- Effectiveness and safety of rivaroxaban compared to acenocumarol after infra-inguinal surgical revascularization. [Journal Article]
- AVAnn Vasc Surg 2018 Aug 09
- CONCLUSIONS: Rivaroxaban has equivalent effectiveness to acenocoumarol after infra-inguinal bypass revascularization, with similar occlusion, major amputation and mortality rates. Rivaroxaban has an improved safety profile in patients with moderate renal dysfunction due to a significantly lower incidence of major bleeding. In patients with normal renal function, rivaroxaban and acenocumarol present equivalent major bleeding rates.
- Comparison of ischemia/reperfusion-induced acute kidney injury by clamping renal arteries, veins, or pedicles in anaesthetised rats. [Journal Article]
- EPExp Physiol 2018 Aug 09
- What is central question of this study? Acute kidney injury (AKI) in patients is usually due to renal artery hypoperfusion or occasionally vein thrombosis, but murine model of ischemic AKI is mostly ...
What is central question of this study? Acute kidney injury (AKI) in patients is usually due to renal artery hypoperfusion or occasionally vein thrombosis, but murine model of ischemic AKI is mostly induced via pedicle-clamping. Hence, the traditional renal pedicle-clamping model was compared with models of occluding renal artery or vein alone in rats. What is main finding and its importance? During renal venous occlusion, transmission of high arterial pressure into renal capillaries likely caused rupture of their walls and occurrence of hemorrhagic congestion that led to higher kidney tissue damage and dysfunction than pedicle and artery clamping.
- Isolated Upper Limb Weakness From Ischemic Stroke: Mechanisms and Outcome. [Journal Article]
- JSJ Stroke Cerebrovasc Dis 2018 Jul 19
- CONCLUSIONS: Stroke mechanism in acute isolated UE weakness is variable. Contralateral motor-strip infarcts are associated with carotid stenosis, often with plaque ulceration ("vulnerable carotid plaque"), and infarcts in other locations with cardioembolism. Recurrent stroke risk is high especially with mild-moderate carotid artery stenosis and plaque ulceration/thrombus.
- Acute arterial embolism as the clinical presentation of a disseminated hydatidosis: case report. [Journal Article]
- AAArch Argent Pediatr 2018 Aug 01; 116(4):e616-e620
- Hydatidosis is a parasitic infection caused by the Echinococcus granulosus larvae, transmitted by the ingestion of infected food, characterized by the formation of cysts in vital organs. In Argentina...
Hydatidosis is a parasitic infection caused by the Echinococcus granulosus larvae, transmitted by the ingestion of infected food, characterized by the formation of cysts in vital organs. In Argentina, the disease is spread throughout the territory, constituting an important public health issue. The disease usually affects the liver and lungs. The affection of other organs is rare, and even more uncommon the affection of the heart. We present the case of a disseminated hydatidosis in a pediatric patient, whose initial clinical manifestation was an acute arterial embolism of the right limb caused by the rupture of a hydatidic cardiac cyst.
- Treatment Outcomes and Risk Factors for In-Hospital Mortality in Patients with Acute Aortic Occlusion. [Journal Article]
- VSVasc Specialist Int 2018; 34(2):19-25
- CONCLUSIONS: A substantial number of AAO patients were initially evaluated for a central nervous system lesion, which led to a delay in diagnosis. Thus, vascular examinations should always be performed in every patient presenting with lower limb neurologic deficits. Age, perioperative renal function, and combined iliac artery occlusion were associated with the prognosis of AAOs.
- Acute limb ischemia of the lower extremity associated with left upper lobe surgery for primary lung cancer. [Journal Article]
- JVJ Vasc Surg Cases Innov Tech 2018; 4(2):83-86
- Thrombosis formation in the pulmonary vein stump after pulmonary lobectomy has recently been reported to be an extremely rare cause of arterial embolism. We herein report the first case series of acu...
