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28,600
Old and new risk factors for upper extremity deep venous thrombosis.
Well known risk factors for upper extremity deep venous thrombosis are the presence of a central venous catheter (CVC) and malignancy, but other potential risk factors, such as surgery, injury and hormone replacement therapy (HRT), have not yet been explored.</AbstractText>We performed a population-based case-control s...
28,601
Differential value of risk factors and clinical signs for diagnosing pulmonary embolism according to age.
The diagnostic value of clinical presentation of pulmonary embolism (PE) is uncertain in the elderly, who often have concomitant cardiopulmonary diseases that may mimic PE. The aim of our study was to assess the differential value of risk factors, symptoms and clinical signs of venous thromboembolism, results of electr...
28,602
Determinants of plasma D-dimer levels in a traveling population.
Plasma D-dimer measurement is a widely used diagnostic test for assessing individuals with suspected venous thromboembolism (VTE). Whilst a negative test is helpful in ruling out thrombosis, the significance and determinants of an elevated plasma D-dimer level in otherwise healthy subjects are poorly understood.</Abstr...
28,603
Attitudes toward genetic testing for thrombophilia in asymptomatic members of a large family with heritable protein C deficiency.
Little research has been performed regarding the psychological consequences of knowing that one is at an increased risk for venous thrombosis.</AbstractText>The aim of this study was to explore attitudes toward genetic testing for protein C deficiency.</AbstractText>Questionnaires about genetic testing attitudes, dispo...
28,604
Decision analysis for cancer screening in idiopathic venous thromboembolism.
The SOMIT trial randomized patients with idiopathic venous thromboembolism (IVTE) and without signs of cancer at routine medical examination, to extensive screening for cancer plus 2 years of follow-up or to just 2-year follow-up.</AbstractText>The data of the SOMIT-trial were used to perform a decision analysis. The s...
28,605
Giant non Hodgkin lymphoma of Scarpa's triangle: a case report.
A 72-year-old lady was admitted to hospital with a large, bleeding mass on the right groin and an 8-month history of deep vein thrombosis of the left leg with pulmonary microembolisation treated medically. On clinical examination there was a solid, necrotising and bleeding right inguinal mass which extended 20 cm below...
28,606
[Venous thromboembolic disease: which coagulation screening, for whom, when?].
Testing for laboratory evidence of thrombophilia is now common but it has limited predictive value for the majority of unselected symptomatic patients. So when is testing indicated ? And which one? The term "thrombophilia" describes disorders of the haemostatic mechanisms which are likely to predispose to thrombosis. T...
28,607
Recurrent pulmonary embolism with non-mobile thrombus in a patient with leiomyosarcoma of the left renal vein.
We describe the case of a man who suffered recurrent pulmonary embolisms despite well-conducted oral anticoagulant therapy. Echocardiography and helical computed tomography revealed a non-mobile right atrial mass related to a leiomyosarcoma of the left renal vein. The prognosis of such a disease is bad and the patient ...
28,608
[Venous thromboembolism and hyperhomocysteinemia as first manifestation of pernicious anemia].
Hyperhomocysteinemia is associated to thrombosis and atherosclerosis. Vitamin B12 is among its main causes and may be due to a pernicious anemia. This study aimed to know the prevalence of this disease in patients who have venous thromboembolism and hyperhomocysteinemia.</AbstractText>A total of 80 consecutive patients...
28,609
Combined radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion.
To evaluate the efficacy of radial optic neurotomy, internal limiting membrane peeling, and intravitreal triamcinolone acetonide for central retinal vein occlusion. Eight consecutive eyes with central retinal vein occlusion with a duration of less than 6 months, cystoid macular edema, and best-corrected visual acuity (...
28,610
Meta-analysis of trials comparing ximelagatran with low molecular weight heparin for prevention of venous thromboembolism after major orthopaedic surgery.
Use of low molecular weight heparin (LMWH) is standard practice for preventing postoperative venous thromboembolism (VTE). Ximelagatran is a new direct thrombin inhibitor for this indication.</AbstractText>A systematic review was conducted to compare the efficacy and safety of LMWH with ximelagatran in orthopaedic surg...
28,611
Mesogonadal shunts for extrahepatic portal vein thrombosis and variceal hemorrhage.
Extrahepatic portal vein thrombosis (EHPVT) may occur in children or adults and usually comes to clinical attention due to complications of portal hypertension such as variceal hemorrhage. A variety of standard surgical techniques exist to manage these patients, but when these fail surgical options are limited. We desc...
28,612
Incidence and clinical predictors of pulmonary embolism in severe heart failure patients admitted to a coronary care unit.
To determine the incidence of clinical pulmonary embolism (PE) in a population with severe congestive heart failure (CHF) admitted to a coronary care unit (CCU), and to identify clinical predictors of PE in this population.</AbstractText>Prospective, observational study performed in a CCU of a tertiary care hospital be...
