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RM: Laparoscopic versus open partial nephrectomy: analysis of the. PN is absolutely indicated for
patients with an anatomically or. Our case was quite atypical in that our patient had multiple episodes
of self-limiting overt bleeding over the course of two years, which is in stark contrast to the
paradigm of “herald bleeding” followed by a second catastrophic bleed, which is often fatal in
secondary AEFs. Therefore, we suggest that care must be taken to ensure that the. We suggest
including clinical history (age, sex, original surgery), physical findings (paying special attention to
presenting symptoms—specifically, if there was there a herald bleed, type of GIB and length of
time), duration of original implant to secondary AEF, secondary AEF location, duration of secondary
AEF symptoms to treatment, intervention, and outcome in these case reports. Zhejiang Provincial
Natural Science Foundation of China (No. On day 5 post-procedure, patient complained of pulsatile
swelling with minimal tenderness on palpation over the right radial artery. The rotablation and
stenting to the RCA was again performed via right radial approach using 6-French radial sheath
(Terumo Medical Corporation). The objective was to find the similarities in these cases and thus
propose a diagnostic workup, or guideline, for identifying this specific type of bleed in comparison
to other gastroenteric bleeds. If this is the first time you use this feature, you will be asked to
authorise Cambridge Core to connect with your account. We offer laser treatment, which can cure all
above diseases within less period of time. Saers SJ, Scheltinga MR. Primary aortoenteric fistula.
However, it is still a necessary test to rule out other more commonly encountered etiologies causing
massive upper gastrointestinal bleeding. Even previous exploratory laparotomy had also been
performed to exclude a secondary AEF and was reportedly negative, as was the patient’s physical
exam. For three urethrovaginal fistulas transvaginal layered repair was carried out. No complication
was noted following initial angiography. Reoperation was performed on the 16th postoperative day
to explore the left kidney and ureter in order to relieve the obstruction. J Interv Cardiol.
2015;28(3):305-312. doi pubmed Dehghani P, Culig J, Patel D, Kraushaar G, Schulte P. In view of
this, these studies have recommended that a conservative approach be the first-line treatment option
for patients with AV fistula formation. Camille S Thelin, Jared T Geist, John J Hutchings, Daniel L
Raines. YK Fong, Queen Mary Hospital. Agenda. Introduction Etiology and pathogenesis
Classification Management approach of anal fistula Assessment Surgical options Recent advances in
surgical treatment. Bosniak M and Morales P: Partial nephrectomy for renal cell. We might go so far
as saying that it should be assumed, and that diagnostic imaging should be used to corroborate that
assumption. Armstrong PA, Back MR, Wilson JS, Shames ML, Johnson BL, Bandyk DF. The left
proximal ureter was found to be enfolded by fibrin glue and showed marked stiffness and adhesion
during the reoperation. J Cardiovasc Med (Hagerstown). 2012;13(1):50-52. doi pubmed This is an
open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited. Nadler RB and Smith ND: Risk factors and management of urine leaks. An
ultrasound Doppler was arranged which confirmed small AV fistula connecting the right radial artery
with a superficial vein over the access site ( Fig. 1 ). The AV fistula was managed conservatively with
TR Terumo band application for 24 h and limb elevation. Patient was commenced on dual
antiplatelet therapy (aspirin and clopidogrel), and his warfarin was recommenced with bridging
clexane cover. Trans-abdominal and vaginal repair of vesicovaginal fistulas was undertaken in 29 and
7 patients respectively.
Arteriovenous fistula of the wrist after transradial coronary intervention. Heart Lung.
2012;41(2):203-206. doi pubmed Jolly SS, Yusuf S, Cairns J, Niemela K, Xavier D, Widimsky P,
Budaj A, et al. The time to diagnosis can be variable from weeks up to a year from the angiography
procedure. Complications after radical and partial nephrectomy as a function. Herein, an autopsy
case of an ovarian mucinous cystic tumor complicated by an abscess, along with a review of
previous cases, suggests the necessity of considering ovarian abscess as a cause of inflammation in
patients with the ovarian tumors. It consists of abdominal pain, a sentinel hemorrhage, followed by a
massive gastrointestinal bleed—after an interval free of symptoms—that can lead to exsanguination.
