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Management of Pulmonary Embolism: A Single-Center Experience.
South Med J
January 2025
From the University of Kentucky College of Medicine, Lexington.
Objective: Pulmonary embolism (PE) is the third leading cause of cardiovascular death. The objective of this study was to examine the current management of pulmonary embolism at a single academic institution.
Methods: With institutional review board approval, we conducted a retrospective chart review of 805 encounters among 775 patients presenting with acute PE from January 1, 2016 to June 30, 2019.
Persistent Risk of Pulmonary Embolism in Acute Pancreatitis Despite Prophylactic Anticoagulation.
Cureus
November 2024
Internal Medicine, Creighton University School of Medicine, Phoenix, USA.
Acute pancreatitis, a sudden inflammatory condition, can lead to a hypercoagulable state resulting in complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). This case report discusses a unique presentation of a massive PE in a patient with acute pancreatitis despite being on appropriate prophylactic anticoagulation. A 27-year-old man presented with acute abdominal pain, nausea, and vomiting.
View Article and Find Full Text PDFVenous Thromboembolism Prophylaxis in Patients Treated for Acute Lymphoblastic Leukemia: A Comprehensive Systematic Review and Meta-Analysis.
Cureus
September 2024
College of Medicine, Hawler Medical University, Erbil, IRQ.
Acute lymphoblastic leukemia (ALL) is a common malignancy in children, often treated with intensive chemotherapy regimens. Venous thromboembolism (VTE) poses a significant risk during ALL treatment, leading to suboptimal outcomes. Thromboprophylaxis is crucial in mitigating this risk, but its efficacy and safety remain uncertain.
View Article and Find Full Text PDFAnticoagulation for Mechanical Aortic Valve in a Patient With Aortic Dissection and Pulmonary Hemorrhage: A Case Report.
Cureus
September 2024
Department of Medicine, Frankston Hospital, Melbourne, AUS.
Acute aortic dissections are considered surgical emergencies because they are catastrophic bleeding events. The risk of bleeding is further increased if the patient requires anticoagulation for other comorbidities, such as a mechanical heart valve. This case study describes a 73-year-old gentleman who presented with massive hemoptysis due to an acute aortic dissection complicated by pulmonary hemorrhage in the context of previous aortic dissection with multiple repair surgeries and residual chronic aortic dissection.
View Article and Find Full Text PDFVariation among venous thromboembolism risk assessment tools for postcesarean patients: a retrospective cohort study.
Blood Coagul Fibrinolysis
December 2024
School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, USA.
Venous thromboembolism (VTE) risk in pregnant women is four to five-fold higher than in nonpregnant women, and the risk of VTE is an additional four-fold higher after Cesarean section compared to normal vaginal delivery. Recommendations regarding anticoagulant prophylaxis are inconsistent across international guidelines, and VTE remains one of the leading causes of maternal morbidity and mortality. This study aimed to compare the need for postcesarean anticoagulation for VTE prophylaxis based on three major guidelines and our own institutional protocol.
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