28,613
Enoxaparin in the treatment of deep vein thrombosis with or without pulmonary embolism: an individual patient data meta-analysis.
Low-molecular-weight heparins have been compared with unfractionated heparin (UFH) for treatment of deep vein thrombosis (DVT). However, a comparison of their efficacy in the presence or absence of pulmonary embolism (PE) has not been studied. We estimated the efficacy and safety of enoxaparin vs UFH in patients with p...
28,614
[Diagnostic value of the clinical probability score of deep venous thrombosis in the elderly].<Pagination><StartPage>931</StartPage><EndPage>937</EndPage><MedlinePgn>931-7</MedlinePgn></Pagination><Abstract><AbstractText Label="SUBJECT" NlmCategory="METHODS">There is a lack of scientific data concerning the incidence, ...
There is a lack of scientific data concerning the incidence, clinical signs, risk factors and diagnostic management of deep vein thrombosis (DVT) in the elderly.</AbstractText>We carried out a prospective case-control study in a geriatric setting. We included one in-patient without clinical signs of deep vein thrombosi...
28,615
Simultaneous deep vein thrombosis and transverse myelitis with negative serology as a first sign of antiphospholipid syndrome: a case report and review of the literature.
Transverse myelitis is a rare manifestation of antiphospholipid syndrome, usually secondary to systemic lupus erythematosus (Rheum Dis Clin North Am 20:129-158, 1994). Only about 110 reports of this complication have been reported (Lupus 10:851-856, 2001). A connection has been demonstrated between positive serology fo...
28,616
Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis.
A 71-year-old-man presented with chronic left-sided epiphora and a 5-day history of progressive left orbital swelling that had started with a "bump" on the left side of his nose. Orbital CT revealed left-sided preseptal and postseptal inflammation, along with marked thickening of the left superior ophthalmic vein. Orbi...
28,617
New anticoagulants for venous thromboembolic disease.
In this paper, recent advances in new anticoagulants with the potential to be used for prevention or treatment of venous thrombosis are reviewed.</AbstractText>Numerous novel anticoagulants targeting specific stages of the coagulant pathway are in various stages of development. Fondaparinux, an indirect activated facto...
28,618
Urinary storage symptoms and comorbidities: a prospective population cohort study in middle-aged and older women.
to identify predictive morbidities for urinary storage syndromes including indicators for neurological, musculoskeletal, cardiovascular, immune, lower bowel and psychological systems. This is the first study to test prior hypotheses, based on a literature review.</AbstractText>this was a prospective cohort study involv...
28,619
Prevention of perioperative venous thromboembolism and coronary events: differential responsiveness to an intervention program to improve guidelines adherence.
Prevention of venous thromboembolism and coronary events (with beta-blockers) during and after surgery is at the top of a list of safety practices for hospitalized patients, recommended by the Agency for Health Care Research and Quality (AHRQ). We wished to determine and improve adherence to clinical guidelines for the...
28,620
[In-flight emergencies].
It is estimated that at least one billion passengers travel by air every year. It is predicted that this number will double in the future, including an increasing number of aged passengers. It is further estimated that for every ten million passengers, 225 acute in-flight incidents and one death will occur. Modern comm...
28,621
Update in thrombosis: answers to perplexing questions.
Recent clinical trials are answering some of the perplexing clinical questions about venous thromboembolism (VTE), such as the length and intensity of anticoagulation needed to prevent recurrence. We review some of these clinical trials and their implications for physicians and patients.
28,622
Recurrent pulmonary thromboembolism in a patient with systemic lupus erythematosus and HIV-1 infection associated with the presence of antibodies to prothrombin: a case report.
The coexistence of human immunodeficiency virus (HIV) infection and systemic lupus erythematosus (SLE) is being increasingly reported and, because of the immunological disturbances demonstrated in HIV-infected patients, diagnostic and therapeutic difficulties may arise when the 2 conditions coexist. Antiphospholipid an...
28,623
Arterial coupling for microvascular free tissue transfer in head and neck reconstruction.
To demonstrate the efficacy of arterial coupling.</AbstractText>We report our experience in head and neck reconstruction with the Unilink Microvascular Anastomotic System (Synovis MCA, Birmingham, Ala). Data were collected in a consecutive series of 49 patients undergoing composite resection of head and neck tumors fol...
28,624
Comparison between 4-hour clamping drainage and nonclamping drainage after total knee arthroplasty.
A prospective randomized trial of postoperative drainage-clamping practice was performed in 89 knees undergoing total knee arthroplasty. In group 1 (43 knees), drainage was clamped for the first 4 postoperative hours. In group 2 (46 knees), drainage was not clamped. The average bloody drainage was significantly less in...
