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Lemierre's Syndrome in a 16-Year-Old Man Associated with Resolution of Marked Widespread St Elevation and a Normal Troponin Level.
Eur J Case Rep Intern Med
December 2024
Respiratory Department, Barnsley District General Hospital, Barnsley, UK.
Unlabelled: A 16-year-old man presented to the Accident and Emergence services with a 10-day history of shortness of breath, sore throat, vomiting, diarrhoea, poor oral intake, chest pain, jaundice, diplopia and reduced urine output. He was initially treated for sepsis, however, subsequent imaging and blood cultures confirmed the diagnosis of Lemierre's syndrome (LS). LS, also known as necrobacillosis or post-pharyngitis anaerobic septicaemia is comprised of a triad of metastatic septic emboli secondary to pharyngitis, bacteraemia, and internal jugular vein thrombophlebitis.
View Article and Find Full Text PDFAvailability of the Great Saphenous Veins as Conduits for Arterial Bypass Surgery in Patients with Varicose Veins.
J Clin Med
December 2024
Department of Fundamental and Applied Research in Vascular Surgery, Pirogov Russian National Research Medical University, 119049 Moscow, Russia.
The great saphenous vein (GSV) has long been recognized as the best conduit for vascular bypass procedures. Concomitant varicose veins disease may be a reason for GSV unavailability either due to dilatation and tortuosity of the vein or due to its destruction during invasive venous treatment. -to assess the rate of varicose vein patients with concomitant lower extremity arterial disease (LEAD) who have previously lost their GSV due to venous ablation.
View Article and Find Full Text PDFRetrospective review of the development and implementation of a bedside tunneled dialysis catheter program.
J Vasc Access
December 2024
St. Joseph's Regional Medical Center, Paterson, NJ, USA.
Background: The decision to place a subcutaneously tunneled catheter is an infection prevention strategy for long term venous access allowing the proceduralist to access a vein and relocate the catheter exit site to a region on the body where care and maintenance can be safely performed. Subcutaneously tunneled centrally inserted dialysis catheter (ST-CIDC) placement is commonly performed in patients with renal disease and is traditionally performed with fluoroscopy in the interventional radiology suite or the operating theater. However, today's interventional radiologists and surgeons perform advanced invasive procedures that can be time-consuming resulting in delays in the scheduling of elective tunneled catheter placements.
View Article and Find Full Text PDFArticle Synopsis
- - The study evaluated the Aberdeen Varicose Vein Questionnaire (AVVQ), comparing paper and tablet versions to see how they scored chronic venous disease, how long they took to complete, and user-friendliness.
- - In testing with 88 patients, the tablet version was preferred for its ease of use and took less time to complete (4 minutes) compared to the paper version (9.5 minutes), with a significant difference in completion times (p<0.001).
- - Both versions produced similar AVVQ scores (p=0.431), suggesting that while the tablet saves time, both formats are equally effective in measuring the disease.
A keep-it-simple embolisation approach to treat pelvic congestion syndrome without compromising clinical effectiveness.
J Med Imaging Radiat Oncol
October 2024
Sydney Fibroid Clinic, Sydney, New South Wales, Australia.
Introduction: There are two approaches to treating pelvic congestion syndrome (PCS): (i) the keep-it-simple (KIS) approach, which involves embolising only the refluxing vein(s), typically the left ovarian vein (LOV) unless the right ovarian vein (ROV) or left/right internal iliac vein (IIV) tributaries are also refluxing; and (ii) the extensive (EXT) approach, which empirically embolises almost all of the LOV, ROV, and left and right IIV tributaries. The aim of this study is to determine whether the KIS approach can effectively treat PCS while minimising the number of treated veins and coils used, without the need for injecting sclerosing agents into pelvic veins or the use of occlusion balloons.
Methods: This is a single-institution retrospective cohort study.
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