5,705 results match your criteria Renal Vein Thrombosis

External iliac vein to inferior vena cava bypass as an alternative management for external iliac vein stenosis and thrombosis in renal transplant recipients.

BMJ Case Rep 2022 May 24;15(5). Epub 2022 May 24.

Urology Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

An man in his early 40s suffered from end-stage renal disease and underwent living donor renal transplantation. Doppler ultrasonography before surgery showed a normal iliac artery and vein without any thrombus. There was clear evidence of urine production intraoperatively. Read More

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Gangrene of the Foot After Coronary Artery Bypass Graft Surgery.

Perm J 2022 Apr 5;26(1):143-147. Epub 2022 Apr 5.

Department of Internal Medicine, Kaiser Permanente, Sacramento, CA, USA.

Coronary artery bypass grafting (CABG) is the most common surgery performed by cardiothoracic surgeons worldwide. Risks of CABG include neurological outcomes, deep vein thrombosis, renal or gastrointestinal injury, and death. Perioperatively, some patients may need intra-aortic balloon pump (IABP) use to help assist with cardiac function. Read More

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Duplication of the inferior vena cava: a case series.

J Int Med Res 2022 May;50(5):3000605221100771

Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

The inferior vena cava (IVC) may develop abnormally because of its complex embryogenesis. An understanding of congenital variants such as duplication of the IVC is essential for clinical interventions, particularly those performed by surgeons and radiologists. We herein describe five patients who were diagnosed with duplication of the IVC by computed tomography or angiography and summarize their imaging and clinical features. Read More

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Catastrophic Antiphospholipid Syndrome Presenting as a Stroke in an 11-Year-Old with Lupus.

Case Rep Pediatr 2022 13;2022:7890566. Epub 2022 May 13.

Riley Hospital for Children, Indianapolis, IN, USA.

Catastrophic antiphospholipid syndrome (CAPS) is an infrequent but feared life-threatening complication of antiphospholipid syndrome (APS). CAPS is characterized by the rapid development of numerous thromboses across multiple organs resulting in multiorgan failure. It is rare but well-documented in the adult population. Read More

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The Dropsy of Popes (1555-1978): A Bad Prognostic Sign Foreboding of Death.

J Relig Health 2022 May 20. Epub 2022 May 20.

Division of Heart Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.

The purpose of this study is to explore the historical background of edema as a prognostic sign in popes, a special category of medical subjects whose health status was closely monitored and chronicled because of their unique important status in the events of their times. Nine out of 51 popes, who reigned in the years 1555-1978, died edematous at a mean age of 75.5 years of age. Read More

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Apixaban vs. standard of care after transcatheter aortic valve implantation: the ATLANTIS trial.

Eur Heart J 2022 May 18. Epub 2022 May 18.

Sorbonne Université, ACTION Group, INSERM UMRS 1166, Hôpital Pitié-Salpêtrière (AP-HP), Institut de Cardiologie, Paris 75013, France.

Aims: The respective roles of oral anticoagulation or antiplatelet therapy following transcatheter aortic valve implantation (TAVI) remain debated. ATLANTIS is an international, randomized, open-label, superiority trial comparing apixaban to the standard of care.

Methods And Results: After successful TAVI, 1500 patients were randomized (1:1) to receive apixaban 5 mg (2. Read More

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Case Report of Patient With Venous Thrombosis of the Transplanted Kidney in the Early Postoperative Period.

Exp Clin Transplant 2022 May;20(Suppl 3):126-128

From the Republican Research Center of Emergency Medicine, Tashkent, Uzbekistan.

Renal allograft thrombosis is not a rare complication of kidney transplant and usually occurs in the early period after transplant, but it can also occur later after transplant. Several factors are associated with this infamous complication. The cause of venous anastomosis thrombosis is most often inflection or twisting of the renal vein, anastomosis stenosis, hypotension, hypercoagulation, or acute rejection of the graft. Read More

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Venous thromboembolism in COVID-19 patients and prediction model: a multicenter cohort study.

