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echocardiography embolism

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https://www.readbyqxmd.com/read/29444748/aortopulmonary-collaterals-in-neonates-with-d-transposition-of-the-great-arteries-clinical-significance-early-after-arterial-switch-operation
#1
Alexandra Wipf, Martin Christmann, Susanne Navarini-Meury, Hitendu Dave, Daniel Quandt, Walter Knirsch, Oliver Kretschmar
OBJECTIVES: Purpose of this study is to evaluate the clinical significance of major aortopulmonary collateral arteries (MAPCAs) during the early postoperative course after arterial switch operation (ASO) in d-transposition of the great arteries (dTGA). METHODS: Clinical data of 98 patients with simple dTGA between January 2007 and December 2016 at the University Children's Hospital Zurich, Switzerland were analyzed retrospectively. RESULTS: 37 from 98 patients (38%) required cardiac catheterization (CC) due to an early complicated postoperative course or difficult coronary transfer due to special coronary anatomy...
February 2, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29444699/the-hyster-study-the-effect-of-intracervically-administered-terlipressin-versus-placebo-on-the-number-of-gaseous-emboli-and-fluid-intravasation-during-hysteroscopic-surgery-study-protocol-for-a-randomized-controlled-clinical-trial
#2
Lucilla E Overdijk, Bart M P Rademaker, Paul J M van Kesteren, Peter de Haan, Robert K Riezebos, Oscar C H Haude
BACKGROUND: Transcervical resection of myoma or endometrium is a safe, hysteroscopic, minimally invasive procedure. However, intravasation of distension fluid is a common phenomenon during these procedures. In a previous study we observed venous gas emboli in almost every patient. The severity of hysteroscopic-derived embolization has been shown to be correlated to the amount of intravasation. In addition, paradoxical gas embolism, which is potentially dangerous, was observed in several patients...
February 14, 2018: Trials
https://www.readbyqxmd.com/read/29426678/low-yield-of-extensive-workup-for-embolic-sources-in-lacunar-stroke-patients
#3
Yan Wang, Yoon Choi, Joshuae Gallardo, Ifeoma Nwaneri, James R Brorson
OBJECTIVE: We aimed to evaluate the yield of extensive etiologic workup in lacunar stroke patients. BACKGROUND: As lacunar strokes are infrequently caused by thromboembolism, the clinical relevance of extensive workup for thromboembolic sources is questioned. METHODS: Among consecutive stroke admissions to a single center over 3 years, the 100 cases initially classified as lacunar stroke and a sample of 100 cases classified as non-lacunar ischemic strokes were studied...
February 6, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29416468/nonfatal-cardiac-perforation-after-central-venous-catheter-insertion
#4
Vedran Premuzic, Lea Katalinic, Marijan Pasalic, Hrvoje Jurin
Cardiac tamponade caused by perforation of the cardiac wall is a rare complication related to central venous catheter (CVC) placement. A 71-year-old female with a previous history of moderate aortic stenosis and kidney transplantation was admitted to hospital due to global heart failure and worsening of allograft function. Intensified hemodialysis was commenced through a CVC placed in the right subclavian vein. Chest radiography revealed catheter tip in the right atrium and no signs of pneumothorax. Thorough diagnostics outruled immediate life-threatening conditions, such as myocardial infarction and pulmonary embolism...
January 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29416165/distal-medullary-canal-decompression-in-long-stem-hip-replacement-in-long-bone-metastasis-does-it-reduce-cardiopulmonary-complications
#5
Vivek Ajit Singh, Siamak Sarrafan, Ramesh Singh Veriah
Background: The femur is the most common long bone affected by metastatic bone disease, with 25% involving the proximal third of the femur. Long stem cemented hip replacement (LHR) is an important option for cases of impending fracture. Pulmonary embolism is a critical complication that can occur. This study evaluates the effectiveness of distal femoral canal decompression in reducing the risk of cardiopulmonary events. Materials and Methods: Thirty two patients with metastatic bone disease of the proximal femur undergoing LHR were recruited and randomized...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29410163/management-of-low-risk-pulmonary-embolism-lope-patients-without-hospitalization-the-lope-prospective-management-study
#6
Joseph Bledsoe, Scott Woller, Scott Stevens, Valerie Aston, Rich Patten, Todd Allen, Benjamin Horne, Lydia Dong, James Lloyd, Greg Snow, Troy Madsen, Gregory Elliott
BACKGROUND: The efficacy and safety of managing patients with low-risk pulmonary embolism (PE) without hospitalization requires objective data from US medical centers. We sought to determine the 90-day composite rate of recurrent symptomatic venous thromboembolism (VTE), major bleeding events, and all-cause mortality among consecutive patients diagnosed with acute low-risk PE managed without inpatient hospitalization; and to measure patient satisfaction. METHODS: We performed a prospective cohort single-arm management study conducted from January 2013 to October 2016 in five emergency departments...
