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30,200 | Novel therapies for hemodialysis vascular access dysfunction: fact or fiction! | Hemodialysis vascular access dysfunction is a major cause of morbidity in the hemodialysis population and contributes significantly to the overall cost of end-stage renal disease programs. At a histological level, most hemodialysis vascular access dysfunction (in both native arteriovenous fistulae and PTFE dialysis acc... |
30,201 | A case of the otogenic variant of Lemierre's syndrome with atypical sequelae and a review of pediatric literature. | We report a case of an 8-year-old girl who presented with the clinical picture of Lemierre's syndrome (LS) secondary to bilateral mastoiditis. She developed unilateral sensorineural hearing loss (SNHL) along with internal jugular vein (IJV) thrombosis, septic arthritis of her ankle and cervical fasciitis. Combined anti... |
30,202 | Catatonia in the elderly. | Catatonia in geriatric patients has been insufficiently investigated. We reviewed 71 case descriptions from 45 studies to clarify the phenomenology, diagnosis, etiology, and treatment of catatonia in the elderly. In elderly patients, catatonia is frequently observed in association with general medical conditions. In pa... |
30,203 | Total knee replacement: an evidence-based analysis. | The aim of this review was to assess the effectiveness, in terms of pain reduction and functional improvement, and costing of total knee replacement (TKR) for people with osteoarthritis for whom less invasive treatments (such as physiotherapy, analgesics, anti-inflammatory drugs, intra-articular steroids, hyaluronic ac... |
30,204 | Physiotherapy rehabilitation after total knee or hip replacement: an evidence-based analysis. | The objective of this health technology policy analysis was to determine, where, how, and when physiotherapy services are best delivered to optimize functional outcomes for patients after they undergo primary (first-time) total hip replacement or total knee replacement, and to determine the Ontario-specific economic im... |
30,205 | Postpartum cerebral vein thrombosis. | Pregnancy increases the risk of cerebrovascular accidents to approximately 13 times the expected rate. Most of the cerebrovascular accidents are due to cerebral venous thrombosis. Headache, seizures and focal neurological deficits are some of the symptoms of cerebral venous thrombosis. Headache can also be due to postu... |
30,206 | Deep vein thrombosis assessment clinic: Evaluation of a new working practice. | Suspected deep vein thrombosis (DVT) is a common reason for medical referral to hospital. We evaluated our new approach to assessment of DVT using combined automated strain gauge plethysmography and pretest probability score in comparison with venous ultrasonography in 100 consecutive patients with suspected DVT referr... |
30,207 | Physician partnerships: the value of clinical effectiveness resource management. | Once perceived as a hospital-only process, risk management is now recognized as an important part of clinical decision-making and hospital operations. The greatest opportunities exist where risk management programs can be integrated into the development and implementation of guidelines, protocols and order sets that en... |
30,208 | Extensive venous thrombosis in a runner: progression of symptoms key to diagnosis. | Although usually considered a disease of sedentary people, deep venous thrombosis can occur in active patients. Physical findings may be difficult to differentiate from those of muscle trauma, a Baker's cyst, or hematoma. A high index of suspicion must be maintained, because delay in making the diagnosis and initiating... |
30,209 | Breast augmentation and abdominoplasty: postoperative management with pain pumps. | Using pain pumps, the author has been successful in reducing postoperative pain after breast augmentation and abdominoplasty. Further, patients ambulate sooner, which reduces the risk of deep vein thrombosis, and more fully expand their lungs, which averts a compromise in pulmonary function. |
30,210 | Isolated small bowel transplantation from a living-related donor at the Catholic University of Korea--a case report of rejection -free course-. | The bowel transplantation team at the Catholic Medical Center, Korea, on April 9 2004, accomplished a case of isolated small bowel transplantation (SBT) in a 57 year-old female with short bowel syndrome. The primary surgery was a jejunocolostomy due to mesenteric vein thrombosis, while maintaining 30 cm of the jejunum ... |
30,211 | [The treatment of varicosity associated with persistent edema of the lower limbs]. | From February 1998 to September 2002, 36 patients suffering from varicosity of the saphenous veins of the lower limbs associated with edema were operated on. All of them were provided different variants of intraoperative sclerotherapy (IOST). By the character of venous disorders the patients were divided into 2 groups.... |
30,212 | Acute disorders of mesenteric circulations: the etiology, risk factors and incidence of lesions. | Acute disorder of mesenteric circulation (ADMC) is an emergency pathology of the abdominal organs. It occurs in 0.2% of general surgery patients. A total of 346 patients with verified (before, during operation and/or on autopsy) diagnosis of ADMC were analyzed retrospectively. There were 217 (62.7%) women and 129 (37.3... |
