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[PMID]:29343222
[Au] Autor:Liu B; Li Y; Li T; Lin Y; Ma W; Lu L
[Ad] Endereço:State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, China.
[Ti] Título:Transscleral tunnel incision related arterial hemorrhage in 23-gauge Vitrectomy: case report.
[So] Source:BMC Ophthalmol;18(1):9, 2018 Jan 17.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Transscleral tunnel incisions are commonly made to avoid postoperative leakage in small gauge sutureless vitrectomy. We present an unreported intraoperative complication, tunnel incision related arterial hemorrhage from sclerotomy, in 23-gauge (23G) vitrectomy. CASE PRESENTATION: Two cases of intraocular arterial hemorrhage from superonasal sclerotomy were observed at the beginning of vitrectomy. The bleeding filled the vitreous cavity quickly and gushed out from the incision port after the involved supronasal cannula was removed. The active bleeding seemed not to stop spontaneously. We controlled the active bleeding by relocating the involved cannula, elevating the intraocular pressure and compressing the sclera wound. Post-operative intraocular hemorrhage from the sclerotomy was not found in any of the two cases. CONCLUSIONS: We suggest that the bleeding was from injured ciliary artery when the incision crossed 3 or 9 o'clock accidently. Surgeons might avoid this complication by locating the superior incisions away from the horizontal axis, and should be aware the proper management.
[Mh] Termos MeSH primário: Perda Sanguínea Cirúrgica
Artérias Ciliares/lesões
Perfurações Retinianas/cirurgia
Esclera/cirurgia
Esclerostomia/efeitos adversos
Lesões do Sistema Vascular/complicações
Vitrectomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Hemostasia Cirúrgica/métodos
Seres Humanos
Pressão Intraocular
Masculino
Microcirurgia/efeitos adversos
Meia-Idade
Perfurações Retinianas/diagnóstico
Técnicas de Sutura/instrumentação
Tomografia de Coerência Óptica
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0677-6


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[PMID]:29169593
[Au] Autor:Tosti R; Eberlin KR
[Ad] Endereço:Department of Orthopedic Surgery, The Philadelphia Hand Center, Sidney Kimmel Medical College, Thomas Jefferson University, 834 Chestnut Street Suite G114, Philadelphia, PA 19107, USA.
[Ti] Título:"Damage Control" Hand Surgery: Evaluation and Emergency Management of the Mangled Hand.
[So] Source:Hand Clin;34(1):17-26, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mangled hand injuries are defined as those with significant damage to multiple structures, which may be limb threatening. Historically these injuries resulted in amputation or death, but modern surgical and perioperative advances allow for complex reconstruction and the possibility of a sensate and functional limb. Evaluation begins with surveying for life-threatening injuries followed by a systematic approach to identify injured structures; management begins with preserving all parts, minimizing warm ischemia time, performing débridement, and planning an operative approach to optimize the chance of a functional limb. With careful surgical planning and a well-executed reconstruction, most limbs can be salvaged.
[Mh] Termos MeSH primário: Traumatismos da Mão/cirurgia
[Mh] Termos MeSH secundário: Amputação
Antibacterianos/uso terapêutico
Medicina de Emergência
Seres Humanos
Traumatismos dos Nervos Periféricos/cirurgia
Cuidados Pós-Operatórios
Reimplante
Terapia de Salvação
Retalhos Cirúrgicos
Traumatismos dos Tendões/cirurgia
Lesões do Sistema Vascular/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


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[PMID]:29428042
[Au] Autor:Hafiz S; Zubowicz EA; Abouassaly C; Ricotta JJ; Sava JA
[Ti] Título:Extremity Vascular Injury Management: Good Outcomes Using Selective Referral to Vascular Surgeons.