BMC Infect Dis 2022 May 13;22(1):462. Epub 2022 May 13.

Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA.

Background: Patients with COVID-19 infection are commonly reported to have an increased risk of venous thrombosis. The choice of anti-thrombotic agents and doses are currently being studied in randomized controlled trials and retrospective studies. There exists a need for individualized risk stratification of venous thromboembolism (VTE) to assist clinicians in decision-making on anticoagulation. Read More

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Surgical treatment of acute aortic dissection in a patient with SLE and prior antiphospholipid syndrome on therapy for over 30 years: a case report.

BMC Cardiovasc Disord 2022 May 13;22(1):216. Epub 2022 May 13.

Department of Cardiovascular Surgery, Juntendo University, Hongo 2-1-1, Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: In patients with systemic lupus erythematosus (SLE), lengthy treatment and long-term steroid use are the main risk factors for developing aortic aneurysms or aortic dissections. In patients with cardiac tamponade, hemodynamic collapse may lead to acute renal and hepatic failure.

Case Presentation: We report the successful treatment of a 55-year-old woman with SLE since the age of 21. Read More

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Drug Use Evaluation of Direct Oral Anticoagulants (DOACs) in Patients With Advanced Cirrhosis.

Cureus 2022 Apr 11;14(4):e24029. Epub 2022 Apr 11.

Gastroenterology, Hepatology, and Nutrition/Internal Medicine, University of Louisville, Louisville, USA.

Objectives: Low molecular weight heparin and vitamin K antagonists are commonly used in cirrhotic patients requiring anticoagulation. However, their monitoring with anti-factor Xa and international normalized ratio (INR) may not be reliable in cirrhosis. Direct oral anticoagulants (DOACs) do not need laboratory monitoring, making these agents a favorable alternative. Read More

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Tropical Fever: Unveiling an Asymptomatic Case of Polycythemia Vera.

Indian J Crit Care Med 2022 Mar;26(3):387-389

Department of General Medicine, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

We report a case of fulminant hepatic failure due to the Budd-Chiari syndrome following preservation with a tropical fever. A young lady came with fever, altered mental status, jaundice, and renal failure. Following tropical workup, it was diagnosed as a case of leptospirosis (WHO Faine's criteria) with multi-organ dysfunction. Read More

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Simultaneous endovascular revascularization of external iliac artery dissection and transplant renal artery stenosis in a recent renal allograft recipient.

J Vasc Bras 2021 10;20:e20210035. Epub 2021 Sep 10.

Post Graduate Institute of Medical Education & Research - PGIMER, Chandigarh, India.

Various vascular complications following renal transplantation include renal artery and vein thrombosis, renal artery stenosis, pseudoaneurysm, and iliac artery dissection. Transplant renal artery stenosis (TRAS) is the most common, while iliac artery dissection is the rarest of these various vascular complications. We describe an elderly male, who had both external iliac artery dissection and TRAS at 2 months following renal transplantation. Read More

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September 2021

Surgeon and Facility Volume are Associated With Postoperative Complications After Total Knee Arthroplasty.

Arthroplast Today 2022 Apr 17;14:223-230.e1. Epub 2022 Jan 17.

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Background: Surgeon and hospital volumes may affect outcomes of various orthopedic procedures. The purpose of this study is to characterize the volume dependence of both facilities and surgeons on morbidity and mortality after total knee arthroplasty.

Methods: Adults who underwent total knee arthroplasty for osteoarthritis from 2011 to 2015 were identified using International Classification of Diseases-9 Clinical Modification diagnostic and procedural codes in the New York Statewide Planning and Research Cooperative System database. Read More

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Electronic prescribing systems as tools to improve patient care: a learning health systems approach to increase guideline concordant prescribing for venous thromboembolism prevention.