30,213 | [Ischemic stroke at the young age: the role of antiphospholipid antibodies]. | Output of antiphospholipid antibodies (aPL) coupled with arterial and/or venous thromboses, miscarriage and some other clinical manifestations is denoted as antiphospholipid syndrome (APS). The syndrome is primary (PAPS) in the absence of other autoimmune diseases. Arterial thromboses occur most frequently in the cereb... |
30,214 | A naturally occurring E30Q mutation in the Gla domain of protein Z causes its impaired secretion and subsequent deficiency.<Pagination><StartPage>3149</StartPage><EndPage>3154</EndPage><MedlinePgn>3149-54</MedlinePgn></Pagination><Abstract><AbstractText>Protein Z is a vitamin K-dependent glycoprotein that plays a role ... | Protein Z is a vitamin K-dependent glycoprotein that plays a role in the regulation of coagulation. A nucleotide substitution of G by C in exon II of the protein Z gene, resulting in the replacement of Glu-30 with Gln (E30Q), and a G to A transition at the 79th nucleotide in intron F (IntF79G/A) were heterozygously ide... |
30,215 | Analysis of pediatric thrombotic patients in Turkey. | This study analyzes the data of thrombotic children who were followed up in different pediatric referral centers of Turkey, to obtain more general data on the diagnosis, risk factors, management, and outcome of thrombosis in Turkish children. A simple two-page questionnaire was distributed among contact people from eac... |
30,216 | Evaluating an intermittent compression system for thromboembolism prophylaxis. | Patients undergoing orthopaedic or trauma surgery are at high risk of venous thromboembolism, which can lead to deep-vein thrombosis and other complications. However, it is well known that incidence can be greatly reduced with prophylaxis. This article reports on the trial of a new intermittent pneumatic compression de... |
30,217 | The role of oral direct thrombin inhibitors in the treatment of venous thromboembolism. | Unfractionated heparin and warfarin have been the mainstay of treatment of venous thromboembolism (VTE) for approximately half a century. However, both agents are difficult to dose accurately, require frequent blood testing and dosage adjustment, and can cause serious adverse effects. Oral direct thrombin inhibitors ma... |
30,218 | The role of oral direct thrombin inhibitors in the prophylaxis of venous thromboembolism. | Venous thromboembolism, which is manifested as deep vein thrombosis (DVT) and pulmonary embolism (PE), represents a significant cause of death, disability, and discomfort. Two million people/year are affected by VTE, making it the third most common cardiovascular disease after coronary heart disease and stroke. The rat... |
30,219 | Cerebral venous sinus thrombosis in childhood: clinical aspects and neurological and cognitive long-term outcome in three cases. | We report clinical findings, risk factors and neurological and cognitive long-term outcome in three Italian children aged 7, 8 and 5, respectively, who experienced cerebral venous sinus thrombosis (CVST). All children presented with headache, associated to nausea, vomiting and papilloedema. None suffered from epileptic... |
30,220 | Progress of local symptoms of superficial vein thrombosis vs. duplex findings. | Risk of subsequent deep vein thrombosis (DVT) following superficial vein thrombosis (SVT) is not fully appreciated. Mechanisms, time relations and risk factors for DVT arising upon earlier SVT remain unclear. The aim of this study was to analyze time relations between local symptoms of lower limb superficial vein throm... |
30,221 | Renal vein thrombosis in the neonate: a case report and review of the literature. | We report a case of bilateral renal vein thrombosis in a neonate, and reviewed available literature. The neonate was a macrosomic male born to a mother with glycosuria in pregnancy. There was delay in commencing breasttfeeding for up to 36 hours due to lack of lactation by themother. Clinical and laboratory examination... |
30,222 | [Simultaneous implantation of cava filters]. | The purpose of the present work is to show a possibility of simultaneous implantation of Russian-made cava filters into the vena cava inferior (VCI) and vena cava superior in thrombosis of the respective venous beds. Thrombotic processes (usually seen in oncological patients) requiring insertion of filters into the bot... |
30,223 | [Prevention and treatment of venous thromboses and thromboembolism: pentasaccharides as novel anticoagulants selectively blocking Xe factor, their position and potential (data of the XIX International Congress on Thromboses and Hemostasis)]. | Drug prevention and treatment of venous thromboses and thromboembolism remain a serious problem in the management of surgical and therapeutic patients. Pentasaccharides, novel anticoagulants selectively blocking Xe factor have a great potential for their use in the given area. It has been demonstrated at the preliminar... |
30,224 | Five-year outcome study of deep vein thrombosis in the lower limbs. | Venous disease was evaluated in relation to post-thrombotic syndrome 5 years after deep venous thrombosis (DVT) in patients treated with a regimen of low-molecular-weight heparin (LMWH) and warfarin in a Hospital-in-the-Home program.</AbstractText>The presence of flow, reflux and compressibility in 51 patients (102 lim... |