[So] Source:Am Surg;84(1):140-143, 2018 Jan 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Revascularization after extremity vascular injury has long been considered an important skill among trauma surgeons. Increasingly, some trauma surgeons defer vascular repair in response to training or practice patterns. This study was designed to document results of extremity revascularization surgery to evaluate trauma surgeon outcomes and judicious referral of more complex injuries to vascular surgeons (VAS). The trauma registry of an urban level I trauma center was used to identify all patients from 2003 to 2013 who underwent an early (<24 hours) procedure for urgent management of acute injury to extremity vessels. Patients were managed by trauma (TRA) versus VAS based on the practice pattern of the on-call trauma surgeon. Injury and outcome variables were recorded. Of 115 patients, 84 patients were revascularized by trauma and 31 vascular surgeries. There was no difference in complication rates or frequency of any type of complication associated with repairs performed by VAS or TRA. There were similar rates between the two groups for patients with multiple injuries, such as venous, bone or tendon, and nerve injury to the affected extremity. One VAS patient and two TRA patients developed compartment syndrome. In appropriately selected patients, trauma surgeons achieve good outcomes after revascularization of injured extremities.
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Seleção de Pacientes
Extremidade Superior/irrigação sanguínea
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/cirurgia
Ferimentos Penetrantes/diagnóstico
Ferimentos Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Síndromes Compartimentais/prevenção & controle
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Padrões de Prática Médica
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Centros de Traumatologia
Índices de Gravidade do Trauma
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180212
[St] Status:MEDLINE


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[PMID]:29419700
[Au] Autor:Zhang BF; Cong YX; Wang PF; Huang H; Wang H; Zhuang Y
[Ad] Endereço:Department of Orthopedic Trauma, Hong-Hui Hospital, Xi'an Jiaotong University College of Medicine, Beilin District, Xi'an, Shaanxi Province, China.
[Ti] Título:Deep femoral artery branch pseudoaneurysm formation and injury after hip fracture surgery: A case series and a literature review.
[So] Source:Medicine (Baltimore);97(6):e9872, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Complications involving vascular injuries after hip fracture are rare, and the diagnosis and management of deep femoral artery (DFA) injuries are challenging. We reported 4 cases of DFA injuries after hip fracture surgery and aimed to discuss their early detection, treatment, and prevention. METHODS: We reviewed 4 cases of deep femoral injury after hip fracture. Case 1: a 71-year-old woman suffered a fracture around a prosthesis. Cases 2-4: 2 men and 1 woman suffered subtrochanteric or intertrochanteric fracture. DFA branch pseudoaneurysm formation and injury were found via arteriography after surgery. All the patients were diagnosed with DFA branch pseudoaneurysm formation and injury. Percutaneous intervention therapy was used to block the pseudoaneurysms with coil or gel. RESULTS: Among the cases, the main symptoms were severe pain or swelling with large-scale ecchymosis in the thigh or perineum. We used arterial duplex to diagnose pseudoaneurysm and treated the injury using interventional intravascular embolization. In Case 1, damage by the guide wire used during surgery, and over-treatment with anticoagulants, may have occurred. In Case 2, the guide wire was a possible contributing factor to injuries. In Case 3, the displaced lesser trochanter fragment may have damaged the vessel. Lastly, a drill bit was a contributing factor to the injuries in Case 4. CONCLUSION: There are many definitive causes of DFA pseudoaneurysm formation and injuries. Such injuries can be diagnosed via digital subtraction angiography or CT angiography, and a thorough understanding of the anatomy of the femur and damages from reductions is important.
[Mh] Termos MeSH primário: Embolização Terapêutica/métodos
Procedimentos Endovasculares/métodos
Artéria Femoral
Fraturas do Quadril/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Falso Aneurisma/diagnóstico
Falso Aneurisma/etiologia
Falso Aneurisma/fisiopatologia
Falso Aneurisma/cirurgia
Angiografia Digital/métodos
Angiografia por Tomografia Computadorizada/métodos
Feminino
Artéria Femoral/diagnóstico por imagem
Artéria Femoral/lesões
Artéria Femoral/cirurgia
Seres Humanos
Masculino
Resultado do Tratamento
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/etiologia
Lesões do Sistema Vascular/fisiopatologia
Lesões do Sistema Vascular/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009872


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[PMID]:29391116
[Au] Autor:Badash I; Burtt KE; Leland HA; Gould DJ; Rounds AD; Azadgoli B; Patel KM; Carey JN
[Ad] Endereço:Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
[Ti] Título:Outcomes of Soft Tissue Reconstruction for Traumatic Lower Extremity Fractures with Compromised Vascularity.
