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[PMID]:29187071
[Au] Autor:Chen YC; Huang CL; Huang JW
[Ad] Endereço:1 Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
[Ti] Título:Endovascular Stent Can Be the Treatment of Choice for Spontaneous Iliac Vein Rupture: A Case Report.
[So] Source:Vasc Endovascular Surg;52(2):131-134, 2018 Feb.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Spontaneous iliac vein rupture is a rare but lethal disease. Most patients suffer from shock status in the emergency department. Until now, open laparotomy combined with primary suture is the most common treatment of iliac vein rupture. However, there is high mortality and morbidity in the patients who underwent open laparotomy. CASE PRESENTATION: A 71-year-old woman denied trauma history and sustained hypovolemic shock. The abdominal computed tomography showed one huge retroperitoneal hematoma. The emergency angiography revealed one obvious rupture point on the left external iliac vein. We repaired the lesion with endovascular stent and open laparotomy for abdominal decompression. The patient progressed well and was discharged. CONCLUSION: Endovascular repair is an effective and safe treatment. Compared with open laparotomy and primary suture, stent leads to fewer complications and a lower mortality rate.
[Mh] Termos MeSH primário: Procedimentos Endovasculares/instrumentação
Veia Ilíaca
Doenças Vasculares Periféricas/terapia
Stents
[Mh] Termos MeSH secundário: Idoso
Angiografia por Tomografia Computadorizada
Feminino
Seres Humanos
Veia Ilíaca/diagnóstico por imagem
Doenças Vasculares Periféricas/diagnóstico por imagem
Flebografia/métodos
Desenho de Prótese
Fatores de Risco
Ruptura Espontânea
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417739090


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[PMID]:29419670
[Au] Autor:Sasaki T; Fujimoto Y; Ishitoya S; Nabaa B; Watanabe N; Yamaki T; Takahashi K
[Ti] Título:Improved detectability of thromboses of the lower limb using low kilovoltage computed tomography.
[So] Source:Medicine (Baltimore);97(6):e9775, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To determine the utility of low kilovoltage computed tomographic venography (CTV) for the detection of deep venous thrombus in the lower limbs.Twenty-one thrombi in 19 enrolled patients were investigated in this retrospective study. Patients were initially scanned using CTV at 100 kVp, at the femur level, followed by an immediate switch to 80 kVp. We assessed the CT values of thrombi and veins and performed subjective evaluation for detecting thrombi using a 5-point scoring system: 1, unable to evaluate due to noise or artifacts; 2, equivocal venous thrombus; 3, possible venous thrombus; 4, probable venous thrombus; and 5, definite venous thrombus.Venous density on 100-kVp images (mean ±â€ŠSD [standard deviation]: 122 ±â€Š23 HU, 95% confidence interval [CI]: 111-133 Hounsfield unit [HU]) was significantly lower than that on 80-kVp images (136 ±â€Š24 HU, 95% CI: 125-147 HU, P < .001). There was no significant difference in thrombi between 100-kVp images (55 ±â€Š14 HU, 95% CI: 49-61 HU) and 80-kVp images (57 ±â€Š16, 95% CI: 50-64 HU, P = .168). The thrombus to vein ratio on 100-kVp images (0.47 ±â€Š0.20, 95% CI: 0.39-0.56) was significantly higher than that on 80-kVp images (0.44 ±â€Š0.16, 95% CI: 0.37-0.51, P = .048). The mean 5-point score was significantly higher on the 80-kVp images (4.76) than on the 100-kVp images (4.45, P = .016).Lower kilovoltage CTV significantly improved thrombotic to venous contrasts in the lower limbs.
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Flebografia/métodos
Trombose/diagnóstico por imagem
Tomografia Computadorizada por Raios X/métodos
Trombose Venosa/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Japão
Masculino
Meia-Idade
Intensificação de Imagem Radiográfica/métodos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009775