30,225 | Ultrasound findings after radiofrequency ablation of the great saphenous vein: descriptive analysis. | As an emerging endovascular alternative to ligation and stripping of the incompetent greater saphenous vein (GSV), radiofrequency ablation was monitored with ultrasound scanning to evaluate anatomic results. Neovascularization and inflammation are potential consequences that lead to the appearance of small vessels. The... |
30,226 | The effect of radiation on pedicled TRAM flap breast reconstruction: outcomes and implications. | The purpose of this study was to examine the effect of postreconstruction radiation therapy on patients undergoing pedicled TRAM flap breast reconstruction. Post-TRAM radiation patients were compared with patients who received pre-TRAM radiation and a control TRAM-only group who received no radiation. Overall aesthetic... |
30,227 | The incidence of deep vein thrombosis in elderly Chinese suffering hip fracture is low without prophylaxis: a prospective study using serial duplex ultrasound. | To investigate the incidence of deep vein thrombosis (DVT) among elderly Hong Kong Chinese patients suffering from acute hip fracture and to analyse the risk factors associated with DVT.</AbstractText>A total of 100 consecutive Chinese hip fracture patients with a mean age of 80 years were investigated serially using d... |
30,228 | Deep vein thrombosis after total hip arthroplasty in Indian patients with and without enoxaparin. | To study the incidence of deep vein thrombosis in Indian patients undergoing total hip arthroplasty with or without prophylaxis, and the effect of enoxaparin on deep vein thrombosis.</AbstractText>The study covered a total of 50 hips in 40 patients who underwent total hip arthroplasty. Patients were assessed for deep v... |
30,229 | Factors leading to blood transfusion among Chinese patients undergoing total knee replacements: a retrospective study. | To investigate the risk factors leading to blood transfusion among Chinese patients undergoing total knee replacement.</AbstractText>From July 2001 to June 2002, a total of 128 primary total knee replacements were performed in 83 Chinese patients (38 unilateral and 45 one-stage sequential bilateral). No pharmaceutical ... |
30,230 | Arterial thrombosis in four patients treated with thalidomide. | Thalidomide has been associated with venous thrombotic events, as reported in the post-marketing surveillance reports by Celgene Corporation; as well as case reports in the literature. Seven arterial thrombotic events have been reported in patients receiving thalidomide with 3 cases occurring in patients with other pre... |
30,231 | Massive deep venous thrombosis and venous gangrene in a 29-year-old case: metastatic epidermoid carcinoma with an unknown primary. | Cancer-associated venous thromboembolism is a severe form of paraneoplastic syndrome. It rarely leads to venous gangrene. We report a case who presented with multiple deep venous thrombosis and venous gangrene of the lower extremity. During the follow-up period, the patient developed bilateral cervical and right suprac... |
30,232 | [Effects of higenamine on the cardio-circulatory system]. | Higenamine (HG) is a potent cardioactive benzylisoquinoline alkaloid isolated from Aconiti tuber which has long been used as a cardiotonic in traditional Chinese medicine. HG exerts various effects on the cardio-circulatory system inotropic and chronotropic in isolated rat atria. It also relaxes isolated rat aorta. It ... |
30,233 | A prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports. | The purpose of the current study was to evaluate whether a totally implanted valved subcutaneous port system would have fewer complications as compared to a standard nonvalved port.</AbstractText>Study subjects requiring port placement were randomized to receive a valved port (PASV; Boston Scientific, Natick, MA) or a ... |
30,234 | Diagnosing pulmonary embolism with four-detector row helical CT: prospective evaluation of 216 outpatients and inpatients. | To prospectively evaluate multi-detector row helical computed tomography (CT) for the diagnosis of pulmonary embolism (PE), with focus on the proportion of diagnostic studies and frequency of subsegmental and chronic PE.</AbstractText>Institutional review board approval and patient consent were not required. A total of... |
30,235 | Factor V Leiden mutation in relation to fecundity and miscarriage in women with venous thrombosis. | Factor V Leiden mutation (Arg506Gln) increases the likelihood of venous thrombosis; it may also have a positive effect through facilitation of embryo implantation. This may manifest itself as a reduced time to pregnancy (increased fecundity) and fewer miscarriages in the first trimester.</AbstractText>From March 1999 o... |
30,236 | Effects of age, gender, ethnicity, diurnal variation and exercise on circulating levels of matrix metalloproteinases (MMP)-2 and -9, and their inhibitors, tissue inhibitors of matrix metalloproteinases (TIMP)-1 and -2. | Circulating metalloproteinases (MMP) and their inhibitors (TIMP) are indices of vascular and cardiac tissue matrix turnover. However, the temporal changes and relationship of these parameters to age, gender, ethnicity and exercise have been poorly defined. We therefore studied these aspects on plasma levels of MMP-2 an... |
