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30,500
Budd-Chiari and inferior caval vein syndromes due to membranous obstruction of the liver veins: successful treatment with angioplasty and transcaval transjugular intrahepatic porto-systemic shunt.
The case is presented of a 25-year-old Caucasian patient with Budd-Chiari syndrome due to membranous obstruction of the liver veins and inferior caval vein syndrome as a result of secondary hyperplasia of the caudate lobe of the liver, obstructing the caval vein. Diagnosis was established by intravascular pressure meas...
30,501
Recent developments in idiopathic intracranial hypertension (IIH).
Idiopathic intracranial hypertension is a disease with a predilection for young obese women. The most common symptoms are headache, transient visual obscuration and pulsatile tinnitus. The only focal neurologic finding is false-localizing 6th cranial nerve palsy. Papilledema is usually present and this can lead to opti...
30,502
Panuveitis associated with multiple sclerosis complicated by cerebral venous thrombosis.
To report cerebral venous thrombosis as a complication of intravenous corticosteroid treatment in a patient with multiple sclerosis.</AbstractText>A case report. A 44-year-old woman with a previous diagnosis of multiple sclerosis presented with panuveitis and retinal perivasculitis. Intravenous pulse corticosteroid the...
30,503
Laparoscopic surgical management of ectopic pregnancy: a district general hospital experience.
This is an audit of laparoscopic management of ectopic pregnancy in a District General Hospital (DGH), using a retrospective casenote review. The study was conducted at New Cross Hospital, Wolverhampton, a large DGH. We recorded the duration of operation, postoperative opiate requirement, length of hospital stay, opera...
30,504
Thrombosis during infancy and childhood: what we know and what we do not know.
Despite underlying illnesses, children have a greater chance to survive and are expected to live 6 to 8 decades following an episode of venous or arterial thrombosis. The disproportionate benefits of preventing thrombosis and its sequelae in pediatric patients are evident. Therefore, it is necessary to develop appropri...
30,505
Safety and efficacy of enoxaparin treatment in venous thromboembolic disease during acute leukemia.
Venous thromboembolism (VTE) is a quite common complication in acute leukemia, although its real incidence is unknown. The best treatment of this complication is still a matter of debate due to the very high risk of hemorrhage in this group of patients.</AbstractText>From December 2000 to December 2002 four Caucasian p...
30,506
Bilateral central retinal vein occlusions combined with artery occlusions in a patient with acquired immune deficiency syndrome.
This is the first report of a bilateral nonischemic central retinal vein occlusions combined with artery occlusions in a patient with acquired immune deficiency syndrome (AIDS).</AbstractText>Case report.</AbstractText>A 22-year-old Chinese (male) with a positive human immunodeficiency virus (HIV) infection developed b...
30,507
Is bed rest an effective treatment modality for pressure ulcers?
Despite the well-documented medical, physical, and psychological complications associated with this care management option, bed rest remains a frequently prescribed treatment modality for conditions such as pressure ulcers. Cognitive and psychosocial complications of bed rest include depression, learned helplessness, p...
30,508
[The significance and treatment of antiphospholipid antibodies].
ANTIBODIES: The term antiphospholipid antibodies (APLA) regroups a family antibodies that recognise anionic and neutral phospholipids, which are the components of plasmatic cell membranes. These antibodies expose the patients to risk of venous and/or arterials thromboembolic accidents and obstetrical complications such...
30,509
[Thrombosis of the right ovarian vein].
Thrombosis of the ovarian vein (TOV) is a rare complication which arises classically in the post-partum. Its main signs are pain in the flanks or the iliac fossa, associated with temperature and hyperleukocytosis. It is a differential diagnosis of acute appendicitis when located on the right side.</AbstractText>A 26 ye...
30,510
Anterior cervical spinal surgery for multilevel cervical myelopathy.
In multilevel spinal cord compression caused by cervical spondylosis, surgeons face the choice of performing a posterior route as a laminectomy or laminoplasty, or an anterior route as multiple adjacent interbody decompressions or corpectomies. The anterior cervical operation is not considered by some clinicians becaus...
30,511
[Deep cerebral venous thrombosis: a report of three cases and review of the literature].
Three cases of cerebral deep venous thrombosis (CDVT) were reported with review of the literature. A 47-year-old female had taken estrogen-derived drug. The other two patients had no specific past history. On MRI, T2-weighted and fluid-attenuated inversion recovery (FLAIR) images showed high signal intensity lesions at...
30,512
Diabetic ketoacidosis presenting as a cerebral venous sinus thrombosis.
Cerebral venous sinus thrombosis is an uncommon condition with a variable clinical presentation, often resulting in a delayed diagnosis. The most common risk factors are pregnancy and puerperium, oral contraceptive use, head injury, dehydration, blood dyscrasias, malignancies, and systemic diseases. We present a ninete...
