A follow-up study of 444 patients with artificial heart valves of different makes demonstrated increased wear and thrombogenic properties of the hemispheric MKC-27 prosthesis, used in mitral position, over 5 years of follow-up. High risk of thrombo-embolic complications is related to interrupted anticoagulant treatment. Their rate could be reduced through improving the quality of anticoagulant treatment, i.e. continuous administration of anticoagulants under adequate monitoring.

Download full-text PDF

Source

Publication Analysis

Top Keywords

thrombo-embolic complications
8
anticoagulant treatment
8
[late thrombo-embolic
4
complications heart
4
heart valve
4
valve prosthesis]
4
prosthesis] follow-up
4
follow-up study
4
study 444
4
444 patients
4

Similar Publications

Presentation, Treatment and Outcomes of Brachial Artery Aneurysms.

J Vasc Surg

January 2025

Department of Cardiovascular Surgery, Mayo Clinic Health System, Eau Claire, WI. Electronic address:

Objective: Brachial artery aneurysms are rare entities that have typically been associated with trauma, infection, arterio-venous fistula creation or connective tissue disorders. These aneurysms are often asymptomatic, but they can also cause local tenderness or thrombo-embolic events. Due to the very low incidence of true brachial artery aneurysms, there are no standardized guidelines on their optimal management.

View Article and Find Full Text PDF
Article Synopsis
  • Traumatic brain injury (TBI) is a serious health issue worldwide, leading to high rates of death and long-term disability, prompting exploration into treatments like tranexamic acid (TXA) for potential benefits.
  • This systematic review analyzed data from 12 randomized controlled trials (RCTs) with nearly 37,500 patients, focusing on TXA's effects on overall mortality and complications like DVT and stroke in TBI patients.
  • Results showed that TXA significantly reduced total mortality compared to placebo without increasing risks for thromboembolic events, and there were no significant differences in the need for neurosurgery or other major complications.
View Article and Find Full Text PDF

Aims: HeartMate 3 (HM3) left ventricular assist devices (LVADs) offer improved haemocompatibility-related outcomes for end-stage heart failure patients, facilitating the exploration of alternative anticoagulation therapies beyond warfarin. This study presents a long-term evaluation of thrombotic and bleeding outcomes in HM3 LVAD patients transitioned from warfarin to apixaban.

Methods: We retrospectively identified HM3 LVAD patients at our single centre who transitioned from warfarin to apixaban.

View Article and Find Full Text PDF

Background: The pRESET stent retriever is a self-expanding nitinol stent designed for mechanical thrombectomy in cases of large vessel occlusion during acute ischemic stroke. This systematic review and meta-analysis synthesize the available evidence on the safety and efficacy of the pRESET device.

Methods: This is a systematic review and meta-analysis study conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

View Article and Find Full Text PDF

Ability of Activated Clotting Time Measurements to Monitor Unfractionated Heparin Activity During NonCardiac Arterial Procedures.

Ann Vasc Surg

January 2025

Department of Vascular Surgery, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands; Department of Vascular Surgery, Dijklander Ziekenhuis, Hoorn, The Netherlands; Amsterdam Cardiovascular Sciences, Microcirculation, Amsterdam, The Netherlands. Electronic address:

Background: Activated clotting time (ACT) measurements are frequently used to monitor unfractionated heparin activity during noncardiac arterial procedures (NCAP). Accuracy of ACT-guided heparinization is mandatory to prevent heparin under and overdosing, thereby minimizing thrombo-embolic complications (TECs) and bleeding risk. The main objective of this study was to investigate accuracy of ACT to monitor heparin activity during NCAP using the Hemostasis Management System Plus (HMS) with high-range (HR) cartridges.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!