30,237 | Complications of embolization for cerebral arteriovenous malformations. | Embolization is recognized as an important adjunct in the treatment of cerebral arteriovenous malformations (AVMs). We reviewed our results of embolizations for AVMs and discussed procedure-related complications. Eleven complications were recorded in 68 consecutive patients (16%). Of these, four were technical problems... |
30,238 | Venous thromboembolism after trauma. | The trauma population is at increased risk of venous thromboembolic disease, a potentially preventable cause of mortality and morbidity. Although the association between trauma and venous thromboembolism has been recognized for more than a century, there is still great variability in the clinical practices with respect... |
30,239 | Sonographic diagnosis of plantar vein thrombosis: report of 3 cases. | The purpose of this series is to describe sonographic findings in 3 patients with plantar vein thrombosis.</AbstractText>Three patients had sudden pain and swelling at the plantar side of the affected foot. Sonography of the plantar foot was performed with a broadband linear array working at 5 to 12 MHz. Gadolinium-enh... |
30,240 | Surgical induction of chorioretinal venous anastomosis in ischaemic central retinal vein occlusion: a non-randomised controlled clinical trial. | To evaluate the safety and efficacy of surgical induction of chorioretinal venous anastomosis in the management of ischaemic central retinal vein occlusion (CRVO).</AbstractText>In a comparative clinical trial, 28 patients with ischaemic CRVO were included, of whom 18 who declined surgery were considered as controls. T... |
30,241 | Restoring the endothelium of cryopreserved arterial grafts: co-culture of venous and arterial endothelial cells. | The use of arterial homografts in clinical practice is becoming increasingly common, yet there is an urgent need to address one of the most well-established problems associated with their use: the loss of integrity of the endothelium following cryopreservation. The partial lack of endothelium causes contact between the... |
30,242 | Occlusion of subclavian-innominate veins: the increasing problem of receiving improper care. | Acute upper vein obstruction necessitates emergency treatment and always requires surgery. However, it is not treated appropriately most of the time. Leaving this condition untreated, or treating it incorrectly, can result in permanent disability of the patient, as well as malpractice and negligence lawsuits against th... |
30,243 | Chlamydia pneumoniae IgG serological status and venous thromboembolism: a cross-sectional hospital based study. | To search for a link between Chlamydia pneumoniae serological status and venous thromboembolic disease.</AbstractText>From March 1992 to October 1999, we conducted a cross-sectional hospital-based study of consecutive unselected outpatients referred to us for clinical suspicion of venous thromboembolism. We compared th... |
30,244 | Aging and oral anticoagulant therapy using acenocoumarol. | We evaluated the influence of aging, gender and indications of anticoagulant therapy on acenocoumarol requirements in 1845 patients from 30 to 99 years old receiving acenocoumarol therapy who were monitored in our hospital outpatient anticoagulation clinic from March 1993 through September 1999. The patients were strat... |
30,245 | Analysis of some clinical and laboratory aspects of adolescent patients with thrombosis. | A total of 360 pediatric patients aged 1 month to 18 years were diagnosed as having thrombosis between January 1998 and April 2003. Of these patients, those aged 11-18 years (n=131) were regarded as adolescents and the rest as children. The proportion of adolescents in the whole group excluding the neonates was 36%. Th... |
30,246 | Thalidomide in combination with vincristine, epirubicin and dexamethasone (VED) for previously untreated patients with multiple myeloma. | The present study aimed to evaluate the side-effects and efficacy of thalidomide in combination with an anthracycline-containing chemotherapy regimen in previously untreated myeloma patients. Thalidomide (400 mg/d) was combined with bolus injections of vincristine and epirubicin and oral dexamethasone (VED). Chemothera... |
30,247 | Risk factors for venous thrombosis in medical inpatients: validation of a thrombosis risk score. | <AbstractText Label="BACKGROUND/OBJECTIVES" NlmCategory="OBJECTIVE">The occurrence of and risk factors for venous thrombosis (VT) complicating hospital admission in unselected medical inpatients have not been widely studied.</AbstractText>In a 400-bed teaching hospital we identified all cases of VT complicating hospita... |
30,248 | High risk of recurrent venous thromboembolism in men. | We have analyzed the influence of gender on risk of recurrence after a first episode of venous thromboembolism (VTE).</AbstractText>The Cambridge Venous Thromboembolism Study (CVTE) is a single-center study of a cohort of unselected patients with a first episode of objectively proven VTE.</AbstractText>Recurrence rates... |
30,249 | The influence of venous thromboembolism on quality of life and severity of chronic venous disease. | It is not known whether burden-of-illness differs in chronic venous disease patients with prior venous thromboembolism compared with patients with other forms of chronic venous disease.</AbstractText>To compare severity of disease and quality of life in chronic venous disease patients with and without prior venous thro... |