Thrombosis formation in the pulmonary vein stump after pulmonary lobectomy has recently been reported to be an extremely rare cause of arterial embolism. We herein report the first case series of acute limb ischemia encountered after video-assisted thoracoscopic left upper lobectomy or left upper division segmentectomy for primary lung cancer. The patients underwent embolectomy, and their perioperative courses were uneventful. It should be recognized that the pulmonary vein stump can cause acute limb ischemia after pulmonary lobectomy.
- [Acute limb ischemia]. [Classical Article]
- RMRev Med Liege 2018; 73(5-6):304-311
- Despite major advances in the contemporary management of peripheral arterial occlusive disease, acute ischemia of the lower limb is still characterized by an important morbidity, limb threat, and mor...
Despite major advances in the contemporary management of peripheral arterial occlusive disease, acute ischemia of the lower limb is still characterized by an important morbidity, limb threat, and mortality, and continues to pose a challenge to the vascular surgeon. Ageing of the population increases the prevalence of acute lower limb ischemia. The two principal etiologies of acute ischemia of the lower limbs are arterial embolism and in situ thrombosis of an atherosclerotic artery or of a bypass graft. Popliteal aneurysm thrombosis and vascular trauma are less common causes of severe limb ischemia. Prompt recognition and treatment of acute limb ischemia in an urgent setting are crucial, in order to shorten as much as possible the duration of the ischemia. This paper highlights diagnostic work-up (staging of the severity of ischemia) and appropriate management of acute ischemia of the lower limb. Different procedures of revascularization (operative clot removal, catheter-directed thrombolysis, bypass grafting are evaluated and their outcome results are compared.
- Acute thrombotic occlusion after total knee arthroplasty: Role of endovascular management. [Journal Article]
- JCJ Clin Orthop Trauma 2018 Apr-Jun; 9(2):121-124
- CONCLUSIONS: High degree suspicion with careful monitoring in the postoperative period is needed to identify the problem at the earliest, and early diagnosis with recanalisation within 6 h is the key to limb salvage in these patients.
- Thrombectomy Using Myocardial Biopsy Forceps in Acute Limb Ischemia Patients. [Journal Article]
- JVJ Vasc Interv Radiol 2018; 29(8):1174-1179
- CONCLUSIONS: Thrombectomy using biopsy forceps is a feasible technique for removal of an arterial thrombus in patients with ALI.
New Search Next
- Safety profile of an 8F femoral arteriotomy closure using the Angio-Seal device in thrombolysed acute stroke patients undergoing thrombectomy. [Journal Article]
- INInterv Neuroradiol 2018 Jan 01; :1591019918779022
- Background The relationship between bridging thrombolysis and femoral access site complications after mechanical thrombectomy remains contested. Use of a closure device could minimise bleeding compli...
Background The relationship between bridging thrombolysis and femoral access site complications after mechanical thrombectomy remains contested. Use of a closure device could minimise bleeding complications. This study aimed to elucidate the rate of access site complications in a cohort of patients treated using an 8F groin sheath with subsequent closure using the Angio-Seal to assess safety and the impact of bridging thrombolysis on access site complication rate. Methods All patients with large vessel occlusive stroke treated between 2014 and 2017 with thrombectomy with or without bridging thrombolysis were reviewed. A prospectively acquired departmental database was used to obtain baseline data, and the radiology information and haematology reporting systems were used to record imaging or transfusion relating to subsequent access site complications. Results Seventy-five patients treated with thrombectomy alone were compared to 70 patients treated with prior intravenous thrombolysis. All had an 8F femoral sheath placed for arterial access, and all underwent attempted haemostasis with an 8F Angio-Seal. Two patients (1.14%) suffered Angio-Seal device failure necessitating manual pressure. One patient (0.6%) suffered a small femoral pseudo-aneurysm. No retroperitoneal haemorrhage, haematoma requiring transfusion, ipsilateral deep-vein thrombosis or ipsilateral acute limb ischaemia was encountered. There was no significant difference in the rate of haemorrhagic, ischaemic or infective complications between those treated with bridging thrombolysis or thrombectomy alone. Conclusion Use of the Angio-Seal closure device for 8F femoral access is safe in acute stroke patients. Intravenous thrombolysis prior to endovascular thrombectomy does not significantly alter femoral access site complication rate if this approach is used.