Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to treat portal hypertension, and this study examines its dysfunction and mortality rates over time.
Out of 834 patients monitored from 1993 to 2018, 1-, 2-, and 5-year mortality rates were approximately 20.9%, 22.5%, and 25%, with dysfunction rates at 28.4%, 38.9%, and 52.4% for the same periods.
The study found that using covered stents lowers the risk of TIPS dysfunction, while factors like emergency TIPS procedures, prior dysfunction, and higher Freiburg scores are linked
The text discusses serious complications that can occur after a specific surgical procedure called pancreaticoduodenectomy, including issues like pseudoaneurysms and leakage.
It presents a case where a patient experienced bleeding from the right hepatic artery stump post-surgery.
The treatment involved a minimally invasive endovascular technique using a covered stent, as other methods like coil or glue embolization weren't applicable due to the patient's anatomy.
The study focused on creating a new scoring model (CSI-score) for assessing the severity of mesenteric artery stenosis in patients with chronic mesenteric ischemia (CMI).
A total of 242 patients were analyzed, resulting in a scoring system that effectively distinguished between low and high severity cases based on their arterial health, with a significant cut-off point established at a score of 8.
The high-score group (≥ 8) demonstrated an increased prevalence of related health issues and a higher likelihood of requiring invasive treatments, highlighting the importance of this scoring model in predicting treatment needs and outcomes for CMI patients.
This study examines the outcomes of patients with intermediate-high and high-risk pulmonary embolism treated with the Inari FlowTriever mechanical thrombectomy system.
A total of 27 patients were analyzed, showing significant improvements in pulmonary artery pressures and heart rates after the procedure, although there were some serious complications, including deaths.
The findings suggest that mechanical thrombectomy is a feasible option for high-risk PE patients with acceptable complication rates, highlighting the need for further research in larger populations.
One challenge in placing a tunneled central venous catheter (CVC) for hemodialysis is accurately positioning the catheter tip near the right atrium (RA) using fluoroscopy.
Researchers aimed to determine if a weighted mean from two specific reference distances could help assess catheter tip positions relative to the RA.
The study found that many catheter tips were positioned low relative to the RA, indicating a possible underestimation in using the landmark technique for placement, which could affect patients with particular characteristics.