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Determination of a 'point of no return' in refractory chronic subdural hematomas: A case report and review of the literature.
Med Int (Lond)
October 2024
Department of Neurosurgery, General University Hospital of Larissa, 41221 Larissa, Greece.
Article Synopsis
- * A case study of an 85-year-old male shows that initial treatment improved his condition, but subsequent recurrences led to more complicated surgeries and ultimately his death from intraparenchymal bleeding.
- * Key predictors for CSDH recurrence include failure of brain re-expansion and age-related atrophy; high-risk patients may benefit from a comprehensive treatment plan that includes medications and advanced surgical techniques.
Successful use of lithoplasty for re-expansion of covered iliac stents with unilateral occlusion.
Vascular
August 2024
Department of Vascular Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.
Background: Vessel wall calcification is associated with stent under-expansion and in-stent restenosis. The traditional approaches to treat peripheral artery calcification are percutaneous transluminal angioplasty (PTA) and atherectomy. Shockwave intravascular lithotripsy (IVL) uses sonic wave pressure to disrupt calcium of the severely calcified lesions.
View Article and Find Full Text PDFA Comparative Evaluation of Unilateral and Bilateral Sequential Lung Isolation for Vertebral Body Tethering: A Retrospective Propensity Matched Analysis.
Cureus
May 2024
Anesthesiology, Shriners Children's-Philadelphia, Philadelphia, USA.
Background: Vertebral body tethering (VBT) requires a thoracoscopic approach to visualize the vertebral bodies. Lung collapse and re-expansion have the potential to cause acute lung injury, resulting in increased oxygen and ventilation requirements.
Aims: We compared the intraoperative ventilator management, intra- and postoperative blood gas determinations, and hospital stay information between adolescents undergoing unilateral versus bilateral lung isolation for vertebral body tethering.
Emergent veno-venous extracorporeal membrane oxygenation during aortic valve replacement following severe re-expansion pulmonary edema: A case report.
SAGE Open Med Case Rep
May 2024
Department of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Re-expansion pulmonary edema is defined as pulmonary edema that occurs when a chronically collapsed lung rapidly re-expands, most commonly following chest tube placement for pneumothorax, re-expansion of severe atelectasis, and evacuation of pleural effusion. Though it is very rare, the sudden onset and clinical features of re-expansion pulmonary edema make it a lethal complication that requires urgent treatment. We present a 60-year-old patient who underwent an aortic valve replacement with pre-existing large bilateral pleural effusions.
View Article and Find Full Text PDFAnaesthesia Management for Giant Intraabdominal Tumours: A Case Series Study.
J Clin Med
February 2024
Department of Anaesthesia and Intensive Care, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Background: Due to a lack of randomised controlled trials and guidelines, and only case reports being available in the literature, there is no consensus on how to approach anaesthetic management in patients with giant intraabdominal tumours.
Methods: This study aimed to evaluate the literature and explore the current status of evidence, by undertaking an observational research design with a descriptive account of characteristics observed in a case series referring to patients with giant intraabdominal tumours who underwent anaesthesia.
Results: Twenty patients diagnosed with giant intraabdominal tumours were included in the study, most of them women, with the overall pathology being ovarian-related and sarcomas.
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