scholarly journals Risk Factors for Massive Bleeding during Surgery for Metastatic Vertebral Tumor

2013 ◽  
Vol 33 (7) ◽  
pp. 966-969
Author(s):  
Yuki KAWANA ◽  
You SUGAWARA ◽  
Shigeo TAKEBAYASHI ◽  
Kiyoyasu KURAHASHI
Keyword(s):  
Risk Factors ◽  
Massive Bleeding ◽  
Metastatic Vertebral Tumor ◽  
Vertebral Tumor

Thoracic laminectomy with spinal fixation in a nonambulatory patient with metastatic vertebral tumor from endometrial carcinoma

2016 ◽  
Vol 42 (10) ◽  
pp. 1395-1399 ◽  
Author(s):  
Sho Takeshita ◽  
Yukiharu Todo ◽  
Kazuhira Okamoto ◽  
Shinichiro Minobe ◽  
Hidenori Kato
Keyword(s):  
Endometrial Carcinoma ◽  
Spinal Fixation ◽  
Metastatic Vertebral Tumor ◽  
Vertebral Tumor

Risk Factors of Massive Bleeding Related to Pancreatic Leak after Pancreaticoduodenectomy

2005 ◽  
Vol 201 (4) ◽  
pp. 554-559 ◽  
Author(s):  
Yu-Wen Tien ◽  
Po-Huang Lee ◽  
Ching-Yao Yang ◽  
Ming-Chih Ho ◽  
Yen-Feng Chiu
Keyword(s):  
Risk Factors ◽  
Massive Bleeding ◽  
Pancreatic Leak

Traumatic vertebral artery aneurysm following blunt suboccipital trauma

VASA ◽  
2009 ◽  
Vol 38 (2) ◽  
pp. 177-180 ◽  
Author(s):  
Chiang ◽  
Yeh ◽  
Lo ◽  
Hsieh ◽  
Yang
Keyword(s):  
Risk Factors ◽  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Rare Case ◽  
Artery Aneurysm ◽  
Massive Bleeding ◽  
Parent Artery ◽  
Collateral Flow ◽  
Surgical Clipping ◽  
Incidence Risk

Traumatic vertebral artery (VA) injury has been neglected and mistaken to be innocuous. Herein, we present a rare case with a as subarachnoid hemorrhage (SAH) following blunt suboccipital trauma. Initially, it was mistaken as a saccular aneurysm and was just coincident with traumatic SAH. Surgical clipping was performed by our senior neurosurgeon and looked secure. But massive bleeding occurred before complete closure of the dura wound. Opening the wound again, blood gushed out from the junction of the aneurysm and the parent artery. Because preoperative angiography evaluation had revealed good collateral flow from the contralateral VA, the involved segment of VA was trapped. The patient recovered well with uneventful course. Blunt suboccipital trauma may result in traumatic VA injury which may cause catastrophic complications if neglected. The incidence, risk factors, the pathophysiology of traumatic VA aneurysm, and the treatments are reviewed.

scholarly journals Sacral insufficiency fractures are a risk of massive bleeding during sacrectomy: patient series

2021 ◽  
Vol 2 (22) ◽  
Author(s):  
David C. Kieser ◽  
Scheherezade Soltani ◽  
Niels Hammer ◽  
Amir Koutp ◽  
Eleanor Hughes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Significant Risk ◽  
Iliac Vein ◽  
Massive Bleeding ◽  
Tumor Type ◽  
Insufficiency Fractures ◽  
Anatomical Dissection ◽  
Internal Iliac ◽  
Life Threatening ◽  
Sacral Insufficiency Fractures

BACKGROUND Sacrectomy carries significant risk of bleeding; however, specific risk factors, apart from medical comorbidities and tumor type, for this life-threatening complication remain unclear. This study describes two cases of massive bleeding, including one death during sacrectomy attributable to adherence of the internal iliac vein (IIV) and its neuroforaminal tributaries from sacral insufficiency fractures. OBSERVATIONS The authors presented two cases involving patients who received sacrectomy for a chordoma and experienced massive bleeding from the IIV due to adherence of the IIV and its neuroforaminal tributaries around sacral insufficiency fractures. They assessed their institution’s previous two decades’ experience of sacrectomies to determine risk factors for massive bleeding and performed anatomical dissection of 20 hemipelvises, which revealed the close proximity of the IIV to the sacral foraminae and the consistency of neuroforaminal tributaries arising from the foraminae. LESSONS Sacral insufficiency fractures may cause scarring that adheres to the IIV and its neuroforaminal tributaries, which risks massive bleeding during sacrectomy.

scholarly journals Re-exploration for bleeding after cardiac surgery: revaluation of urgency and factors promoting low rate

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ahmed Abdelrahman Elassal ◽  
Khalid Ebrahim Al-Ebrahim ◽  
Ragab Shehata Debis ◽  
Ehab Sobhy Ragab ◽  
Mazen Shamsaldeen Faden ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Postoperative Bleeding ◽  
Elevated Serum ◽  
High Body Mass Index ◽  
Massive Bleeding ◽  
Morbidity And Mortality ◽  
Low Rate