30,250 | Hematology in palliative medicine. | Advanced cancer and life-limiting chronic nonmalignant diseases are associated with a number of hematological problems. Anemia and coagulation disorders, principally venous thrombosis and thrombocytopenia, are most commonly observed. Patients undergoing chemotherapy and bone marrow transplant have unique problems that ... |
30,251 | Left atrial thrombosis associated with antipsychotic drugs. | The authors report a case of a 36-year-old shizophrenic patient with left atrial thrombosis. There have been small number of case reports of antipsychotic drugs-associated thromboembolic events. All of them are venous ones. This paper describes the first case of atrial thrombosis associated with antipsychotic drugs. |
30,252 | Major bleeding rates after prophylaxis against venous thromboembolism: systematic review, meta-analysis, and cost implications. | The frequency and consequences of major bleeding associated with anticoagulant prophylaxis for prevention of venous thromboembolism is examined.</AbstractText>We conducted a systematic review and meta-analysis of controlled trials that reported rates of major bleeding after pharmaceutical thromboprophylaxis in patients... |
30,253 | Cost-effectiveness of fondaparinux vs. enoxaparin as venous thromboembolism prophylaxis in Sweden. | Deep-vein thrombosis and pulmonary embolism are important causes of morbidity and mortality among patients undergoing major surgery. Fondaparinux is a new antithrombotic agent for use in prophylaxis, and this study compared its cost and effect vs. enoxaparin as prophylactic treatment in patients undergoing total knee r... |
30,254 | Remission of refractory chronic cluster headache after warfarin administrations: case report. | Isolated reports of a possible positive effect of anti-coagulant drugs, among them heparin, warfarin and acenocumarol, in migraine prophylaxis are found in the literature. We report the case of a 37 years old man suffering from refractory chronic cluster headache that presented remission with the administration of warf... |
30,255 | Idiopathic venous thromboembolism and malignant disease: a case report. | The association between cancer and venous thromboembolism (VTE) is well known. Patients with idiopathic VTE have an increased risk of occult malignancy or subsequent development of cancer, compared with secondary VTE.</AbstractText>A 43-year-old woman presented with idiopathic deep vein thrombosis (DVT) and menorrhagia... |
30,256 | Relationship between ABO and Secretor genotype with plasma levels of factor VIII and von Willebrand factor in thrombosis patients and control individuals. | In contrast to earlier reports, this study examined the relationship between plasma levels of factor VIII (FVIII) and von Willebrand factor (VWF) and ABO blood group and secretor status at the genetic level in 355 patients with venous thrombosis as well as in 236 controls. ABO glycosyl transferase alleles A(1) and B we... |
30,257 | Effective anticoagulation therapy: defining the gap between clinical studies and clinical practice. | Atrial fibrillation (AF) greatly increases the risk of stroke. Long-term oral therapy with warfarin reduces the risk of AF-related stroke by 62%, and national guidelines now call for warfarin therapy in most patients without specific contraindications to anticoagulation. However, the drug's narrow therapeutic index mea... |
30,258 | Impaired brachial endothelial function in patients with primary anti-phospholipid syndrome. | Although the precise pathophysiology of thrombosis is unknown in primary anti-phospholipid syndrome (PAPS), it is assumed that autoantibodies developed against endothelial cells and platelets might be one of the primary mechanisms. However, whether interaction between autoantibodies and endothelium leads to an impaired... |
30,259 | [Coagulation disorders following severe trauma: surgeon's role in prevention]. | Severe trauma must be considered a "systemic disease" that could lead to severe systemic complications.</AbstractText>Coagulation disorders are present in most trauma patients as hemorrhagic disorder, thrombosis, or like in DIC, with both coexistent phenomenon. Trauma determine the activations of intrinsic and extrinsi... |
30,260 | [Edema and the tropics]. | People visiting or living in tropical or subtropical regions are exposed to various factors, which can lead to edema. Tourists staying for only a short time in the tropics are exposed to different risks, with other disease patterns, than people living in the tropics or immigrants from tropical regions. The differential... |
30,261 | [Edema and the nephrotic syndrome]. | If proteinuria is of sufficient amount, and persists for long enough, then a series of consequences arises which is called the nephrotic syndrome. The most notable consequence of massive proteinuria is salt and water retention leading to edema formation. This edema is found in association with proteinuria usually great... |
30,262 | [Venous and lymphatic reasons for edema--the swollen leg from the angiologist's point of view]. | Peripheral edema develop as a consequence of imbalance in the processes of filtration, resorption and lymphatic transport in the capillary bed. Venous hypertension and impaired lymphatic function belong to the most important underlying pathomechanisms. Chronic venous insufficiency as a result of valve degeneration as w... |
