Knotty Catheter! - An unusual complication of rectus sheath block.

Indian J Anaesth

Department of Anesthesiology, Critical Care and Pain, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Published: November 2019

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868658PMC
http://dx.doi.org/10.4103/ija.IJA_236_19DOI Listing

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Article Synopsis
  • * The patient presented with abdominal pain and vomiting, and imaging confirmed the obstruction and knot formation, leading to unsuccessfully attempted endoscopic extraction.
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The use of catheter ablation of atrial fibrillation (AFA) is increasing and it has now been extended to include higher risk patients with heart failure (HF), based on evidence from observational studies and meta-analyses of randomized controlled trials (RCTs) indicating it as safe and beneficial in terms of quality of life, AF recurrence and hospital readmissions in the short-to-middle term. However, the RCTs so far have been relatively small with short follow-up, and few larger trials with long follow-up inconclusive about hard outcomes for large patient crossover undermining the robustness of the results. Importantly, most RCTs involved HF patients with reduced left ventricular ejection fraction (HFrEF).

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Background: Aortic anastomotic leak (AAL) is knotty complication after aortic replacement. We aimed to evaluate the feasibility and efficacy of the techniques of trans-catheter AAL closure as well as to evaluate the impact of the new classification on the interventional closure.

Methods: From October 2015 to November 2017, 20 consecutive high surgical risk patients (mean age 47±12 years, 13 males) were referred to our center for trans-catheter closure AALs.

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Knotty Catheter! - An unusual complication of rectus sheath block.

Indian J Anaesth

November 2019

Department of Anesthesiology, Critical Care and Pain, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

View Article and Find Full Text PDF

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