scholarly journals Diagnosis and treatment of heart tamponade (a literature review)

2021 ◽  
Vol 10 (2) ◽  
pp. 102-112
Author(s):  
A. V. Evtushenko ◽  
R. S. Tarasov ◽  
S. E. Mamchur ◽  
D. L. Shukevich ◽  
D. I. Lebedev ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Treatment Strategies ◽  
Diagnosis And Treatment ◽  
Decision Making Process ◽  
Surgical Drainage ◽  
Review Of The Literature ◽  
Risk Patients ◽  
Additional Support

Highlights. Current and emerging approaches in diagnosis and treatment strategies in cardiac tamponade are discussed. Particular attention is focused on the choice between pericardiocentesis or open surgical drainage as live-saving approaches to treat pericardial effusion in patients with urgent conditions.The article provides a systematic review of the literature on current and emerging approaches in the diagnosis and treatment of cardiac tamponade. We explored the decision-making process in diagnosis and treatment of pericardial decompression in pericardial effusion to provide clinicians with additional support in the assessment of high-risk patients requiring immediate intervention and those patients who should be transferred to specialized clinics and/or can be safely delayed for pericardiocentesis. The complex issues of choosing between pericardiocentesis or open surgical drainage of pericardial effusion to save the lives of patients with urgent conditions are considered. In addition, the practical aspects of manipulations and technologies for monitoring their implementation are highlighted.

scholarly journals Anatomic variations of internal jugular vein, inferior petrosal sinus and its confluence pattern: Implications in inferior petrosal sinus catheterization

2015 ◽  
Vol 21 (6) ◽  
pp. 769-773 ◽  
Author(s):  
Xianli Lv ◽  
Zhongxue Wu
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Treatment Strategies ◽  
Diagnosis And Treatment ◽  
Inferior Petrosal Sinus ◽  
Anatomic Variations ◽  
Review Of The Literature ◽  
Spiral Computed ◽  
Intracranial Lesions

Objective The purpose of this study is to describe anatomic variations of the internal jugular vein (IJV), inferior petrosal sinus (IPS) and their confluence pattern and implications in IPS catheterization. The anatomic route of IPS after going out of the cranium and its confluence patterns with IJV and will supply knowledge about typing of IPS-IJV junction. Method A review of the literature was performed. Results There might be different routes for entering the intracranial segment of the IPS and multislice spiral computed tomography (MSCT) is effective in identifying the confluences of the IPS with the IJV and their courses. It is important to find the confluence of IPS with IJV for diagnosis and treatment of intracranial lesions via venous route. Meanwhile, IPS diameter at the confluence can significantly affect success of catheterization. Conclusion The classification and the theory of the development of the caudal end of the IPS may be useful in establishing treatment strategies that involve endovascular manipulation via the IPS.

Facial Schwannoma Management Outcomes: A Systematic Review of the Literature

2020 ◽  
Vol 163 (2) ◽  
pp. 293-301
Author(s):  
Matthew Bartindale ◽  
Jeffrey Heiferman ◽  
Cara Joyce ◽  
Douglas Anderson ◽  
John Leonetti
Keyword(s):  
Systematic Review ◽  
Facial Nerve ◽  
Stereotactic Radiosurgery ◽  
Management Strategies ◽  
Treatment Strategies ◽  
Tumor Location ◽  
Subtotal Resection ◽  
Review Of The Literature ◽  
Total Resection ◽  
Clinical Scenarios

Objective To evaluate facial nerve outcomes of various management strategies for facial schwannomas by assimilating individualized patient data from the literature to address controversies in management. Data Sources PubMed–National Center for Biotechnology Information and Scopus databases. Review Methods A systematic review of the literature was performed for studies regarding facial schwannomas. Studies were included if they presented patient-level data, type of intervention, pre- and postintervention House-Brackmann (HB) grades, and tumor location by facial nerve segment. Results Individualized data from 487 patients were collected from 31 studies. Eighty (16.4%) facial schwannomas were managed with observation, 25 (5.1%) with surgical decompression, 20 (4.1%) with stereotactic radiosurgery, 225 (46.2%) with total resection, and 137 (28.1%) with subtotal resection/stripping surgery. Stripping surgery/subtotal resection with good preoperative facial nerve function maintained HB grade 1 or 2 in 96% of cases. With a total resection of intradural tumors, preoperative HB grade did not significantly affect facial nerve outcome (n = 45, P = .46). However, a lower preoperative HB grade was associated with a better facial nerve outcome with intratemporal tumors (n = 56, P = .009). When stereotactic radiosurgery was performed, 40% of patients had improved, 35% were stable, and 25% had worsened facial function. Facial nerve decompression rarely affected short-term facial nerve status. Conclusion The data from this study help delineate which treatment strategies are best in which clinical scenarios. The findings can be used to develop a more definitive management algorithm for this complicated pathology.