BMC Med Inform Decis Mak 2022 May 3;22(1):121. Epub 2022 May 3.

HDR-UK Midlands Site and Better Care Programme, Queen Elizabeth Hospitals NHS Foundation Trust, Mindlesohn Way, Edgbaston, Birmingham, B15 2WB, UK.

Background: Venous thromboembolism (VTE) causes significant mortality and morbidity in hospitalised patients. Risk factors for VTE are well known and there are validated risk assessment tools to support the use of prophylactic therapies. In England, reporting the percentage of patients with a completed VTE risk assessment is mandated, but this does not include whether that risk assessment resulted in appropriate prescribing. Read More

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Characteristics and outcomes of cancer patients who develop pulmonary embolism: A cross-sectional study.

Oncol Lett 2022 May 4;23(5):168. Epub 2022 Apr 4.

Department of Vascular Surgery, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41334 Larissa, Greece.

Pulmonary embolism (PE), along with deep vein thrombosis, are collectively known as venous thromboembolism (VTE). Predisposing factors for PE include post-operative conditions, pregnancy, cancer and an advanced age; of note, a number of genetic mutations have been found to be associated with an increased risk of PE. The association between cancer and VTE is well-established, and cancer patients present a higher risk of a thrombotic event compared to the general population. Read More

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Apixaban versus Warfarin for Treatment of Venous Thromboembolism in Patients Receiving Long-Term Dialysis.

Clin J Am Soc Nephrol 2022 May 25;17(5):693-702. Epub 2022 Apr 25.

Chronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota.

Background And Objectives: The association of apixaban compared with warfarin for the treatment of venous thromboembolism in patients receiving maintenance dialysis is not well studied.

Design, Setting, Participants, & Measurements: We conducted a retrospective cohort study of Medicare fee-for-service beneficiaries receiving dialysis using United States Renal Data System data from 2013 to 2018. The study included patients who received a new prescription for apixaban or warfarin following a venous thromboembolism diagnosis. Read More

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Iatrogenic Fistula in Hemodialysis Patients: An Alternative Approach to Thrombectomy of Arteriovenous Graft (AVG) Thrombosis.

Case Rep Vasc Med 2022 16;2022:2417980. Epub 2022 Apr 16.

Renal Associates of Baton Rouge, Baton Rouge, Louisiana, USA.

Arterial venous (AV) fistula is the first choice of vascular access to perform hemodialysis in the vast majority of suitable patients followed by arteriovenous grafts (AVG). An iatrogenic fistula can occur when a second vein adjacent to the graft is punctured and the needle traverses the vein. In normal circumstances, this has no clinical repercussions and does not need correction, and in prior reports, it has helped to maintain the patency of partially occluded grafts but rarely can lead to thrombosis of the graft due to reduced flow and pressure in the graft lumen. Read More

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Characterization of tumor thrombus in renal cell carcinoma with prostate specific membrane antigen (PSMA) positron emission tomography (PET)/computed tomography (CT).

Urol Oncol 2022 Jun 22;40(6):276.e1-276.e9. Epub 2022 Apr 22.

Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia; Department of Urology, Redcliffe Hospital, Queensland, Australia; Centre for Clinical Research, The University of Queensland, Brisbane, QLD, Australia. Electronic address:

Introduction: Venous tumor thrombus (TT) occurs as part of the natural history of renal cell carcinoma (RCC) local progression in a small minority of cases. MRI is currently the most accurate imaging modality for determining TT extent. PSMA PET/CT may improve RCC staging and IVC TT characterization. Read More

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Physiological reno-portal bypass in liver transplantation with non-tumorous portal vein thrombosis.

Updates Surg 2022 Apr 20. Epub 2022 Apr 20.

General Surgery, Department of Organ Failure and Transplantation, ASST Papa Giovanni XXIII, Piazza OMS 1, 24127, Bergamo, Italy.

