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28,200
[Hepatic retransplant and acute Budd Chiari syndrome. Case report].
Hepatic retransplant constitutes 10-20% of all orthotopic hepatic transplants. The piggy-back technique was used in hepatectomy with conservation of the retrohepatic vena cava. A side-to-side cavo-cavostomy technique is described in the case of hepatic congestion or acute Budd Chiari syndrome post-transplant. This is a...
28,201
[Lemierre's syndrome and Mycoplasma pneumoniae].
It has been suggested that a previous viral or bacterial pharyngitis may predispose to Lemierre's syndrome, an uncommon entity nowadays. A case of Lemierre's syndrome and co-infection with Mycoplasma pneumoniae is described, association published before in only 2 other cases. A 16-year-old girl with trombophlebitis of ...
28,202
[Pediatric venous thromboembolism: review of the literature and news].
Pediatric venous thromboembolism is a multifactorial disorder with an annual incidence of 1/100.000 patients (0-18 years). The presence of central venous catheters is a major trigger for development of venous thrombosis, especially in neonates. As a consequence, thrombosis in the upper extremities are much more frequen...
28,203
[Trans-fontanellar Doppler sonography of the intracranial veins in infants--part I--Normal values].
Doppler sonographic flow measurements in the intracranial veins of infants are not often applied. For the understanding of intracranial pathology such as vascular malformations, intracranial hemorrhagic infarction and venous thrombosis, a thorough understanding of the anatomical position and of the normal flow profiles...
28,204
[Off-label use in long-term anticoagulation after liver transplantation due to phenprocoumon-induced hepatic failure].
Drug therapy should be individualized according to criteria of efficacy, adverse effects, and treatment adherence. This is particularly important at the interface of inpatient and ambulatory care. Aspects of drug approval (labeling) and individual refunding by health care insurance should also be taken into account.</A...
28,205
Hyperhomocysteinaemia, hyperlipidaemia and risk of venous thromboembolism in Shiraz.
To assess the risk of venous thromboembolism (VTE) associated with hyperhomocysteinaemia (hyper-Hcy) and hyperlipidaemia, we performed a case-control study. Fasting total homocysteine (Hcy), triglyceride and cholesterol levels were assessed in 43 patients with VTE and 43 controls. Mean Hcy level was significantly highe...
28,206
Venous thromboembolism: which patients are truly at risk?
In clinical practice there are several conditions that are at relatively high risk of venous thromboembolism (VTE). However, not all patients included in the high risk category will actually develop VTE, and not all patients in the low risk category are protected against this eventuality. A high risk of VTE is associat...
28,207
[Antiphospholipid syndrome and stroke].
Antiphospholipid syndrome is characterized by arterial or venous thrombosis, and the presence of antiphospholipid antibodies (aPL). APL are considered to be a cause of an acquired hypercoagulable state leading to stroke and transient ischemic attack (TIA). We examined the causes in 50 young patients with ischemic strok...
28,208
[Intestinal ischaemia--consequence of intestinal malrotation].
The subsets of acute intestinal ischaemia include mesenterica arterial occlusion, venous thrombosis and non-occlusive mesenteric ischaemia. Advances in pathophysiology, diagnosis and treatment, prognostic problems are associated still in mortality rates of more than 60%. Early diagnosis is the first in possibility for ...
28,209
[Factor V Leiden and prothrombin G20210A among Chilean patients with venous and arterial thrombosis].
Factor V Leiden and G20210A mutation of prothrombin gene are two important genetic polymorphisms associated with an increased risk for thrombosis.</AbstractText>To establish the prevalence of factor V Leiden and prothrombin G20210A mutation in the Chilean population and their association to venous and arterial thromboe...
28,210
[Cerebrovascular disease in a Neurologic Intermediate Care Unit in Chile. Analysis of 459 consecutive patients].
Stroke is the second cause of mortality and the first cause of morbidity in Chile and worldwide. Nowadays there is a major interest in introducing new therapies applying evidence based medicine for these patients.</AbstractText>To describe the clinical profile of patients attended after a stroke, to determine stroke su...
28,211
Extraskeletal osteosarcoma: extensive tumor thrombus on fused PET-CT images.
A 30-year-old woman developed extraskeletal osteosarcoma in the right buttock and thigh. Radiographs and unenhanced computed tomography (CT) showed a large, multilobulated mass accompanied by mineralized matrix. Contrast-enhanced CT and magnetic resonance (MR) images showed extensive tumor thrombus in the right interna...
28,212
Extended enoxaparin monotherapy for acute symptomatic pulmonary embolism.
