://read.qxmd.com/read/38523134/american-association-for-the-surgery-of-trauma-american-college-of-surgeons-committee-on-trauma-clinical-protocol-for-post-discharge-venous-thromboembolism-prophylaxis-after-trauma
#7
JOURNAL ARTICLE
Allison E Berndtson, Alisa Cross, Brian K Yorkgitis, Ryan Kennedy, Matthew P Kochuba, Christopher Tignanelli, Gail T Tominaga, David G Jacobs, Dennis W Ashley, Eric J Ley, Lena Napolitano, Todd W Costantini
Trauma patients are at an elevated risk for developing venous thromboembolism (VTE), which includes pulmonary embolism and deep vein thrombosis. In the inpatient setting, prompt pharmacologic prophylaxis is utilized to prevent VTE. For patients with lower extremity fractures or limited mobility, VTE risk does not return to baseline levels post-discharge. Currently, there are limited data to guide post-discharge VTE prophylaxis in trauma patients. The goal of these post-discharge VTE prophylaxis guidelines are to identify patients at the highest risk of developing VTE after discharge and to offer pharmacologic prophylaxis strategies to limit this risk...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38521989/prediction-of-mortality-in-patients-with-secondary-pulmonary-embolism-based-on-primary-admission-indication-a-short-communication
#8
JOURNAL ARTICLE
Martin J Ryll, Toby N Weingarten, Juraj Sprung
We evaluated the prediction of mortality in patients admitted to the intensive care unit (ICU) who subsequently developed a pulmonary embolism (PE) (i.e., secondary PE) using three PE-specific scores, the Pulmonary Embolism Severity Index (PESI), simplified PESI (sPESI), and modified sPESI (ICU-sPESI) and compared them to the gold standard for the assessment of ICU all-cause mortality, the Acute Physiology and Chronic Health Evaluation-IV (APACHE-IV). All critical care admission indications were grouped into four major categories: post-operative, cardiovascular, infectious (sepsis), and other...
March 23, 2024: Biomol Biomed
https://read.qxmd.com/read/38519743/ct-pulmonary-angiography-in-the-emergency-department-utilization-and-positivity-rates-during-various-phases-of-the-covid-19-pandemic
#9
JOURNAL ARTICLE
Vamshi K Mugu, Brendan M Carr, Michael C Olson, Ashish Khandelwal
PURPOSE: To evaluate the trends in utilization and results of computed tomography pulmonary angiography (CTPA study) for detection of acute pulmonary embolism (PE) in the Emergency Department (ED) during different phases of COVID-19 public health emergency. METHODS: We conducted a retrospective review of CTPA studies ordered through our ED in the months of March through May during five consecutive years from 2019 to 2023, designated as pre-pandemic, early, ongoing, recovery, and post-pandemic periods respectively...
March 23, 2024: Emergency Radiology
https://read.qxmd.com/read/38518999/racial-disparities-and-other-socioeconomic-predictors-of-mortality-in-acute-pulmonary-embolism-treatment-from-the-national-inpatient-sample
#10
JOURNAL ARTICLE
Joseph A Breuer, K Hamzah Ahmed, Riley Scherr, Caitlyn Sing, Farouk Nouizi, Kenneth Nguyen Huynh, Gelareh Sadigh, Dinora Chinchilla, Nadine Abi-Jaoudeh
PURPOSE: To explore the significance of socioeconomic factors such as race and ethnicity as predictors of mortality in sub-massive and massive acute pulmonary embolism (PE). MATERIALS AND METHODS: Hospitalizations aged > 18 years with acute, non-septic PE from 2016 to 2019 were identified in the National Inpatient Sample and divided into IR (CDT and thrombectomy) and non-IR (tPA) treatments. Statistical analyses calculated significant odds ratios via 95% confidence intervals...
March 20, 2024: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/38516287/mechanical-thrombectomy-using-double-stent-retriever-technique-for-acute-ischemic-stroke-following-embolism-from-the-pulmonary-vein-stump-after-left-upper-lobectomy-a-case-report
#11
Haruki Hirata, Yuta Kaneshiro, Yumiko Urano, Keiji Murata
Acute ischemic stroke (AIS) following pulmonary lobectomy, which is traditionally attributed to air embolism and atrial fibrillation (AF), may occur after thrombus formation in the pulmonary vein stump (PVS). Herein, we document the mechanical thrombectomy (MT) of a carotid bifurcation occlusion post-left upper lobectomy (LUL) to manage AIS. A 76-year-old male with a history of diabetes, dyslipidemia, and a treated dural arteriovenous fistula at the transverse sigmoid junction, with no history of AF, successfully underwent LUL for a pulmonary tumor...
March 2024: Curēus
https://read.qxmd.com/read/38514348/time-to-resolution-of-right-ventricle-dysfunction-in-patients-with-acute-pulmonary-embolism
#12
Winnifer Briceño, Gema Díaz, Ana Castillo, Ignacio Jara, Edwin Yong, Laura Lago, Mads Dam Lyhne, Manuel Monreal, Behnood Bikdeli, David Jimenez
No abstract text is available yet for this article.
March 7, 2024: Archivos de Bronconeumología
https://read.qxmd.com/read/38511273/chronic-kidney-disease-and-outcomes-in-hospitalized-sickle-cell-disease-patients-a-national-inpatient-sample-analysis
#13
JOURNAL ARTICLE
Temitope Ajibawo, Oluwatimilehin Okunowo
OBJECTIVES: To examine the association between chronic kidney disease (CKD) and outcomes in sickle cell disease (SCD) patients. METHODS: Patients ≥18 years with SCD in the National Inpatient Sample database between 2016 and 2018 were identified using ICD-10-CM diagnosis codes. A 1:1 propensity-score matched analysis was performed to compare in-hospital outcomes of patients with and without CKD. RESULTS: Of the 366 240 SCD admissions, 19 365 (5...
