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(MedPage Today) -- Mortality rates were high among patients with high-risk pulmonaryembolism (PE), with the worst outcomes in those with hemodynamic collapse, according to a retrospective analysis of the PulmonaryEmbolism Response Team (PERT.
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) is a severe and complex condition that evolves from unresolved pulmonaryembolism, leading to fibrotic obstruction of pulmonary arteries, pulmonary hypertension, and potential right heart failure.
Findings from the first international randomized controlled trial to compare patient outcomes following treatment with large-bore mechanical thrombectomy (LBMT) versus catheter-directed thrombolysis (CDT) for intermediate-risk pulmonaryembolism (PE) show that LBMT is superior with respect to the hierarchically-tested aggregated outcome of all-cause (..)
BACKGROUND:Prior clinical trials have demonstrated the efficacy of ultrasound-facilitated catheter-directed thrombolysis (USCDT) for the treatment of acute intermediate-risk pulmonaryembolism (PE) using reduced thrombolytic doses and shorter infusion durations.
Background Pulmonaryembolism is a condition of right cardiac dysfunction due to pulmonary circulation obstruction. Malignant tumor-induced pulmonaryembolism, which has a poor therapeutic outcome and a significant impact on hemodynamics, is the cause of sudden death in patients with malignant tumors.
This Best Case Ever elucidates the practical challenges of working up pregnant patients in the ED with a suspicion of pulmonaryembolism. Since this recording, the first ever multi-center prospective outcome study looking at the pulmonaryembolism workup in pregnancy was published in the Annals of Internal Medicine.
Some of the late-breaking topics that will be covered include transcatheter aortic valve replacement (TAVR), peripheral artery disease (PAD), and pulmonaryembolism (PE): Impact of Age on Procedural Timing for Asymptomatic Severe Aortic Stenosis: Results from the Early TAVR Trial The PERFORMANCE II Trial: A Prospective Multicenter Single Arm Investigation (..)
In this case report, we demonstrated that thrombus aspiration and in situ thrombolysis through the Guidezilla GEC are applicable to patients with PE in whom systemic thrombolysis is contraindicated, resulting in successful reperfusion and positive clinical outcomes.
Massive pulmonaryembolism (MPE) carries significant 30-day mortality and is characterized by acute right ventricular failure, hypotension, and hypoxia, leading to cardiovascular collapse and cardiac arrest. Considerable heterogeneity in studies is a significant weakness of the available literature.
Notably, acute massive pulmonaryembolism (PE) with bilateral atrial thrombosis is an exceptional occurrence in CAPS. Acute pulmonaryembolism (PE) is a common cardiovascular disease that progresses rapidly and has a high mortality rate. It primarily affects small vessels, seldom impacting large vessels.
BACKGROUND:The aim of this study was to examine the impact of early versus delayed catheter-based therapies (CBTs) on clinical outcomes in patients with acute intermediate-risk pulmonaryembolism (PE).METHODS:This A total of 16 patients (12% of patients) experienced the primary composite outcome. days;P=0.046).
A new Intelligent thrombo-suction catheter system , is being introduced for treatment of acute pulmonary embolism.This device regulates the force with which thrombus is sucked , with less injury and bleeding and better outcomes. They have become a Integral tool kit in peripheral arterial, venous and also pulmonary thrombosis.We
a powerful and advanced mechanical thrombectomy system for the removal of venous thrombus and the treatment of pulmonaryembolism (PE), effectively completing Penumbras VTE platform. Penumbras continuous advancements provide a comprehensive portfolio for physicians to treat a wider range of patients and improve patient outcomes.
Publication date: Available online 28 October 2024 Source: The American Journal of Cardiology Author(s): Aryan Mehta, Mridul Bansal, Siddhant Passey, Saurabh Joshi, Carlos L Alviar, Jason N Katz, J Dawn Abbott, Saraschandra Vallabhajosyula
Publication date: Available online 31 December 2024 Source: The American Journal of Cardiology Author(s): Aryan Mehta, Mridul Bansal, Abhishek Singh, Ritika Kompella, Anindita Chanda, Chirag Mehta, Christopher J Mullin, J Dawn Abbott, Saraschandra Vallabhajosyula
What are the in-hospital and readmission outcomes in patients with intermediate-risk or high-risk pulmonaryembolism (PE) treated with versus without catheter-based therapies (CBTs) in a large retrospective registry?
This novel cryoballoon with adjustable size and low compliance successfully achieves pulmonary vein isolation to treat paroxysmal atrial fibrillation (PAF), providing more options for patients with PAF. Procedural outcomes were defined based on the 2017 HRS consensus statement. Follow-up was performed at 7 days, 3, 6, and 12 months.
The receiving staff suspects pulmonaryembolism due to S1Q3T3 on the ECG and administers TPA. The patient did have massive pulmonary emboli, but he also had profound intraventricular and subarachnoid hemorrhages. The patient was ultimately discharged with a poor neurologic outcome. On ED arrival ROSC is achieved.
In this study, we assessed the clinical predictors and outcomes of advanced therapy compared with anticoagulation alone for the acute management of right heart thrombus.Methods:In this observational cohort study, we analyzed consecutive patients who were treated for right heart thrombus. The primary end point was 90-day all-cause mortality.
Although the clinical outcomes and economic burdens of VTE have been well described, the impact of VTE on patients' health status has yet to be summarized. After screening and exclusion, 136 references were identified; 5 described PROM development, 20 focused on PROM validation, and 111 used PROMs in outcomes research.
