keyword
MENU ▼
Read by QxMD icon Read
search

Long term prevention of pulmonary emboli

keyword
https://www.readbyqxmd.com/read/27571002/from-acute-to-chronic-thromboembolic-disease
#1
Timothy Fernandes, Benjamin Planquette, Olivier Sanchez, Timothy Morris
After achievement of adequate anticoagulation, the natural history of acute pulmonary emboli ranges from near total resolution of vascular perfusion to long-term persistence of hemodynamically consequential residual perfusion defects. The persistence of perfusion defects is necessary, but not sufficient, for the development of chronic thromboembolic pulmonary hypertension (CTEPH). Approximately 30% of patients have persistent defects after 6 months of anticoagulation, but only 10% of those with persistent defects subsequently develop CTEPH...
July 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/26597237/current-status-of-clot-removal-for-acute-pulmonary-embolism
#2
REVIEW
Mark G Davies, Hosam F El-Sayed
Acute pulmonary embolism (PE) continues to carry a high mortality if not recognized early and treated aggressively. Rapid recognition and diagnosis remains the mainstay of all efforts. Risk stratification early is paramount to guide therapy and achieve successful outcomes. Pulmonary emboli can generally be classified as massive, submassive, or stable. Fibrinolysis and/or surgical embolectomy are recommended for the treatment of the patient with massive PE to rescue the patient and restore hemodynamic stability...
February 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/25764172/anticoagulants-for-acute-ischaemic-stroke
#3
REVIEW
Peter A G Sandercock, Carl Counsell, Edward J Kane
BACKGROUND: Most ischaemic strokes are caused by a blood clot blocking an artery in the brain. Clot prevention with anticoagulants might improve outcomes if bleeding risks are low. This is an update of a Cochrane review first published in 1995, with recent updates in 2004 and 2008. OBJECTIVES: To assess the effectiveness and safety of early anticoagulation (within the first 14 days of onset) in people with acute presumed or confirmed ischaemic stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (June 2014), the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Database of Systematic Reviews (CDSR), the Database of Reviews of Effects (DARE) and the Health Technology Assessment Database (HTA) (The Cochrane Library 2014 Issue 6), MEDLINE (2008 to June 2014) and EMBASE (2008 to June 2014)...
March 12, 2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25538128/methicillin-resistant-staphylococcus-aureus-bone-and-joint-infections-in-children
#4
REVIEW
Albert Pendleton, Mininder S Kocher
Methicillin-resistant Staphylococcus aureus has been a clinically significant pathogen in orthopaedics for more than a decade. Research shows that these infections are more virulent and that treatment requires greater use of hospital resources. A multidisciplinary approach involving emergency department physicians, radiologists, interventional radiologists, MRI technicians, pediatricians, infectious disease specialists, anesthesiologists, and orthopaedic surgeons is necessary to optimize outcomes and minimize costs...
January 2015: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/25348742/the-characteristics-and-outcome-of-infective-endocarditis-involving-implantable-cardiac-devices
#5
Eugene Athan
Infection of implantable cardiac electronic devices in particular lead endocarditis (cardiac device infective endocarditis (CDIE)) is an emerging problem with significant morbidity, mortality and health care costs. The epidemiology is characterised with advanced age and health care association in cases presenting within 6 months of implantation. Risk factors include those of the patient, the procedure and the device. Staphylococcal species predominate as the causative organisms. Diagnosis is reliably made by blood cultures and transesophageal echocardiography...
December 2014: Current Infectious Disease Reports
https://www.readbyqxmd.com/read/23787230/inferior-vena-cava-filters
#6
REVIEW
Ido Weinberg, John Kaufman, Michael R Jaff
Venous thromboembolism is common. Most pulmonary emboli arise as thromboses in the deep veins of the lower extremities and may result in serious complications. Inferior vena cava filters (IVCF) are intended to prevent the passage of deep vein thrombosis to the pulmonary arteries. Accepted indications for IVCF placement include the presence of acute venous thromboembolism with inability to administer anticoagulation medication or failure of anticoagulation. Despite these clear indications, IVCF have been commonly placed in patients for primary prevention of pulmonary emboli in patients deemed to be at high risk, along with several other "soft" indications...
June 2013: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/23645394/endovascular-removal-of-a-permanent-trapease-inferior-vena-cava-filter
#7
Sasidhar Yallampalli, Zubin Irani, Sanjeeva P Kalva
Inferior vena cava (IVC) filter placement has seen a rising trend over the past decade. Although effective in the prevention of future pulmonary emboli, filters are associated with several long-term complications including deep venous thrombosis, filter migration, filter fracture, and caval thrombosis. The IVC filters have evolved over the years to minimize these unwarranted sequelae. We describe a technique to remove a permanent IVC filter in a patient who no longer required mechanical protection.