30,513
Thromboprophylaxis and pregnancy: two randomized controlled pilot trials that used low-molecular-weight heparin.
The purpose of this study was to conduct pilot studies for large randomized controlled trials to compare low-molecular-weight heparin with placebo for antenatal thromboprophylaxis (trial 1), and for thromboprophylaxis after cesarean delivery (trial 2).</AbstractText>Multicenter randomized controlled trials (trial 1, 23...
30,514
Effects of defibrotide in patients with chronic deep insufficiency. The PROVEDIS study.
In the present study the effect of defibrotide, an antithrombotic and profibrinolytic agent, was investigated in patients with chronic venous insufficiency (CVI) due to deep vein obstruction and/or reflux (chronic deep vein insufficiency, CDVI).</AbstractText>The study was a multicenter, randomized, double blind placeb...
30,515
Epidural venous plexus enlargements presenting with radiculopathy and back pain in patients with inferior vena cava obstruction or occlusion.
In the last 2 years, we have examined 9640 patients experiencing back pain or sciatica, using MRI. There were 13 (0.13%) patients who had radicular symptoms that clinically mimicked lumbar disc herniation or spinal stenosis. All of these patients had inferior vena caval obstruction or occlusion that caused engorgement ...
30,516
Antiphospholipid antibodies and thrombosis: do test patterns identify the patients' risk?
We retrospectively analyzed the antiphospholipid profile of 103 lupus anticoagulant-positive patients to investigate whether laboratory patterns emerged for their association with arterial and venous thrombosis in the antiphospholipid syndrome. Anticardiolipin, anti-&lt;beta&gt;2-glycoprotein I and antiprothrombin anti...
30,517
The lupus anticoagulant is a risk factor for myocardial infarction (but not atherosclerosis): Hopkins Lupus Cohort.
Antiphospholipid antibodies, both anticardiolipin and lupus anticoagulant, are common in SLE. We asked, in a prospective cohort, whether these antibodies are predictive of atherosclerosis and/or coronary artery disease.</AbstractText>Three hundred eighty patients, 92% female, 49% Caucasian, 51% African-American, mean a...
30,518
Anticoagulant therapy for the thrombotic complications of the antiphospholipid antibody syndrome.
Patients with antiphospholipid antibodies (APLA) are at risk of arterial thromboembolism (ATE) or venous thromboembolism (VTE). The true strength of the association between APLA and first TE is unknown as there are no prospective studies of a large, well-characterized inception cohort of matched patients with and witho...
30,519
How much warfarin is enough in APS related thrombosis?
Warfarin is the best available, most effective treatment for the secondary prevention of recurrent thrombosis in antiphospholipid syndrome (APS) patients. However, warfarin is cumbersome for both patients and physicians because of risk for bleeding and the need for frequent monitoring. Much detail regarding optimal man...
30,520
ICD-9-CM codes poorly indentified venous thromboembolism during pregnancy.
There is little data regarding the accuracy of pregnancy-specific ICD-9-CM codes used to identify patients with venous thromboembolism (VTE).</AbstractText>We identified a large cohort of pregnant patients in whom there were one or more pregnancy-specific (600 codes) or standard ICD-9-CM codes (400 codes) for VTE. Char...
30,521
Women report more pain on injection of a precurarization dose of rocuronium: a randomized, prospective, placebo-controlled trial.
The purpose of this study was to investigate whether gender influences the perception of pain on injection of rocuronium.</AbstractText>In this prospective, placebo-controlled trial 120 patients were randomized into four groups to receive rocuronium 0.03 mg kg(-1) (40 female and 40 male patients) or saline (20 female a...
30,522
Large artery ischaemic stroke in severe acute respiratory syndrome (SARS).
Of the 206 patients who contracted Severe Acute Respiratory Syndrome (SARS) in Singapore five developed large artery cerebral infarctions. Four patients were critically-ill and three died. Intravenous immunoglobulin was given to three patients. An increased incidence of deep venous thrombosis and pulmonary embolism was...
30,523
Venous thromboembolism prophylaxis in medical patients.
Venous thromboembolism, including deep vein thrombosis and pulmonary embolism, represents a significant source of morbidity and mortality in the United States and worldwide. Most acutely ill medical patients are at risk for venous thromboembolism, and prophylaxis is recommended. However, acutely ill medical patients ar...
30,524
Oral anticoagulant therapy in Italy: prescribing prevalence and clinical reasons.
Oral anticoagulants (OAs) are recommended for many clinical problems and their use requires organised and knowledgeable medical support. Up to our knowledge, there is no data about both the reasons of treatment among OAs' users and the number of patients prescribed with OAs in Italy.</AbstractText>To describe the OA us...
