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Ann Vasc Dis 2019 Mar;12(1):55-59

Section of Urology, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

: To assess surgical strategies and the impact of a multidisciplinary approach on patients undergoing inferior vena caval thrombectomy for renal cell carcinoma and to evaluate perioperative morbidity and mortality associated with these procedures. : A retrospective audit for all adults who underwent nephrectomy and inferior vena caval thrombectomy from January 2008 till November 2018 at a University hospital. Patients with incomplete records were excluded from the study. Read More

Arterioscler Thromb Vasc Biol 2019 Apr;39(4):e118-e129

From the Department of Molecular and Integrative Physiology (A.C.A., D.J.P.), University of Michigan Medical Center, Ann Arbor.

Objective- Leukocyte flux contributes to thrombus formation in deep veins under pathological conditions, but mechanisms that inhibit venous thrombosis are incompletely understood. Ectonucleotide di(tri)phosphohydrolase 1 ( ENTPD1 or Cd39), an ectoenzyme that catabolizes extracellular adenine nucleotides, is embedded on the surface of endothelial cells and leukocytes. We hypothesized that under venous stasis conditions, CD39 regulates inflammation at the vein:blood interface in a murine model of deep vein thrombosis. Read More

Medicine (Baltimore) 2019 Feb;98(8):e14582

Department of Interventional Radiology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.

Rationale: Hepatocellular carcinoma (HCC) is a highly invasive cancer associated with vascular invasion. The survival of advanced HCC is very poor. In this case study, we describe the efficacy and safety of apatinib in patient with advanced HCC as the first-line therapy. Read More

World J Surg Oncol 2019 Jan 15;17(1):17. Epub 2019 Jan 15.

Department of Urology, Peking University Third Hospital, Beijing, China.

Objective: To define preoperative clinical and radiographic risk factors for the need of inferior vena cava (IVC) resection in patients with renal cell carcinoma (RCC) and IVC tumor thrombus.

Methods: We reviewed data of 121 patients with renal cell carcinoma and venous tumor thrombus receiving radical nephrectomy and thrombectomy at our institution between 2015 and 2017, and 86 patients with Mayo I-IV level tumor thrombus were included in the final analysis. Clinical features, operation details, and pathology data were collected. Read More

Medicine (Baltimore) 2018 Dec;97(52):e13798

Department of Radiology, Jilin Provincial Cancer Hospital, Changchun, China.

Rationale: Venous thrombus embolism (VTE) includes deep-vein thrombosis (DVT) and pulmonary embolism (PE) which may be an initial symptom for patients with cancer. PE has diverse clinical manifestations and is a rare complication of testicular tumor (TT).

Patient Concerns: Here, we report a 21-year-old man admitted to our hospital due to syncope. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Dec;50(6):1053-1056

Department of Urology, Peking University Third Hospital, Beijing 100191, China.

Objective: To investigate the safety and feasibility of laparoscopic treatment for renal carcinoma with Mayo 0-2 level venous thrombosis.

Methods: From January 2015 to February 2018, 58 renal carcinoma cases with venous thrombus underwent laparoscopic radical nephrectomy with inferior vena cava thrombectomy in Department of Urology, Peking University Third Hospital, of which, 51 cases were male, and 7 female, aged 29-82 years. According to the Mayo grade classification, 20 cases were level 0, 20 cases were level 1, and 18 cases were level 2, with left side being 22 cases, and right side 36 cases. Read More

J Card Surg 2018 12 7;33(12):870-871. Epub 2018 Dec 7.

Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida.

Cancer Radiother 2018 Dec 26;22(8):797-801. Epub 2018 Oct 26.

Département d'oncoradiothérapie, institut Claudius-Regaud, institut universitaire du cancer de Toulouse- Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France. Electronic address:

Patients with hepatocellular carcinoma who are on liver transplant waiting list usually require local treatment to limit any risk of tumour growth. Historically percutaneous radiofrequency ablation or transarterial chemoembolization represented the major therapeutic alternatives. Depending on the size, or the topography of the lesion these two techniques may not be feasible. Read More

Rev Med Liege 2018 Nov;73(11):557-561

Service d'hépatologie, CHU de Liège, Belgique.