We investigated the efficacy and safety of extended enoxaparin monotherapy in symptomatic patients with acute pulmonary embolism (PE). We randomized 40 patients in a 1:1 allocation to enoxaparin monotherapy (1 mg/kg twice daily for 10-18 days, and then 1.5mg/kg once daily until day 90) (n = 20) or to enoxaparin 1.0 mg/...
28,213
Pregnancy-associated venous thromboembolism in combined heterozygous factor V Leiden and prothrombin G20210A mutations.
Pregnancy and puerperium raise the risk of thromboembolic events, and these risks are increased in women who are carriers of thrombophilia factors. Prothrombin (FII) G20210A and factor V Leiden heterozygous mutations are associated with moderate risk of thrombosis. The association of these thrombophilic conditions is v...
28,214
[A favorable outcome of surgical treatment of a patient with thrombosis of the renal veins and inferior vena cava].
Presented herein is a clinical case report of a patient with thrombosis of the inferior vena cava, renal veins, acute renal failure, and anuria. The patient was admitted to the hospital two days after thrombosis. Diuresis was reestablished after emergency operation (thrombectomy from the inferior vena cava and renal ve...
28,215
[Surgical management of thromboses and aneurysms of the reconstructed vessels].
This paper analyses the results of reoperations in 52 patients with thromboses (n=42) and aneurysms (n=10) of the reconstructed vessels. The main causes of their development were progression of vascular disease and suppuration of a surgical wound. No relationship was established between complications and the type of su...
28,216
[A complex program for the treatment of patients with post-thrombophlebitic disease of the lower limbs].
The aim of the work was to improve the results of the treatment of patients suffering from post-thrombophlebitic disease (PTPD) of the lower limbs. An analysis was made of the results of examination and treatment of 800 patients, obtained over the recent 12 years. Wide spreading of operations carried out on the sapheno...
28,217
The use of the Zontik cava filter for temporary implantation to the inferior vena cava.
The authors review the potential for the use of the Zontik retrievable cava filter (CF) for temporary implantation. In the course of their observations, the CF was to be received by 68 patients for the time needed for the treatment of floating thrombi in the inferior vena cava and its tributaries using thrombectomy, th...
28,218
Anomalous inferior Vena cava as the cause of multiple deep venous thrombosis.
An anomalous Inferior Vena Cava (IVC) is a possible independent risk factor for deep vein thrombosis (DVT). This case represents the rare complication of an anomalous IVC causing multiple DVTs, not only in the lower extremity, but also in the abdominal periaortic circulation. In young patients who develop a DVT without...
28,219
[Mechanical microanastomosis in reconstructive surgery of the neck and face].
Aim of the study is to report our preliminar experience with MCA Coupler System in mechanical microanastomoses performed in head and neck reconstructive surgery. During almost 7 months we performed 7 end-to-end venous anastomoses: 3 of them regarding the cephalic district. We had no vascular thrombosis, vascular conges...
28,220
[Factor VIII hyperactivity: an arterio-venous thrombogenic factor. Case report].
Thrombosis is the principal mechanism in vascular pathology, whether cerebral, coronary or peripheral. During the initial stages of infarction, coagulation contributes to vascular occlusion, the haemostatic factors playing a determining role in the development of atherothrombotic lesions. An increase in a coagulation p...
28,221
Upper body venous thrombosis associated with ovarian stimulation: case report and review of the literature.
Thromboembolic events are a serious complication of assisted conception treatment. Thrombosis may be either arterial or venous but the latter is far more common. This phenomenon is more frequent in the lower limb, but several cases of upper extremity thrombosis have been described in the literature. Although the aetiol...
28,222
Presentation and management of common post-weight loss surgery problems in the emergency department.
Morbid obesity is an epidemic in this country. An increasing number of patients are undergoing weight loss surgery in an effort to combat the negative physical and psychological impact of morbid obesity. Fueling the increasing interest in surgical treatment of morbid obesity has been the development of new laparoscopic...
28,223
Ovarian vein and caval thrombosis.
We present an illustrative case of postpartum ovarian vein thrombosis and describe its clinical presentation, differential diagnosis, and management. This pathologic process may produce clinical complications or a catastrophic outcome. These adverse events may be avoided if an expeditious diagnosis is made and appropri...
28,224
Liver transplantation for Budd-Chiari syndrome: A European study on 248 patients from 51 centres.
<AbstractText Label="BACKGROUND/AIMS" NlmCategory="OBJECTIVE">The results of liver transplantation for Budd-Chiari syndrome (BCS) are poorly known and the role and timing of the procedure are still controversial. The aim of this study was to investigate the results of transplantation for BCS, focusing on overall outcom...
28,225
Complement-fixing activity of anticardiolipin antibodies in patients with and without thrombosis.