30,525
Usefulness of clinical prediction rules for the diagnosis of venous thromboembolism: a systematic review.
To summarize the evidence on the predictive value of clinical prediction rules for the diagnosis of venous thromboembolism.</AbstractText>We selected all studies in the English literature in which a clinical prediction rule was prospectively validated against a reference standard, and calculated likelihood ratios, pred...
30,526
[Acute pulmonary thromboembolism during the surgery for bilateral lower extremity fracture].
A 50-year-old woman underwent open reduction and internal fixation for bilateral lower extremity fracture under general anesthesia. During the surgery, arterial oxygen saturation and expired CO2 concentration dropped suddenly when the left limb was fixed. Immediately, we performed aspiration of the pulmonary thrombus a...
30,527
[Factor VIII activity in patients with central retinal vein occlusion in comparison to patients with a history of pelvic and lower limb venous thrombosis and a healthy control group].
High factor VIII activity levels increase the risk of venous thromboembolism. This study was carried out to investigate the association between factor VIII activity and central retinal vein occlusion (CRVO) in comparison to patients with a history of venous thrombosis and a healthy control group.</AbstractText>We exami...
30,528
[Clinical and immunological features in 112 patients with antiphospholipid syndrome].
We decided to describe the demographic, clinical and laboratory characteristics of a series of patients with antiphospholipid syndrome (APS) (Harris criteria) and review other Spanish published series.</AbstractText>We describe 112 patients with APS, 50 primary (PAPS) and 62 secondary (SAPS) -56 (90%) to systemic lupus...
30,529
Life-threatening haematological disorders presenting with opthalmic manifestations.
Three cases are reported where life-threatening haematological disorders requiring urgent medical intervention presented initially to the ophthalmologist. Case one, chronic myeloid leukaemia, presented with bilateral leukaemic retinopathy and central retinal vein obstruction due to hyperviscosity. Case two, acute myelo...
30,530
Antiphospholipid syndrome associated with malignant mesothelioma presenting with superior vena cava thrombosis: a case report.
A 59-year-old woman who had dyspnea and neck swelling for 10 days was admitted to the hospital. Malignant peritoneal mesothelioma was diagnosed previously. According to the clinical findings, and laboratory and pathologic examination, the patient was found to have disseminated venous thrombosis and antiphospholipid syn...
30,531
Prevention of venous thrombosis and thrombophlebitis in long-haul flights with pycnogenol.
The aim of this study was to evaluate the occurrence of deep venous thrombosis (DVT) and superficial vein thrombosis (SVT) and its prophylaxis with an oral anti-edema and antithrombotic agent (Pycnogenol, Horphag, Research Management SA, Geneva, Switzerland) in long-haul flights, in subjects at moderate to high-risk of...
30,532
Ramifications of four concurrent thrombophilic mutations and one hypofibrinolytic mutation.
A kindred was examined in which the 48-year-old white female proband with three deep venous thrombosis-pulmonary emboli events had four thrombophilic and one hypofibrinolytic mutations, and in which her 14-year-old asymptomatic daughter had four thrombophilic mutations. The proband was heterozygous for the G1691A facto...
30,533
Prevalance of heparin-dependent platelet-activating antibodies in preterm newborns after exposure to unfractionated heparin.
Heparin is frequently used in preterm infants to prolong the patency of intravascular catheters. The aim of this study was to evaluate the prevalence of heparin-dependent platelet-activating antibodies in newborns. A cross-section of all preterm newborn infants expected to require heparin to maintain patency of a centr...
30,534
Best evidence topic report. Thrombotic complications of a femoral central venous catheter.
A short cut review was carried out to establish whether the insertion of a femoral central venous pressure line causes more thrombotic complications than insertion of a jugular line. Altogether 90 papers were found using the reported search, of which eight presented the best evidence to answer the clinical question. Th...
30,535
Best evidence topic report. Low molecular weight heparin for intravenous drug users with deep vein thrombosis.
A short cut review was carried out to establish whether low molecular weight heparins were safer and more effective anticoagulants than coumarins in injecting drug users (IDUs) with deep venous thrombosis (DVT). Altogether 276 papers were found using the reported search, of which two presented the best evidence to answ...
30,536
Evaluation of the Simplify D-dimer assay as a screening test for the diagnosis of deep vein thrombosis in an emergency department.
To evaluate the use in an emergency department of a new D-dimer assay (Simplify D-dimer) as a screening test for deep vein thrombosis (DVT).</AbstractText>187 outpatients with clinical features suspicious of acute DVT were entered into this study. A Simplify D-dimer test was performed in the emergency department on all...
30,537
By the way, doctor. Three years ago I had a deep vein thrombosis. Should I now avoid any treatment for spider or varicose veins?<Pagination><StartPage>8</StartPage><MedlinePgn>8</MedlinePgn></Pagination><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Robb-Nicholson</LastName><ForeName>Celeste</ForeName><Initia...
