The Experts below are selected from a list of 20607 Experts worldwide ranked by ideXlab platform

John G Webb - One of the best experts on this subject based on the ideXlab platform.

  • endovascular balloon occlusion for catheter induced large artery perforation in the catheterization laboratory
    Catheterization and Cardiovascular Interventions, 2009
    Co-Authors: Jeanbernard Masson, Saad Al Bugami, John G Webb
    Abstract:

    Background: Vessel perforation is a complication that cannot be completely avoided in the setting of endovascular procedures. When a large noncompressible artery is disrupted, unControlled bleeding may lead to hemodynamic collapse. Endovascular occlusion may provide rapid Control of Hemorrhage and facilitate definitive therapy; yet, occlusion balloons are not commonly utilized in the cardiac catheterization laboratory. Methods: We describe our experience with the use of dedicated occlusion balloons for the management of catheter-induced major bleeding events. Endovascular occlusion was utilized to Control severe bleeding in five patients with perforation of the aorta, iliac, femoral, or pulmonary artery. Results: Acute Control of Hemorrhage was achieved in all patients with hemodynamic stabilization in four of five cases. Endovascular balloon occlusion facilitated definitive therapy with surgical repair in two patients, covered stent deployment in one patient and transcatheter vessel occlusion in one patient. Care was withdrawn in one elderly patient with multiple comorbidities. All four patients who survived the procedure were discharged alive from the hospital. Conclusions: In most cases of severe catheter-induced bleeding, endovascular balloon occlusion provide a safe, rapid, and effective means of temporary bleeding Control. © 2009 Wiley-Liss, Inc.

Hiromi Nakamura - One of the best experts on this subject based on the ideXlab platform.

  • temporary endovascular balloon occlusion of the bilateral internal iliac arteries for Control of Hemorrhage during laparoscopic assisted myomectomy in a nulligravida with a large cervical myoma
    Fertility and Sterility, 2009
    Co-Authors: Akihiro Takeda, Kazuyuki Koyama, Sanae Imoto, Masahiko Mori, Kotaro Sakai, Hiromi Nakamura
    Abstract:

    Objective To describe the preoperative evaluation and minimally invasive management of a large cervical myoma in a nulligravida who wished to preserve fertility. Design Case report. Setting Departments of obstetrics and gynecology and radiology at a general hospital. Patient(s) A 33-year-old nulligravida with a large cervical myoma. Intervention(s) A large cervical myoma was preoperatively diagnosed by ultrasonography, magnetic resonance imaging, and computed tomographic angiography and was successfully treated with minimal blood loss by laparoscopic-assisted myomectomy combined with prophylactic temporary endovascular balloon occlusion of the bilateral internal iliac arteries. Main Outcome Measure(s) Uterine conservation. Result(s) Fertility preservation was achieved with minimal blood loss in a nulligravida with a large cervical myoma. Conclusion(s) Laparoscopic-assisted myomectomy combined with prophylactic endovascular balloon occlusion of the bilateral internal iliac artery was an effective minimally invasive procedure to preserve fertility in a nulligravida with a large cervical myoma.

Aqin Peng - One of the best experts on this subject based on the ideXlab platform.

  • management of traumatic hemipelvectomy an institutional experience on four consecutive cases
    Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2013
    Co-Authors: Xiao W Zhang, Yingze Zhang, Aqin Peng
    Abstract:

    The incidence of traumatic hemipelvectomy is rare, but it is a devastating injury. Recently, an increasing number of patients with traumatic hemipelvectomy are admitted to trauma centers alive due to improvements of the pre-hospital care. Successful management requires prompt recognition of the nature of this injury and meticulous surgical technique. We present our successful experiences on four cases of traumatic hemipelvectomy in the past nine years. Four cases with traumatic hemipelvectomy were admited to our hospital from June 21, 2002 to September 3, 2011. All injuries occurred due to vehicle accident and all patients were in a state of severe hypotension, with two of them having anal lacerations. These four cases were treated immediately with resuscitation, Control of Hemorrhage, early amputation, repeated debridement and closure of the wounds. An angiographic embolization was given to Control Hemorrhage in two of the cases preoperatively. One case underwent fecal diversion. Wound infection occurred in all of cases which was successfully Controlled by repeated debridements, effective anti-biotic regimen, split-thickness skin grafts. All four cases were saved successfully with well-healed wounds during follow up from 1 to 7 years. They were able to walk by themself using crutches. Adhering to the surgery principles of damage Control including appropriate resuscitation, Hemorrhage Control, coagulopathy correction and multiple debridements and closure of the wounds in reasonable period of time can save the life of cases suffering from severe pelvic ring injury.

Akihiro Takeda - One of the best experts on this subject based on the ideXlab platform.

  • temporary endovascular balloon occlusion of the bilateral internal iliac arteries for Control of Hemorrhage during laparoscopic assisted myomectomy in a nulligravida with a large cervical myoma
    Fertility and Sterility, 2009
    Co-Authors: Akihiro Takeda, Kazuyuki Koyama, Sanae Imoto, Masahiko Mori, Kotaro Sakai, Hiromi Nakamura
    Abstract:

    Objective To describe the preoperative evaluation and minimally invasive management of a large cervical myoma in a nulligravida who wished to preserve fertility. Design Case report. Setting Departments of obstetrics and gynecology and radiology at a general hospital. Patient(s) A 33-year-old nulligravida with a large cervical myoma. Intervention(s) A large cervical myoma was preoperatively diagnosed by ultrasonography, magnetic resonance imaging, and computed tomographic angiography and was successfully treated with minimal blood loss by laparoscopic-assisted myomectomy combined with prophylactic temporary endovascular balloon occlusion of the bilateral internal iliac arteries. Main Outcome Measure(s) Uterine conservation. Result(s) Fertility preservation was achieved with minimal blood loss in a nulligravida with a large cervical myoma. Conclusion(s) Laparoscopic-assisted myomectomy combined with prophylactic endovascular balloon occlusion of the bilateral internal iliac artery was an effective minimally invasive procedure to preserve fertility in a nulligravida with a large cervical myoma.

Constantine P Karakousis - One of the best experts on this subject based on the ideXlab platform.

  • internal packing in the Control of Hemorrhage from large retroperitoneal veins
    American Journal of Surgery, 2005
    Co-Authors: Maciej L Dryjski, Roman A Litwinski, Constantine P Karakousis
    Abstract:

    Abstract Background Hemorrhage from large retroperitoneal veins is usually Controlled by suturing the venous tear. Infrequently, the extent and location of the tear and amount of Hemorrhage preclude successful suturing. Methods In seven patients with severe Hemorrhage from large retroperitoneal veins encountered in association with resection of retroperitoneal sarcoma (6) or repair of a ruptured abdominal aortic aneurysm (1), packing of the area with sufficient amounts of Surgicel (Ethicon, Johnson & Johnson, Somerville, NJ) and pressure for one half hour was used. Results All seven patients did not show any bleeding postoperatively and no clinical sequelae developed, with the exception of one patient who developed an abscess requiring drainage. Conclusion Internal packing with Surgicel appears to be reliable in Controlling venous Hemorrhage not manageable by the standard methods and may be preferable to roll gauze packing.