Reno-portal anastomosis (RPA) in presence of spleno-renal shunts (SRS) is a physiological option to restore blood flow in liver transplantation with portal vein thrombosis (PVT). Diffuse splanchnic venous system thrombosis (complex PVT) is its main indication but RPA proved to be useful in selected cases of less extensive thrombosis (non-complex PVT). Up until now only two monocentric and one multicentric case series has been published on this topic in addition to few anecdotal reports. Read More

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A 55-Year-Old Man with Recurrent Gastrointestinal Bleeding Due to Stricture of the Portal Vein Anastomotic Site 12 Years After Combined Pancreas and Kidney Transplantation.

Am J Case Rep 2022 Apr 19;23:e936148. Epub 2022 Apr 19.

Medical Clinic III, Department of Nephrology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.

BACKGROUND Varices of the upper gastrointestinal tract are due to portal hypertension and can result from occlusion of the portal venous system. This report is of a 55-year-old man with recurrent gastrointestinal bleeding due to stricture of the portal vein anastomotic site to inferior vena cava (IVC) 12 years after combined pancreas and kidney transplantation. CASE REPORT A 55-year-old man presented bleeding episodes requiring transfusion of more than 70 units of red blood cells (RBCs), complicated by bacterial and viral infection episodes including cytomegalovirus (CMV) reactivation and hepatitis E and transient impairment of function of the renal allograft. Read More

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A novel management strategy for treatment of pelvic venous disorders utilizing a clinical screening score and non-invasive imaging.

Vasa 2022 May 13;51(3):182-189. Epub 2022 Apr 13.

Department of Angiology, University Hospital Zurich, Switzerland.

Treatment of pelvic venous disorders (PVD) including pelvic congestion syndrome (PCS) are often delayed due to its varying clinical manifestations. Patient referral was based on a literature- and personal experience-derived clinical "PCS screening score" (higher score points indicate greater likelihood with a maximum score of 10 points). We studied consecutive women who were (i) referred for vascular assessment and treatment to the University Hospital Zurich (2017-2021), (ii) had a PCS score ≥3 points, (iii) had evidence of obstructive or non-obstructive PVD by duplex sonography or cross-sectional imaging, and (iv) underwent endovascular therapy. Read More

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Fitness to Serve in the Armed Forces and Internal Medicine: A Retrospective Study.

Mil Med 2022 Apr 12. Epub 2022 Apr 12.

Department of Internal Medicine, Bégin Military Teaching Hospital, Saint-Mandé 94160, France.

Introduction: Assessment of the medical fitness to serve in the armed forces has two objectives: to prevent the military operations from being jeopardized by a medical issue, and to protect soldiers from the sequelae of diseases that could become complicated in the operational field, especially in overseas operations where soldiers are exposed to a remote setting and a long evacuation time. Little is known about fitness decisions for soldiers with systemic or autoimmune diseases. Therefore, we conducted a single-center retrospective study of internal medicine fitness decisions. Read More

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Leiomyosarcoma Invading the Vena Cava: A Case Report.

Cureus 2022 Mar 4;14(3):e22838. Epub 2022 Mar 4.

Division of Urology, Department of Surgery, Ministry of National Guard Health Affairs, Riyadh, SAU.

Leiomyosarcoma is an aggressive soft tissue tumor originating from smooth muscle cells typically of the uterus, gastrointestinal, or genitourinary system. The most common site of leiomyosarcoma of soft tissue is the retroperitoneum, accounting for 50% of all cases. The majority of patients are asymptomatic, which may be due to the large retroperitoneal cavity. Read More

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Case Report: Inferior Vena Cava Agenesia in a Young Male Patient Presenting With Bilateral Iliac Veins Thrombosis.

Front Surg 2022 22;9:832336. Epub 2022 Mar 22.

Department of Vascular Surgery, University of Siena, Siena, Italy.