Reoperation was performed on the 16th postoperative day to explore the left kidney and ureter in
order to relieve the obstruction. AEFs can be further subclassified as primary or secondary fistulas.
Baril DT, Carroccio A, Ellozy SH, Palchik E, Sachdev U, Jacobs TS, Marin ML. You can download
the paper by clicking the button above. This report also reviewed existing literature on management
strategies for iatrogenic radial AV fistula. J Am Coll Cardiol. 2004;44(2):349-356. doi pubmed Yang
JH, Gwon HC, Park JE, Song YB. In our case, our patient first noticed his pulsatile mass 5 days
after his procedure, which was relatively early in onset. Upgrade your browser today or install
Google Chrome Frame to better experience this site. Arteriovenous fistula as a complication of
transradial coronary angiography: a case report. Eleven articles were excluded for including
information only about primary aortoenteric fistulas. Find out more about the Kindle Personal
Document Service. By using this service, you agree that you will only keep content for personal use,
and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Some
of the articles included several case reports within, and therefore a total of 42 patients were involved
in this study. Fistula treatment includes surgical procedures like fistulotomy, lift procedure, and
advanced flap procedures, to name a few. The objective was to reduce complications from secondary
AEFs, for they can often be calamitous. This location is probably because of the relatively
unsupported nature of the rectal wall in that location. The patient was able to be discharged soon
thereafter with no complications. It was initially positive for fistula in only 5 patients, while being
negative for 15 patients. The primary causes of fistula include infections, trauma, tumours,
inflammatory disorders, cancer, and side effects of past surgeries. Camille S Thelin, Jared T Geist,
John J Hutchings, Daniel L Raines. For three urethrovaginal fistulas transvaginal layered repair was
carried out. Other etiologies include ulcers, tumor invasion, trauma, radiation therapy, and foreign
body perforation. One interesting case even mentioned a fistula distal to the Ampulla of Vater, at the
junction of the common bile duct and main pancreatic duct. We support the use of conservative
management as the first-line treatment option for transradial AV fistula, with surgical options
reserved for cases involving limb vascular compromise and cardiac insufficiency.
The radial artery sheath was removed immediately after the procedure and hemostasis was achieved
by application of an adjustable plastic clamp of the radial artery (TR Terumo band). The following
discussion summarizes that data (Table 1). Other etiologies include ulcers, tumor invasion, trauma,
radiation therapy, and foreign body perforation. Overall, the patient had required multiple
admissions for blood transfusions over a year, receiving upwards of 30 units in all. If this
communication fails to heal, then a fistula is formed. Greskovich FJ III, Stephenson RA and
Lichtiger B: Fibrin glue for. Even previous exploratory laparotomy had also been performed to
exclude a secondary AEF and was reportedly negative, as was the patient’s physical exam. Thus, the
focus of the reports is mainly on the types of interventions made once a secondary AEF was
identified and not on the methods of identification, nor the presentation of the patient. One
interesting case even mentioned a fistula distal to the Ampulla of Vater, at the junction of the
common bile duct and main pancreatic duct. No complication was noted following initial
angiography. We suggest including clinical history (age, sex, original surgery), physical findings
(paying special attention to presenting symptoms—specifically, if there was there a herald bleed,
type of GIB and length of time), duration of original implant to secondary AEF, secondary AEF
location, duration of secondary AEF symptoms to treatment, intervention, and outcome in these
case reports. Eleven articles were excluded for including information only about primary aortoenteric
fistulas. By using this service, you agree that you will only keep content for personal use, and will
not openly distribute them via Dropbox, Google Drive or other file sharing services. Dr John Wong
PYNEH. Etiology. Cryptoglandular theory Trauma Foreign body Iatrogenic Malignancy Crohn’s
disease Tuberculosis HIV. J.G.Williams et al. Colorectal Disease 2007. Radial versus femoral access
for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a
randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409-1420. The intricate
diagnostic challenges arising from the patient’s complex medical history underscore the significance
of a multidisciplinary approach. This high variability makes diagnosing secondary AEFs a difficult
task. The results of CT and MR urography revealed left proximal ureteral obstruction and urinary
fistula. Repeat Doppler ultrasound of right radial artery (transverse view) showing resolution of AV
fistula with no flow between radial artery and cephalic vein (arrow). Dr. Wong Siu Wang North
District Hospital Joint Hospital Surgical Grand Round Sept 2006. By using this service, you agree
that you will only keep content for personal use, and will not openly distribute them via Dropbox,
Google Drive or other file sharing services. Nonoperative treatment of effective drainage, prevention
of. AEFs can be further subclassified as primary or secondary fistulas. J Cardiovasc Med
(Hagerstown). 2012;13(1):50-52. doi pubmed This is an open-access article distributed under the
terms of the Creative Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work is properly cited. Peschel R:
Haemostatic sealants in nephron-sparing surgery: what. Help me understand this report Search
citation statements Order By: Relevance Paper Sections Select. The main hindrance being that the
case reports do not properly identify the interval of time from the initial “sentinel” bleed to the
second large bleed. The majority of literature on transradial AV fistula is based on case reports, with
timing of AV fistula diagnosis ranging from weeks up to 1 year post-angiography. The First
Affiliated Hospital, Zhejiang University, Zhejiang, China. The clamp was gradually released over few
hours while the access site was monitored for bleeding and hematoma.