Rarely encountered in the Western countries, membranous occlusion of the inferior vena cava results from a fibrous thickening of the intima and is commonly located at the orifices of the hepatic veins. To date, two etiopathogenic hypotheses have been formulated: the first, dealing with the embryological aspect, the second, arguing for a thrombotic origin. Nevertheless, several studies are still underway to understand the exact physiopathological mechanism of this obstruction. Read More

Cardiovasc Intervent Radiol 2019 Feb 12;42(2):308-312. Epub 2018 Nov 12.

Division of Interventional Radiology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY, 10065, USA.

Inferior vena cava agenesis is an uncommon condition usually attributed to embryologic dysgenesis. When symptomatic, unprovoked deep venous thrombosis and/or lower extremity venous congestion are the most frequent manifestations. Its rarity has precluded consensus regarding appropriate management. Read More

Medicine (Baltimore) 2018 Oct;97(43):e12944

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University.

This study aimed to evaluate the long-term efficacy and safety of percutaneous transhepatic balloon angioplasty (PTBA) and transjugular intrahepatic portosystemic stent-shunt (TIPSS) in the treatment of Budd-Chiari syndrome (BCS) with hepatic veins involvement. Between June 2008 and August 2016, a total of 60 BCS patients with hepatic vein involvement in our department were enrolled in this study. Thirty-three cases underwent hepatic vein balloon angioplasty in PTBA Group and 27 cases underwent TIPSS. Read More

Echocardiography 2018 12 1;35(12):2047-2055. Epub 2018 Nov 1.

Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama.

We reviewed the role of transesophageal echocardiography (TEE) in the management of renal cell carcinoma (RCC) with associated tumor thrombus. Many consider intraoperative TEE as imperative in cases of Level 4 thrombi with atrial involvement, as well as in cases that require the use of cardiopulmonary bypass (CPB). However, the role of TEE in the surgical management of RCC with associated inferior vena cava (IVC) thrombus may expand beyond this subset. Read More

Cardiovasc Intervent Radiol 2019 Jan 1;42(1):137-144. Epub 2018 Nov 1.

Department of Interventional Radiology, Nouvel Hôpital Civil, 1, place de l'hôpital, 67096, Strasbourg Cedex, France.

Objective: To report a technique of percutaneous retrohepatic hydrodissection, highlighting its potential to physically separate liver tumours from the inferior vena cava (IVC) and the ostia of the hepatic veins (HV).

Materials And Methods: Between December 2017 and April 2018, hydrodissection of the retrohepatic IVC was performed in 5 patients (5 females; mean age 64.5 years) undergoing percutaneous ablation of 5 liver metastases (mean size: 3. Read More

J Med Case Rep 2018 Oct 25;12(1):313. Epub 2018 Oct 25.

Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Videnska1958/9, 14021, Prague, Czech Republic.

Background: Advanced renal cell carcinoma in some cases causes malignant intravascular thrombus with the potential for growth into the inferior vena cava or even the right atrium. Renal cell carcinoma is accompanied by malignant intravascular thrombus in up to 10% of cases. We present an overview of three patients diagnosed as having renal cell carcinoma with malignant intravascular thrombus requiring radical nephrectomy combined with inferior vena cava thrombectomy. Read More

Curr Med Sci 2018 Oct 20;38(5):834-839. Epub 2018 Oct 20.

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuha, 430030, China.

This study was designed to explore the safety and feasibility of robotic-assisted laparoscopic nephrectomy with vein thrombectomy (RAL-NVT) for the treatment of renal cell carcinoma (RCC) with venous tumor thrombus (VTT). Clinical data of 6 patients treated with RAL-NVT between July 2016 and November 2017 in our hospital were retrospectively collected and analyzed. There were 5 males and 1 female with their age ranging from 48 years to 68 years. Read More

PLoS One 2018 18;13(10):e0204797. Epub 2018 Oct 18.

Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.

Objective: To assess the quality and diagnostic accuracy of monochromatic images combined with adaptive statistical iterative reconstruction (ASIR) performed via spectral computed tomography (CT) in patients with Budd-Chiari syndrome (BCS).