Abstract Background Re-exploration of bleeding after cardiac surgery is associated with significant morbidity and mortality. Perioperative blood loss and rate of re-exploration are variable among centers and surgeons. Objective To present our experience of low rate of re-exploration based on adopting checklist for hemostasis and algorithm for management. Methods Retrospective analysis of medical records was conducted for 565 adult patients who underwent surgical treatment of congenital and acquired heart disease and were complicated by postoperative bleeding from Feb 2006 to May 2019. Demographics of patients, operative characteristics, perioperative risk factors, blood loss, requirements of blood transfusion, morbidity and mortality were recorded. Logistic regression was used to identify predictors of re-exploration and determinants of adverse outcome. Results Thirteen patients (1.14%) were reexplored for bleeding. An identifiable source of bleeding was found in 11 (84.6%) patients. Risk factors for re-exploration were high body mass index, high Euro SCORE, operative priority (urgent/emergent), elevated serum creatinine and low platelets count. Re-exploration was significantly associated with increased requirements of blood transfusion, adverse effects on cardiorespiratory state (low ejection fraction, increased s. lactate, and prolonged period of mechanical ventilation), longer intensive care unit stay, hospital stay, increased incidence of SWI, and higher mortality (15.4% versus 2.53% for non-reexplored patients). We managed 285 patients with severe or massive bleeding conservatively by hemostatic agents according to our protocol with no added risk of morbidity or mortality. Conclusion Low rate of re-exploration for bleeding can be achieved by strict preoperative preparation, intraoperative checklist for hemostasis implemented by senior surgeons and adopting an algorithm for management.

scholarly journals Tracheoinnominate Artery Fistula Post Tracheostomy: A case report and literature review

2019 ◽  
Vol 3 (4) ◽  
pp. 238
Author(s):  
Amy O ◽  
Ram Kumar Sharma Shanmugam ◽  
Nik MohdYunus ◽  
Jo-Lynn Jean D’Oliveiro ◽  
Zakinahbt Yahaya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Rare Case ◽  
Late Complication ◽  
Health Sciences ◽  
Massive Bleeding ◽  
Common Procedure ◽  
Multiple Risk Factors ◽  
Life Saving ◽  
Salvage Neck Dissection

Tracheostomy is a common procedure in otorhinolaryngology and it is not without its own complications. Tracheoinnominate artery fistula is one of the late complication of tracheostomy. It commonly results in fatality if not detected and treated early. Herein, we present a rare case of a patient with underlying nasopharyngeal carcinoma post radiotherapy, cryotherapy and salvage neck dissection with tracheoinnominate artery fistula as a consequence of tracheostomy who defied statistics and was successfully stented. Objective of this case report is to create awareness regarding the differential diagnosis of massive bleeding from tracheostomy and immediate life saving measures the can be undertakenin addition to theneed to be vigilant in a patient with multiple risk factors that predisposes to the occurrence of tracheoinnominate artery fistula.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 238-240

Risk Factors for Massive Bleeding during Major Hepatectomy

2010 ◽  
Vol 34 (7) ◽  
pp. 1555-1562 ◽  
Author(s):  
Ken Shirabe ◽  
Kiyoshi Kajiyama ◽  
Norifumi Harimoto ◽  
Eiji Tsujita ◽  
Shigeki Wakiyama ◽  
...  
Keyword(s):  
Risk Factors ◽  
Major Hepatectomy ◽  
Massive Bleeding

Long-term pain relief effects in four patients undergoing percutaneous vertebroplasty for metastatic vertebral tumor

2004 ◽  
Vol 18 (4) ◽  
pp. 292-295 ◽  
Author(s):  
Keisuke Yamada ◽  
Yoshihisa Matsumoto ◽  
Masaki Kita ◽  
Ken Yamamoto ◽  
Takeshi Kobayashi ◽  
...  
Keyword(s):  
Pain Relief ◽  
Percutaneous Vertebroplasty ◽  
Metastatic Vertebral Tumor ◽  
Vertebral Tumor

scholarly journals Risk factors for massive bleeding based on angiographic findings in patients with placenta previa and accreta who underwent balloon occlusion of the internal iliac artery during cesarean section

2019 ◽  
Vol 92 (1102) ◽  
pp. 20190127
Author(s):  
Hiroyuki Tokue ◽  
Azusa Tokue ◽  
Yoshito Tsushima ◽  
Takeshi Kameda
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Massive Bleeding ◽  
Balloon Occlusion ◽  
Round Ligament ◽  
Internal Iliac ◽  
Angiographic Findings

Objective: We evaluated the risk factors for massive bleeding based on angiographic findings in patients with placenta previa and accreta who underwent balloon occlusion of the internal iliac artery (BOIA) during cesarean section. Methods: We performed a retrospective analysis using the clinical records of 42 patients with placenta previa and accreta who underwent BOIA during cesarean section between 2006 and 2017 in Gunma university hospital. We reviewed incidence of collateral arteries to the uterus on the initial aortography. We evaluated the visualization of the ovarian artery arising directly from the abdominal aorta, round ligament artery arising from the external iliac artery/inferior epigastric artery, and the iliolumbar artery. In addition, the clinical characteristics were reviewed. Patients with an estimated blood loss during delivery of >2500 ml, >4 packed red blood cell transfusions, uterine artery embolization after delivery, or hysterectomy were defined as the massive bleeding group. We compared between the massive and non-massive bleeding groups. Results: 20 patients (48%) had a massive bleeding. No procedure-related severe complications were observed. The massive and non-massive bleeding groups differed in terms of operation time (p < 0.001), hysterectomy (p < 0.001), post-operative hospital stay (p < 0.05), and visualization of round ligament arteries to the uterus [15/20 (75%) patients, p < 0.01]. Conclusion: The incidence of collateral blood supply from a round ligament artery to the uterus may be a risk factor for massive bleeding in patients with placenta previa and accreta who have undergone BOIA during cesarean section. Advances in knowledge: Angiographic visualization of collateral circulation from the round ligament artery to the uterus may be a risk factor for massive bleeding in patients with placenta previa and accreta who have undergone BOIA during cesarean section.

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