We have analysed in vitro the complement-fixing activity of anticardiolipin antibodies (C-fix aCL) from patients with persistent and moderate/high titres IgG aCL antibodies: 21 with thrombosis and 11 without thrombosis. Titre and C-fix ability of aCL were measured by ELISA. APS and non-APS patients were similar with re...
28,226
[Imaging of neuro-Behcet].
Behcet's disease is a vasculitis affecting predominantly the venous system. It's characterized by a classical triad of recurrent uveitis, oral and genital ulceration. Behcet's disease is more frequent in Japan, the Middle East and some Mediterranean countries. Its pathogenesis is still uncertain. Neurological manifesta...
28,227
Septic Candida krusei thrombophlebitis of inferior vena cava with persistent fungemia successfully treated by new antifungal agents.
Treatment of Candida krusei fungemia can be problematic. We describe a 44-year-old critically ill, non-immunocompromised patient who had persistent Candida krusei fungemia complicated with septic thrombophlebitis of the inferior vena cava. Successful treatment was achieved by parenteral caspofungin followed by prolonge...
28,228
[Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management of three cases].
Pylephlebitis is thrombophlebitis of the portal vein and/or of its branches; it is acute and generally arises as a complication of inflammatory intra-abdominal processes or of surgical interventions in patients with blood discrasies. As its clinical picture is fairly non-specific, radiological findings, while not patho...
28,229
Congenital chylothorax associated with isolated congenital hypoplastic superior caval vein: a case report.
Congenital absence, or hypoplasia, of the superior vena cava (SVC) with situs solitus is quite uncommon. Most cases have been found incidentally and concomitant with left persistent SVC or other cardiac disorders. Congenital chylothorax may be associated with cardiac anomalies, various syndromes, thoracic ductal or ven...
28,230
[Development of an apparatus for preventing deep vein thrombosis].
A kind of intermittent pneumatic compression (IPC) apparatus is developed to prevent deep vein thrombosis (DVT),which is based on the theory of occurrence and prevention of the DVT and AT89C52 micro-controller. This paper introduces its principle, composition of electromechanical system and the software design. The app...
28,231
Clinical study on effect of Osteoking in preventing postoperational deep venous thrombosis in patients with intertrochanteric fracture.
To evaluate the effect of Osteoking ( masculine(1)i) in preventing postoperational deep venous thrombosis (DVT) in patients with intertrochanteric fracture (ITF).</AbstractText>With prospective and randomized controlled clinical design adopted, 62 patients with ITF after operation were assigned into 2 groups, the teste...
28,232
Thrombus size is associated with etiology of deep venous thrombosis--a cross-sectional study.
The aim of this study was to evaluate the impact of risk factors for deep vein thrombosis (DVT) on thrombus sizes in lower extremities. The size and extent of thrombus was scored according to International Consensus Committee for venous disease classification. After the diagnosis of DVT was established and its size sco...
28,233
[The effect of estrogen deficiency, estrogen and estro-progestagene therapy on total plasma homocysteine and serum lipid peroxide levels in postmenopausal women].
Elevated plasma homocysteine (Hcy) concentration is a risk factor for atherosclerosis and venous thrombosis.</AbstractText>an observational study.</AbstractText>120 healthy women were recruited and divided in two subgroups--postmenopausal women (M-80 women) and premenopausal women (40 women) with normal menstruation as...
28,234
Preoperative low molecular weight heparin as venous thromboembolism prophylaxis in patients at risk for prosthetic infection after knee arthroplasty.
To investigate the effect of preoperative initiation of low molecular weight heparin as prophylaxis for deep venous thrombosis in patients at risk of developing surgical-site infections after knee arthroplasty.</AbstractText>Case-control study nested in a cohort. The incidence of surgical-site infection in the cohort w...
28,235
Estrogen with and without progestin: benefits and risks of short-term use.
Estrogen therapy has been well established as an effective treatment for relief of vasomotor symptoms. In light of recent evidence from large randomized trials showing serious risks associated with use of estrogen treatment, current recommendations for hormone therapy emphasize using the lowest effective dose for the s...
28,236
[Venous thromboembolism and cancer].
The risk of venous thrombosis during cancer is largely increased especially in case of chemotherapy, surgery, advanced stage disease, coagulation abnormalities. Survival of patients with cancer experiencing venous thrombosis seems to be worse. Although thrombosis may be a presenting feature of occult malignancy, there ...
28,237
Combined oral contraceptive use among women with hypertension: a systematic review.
Women with hypertension are at increased risk for cardiovascular events. Combined oral contraceptive (COC) use, even among low-dose users, has been associated with a small excess risk for cardiovascular events among healthy women. In this systematic review, we examined cardiovascular risks among COC users with hyperten...
28,238
Does use of hormonal contraceptives among women with thrombogenic mutations increase their risk of venous thromboembolism? A systematic review.