Methods: Sixty-two patients with BCS underwent pectral CT with upper abdominal two-phase contrast-enhanced scanning to generate a 60keV monochromatic energy level combined with ASIR (ranging from 0% -100%) during the portal venous phase (PVP) and the hepatic venous phase (HVP). One-way ANOVA was used to compare vessel-to-liver contrast-to-noise ratio (CNR) for the portal vein (PV), hepatic vein (HV), and inferior vena cava (IVC). Read More

J Surg Oncol 2018 Dec 17;118(8):1219-1226. Epub 2018 Oct 17.

Division of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, Georgia.

Introduction: We report the evolution of the largest, contemporary, single-institution experience with this complex procedure to highlight the value of a cross-discipline, team-based approach.

Methods: Patients from a prospectively maintained database who underwent resection of renal cell carcinoma (RCC) with inferior vena cava (IVC) tumor thrombus from 2005 to 2016 at a single-institution were included for analysis.

Results: Of 140 patients, 102 (73%) had tumor thrombus below the level of the hepatic vein confluence, and 96 (69%) were performed for curative-intent, while 43 (31%) were cytoreductive procedures for clinical trial consideration. Read More

J Thromb Thrombolysis 2019 Jan;47(1):134-139

Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, Soochow, Jiangsu, China.

Stent implantation is the common treatment method for iliac vein (IV) occlusion. IV stents usually enter into the inferior vena cava (IVC) to partially or completely cover the contralateral IV, but it is still uncertain whether this can increase the risk of thrombosis in the contralateral IV. The purpose of this study was to investigate the effect of the stent position on the bilateral IVs patency. Read More

J Thromb Thrombolysis 2019 Jan;47(1):80-86

Tianjin Institute of Pharmaceutical Research New Drug Evaluation Co.Ltd, 308, Huiren Street, Binhai New Area, Tianjin, 300301, People's Republic of China.

In recent years, oral factor Xa inhibitors have become a research focus as anticoagulant drugs. Zifaxaban is the first oral FXa inhibitor to enter clinical trials in China. The aim of this study was to determine the inhibitory effect of zifaxaban on thrombosisthrough a model ofinferior vena cava (IVC) thrombosis in rabbits. Read More

BMJ Case Rep 2018 Sep 28;2018. Epub 2018 Sep 28.

Institute of Liver Disease & Transplantation, Gleneagles Global Health City, Chennai, Tamil Nadu, India.

Leiomyosarcoma (LMS) of primary vascular origin is a rare entity with only potentially curative option being complete surgical resection; despite which the prognosis remains dismal. Tumour recurrence is very common, and the benefits of adjuvant therapy are undefined. A 39-year-old woman presented with 6 months' history of abdominal pain, abdominal distension and pedal oedema. Read More

Cardiovasc Intervent Radiol 2019 Feb 21;42(2):165-168. Epub 2018 Sep 21.

Department of Radiology, Alfred Health, Alfred Hospital, 55 Commercial Road, Melbourne, VIC, 3004, Australia.

Risks of IVC filter insertion are numerous but include IVC stenosis or thrombosis and may result in caval occlusion. Acute IVC occlusion is almost always symptomatic, and treatment can be aggressive such as catheter-directed thrombolysis or conservative such as anticoagulation. The more challenging cohort of patients is those where there has been chronic complete occlusion of the IVC without symptoms, sometimes only identified at the time of routine filter retrieval. Read More

J Formos Med Assoc 2018 Nov 11;117(11):964-972. Epub 2018 Sep 11.

Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan. Electronic address:

Background: Intravascular leiomyomatosis (IVL) is relatively rare. The optimal surgical method and long-term outcomes are not completely understood.

Methods: Medical records between 2007 and 2017 in our hospital were analyzed to identify IVL cases with surgical intervention. Read More

Eur Urol Focus 2018 09 1;4(5):639-640. Epub 2018 Sep 1.

Department of Urology, State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital, PLA Medical School, Beijing, China.

Although inferior vena cava thrombectomy (IVCTE) is one of the most difficult urological operations, we developed a series of "standard" robotic strategies for robot-assisted IVCTE based on clinical experience. These strategies are feasible and represent a minimally invasive alternative. Read More

J Vasc Interv Radiol 2018 10 1;29(10):1350-1361.e4. Epub 2018 Sep 1.

Department of Vascular Surgery, UNC Rex Hospital, NC Heart and Vascular Research, Raleigh, North Carolina.

