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Composition, Treatment, and Outcomes by Radiologically Defined Thrombus Characteristics in Acute Ischemic Stroke.
Stroke
June 2023
Department of Neurology, The Warren Alpert Medical School of Brown University, Providence, RI (E.D.G., S.Y.).
Article Synopsis
- Occlusive and nonocclusive thrombi in the cervicocephalic region are significant factors in diagnosing and treating acute ischemic strokes, as seen in neurovascular imaging.
- This review article focuses on the epidemiology, imaging characteristics, and the histology of these thrombi, as well as their responses to different medical and endovascular therapies.
- The article emphasizes the need for future research to create a classification system for these thrombi to improve treatment and prevention strategies in stroke patients.
Management of inferior vena cava thrombosis with the FlowTriever and ClotTriever systems.
J Vasc Surg Venous Lymphat Disord
May 2021
New York University Langone Medical Center, New York, NY. Electronic address:
Objective: Although inferior vena cava (IVC) thrombosis is infrequently encountered, it carries a significant risk of post-thrombotic syndrome and pulmonary embolus. Recent studies show no difference in the incidence of post-thrombotic syndrome in patients with iliofemoral deep venous thrombosis (DVT) treated with pharmacothrombolysis vs anticoagulation alone; however, there is an associated increased risk of bleeding. The treatment of IVC thrombosis is less well-studied and the hemodynamic changes may be more significant with pharmacothrombolysis, although the bleeding risk remains.
View Article and Find Full Text PDFChoice of First Emergency Room Affects the Fate of Patients With Acute Mesenteric Ischaemia: The Importance of Referral Patterns and Triage.
Eur J Vasc Endovasc Surg
June 2019
Department of Abdominal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Transplantation and Liver Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address:
Objectives: Despite modern advances in diagnosis and treatment, acute arterial mesenteric ischaemia (AMI) remains a high mortality disease. One of the key modifiable factors in AMI is the first door to operation time, but the factors attributing to this parameter are largely unknown. The aim of this study was to evaluate the factors affecting delay, with special focus on the pathways to treatment.
View Article and Find Full Text PDFCT findings in acute, subacute, and chronic ischemic colitis: suggestions for diagnosis.
Biomed Res Int
June 2015
Department of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Napoli, Italy.
Purpose: This paper aims at evaluating CT findings of occlusive and nonocclusive ischemic colitis (IC), in correlation with the etiology and the different phases of the disease.
Materials And Methods: CT examination and clinical history of 32 patients with proven IC were retrospectively reviewed. The CT findings were analyzed according to the different phases of the disease (acute, subacute, and chronic).
Preoperative thrombolysis and venoplasty affords no benefit in patency following first rib resection and scalenectomy for subacute and chronic subclavian vein thrombosis.
J Vasc Surg
September 2010
Department of Surgery, The Johns Hopkins Hospital, Baltimore, Md 21287, USA.
Background: Axillosubclavian vein thrombosis, also known as Paget-Schroetter syndrome, is a rare presentation of thoracic outlet syndrome (TOS) representing approximately 5% of all cases. Conventional management consists of routine anticoagulation, operative decompression via first rib resection and scalenectomy (FRRS), and, recently, thrombolysis. The purpose of our study was to retrospectively review our experience with this condition and compare the effectiveness of preoperative endovascular intervention with thrombolysis and venoplasty to anticoagulation alone in those undergoing FRRS to preserve subclavian vein patency.
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