Because use of combined oral contraceptives (COCs) confers some risk of venous thromboembolism (VTE), there is concern that this effect may be greater among women with thrombogenic mutations. We searched the MEDLINE and EMBASE databases for all articles published from January 1966 through September 2004 for evidence re...
28,239
Patent foramen ovale: innocent or guilty? Evidence from a prospective population-based study.
We sought to determine the association between patent foramen ovale (PFO), atrial septal aneurysm (ASA), and stroke prospectively in a unselected population sample.</AbstractText>The disputed relationship between PFO and stroke reflects methodologic weaknesses in studies using invalid controls, unblinded transesophagea...
28,240
D-dimer, P-selectin, and microparticles: novel markers to predict deep venous thrombosis. A pilot study.
Current plasma markers for diagnosis of deep venous thrombosis (DVT) allow for exclusion of the diagnosis, but lack adequate specificity to establish the diagnosis. Thus, a prospective study was performed to determine the sensitivity and specificity of plasma assays for D-dimer, soluble P-selectin (P-selectin), and tot...
28,241
The effect of long-term, low-dose tranexamic acid treatment on platelet dysfunction and haemoglobin levels in haemodialysis patients.
Some previous studies suggest that activation of the fibrinolytic system may induce platelet dysfunction in haemodialysis patients. Accordingly, inhibition of fibrinolysis may improve platelet dysfunction, and speculatively increase haemoglobin levels. We tested this hypothesis. The study group comprised 22 patients (1...
28,242
Intermittent pneumatic compression and deep vein thrombosis prevention. A meta-analysis in postoperative patients.
Our objective was to overview the effectiveness of intermittent pneumatic compression (IPC) devices to prevent deep vein thrombosis (DVT) in postoperative patients, using meta-analysis methodology. We searched the Medline, metaRegister of Controlled Trials, and Cochrane database for studies published between 1970 and O...
28,243
Molecular mechanisms of antithrombin deficiency in two Chinese families. One novel and one recurrent point mutation in the antithrombin gene causing venous thrombosis.
We investigated the molecular mechanisms responsible for type I congenital antithrombin (AT) deficiency in two unrelated Chinese pedigrees manifesting multiple site venous thrombosis. Phenotype analysis showed both probands had almost 50% of normal AT levels. Direct sequencing of amplified DNA revealed 2757C &gt; T in ...
28,244
[Strategy for treatment of peritrochanteric fractures in senile patients].
To analyze the clinical manifestations, operative applications, complications and outcomes of peritrochanteric fracture of femur in patients 75-years old and over.</AbstractText>The clinical data of 261 patients, aged 79.5 (75-96), of peritrochanteric fracture (265 hips) were analyzed.</AbstractText>The incidence of di...
28,245
[Retinal venous occlusion and intraocular pressure].
To highlight the etiopathogenic correlations between the changes of intraocular pressure (IOP) and the retinal venous occlusion (RVO).</AbstractText>A prospective clinical study for a period of 2 years (01.01.2003-12.31.2004) that included two groups of patients: group A (31 patients) with POAG and group B (14 patients...
28,246
Brain natriuretic peptide in hemodynamically stable acute pulmonary embolism.
Controversy exists about the indication of thrombolytic therapy in the subgroup of hemodynamically stable patients with acute pulmonary embolism (PE) and right ventricular dysfunction. Brain natriuretic peptide (BNP) is excreted from the cardiac ventricles in response to cardiomyocyte stretch and can be measured with a...
28,247
Diagnosis of deep vein thrombosis and pulmonary embolism in pregnancy: a systematic review.<Pagination><StartPage>496</StartPage><EndPage>500</EndPage><MedlinePgn>496-500</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Diagnosing deep vein thrombosis (DVT) and pulmonary em...
The authors analyzed postoperative complications after 4174 pulmonectomies for tuberculosis in the period of 1982-2004. The verified cases of acute venous circulatory disorders in the remnants of the lung after partial resections were observed in 12 (0.3%) patients. The main causes of hemorrhagic infarct of the part of...
28,248
Paradoxical cerebral embolism in a patient with Paget-Schroetter syndrome.
A 28-year-old man presented with transient speech disturbance and right hemiplegia. Computed tomography of the brain revealed a low-density area in the right cerebellum. A ventilation/perfusion lung scintiscan detected multiple perfusion defects in the both lungs and catheterization revealed pulmonary hypertension. Ven...
28,249
Clinically apparent atherosclerotic disease in diabetes is associated with an increase in platelet microparticle levels.
