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Wydall Simon Zolger Danaja Owolabi Adetokunbo Nzekwu Bernadette Onwochei Desire Desai Neel 《Journal canadien d'anesthésie》2023,70(3):406-442
Canadian Journal of Anesthesia/Journal canadien d'anesthésie - In labour, neuraxial analgesia is the standard in the provision of pain relief. However, the optimal mode of delivering... 相似文献
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Neel J. Patel MD Matthew J. Singleton MD MBE MHS MSc Ryan Brunetti MD Karl M. Richardson MD Prashant D. Bhave MD 《Journal of cardiovascular electrophysiology》2023,34(1):7-13
Introduction
Transesophageal echocardiography (TEE) is recommended to rule out endocarditis in patients with cardiac implantable electronic devices (CIED). A lead-based echodensity (LBE), however, is often found on TEE in patients with a CIED and may not represent an infection. We sought to evaluate the predictors, characteristics, and clinical significance of LBEs seen on TEE in patients with a CIED.Methods
Patients with a CIED were retrospectively identified from a database using International Classification of Diseases (ICD)-9/ICD-10 codes and were cross-matched with Current Procedural Terminology codes for a TEE. Clinical and follow-up data were collected. A blinded echo board-certified cardiologist reviewed all TEEs.Results
Out of the 231 patients in the cohort, 191 had TEE performed for a noninfection-related indication while 40 TEEs were part of an endocarditis workup. A total of 50 LBEs were identified, and a majority were in the noninfection cohort. Systemic anticoagulant use in the noninfection cohort was associated with a decreased odds of having LBE on TEE (odds ratio [OR] of 0.23 [95% confidence interval [CI]: 0.06–0.60, p = .003]). Lead dwell time in the noninfection cohort was associated with an increased odds of having LBE on TEE (OR 1.21 (95% CI: 1.04–1.39, p = .009]).Conclusion
In our cohort of patients who had TEE for noninfection indications we found that systemic anticoagulant use is associated with fewer LBEs on TEEs, suggesting possible thrombin fibrin composition of LBE. 相似文献959.
Shahin C. Owji Neel Shroff Angelica S. Robinson Flavia E. Posleman Monetto 《Radiology Case Reports》2022,17(9):2919
This case report describes the occurrence of a rapidly enlarging pseudoangiomatous stromal hyperplasia (PASH) tumor in a 20-year-old male patient. The diagnosis was made via tomosynthesis and ultrasound-guided biopsy with pathological correlation consistent with PASH. The patient''s case was discussed, and he was recommended to undergo surgical resection of the mass to alleviate symptoms due to its large size. Surgical pathology confirmed the original diagnosis and the patient had an uncomplicated postoperative course. Here, we exhibit our imaging findings; review classic presentations of PASH on mammography, ultrasound, and MRI; and discuss histological characteristics of this benign entity. 相似文献