Publications by authors named "S Zbinden"

Systemic thrombolysis is the first-line treatment for patients with high-risk pulmonary embolism or with haemodynamic deterioration on anticoagulation alone; however, it is associated with a high bleeding risk. Mechanical thrombectomy may significantly reduce right ventricular dysfunction without exposing the patient to systemic bleeding complications. No randomized trials comparing the two treatments are available to date.

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Article Synopsis
  • Physicians find it challenging to determine if older patients are on statins for primary or secondary prevention due to limited evidence, complicating decisions about continuing or stopping the medication.
  • There are concerns about potential negative effects from discontinuing statins, including fear of rebound symptoms and the impact on the patient-physician relationship.
  • The study emphasizes the importance of shared decision-making in primary care settings, where PCPs can leverage their long-term relationships with patients to navigate medication management effectively.
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Background: The pathophysiology of median arcuate ligament syndrome (MALS) is poorly understood. The diagnostic process remains inadequately standardized, with an absence of precise criteria to guide therapeutic management.

Methods: We studied consecutive subjects referred to the Department of Angiology at the University Hospital of Zurich over the past 17 years due to suspected MALS.

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Controversy persists concerning the endovascular treatment of the post-thrombotic syndrome (PTS), particularly if femoropopliteal veins are involved. We screened consecutive patients with PTS who underwent percutaneous transluminal angioplasty (PTA) of femoropopliteal veins using posterior tibial or popliteal vein access who had at least 3-month follow-up. Our assessment included the evaluation of primary and secondary patency of the treated segments by Doppler ultrasound (DUS) and clinical outcomes measured by the change in Villalta score as well as ulcer healing.

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Article Synopsis
  • * Differences between men and women in biology and society can affect health, how doctors diagnose problems, and how patients get treated.
  • * Many women don’t understand their own risk for heart problems, so it's important to raise awareness and improve medical care for women dealing with these diseases.
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