Standard treatment for deep vein thrombosis (DVT) aims to reduce immediate complications. Use of thrombolysis or clot dissolving drugs could reduce the long-term complications of post-thrombotic syndrome (pain, swelling, skin discolouration, or venous ulceration) in the affected leg.</AbstractText>To determine the effi...
30,538
Managing cancer patients with acute venous thromboembolism: exploring safe alternatives to hospitalisation.
Acute venous thromboembolism (VTE) is a common and potentially fatal complication that frequently occurs in cancer patients. Few data are currently available about the optimal management of this category of high-risk patients. In clinical practice, physicians have to deal with many problems related to cancer patients w...
30,539
Early postoperative complications following liver transplantation.
Liver transplantation is a highly successful treatment for patients with end-stage liver disease and acute liver failure. However, serious postoperative complications can significantly compromise patient survival. Complications can be technical, medical, or immunological in nature. The risk of developing early postoper...
30,540
Contrast-enhanced MR angiography of benign regenerative nodules following TIPS shunt procedure in Budd-Chiari syndrome.
In this report we describe the magnetic resonance (MR) angiographic features of benign hepatic nodules that developed in a patient with Budd-Chiari syndrome, and present the distinguishing features of benign regenerative nodules from hepatocellular cancer. In a 27-year-old woman with chronic Budd-Chiari syndrome, previ...
30,541
Paradoxical coronary embolism causing non-ST segment elevation myocardial infarction in a case of pulmonary embolism.
We describe the case of a 61-year-old woman who simultaneously suffered a pulmonary embolism and a myocardial infarction due to paradoxical coronary artery embolism. Transesophageal echocardiography with injection of agitated hydroxyethyl starch revealed a patent foramen ovale. Thrombophlebistis of the left saphenous v...
30,542
[Neuro-Behcet's syndrome and thrombosis of Rosenthal's basilar vein: a report of twelve cases].
Deep cerebral vein thrombosis is a specific clinical pattern of neuroBeh&#xe7;et. The clinical features of ischemic stroke by Rosenthal or internal cephalic vein thrombosis predominate.</AbstractText>A retrospective analysis of twelve cases of Rosenthal vein thrombosis revealing Beh&#xe7;et disease were analyzed. These...
30,543
Serous macular detachment secondary to distant retinal vascular disorders.
To report tomographic features of macular edema associated with distant retinal vascular disorders.</AbstractText>Six eyes with macular edema (three with extramacular branch retinal vein occlusion and three with Coats disease) underwent fluorescein angiography to detect dye leakage and optical coherence tomography to e...
30,544
Isolated renal vein thrombosis after blunt trauma.
Renal vein thrombosis typically occurs in the setting of nephrotic syndrome, tumor thrombus, primary retroperitoneal processes with vein compression, oral contraceptive use, steroid therapy, transplanted kidney, or trauma. Trauma-induced renal vein thrombosis usually presents in combination with renal arterial or paren...
30,545
Venous thromboembolism in pregnancy. A case report of deep venous thrombosis (DVT) in puerperium.
The authors describe a case of DVT during pregnancy in a 41-year-old woman who had a normal haemocoagulative picture during pregnancy and in puerperium (PT, PTT, S protein, C protein, ATIII, xdp and fibrinogenous). All the haemocoagulative dosages were within the norm and compatible with the gestation period. Both homo...
30,546
Hyperhomocysteinemia and cardiovascular disease in uremia: the newest evidence in epidemiology and mechanisms of action.
In the general population, hyperhomocysteinemia is an independent risk factor for cardiovascular disease (ischemic disease, such as stroke and myocardial infarction, and arterial and venous thrombosis). We can presume that the association is causal, based on the example of homocystinuria, and on the evidence put forwar...
30,547
Lower extremity deep venous thrombosis: vascular laboratory quality assurance without correlation between ultrasound and venography.
Venography is rarely available for comparison with ultrasonography (US) as a means for quality assurance (QA) in the detection of lower extremity venous thrombosis. New QA methods must be implemented. We compared results of multiple serial studies performed in the same extremity as a QA indicator. From a 3-year sample ...
30,548
[Incidence of deep venous thrombosis (DVT) in patients undergoing thoracotomy and changes of hemostasis].
To survey the incidence of deep venous thrombosis (DVT) in high risk patients undergoing thoracotomy and observe the changes of hemostatic activity.</AbstractText>Fifty-two consecutive patients (ages that ranged from 35 to 79, 34 men and 18 women) with lung or esophagus cancer were enrolled into this prospective trial....
30,549
Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients.