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[PMID]:29341578
[Au] Autor:Banzic I; Fatic N; Pejkic S; Davidovic L; Sladojevic M; Koncar I
[Ti] Título:Case report of gross hematuria in the nutcracker syndrome resolved by renocaval reimplantation.
[So] Source:Vojnosanit Pregl;73(12):1178-80, 2016 Dec.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Nutcracker syndrome is defined as a set of signs and symptoms secondary to compression of the left renal vein (LRV) in the acute anatomic angle between the aorta and its superior mesenteric branch. Case report: A 38-year old woman with asymptomatic and "idiopathic" gross hematuria came to the Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia in Belgrade. Hematuria was documented by cystoscopy and was found to be unilateral, located to the left urethral orifice. The contrast-enhanced multidetector computed tomography (MDCT) scan showed a stenotic LRV due to the extrinsic compression in the angle formed by the ventral aorta and superior mesenteric artery (MSA), with a jet of contrast through the lumen. Considering the negative investigations for more common causes of hematuria, its incapacitating nature, and above mentioned imaging findings suggestive of the nutcracker syndrome, an indication for the open surgical correction of the LRV entrapment was established. The patient underwent reimplantation of the LRV into the more distal inferior vena cava (IVC), to relocate it out of the constrictive aortomesenteric space. Intraoperative findings were notable for blood flow turbulence in the LRV and hypertrophy of its tributaries, which were ligated. We presented the first published case in the Serbian literature on nutcracker syndrome with hematuria resolved by renocaval reimplantation. Conclusion: This case report demonstrates that renocaval reimplantation, as the open surgery technique, could be the adequate method for resolving gross hematuria in patients with nutcracker syndrome.
[Mh] Termos MeSH primário: Hematúria/etiologia
Síndrome do Quebra-Nozes/cirurgia
Veias Renais/cirurgia
Reimplante
Procedimentos Cirúrgicos Vasculares
Veia Cava Inferior/cirurgia
[Mh] Termos MeSH secundário: Adulto
Angiografia por Tomografia Computadorizada
Feminino
Seres Humanos
Tomografia Computadorizada Multidetectores
Flebografia/métodos
Síndrome do Quebra-Nozes/complicações
Síndrome do Quebra-Nozes/diagnóstico por imagem
Veias Renais/diagnóstico por imagem
Resultado do Tratamento
Veia Cava Inferior/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150401132B


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[PMID]:29224662
[Au] Autor:Mitchell JW; O Connell WG; Gilliland CA; Best IM
[Ad] Endereço:Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image Guided Medicine, Emory University Hospital, Atlanta, GA. Electronic address: jason.mitchell@emory.edu.
[Ti] Título:Managing Venous Thromboembolic Disease On-Call.
[So] Source:Tech Vasc Interv Radiol;20(4):281-287, 2017 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Managing venous thromboembolic disease on-call requires the interventional radiologist consider not only potential risk and benefit to the patient but also available resources in the IR suite as well as throughout the hospital, such as intensive care monitoring during treatment. We demonstrate how our practice manages these on-call cases ranging from deep venous thrombosis to acute pulmonary embolism and decide which patients need emergent treatment and which can undergo delayed intervention during working hours. In all cases, an adequate preprocedural clinical assessment is crucial.
[Mh] Termos MeSH primário: Plantão Médico
Procedimentos Endovasculares/métodos
Embolia Pulmonar/terapia
Radiografia Intervencionista
Terapia Trombolítica/métodos
Tromboembolia Venosa/terapia
Trombose Venosa/terapia
[Mh] Termos MeSH secundário: Angiografia por Tomografia Computadorizada
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/instrumentação
Seres Humanos
Masculino
Meia-Idade
Flebografia
Valor Preditivo dos Testes
Embolia Pulmonar/diagnóstico por imagem
Embolia Pulmonar/fisiopatologia
Fatores de Risco
Terapia Trombolítica/efeitos adversos
Fatores de Tempo
Resultado do Tratamento
Tromboembolia Venosa/diagnóstico por imagem
Tromboembolia Venosa/fisiopatologia
Trombose Venosa/diagnóstico por imagem
Trombose Venosa/fisiopatologia
[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:171212
[St] Status:MEDLINE