30,263 | Oral contraceptive induced cerebral venous thrombosis treated by local catheter directed thrombolysis. | We report on a case of cerebral venous thrombosis (CVT) induced by oral contraception (OC) activated coagulopathy and its endovascular treatment. Deep venous system and dural sinuses thrombosis complicated with severe neurological deficit and coma due to right thalamic edema and ischemia in a young woman was treated by... |
30,264 | Simultaneous multiple hypertensive intracerebral haemorrhages. | Simultaneous occurrence of multiple intracerebral haemorrhages (ICHs) in different arterial territories is a rare clinical event which has been reported to be associated with cerebral amyloid angiopathy, venous sinus thrombosis, coagulopathy, vasculitis, haemorrhagic transformation of cerebral infarcts and multiple int... |
30,265 | Effects of atorvastatin on reactive hyperaemia and the thrombosis-fibrinolysis system in patients with heart failure. | To investigate the effects of short term atorvastatin treatment on forearm vasodilatory response to reactive hyperaemia (RH%) and on components of the thrombosis-fibrinolysis system (antithrombin III, proteins and S, factors V and VII, von Willebrand factor, tissue plasminogen activator (tPA), and plasminogen activator... |
30,266 | [Deep venous thrombosis in the lower extremities following renal transplantation: causes and management]. | To investigate the causes, prevention measures and treatment of deep venous thrombosis in the lower extremities (LDVT) following renal transplantation.</AbstractText>Thirty-eight renal transplant recipients who developed LDVT following the transplantation were analyzed for the causes, evidence for diagnosis, prevention... |
30,267 | Mild elevation of fasting plasma glucose is a strong risk factor for postoperative complications in gastric bypass patients. | Bariatric surgery may be associated with surgical complications. The aim of the study was to identify significant risk factors for postoperative complications in patients undergoing Roux-en-Y gastric bypass (RYGBP).</AbstractText>The study consisted of 75 consecutive patients undergoing RYGBP. Full medical examination ... |
30,268 | [Value of multidetector computed tomography and digital subtraction angiography in assessment of arterio-venous fistula for hemodialysis--own experiences]. | The aim of the study was to compare the utility of multidetector computed tomography (MDCT) in assessment of arterio-venous fistula (AVF) for hemodialysis (HD) in comparison with the "golden standard" which is digital subtraction angiography (DSA).</AbstractText>The group consisted of 14 pts (9 males and 5 females, mea... |
30,269 | Declotting a thrombosed Brescia-Cimino fistula by manual catheter-directed aspiration of the thrombus.<Pagination><StartPage>10</StartPage><EndPage>16</EndPage><MedlinePgn>10-6</MedlinePgn></Pagination><Abstract><AbstractText>Acute thrombosis of native fistulae for hemodialysis occurs more rarely than for prosthetic gr... | Acute thrombosis of native fistulae for hemodialysis occurs more rarely than for prosthetic grafts. The vascular access should be reopened as soon as possible in order to resume regular dialysis and to avoid resorting to a temporary central line. Manual aspiration is one of the numerous methods described in this settin... |
30,270 | [Reconstruction of complex loss of maxillary substance using a vascularized fibular flap after arteriovenous fistulization with a saphenous loop]. | When major loss of bone stock requires a vascularized transfer, the poor quality of the receiver vessels may require complementary lengthening of the vascular pedicle. This can be achieved with venous bypasses or by preparing the recipient site with a vascular loop. We have used this later approach successfully in a pa... |
30,271 | Homocysteine and vascular access thrombosis in a cohort of end-stage renal disease patients. | Maintaining successful hemodialysis services is dependent upon an access to circulation that is reliable and stable. Complications of vascular access such as dysfunction, thrombosis, or infection are major causes of hospitalization with thrombosis being the most common reoccurring problem. Initial prospective evidence ... |
30,272 | Lemierre's syndrome: three cases and a review. | Postanginal sepsis, also called Lemierre's syndrome, is a rare but acute medical condition complicating oropharyngeal infection. The pathogenesis consists of the development of internal jugular vein septic thrombophlebitis leading to metastatic infections in the lung and other sites. The causative microorganism is most... |
30,273 | The surgically created arteriovenous fistula: a forgotten alternative to venous access. | The care of patients requiring lifelong intravenous access was revolutionized with the development of tunneled catheters and implantable ports. These devices are not without complications, however, and selected patients may benefit from alternative modalities to maintain access for such therapies as parenteral nutritio... |
30,274 | Aortoiliac thrombosis in antiphospholipid syndrome-case report and literature review. | Antiphospholipid syndrome is accepted as one of the most important causes of hypercoagulable states. Thrombotic events in patients with antiphospholipid syndrome, predominantly women, occur at a younger age than in those suffering from atherosclerotic disease. The majority of the thrombotic events affect the deep venou... |
