Publications by authors named "Ijsbrand A J Zijlstra"
Background: Cholangitis is a well-known complication after hepaticojejunostomy (HJ), which is mainly caused by a stenotic anastomosis. However, the rate of cholangitis in patients with a non-stenotic (i.e.
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- Renal sympathetic innervation plays a significant role in managing blood flow and pressure in the kidneys and is relevant for various treatment approaches.
- A study involving 18 patients assessed how static handgrip exercise affects renal arterial pressure and flow, revealing that pressure increased while flow decreased during the exercise.
- These findings suggest that analyzing renal pressure and flow dynamics can help identify patients' sympathetic control levels of kidney perfusion, offering insights for potential therapeutic strategies.
Introduction And Objective: Blood pressure is presumably related to rebleeding and delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (aSAH) and could serve as a target to improve outcome. We assessed the associations between blood pressure and rebleeding or DCI in aSAH-patients.
Materials And Methods: In this observational study in 1167 aSAH-patients admitted to the intensive care unit (ICU), adjusted hazard ratio's (aHR) were calculated for the time-dependent association of blood pressure and rebleeding or DCI.
Patients with an inferior vena cava (IVC) filter that remains in situ encounter a lifelong increased risk of deep vein thrombosis and IVC filter complications including fracture, perforation, and IVC filter thrombotic occlusion. Data on the safety of becoming pregnant with an in situ IVC filter are scarce. The objective was to evaluate the risk of complications of in situ IVC filters during pregnancy.
View Article and Find Full Text PDFPurpose: A broad range of therapeutic options exists for symptomatic postoperative lymphoceles. However, no consensus exists on what is the optimal therapy. In this study, we aimed to compare the efficacy of currently available radiologic interventions in terms of number of successful interventions, number of recurrences, and number of complications.
View Article and Find Full Text PDFBackground: Delayed cerebral ischemia (DCI) is one of the major causes of delayed morbidity and mortality in patients with aneurysmal subarachnoid hemorrhage (aSAH).
Objective: To evaluate the effect of high-dose nadroparin treatment following endovascular aneurysm treatment on the occurrence of DCI and clinical outcome.
Methods: Medical records of 158 adult patients with an aSAH were retrospectively analyzed.
Article Synopsis
- A CT scan is now used instead of an ultrasound to quickly find fluid and injuries in patients with bad pelvic fractures.
- Researchers looked at CT scans from 160 patients to see how much fluid (small, moderate, or large) was present and if they needed surgery for bleeding.
- They found that having a moderate-to-large amount of fluid strongly suggests that surgery is needed to stop the bleeding.
Background: The sliding computed tomographic (CT) scanner in our trauma resuscitation room can be used early in the assessment of pelvic ring fracture patients. We determined the association between the presence of a pelvic blush on CT scan and the need for pelvic hemorrhage control (PHC). We hypothesized that many pelvic blushes found early in the resuscitation phase can be safely managed without intervention.
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- FAST is an effective tool for detecting hemoperitoneum in pelvic fracture patients, showing sensitivity and specificity that vary with the size of the hemoperitoneum.
- A study with 120 patients revealed that while FAST accurately predicts the presence of hemoperitoneum, it is not reliable for predicting the need for immediate hemorrhage control.
- However, a negative FAST result strongly indicates that intervention for internal bleeding is unlikely, especially in patients experiencing hemorrhagic shock.
Article Synopsis
- The study tested a computer program to help doctors find blood clots in the lungs called pulmonary embolisms (PE) using CT scans.
- Six doctors with different levels of experience looked at 209 CT scans, first without the computer help and then with it, to see if it changed their ability to find PE.
- The computer program helped doctors find more cases of PE, but it took them a little longer to read the scans, increasing the time by about 22 seconds.