February 1, 2018: Chest
https://www.readbyqxmd.com/read/29409744/prognostic-implications-of-a-negative-echocardiography-in-patients-with-infective-endocarditis
#7
Lourdes Vicent, Hugo González Saldivar, Emilio Bouza, Patricia Muñoz, Gregorio Cuerpo, Aristides de Alarcón, Bárbara Vidal, Manuel Cobo, Miguel Ángel Goenaga, Fernando Carrasco-Chinchilla, Miguel Montejo, Juan Gálvez-Acebal, Carmen Hidalgo-Tenorio, David Vinuesa-García, Manuel Martínez-Sellés
BACKGROUND: Echocardiography plays an important role in infective endocarditis (IE) diagnosis according with the modified Duke criteria. We evaluated the implications of a positive echocardiography in the prognosis of a cohort of patients with IE. METHODS: Prospective multicentre study in 31 Spanish centres. From January 2008 to September 2016, 3467 patients were included (2765 definite IE, 702 possible IE). The main outcome was in-hospital mortality. Echocardiography diagnosis was based on modified Duke criteria for the diagnosis of IE...
February 3, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29407623/prognostic-significance-of-electrocardiogram-at-presentation-in-patients-with-pulmonary-embolism-of-different-severity
#8
Franco Casazza, Ilaria Pacchetti, Eliana Rulli, Loris Roncon, Pietro Zonzin, Marco Zuin, Cecilia Becattini, Amedeo Bongarzoni, Luigi Pignataro
BACKGROUND: Several electrocardiographic (ECG) abnormalities have been described in patients with acute pulmonary embolism (PE), with discordant reportings about their prognostic value. METHODS: Consecutive patients with echocardiography performed within 48 h from admission and ECG at presentation, were included in this analysis. The primary study outcome was in-hospital death for high-risk patients and in-hospital death or clinical deterioration for intermediate-risk patients...
January 31, 2018: Thrombosis Research
https://www.readbyqxmd.com/read/29406388/brachial-embolism-from-mechanical-mitral-valve-thrombosis-multimodality-imaging-guided-successful-thrombolysis
#9
Sinan Cerşit, Emrah Bayam, Sabahattin Gündüz, Ahmet Güner, Mehmet Özkan
: We report the administration of low-dose (25 mg) prolonged infusion (25 h) of tissue-typed plasminogen activator (t-PA) in the treatment of brachial arterial thromboembolism (BAT) secondary to prosthetic valve thrombosis (PVT), under the guidance of multimodality imaging. BAT is a rare disorder with serious consequences. The case of BAT secondary to mitral PVT was successfully treated with low-dose prolonged infusion of t-PA under the guidance of multimodality imaging with upper extremity duplex Doppler ultrasonography, multislice computerized tomographic angiography, coventional angiography and advanced transesophageal echocardiography...
February 5, 2018: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
https://www.readbyqxmd.com/read/29396581/routine-cardiac-catheterization-prior-to-fontan-operation-is-it-a-necessity
#10
Bassel Mohammad Nijres, Joshua J Murphy, Karim Diab, Sawsan Awad, Ra-Id Abdulla
Prior to the Fontan procedure, patients with single ventricle physiology with Glenn shunt are typically referred for cardiac catheterization to assess hemodynamics and potentially provide interventional measures. Currently, echocardiography provides detailed information which together with other non-invasive imaging such as CT scan and MRI may obviate the need for routine cardiac catheterization prior to the Fontan procedure. In this study, we examine the findings in cardiac catheterization in this population to determine: (a) the accuracy of echocardiography in providing adequate information prior to the Fontan procedure, particularly in identifying those in need of per-catheter intervention, and (b) the percentage of patients requiring interventional procedures during cardiac catheterization...