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[PMID]:29195574
[Au] Autor:Yong MS; Yaftian N; Weintraub RG; Brizard CP; d'Udekem Y; Konstantinov IE
[Ad] Endereço:Department of Cardiac Surgery and Cardiology, Royal Children's Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia.
[Ti] Título:Outcomes of Surgery for Mixed Total Anomalous Pulmonary Venous Drainage in Children.
[So] Source:Semin Thorac Cardiovasc Surg;29(3):338-344, 2017 Autumn.
[Is] ISSN:1532-9488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Total anomalous pulmonary venous drainage (TAPVD) is an uncommon cardiac defect in children. The mixed subset accounts for 5%-10% of the TAPVD and is variable in its anatomy. The outcomes associated with this subset of patients are rarely reported. A retrospective review of all patients with mixed TAPVD undergoing repair at a single institution (1984-2014) was conducted. A descriptive analysis was performed. Twenty-four patients underwent repair for mixed TAPVD (6 univentricular physiology, 18 biventricular physiology). The mixed TAPVD anatomy included 8 patients in group I (2 + 2 veins), 11 patients in group II (3 + 1 veins), and 5 patients in group III (atypical). Preoperative pulmonary venous obstruction occurred in 8 patients (33%). The median age at repair was 2.2 months (range 2 days to 3 years) and median weight was 4.2 kg (range 1.9 to 12.5 kg). Operative mortality was 13% (3 of 24), 33.3% (2 of 6) for patients with univentricular physiology, and 5.6% (1 of 18) for patients with biventricular physiology. There have been no operative deaths in the biventricular group since 1997 (n = 11). Survival at 30-days was 83% ± 15% (95% confidence interval: 27%-97%) and 94% ± 5% (95% confidence interval: 67%-99%) for the univentricular and biventricular groups, respectively. Reoperation for recurrent pulmonary venous obstruction was required in 2 patients (8.3%) where the sutureless technique was used. The average follow-up after surgery was 9.3 ± 6.4 years (5 months to 21 years), and all surviving patients were asymptomatic. Mixed TAPVD can be repaired with good results in children, particularly in those undergoing biventricular repair.
[Mh] Termos MeSH primário: Circulação Pulmonar
Veias Pulmonares/cirurgia
Síndrome de Cimitarra/cirurgia
[Mh] Termos MeSH secundário: Fatores Etários
Pré-Escolar
Angiografia por Tomografia Computadorizada
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Flebografia/métodos
Veias Pulmonares/anormalidades
Veias Pulmonares/diagnóstico por imagem
Veias Pulmonares/fisiopatologia
Pneumopatia Veno-Oclusiva/diagnóstico por imagem
Pneumopatia Veno-Oclusiva/etiologia
Pneumopatia Veno-Oclusiva/cirurgia
Estudos Retrospectivos
Fatores de Risco
Síndrome de Cimitarra/classificação
Síndrome de Cimitarra/diagnóstico por imagem
Síndrome de Cimitarra/fisiopatologia
Resultado do Tratamento
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE


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[PMID]:28448419
[Au] Autor:Slasky SE; Rivaud Y; Suberlak M; Tairu O; Fox AD; Ohman-Strickland P; Bilinisky E
[Ad] Endereço:From the Departments of *Radiology and †Trauma Surgery, New Jersey School of Medicine, Rutgers, The State University of New Jersey, Newark; and ‡Rutgers School of Public Health, RWJ-School of Public Health, Piscataway, NJ.
[Ti] Título:Venous Sinus Thrombosis in Blunt Trauma: Incidence and Risk Factors.
[So] Source:J Comput Assist Tomogr;41(6):891-897, 2017 Nov/Dec.
[Is] ISSN:1532-3145
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of our study was to determine the incidence and risk factors of dural venous sinus thrombosis and epidural hemorrhage in the setting of a blunt trauma causing a calvarial fracture crossing a dural venous sinus. METHODS: A retrospective review of 472 blunt trauma patients with calvarial fracture crossing a dural venous sinus was performed. Two hundred ten patients who underwent computed tomography venography were identified and evaluated for the presence of dural venous sinus thrombosis and/or epidural hemorrhage. Site and displacement of fractures, as well as age, sex, Glasgow Coma Scale (GCS) score, and mechanism of injury, were considered for potential predictive value of thrombosis and/or epidural hemorrhage. RESULTS: We found a 23% incidence of dural venous sinus thrombosis in patients with a fracture traversing a dural venous sinus. Significant predictors of thrombosis included temporal fracture (38% incidence) and skull base fracture (31% incidence). Occipital fracture not involving the skull base was associated with a significantly decreased risk of thrombosis, with an incidence of 9%. Decreased GCS score and fall from height greater than 10 feet additionally predicted dural venous sinus thrombosis. Significant predictors of epidural hemorrhage included parietal fractures and displaced fractures, although a large percentage of nondisplaced fractures in other bones demonstrated epidural hemorrhage as well. CONCLUSIONS: Dural venous sinus thrombosis in the setting of blunt trauma with a calvarial fracture crossing a dural venous sinus has an incidence of 23%. Increased suspicion for thrombosis is warranted in patients with temporal or skull base fractures, low GCS score, and recent fall from great height.
[Mh] Termos MeSH primário: Cavidades Cranianas
Hematoma Epidural Craniano/epidemiologia
Hematoma Epidural Craniano/etiologia
Trombose dos Seios Intracranianos/epidemiologia
Trombose dos Seios Intracranianos/etiologia
Fraturas Cranianas/complicações
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Adulto
Feminino
Escala de Coma de Glasgow
Hematoma Epidural Craniano/diagnóstico por imagem
Seres Humanos
Incidência
Masculino
Flebografia/métodos
Estudos Retrospectivos
Fatores de Risco
Trombose dos Seios Intracranianos/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1097/RCT.0000000000000620