28,625
Venous thromboembolic complications following air travel: what's the quantitative risk? A literature review.
To quantify the risk of venous thromboembolism (VTE) following air travel and assess methods of prevention.</AbstractText>Review of literature.</AbstractText>We reviewed Pubmed, Medline, Embase and Cochrane Databases for studies that have assessed the risk of VTE associated with air travel.</AbstractText>There is an as...
28,626
Hypoxia-reoxygenation contributes to increased frequency of venous thromboembolism in air travellers.
Commercial air travel is widespread, with close to 2 billion people traveling each year. The association between venous thromboembolism (VTE) and confined sitting has been established and a correlation between the distance traveled and its incidence had been documented. Most studies underscore stasis caused by immobili...
28,627
Complement factor H Y402H gene polymorphism, C-reactive protein, and risk of incident myocardial infarction, ischaemic stroke, and venous thromboembolism: a nested case-control study.
An exonic polymorphism (Y402H) in the complement factor H (CFH) gene, which locates within the binding sites for heparin and C-reactive protein, has recently been described and hypothesized to play an important role in atherothrombosis.</AbstractText>We, therefore, evaluated the CFH genetic variant Y402H amongst 685 Ca...
28,628
Imaging manifestations of complications associated with uterine artery embolization.
Uterine artery embolization (UAE) is an increasingly performed, minimally invasive alternative to hysterectomy or myomectomy for women with symptomatic uterine fibroids. A growing body of literature documents symptomatic improvement in the majority of women who undergo UAE. Although UAE is usually safe and effective, t...
28,629
Anti-thrombic activity of Korean herbal medicine, Dae-Jo-Whan and its herbs.
The anti-thrombic properties of the Korean herbal medicine, Dae-Jo-Hwan (DJW), which is consisted of 11 herbs (indicated as concentrations) of Rehmanniae radix 24%, Hominis placenta 5%, Testudinis carapax 9%, Eucommiae cortex 9%, Asparagi radix 9%, Phellodendri cortex 9%, Achyranthis radix 7%, Liriopis tuber 7%, Angeli...
28,630
The brachial artery-basilic vein arterio-venous fistula in vascular access for haemodialysis--a review paper.
To review the available literature regarding patency rates and complications of the brachial-basilic arterio-venous fistula (BBAVF) and to discuss this with relation to the current dialysis outcomes quality initiative guidelines.</AbstractText>An internet based literature search was performed using Pubmed, Medline and ...
28,631
[How to improve central venous catheter use in intensive care unit?].
Central venous catheter (CVC) insertion is routinely performed in critically ill patients but causes mechanical, thrombotic, or infectious adverse events in 15% of cases. It should be possible to improve the benefit/risk ratio of central venous catheterization in intensive care unit.</AbstractText>We searched Pubmed us...
28,632
Cadaveric full-size liver transplantation and the graft alternatives in adults: a comparative study from a single centre.
<AbstractText Label="BACKGROUND/AIMS" NlmCategory="OBJECTIVE">This study aims to compare the results of living donor (LDLT), cadaveric split (SLT) and domino (DO) liver transplantation which are currently available alternatives to the conventional cadaveric full-size liver transplantation (CAD).</AbstractText>Immunolog...
28,633
Intravitreal triamcinolone compared with macular laser grid photocoagulation for the treatment of cystoid macular edema.
To evaluate the outcome of cystoid macular edema (CME) treated with intravitreal injections of triamcinolone acetonide (TA), macular laser grid photocoagulation (MLG), or both (TA+MLG).</AbstractText>Prospective, randomized, interventional, parallel, three-arm clinical trial.</AbstractText>Institutional clinical study....
28,634
The use of a fixed high sensitivity to evaluate five D-dimer assays' ability to rule out deep venous thrombosis: a novel approach.
Suspected deep venous thrombosis (DVT) is difficult to refute without complex diagnostic algorithms and expensive testing. We analysed five D-dimer assays' utility for exclusion of suspected DVT during a prospective clinical cohort trial, choosing a highly sensitive cut-off value at which to compare the assays. Assays ...
28,635
Venous thromboembolism in radical prostatectomy: is heparinoid prophylaxis warranted?
To review the incidence of venous thromboembolism (VTE) after radical retropubic prostatectomy (RRP) and evaluate the need for heparinoid prophylaxis as opposed to mechanical compression devices after RRP.</AbstractText>RRP is classified as a category 1 (high risk) procedure for VTE by the American College of Chest Phy...
28,636
Optional vena cava filters for patients with high thromboembolic risk: questions to be answered.
The use of vena cava filters has increased rapidly over the past few years to more than 140,000 filters inserted worldwide in 2003. Continued improvements in filter design have increased the safety of intravascular caval filtration. Although there are many factors attributed to this increase, the most significant contr...
