Postoperative state was found to be protective of thrombosis (hazard ratio=0.28 p Conclusion The position of IVC filters may affect patient outcomes, with infrarenal filters carrying a greater risk of DVT. Results Rates of thrombosis were 35/189 (18.5%) infrarenal compared to 6/62 (9.7%) suprarenal position and 13/129 (10.1%) when the filter tip was placed at the renal veins. Then their histories were used in order to determine whether they experienced deep venous thrombosis (DVT) after filter placement. Filter position and other relevant data including potential risk factors for VTE were abstracted. Materials and Methods Patients who had IVC filters placed at the University of Michigan from Januto Januwere identified. The purpose of this study was to determine whether IVC filter position can affect the risk of development of a DVT. Most filters are placed in an infrarenal location but there are no studies that explore whether the location of filter placement has an effect on the risk of a DVT. However it has been demonstrated that IVC filters can actually increase the risk of VTE. Purpose Inferior vena cava (IVC) filters are placed in patients with risk of venous thromboembolism (VTE) when chemical anticoagulation is not feasible or sufficient. In selected patients with acute active hemorrhage of the IEA in the anterior abdominal wall, TAE is a fast, safe, minimally invasive, and reliable method with a high technical success rate and no long-term complications. There were no differences in outcomes based on etiology of the hemorrhage. Over a mean 67-month follow-up of 39/40 survivors (1 lost to follow-up), no complications from the embolization procedure, such as abdominal wall ischemia, were observed. The 30-day mortality was 19% (n=10) and the total cumulative mortality rate was 23% (n=12). No patient developed a large hematoma or pseudoaneurysm at the puncture site. The mean puncture-to-hemostasis time was 65.4☓5 minutes. Primary technical success was achieved in 47/52 (90%) patients the remainder needed a second embolization session (secondary success 100%). Various embolization methods, alone or in combination, were applied, including primarily microcoils and polyvinyl alcohol particles. All superselective embolizations were performed using a coaxial catheter technique with a 0.018-inch microcatheter introduced through the diagnostic macrocatheter. Of these, 19 patients had spontaneous hemorrhage due to use of anticoagulants, 18 due to abdominal trauma, and 15 due to an iatrogenic complication. To report a retrospective review of all patients who were admitted to the interventional radiology unit at our hospital for transcatheter arterial embolization (TAE) of an acute active hemorrhage of the inferior epigastric artery.įrom 1996 to 2012, 52 consecutive patients (26 men mean age 63☑5 years) with hemodynamically relevant active abdominal wall hematoma were admitted for TAE of the inferior epigastric artery. Although no statistically significant association could be found between ACS and death, almost half the patients who developed ACS after endovascular repair of RAAAs were likely to die. There was significant within-study heterogeneity (Cochran Q = 94.1 P 20% with improved awareness and vigilant monitoring. A total of 109 cases of ACS were recorded. The pooled perioperative mortality was 21% (95% confidence interval, 18%-24%). Included were 39 eligible studies reporting 1134 patients. Articles reporting data on outcome after endovascular repair of RAAAs were identified, and information regarding ACS was sought. We aimed to record the incidence, management, and outcome of this complication.Ī systematic review and meta-analysis of the English language literature was undertaken through June 2012. Limited data exist regarding the development of abdominal compartment syndrome (ACS) after endovascular repair of ruptured abdominal aortic aneurysms (RAAAs).
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