30,275 | Mesenteric venous thrombosis in inflammatory bowel disease. | Mesenteric venous thrombosis (MVT) is a rare but potentially catastrophic clinical complication, which may lead to ischemia or infarction of the intestine and/or the emergence of portal hypertension. An association between inflammatory bowel disease (IBD) and MVT has previously been described, but clinical factors that... |
30,276 | Prevention of venous thromboembolism in surgical patients. | Venous thromboembolism (VTE) is a common complication of surgical procedures. The risk for VTE in surgical patients is determined by the combination of individual predisposing factors and the specific type of surgery. Prophylaxis with mechanical and pharmacological methods has been shown to be effective and safe in mos... |
30,277 | Comparing the costs, risks, and benefits of competing strategies for the primary prevention of venous thromboembolism. | Systematic cost-effectiveness analyses of regimens used for preventing venous thromboembolism (VTE) are becoming increasingly important for several reasons: the aging of the population, with an accompanying increase in admissions for orthopedic procedures or other surgery; expanded indications for thromboprophylaxis in... |
30,278 | Prevention of recurrent idiopathic venous thromboembolism. | Idiopathic venous thromboembolism (VTE), unassociated with surgery or trauma, is a chronic illness that warrants the implementation of strategies to prevent recurrence over a lifetime. Clinical trials show that the benefit associated with extended anticoagulation therapy < or =1 year in patients with idiopathic VTE ... |
30,279 | Preventing venous thromboembolism in medical patients. | Given the increased number of patients hospitalized for acute medical illnesses and the associated risk of venous thromboembolism (VTE), the use of prophylaxis has become a public health matter. Thromboprophylaxis is not widely practiced in acutely ill medical patients, due in part to the heterogeneity of this group an... |
30,280 | Economic considerations in the prevention and treatment of venous thromboembolism. | The results of studies of the comparative efficacy, safety, feasibility, and costs of using low molecular weight heparin (LMWH) or unfractionated heparin (UFH) for the treatment of venous thromboembolism (VTE) are reviewed. Cost-effectiveness research comparing LMWH with warfarin or UFH and comparing the activated fact... |
30,281 | Emerging options in the treatment of venous thromboembolism. | The long-term consequences of recurrent venous thromboembolism (VTE) and post-thrombotic syndrome, clinical profiles of traditional and novel antithrombotic agents used to treat VTE, current treatment recommendations for acute symptomatic VTE, clinical experience with newer antithrombotic agents for acute treatment and... |
30,282 | Update on the prevention of venous thromboembolism. | The risk factors for venous thromboembolism (VTE), recommendations for risk stratification and prophylaxis of VTE based on risk, nonpharmacologic and pharmacologic interventions used for prophylaxis, and clinical controversies surrounding VTE prophylaxis are discussed.</AbstractText>Risk factors for VTE are common in h... |
30,283 | Potential role for platelet apheresis for post-liver transplant thrombocytosis complicating portal vein thrombosis. | Except for patients with underlying myeloproliferative diseases (MPD), thrombocytosis is rarely encountered in cirrhotic patients after liver transplantation. Although the long-term control of primary thrombocytosis is important for the prevention of graft thrombosis in MPD patients, the threshold for intervention and ... |
30,284 | Deferment of objective assessment of deep vein thrombosis and pulmonary embolism without increased risk of thrombosis: a practical approach based on the pretest clinical model, D-dimer testing, and the use of low-molecular-weight heparins. | Treatment of patients with suspected deep vein thrombosis (DVT) or pulmonary embolism (PE) is problematic if diagnostic imaging is not immediately available. Pretest clinical probability (PCP) and D-dimer assessment can be used to identify patients for whom empirical protective anticoagulation is indicated. To evaluate... |
30,285 | [Totally implantable venous access ports: frequency of complications and analysis of bacterial contamination after ablation]. | Totally implantable venous access ports (TIVAP) are valuable medical devices for long-term intravenous treatment such as parenteral nutrition, cancer chemotherapy or antiviral therapy. Implantation and use of these devices are each associated with infectious or mechanical complications.</AbstractText>To determine the f... |
30,286 | [A 34-year-old man with hemorrhagic cystitis]. | A 34-year-old male presented with macroscopic haematuria, abdominal pain and dysuria while being treated with penicillin for bacterial endocarditis. All blood cultures yielded Streptococcus mutans. After four weeks of treatment he developed haemorrhagic cystitis, thrombophlebitis and eosinophilia. The symptoms disappea... |