Purpose: To prospectively assess the Sentry bioconvertible inferior vena cava (IVC) filter in patients requiring temporary protection against pulmonary embolism (PE).

Materials And Methods: At 23 sites, 129 patients with documented deep vein thrombosis (DVT) or PE, or at temporary risk of developing DVT or PE, unable to use anticoagulation were enrolled. The primary end point was clinical success, including successful filter deployment, freedom from new symptomatic PE through 60 days before filter bioconversion, and 6-month freedom from filter-related complications. Read More

J Cardiothorac Vasc Anesth 2019 Feb 29;33(2):575-578. Epub 2018 Jul 29.

Cardiothoracic Surgery Services, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.

Stem Cell Res Ther 2018 08 23;9(1):223. Epub 2018 Aug 23.

Department of Vascular Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, 215000, China.

Background: Deep vein thrombosis (DVT) is caused by blood clotting in the deep veins. Thrombosis resolution and recanalization can be accelerated by endothelial progenitor cells. In this report, we investigated the effects of miR-126-loaded EPC-derived exosomes (miR-126-Exo) on EPCs function and venous thrombus resolution. Read More

Cardiovasc Intervent Radiol 2018 Nov 17;41(11):1691-1698. Epub 2018 Aug 17.

Charles T. Dotter Department of Interventional Radiology, Dotter Interventional Institute, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.

Purpose: To examine the effectiveness of antithrombotic medications to prevent venous stent malfunction for iliocaval occlusive disease.

Materials And Methods: A retrospective analysis was performed on 62 patients who underwent technically successful endovascular iliocaval stent placement between May 2008 and April 2017. Clinical records were reviewed for demographic information, procedure details, post-stenting antithrombotic prophylaxis and stent patency on follow-up. Read More

Jpn J Radiol 2018 Nov 14;36(11):661-668. Epub 2018 Aug 14.

Japanese Society of Pulmonary Embolism Research (JaSPER), Tokyo, Japan.

Purpose: Inferior vena cava filter fracture (FF) may cause life-threatening complications, including cardiac tamponade, although the actual prevalence remains unclear. Therefore, we investigated the incidence of FF.

Materials And Methods: Data on fracture incidence with filter brands, filter positions [suprarenal (SR) vs. Read More

Ann Vasc Surg 2018 Nov 6;53:271.e7-271.e10. Epub 2018 Aug 6.

Division of Vascular Diseases and Surgery, Division of Surgical Oncology, The Ohio State University Wexner Medical Center, Columbus, OH.

Inferior vena cava (IVC) aneurysms are a rare finding, whose management and outcomes remain uncertain due to their low incidence and long-term follow-up. As IVC aneurysms remain a poorly understood clinical entity, it is important to expand upon our existing knowledge base as new cases arise. We present a patient with a suprarenal IVC saccular aneurysm and an overview of the current literature regarding IVC aneurysm classification, presentation, and management. Read More

Ginekol Pol 2018 ;89(5):271-275

Neonatal and Intensive Care Department, Medical University of Warsaw, Karowa 2, 00-315 Warsaw, Poland.

Objectives: Renal vein thrombosis in newborns is a rare but serious and acute disease. Clinical representations of RVT can vary from discrete symptoms to life-threatening conditions. Therefore imaging, and in particular sonography, plays an important role in the diagnosis of RVT in neonates. Read More

Vasc Endovascular Surg 2018 Nov 5;52(8):602-606. Epub 2018 Aug 5.

1 Department of Interventional Radiology, Hospital Italiano de Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina.

Introduction:: Proximal (iliocaval and iliofemoral) deep vein thrombosis (DVT) and pulmonary thromboembolism are the second cause of death in patients with cancer.

Material And Methods:: A retrospective analysis was performed in 35 patients with cancer treated with endovascular therapy for proximal DVT. The primary objective was to evaluate the technical success of the procedure and the 30-day and long-term symptom improvement. Read More

Clin J Gastroenterol 2019 Feb 23;12(1):71-75. Epub 2018 Jul 23.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, Niigata, 951-8510, Japan.

We report a case of inferior vena cava (IVC) thrombosis caused by compression by a giant liver cyst. A 68-year-old man with a 1-day history of abdominal pain was referred to another hospital. Ultrasonography (US) and enhanced computed tomography (CT) showed a multilobular cyst on the right liver lobe that had increased to 300 mm in diameter from 90 mm 18 months earlier. Read More

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Medical College, Aga Khan University, Karachi, Pakistan.