July 2013: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/23535815/acute-pulmonary-emboli-in-a-patient-on-long-term-dabigatran-therapy
#8
Joseph A Rafferty, Rathasen Prom, Stephanie Z Kujawski
OBJECTIVE: To describe the case of a patient who developed acute pulmonary emboli (PE) despite long-term anticoagulation with dabigatran. CASE SUMMARY: A 69-year-old obese woman was hospitalized for worsening shortness of breath, dyspnea on exertion, and left pleuritic chest pain. On admission, a computed tomography angiogram revealed acute bilateral PE, despite use of dabigatran for atrial fibrillation for approximately 5 years prior to admission. Dabigatran was stopped and therapeutic enoxaparin was initiated concomitantly with warfarin...
April 2013: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/22868431/-thoracic-surgery-for-patients-with-deep-vein-thrombosis
#9
Y Sekine, E Koh
Deep vein thrombosis (DVT) is a main cause of pulmonary thromboembolism (PTE), and therefore both diseases are categorized as a serial pathophysiology of venous thromboembolism (VTE). Treatment goals for DVT include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of PTE, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. Clinical guidelines stratify the risk of VTE to 4 levels and recommend the treatment options...
July 2012: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/22197523/paradoxical-pulmonary-embolism-with-spontaneous-aortocaval-fistula
#10
REVIEW
Paola De Rango, Gianbattista Parlani, Enrico Cieri, Fabio Verzini, Giacomo Isernia, Valeria Silvestri, Piergiorgio Cao
BACKGROUND: Paradoxical pulmonary embolisms are uncommon emergencies and can occur as a consequence of an aortocaval fistula due to unrecognized dislodgement of thrombus from aortic sac into pulmonary circulation. This study reviewed current literature and therapeutic options in this emergency condition requiring prompt management and repair. METHODS: Literature was systematically searched for paradoxical pulmonary embolism associated with aortocaval rupture. RESULTS: Eight published cases were identified...
July 2012: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/21743331/the-incidence-of-recurrent-venous-thromboembolism-and-chronic-thromboembolic-pulmonary-hypertension-following-a-first-episode-of-pulmonary-embolism
#11
REVIEW
Daniela Poli, Massimo Miniati
PURPOSE OF REVIEW: Pulmonary embolism is the most serious complication of venous thromboembolism, with an elevated case/fatality rate. Patients who survived a first episode of pulmonary embolism should be evaluated for the risk of recurrence and of chronic thromboembolic pulmonary hypertension (CTEPH). RECENT FINDINGS: The risk of recurrence is higher in patients with unprovoked pulmonary embolism than in those with transient risk factors. Persistent risk factors, such as active cancer and antiphospholipid antibodies, are associated with high risk of recurrence...
September 2011: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/21326769/inferior-vena-cava-filters
#12
Thomas B Kinney
Venous thromboembolism (VTE) remains a common disease with significant clinical impact upon our patients. Diagnostic challenges occur because of the nonspecific nature of the presenting symptoms. The advent of multidetector computed tomography, methods to stratify patients into VTE risks (low, intermediate, high) along with serological assays (D-dimers), have helped direct patients through proper workup and into conclusive diagnosis. In most cases, standard medical therapy for VTE is anticoagulation therapy (OAT)...
September 2006: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/20464760/embolisation-therapy-for-pulmonary-arteriovenous-malformations
#13
REVIEW
Charlie C-T Hsu, Gigi Nc Kwan, Shane A Thompson, Mieke L van Driel
BACKGROUND: Pulmonary arteriovenous malformations are abnormal direct connections between the pulmonary artery and pulmonary vein which result in a right-to-left shunt. They are associated with substantial morbidity and mortality mainly from the effects of paradoxical emboli. Potential complications include stroke, cerebral abscess, pulmonary haemorrhage and hypoxaemia. Embolisation therapy is a form of treatment based on the occlusion of the feeding arteries to a pulmonary arteriovenous malformation and can prevent many of these debilitating and life-threatening complications...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/20463427/recurrent-deep-vein-thrombosis-despite-warfarin-therapy-in-a-patient-with-crohn-s-disease
#14
Pablo R Lopez, David W Stewart, Roger D Smalligan
Patients with inflammatory bowel disease (IBD) are known to have an increased propensity for thromboembolic events. Like any patient with a high risk of event recurrence, most of these patients can be managed successfully with long-term warfarin therapy. We present the case of a 66-year-old woman with Crohn's disease who, despite careful attention to the management of her international normalized ratio, developed a new deep vein thrombosis and required inferior vena cava filter placement in addition to ongoing warfarin therapy to prevent recurrent pulmonary emboli...