This high variability makes diagnosing secondary AEFs a difficult task. GIB was defined using many
different terminologies, such as “acute rectal bleeding,” “rectorrhagia,” “hematochezia,” “melena,”
“hematemesis,” “bloody stools,” “GIB,” “LGIB,” and “UGIB.”. The majority of literature on
transradial AV fistula is based on case reports, with timing of AV fistula diagnosis ranging from
weeks up to 1 year post-angiography. Radial versus femoral approach for percutaneous coronary
diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized
trials. All fistulas were repaired three months or more after formation. Unusual Vascular
Complications Associated with Transradial Coronary Procedures Among 10,324 Patients: Case
Based Experience and Treatment Options. Fistula treatment includes surgical procedures like
fistulotomy, lift procedure, and advanced flap procedures, to name a few. Classification. Parks
classification Intersphincteric Trans-sphincteric Supra-sphincteric Extra-sphincteric High vs Low
Simple vs Complex. Close this message to accept cookies or find out how to manage your cookie
settings. To browse Academia.edu and the wider internet faster and more securely, please take a few
seconds to upgrade your browser. We also reviewed the existing literature on management strategies
for transradial AV fistula. No complication was noted following initial angiography. Nonoperative
treatment of effective drainage, prevention of. This is a mark of faith that the products comply with
international standards. At follow-up, the patient has had no recurrence of GI bleeding. Vithai Piles
clinic one of the top piles clinic in Pune for Piles or Hemorrhoid Treatment. You can download the
paper by clicking the button above. This location is probably because of the relatively unsupported
nature of the rectal wall in that location. Evolving strategies for the treatment of aortoenteric fistulas.
This is in stark contrast to the paradigm of “herald bleeding” followed by second catastrophic bleed,
which is often fatal. Our experience suggests that care should be taken to avoid touching the ureter
with fibrin glue during PN surgery. In conclusion, AV fistula is a rare complication from transradial
angiography. Our experience with this early case of AV fistula provides further support to this
management approach, with successful resolution following conservative treatment mechanical
compression for 24 h. Here we describe a rare early case of transradial AV fistula complicating
coronary intervention which was managed conservatively with mechanical compression. No
complications from the surgical ligation itself were identified from these cases. Here, we present a
case of bleeding from a secondary AEF with an unusual pattern. If this is the first time you use this
feature, you will be asked to authorise Cambridge Core to connect with your account. There were a
total of 4 repeat EGDs; with 100% being negative for fistula, while 50% identified ulcers. The
intricate diagnostic challenges arising from the patient’s complex medical history underscore the
significance of a multidisciplinary approach. The search produced 43 articles that had been filtered
for English translation and human species.
Interestingly, five patients benefited primarily from the contrast used in CT scanning and not the
scan itself, for the secondary AEF was identified due to extravasation of contrast (either Visipaque
or Gastrografin). Please note that, during the production process, errors may be discovered which
could affect the content, and all legal disclaimers that apply to the journal pertain. Champion MC,
Sullivan SN, Coles JC, Goldbach M, Waltson WC. Thus, the focus of the reports is mainly on the
types of interventions made once a secondary AEF was identified and not on the methods of
identification, nor the presentation of the patient. Baril DT, Carroccio A, Ellozy SH, Palchik E,
Sachdev U, Jacobs TS, Marin ML. Thus, we conclude as many before us in those patients with
previous aortic grafts and a presentation of some type of GIB, a secondary aortoenteric fistula should
be at the forefront of the differential diagnosis. See Full PDF Download PDF About Press Blog
People Papers Topics Job Board We're Hiring. Russo P: Complications of radical and partial
nephrectomy in a. The patient was able to be discharged soon thereafter with no complications.
