Vascular Disruption and Noncompressible Torso Hemorrhage

2016 ◽  
pp. 64-70
Author(s):  
Jonathan J. Morrison ◽  
Joseph J. DuBose
Keyword(s):  
2017 ◽  
Vol 70 ◽  
pp. 82-96 ◽  
Author(s):  
Robert G. Ellis-Hutchings ◽  
Raja S. Settivari ◽  
Alene T. McCoy ◽  
Nicole Kleinstreuer ◽  
Jill Franzosa ◽  
...  

2021 ◽  
Author(s):  
Moataz Dowaidar

Customized nanomedicines can be used in a variety of ways, including angiogenesis suppression, vascular disruption, and vascular infarction. In the angiogenesis suppression approach, VEGF, VEGFR, mTOR, EGFR, bFGF, ROS, and other components have become promising therapeutic targets. The nanomedicine system has successfully inhibited tumor neovascularization using gene silencing, chemotherapy, photothermal therapy, and other therapies. In the vascular disruption approach, VDAs supplied by nanomaterials were bonded with the bonding sites of CA4, COL, PTX, and other medications on microtubules to promote rapid disintegration of tumor vascular wall cells. Combining many medicines increased the tumor treatment outcome even more. For example, disruption of tumor blood arteries caused by nanoparticle-mediated physical methods combined with chemotherapy resulted in effective treatment in a large volume tumor model. The vascular infarction methodology uses a variety of carriers, including nanoparticles, DNA nanorobots, platelet membranes, and others, to carry thrombin, tTF, and other drugs to generate local thrombosis and provide safe and effective tumor treatment.


2018 ◽  
Vol 32 (3) ◽  
pp. 462-465 ◽  
Author(s):  
Ghassen Gader ◽  
Mouna Rkhami ◽  
Maher Ben Salem ◽  
Mohamed Badri ◽  
Kamel Bahri ◽  
...  

Abstract Chronic subdural hematoma (CSDH), which commonly affects the elderly, is one of the most frequent, but also benign neurosurgical pathologies. Burr hole drainage is the standard surgical modality for evacuation of a CSDH. This technique is known to be safe, with low morbidity and mortality rates. However, postoperative complications have occasionally been reported. We report the case of a 70-year-old man who presented a fatal brain stem hemorrhage after burr-hole drainage for unilateral chronic subdural hematoma. Asymmetrical and rapid decompression were thought to be leading to vascular disruption or sudden increase in cerebral blood flow, was probably responsible for the secondary brain stem bleeding. Therefore, a slow rate of evacuation of chronic subdural hematomas, as well as rigorous postoperative reanimation, are recommended in order to prevent serious complications.


2011 ◽  
Vol 4 (4) ◽  
pp. 223
Author(s):  
Torben K. Becker ◽  
Sai-Ching J. Yeung

Cancer patients are at an increased risk for QT interval prolongation and subsequent potentially fatal Torsade de pointes tachycardia due to the multiple drugs used for treatment of malignancies and the associated symptoms and complications. Based on a systematic review of the literature, this article analyzes the risk for prolongation of the QT interval with antineoplastic agents and commonly used concomitant drugs. This includes anthracyclines, fluorouracil, alkylating agents, and new molecularly targeted therapeutics, such as vascular disruption agents. Medications used in the supportive care can also prolong QT intervals, such as methadone, 5-HT3-antagonists and antihistamines, some antibiotics, antifungals, and antivirals. We describe the presumed mechanism of QT interval prolongation, drug-specific considerations, as well as important clinical interactions. Multiple risk factors and drug–drug interactions increase this risk for dangerous arrhythmias. We propose a systematic approach to evaluate cancer patients for the risk of QT interval prolongation and how to prevent adverse effects.


Author(s):  
S. Kunjachan ◽  
A. Detappe ◽  
R. Kumar ◽  
S. Sridhar ◽  
M. Makrigiorgos ◽  
...  

Teratology ◽  
1992 ◽  
Vol 45 (6) ◽  
pp. 647-653 ◽  
Author(s):  
M. Louise Martin ◽  
Muin J. Khoury ◽  
José F. Cordero ◽  
Grady D. Waters
Keyword(s):  

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