28,637
[Imaging of rhinocerebral mucormycosis].
Rhinocerebal mucormycosis is a rare life threatening fungal infection observed in immunocompromised patients. We report six cases of patients with rhinocerebral mucormycosis confirmed histologically. Our study confirms the necessity of early diagnosis when clinical and CT findings are suggestive.</AbstractText>This is ...
28,638
Palliative care in patients with brain metastases.
With improvements in systemic therapy, central nervous system metastases have increased in incidence in patients with cancer. Patients with brain metastases from solid tumors often have a dismal prognosis, and supportive measures are often critical in improving patient outcome. They include treatments against vasogenic...
28,639
Methodological issues in trials assessing primary prophylaxis of venous thrombo-embolism.
Many trials have been conducted to assess the efficacy of various strategies in the prevention of venous thrombo-embolism (VTE). Some of these trials have been subject to methodological criticisms. We aimed to assess the methodological issues raised by VTE trials.</AbstractText>We searched MEDLINE and the Cochrane Cent...
28,640
Correspondence of ultrasound elasticity imaging to direct mechanical measurement in aging DVT in rats.
Previous ultrasound elasticity imaging experiments supported a generally accepted concept that the hardness of deep venous thrombi increases with thrombus aging. Results also showed that this noninvasive imaging technique can accurately predict thrombus age through strain estimates, in a well-controlled animal study. I...
28,641
Hemostatic and rheological variables and risk of cardiovascular disease.
Increasing blood levels of hemostatic variables may increase the risk of thrombosis, while increasing levels of rheological variables which reduce blood flow may increase the risk of ischemic events. Systematic reviews of prospective cohort studies of hemostatic and rheological variables suggest that increasing blood l...
28,642
The management of patients with patent foramen ovale and stroke.
The management of patients with patent foramen ovale (PFO) and stroke remains uncertain. What is known is that PFO is a very common finding in the general population. The risk of initial and recurrent stroke in individuals with PFO is relatively low. With the advent of transesophageal echocardiography, PFO is more comm...
28,643
Treatment and prevention of cerebrovascular disorders in children.
Cerebrovascular disorders are an important cause of mortality and chronic morbidity in children. Ischemic stroke is more common than cerebral venous thrombosis and hemorrhagic stroke in children. Several medical disorders have been associated with stroke in children, and a thorough evaluation of underlying causes is ne...
28,644
Thalidomide and dexamethasone: therapy for multiple myeloma.
Multiple myeloma is a plasma cell malignancy that remains incurable with current treatment approaches including high-dose therapy and autologous stem cell transplantation. Thalidomide represents a major advance in the treatment of this disorder, having demonstrated significant activity in all phases of the disease. Tha...
28,645
Evaluation of risk factors for development of catheter-associated jugular thrombophlebitis in horses: 50 cases (1993-1998).
To evaluate risk factors associated with development of catheter-associated jugular thrombophlebitis in hospitalized horses.</AbstractText>Retrospective case-control study.</AbstractText>50 horses with thrombophlebitis and 100 control horses.</AbstractText>Medical records from 1993 through 1998 were searched for horses...
28,646
[Clinical and functional results after transfemoral thrombectomy for iliofemoral deep venous thrombosis: a 5-year-follow-up].
The optimal therapy of deep pelvic and leg venous thrombosis is still a matter of debate. The purpose of our study was to evaluate early and late results of iliofemoral thrombectomy with regard to the prevention of the development of a postthrombotic syndrome.</AbstractText>Between 1996 and 2000, 57 patients underwent ...
28,647
[Knee arthroplasties performed at Akureyri University Hospital in the years 1983-2003. Results with emphasis on revision and complication rates].
Osteoarthrosis (OA) is a growing medical problem in western societies and the cost of the treatment has grown accordingly in the last years. Patients with OA often need to be operated on with arthroplasties and one important outcome measure for this type of surgery is the revision rate. The purpose of this study was to...
28,648
Unusual thromboses associated with protein S deficiency in patients with acquired immunodeficiency syndrome: case reports and review of the literature.
Recent reports indicate that patients infected with HIV are at increased risk for the development of thrombosis. Among other possibilities, an acquired deficiency of protein S (PS), one of the plasma's natural anticoagulants, might explain this tendency. PS deficiency can be classified in three types depending on the l...
28,649
[Homocystein--an independent risk factor for cardiovascular and thrombotic diseases].
Over the last 20 years homocysteine has taken on increasing importance as an independent, potentially modifiable risk factor for various forms of vascular disease including peripheral and cerebral vascular disease, coronary heart disease and thrombosis. This association has been ascertained in many retrospective and pr...
28,650
[Headache attributed neurosurgical diseases].