To compare the characteristics of dural arteriovenous fistulas (AVFs) with or without cerebral sinus thrombosis (CST), and to analyse the determinants of aggressive manifestations in patients with dural AVF.</AbstractText>We investigated 69 patients aged 51.4 (SD 15) years who were diagnosed as having dural AVF. Accord...
30,550
Evaluation of radial optic neurotomy for central retinal vein occlusion by indocyanine green videoangiography and image analysis.
To evaluate the effects of radial optic neurotomy (RON) on retinal circulation in patients with central retinal vein occlusion (CRVO) by indocyanine green (ICG) videoangiography and a computer-assisted image analysis.</AbstractText>An interventional case series.</AbstractText>RON was performed in 15 eyes of 15 patients...
30,551
The direct thrombin inhibitor melagatran/ximelagatran.
Melagatran is a synthetic, small-peptide direct thrombin inhibitor with anticoagulant activity. Ximelagatran, an oral prodrug, undergoes rapid enzymatic conversion to melagatran. Melagatran has rapid onset of action, fixed twice-daily dosing, stable absorption, apparent low potential for medication interactions, and no...
30,552
ASHP Therapeutic Position Statement on the Use of Low-Molecular-Weight Heparins for Adult Outpatient Treatment of Acute Deep-Vein Thrombosis.
Outpatient treatment of DVT with LMWHs offers the opportunity to dramatically reduce the cost of treating DVT and improve the quality of life without compromising clinical outcomes. Given the choice, most patients are willing to be treated at home and are comfortable with or willing to accept the idea of giving themsel...
30,553
PTFE-covered stents improve TIPS patency in Budd-Chiari syndrome.
Transjugular intrahepatic portosystemic shunt (TIPS) have been shown to be an efficient portal-systemic derivative treatment for Budd-Chiari syndrome (BCS) patients uncontrolled by medical therapy. However, the main drawback of TIPS for this condition is a very high rate of shunt dysfunction. Recently, polytetrafluoroe...
30,554
Thrombotic complications in patients infected with HIV in the era of highly active antiretroviral therapy: a case series.
Recent reports suggest that patients infected with human immunodeficiency virus (HIV) may have an increased risk of developing thrombosis, but the etiology, risk factors, and clinical course remain largely undefined, with few descriptive case series.</AbstractText>We identified 30 patients from an HIV outpatient clinic...
30,555
Stents or open operation for palliation of colorectal cancer: a retrospective, cohort study of perioperative outcome and long-term survival.
Expandable, metallic stents provide a new modality of palliation for patients with noncurable metastatic colorectal adenocarcinoma. This study was designed to compare the use of expandable metallic stents as a palliative measure to traditional open surgical management, with particular reference to length of stay, and s...
30,556
Marburg I polymorphism of factor VII-activating protease is associated with idiopathic venous thromboembolism.
The factor VII-activating protease (FSAP) variant Marburg I is known to attenuate the profibrinolytic system in vitro and was recently shown to be a significant predictor for the evolution and progression of carotid stenosis. The objective of this case-control study was to assess FSAP Marburg I's role in the occurrence...
30,557
Advances in risk-benefit evaluation using probabilistic simulation methods: an application to the prophylaxis of deep vein thrombosis.
To demonstrate the use of probabilistic simulation modeling to estimate the joint density of therapeutic risks and benefits. Published data are used to introduce the risk-benefit acceptability curve as a novel method of illustrating risk-benefit analysis.</AbstractText>Using published data, we performed a second-order ...
30,558
Traumatic deep vein thrombosis in a soccer player: A case study.
A 42 year-old male former semi-professional soccer player sustained a right lower extremity popliteal contusion during a soccer game. He was clinically diagnosed with a possible traumatic deep vein thrombosis (DVT), and sent for confirmatory tests. A duplex doppler ultrasound was positive for DVT, and the patient was a...
30,559
Hormone replacement therapy and cardiovascular disease: increased risks of venous thromboembolism and stroke, and no protection from coronary heart disease.
Hormone replacement therapy (HRT) was 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). In recent years, observational studies, randomized trials and systematic reviews of such trials have shown that HRT does not ...
30,560
Management of dental patients on warfarin therapy in a primary care setting.
The surgical management of patients on anticoagulant therapy is often poorly understood in all fields of medicine (not just dentistry). Until now there has been no uniform approach to managing these patients and much of the advice routinely given by medical practitioners and haematologists has fallen behind the recent ...
30,561
Clinical applications of electrical stimulation after spinal cord injury.
During the last one-half century, electrical stimulation has become clinically significant for improving health and restoring useful function after spinal cord injury. Short-term stimulation can be provided by electrodes on the skin or percutaneous fine wires, but implanted systems are preferable for long-term use. Ele...
30,562
Partnering for quality.
This article discusses efforts being made by multiple stakeholders to improve quality and safety in intensive care units (ICUs). The Leapfrog Group (Washington, DC), a consortium of purchasers, is reaching for quality by implementing safety standards. One standard, staffing ICUs with intensivists, is associated with a ...