JACC Cardiovasc Interv 2018 Jul;11(14):1390-1397

Department of Cardiovascular Diseases, Temple University Hospital, Philadelphia, Pennsylvania. Electronic address:

Objectives: The aim of this study was to investigate the contemporary trends and comparative effectiveness of adjunctive inferior vena cava filter (IVCF) placement in patients undergoing catheter-directed thrombolysis (CDT) for treatment of proximal lower extremity or caval deep vein thrombosis.

Background: CDT is being increasingly used in the management of proximal deep vein thrombosis. Although a significant number of patients treated with CDT undergo adjunctive IVCF placement, the benefit of this practice remains unknown. Read More

Ann Surg Oncol 2018 Oct 17;25(11):3324-3325. Epub 2018 Jul 17.

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Background: Status in terms of major vascular structure invasion is a crucial factor for successful major hepatic resection. In particular, surgery for advanced tumors with inferior vena cava (IVC) invasion is difficult and may even be dangerous for the patient, having high risk of massive bleeding and greater chance of embolic complications such as stroke, bowel ischemia, and pulmonary venous thrombosis. For such reasons, many surgeons hesitate to carry out such surgical resection, and even if they do so, may not totally remove the tumor including the part inside the IVC, achieving R1 resection. Read More

J Pediatr Urol 2018 Aug 2;14(4):351-352. Epub 2018 Jul 2.

Medanta - The Medicity, Gurgaon, India.

Introduction: Intracaval extension is present in 4-11% of all Wilms' tumour (WT). We present the open surgical nuances of inferior vena cava (IVC) thrombectomy with nephroureterectomy in post-chemotherapy WT.

Methods: A 10-year-old girl with right WT and intracaval tumour thrombus presented for surgical resection after six cycles of chemotherapy (vincristine, actinomycin D). Read More

J Laparoendosc Adv Surg Tech A 2019 Jan 13;29(1):35-39. Epub 2018 Jul 13.

2 Department of Urology, Uludag University, School of Medicine, Bursa, Turkey.

Background: We aimed to report surgical and oncological outcomes of renal cell carcinoma (RCC) patients with level I and II thrombus treated with laparoscopic transperitoneal radical nephrectomy.

Patients And Methods: Medical records of 13 patients were reviewed retrospectively in a single center between 2005 and 2017. Hem-o-lok clips were used to secure renal artery and renal vein, excluding 2 patients with an attached thrombus on the right side. Read More

Arch Dis Child Fetal Neonatal Ed 2019 Jan 11;104(1):F68-F69. Epub 2018 Jul 11.

Division of Pediatric Cardiology, University of South Alabama, Mobile, Alabama, USA.

Medicine (Baltimore) 2018 Jul;97(28):e11221

Rationale: Inferior vena cava (IVC) thrombosis is an under-recognized entity that is associated with a mortality rate approaching twice that of lower extremity deep venous thrombosis (DVT). Thrombolytic therapy not only results in greater lysis, but also results in higher complication rates than anticoagulation alone. Catheter-directed thrombolysis (CDT), which is effective in accomplishing local resolution whilst reducing bleeding complications, has been established as an alternative treatment for patients with extensive DVT. Read More

Oxid Med Cell Longev 2018 10;2018:1860513. Epub 2018 Jun 10.

Center for Cardiology - Cardiology I, University Medical Center Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany.

Pulmonary embolism (PE) results from deep vein thrombosis (DVT) and can lead to chronic thromboembolic pulmonary hypertension (CTEPH) involving vascular dysfunction. Mechanisms are incompletely understood, in part due to lack of mouse models. We induced PE in C57BL/6 mice by intravenous injection of thrombin (166 U/kg BW), confirmed by a sudden bradycardia, bradypnea, and an increase in pulmonary artery (PA) pressure observed by high-frequency ultrasound. Read More

BMJ Case Rep 2018 Jul 5;2018. Epub 2018 Jul 5.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

J Pediatr Surg 2019 Mar 10;54(3):557-561. Epub 2018 Jun 10.