Evolution of treatment strategies for oligometastatic NSCLC patients – A systematic review of the literature

2019 ◽  
Vol 80 ◽  
pp. 101892 ◽  
Author(s):  
Daniel H. Schanne ◽  
Jana Heitmann ◽  
Matthias Guckenberger ◽  
Nicolaus H.J. Andratschke
Keyword(s):  
Systematic Review ◽  
Treatment Strategies ◽  
Review Of The Literature ◽  
Nsclc Patients

scholarly journals Atypical presentation of cardiac tamponade in pulmonary hypertension , a case report and review of the literature

2021 ◽  
Author(s):  
Zahra Ansari Aval ◽  
Mohsen Mirhosseini ◽  
Sepideh Jafari Naeini
Keyword(s):  
Pulmonary Hypertension ◽  
Case Report ◽  
Systemic Sclerosis ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Young Woman ◽  
Therapeutic Approach ◽  
Left Ventricular ◽  
Atypical Presentation ◽  
Review Of The Literature

A young woman with systemic sclerosis, hypothyroidism and pulmonary hypertension was admitted to our center with massive pericardial effusion and left ventricular (LV) collapse. Despite undergoing successful pericardiocentesis, she passed away a month later. The best therapeutic approach in this situation remains to be determined

scholarly journals Prenatal Diagnosis of Cardiac Diverticulum with Pericardial Effusion in the First Trimester of Pregnancy with Resolution after Early Pericardiocentesis

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Raquel Garcia Rodriguez ◽  
Azahara Rodriguez Guedes ◽  
Raquel Garcia Delgado ◽  
Lourdes Roldan Gutierrez ◽  
Margarita Medina Castellano ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prenatal Diagnosis ◽  
Pericardial Effusion ◽  
First Trimester ◽  
Fetal Life ◽  
Review Of The Literature ◽  
Rare Anomaly ◽  
First Trimester Of Pregnancy

Cardiac diverticulum is a rare anomaly, which may present in association with pericardial effusion. Only few cases diagnosed during fetal life have been published and only in 12 cases pericardiocentesis was made with good postnatal outcomes in 83% of the cases. In the first trimester of pregnancy only 6 cases were reported. We described the largest series of cases published. We describe a case of cardiac diverticulum complicated with pericardial effusion during the first trimester of pregnancy and resolved by intrauterine pericardiocentesis at 17 weeks of pregnancy. We made a systematic review of the literature with the cases reported of cardiac diverticulum, management, and outcomes.

scholarly journals Biliary Atresia: A Systematic Review of Etiology, Pathogenesis, Diagnosis and Treatment

2020 ◽  
Vol I (3) ◽  
pp. 43-49
Author(s):  
Julio César Moreno Alfonso
Keyword(s):  
Systematic Review ◽  
Liver Transplantation ◽  
Biliary Atresia ◽  
Clinical Features ◽  
Bile Flow ◽  
Neonatal Jaundice ◽  
Diagnosis And Treatment ◽  
Preventive Strategies ◽  
Review Of The Literature ◽  
Common Indication

Biliary Atresia (BA) is an uncommon, progressive and idiopathic fibro-obliterative cholangiopathy. The typical clinical features should be identified prompt in order to realize a Kasai Hepatoportoenterostomy (HPE) for restore the bile flow. However, despite HPE the BA remains the most common indication for liver transplantation in children. The lasts studies have shown the importance of virus, immunity and other environmental substances in pathogenesis of BA that is important in order to look for new therapeutic and preventive strategies. This article is a systematic review of the literature about actual evidence in BA. Keywords: Biliary atresia; Neonatal jaundice; Kasai hepatoportoenterostomy; Liver transplantation

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