30,563
Applying the ASRA guidelines to the use of low-molecular-weight heparin thromboprophylaxis in major orthopedic surgery.
Although low-molecular-weight heparin (LMWH) is a widely used form of thromboprophylaxis in orthopedic surgery, concerns remain over the concomitant use of regional anesthesia (RA)/postoperative regional analgesia (PRA) stemming from reports in the 1990s of spinal hematoma associated with this combination. One of the o...
30,564
Vascular access for hemodialysis: 2004 and beyond.
Developments in vascular access are accruing rapidly. The last systematic Kidney Disease Outcomes Quality Initiative guidelines review took place in 2000. The purpose of this review is to update several major areas in which clear progress has been made. A major 'Fistula First Initiative' in the USA is an attempt to inc...
30,565
Recombinant urokinase is safe and effective in restoring patency to occluded central venous access devices: a multiple-center, international trial.
The treatment of choice for central venous access device (CVAD) occlusion is intracatheter thrombolysis, which has been reported to reestablish patency in up to 80% of cases. However, these salient results have only been achieved in highly selected CVAD subgroups such as nontunneled devices in adult patients, devices w...
30,566
Endovascular management of iliofemoral deep venous thrombosis due to iliac vein compression syndrome in patients with protein C and/or S deficiency.
The purpose of this study was to evaluate the early outcome of endovascular management in patients with iliofemoral deep venous thrombosis (DVT) due to iliac vein compression syndrome (IVCS) and protein C and/or S deficiency. Between September 2000 and January 2003, catheter-directed thrombolysis was performed in 11 pa...
30,567
Case report: internal and external jugular vein thrombosis with marked accumulation of FDG.
We report an unusual case of idiopathic internal and external jugular vein thrombosis. Positron emission tomography (PET) using (18)F-fluoro-2-deoxy-D-glucose (FDG), which was conducted to assess subclinical malignancy, revealed intense uptake of FDG, corresponding to thrombus within the left internal and external jugu...
30,568
Predicted value of renin activity in a woman who had severe ovarian hyperstimulation syndrome with internal jugular vein thrombosis.
To assess plasma renin activity in a patient with severe ovarian hyperstimulation syndrome (OHSS) and internal jugular vein thrombosis.</AbstractText>Case report.</AbstractText>University-affiliated infertility center.</AbstractText><AbstractText Label="PATIENT(S)" NlmCategory="METHODS">A 33-year-old woman with OHSS an...
30,569
[Venous thromboembolism in patients with neurosurgical process or stroke. A prospective analysis from the RIETE registry].
We studied the characteristics of thromboembolic disease in patients who have suffered a deep venous thrombosis or a pulmonary thromboembolism with the occurrence, two months before, of a neurosurgical process or a stroke.</AbstractText>We analyzed the variables of 57 patients who underwent a neurosurgical operation an...
30,570
Interactions between aspirin and COX-2 inhibitors or NSAIDs in a rat thrombosis model.
Recent in vitro studies, clinical trials and epidemiological studies have suggested possible interactions between aspirin and other cyclo-oxygenase (COX) inhibitors, such as ibuprofen of the COX-2 inhibitors celecoxib and rofecoxib. The objective of this study was to test the effects of aspirin (1, 2.5 and 5 mg/kg), an...
30,571
Cerebral venous angioma of the pons complicated by nonhemorrhagic infarction. Case report.
The authors emphasize an unusual complication of venous angiomas in the brain: venous infarction. The patient in this case is a 32-year-old man who presented with a clinical history of headache followed by a worsening of his neurological status. Neuroimaging studies demonstrated a brain infarct in the posterior fossa, ...
30,572
Spontaneous renal allograft rupture without acute rejection.
Renal allograft rupture (RAR) is a rare but potentially serious complication in the transplanted recipients. The most common cause is acute rejection. We report four cases (0.5%) of RAR occurred in a series of 778 consecutive kidney transplantations due to severe acute tubular necrosis and renal vein thrombosis with no...
30,573
Popliteal vascular entrapment syndrome caused by a rare anomalous slip of the lateral head of the gastrocnemius muscle.
Popliteal vascular entrapment syndrome can result in calf claudication, aneurysm formation, distal arterial emboli, or popliteal vessel thrombosis. The most commonly reported causes of this syndrome have been anomalies of the medial head of the gastrocnemius muscle as it relates to the course of the popliteal artery. W...
30,574
Ultrasonographic assessment of the gallbladder in 21 children with portal vein thrombosis.
Portal vein thrombosis (PVT) is one of the most frequent causes of portal hypertension (PH) during childhood. Portal systemic collateral vessels occur at several locations, including the gallbladder (GB).</AbstractText>To evaluate the GB in patients with PVT using US to assess GB wall thickness and its function, and th...