Department of Pediatric Surgery, Bambino Gesù Children's Hospital, IRCCS, Piazza San Onofrio 4, 00165, Rome, Italy.

Background: Complete encasement of the inferior vena cava by retroperitoneal tumors is rare. Although replacement of the vena cava has been considered for various conditions in adults, it is rarely used in children except for challenging resections and as a last chance approach - often aiming more at debulking than cure.

Materials And Methods: From January 2009 to February 2017, 4 patients (2 adrenal neuroblastomas, 1 renal cell carcinoma, 1 infantile fibrosarcoma) underwent elective en-bloc resection of tumor and of the infrahepatic portion of the inferior vena cava (IVC), with planned IVC prosthetic replacement. Read More

J Cardiothorac Surg 2018 Jul 5;13(1):85. Epub 2018 Jul 5.

Department of Cardiovascular Surgery, NanFang hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, People's Republic of China.

Background: The aim of this study was to review our experience in managing renal or adrenal tumors with level III or IV inferior vena cava thrombus by using deep hypothermic circulatory arrest (DHCA), and to evaluate survival outcomes.

Methods: Between September 2004 and March 2016, we treated 33 patients with renal or adrenal malignancy tumor and thrombus extending into the inferior vena cava. Patients were identified according to radiographic records and operative findings. Read More

J Med Imaging Radiat Oncol 2018 Dec 5;62(6):810-813. Epub 2018 Jul 5.

Department of Radiology, Alfred Health, Melbourne, Victoria, Australia.

Advanced techniques have been described to remove embedded inferior vena cava (IVC) filters including the loop snare and modified loop snare (Hangman) techniques. Retrieval of embedded filters have been associated with higher rates of complications including IVC injury and stenosis. We report two challenging embedded retrievals complicated by IVC injury and haemorrhage. Read More

J Vasc Surg Venous Lymphat Disord 2018 Sep 21;6(5):599-605. Epub 2018 Jun 21.

Department of Radiology, Mayo Clinic, Jacksonville, Fla.

Purpose: To retrospectively investigate the safety, efficacy, and complications associated with TrapEase inferior vena cava filters.

Methods: All patients who received a TrapEase filter at a single institution between April 2003 and January 2013 were identified, and outcomes were reviewed and analyzed.

Results: During the study period, 594 patients (278 women; mean age, 68. Read More

BMJ Case Rep 2018 Jun 23;2018. Epub 2018 Jun 23.

Department of Infectious Diseases and Tropical Medicine, Birmingham Heartlands Hospital, Heart of England NHS Hospital Trust, Birmingham, UK.

A 26-year-old woman presented with a 5-day history of fever after returning from Bali. She denied sexual contact abroad. On examination, there was suprapubic tenderness and a widespread maculopapular rash. Read More

Zhonghua Nei Ke Za Zhi 2018 Jun;57(6):429-434

Department of Respiratory Medicine, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China.

To improve the understanding of deep venous thrombosis (DVT), the present study was conducted to investigate the difference of DVT onset in hospitalized patients with different underlying diseases. This is a single-center retrospective study from Beijing Shijitan Hospital. Clinical data from hospital onset DVT patients from 2007 to 2016 were collected. Read More

Am J Case Rep 2018 Jun 15;19:694-698. Epub 2018 Jun 15.

Department of Neuroradiology, King Fahad Medical City, Riyadh, Saudi Arabia.

BACKGROUND Epidural venous plexus (EVP) engorgement occurs due to many conditions, so it can be easily misdiagnosed. This becomes problematic when the diagnosis requires prompt treatment for a good outcome, especially when it results in cauda equina syndrome (CES). We report a case of extensive iliocaval thrombosis leading to epidural venous plexus and ascending lumbar vein engorgement as an outcome of deep venous thrombosis (DVT) due to probable adverse effects of oral combined contraceptive pills (OCCP). Read More

Vasc Endovascular Surg 2018 Nov 14;52(8):641-647. Epub 2018 Jun 14.

1 Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.

We describe the cases of 2 patients who had septic thrombophlebitis and were successfully managed with endovascular thrombectomy. Patient A developed septic thrombophlebitis of the inferior vena cava after several retroperitoneal resections for metastatic renal cell carcinoma. The thrombus was successfully removed via endovascular mechanical balloon thrombectomy. Read More