[So] Source:Am Surg;83(10):1161-1165, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Traumatic lower extremity fractures with compromised arterial flow are limb-threatening injuries. A retrospective review of 158 lower extremities with traumatic fractures, including 26 extremities with arterial injuries, was performed to determine the effects of vascular compromise on flap survival, successful limb salvage and complication rates. Patients with arterial injuries had a larger average flap surface area (255.1 vs 144.6 cm2, P = 0.02) and a greater number of operations (4.7 vs 3.8, P = 0.01) than patients without vascular compromise. Patients presenting with vascular injury were also more likely to require fasciotomy [odds ratio (OR): 6.5, confidence interval (CI): 2.3-18.2] and to have a nerve deficit (OR: 16.6, CI: 3.9-70.0), fracture of the distal third of the leg (OR: 2.9, CI: 1.15-7.1) and intracranial hemorrhage (OR: 3.84, CI: 1.1-12.9). After soft tissue reconstruction, patients with arterial injuries had a higher rate of amputation (OR: 8.5, CI: 1.3-53.6) and flap failure requiring a return to the operating room (OR: 4.5, CI: 1.5-13.2). Arterial injury did not correlate with infection or overall complication rate. In conclusion, arterial injuries resulted in significant complications for patients with lower extremity fractures requiring flap coverage, although limb salvage was still effective in most cases.
[Mh] Termos MeSH primário: Artérias/lesões
Fraturas Ósseas/cirurgia
Salvamento de Membro/métodos
Extremidade Inferior/lesões
Lesões dos Tecidos Moles/cirurgia
Retalhos Cirúrgicos
Lesões do Sistema Vascular/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Amputação/estatística & dados numéricos
Artérias/cirurgia
Criança
Feminino
Seguimentos
Seres Humanos
Salvamento de Membro/estatística & dados numéricos
Extremidade Inferior/irrigação sanguínea
Extremidade Inferior/cirurgia
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29391094
[Au] Autor:Gray K; Beckord B; Moazzez A; Plurad D; Bowens N; Kim D
[Ad] Endereço:Department of Surgery, Harbor UCLA Medical Center, Torrance, California, USA.
[Ti] Título:A Comparative Analysis of Open Endovascular Techniques for Management of Non-Aortic Cervicothoracic Arterial Injuries.
[So] Source:Am Surg;83(10):1054-1058, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objective of this study is to describe the contemporary management of proximal upper extremity and neck arterial injuries by comparing open and endovascular repair at a single institution. This is a retrospective study of 22 patients that sustained subclavian, axillary, and carotid artery injuries from 2011 to 2016 that were managed with open or endovascular repair. There were nine subclavian, eight axillary, and five carotid artery injuries of which 10 (45.5%) underwent endovascular repair and 12 (54.5%) underwent open repair. There was no statistically significant difference between the groups including injury severity score or preoperative hypotension. There were no deaths in the endovascular group, and three (25.0%) deaths in the open group. All patients in the endovascular group were discharged home. In the open group, seven (58.3%) patients had at least one inpatient complication with a mean of 1.1 (standard deviation 1.4) complications per patient. In the endovascular group, there were three (30.0%) patients with inpatient complications and a mean of 0.4 (standard deviation 0.7) complications per patient (P = 0.18). Endovascular management of nonaortic cervicothoracic arterial injuries was successfully performed in hypotensive patients and patients with other life threatening traumatic injuries. Further studies are warranted to look at long-term patency of these repairs and to help develop a protocol to guide decision-making in the management of cervicothoracic injuries.