BackgroundThe VenaTech Convertible Vena Cava Filter (VTCF) is a device designed for insertion into the inferior vena cava (IVC) to prevent life-threatening pulmonaryembolism (PE). For younger or thrombophilic patients, careful evaluation of the filter's suitability and extended follow-up are crucial to optimize outcomes.
In the light of increasing availability, the analyses of outcome-relevant predisposing characteristics are of growing importance. The primary outcome was defined as the survival of patients until they were discharged from the hospital, with a favourable neurological outcome [cerebral performance category (CPC) score of ≤2].
We aimed to assess the characteristics and outcomes of SCA according to cancer history. vs 46.8%, p<0.001) and had more respiratory causes (pulmonaryembolism and hypoxaemia in 34.2% Still, in-hospital outcomes remain similar even in patients with known cancer. vs 10.8%, p<0.001). vs 29.8%, respectively, p=0.27).
Migraine with aura(MwA) is associated with an increased risk of stroke and adverse vascular outcomes compared to those with migraine without aura (MwoA). Patients with any adverse vascular outcomes before the index ECG were excluded. The prevalences of all vascular outcomes are summarized in Table 1. p < 001).
Our primary study outcome was any stroke or major thrombotic event identified within 60 days of OHSS diagnosis in HCUP or during the index admission for OHSS in NIS. The low rate of outcome events after OHSS seen in each of our population-level analyses increases the reliability of these study results.
Eligible were all aetiological studies evaluating risk of cardiovascular outcomes after exposure to common RTIs within any follow-up duration. to 10)), pulmonaryembolism (24.6 This systematic review and meta-analysis aimed to estimate the causal effects of RTIs on occurrence of cardiovascular diseases in the general population.
This study aims to investigate the incidence, complications, and outcomes of SAH patients who develop HIT.MethodsICD‐9‐CM and ICD‐10‐CM codes were used to query the National Inpatient Sample for patients with SAH between 2010 and 2019. Patients with SAH are an understudied population in terms of assessing incidence and impact of HIT.
Introduction:Atrial fibrillation (AF) significantly elevates the risk of ischemic stroke and systemic embolism. Data on demographics, medical history, concurrent medications, and clinical outcomes were collected. Stroke, Volume 56, Issue Suppl_1 , Page A40-A40, February 1, 2025. Exclusions were malignancy and pregnancy/lactation.
The usefulness of JVP in a cardiac emergency like acute pulmonaryembolism may appear superfluous. But, the fact of the matter is, a persistently raised JVP with good waveform, without systemic hypotension, may not portend a bad outcome. Please go to the full-screen view and freeze the video to read the text.
A prior published analysis of national trends after one year in mechanical thrombectomy use and outcomes for stroke before and after publication of the 2015 US guideline update showed improved functional outcomes and lower peri‐procedural mortality. Safety outcomes include in‐hospital medical complications and mortality.
Results:From 785 unique citations, we identified two randomized trials with relevant clinical outcome data; NOAH-AFNET 6 (2,536 participants) evaluated edoxaban and ARTESiA (4,012 participants) evaluated apixaban. We used random-effects models for meta-analysis and rated the quality of evidence using the GRADE framework.
Further research and attention to this area are crucial for improving patient outcomes and guiding clinical interventions in this challenging condition.MethodsICD‐10‐CM codes were used to query the National Inpatient Sample (NIS) for patients with AIS between 2010 and 2019.
Peak troponin, echocardiographic findings, and long term outcome are unknown. A new right bundle branch block in a sick patient with chest pain and/or shortness of breath is a worrisome finding concerning for LAD occlusion or significant pulmonaryembolism. Learning Points: 1.
Women and black patients were less frequently treated with minimally invasive therapy compared to men or non-Black patients, according to new data from the REAL-PE analysis which investigated catheter-based pulmonaryembolism (PE) treatment. Late-breaking results from the study, for which Sahil A.
CT angiogram chest: no aortic dissection or pulmonaryembolism. Serial chest xrays: progressive bilateral pulmonary edema. Smith Major Learning Point: The worst risk factor for a bad outcome in OMI is young age because cardiologists cannot believe that a young person can have an OMI. No further troponins were measured.
Pulmonaryembolism is a common cause of cardiovascular-associated morbidity and mortality. This scientific statement summarizes disparities in diagnosis, treatment strategies, and outcomes related to pulmonaryembolism, and reviews approaches to create equitable pulmonaryembolism care and address the knowledge gaps in the literature.
and the patient was converted to veno-venous (V-V) ECMO due to persistent pulmonary insufficiency. However, in multiple studies, even in the absence of AMI, both acute and chronic myocardial injury (as diagnosed by any elevated cTn) are powerful markers of adverse outcomes in both the short and long term. 3–8 Shi et al.
CT pulmonary angiogram was negative for pulmonaryembolism. Learning Points It takes dedicated learning and observation of outcomes and serial ECGs to learn how to distinguish subtle OMI patterns from OMI mimics like the cases above. Second troponin T resulted at 1,318 ng/L. Chest x-ray was read as normal. Reocclusion!
Our study aimed to compare outcomes of patients diagnosed with CVT within 2 weeks of COVID infection compared to those without COVID-19.Methods:Adult All-cause mortality was the primary outcome. Stroke, Volume 55, Issue Suppl_1 , Page AWMP49-AWMP49, February 1, 2024. vs 13.6%; HR=1.51; 95% CI=1.04-2.20) 2.20) but not at three months.
Prolonged ICU LoS is reported to be associated with worse clinical outcomes, but factors associated with prolonged LoS after MT are not established.Methods:A retrospective analysis of 499 patients undergoing EVT at a single large comprehensive stroke center from January 2015 to May 2020 was performed. P<0.001). ASPECTS < 7 (6.9
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