The commonest cause of mortality in patients with Type 2 diabetes is atherothrombosis, which can be related to abnormalities in the coagulation and fibrinolytic pathways, as well as in platelet function. Platelet microparticles (PMPs) may contribute to the prothrombotic state and may promote the progression of atherosc...
28,250
Morbidity and mortality are not increased after induction chemoradiotherapy followed by esophagectomy in patients with esophageal cancer.
Attempts to improve survival of patients with esophageal cancer have been made using induction chemoradiotherapy (CRT) followed by surgery. This approach may be associated with higher complication rates. A large single-center experience was reviewed to determine whether induction CRT was associated with increased morbi...
28,251
Endothelial injury and acquired aspirin resistance as promoters of regional thrombin formation and early vein graft failure after coronary artery bypass grafting.
The predominant mechanism of early graft failure after coronary artery bypass grafting remains in doubt. Aspirin administered in the initial hours after coronary artery bypass grafting improves graft patency, implicating prostanoid synthesis in the pathogenesis. We hypothesized that synergy between endothelial disrupti...
28,252
Vascular complications of pancreatitis.
Vascular complications of pancreatitis are a major cause of morbidity and mortality. Arterial complications include haemorrhage from direct arterial erosion or pseudoaneurysm formation, and visceral ischaemia. Venous complications predominantly are related to splanchnic vein thrombosis. This review, with illustrative c...
28,253
Successful treatment of recurrent intracardiac thrombus in Beh&#xe7;et's disease with immunosuppressive therapy.
Beh&#xe7;et's disease (BD) is a chronic multisystem inflammatory disorder characterized by recurrent oral and genital ulcers, skin eruptions and uveitis. Neurological, gastrointestinal, and musculoskeletal systems are also involved. Although venous and arterial vasculitis occur in up to one-third of patients, intracard...
28,254
[Mesenteric inflammatory veno-occlusive disease (MIVOD)--a rare cause of intestinal ischemia].
Mesenteric inflammatory veno-occlusive disease (MIVOD) is a relatively recently known and not very often diagnosed form of ischemic bowel disease of low incidence und unknown etiology. We present the case of a patient who after presentation of inconclusive signs of epigastric pain and rectal bleeding suddenly developed...
28,255
Antithrombotics in thrombosis and cancer.
Many cancer patients have a hypercoagulable state, with recurrent thrombosis due to the impact of cancer cells and chemotherapy or radiotherapy on the coagulation cascade. Studies have demonstrated that unfractionated heparin (UFH) or its low molecular weight fractions interfere with various processes involved in tumou...
28,256
[Armand Trousseau, phlegmasia alba and gastric cancer].
Armand Trousseau (1801-1867) was one of the greatest doctors of our cultural heritage. He regarded medicine as an art form expressed through the individuality of the physician. While still a young man, he was appointed professor of therapeutics and pharmacology at the University of Paris. He was a master of rhetoric an...
28,257
[Diagnosis and treatment of venous thrombosis].
In the diagnosis of deep vein thrombosis in ambulatory patients, the recommended initial steps are assessment of clinical probability (CP) and a sensitive D-dimer test. With a low CP and negative D-dimer, thrombosis can be ruled out. All other constellations require further investigation with imaging techniques. Compre...
28,258
Venous thromboembolic events in pediatric trauma patients: is prophylaxis necessary?
Venous thromboembolic events (VTE), such as deep vein thrombosis and pulmonary embolism, are major morbidities in adult trauma patients. Invasive and noninvasive prophylactic therapies are used to prevent VTE in trauma patients. The risk of VTE in pediatric patients is not well known. Is VTE prophylaxis necessary in th...
28,259
Issues concerning the laboratory investigation of inherited thrombophilia.
Inherited thrombophilia, defined as an increased familial tendency to develop thrombosis, may be due to congenital deficiencies or abnormalities of antithrombin, protein C or protein S; to the presence of a point mutation in the factor V gene (G1691A, factor V Leiden) leading to a poor anticoagulant response to activat...
28,260
Prophylactic dosing adjustment in pregnancy based upon measurements of anti-factor Xa levels.
To determine the necessity for monitoring of anti-factor Xa levels in pregnant women taking low molecular weight heparin (LMWH).</AbstractText>A review of a hematological database with chart review was undertaken to identify patients on LMWH. Levels were drawn monthly. They were considered suboptimal if prophylactic an...
28,261
Vena cava filters: why, when, what, how?
Pulmonary emboli, a potentially lethal venous thromboembolic complication, is a potentially preventable morbidity or mortality that surgeons should consider in the perioperative period or in high-risk patients. Prophylactic inferior vena cava (IVC) filter placement offers a high protection rate against fatal pulmonary ...
28,262
Chronic venous insufficiency.