May 2010: Postgraduate Medicine
https://www.readbyqxmd.com/read/20166079/vena-caval-filters-for-the-prevention-of-pulmonary-embolism
#15
REVIEW
Tim Young, Hangwi Tang, Rodney Hughes
BACKGROUND: Pulmonary emboli (PE) can have potentially fatal consequences. Inferior vena caval filters (VCFs) are metal alloy devices that mechanically trap fragmented thromboemboli from the deep leg veins en route to the pulmonary circulation. Filters are designed to be introduced (and in the case of retrievable filters, removed) percutaneously. Although their deployment seems of theoretical benefit, their clinical efficacy and adverse event profile is unclear.This is an update of a Cochrane review first published in 2007...
February 17, 2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/19427243/indications-for-thrombolysis-in-deep-venous-thrombosis
#16
REVIEW
P Gogalniceanu, C J C Johnston, U Khalid, P J E Holt, R Hincliffe, I M Loftus, M M Thompson
OBJECTIVES: Deep venous thromboses (DVTs) are a significant cause of morbidity and mortality in the general and inpatient population. Current anticoagulation therapy is efficient in reducing thrombus propagation but does not contribute to clot lysis or prevention of post-thrombotic limb syndrome. Catheter directed thrombolysis (CDT) is an alternative method for treating DVTs but there is no consensus regarding indications for its use. DATA SOURCES: PubMed and Cochrane library were searched for all articles on deep vein thrombosis and thrombolysis...
August 2009: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/18843603/anticoagulants-for-acute-ischaemic-stroke
#17
REVIEW
Peter A G Sandercock, Carl Counsell, Ayeesha K Kamal
BACKGROUND: Most ischaemic strokes are caused by blood clots blocking an artery in the brain. Clot prevention with anticoagulants might improve outcome if bleeding risks were low. This is an update of a Cochrane review first published in 1995, and previously updated in 2004. OBJECTIVES: To assess the effect of anticoagulant therapy versus control in the early treatment (less than 14 days) of patients with acute ischaemic stroke. SEARCH STRATEGY: We searched the Cochrane Stroke Group Trials Register (last searched 2 October 2007), and two Internet clinical trials registries for relevant ongoing studies (last searched October 2007)...
2008: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/18818887/perioperative-use-of-recombinant-factor-vii-to-prevent-intraoperative-aneurysm-rupture-in-high-risk-patients-a-preliminary-safety-evaluation
#18
Eric S Nussbaum, Tariq M Janjua, Archie Defillo, Penny Sinner, Andrea Zelensky
OBJECT: The authors present a safety evaluation of the perioperative use of recombinant activated factor VII (rFVIIa) in a series of subarachnoid hemorrhage patients undergoing microsurgical aneurysm clipping. METHODS: We performed a retrospective chart review of the records of 18 consecutive subarachnoid hemorrhage patients who underwent craniotomy for aneurysm clipping and received an intraoperative dose of rFVIIa. In each case, the aneurysm was felt to be a "high risk" lesion for intraoperative rupture either because it had bled multiple times prior to surgery or based on anatomical considerations...
2009: Neurocritical Care
https://www.readbyqxmd.com/read/18649821/atrial-fibrillation-among-older-adults-pathophysiology-symptoms-and-treatment
#19
REVIEW
Sonya R Hardin, James R Steele
Atrial fibrillation is the most common arrhythmia among older adults. Valvular heart disease, dilated cardiomyopathy, aortic stenosis, hypertension, coronary artery disease, pericarditis, thyrotoxicosis, pulmonary disease, cardiac surgery, alcohol excess, and alcohol withdrawal are associated with atrial fibrillation. Nurses caring for older adults need to understand the condition's pathophysiology, signs and symptoms, diagnostic data and treatment protocols, and adherence issues to prevent the formation of emboli in chronic atrial fibrillation and to understand treatment of this common arrhythmia...
July 2008: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/18295846/spontaneous-extra-axial-intracranial-hemorrhage-followed-by-thrombosis-in-congenital-afibrinogenemia-perioperative-management-of-this-rare-combination
#20
Sandipan Pati, Dimitris Kombogiorgas, Ahmad Anwar, Rupert F Price
BACKGROUND: Although congenital afibrinogenemia can commonly present with hemorrhage from the umbilical cord at birth, or with spontaneous mucosal or intracranial hemorrhage in the neonatal period, life-threatening intracerebral hemorrhage in adults is infrequent. CASE DESCRIPTION: We report a 32-year-old woman with congenital afibrinogenemia. Postoperatively, she developed bilateral pulmonary emboli despite the fact that her INR was elevated to 2.3. Highly purified fibrinogen concentrate infusion may have partly contributed to this complication...
June 2009: Surgical Neurology
keyword
keyword
93539
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"