When we see headache patients, it is most important thing that we rule out patients with intracranial diseases. Intracranial diseases with headache are so many. I'd like to emphasize some intracranial diseases with headache not to miss. Especially subarachnoid hemorrhage due to ruptured cerebral aneurysm is a serious d...
28,651
Absorbable cyanoacrylate as a vascular hemostatic sealant: a preliminary trial.
No absorbable cyanoacrylate tissue adhesive for safe internal surgical use is available. This prospective multicenter preliminary study was designed to evaluate the safety and effectiveness of an investigational absorbable cyanoacrylate (IAC) as an adjunct to hemostasis in arteriovenous shunt (AVS) procedures for dialy...
28,652
A spontaneous intramural hematoma of the bowel presenting as obstruction in a child receiving low-molecular-weight heparin.
Low-molecular-weight heparin (LMWH) is a safe and effective alternative to unfractionated heparin and coumadin in the treatment and prophylaxis of thrombosis in children. When compared with these more established anticoagulants, it is easier to achieve therapeutic levels and the incidence of hemorrhagic complications i...
28,653
Neurovascular compression following isolated popliteus muscle rupture: a case report.
This case report concerns an unusual complication of neurovascular compression following an isolated popliteus muscle rupture. A 59-year-old man, after a fall from a horse, gradually developed symptoms of a swollen leg, dysesthesias in the sole of his foot, and muscle weakness of his toe flexors. At presentation, he wa...
28,654
Pediatric closed head injuries treated in an observation unit.
Closed head injury (CHI) is common in childhood and frequently results in hospital admission for observation and treatment. Observation units (OUs) have shown significant benefits for patients and physicians. At our institution, a level 1 pediatric trauma center, patients with CHI are often admitted to an OU for up to ...
28,655
Neurologic disorders in pregnancy.
Neurologic dysfunction, coma, and seizures are common in obstetric patients in the intensive care unit.</AbstractText>To review common neurologic disorders resulting in critical illness in pregnancy.</AbstractText>Obstetric disorders causing coma and seizures include eclampsia, acute fatty liver of pregnancy, and amnio...
28,656
Hepatic disease and pregnancy: an overview of diagnosis and management.
To provide a review of the current literature on hepatic disease in pregnancy, outlining the incidence, pathophysiology, diagnosis, and management of major diseases in this category.</AbstractText>A thorough review of expert analysis, case reports, and randomized clinical trials was used to assess current methods of ma...
28,657
Pulmonary embolism during and after pregnancy.
Venous thromboembolic disease is among the most common causes of morbidity and mortality during pregnancy. The clinical evaluation alone is insufficient for the diagnosis of venous thromboembolic disease, and the normal pregnant state makes this evaluation even more challenging.</AbstractText>Objective testing is the m...
28,658
Is guidewire exchange a better approach for subclavian vein re-catheterization for chronic hemodialysis patients?
The objectives of this study were to compare outcomes and survival rates of subclavian vein re-catheterization through guide wire exchange (GWE) or de novo insertion (DN).</AbstractText>The study was conducted in a retrospective manner. Medical records of 36 patients who received percutaneous subclavian vein re-cathete...
28,659
Kidney-pancreas transplantation: single-center experience at a university hospital in Turkey.
One treatment option for patients with type 1 diabetes mellitus with end-stage nephropathy is combined pancreas-kidney transplantation, which can be performed either simultaneously (SPK) or following kidney transplantation (PAK).</AbstractText>Between February 2003 and November 2004, 14 patients, including 10 males and...
28,660
Cost-effectiveness of screening for deep vein thrombosis by ultrasound at admission to stroke rehabilitation.
This project was a cost-effectiveness analysis of the practice of routine Doppler ultrasound screening for deep vein thrombosis (DVT) in patients with ischemic stroke at the time of admission to rehabilitation.</AbstractText>A decision-analysis model was created to compare 2 approaches for detecting DVT in a stroke pop...
28,661
Symptomatic venous thromboembolism after orthognathic operations: an audit.
We report the incidence of symptomatic venous thromboembolism confirmed by venography after 129 consecutive orthognathic operations between 1998 and 2002. Two patients developed deep vein thromboses (DVT) and there were no symptomatic pulmonary emboli.
28,662
Isolated idiopathic ovarian vein thrombosis: a rare case.
This article describes the case of a 36-year-old woman who presented with a 2-day history of abdominal pain and nausea. Laboratory investigations revealed no abnormalities. Ovarian vein thrombosis was detected on ultrasound examination, and computed tomography of the pelvis and abdomen confirmed this finding. The patie...
28,663
High rate of recurrence in renal transplant recipients after a first episode of venous thromboembolism.
No data are available about the optimal duration of oral anticoagulant therapy (OAT) after an episode of venous thromboembolism (VTE) occurring in renal transplant (RT) recipients. Our study was undertaken to evaluate the risk of VTE recurrence in patients developing a first episode of VTE after RT.</AbstractText>Among...