Chronic venous insufficiency, characterized by the retrograde flow of blood in the lower extremity, is a common, debilitating disorder that is increasing in prevalence. An estimated 25 million people in the United States have varicose veins, 2 to 6 million have more advanced forms of chronic venous insufficiency (swell...
28,263
Thrombophilia and thrombosis in thrombotic thrombocytopenic purpura.
Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disorder characterized by microangiopathic hemolytic anemia and thrombocytopenia often accompanied by microvascular ischemia, which may manifest as sensorimotor signs, visual changes, renal impairment, cardiac ischemia, and abdominal pain, depending on the...
28,264
Cryoglobulinemia in kidney transplant recipients.
The aim of this study was to assess the presence of cryoglobulins, the constitution of the cryoprecipitate, as well as the possible etiology and clinical features in kidney transplant recipients. We excluded patients with clinical or laboratory evidence of autoimmune, liver or neoplasm disease, infections, blood transf...
28,265
Incidence of pancreas graft thrombosis in portoiliac and portocaval venous anastomosis.
Pancreas graft thromboses represent more than 70% of all technical failures; multiple risk factors have been implicated. We analyzed the thrombosis rates using portoiliac versus portocaval vein anastomoses.</AbstractText>The series includes 53 patients who underwent pancreas transplantation: 49 simultaneous pancreas-ki...
28,266
Portal vein thrombosis in liver transplantation.
In the initial experience of liver transplantation, complete thrombosis and portal vein occlusion were considered to be absolute contraindications for liver transplantation. The incidence of portal thrombosis in patients being prepared for transplantation varies between 5% and 15% according to published series. There a...
28,267
Portacaval shunt and inferior vena cava preservation in orthotopic liver transplantation.
The aim was to study the advantages of the use of a temporary portacaval shunt (PCS) with inferior vena cava (IVC) preservation during the piggyback technique for the anhepatic phase of orthotopic liver transplantation (OLT) performed in cirrhotic patients. Two groups of cirrhotic patients who underwent OLT with piggyb...
28,268
Safety of percutaneous ethanol injection as neoadjuvant therapy for hepatocellular carcinoma in waiting list liver transplant candidates.
Orthotopic liver transplantation (OLT) as therapy of hepatocellular carcinoma (HCC) improves the survival of a selected group of patients. Unfortunately, the progressive increase in waiting time for OLT may allow tumor progression. Percutaneous ethanol injection (PEI) has been proposed as neoadjuvant therapy for HCC in...
28,269
[Malignant-like angiomyolipoma of the liver: report of one case and review of the literature].
Frequently found in kidney, angiomyolipoma is a rare mesenchymal tumor when diagnosed in the liver and usually benign composed of proliferative blood vessels, fatty tissue and smooth muscle. We report the case of a 67-year-old woman who underwent a left hepatectomy for a 4th segment tumor unidentified after imaging and...
28,270
Right renal vein elongation with the inferior vena cava for cadaveric kidney transplants. An old neglected surgical approach.
Short right renal vein is a frequent and well-known technical inconvenience that is commonly observed during transplantation of the right kidney. We present our experience with the elongation of short cadaveric right renal veins using the contiguous vena cava during cadaveric renal transplants.</AbstractText>We perform...
28,271
The clinical effectiveness of hand held Doppler examination for diagnosis of reflux in patients with varicose veins.
To assess the accuracy of hand held Doppler (HHD) as a rapid screening test for selecting varicose vein patients for duplex imaging.</AbstractText>Prospective single blind study of consecutive patients in a randomised trial.</AbstractText>Use of hand held Doppler and duplex ultrasound scanners.</AbstractText>One thousa...
28,272
Lemierre's syndrome.
Lemierre's syndrome is a rare, potentially severe disease consisting of septic emboli from an internal jugular vein thrombus after oropharyngeal infection. We report a 20-year-old man who had a tonsillitis with fever for 3 days. After a 2-day defervescence, fever relapsed as well as painful swelling over the left side ...
28,273
Use of vena cava filters in pediatric trauma patients: data from the National Trauma Data Bank.
Placement of vena cava filters (VCFs) in high-risk adult trauma patients is a well-described intervention for prophylaxis against pulmonary embolism (PE). Few data exist regarding the use of VCFs in pediatric trauma.</AbstractText>We performed a cross-sectional study using the National Trauma Data Bank of the American ...
28,274
Deciphering mesenteric venous thrombosis: imaging and treatment.
The principal cause of a high mortality rate in mesenteric vein thrombosis (MVT) is a delay in diagnosis. Recent data indicate that the mortality rate is decreasing owing to earlier diagnosis and anticoagulation. The authors examined the treatment profile of MVT to see how the increased use of imaging and early anticoa...
28,275
The rescue of acute fulminant myocarditis by extracorporeal membrane oxygenation in pediatric patients.
