3
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Enfermedad venosa compleja en el cierre percutáneo de orejuela izquierda Translated title: Complex venous disease in transcatheter left atrial appendage closure

      letter

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references4

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Iliac vein compression syndrome from anterior perforation of a pedicle screw

          May–Thurner syndrome is an anatomic variant where the right common iliac artery compresses the left common iliac vein. The variant exists in a significant portion of the population, but is usually asymptomatic; however, clinically significant stenosis can occur by iatrogenic means. In this report, we describe a patient who presents with left lower extremity pain and swelling. Initial workup for deep vein thrombosis was negative. After being referred to our venous clinic, a magnetic resonance angiography revealed narrowing of the left common iliac vein with a tortuous right common iliac artery crossing over the constriction. During left iliac vein stent placement, a pedicle screw from a prior L2–S1 spinal fusion was noted to be perforated through L5 vertebral body impinging the posterior aspect of the vein. This case demonstrates that increased scrutiny must be applied when dealing with pathology in close proximity to any implanted medical device.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Left atrial appendage closure device implantation via transhepatic vascular access: a case report

            Abstract Background In patients with non-valvular atrial fibrillation, an estimated 90% of thrombi are located in the left atrial appendage. The WATCHMAN device is a left atrial appendage closure device that is an alternative therapeutic option to reduce the risk of systemic embolization in patients who are intolerant of long-term oral anticoagulation. It can be deployed in the left atrial appendage using a transseptal approach via the femoral vein. Transhepatic venous access is an alternative route for the delivery of the device in a patient with difficult vascular access. Case summary An 81-year-old man with persistent non-valvular atrial fibrillation, heart failure with reduced ejection fraction (HFrEF), and diabetes mellitus was deemed a poor candidate for anticoagulation due to recurrent falls and gastrointestinal bleeding. He was selected for a left atrial appendage closure. The initial procedure was aborted after significant resistance to device advancement was encountered in the right femoral vein. Lower extremity venography demonstrated totally occluded femoral and iliac veins bilaterally. The decision was made to implant the device via a transhepatic approach. The procedure had no complications and the patient was discharged on rivaroxaban and aspirin after 3 days. Discussion Transhepatic venous access is a viable option in patients with poor femoral access for implantation of the WATCHMAN device. It can be done safely. Knowledge of this procedural alternative can greatly enhance patient care.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The prevalence of chronic deep venous thrombosis in trauma: Implications for hospitals and patients.

              Deep venous thrombosis (DVT) is considered a preventable complication in trauma patients. Hospitals risk financial penalties for DVT rates above accepted benchmarks. These penalties do not apply to chronic DVT, which develops before admission. Lower-extremity duplex ultrasound (LEDUS) can detect characteristics of thrombus chronicity, allowing differentiation of chronic from acute DVT. The objective of this study was to determine the prevalence of chronic DVT in hospitalized trauma patients.
                Bookmark

                Author and article information

                Journal
                recic
                REC: Interventional Cardiology
                REC Interv Cardiol ES
                Sociedad Española de Cardiología (Madrid, Madrid, Spain )
                2604-7306
                2604-7276
                September 2023
                : 5
                : 3
                : 214-216
                Affiliations
                [1] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Cardiología España
                [2] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Cirugía Vascular España
                Article
                S2604-73062023000300010 S2604-7306(23)00500300010
                10.24875/recic.m23000364
                9e0879cd-144c-4a42-b69b-2faabf117ab0

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 03 December 2022
                : 12 January 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 4, Pages: 3
                Product

                SciELO Spain

                Categories
                Cartas científicas

                Comments

                Comment on this article