28,664
Chylothorax following innominate vein thrombosis: a rare complication of transvenous pacemaker implantation.
A case of chylothorax following innominate vein thrombosis, which developed as a late complication of transvenous pacemaker implantation, is discussed. A 78-year-old man presented with a refractory left-sided pleural effusion, which turned out to be chylothorax. He had undergone a transvenous pacemaker implantation 6 y...
28,665
High prevalence of pulmonary arterial thrombi in donor lungs rejected for transplantation.
Donor hypoxemia is a common reason for the rejection of lungs for transplantation. Organ donors are at high risk for venous thromboembolism. Pulmonary arterial thrombosis could contribute to donor hypoxemia. The primary objective of this study was to prospectively quantify the incidence of pulmonary arterial thrombosis...
28,666
Comparison of 6 and 7 French guiding catheters for percutaneous coronary intervention: results of a randomised trial with a vascular ultrasound endpoint.
To perform a randomized, ultrasound controlled trial to define the procedural and clinical advantages and limitations of 6 French (Fr) compared with 7 Fr transfemoral coronary intervention in the stenting era.</AbstractText>The use of 7 Fr guiding catheters may facilitate Percutaneous Coronary Intervention (PCI), but m...
28,667
Prospective assessment of hemodialysis access patency after percutaneous intervention: Cox proportional hazards analysis.
Vascular access failure is the greatest limitation of successful hemodialysis, but the factors associated with long-term patency have not been fully elucidated. Outcomes in a consecutive series of 294 thrombosed or failing accesses [128 fistulas (43.5%) and 166 grafts (56.5%) in 179 patients] were analyzed with life ta...
28,668
[Budd-Chiari syndrome in a patient with paroxysmal nocturnal haemoglobinuria].
A 61-year-old man with dyspnea and diffuse abdominal pain due to increasing ascites caused by liver cirrhosis of unknown etiology was admitted for consideration of transjugular intrahepatic portosystemic stent-shunting (TIPSS). The patient's medical history included paroxysmal nocturnal hemoglobinuria (PNH), presenting...
28,669
Catastrophic thromboses and severe thrombocytopenia during heparin therapy in a patient with anti-phospholipid syndrome.
Catastrophic anti-phospholipid syndrome (CAPS) is a medical emergency characterized by thromboses of multiple small vessels of internal organs and the brain. Herein we present a patient with primary anti-phospholipid syndrome who developed CAPS manifested by hepatic, renal and splenic artery thromboses, as well as cere...
28,670
[Pulmonary artery aneurysms in Behcet syndrome].
Behcet syndrome is a systemic disease with venous tropism, generally expressed by thrombosis and phlebitis. Arterial involvement is more exceptional but can lead to aneurysm of the pulmonary artery, generally not more than three. We report a patient with Behcet syndrome who developed multiple aneurysms of the pulmonary...
28,671
Comparison of risk factors for the competing risks of coronary heart disease, stroke, and venous thromboembolism.
Methods for formal comparison of competing risks may clarify uncertainties about the associations of atherosclerotic risk factors with the development of venous thromboembolism (VTE). For a median of 20.1 years, the Physicians' Health Study (1982-2003) followed 18,662 US male physicians with no prior myocardial infarct...
28,672
[The clinical application of electron beam tomography in the diagnosis of pulmonary thromboembolism].
To evaluate the clinical significance of electron beam computerized tomography (EBCT) in the diagnosis and differential diagnosis of pulmonary thromboembolism (PTE).</AbstractText>EBCT was performed before March 2004 in 114 consecutive patients with clinically suspected pulmonary vascular diseases, including 76 patient...
28,673
Iatrogenic calcinosis cutis following nadroparin injection.
Accumulation of calcium in the skin is usually classified as a group of disorders referred to as calcinosis cutis. We report the case of a patient who developed iatrogenic calcinosis at the site of subcutaneous administration of low-molecular-weight heparins (LMWH) as nadroparin. This is usually used for the prevention...
28,674
Duration of treatment of deep vein thrombosis: time for a new approach?
The American College of Chest Physicians Consensus Conference on Antithrombotic Therapy recommends that patients with initial idiopathic deep vein thrombosis (DVT) receive treatment for at least 6-12 months. However, controversy exists as to what treatment duration and intensity are optimal. Some investigators have sug...
28,675
Deep venous thrombosis in children and adolescents.
The objective of this retrospective review was to identify patients on the pediatric neurosurgical ward with deep venous thrombosis (DVT) to develop diagnostic and treatment-related guidelines.</AbstractText>The authors performed a retrospective chart review of all cases of DVT presenting to the Children's Hospital bet...