The severity of acute myocarditis varies between subclinical to lethal. For fulminant myocarditis, the mortality rate can be as high as 75% when shock occurs. Extracorporeal membrane oxygenation (ECMO) support to revert this fulminant course has been introduced into the management in recent years. Six such pediatric ca...
28,276
The incidence of deep venous thrombosis following arthroscopic knee surgery.
A prospective cohort study was undertaken at two centers to look for the incidence of deep vein thrombosis (DVT) following knee arthroscopic surgery. Eighty-four patients who had 90 arthroscopic procedures were reviewed. The relevant risk factors: past or family history of DVT, smoking, oral contraceptives, body weight...
28,277
Effect of hormone replacement therapy on hemostatic variables in post-menopausal women.
Hormone replacement therapy (HRT) has been increasingly promoted over the last 40 years to improve quality of life, and to reduce the risks of osteoporotic fractures and coronary heart disease (CHD). Recent randomized controlled clinical trials reported that HRT usage is associated with an increased risk of myocardial ...
28,278
Ocular morbidity from sickle cell disease in a Nigerian cohort.
Sickle cell Retinopathy is increasingly being recognised as a cause of significant ocular morbidity and blindness in Africa south of the Sahara. This study looked for retinopathy in a cohort of 90 Nigerians with Sickle Cell Disease (SCD).</AbstractText>The cohort consisted of black Nigerians from the Hausa-Fulani, Ibo ...
28,279
Polymorphism of the glycoprotein Ia and IIIa in the group of women in childbirth does not correlate with an increased risk of developing thrombosis.
The aim of the study was to evaluate the prevalence of the GP Ia and GP IIIa polymorphisms in the group of women in labor, and to assess the risk of thrombosis associated with their occurrence.</AbstractText>245 women in labor hospitalized between 1.01.2001 and 31.12.2003 r. were enrolled in the study. Patients were qu...
28,280
Influence of methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism, B vitamins and other factors on plasma homocysteine and risk of thromboembolic disease in Chinese.
Thromboembolic disease is a major cause of morbidity and mortality in many countries. Our previous study found that Chinese subjects carried the same polymorphism of the methylenetetrahydrofolate reductase (MTHFR) gene as described in Western studies. The aim of the present study was to determine the influence of MTHFR...
28,281
Cerebral venous sinus thrombosis.
Cerebral venous sinus thrombosis (CVST) is a rare and potentially deadly condition. Common etiologies include hypercoagulable diseases, low flow states, dehydration, adjacent infectious processes, oral contraceptives, hormonal replacement therapy, pregnancy, and puerperium. Symptoms include nausea, seizures, severe foc...
28,282
Interobserver agreement on ultrasound measurements of residual vein diameter, thrombus echogenicity and Doppler venous flow in patients with previous venous thrombosis.
In patients with new symptoms in a leg previously affected by deep vein thrombosis (DVT), the presence of thrombus on ultrasound cannot be assumed to be due to recurrent thrombosis. Several parameters have been suggested to differentiate between acute and chronic thrombus on ultrasound, including measurement of residua...
28,283
Variability in the use of thromboprophylaxis and outcomes in critically ill medical patients.
To describe practices for preventing venous thromboembolism in critically ill medical patients and to identify associations between prophylactic measures and survival.</AbstractText>We reviewed the records of all medical admissions to the intensive care units of a university hospital and an affiliated Veterans Affairs ...
28,284
Living-donor liver transplantation with renoportal anastomosis for patients with large spontaneous splenorenal shunts.
End-stage liver disease is often accompanied by large spontaneous splenorenal shunts and thrombosed portal vein. Renoportal anastomosis for spontaneous splenorenal shunts in living-donor liver transplantations is one of the solutions for the treatment of these patients. However, the long-term outcome, portal venous hem...
28,285
Fatal pulmonary embolism despite an inferior vena cava filter in glioblastoma multiforme.
Patients with high-grade gliomas are at increased risk of pulmonary embolism and deep vein thrombosis. Treatment of this complication remains uncertain and options include anticoagulation or venous filters.</AbstractText>We present a patient with a glioblastoma multiforme who developed a fatal pulmonary embolism in spi...
28,286
[A rare aetiology of the post-partum fever: ovarian vein thrombophlebitis].
To clarify the contribution of the doppler and the CT in the balance aetiology of a fever of the post-partum and to connect it with a thrombophlebitis of ovarian vein.</AbstractText>Five patients presented there post-partum a fever with pointed abdominal painful syndrome. A doppler and a CT were performed.</AbstractTex...
28,287
Blood loss after total hip replacement: a prospective randomized study between wound compression and drainage.
