No abstract available.
Diagnosis* ; Humans ; Venous Thromboembolism*

No abstract available.
Diagnosis* ; Humans ; Venous Thromboembolism*

Humans ; Pulmonary Embolism ; diagnosis ; therapy ; Venous Thromboembolism ; diagnosis ; therapy

China ; epidemiology ; Humans ; Venous Thromboembolism ; diagnosis ; drug therapy ; epidemiology

Anticoagulants ; Humans ; Pulmonary Embolism/diagnosis* ; Recurrence ; Risk Factors ; Venous Thromboembolism

As the elderly population increases, occurrence of hip fractures has shown a rapid increase, and posttraumatic and postoperative venous thromboembolism can lead to fatal complications. Current prophylactic management includes mechanical and chemical prophylaxis. A 76-year-oldfemale, who was lost to follow-up after diagnosis of pulmonary thromboembolism four years ago, was admitted to our emergency room for a right intertrochanteric fracture. Before the operation, the thromboembolism recurred and was treated with anticoagulation medication. Bipolar hemiarthroplasty and fixation of the greater trochanter with a hook plate were performed 18 days after the trauma. Superficial femoral artery obstruction and venous thromboembolism occurred on the first day after the operation.
Aged ; Diagnosis ; Emergencies ; Femoral Artery* ; Femur* ; Hemiarthroplasty ; Hip Fractures ; Humans ; Lost to Follow-Up ; Pulmonary Embolism ; Thromboembolism ; Venous Thromboembolism*

Despite important advances in the diagnosis and treatment of acute pulmonary embolism (APE), assessment of risk and appropriate management of patients remains a difficult task in clinical practice. In addition to hemodynamic instability and critically clinical condition, acute right ventricular dysfunction (RVD) is a major determinant of in-hospital outcomes. The purpose of this review is to discuss the results of these recent developments. Some outcome evaluation, clinical assessment, and therapeutic implications are also included.
Female ; Humans ; Male ; Pulmonary Embolism ; diagnosis ; epidemiology ; etiology ; surgery ; Risk Factors ; Thromboembolism ; diagnosis ; epidemiology ; etiology ; surgery

We report a modified technique for pulmonary endarterectomy (PEA) on a 67-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) who presented with dyspnea. He was referred to our medical center for coronary artery bypass grafting. CTEPH had not been detected in his first visit to another medical center, but upon re-evaluation, the diagnosis was confirmed. PEA was performed with a modified method, which seems to be safe and suitable for the removal of clot and fibrotic materials. Iatrogenic dissection was performed with normal saline injection in the pulmonary artery, and then, the clot was removed completely. Although the technique may not be applicable for all cases, it can be used as an alternative to using an aspirating dissector and a pair of forceps.
Aged ; Coronary Artery Bypass ; Diagnosis ; Dyspnea ; Endarterectomy* ; Humans ; Hypertension, Pulmonary ; Peas ; Pulmonary Artery ; Surgical Instruments ; Thromboembolism

BACKGROUND: D-dimer is a specific marker of secondary fibrinolysis. D-dimer assay is widely used in the diagnosis of disseminated intravascular coagulation, deep vein thrombosis, pulmonary embolism, and arterial thromboembolism. Enzyme linked immunosorbent assays have been validated as the reference method for plasma D-dimer measurement, but it took long time. We evaluated the analytical performance of new automated coagulation system, ACL TOP, for quantification of D-dimer. METHODS: The total plasma D-dimer concentrations were measured by Nycocard and ACL TOP. To test the linearity, a serial dilution samples were prepared and measured. Between run precision of the ACL TOP D-dimer assay was evaluated with HemosIL D-Dimer controls for 20days. The correlation was evaluated using 75 plasma samples from patients. ACL TOP was evaluated according to CLSI guidelines. RESULTS: ACL TOP showed good linearity (r=0.9996) and between run coefficient of variation was within 4.0%. Coefficient of correlation between Nycocard and ACL TOP was 0.798. Positive concordance rate of ACL TOP was 67%, and negative concordance rate of ACL TOP was 80%. CONCLUSIONS: Since the ACL TOP showed a satisfactory precision, linearity, and comparative high correlation with Nycocard, and is more convenient and automatic than the Nycocard, it should be potentially beneficial in the clinical laboratories.
Diagnosis ; Disseminated Intravascular Coagulation ; Fibrinolysis ; Humans ; Plasma ; Pulmonary Embolism ; Thromboembolism ; Venous Thrombosis

A newly reported, variant form of venous thromboembolism (VTE), named as "eThrombosis"1), occurred to a patient who was a prolonged sitting position at computer. The patient fortunately recovered from the disease through the early diagnosis and treatment. Recently, the author experienced a new case of a 24-year-old Korean man who died due to "eThrombosis"after playing an internet computer game continuously for about 85 hours. Therefore, the author would like to warn heavy computer users of the risk of the "eThrombosis", as they might also have high risk factors based upon this case, and inform this at-risk group that sitting for a long time at the computer results in an immobility that is a new greater risk factor of life-threatening VTE.
Early Diagnosis ; Humans ; Internet ; Pulmonary Embolism* ; Risk Factors ; Venous Thromboembolism ; Video Games ; Young Adult