March 21, 2024: European Journal of Haematology
https://read.qxmd.com/read/38511125/changes-in-pulmonary-vascular-resistance-and-obstruction-score-following-acute-pulmonary-embolism-in-pigs
#14
JOURNAL ARTICLE
Victor T Merit, Mathilde E Kirk, Jacob G Schultz, Jacob V Hansen, Mads D Lyhne, Anders D Kramer, Christina C E Pedersen, Lina Karout, Mannudeep K Kalra, Asger Andersen, Jens Erik Nielsen-Kudsk
OBJECTIVES: To investigate the contribution of mechanical obstruction and pulmonary vasoconstriction to pulmonary vascular resistance (PVR) in acute pulmonary embolism (PE) in pigs. DESIGN: Controlled, animal study. SETTING: Tertiary university hospital, animal research laboratory. SUBJECTS: Female Danish slaughter pigs ( n = 12, ~60 kg). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: PE was induced by infusion of autologous blood clots in pigs...
February 2024: Critical care explorations
https://read.qxmd.com/read/38510221/venovenous-extracorporeal-membrane-oxygenation-usage-following-bullet-embolism-to-the-pulmonary-artery
#15
Jonathan E Schoen, Brian Carr, Murtuza Ali, Brett Chapman, Alan Marr, Lance Stuke, Patrick Greiffenstein, John P Hunt, Paige Deville, Alison Smith
Background: Pulmonary artery embolus is a rare complication following gunshot wounds that creates a unique and serious challenge for trauma surgeons. While the majority of bullets that embolize through the vascular system end in the peripheral circulation, approximately one-third enter the central venous circulation. Case Report: We present the case of a bullet embolus to the left pulmonary artery following gunshot wounds to the right chest and the abdomen, with the abdominal ballistic traversing the liver before entering the vena cava and embolizing...
2024: Ochsner 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
#16
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/38504353/successful-surgical-treatment-of-impending-paradoxical-embolism-with-pulmonary-embolism-and-myocardial-infarction
#17
JOURNAL ARTICLE
Yong Liu, Zhiyun Yang, Xinxin Sun, Mei Yang, Tao Zhang, Ruilin Li, Ying Wei, Hao Cao
BACKGROUND: Paradoxical embolism is a rare cause of acute arterial occlusion. This phenomenon arises when embolic material travels from the venous system crosses an abnormal shunt such as patent foramen ovale, atrial septal defects, ventricular septal defects, or pulmonary arteriovenous malformations, into the arterial system. Impending paradoxical embolism refers to the presence of an entrapped thrombus in the patent foramen ovale. CASE PRESENTATION: We report a case of a 68-year-old female patient who presented with an impending paradoxical embolism, alongside both concomitant pulmonary embolism and myocardial infarction with ST-segment elevation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38502985/efficacy-and-safety-of-tranexamic-acid-in-acute-traumatic-brain-injury-a-meta-analysis-of-randomized-controlled-trials
#18
REVIEW
Minzhi Zhang, Tao Liu
INTRODUCTION: Tranexamic acid (TXA) holds a pivotal role in the therapeutic approach to traumatic conditions. Nevertheless, its precise influence on diminishing mortality and limiting the progression of intracranial hemorrhage (ICH) during the treatment of traumatic brain injury (TBI) remains indeterminate. METHODS: PubMed, EMBASE, Cochrane Library, and Web of Science were searched for randomized controlled trials that compared TXA and a placebo in adults with TBI up to September 31, 2023...
March 13, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38499185/intensive-care-treatment-of-pulmonary-embolism-an-update-based-on-the-revised-awmf-s2k-guideline
#19
JOURNAL ARTICLE
Uwe Janssens
Acute pulmonary embolism (PE) remains a significant cause of morbidity and requires prompt diagnosis and management. The prognosis of affected patients depends on the clinical severity. Therefore, risk stratification is imperative for therapeutic decision-making. Patients with high-risk PE need intensive care. These include patients who have successfully survived resuscitation, with obstructive shock or persistent haemodynamic instability. Bedside diagnostics by means of sonographic procedures are of outstanding importance in this high-risk population...
March 18, 2024: Hämostaseologie
https://read.qxmd.com/read/38496063/an-atypical-case-of-polycystic-ovarian-syndrome-and-possible-newly-diagnosed-systemic-lupus-erythematosus-complicated-with-a-cerebrovascular-accident-in-a-young-female-a-case-report
#20
Divine Besong Arrey Agbor, Derek Ugwendum, Barath Prashanth Sivasubramanian, Maureen A Ojwaka, Sabastain F Forsah, Shakirat Gold-Olufadi, Tochukwu Nzeako, Rita Offor, Nkafu Bechem Ndemazie, Jay Nfonoyim
Polycystic ovary syndrome (PCOS) is the leading cause of endocrine disorders among females of reproductive age and is linked with autoimmune disorders. PCOS has been associated with autoantibodies such as antinuclear antibody (ANA), anti-thyroid, and anti-Smith (anti-SM). Young patients with PCOS and systemic lupus erythematosus (SLE) have up to a 10-fold increase in stroke. We present a case of a patient with a history of PCOS (on metformin), hypothyroidism, and pulmonary embolism who presented to the emergency room with acute left-sided weakness...
February 2024: Curēus
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