[Mh] Termos MeSH primário: Artéria Axilar/lesões
Lesões das Artérias Carótidas/cirurgia
Procedimentos Endovasculares
Artéria Subclávia/lesões
Lesões do Sistema Vascular/cirurgia
[Mh] Termos MeSH secundário: Adulto
Artéria Axilar/cirurgia
Lesões das Artérias Carótidas/mortalidade
Procedimentos Endovasculares/mortalidade
Feminino
Seguimentos
Seres Humanos
Masculino
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Artéria Subclávia/cirurgia
Resultado do Tratamento
Lesões do Sistema Vascular/mortalidade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29296021
[Au] Autor:Li T; Yu B; Liu Z; Li J; Ma M; Wang Y; Zhu M; Yin H; Wang X; Fu Y; Yu F; Wang X; Fang X; Sun J; Kong W
[Ad] Endereço:Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Peking University; Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing, 100191, China.
[Ti] Título:Homocysteine directly interacts and activates the angiotensin II type I receptor to aggravate vascular injury.
[So] Source:Nat Commun;9(1):11, 2018 01 02.
[Is] ISSN:2041-1723
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Hyperhomocysteinemia (HHcy) is a risk factor for various cardiovascular diseases. However, the mechanism underlying HHcy-aggravated vascular injury remains unclear. Here we show that the aggravation of abdominal aortic aneurysm by HHcy is abolished in mice with genetic deletion of the angiotensin II type 1 (AT1) receptor and in mice treated with an AT1 blocker. We find that homocysteine directly activates AT1 receptor signalling. Homocysteine displaces angiotensin II and limits its binding to AT1 receptor. Bioluminescence resonance energy transfer analysis reveals distinct conformational changes of AT1 receptor upon binding to angiotensin II and homocysteine. Molecular dynamics and site-directed mutagenesis experiments suggest that homocysteine regulates the conformation of the AT1 receptor both orthosterically and allosterically by forming a salt bridge and a disulfide bond with its Arg and Cys residues, respectively. Together, these findings suggest that strategies aimed at blocking the AT1 receptor may mitigate HHcy-associated aneurysmal vascular injuries.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/metabolismo
Homocisteína/metabolismo
Receptor Tipo 1 de Angiotensina/metabolismo
[Mh] Termos MeSH secundário: Regulação Alostérica
Angiotensina I/metabolismo
Angiotensina II/metabolismo
Animais
Células HEK293
Seres Humanos
Masculino
Camundongos Endogâmicos C57BL
Simulação de Dinâmica Molecular
Mutagênese Sítio-Dirigida
Conformação Proteica
Lesões do Sistema Vascular/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Receptor, Angiotensin, Type 1); 0LVT1QZ0BA (Homocysteine); 11128-99-7 (Angiotensin II); 9041-90-1 (Angiotensin I)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.1038/s41467-017-02401-7


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[PMID]:28467577
[Au] Autor:Keles MK; Simsek T; Polat V; Yosma E; Demir A
[Ad] Endereço:Department of Plastic, Reconstructive and Aesthetic Surgery, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara-Turkey. mukeke@gmail.com.
[Ti] Título:Evaluation of forearm arterial repairs: Functional outcomes related to arterial repair.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):117-121, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There are few studies of single forearm arterial injury repair that compare long-term results of intact and obliterated forearm arterial repair. Aim of the present study was to compare long-term results of forearm arterial repair using Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and color Doppler ultrasound (CDUS). METHODS: Records of 166 consecutive patients with forearm arterial injury were reviewed, and 30 patients with same injury (ulnar artery, ulnar nerve, and tendon injuries at flexor zone V) were called back for CDUS and QuickDASH scoring. Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups. RESULTS: Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels. CONCLUSION: Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance.
[Mh] Termos MeSH primário: Traumatismos do Antebraço/cirurgia
Antebraço
Procedimentos Cirúrgicos Reconstrutivos
Artéria Ulnar
Procedimentos Cirúrgicos Vasculares
Lesões do Sistema Vascular/cirurgia
[Mh] Termos MeSH secundário: Antebraço/irrigação sanguínea
Antebraço/cirurgia
Seres Humanos
Resultado do Tratamento
Artéria Ulnar/lesões
Artéria Ulnar/cirurgia
Nervo Ulnar/lesões
Nervo Ulnar/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.36080


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[PMID]:29275612
[Au] Autor:Xie WG
[Ad] Endereço:Institute of Burns, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan 430060, China.