30,575
Lapidus arthrodesis for management of hallux valgus--a retrospective review of 106 cases.
One hundred six patients who underwent a Lapidus arthrodesis for a symptomatic hallux valgus deformity, mainly with first ray hypermobility, were retrospectively reviewed. Radiograph and chart reviews were performed in addition to a patient survey completed at a mean 17 months postoperatively. Of the 78 patients who co...
30,576
Incidence of venous thromboembolism in infants and children: data from the National Hospital Discharge Survey.
Pulmonary embolism (PE), deep venous thrombosis (DVT), and the combination were not rare in pediatric patients in the United States from 1979 to 2001. They were more frequent in infants 0 to 1 year of age and in teenagers 15 to 17 years of age than in children 2 to 14 years of age. Pregnancies doubled the rate of DVT i...
30,577
Fatal cerebral infarctions in diabetic ketoacidosis in a child with previously unknown heterozygosity for factor V Leiden deficiency.
An 11-year-old boy with poorly controlled diabetes had sudden collapse after the development of lower extremity deep venous thrombosis, with fatal cerebral infarctions. He was heterozygous for factor V Leiden deficiency. This case emphasizes the value of cranial imaging after initial resuscitative treatment of neurolog...
30,578
[Postpartum ovarian vein thrombophlebitis: report of 5 cases and review of the literature].
Postpartum ovarian vein thrombophlebitis (POVT) is an uncommon life-threatening situation. It should be systematically evoked in case of persistent fever during the postpartum. We describe here the imaging techniques to assert the diagnosis and the different therapeutic options.</AbstractText>We report five cases from ...
30,579
Thromboembolic complications of intravenous immunoglobulin treatment.
Intravenous immunoglobulin (IVIg) preparations are increasingly being used in the treatment of neuroautoimmune diseases. Although for most part this treatment is safe, serious side effects such as thromboembolic events have been reported. We report on 7 patients who suffered a thromboembolic event while being treated w...
30,580
High avidity anti-beta 2-glycoprotein I antibodies in patients with antiphospholipid syndrome.
To evaluate avidity of IgG anti-beta 2-glycoprotein I antibodies (anti-beta2-GPI) in patients with antiphospholipid syndrome (APS) and systemic lupus erythematosus (SLE) in relation to thrombosis, and to demonstrate a possible affinity maturation of IgG anti-beta 2-GPI during the disease course.</AbstractText>64 sera f...
30,581
Thrombophilic factors are not the leading cause of thrombosis in Beh&#xe7;et's disease.
Venous and arterial thromboses occur in patients with Beh&#xe7;et's disease and are associated with significant morbidity and mortality. Studies on a possible association between the occurrence of thrombosis and thrombophilia in patients with this disease have been controversial.</AbstractText>To determine the prevalen...
30,582
Deep venous thrombosis and pulmonary embolism following chickenpox.
An 11-year-old girl developed proximal deep venous thrombosis and bilateral pulmonary embolism associated with antiphospholipid syndrome following chickenpox. She responded to prolonged anticoagulation therapy.
30,583
Optimizing factor prophylaxis for the haemophilia population: where do we stand?
The hallmark of severe haemophilia, defined as a circulating level of factor (F) VIII (haemophilia A cases) or FIX (haemophilia B cases) of &lt; 1%, is recurrent bleeding into muscles and joints (haemarthroses) from an early age of life. The inevitable result of such bleeding is progressive joint damage, leading to dis...
30,584
Physical therapy and imaging outcome measures in a haemophilia population treated with factor prophylaxis: current status and future directions.
Routine infusions of factor VIII to prevent bleeding, known as prophylaxis, and other intensive therapies are being more broadly applied to patients with haemophilia. These therapies differ widely in replacement product usage, cost, frequency of venous access and parental effort. In order to address residual issues rel...
30,585
Treatment of Budd-Chiari syndrome in a liver transplant unit, the role of transjugular intrahepatic porto-systemic shunt and liver transplantation.
Budd-Chiari syndrome is an uncommon cause of liver failure usually associated with an underlying hypercoagulable state.</AbstractText>To evaluate current trends in management of Budd-Chiari syndrome at our institution.</AbstractText>Twenty-two patients with Budd-Chiari syndrome underwent transjugular intrahepatic porto...
30,586
Daily vs twice daily enoxaparin in the prevention of venous thromboembolic disorders during rehabilitation following acute spinal cord injury.
Subcutaneous administration of low molecular weight heparin (eg, enoxaparin) has been shown to be safe and effective in the prevention of acute venous thromboembolic (TE) disease following acute spinal cord injury (SCI) in the rehabilitation setting. However, emerging evidence suggests that different dosing strategies ...
