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Procedure-Related Mortality in Aspiration Thrombectomy for Pulmonary Embolism: A MAUDE Database Analysis of the Inari FlowTriever and Penumbra Indigo Systems.
J Endovasc Ther
December 2024
Department of Medical Imaging, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Background: Pulmonary embolism (PE) is an important cause of death and disability. Advances in catheter-directed therapies have led to the use of devices, such as the Inari FlowTriever and Penumbra Indigo system for aspiration thrombectomy (AT) for both massive and sub-massive PE. However, limited data exist on causes of procedural mortality.
View Article and Find Full Text PDFDiagnosis and management challenges of recurrent lupus pericarditis in pregnancy: A case report.
Case Rep Womens Health
December 2024
Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Systemic lupus erythematosus (SLE) is an autoimmune multisystem disease. Pericarditis in SLE can lead to severe effusion and cardiac tamponade, and is associated with significant morbidity and mortality. Therefore, early diagnosis and treatment are essential.
View Article and Find Full Text PDFComplications in Pericardiocentesis: Right Ventricular Perforation in a 75-Year-Old Patient with Lymphoma.
Am J Case Rep
December 2024
Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Article Synopsis
- Pericardiocentesis is a common procedure to treat pericardial effusion but can have rare complications, as illustrated by a case involving a 75-year-old man with lymphoma who experienced right ventricular perforation.
- The patient was admitted for severe chest tightness and shortness of breath, leading to the decision to perform pericardiocentesis; however, the catheter was improperly placed, causing damage to the right ventricle and resulting in hemopericardium.
- An emergency thoracotomy was required to drain the fluid, fix the damaged ventricle, and remove the misplaced catheter, underscoring the importance of thorough assessment and readiness for complications during such invasive procedures.
Bad company? The pericardium microbiome in people investigated for tuberculous pericarditis in an HIV-prevalent setting.
Microbes Infect
November 2024
DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; African Microbiome Institute, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Electronic address:
Background: The site-of-disease microbiome and predicted metagenome were evaluated in a cross-sectional study involving people with presumptive tuberculous pericarditis. We also explored the interaction between C-reactive protein (CRP) and the microbiome.
Methods: People with effusions requiring diagnostic pericardiocentesis (n=139) provided pericardial fluid for sequencing and blood for CRP measurement.
In-hospital outcomes of cardiac tamponade in patients with pulmonary hypertension: A contemporary analysis.
PLoS One
October 2024
Department of Medicine, Department of Cardiovascular Diseases, University of Miami, Miami, Florida, United States of America.
Article Synopsis
- Cardiac tamponade (CT) has a unique presentation in patients with pulmonary hypertension (PH), and this study aimed to assess the outcomes of CT in patients with or without PH using a large inpatient database from 2016 to 2020.
- Out of 110,285 patients with CT, those with PH were generally older, more likely to be female, and had a higher incidence of coexisting conditions like hypertension and chronic heart failure.
- The study found that PH is linked to higher in-hospital mortality and complications, with patients with PH less likely to receive beneficial treatments like pericardiocentesis, despite it being associated with lower mortality rates.
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