Introduction: Anomalies in inferior vena cava represent an uncommon finding with a prevalence of 0. 3 to 0.5% among healthy patients. Read More

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Effect of Artery Diameter and Velocity and Vein Diameter on Upper Limb Arteriovenous Fistula Outcomes.

Morwan Bahi

ScientificWorldJournal 2022 26;2022:2158013. Epub 2022 Mar 26.

Department of Vascular Surgery, Wellington Hospital, Wellington, New Zealand.

Objective: Haemodialysis is an important tool for end-stage renal disease (ESRD) patients to correct electrolyte disturbance and improve life quality. This requires a method of long-term vascular access. For many ESRD patients, arteriovenous fistula (AVF) formation is the optimal method of access. Read More

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Surgeon Volume and Social Disparity are Associated with Postoperative Complications After Lumbar Fusion.

World Neurosurg 2022 Apr 1. Epub 2022 Apr 1.

Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Objective: To characterize the volume dependence of both facilities and surgeons on postoperative complications after lumbar fusion and characterize the role of socioeconomic status.

Methods: Adults who underwent lumbar fusion from 2011 to 2015 were identified using International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes for lumbar disc degeneration or spondylolisthesis and procedure codes for lumbar fusion in the New York Statewide Planning and Research Cooperative System database. Complications were compared across surgeon and facility volumes using multivariable Cox proportional hazards regression, controlling for patient demographic and clinical factors. Read More

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Percutaneous Thrombectomy for the Treatment of Lower Extremity Deep Vein Thrombosis: Medium-Term Follow-up Results and Analysis of 112 Cases.

Cureus 2022 Feb 28;14(2):e22689. Epub 2022 Feb 28.

Cardiology, Avcilar Hospital, Istanbul, TUR.

Introduction The aim of this study was to analyze percutaneous thrombectomy (PT) outcomes for the management of lower extremity deep vein thrombosis (DVT) with medium-term follow-up. Methods The study included charts of patients who underwent PT due to lower extremity DVT between August 2017 and March 2021. Patient characteristics and procedure outcomes were recorded in the electronic information system on the same day as the procedure. Read More

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February 2022

Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement.

Kidney360 2022 Jan 21;3(1):99-102. Epub 2021 Oct 21.

Division of Nephrology, University of Alabama at Birmingham, Alabama.

Background: Central vein stenosis (CVS) is a common complication in hemodialysis patients following tunneled central venous catheter (CVC) insertion. Little is known about its incidence, association with patient characteristics, or relationship with duration of CVC placement. We systematically evaluated central vein stenosis in hemodialysis patients receiving their first CVC exchange at a large medical center. Read More

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January 2022

Clinical use of tissue plasminogen activator for systemic thrombolysis in dogs and cats.

J Vet Cardiol 2022 Mar 3;41:154-164. Epub 2022 Mar 3.

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 1678 Campus Delivery, Fort Collins, CO, 80523-1678, USA. Electronic address:

Introduction: Systemic administration of tissue plasminogen activator (tPA) is seldomly reported in dogs and cats.

Animals: Client-owned animals receiving tPA (2010-2020).

Materials And Methods: Medical records of dogs and cats receiving tPA for distant known/suspected thrombus were reviewed. Read More

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Interventions for treating catheter-related bloodstream infections in people receiving maintenance haemodialysis.

Cochrane Database Syst Rev 2022 04 1;4:CD013554. Epub 2022 Apr 1.

Department of Vascular and Endovascular Surgery, Federal University of Sao Paulo, Sao Paulo, Brazil.

Background: Patients with kidney failure require vascular access to receive maintenance haemodialysis (HD), which can be achieved by an arteriovenous fistula or a central venous catheter (CVC). CVC use is related to frequent complications such as venous stenosis and infection. Venous stenosis occurs mainly due to trauma caused by the entrance of the catheter into the venous lumen and repeated contact with the vein wall. Read More

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