28,676
[Radial neurotomy of the optic nerve in central retinal vein occlusion (case reports)].
The basic aim of this paper is to introduce the case reports of two patients with the ischaemic form of the central vein occlusion with very low preoperative best-corrected visual acuity (BCVA) and with very unfavorable prognosis, treated by means of radial neurotomy of the optic nerve disc (RNO) during the pars plana ...
28,677
Antithrombotic therapy for stroke in young adults.
Stroke in young adults is a markedly heterogeneous disease, and remains an understudied phenomenon. While advances are being made in our understanding of the pathophysiology of its underlying conditions, treatment concerns are controversial, and clinical trials are sorely lacking. This review presents an overview of so...
28,678
Patent foramen ovale and stroke: prognosis and treatment in young adults.
A patent foramen ovale (PFO) is found with increased frequency in patients with stroke of undetermined origin but the significance and therapeutic implications of this observation remain unclear. Several lines of evidence suggest a role for the PFO in stroke pathophysiology for some cryptogenic stroke patients, such as...
28,679
Enlargement of previously ligated popliteal aneurysm causing venous bypass graft occlusion.
A 72-year-old male patient presented with a thrombosed popliteal artery aneurysm measuring 15 x 8 cm 12 years following ligation and saphenous vein bypass grafting through a medial approach. The giant aneurysm, which had grown and compressed the previously functional vein bypass graft to the point of graft thrombosis, ...
28,680
Triamcinolone acetonide with vitrectomy for treatment of macular edema associated with branch retinal vein occlusion.
To review the efficacy of a combination of triamcinolone acetonide (TA) injection and pars plana vitrectomy (PPV) for the treatment of macular edema associated with branch retinal vein occlusion (BRVO).</AbstractText>Seventeen eyes with macular edema associated with BRVO underwent PPV with an intraoperative injection o...
28,681
Resolution of serous macular detachment after intravitreal triamcinolone acetonide treatment of patients with branch retinal vein occlusion.
To evaluate the effect of intravitreal triamcinolone acetonide on serous macular detachment in patients with branch retinal vein occlusion (BRVO).</AbstractText>Eight eyes of 8 patients with BRVO (6 men and 2 women; age range, 52-76 years) made up the study population. The eligibility criteria for this study included c...
28,682
Intravitreal triamcinolone injection for treatment of macular edema secondary to branch retinal vein occlusion.
To evaluate the efficacy of intravitreal triamcinolone injection in eyes with macular edema due to branch retinal vein occlusion (BRVO) over a 2-year period.</AbstractText>The authors performed a retrospective chart review of 13 eyes of 13 patients (mean age 68 years) who underwent intravitreal injections with 4 mg tri...
28,683
Intravitreal triamcinolone treatment for macular edema associated with central retinal vein occlusion and hemiretinal vein occlusion.
To assess the efficacy of intravitreal triamcinolone treatment for macular edema from central retinal vein occlusion (CRVO) and hemiretinal vein occlusion (HRVO).</AbstractText>This study was a retrospective medical records review of 24 eyes of 24 patients (mean age, 71 years) that were injected with 4 mg of intravitre...
28,684
Experience with combined video-assisted thoracoscopic surgery (VATS) anterior spinal release and posterior spinal fusion in Scheuermann's kyphosis.
Retrospective.</AbstractText>To determine whether anterior endoscopic release and posterior spinal fusion could achieve stable correction in Scheuermann's kyphosis.</AbstractText>The initial treatment of choice of Scheuermann's kyphosis is thoracic hyperextension and postural exercises and/or Milwaukee brace. Milwaukee...
28,685
Robot-assisted laparoscopic and open live-donor nephrectomy: a comparison of donor morbidity and early renal allograft outcomes.
Robot-assisted laparoscopic donor (RALD) nephrectomy, a new procedure for the removal of a kidney from a living donor, was performed on 13 subjects at our centre.</AbstractText>The immediate post-operative courses for these donors, and their respective recipients, were compared with those of 13 previous open live-donor...
28,686
Oral direct thrombin inhibitor ximelagatran compared with warfarin for the prevention of venous thromboembolism after total knee arthroplasty.
Warfarin, which requires coagulation monitoring, is associated with relatively high rates of thromboembolism despite providing adequate prophylaxis. This study compared an oral direct thrombin inhibitor, ximelagatran, with warfarin in order to evaluate the safety and efficacy of the medication for the prevention of ven...
28,687
Immunohistochemical study in dural arteriovenous fistulas and possible role of local hypoxia for the de novo formation of dural arteriovenous fistulas.
Although previous clinical and experimental studies investigated the pathogenesis of dural arteriovenous fistulas (DAVFs), the biological process leading to intracranial DAVFs so far remains unknown. In this study, we investigated the expression of vascular growth factors in order to elucidate the possible role of thes...