A randomized, controlled study compared the effects of wound compression with drainage after primary total hip arthroplasty. In 51 patients, an inflatable cuff was placed over the wound underneath a girdle (System Calmed, Calmed AB, Askim, Sweden). Control patients had wound drainage (n = 54). Preoperative and intraope...
28,288
Vascular endothelial growth factor naked DNA gene transfer enhances thrombus recanalization and resolution.
Enhancing thrombus resolution may reduce the long-term complications of venous thrombosis. The aim of this study was to examine whether a sustained release of vascular endothelial growth factor (VEGF) would further improve thrombus recanalization.</AbstractText>Inferior caval vein thrombosis was induced in a cohort of ...
28,289
Clinical and hemodynamic significance of corona phlebectatica in chronic venous disorders.
Corona phlebectatica (corona) is a clinical sign associated with chronic venous disorders but is not yet included in the CEAP classification. Our aim was to analyze the clinical and hemodynamic correlations of corona to determine its significance and potential usefulness in classification grading and systems such as th...
28,290
Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease.
The goal of this article is to present clinical and patency results of endovascular treatment of nonmalignant, iliocaval venous obstructive disease and to discuss the evolution of technical details.</AbstractText>From November 1995 to June 2004, 44 patients (female-male ratio, 3.9:1; left-right lower limb ratio, 8.6:1;...
28,291
Small molecule coagulation cascade inhibitors in the clinic.
Venous thromboembolic disease, including deep vein thrombosis and pulmonary embolism, is a cause of significant mortality and morbidity. For several decades, anticoagulant options for the treatment and prevention of thrombosis have been limited mainly to agents such as unfractionated heparin and oral vitamin K antagoni...
28,292
The assessment of platelet activation in antiplatelet drug development.
Platelet activation plays an important role in a wide range of pathological conditions. For example, platelet activation has been shown to be involved in the defence against parasitic infection, the pathogenesis of atherosclerotic disease, and various arterial and venous thrombotic diseases. Indeed, there is considerab...
28,293
[Clinical reasoning and decision-making in practice. A patient with oliguria following prostatectomy].
A 70-year-old man with clinically localised prostate carcinoma underwent extraperitoneal endoscopic radical prostatectomy. His medical history revealed hypertension, renal colic, hypogonadotropic hypogonadism and recurrent deep venous thrombosis in the legs. The operation was uneventful with 500 ml blood loss and no pe...
28,294
Removal of the OptEase retrievable vena cava filter is not feasible after extended time periods because of filter protrusion through the vena cava.
Therapeutic and prophylactic vena cava filters (VCFs) are used to prevent pulmonary embolism. Concerns exist over placing a permanent filter in a young trauma patient. Recently, retrievable VCFs have become available. One such filter is the OptEase, which has a recommended time of removal of up to 23 days after inserti...
28,295
Where are we with postmenopausal hormone therapy in 2005?
Recently, two large randomized placebo-controlled studies on long-term postmenopausal hormone replacement therapy, the Heart and Estrogen/progestin Replacement Study (HERS) and the Women's Health Initiative (WHI), have raise a lot of controversies, especially on the cardiovascular aspects. We briefly review these two t...
28,296
Cerebral venous thrombosis initially considered as a complication of spinal-epidural anaesthesia.
Cerebral venous thrombosis is an unusual condition characterized by headache, nausea, vomiting, focal deficits and epileptic seizures. In this case report we describe a patient who presented with headache and focal motor deficits after an uneventful Caesarean section, performed using combined spinal-epidural anaesthesi...
28,297
Transhepatic catheter-directed thrombectomy and thrombolysis of acute superior mesenteric venous thrombosis.
To evaluate clinical outcomes after percutaneous treatment of superior mesenteric vein (SMV) thrombosis.</AbstractText>A retrospective chart review was conducted of all patients with SMV thrombosis treated with percutaneous catheter-directed thrombectomy/thrombolysis. The demographics of the study population, potential...
28,298
Safety and efficacy of transarterial chemoembolization in patients with unresectable hepatocellular carcinoma and portal vein thrombosis.
Despite the absence of conclusive data, portal vein (PV) thrombosis is considered a contraindication to transarterial chemoembolization (TACE) in patients with unresectable hepatocellular carcinoma (HCC). The purpose of our study was to establish the safety of TACE in such patients and identify key prognostic factors a...
28,299
Comparison of SMART stent placement for arteriovenous graft salvage versus successful graft PTA.
To compare the SMART (shape memory alloy recoverable technology) stent with percutaneous transluminal angioplasty (PTA) alone in hemodialysis access venous stenoses.</AbstractText>A prospective, nonrandomized study was undertaken in 60 patients with dysfunctional polytetrafluoroethylene dialysis grafts. Indications for...