February 3, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29390496/a-study-on-dynamic-monitoring-components-and-risk-factors-of-embolism-during-total-knee-arthroplasty
#11
Kang Lu, Mingtao Xu, Wei Li, Kai Wang, Dawei Wang
BACKGROUND: Fat embolism is a common complication of orthopedic surgery. However, the exact component and risk factor responsible for this complication remains unelucidated. This study aimed to detect the origin of the pulmonary embolus and identify relevant risk factors of pulmonary embolism in total knee replacement. METHODS: A total of 40 osteoarthritis patients who underwent primary unilateral TKA were recruited into this study. Transesophageal echocardiography (TEE) was utilized to dynamically monitor the embolism...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29388306/prospective-randomized-comparison-of-3-dimensional-computed-tomography-guidance-versus-tee-data-for-left-atrial-appendage-occlusion-pro3dlaao
#12
Marvin H Eng, Dee Dee Wang, Adam B Greenbaum, Neil Gheewala, Daniel Kupsky, Tongwa Aka, Thomas Song, Bradley James Kendall, Janet Wyman, Eric Myers, Michael Forbes, William W O'Neill
BACKGROUND: Preliminary data comparing 3-dimensional computed tomography (3D-CT) to transesophageal echocardiography (TEE) for left atrial appendage occlusion (LAAO) indicates that 3D-CT provides more accurate measurements and improves case planning. Therefore, we conducted a pilot study comparing 3D-CT to TEE in occluder selection accuracy and procedural efficiency. METHODS: From May 2016 to February 2017, 24 patients were prospectively randomized to undergo LAAO using either TEE or 3D-CT...
February 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29384941/concomitant-coronary-and-pulmonary-embolism-associated-with-patent-foramen-ovale-a-case-report
#13
Zhongxiu Chen, Chen Li, Yajiao Li, Hong Tang, Li Rao, Mian Wang
RATIONALE: The differential diagnosis of acute chest pain is very important, and can sometimes be challenging. Related diseases share a number of risk factors, and occasionally, 1 condition causes another disease to develop. PATIENT CONCERNS: We described a 59-year-old man who presented to emergency department complaining of chest pain. DIAGNOSES: He was suffered acute myocardial infarction (MI) and pulmonary embolism (PE) simultaneously. INTERVENTIONS: Dual antiplatelet therapy, statin, and low molecular weight heparin were administrated during his stay...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29384893/the-modified-cone-reconstruction-in-the-treatment-of-ebstein-s-anomaly-case-reports
#14
Jun-Sheng Li, Gang Chen, Jie Ma, Zi-Xing Yan, Dong-Ming Cheng, Liang Chang, Hai-Chun Zhang, Jiang-Yan Liu
RATIONALE: To investigate the early and mid-term clinical outcomes of the modified cone reconstruction in the treatment of Ebstein's anomaly (EA) which provide appropriate surgical treatment for clinical and reduce the incidence of re-operation and valve replacement. PATIENT CONCERNS: Clinical data of 18 consecutive patients with EA in our hospital between May 2008 and August 2015 were analyzed retrospectively. All patients were diagnosed by echocardiography. Among these patients, according to New York Heart Association functional grade, there were 12 patients with grade II cardiac function and 6 patients with grade III...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29382690/man-in-his-50s-with-chest-pain-and-dyspnoea
#15
Yuki Obayashi, Chisato Izumi, Yoshihisa Nakagawa
CLINICAL INTRODUCTION: A man in his 50s with sudden-onset chest pain and dyspnoea was transferred to the emergency room. He had a history of aortic valve replacement due to aortic regurgitation with a mechanical valve 6 years previously. Heart rate was 90 bpm, and blood pressure was too low to measure. In the emergency room, he presented with severe dyspnoea and a chest X-ray showed severe lung congestion (figure 1A). ECG showed complete left bundle branch block. His respiratory status rapidly worsened, and he went into cardiopulmonary arrest...
January 30, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29382606/outcome-of-infective-endocarditis-in-the-current-era-early-predictors-of-poor-prognosis
#16
Maria Carmo Pereira Nunes, Milton Henriques Guimarães-Júnior, Pedro Henrique Oliveira Murta Pinto, Rodrigo Matos Pinto Coelho, Thais Lins Souza Barros, Nicole de Paula Aarão Faleiro Maia, Dayane Amaral Madureira, Rodrigo Citton Padilha Reis, Paulo Henrique Nogueira Costa, Renato Bráulio, Cláudio Léo Gelape, Teresa Cristina Abreu Ferrari
BACKGROUND: Early identification of patients at risk of IE complications using parameters obtained routinely is essential for clinical decision making guidance. This study aimed to identify a parameter at hospital admission that predicts outcome, adding value to other well-known factors of poor prognosis in IE. METHODS: Two hundred and three patients with IE were included. Clinical evaluation, echocardiography, blood cultures, and routine laboratory tests were performed at hospital admission...