28,688
Systematic review and meta-analysis of the diagnostic accuracy of ultrasonography for deep vein thrombosis.
Ultrasound (US) has largely replaced contrast venography as the definitive diagnostic test for deep vein thrombosis (DVT). We aimed to derive a definitive estimate of the diagnostic accuracy of US for clinically suspected DVT and identify study-level factors that might predict accuracy.</AbstractText>We undertook a sys...
28,689
Acute Budd-Chiari syndrome resulting from a pyogenic liver abscess.
Budd-Chiari syndrome is a rare condition resulting from outflow obstruction of the liver. This syndrome due to a pyogenic abscess is rarely documented in the English literature. Here a male patient with acute Budd Chiari syndrome is presented. A 21-year-old male patient was admitted to the hospital because of severe ri...
28,690
Postoperative portal vein thrombosis in patients with hepatosplenic mansonic schistosomiasis: relationship with intraoperative portal pressure and flow. A prospective study.
<AbstractText Label="BACKGROUND/AIMS" NlmCategory="OBJECTIVE">Portal vein thrombosis is a frequent postoperative complication after esophagogastric devascularization with splenectomy. The aim of this study was to analyze biochemical, hematological, coagulation blood tests and intraoperative portal vein hemodynamics aft...
28,691
Prothrombotic gene mutations and Crohn's disease; is there any association?
<AbstractText Label="BACKGROUND/AIMS" NlmCategory="OBJECTIVE">Patients with inflammatory bowel disease have an increased tendency for thromboembolism. In this study we aimed to determine the frequency of FV gene and Prothrombin G20210A gene mutations in a group of patients with Crohn's Disease (CD) and estimate its cor...
28,692
Portal venous system after endoscopic sclerotherapy of esophageal varices in patients with liver cirrhosis--prospective study with Doppler sonography.
<AbstractText Label="BACKGROUND/AIMS" NlmCategory="OBJECTIVE">The aim of this prospective, clinical study was an ultrasonographic color Doppler evaluation of morphological and hemodynamic changes in the portal system prior to and after repeated, endoscopic injection sclerotherapy in patients with liver cirrhosis and he...
28,693
Subcutaneous venous reservoir implant: our experience in 1200 cases.
We present our experience in subcutaneous venous reservoir (SVR) implanting, laying emphasis on the surgical technique, the protocol followed for assessing difficulty, implant care and per- and post-implant complications and their management. Between March 1996 and December 2002 we installed 1200 SVRs on an outpatient ...
28,694
Radial optic neurotomy in central retinal vein occlusion: preliminary results.
To investigate the efficacy of radial optic neurotomy (RON) on visual prognosis and clinical findings in central retinal vein occlusion (CRVO).</AbstractText>Prospective, non-randomised, self-controlled comparative trial. Six patients with ischemic CRVO who had visual acuity (VA) less than or equal to 0.1 and duration ...
28,695
Thromboprophylaxis after cesarean delivery: a decision analysis.
To compare 4 strategies for managing patients after cesarean delivery.</AbstractText>Using decision analysis, we compared universal subcutaneous (SC) heparin prophylaxis, heparin prophylaxis only for patients with a genetic thrombophilia, use of pneumatic compression stockings (PCS), and no thromboprophylaxis. Outcomes...
28,696
Leiomyosarcoma of the inferior vena cava: three case reports and review of the literature.
We describe 3 cases of leiomyosarcoma of the inferior vena cava (IVC) and review the literature describing clinicopathologic features of 211 cases and the outcome. Of these, 74% of the cases affected women with median age of 52 years. The most common symptoms were abdominal pain or mass (57%), Budd-Chiari syndrome (17%...
28,697
Varicella zoster infection and pulmonary complications.
A 34-year-old immunocompetent man with varicella zoster (VZ) infection developed deep vein thrombosis and pulmonary embolism after suffering severe pneumonitis. He recovered after treatment with acyclovir, high-dose steroids, and ventilatory support. The endothelial damage could be a direct link between VZ pneumonitis ...
28,698
Safety assessment of raloxifene over eight years in a clinical trial setting.
Osteoporosis is a chronic disorder that warrants long-term therapy. If benefits are to outweigh risks, the long-term safety profiles of these therapies must be favorable. The aim of this study was to assess the safety of raloxifene over 8 years in 4011 postmenopausal women with osteoporosis in a clinical trial setting ...
28,699
A comparison of computerised strain gauge plethysmography with D-dimer testing in screening for deep-vein thrombosis.
There has been a significant increase in the amount of diagnostic testing performed to confirm or refute a diagnosis of deep-vein thrombosis (DVT), often in low-risk patients. D-dimer testing and computer-assisted strain gauge plethysmography (SGP) are rapid, inexpensive methods of excluding DVT and, in combination wit...