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Berlin Brandenburg

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  • Sage Publications (CrossRef)  (10)
  • 1
    Language: English
    In: Vascular Medicine, April 2015, Vol.20(2), pp.112-116
    Description: Post-thrombotic syndrome (PTS) is a common complication of deep venous thrombosis (DVT) of the iliofemoral venous system leading to significant morbidity and high health care costs. It has been recently shown that percutaneous endovenous intervention (PEVI) can effectively reduce the incidence of PTS. The role of new oral anticoagulants (NOACs) in combination with PEVI in the reduction of PTS has not been previously studied. This report sought to evaluate the role of PEVI plus NOACs in the reduction of PTS in acute symptomatic femoropopliteal and iliac DVT. We studied 127 patients with acute lower extremity DVT who had undergone PEVI plus administration of NOACs. All had received a minimum of 3 months of anticoagulation with a NOAC following PEVI. The mean follow-up was 22±5 months. The patients were evaluated for development of PTS, bleeding, recurrent venous thromboembolism (VTE), duration of hospitalization and mortality. There was no in-hospital bleeding. The mean duration of hospitalization was 46±9 hours. DVT occurred in two patients who had been later switched to warfarin. There were four non-VTE-related deaths. PTS developed in five patients (3%), two of whom were those who had been switched to warfarin. Their mean Villalta score was 6.2±0.9. We conclude that the combination of PEVI plus NOAC and low dose aspirin is associated with a very low rate of PTS with the severity being only mild. This approach leads to very low rates of bleeding and recurrent VTE and promotes early discharge.
    Keywords: Deep Vein Thrombosis ; Endovenous Intervention ; New Oral Anticoagulants ; Post-Thrombotic Syndrome ; Medicine
    ISSN: 1358-863X
    E-ISSN: 1477-0377
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  • 2
    Language: English
    In: Business Communication Quarterly, June 2009, Vol.72(2), pp.177-199
    Description: The authors describe a graduate capstone accounting class as a basis for building communication skills desired by both accounting practitioners and accounting faculty. An academic service-learning (ASL) component is included. Adopted as a required class for a master of science degree in accounting at two universities, this course supports accounting accreditation. Surveys offer evidence that both accounting practitioners and faculty rate, in slightly different order, the three most important skills as written communication, oral communication, and analytical/critical thinking. Accounting curricula worldwide are under pressure to develop better skills in these areas as well as to meet assessment and accreditation directives and criteria. The authors designed a communication course utilizing ASL that not only meets all of the above objectives but also provides the student with hands-on experiential learning. Information about this course provides a guide to accounting and business faculty who may wish to pursue such an approach in their schools.
    Keywords: Competency-Based Course ; Academic Service-Learning ; Accounting Communication Course ; Business Writing ; Assessment ; Capstone Course ; Post-Graduate Course ; Business
    ISSN: 1080-5699
    E-ISSN: 1552-4191
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  • 3
    Language: English
    In: Angiology, December 2007, Vol.57(6), pp.724-728
    Description: There has been little change in the technical approach to balloon aortic valvuloplasty (BAV) over the last two decades. Large-caliber sheaths and extra-stiff wires have been used routinely to accommodate the large balloons used for this purpose. Consequently the morbidity (and possibly mortality) rates have been high. With the recent advances in the interventional hardware, a new look at the current approach to BAV is justified. In this report we describe an 89-year-old woman with critical aortic stenosis who underwent rapid and successful BAV by the use of a single 8-French arterial sheath, a regular (and not stiff) wire, and one peripheral balloon. We conclude that BAV can be done easily and safely with the technique and equipment described in this case report.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 4
    Language: English
    In: Angiology, September 2005, Vol.56(5), pp.647-650
    Description: About 10%-15% of patients with an atrial septal defect will have some form of anomalous pulmonary venous connection. With the advent of percutaneous closure of atrial septal defects, it is imperative that presence of partial anomalous pulmonary venous return be excluded to prevent unnecessary percutaneous closure in patients who would ultimately require a surgical approach. The authors herein report a 29-year-old man who underwent percutaneous closure of 2 atrial septal defects but was later found to have his left upper pulmonary vein draining into the innominate vein via a vertical vein. He subsequently underwent surgical repair of the anomalous pulmonary vein.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 5
    Language: English
    In: Vascular Medicine, April 2019, Vol.24(2), pp.103-109
    Description: This study retrospectively compared the outcomes of patients who received ultrasound facilitated catheter-directed thrombolysis (UFCDT) versus systemically administered ‘half-dose’ thrombolysis (HDT) in 97 patients with PE. The outcomes assessed included changes in baseline pulmonary artery systolic pressure (PASP), right ventricle/left ventricle ratio (RV/LV), cost and duration of hospitalization, death, bleeding, and recurrent venous thromboembolism in the short and intermediate term follow-up. Analyses were performed using a covariance adjustment propensity score approach to address baseline differences between groups in variables associated with PASP and RV/LV, covarying baseline scores. The baseline mean ± SE PASP dropped from 49.3 ± 1.1 to 32.5 ± 0.3 mmHg at 36 hours in the HDT group, and from 50.6 ± 1.2 to 35.1 ± 0.4 mmHg in the UFCDT group; group × time interaction p-value = 0.007. Corresponding drops in the RV/LV were from a baseline of 1.26 ± 0.05 to 1.07 ± 0.01 in the HDT group and from 1.30 ± 0.05 to 1.14 ± 0.01 in the UFCDT group at 36 hours; group × time interaction p-value = 0.269. Statistically significant decreases were noted in PASP and RV/LV for both the HDT and UFCDT at 36 hours and follow-up. PASP through follow-up was significantly lower in the HDT than the UFCDT group. Likewise, RV/LV was lower in the HDT group. The duration and cost of hospitalization were lower in the HDT group (6.2 ± 1.4 days vs 1.9 ± 0.3 days, p 〈 0.001; US$12,000 ± $3000 vs $74,000 ± $6000, p 〈 0.001). We conclude that both UFCDT and HDT lead to rapid reduction of PASP and RV/LV, whereas HDT leads to a lower duration and cost of hospitalization.