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[PMID]:28457176
[Au] Autor:Lenck S; Bresson D; Bernat AL; Saint-Maurice JP; Labeyrie MA; Froelich S; Houdart E
[Ad] Endereço:1 Department of Neuroradiology, Hôpital Lariboisière, Paris, France.
[Ti] Título:3D digital subtracted CT angiography to evaluate the venous anatomy in extra-axial tumors invading the major dural venous sinuses.
[So] Source:Interv Neuroradiol;23(4):346-349, 2017 Aug.
[Is] ISSN:2385-2011
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background Investigation of the venous system surrounding a tumor that is invading a dural sinus is of great use for guiding the surgical excision. Non-invasive imaging is often inadequate since enhancement of the tumor causes it to blend with the contrast of the venous vascular structures. Conventional two-dimensional angiography is also often insufficient. Objective The objective of this study was to report regarding the potential of three-dimensional digital subtracted computed tomography angiography (3D DS-CTA) as a technique to preoperatively explore these tumors. Methods We retrospectively studied the radiological and surgical features of patients explored with 3D DS-CTA for a tumor invading a major dural sinus. Results Three patients were included in this study, one hemangiopericytoma and two meningiomas. 3D DS-CTA allows for accurate assessment of the patency of the sinus, the location of the secondary intra- and trans-osseous venous outlets, and surgical guidance by neuronavigation. Conclusion 3D DS-CTA could be a promising guiding and diagnostic tool for the pre- and intraoperative treatment of vascular tumors invading the dural sinuses, for which the venous morbidity and mortality is substantial.
[Mh] Termos MeSH primário: Neoplasias Encefálicas/irrigação sanguínea
Neoplasias Encefálicas/diagnóstico por imagem
Angiografia Cerebral/métodos
Angiografia por Tomografia Computadorizada/métodos
Cavidades Cranianas/diagnóstico por imagem
Dura-Máter/irrigação sanguínea
Dura-Máter/diagnóstico por imagem
Dura-Máter/crescimento & desenvolvimento
Hemangiopericitoma/irrigação sanguínea
Hemangiopericitoma/diagnóstico por imagem
Neoplasias Meníngeas/irrigação sanguínea
Neoplasias Meníngeas/diagnóstico por imagem
Meningioma/irrigação sanguínea
Meningioma/diagnóstico por imagem
[Mh] Termos MeSH secundário: Angiografia Digital/métodos
Neoplasias Encefálicas/patologia
Meios de Contraste
Cavidades Cranianas/patologia
Dura-Máter/patologia
Feminino
Hemangiopericitoma/patologia
Seres Humanos
Imagem Tridimensional/métodos
Imagem por Ressonância Magnética
Masculino
Neoplasias Meníngeas/patologia
Meningioma/patologia
Invasividade Neoplásica/diagnóstico por imagem
Invasividade Neoplásica/patologia
Flebografia/métodos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1177/1591019917702522