January 27, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29381951/watchman-device-related-thrombus-successfully-treated-with-apixaban-a-case-report
#17
Chun-Ka Wong, Pak-Hei Chan, Cheung-Chi Lam, On-Hing Kwok, Yat-Yin Lam, Chung-Wah Siu
RATIONALE: Among atrial fibrillation patients with high risk of bleeding, left atrial appendage occlusion has emerged as an alternative to long-term oral anticoagulation therapy for stroke prevention. Device-related thrombus remains a major concern because it may result in recurrent embolic events. To date, there is no consensus on the optimal method of treating device-related-thrombus. PATIENT CONCERNS: A 78-year-old man with atrial fibrillation had an episode of intracranial hemorrhage while taking warfarin...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29377448/incidence-of-intracardiac-thrombus-formation-prior-to-electrical-cardioversion-in-respect-to-the-mode-of-oral-anticoagulation
#18
Benjamin Schaeffer, Lea Rüden, Tim Salzbrunn, Hans O Pinnschmidt, Ruken Özge Akbulak, Julia Magdalena Moser, Mario Jularic, Christian Meyer, Christian Eickholt, Arian Sultan, Jakob Lüker, Daniel Steven, Stephan Willems, Boris Alexander Hoffmann
AIMS: To evaluate the incidence of newly diagnosed intracardiac thrombi (ICT) in respect to the mode of OAC in patients undergoing cardioversion (CV). METHODS AND RESULTS: We prospectively assessed transesophageal echocardiography (TEE) and OAC therapy prior to CV in AF patients with ≥48h duration scheduled for CV. A total of 60 first-time ICT (4.7%) were diagnosed in 1286 TEE, with highest rate in patients without OAC (9.6% vs. OAC 4.1% p = 0.009) and an apparently lower rate in non-vitamin K antagonist anticoagulants (NOAC) therapy compared to vitamin K antagonist (VKA) (2...
January 29, 2018: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/29375141/reperfusion-after-pulmonary-embolism-long-term-follow-up-risk-factors-clinical-impact
#19
Jan Mrozek, Jana Petrova, Jana Vaclavkova, Vladimir Janovsky, Lubos Kraus, Pavel Jansa
BACKGROUND AND AIM: Thromboembolic disease is the third most common cardiovascular disorder and deep vein thrombosis carries the risk of pulmonary embolism (PE). Questions related to reperfusion after PE remain, especially risk factors. Incomplete reperfusion after PE is closely related to the development of chronic thromboembolic pulmonary hypertension. The aim of this study was to determine the relation between reperfusion after PE in the long term over a period of 24 months, laboratory results and clinical risk factors found during the initial PE event...
January 24, 2018: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/29375106/tricuspid-regurgitation-peak-gradient-trpg-tricuspid-annulus-plane-systolic-excursion-tapse-%C3%A3-a-novel-parameter-for-stepwise-echocardiographic-risk-stratification-in-normotensive-patients-with-acute-pulmonary-embolism
#20
Michał Ciurzyński, Katarzyna Kurnicka, Barbara Lichodziejewska, Marta Kozłowska, Magdalena Pływaczewska, Piotr Sobieraj, Olga Dzikowska-Diduch, Sylwia Goliszek, Piotr Bienias, Maciej Kostrubiec, Piotr Pruszczyk
BACKGROUND: Patients with intermediate-risk acute pulmonary embolism (APE) are a heterogeneous group with an early mortality rate of 2-15%. The tricuspid annulus plane systolic excursion (TAPSE) and tricuspid regurgitation peak gradient (TRPG) can be used for risk stratification, so we analyzed the prognostic value of a new echo parameter (TRPG/TAPSE) for prediction of APE-related 30-day death or need for rescue thrombolysis in initially normotensive APE patients.Methods and Results:The study group consists of 400 non-high-risk APE patients (191 men, age: 63...
January 26, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
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