30,287 | Neither baseline tests of molecular hypercoagulability nor D-dimer levels predict deep venous thrombosis in critically ill medical-surgical patients. | Predicting patients who are harboring asymptomatic deep venous thrombosis (DVT), or who are at particular risk of developing DVT, is a desirable clinical goal since prevention or early treatment of DVT might reduce the risk of fatal pulmonary embolism. Thus validation of simple laboratory tests that reliably predict ve... |
30,288 | Does repeat duplex ultrasound for lower extremity deep vein thrombosis influence patient management? | The clinical significance of lower extremity deep vein thrombus (DVT) propagation in the setting of anticoagulation therapy remains unclear. The purpose of this study is to compare results of thrombus outcome found with repeat duplex ultrasonography to the incidence of pulmonary embolism and mortality. During a recent ... |
30,289 | Efficacy of dextran solutions in vascular surgery. | The purpose of this paper is to discuss the role and efficacy of dextran in vascular procedures using evidence-based data from the review of surgical literature. A medline search using "dextran,'' "vascular surgery,'' and "antiplatelet therapy'' as keywords was performed for English-language articles. Further reference... |
30,290 | Clinical use and molecular mechanisms of action of extract of Ginkgo biloba leaves in cardiovascular diseases. | Ginkgo biloba is one of the oldest living tree species that has been referred to as a living fossil. Extract from Ginkgo biloba leaves (GBE) is among the most commonly used herbal drugs and is popularized for its alleged tonic effect and possible curative and restorative properties. There is an increasing evidence of t... |
30,291 | Optic nerve edema: complication of peripheral hemodialysis shunt. | Peripheral arteriovenous fistulas for hemodialysis can be complicated by infection, limb edema, venous thrombosis and stenosis, aneurysm, venous hypertension, and rarely, ophthalmic manifestations. We report an unusual case of unilateral optic nerve edema secondary to a contralateral peripheral hemodialysis shunt. |
30,292 | Medical treatment of retinal vein occlusions. | The medical treatment of retinal vein occlusion (RVO) is comprised of three main stages: identification and therapy of the detectable risk factors, specific treatment aimed at the occlusive form and treatment of RVO complications. Even though the possible medical management of RVO includes several treatments, the most ... |
30,293 | Optical coherence tomography evaluation of macular edema after radial optic neurotomy in patients affected by central retinal vein occlusion. | To evaluate the characteristics of macular edema (ME) before and after radial optic neurotomy (RON) detected by optical coherence tomography (OCT), in patients with central retinal vein occlusion (CRVO).</AbstractText>Interventional case series.</AbstractText>Five eyes of 5 patients affected by CRVO underwent RON. Comp... |
30,294 | [Ischaemia of the lower limbs: anaesthesia and intensive care]. | To appreciate the severity of a patient with acute limb ischaemia, to know how to manage these patients during the perioperative period.</AbstractText>References were obtained from PubMed data bank (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi) using the following keywords: acute limb, ischaemia, prognosis, complicati... |
30,295 | Percutaneous transluminal angioplasty of the inferior right hepatic vein for the treatment of Budd-Chiari syndrome. | Budd-Chiari Syndrome is one of the several causes of portal hypertension and is characterised by hepatomegaly, ascites and abdominal pain. The treatment requires either medical or interventional/surgical procedures. A case of Budd-Chiari Syndrome with a membranous web that causes obstruction in the ostium of the inferi... |
30,296 | Clinical potential of oral direct thrombin inhibitors in the prevention and treatment of venous thromboembolism. | Current antithrombotic therapies are associated with various practical limitations and risks that restrict their utility in the management of venous thromboembolism. The coagulation factor, thrombin, has been the focus of extensive investigation as a pharmacological target in efforts to improve the management of venous... |
30,297 | Treatment of venous thromboembolism and long-term prevention of recurrence: present treatment options and ximelagatran. | Despite the effectiveness of anticoagulant therapy for the treatment of acute venous thromboembolism and the prevention of recurrent venous thromboembolism, existing antithrombotic therapies are suboptimal. Unfractionated heparin, low-molecular-weight heparin (LMWH) and warfarin have practical limitations and carry the... |
30,298 | Clinical experience with ximelagatran in orthopaedic surgery. | Patients who undergo orthopaedic surgery are at substantially increased risk for venous thromboembolic events. These include proximal and distal deep vein thrombosis, with the former more likely to lead to pulmonary embolism and fatal complications. Anticoagulants are routinely used for venous thromboembolism prophylax... |
30,299 | Orthopaedic surgery as a model for drug development in thrombosis. | Venous thromboembolism after total hip replacement or total knee replacement represents a significant complication of these surgical techniques, with profound clinical and economic consequences. As the detection of venous thromboembolism is particularly difficult in this setting, its prevention with thromboprophylactic... |
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