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[PMID]:29029715
[Au] Autor:Steinberger JD; Genshaft SJ
[Ad] Endereço:Dotter Interventional Institute, Oregon Health Sciences University, Portland, OR. Electronic address: steinbej@ohsu.edu.
[Ti] Título:The Role of Inferior Vena Cava Filters in Pulmonary Embolism.
[So] Source:Tech Vasc Interv Radiol;20(3):197-205, 2017 Sep.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pulmonary embolism (PE) is a cause of significant morbidity and mortality, with an estimated 600,000 cases of clinically significant PE in the United States annually, and roughly 200,000 deaths per annum directly attributable to PE. By far the most frequent cause of PE is deep vein thrombosis originating in the lower extremities, which travels to the pulmonary vasculature. The mainstay of treatment is anticoagulation, but multiple additional treatments exist for patients in whom anticoagulation is inadequate or contraindicated. The absolute indications for inferior vena cava (IVC) filtration are narrow, but many filters are placed in patients with relative indications. There is growing concern for overuse of IVC filters, with a relatively low rate of retrieval. It is essential for interventional radiologists to understand the appropriate and correct use and retrieval of IVC filters. Familiarity with placement techniques, protocols and techniques for retrieval, current and emerging technologies, and the clinical model for management of venous thromboembolism, will ensure that interventional radiologists remain an integral member of the care team for these often complex patients.
[Mh] Termos MeSH primário: Embolia Pulmonar/terapia
Filtros de Veia Cava
Veia Cava Inferior
[Mh] Termos MeSH secundário: Remoção de Dispositivo
Seres Humanos
Flebografia
Desenho de Prótese
Embolia Pulmonar/diagnóstico
Embolia Pulmonar/fisiopatologia
Radiografia Intervencionista
Fatores de Risco
Resultado do Tratamento
Veia Cava Inferior/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171015
[St] Status:MEDLINE


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[PMID]:29017434
[Au] Autor:Sun K; Batra R; Markin NW; Suh M; Pipinos II; Roberts EK; Mactaggart JN; Baxter BT
[Ad] Endereço:1 College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
[Ti] Título:Transesophageal Echocardiogram-Guided Stent Placement in Superior Vena Cava Syndrome Secondary to Granulomatous Lung Disease: A Case Series and Literature Review.
[So] Source:Vasc Endovascular Surg;51(8):562-566, 2017 Nov.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Obstruction of the superior vena cava (SVC) is an uncommon, but potentially life-threatening condition due to likely development of edema in the head and neck and potential respiratory compromise. Less than half of those affected by SVC syndrome survive more than a year. Obstruction can be from neoplasms or secondary to benign disease. Treatment for most cases of symptomatic SVC syndrome involves placement of a stent to relieve the stenosis. Serious complications such as stent migration, pulmonary embolism, and cardiac tamponade can occur in 5% to 10% of cases, and inadequate imaging of the SVC-atrial junction by fluoroscopy contributes to these problems. The overlapping contrast in the atrium makes it difficult to precisely place the distal end of the stent, potentially allowing for embolization of the stent to occur. We present a case series of 3 patients wherein transesophageal echocardiography was used for guidance of stent placement in the SVC and significantly aided in placement.
[Mh] Termos MeSH primário: Ecocardiografia Transesofagiana
Procedimentos Endovasculares/instrumentação
Granuloma do Sistema Respiratório/complicações
Stents
Síndrome da Veia Cava Superior/terapia
[Mh] Termos MeSH secundário: Adulto
Ecocardiografia Doppler em Cores
Evolução Fatal
Feminino
Granuloma do Sistema Respiratório/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Flebografia
Síndrome da Veia Cava Superior/diagnóstico por imagem
Síndrome da Veia Cava Superior/etiologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171012
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417723157


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[PMID]:28987433
[Au] Autor:Long B; Koyfman A; Runyon MS
[Ad] Endereço:Department of Emergency Medicine, San Antonio Military Medical Center, 3841 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. Electronic address: Brit.long@yahoo.com.
[Ti] Título:Cerebral Venous Thrombosis: A Challenging Neurologic Diagnosis.
[So] Source:Emerg Med Clin North Am;35(4):869-878, 2017 Nov.
[Is] ISSN:1558-0539
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Headache is a common emergency department chief complaint. Although most are benign, emergency physicians must rapidly identify and manage the uncommon, sometimes subtle, presentation of headache from a life-threatening cause. Cerebral venous thrombosis imparts significant morbidity and mortality, and can be a challenging diagnosis. It most commonly occurs in those under 50 years of age with thrombosis of the cerebral veins/sinuses. Diagnosis is frequently delayed. The disease can present with 1 or more clinical syndromes, including intracranial hypertension with headaches, focal neurologic deficits, seizures, and encephalopathy. Diagnosis requires imaging. Treatment includes stabilization, management of complications, and anticoagulation.
[Mh] Termos MeSH primário: Trombose Intracraniana/diagnóstico
Neuroimagem/métodos
Trombose Venosa/diagnóstico
[Mh] Termos MeSH secundário: Angiografia por Tomografia Computadorizada
Seres Humanos
Angiografia por Ressonância Magnética
Flebografia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171009
[St] Status:MEDLINE



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