    Keywords: Anticoagulants ; Embolus ; Pulmonary Embolism (Pe) ; Catheter-Directed Thrombolysis ; Systemic Thrombolysis ; Thrombus ; Medicine
    ISSN: 1358-863X
    E-ISSN: 1477-0377
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  • 6
    Language: English
    In: Angiology, June 1999, Vol.50(6), pp.497-501
    Description: Aneurysms and ectasias of saphenous vein grafts are infrequent complications of coronary artery bypass surgery. They usually present as an expanding asymptomatic mediastinal mass on chest x-ray film or computed tomography scan. Though rare, they must be excluded from the differential diagnosis of mediastinal masses to avoid potentially dangerous needle biopsy. The authors describe ectasia of a saphenous vein graft in a 62- year-old man 14 years after coronary artery bypass surgery. The relevant literature is also discussed.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 7
    Language: English
    In: Angiology, November 1994, Vol.45(11), pp.973-977
    Description: Acute occlusion of the superior mesenteric artery (SMA) is a devastating disease with a high mortality rate. Among its causes is thromboembolism from the heart or from an aortic aneurysm. The authors report a sixty-four-year-old woman who sustained acute occlusion of the SMA from a very large thrombus located on the medial wall of the thoracic aorta, unrelated to an aneurysm. The thrombus was pedunculated and occupied over two thirds of the aortic lumen. Transesophageal echocardiography (TEE) proved to be a valuable tool in diagnosis. The appearance of the thrombus on computed tomo graphic scan very closely resembled a type B aortic dissection and may have been inter preted as such if the TEE result had not been available.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 8
    Language: English
    In: Angiology, February 1996, Vol.47(2), pp.203-209
    Description: Pulmonary arteriovenous (AV) malformations occur sporadically and in the pediatric population are most commonly associated with hereditary hemorrhagic telangiectasia. Hemoptysis is an infrequent presentation in this age group. Pulmonary angiography is considered to be the definitive diagnostic modality. The authors describe an otherwise healthy eleven-year-old girl who presented with massive hemoptysis secondary to a large bronchial AV malformation unrelated to any congenital anomalies. The pulmonary angiogram appeared normal and the diagnosis was established by digital subtraction aortography. Successful embolotherapy was performed by selective injection of polyvinyl alcohol particles into the culprit bronchial artery.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 9
    Language: English
    In: Angiology, October 2000, Vol.51(10), pp.809-815
    Description: Accelerated allograft coronary artery disease remains the major cause of mortality after the first year of transplantation. Despite the extensive use of stents and angioplasty in coronary artery disease, there is a paucity of data about the efficacy of such interventions in orthotopic heart transplants. The authors herein report the outcome of those patients in their institution who had undergone percutaneous coronary artery angioplasty and stenting at a late stage of their transplantation. Within a 12-year period, 106 adult patients underwent orthotopic heart transplantation at their institution. Eight of these patients with 17 lesions underwent deployment of nine stents and eight angioplasties 8.1 ±3.2 years posttransplantation. There were 15 denovo and two restenotic lesions. The indications for intervention were presence of symptoms in five patients and severity of lesions in three asymptomatic patients detected on their follow-up angiogram. All patients had angiographic worsening of lesions at their follow-up angiogram. The initial procedural success for both stented and angioplastied lesions was 100%. Within a mean angiographic follow-up of 261 days, all balloon angioplastied lesions had developed restenosis, whereas within a mean period of 67 days, 50% of stented lesions had developed restenosis. On the follow-up angiogram, deterioration of the nontreated segments were noted throughout the coronary arterial tree; however, the immediate proximal and distal parts of the target segments demonstrated an exaggerated hyper proliferative response as compared to other sites. The overall median time to the detection of restenosis for both stented and angioplastied lesions was 5.2 months (inner quartile 2.5-6.2 months). The authors conclude that angioplasty and stenting late in the course of transplantation is associated with a significant restenosis rate and in such patients earlier or alternative catheter-based interventions must be considered.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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  • 10
    Language: English
    In: Angiology, November 1997, Vol.48(11), pp.1001-1005
    Description: Idiopathic or congenital coronary artery ectasias and aneurysms are uncommon forms of coronary artery disease. The prognosis and optimal management of such patients remains unknown. The authors describe the case of an otherwise healthy 30-year-old man with concomitant severe right coronary artery ectasia and left main coronary artery aneurysm who sustained a mild anterior myocardial infarction. There was no obstructive coronary artery disease, and no cause for the lesions could be identified. Chronic anticoagulation and antiplatelet therapy were initiated with resolution of symptoms.
    Keywords: Medicine
    ISSN: 0003-3197
    E-ISSN: 1940-1574
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