[Ti] Título:[Prevention and treatment of electrical burn injury: much progresses achieved yet further efforts still needed].
[So] Source:Zhonghua Shao Shang Za Zhi;33(12):728-731, 2017 Dec 20.
[Is] ISSN:1009-2587
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Electrical burn injury is very common, including electrical contact burn, electrical arc burn, and lightning burn, etc. Electrical burn patients account for 0.04 to 5 percent of all burn victims in the developed countries, while it hit up to 27 percent in the developing countries, much more than the global average of 4.5 percent. Historical and recent data have shown that the electrical burn injuries in China, either for the case number, the proportion of burn patients in hospital, or the population incidence per year, are much higher than those of the developed countries and the global average. Before the 1960s, conservative treatment or skin grafts after repeated debridements were used for electrical burns, resulting in high rates of amputation and severe deformity. In the 1960s, transplantation of flaps after debridement in early stage were used for repairing wrist electrical burn wounds, breaking through the traditional conservative methods. In the 1980s, local, distant and island pedicled skin or myocutaneous flaps were widely used for early stage repair of electrical burn wounds. In recent years, along with the increasing experience of evaluating the blood vessel injuries and the development of microsurgical techniques, free flaps have been more and more used to cover the deep wounds of electrical burns in early stage, leading to much better effects and shorter length of hospital stay. With the persistent efforts of the burn specialists in the last decades, great improvements have been made for the treatment of electrical burn injuries in China. Future study on decoding the full mechanism of electrical burn injury, exploring new methods to save the injured but not yet necrotic tissue, are still needed to improve the treatment and reduce amputation and deformity of electrical burn injury.
[Mh] Termos MeSH primário: Queimaduras por Corrente Elétrica/prevenção & controle
Queimaduras por Corrente Elétrica/terapia
Desbridamento
Transplante de Pele
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Adulto
Amputação
China
Feminino
Retalhos de Tecido Biológico
Seres Humanos
Masculino
Retalho Miocutâneo
Necrose
Lesões do Sistema Vascular
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171226
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1009-2587.2017.12.002


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[PMID]:29224656
[Au] Autor:O Dell MC; Shah J; Martin JG; Kies D
[Ad] Endereço:Department of Radiology and Imaging Science, Emory University Hospital, Atlanta, GA. Electronic address: mcodell@email.emory.edu.
[Ti] Título:Emergent Endovascular Treatment of Penetrating Trauma: Solid Organ and Extremity.
[So] Source:Tech Vasc Interv Radiol;20(4):243-247, 2017 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Penetrating injuries can result in acute or subacute arterial injuries of the solid organs or extremities. Although most penetrating injuries are managed conservatively, some patients require endovascular or surgical treatment. Often, the best method for management is controversial and the level of urgency for clinical decision-making is high. Once the decision has been made to intervene, the operator must also determine the best embolization material and technique to use. Not unfrequently, these decisions are made during the course of the procedure. There are numerous embolization agents, each of which serves a very specific purpose, depending on the clinical scenario. Within this article, we will review endovascular treatment indications, contraindications, and endovascular techniques for the treatment of penetrating trauma of the solid organs or extremities.
[Mh] Termos MeSH primário: Artérias/lesões
Embolização Terapêutica/métodos
Procedimentos Endovasculares/métodos
Extremidades/irrigação sanguínea
Radiografia Intervencionista
Lesões do Sistema Vascular/terapia
Ferimentos Penetrantes/terapia
[Mh] Termos MeSH secundário: Adulto
Angiografia Digital
Artérias/diagnóstico por imagem
Artérias/fisiopatologia
Angiografia por Tomografia Computadorizada
Embolização Terapêutica/efeitos adversos
Procedimentos Endovasculares/efeitos adversos
Seres Humanos
Masculino
Resultado do Tratamento
Ultrassonografia Doppler em Cores
Lesões do Sistema Vascular/diagnóstico por imagem
Lesões do Sistema Vascular/fisiopatologia
Ferimentos Penetrantes/diagnóstico por imagem
Ferimentos Penetrantes/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE



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