30,587
Zinopin--the rationale for its use as a food supplement in Traveller's thrombosis and motion sickness.
Venous thrombo-embolism (VTE) has been associated with periods of prolonged immobility during air, sea and road travel. Motion sickness (MS) has also been reported during both long and short journeys. Current prophylactic therapies for both these indications are generally associated with side effects. Physiological pro...
30,588
Risk of venous thromboembolic disease associated with hormonal contraceptives and hormone replacement therapy: a clinical review.
Venous thromboembolic events (VTEs) represent a serious complication related to hormonal contraception and hormone replacement therapy (HRT). Evidence on hormonal contraceptive- and HRT-related VTEs is derived almost exclusively from observational studies and points to a 2- to 6-fold increased relative risk of VTEs wit...
30,589
Optimal antithrombotic management of anticoagulated patients with a history of myocardial infarction.
A common clinical dilemma exists for optimal antithrombotic management of a patient requiring oral anticoagulation (such as venous thromboembolism) and continued secondary myocardial infarction prophylaxis. Often aspirin will be continued concomitantly with the indicated oral anticoagulation therapy; however, additiona...
30,590
Septic thrombophlebitis of the coronary sinus with complete recovery after surgical intervention.
This case represents a unique presentation of septic thrombophlebitis of the coronary sinus in that the infection was localized to the coronary sinus, the etiology was unclear, and the patient recovered uneventfully after surgery.
30,591
Unilateral battery depletion in Parkinson's disease patients treated with bilateral subthalamic nucleus deep brain stimulation may require urgent surgical replacement.
We describe 2 patients with advanced Parkinson's disease (PD) treated with bilateral deep brain stimulation of the subthalamic nucleus in whom unilateral stimulator battery depletion resulted in the rapid appearance of disabling PD symptoms (severe rigidity, bradykinesia and gait difficulty). Both patients did not resp...
30,592
Headaches in pregnancy.
Migraine and TTH are primary headache disorders that occur commonly during pregnancy. Migraine sometimes occurs for the first time with pregnancy. The majority of migraineurs improve while pregnant; however, migraine often recurs post partum. Some disorders that produce, headache, such as stroke, cerebral venous thromb...
30,593
Paradoxical embolism in a preterm infant.
Cerebral paradoxical embolism has not until now been described as a cause of cryptogenic stroke in newborn infants. A male infant was born at 27 weeks 2 days' gestational age by emergency Caesarean section in a twin pregnancy because of intrauterine growth retardation and absence of diastolic flow in the twin. His birt...
30,594
Masson's intravascular hemangioma masquerading as effort thrombosis.
An otherwise healthy 55-year-old white woman had acute onset of right arm swelling. No precipitating factors were identified. Venograms revealed an occluded subclavian vein, and catheter-directed thrombolysis was performed. After lysis a persistent residual intraluminal filling defect was identified, with persistent sy...
30,595
C-reactive protein and red cell aggregation correlate with late venous function after acute deep venous thrombosis.
Risk factors leading to development and subsequent progression of chronic venous insufficiency after acute deep venous thrombosis (DVT) are only partially identified. Inflammation and rheologic abnormalities might have a causative role. The purpose of this study was to investigate C-reactive protein (CRP), D -dimer, an...
30,596
Perforator vein incompetence in chronic venous disease: a multivariate regression analysis model.
In the presence of superficial and deep vein insufficiency the effects, if any, of concurrent incompetent perforator veins (IPVs) on clinical status are masked. On the basis of multivariate regression analysis, this study examines the significance of perforator vein incompetence across the clinical classes of CEAP (C-c...
30,597
Combined regional thrombolysis and surgical thrombectomy for treatment of iliofemoral vein thrombosis.
In at least half of patients with iliofemoral deep vein thrombosis post-thrombotic syndrome develops when only anticoagulant therapy is given. We combined thrombolysis, applied under ischemic conditions,with surgical thrombectomy to restore patency and valve function. The technique and the short-term and long-term resu...
30,598
Iliac compression syndrome and recanalization of femoropopliteal and iliac venous thrombosis: a prospective study with magnetic resonance venography.
Poor iliac vein recanalization has been associated with compression of the left common iliac vein by the right common iliac artery (RCIA/LCIV compression); however, this finding has been difficult to confirm. In a baseline study, RCIA/LCIV compression was detected with magnetic resonance imaging in patients with deep v...
30,599
Re-evaluation of iliac compression syndrome using magnetic resonance imaging in patients with acute deep venous thromboses.
The majority of proximal deep venous thromboses (DVTs) are thought to have propagated as a contiguous column from the calf veins. However, several authors have proposed that ileofemoral DVT commonly originates in the left common iliac vein (LCIV) at a site of compression by the overlying right common iliac artery (RCIA...