February 2011 after 20 days of moderate left lower back pain. The objective was to find the
similarities in these cases and thus propose a diagnostic workup, or guideline, for identifying this
specific type of bleed in comparison to other gastroenteric bleeds. The primary causes of fistula
include infections, trauma, tumours, inflammatory disorders, cancer, and side effects of past
surgeries. In view of this, these studies have recommended that a conservative approach be the first-
line treatment option for patients with AV fistula formation. This report also reviewed existing
literature on management strategies for iatrogenic radial AV fistula. YK Fong, Queen Mary Hospital.
Agenda. Introduction Etiology and pathogenesis Classification Management approach of anal fistula
Assessment Surgical options Recent advances in surgical treatment. Camille S Thelin, Jared T Geist,
John J Hutchings, Daniel L Raines. Even previous exploratory laparotomy had also been performed
to exclude a secondary AEF and was reportedly negative, as was the patient’s physical exam. We
offer laser treatment, which can cure all above diseases within less period of time. Evolving strategies
for the treatment of aortoenteric fistulas. He did not complain of finger claudication or numbness,
and the Allen’s test remained normal. TOAs can occur secondary to intra?abdominal lesions such as
appendicitis 3 and diverticulitis 4,5. Anticoagulation was administered with heparin 12,000 units.
Autologous fibrin glue using the Vivostat system for hemostasis in. The left proximal ureter was
found to be enfolded by fibrin glue and showed marked stiffness and adhesion during the
reoperation. Incidence, presentation recognition, and management. However, the outcome was not
grim for all patients: 20 of the 42 patients were recorded as being healthy at follow-up. The authors
of this report agree that a conservative approach should be the default first-line treatment option for
patient with this unusual complication. The main hindrance being that the case reports do not
properly identify the interval of time from the initial “sentinel” bleed to the second large bleed.
Improved outcomes in the recent management of secondary aortoenteric fistula. Catheter Cardiovasc
Interv. 2011;78(6):840-846. doi pubmed Na KJ, Kim MA, Moon HJ, Lee JS, Choi JS.
Help me understand this report Search citation statements Order By: Relevance Paper Sections
Select. Heikkinen L, Valtonen M, Lepantalo M, Saimanen E, Jarvinen A. Two patients had trans-
abdominal closure of vesicouterine fistulas. European Association of Urology Guideline Group:
EAU guidelines on. Our experience suggests that care should be taken to avoid touching the ureter
with fibrin glue during PN surgery. The main hindrance being that the case reports do not properly
identify the interval of time from the initial “sentinel” bleed to the second large bleed. Trans-
abdominal and vaginal repair of vesicovaginal fistulas was undertaken in 29 and 7 patients
respectively. Introduction 2 Discussion 1 Case History 1 Manuscript 1 Citation Types Supporting 0
Mentioning 5 Contrasting 0 Unclassified 1 Year Published 2022 2022 2023 2023 Publication Types
Select. Conflict of Interest The authors have no conflict of interest to declare. Klein EA and Novick
AC: Retroperitoneal laparoscopic radical. The majority of literature on transradial AV fistula is based
on case reports, with timing of AV fistula diagnosis ranging from weeks up to 1 year post-
angiography. Eleven articles were excluded for including information only about primary aortoenteric
fistulas. Thus, the focus of the reports is mainly on the types of interventions made once a secondary
AEF was identified and not on the methods of identification, nor the presentation of the patient. The
fistula failed to resolve on 1-year follow-up but due to ongoing stable hemodynamic status, the
management approach was continued. Patient was commenced on dual antiplatelet therapy (aspirin
and clopidogrel), and his warfarin was recommenced with bridging clexane cover. The results of CT
and MR urography revealed left proximal ureteral obstruction and urinary fistula. Transradial cardiac
catheterization: a review of access site complications. By using this service, you agree that you will
only keep content for personal use, and will not openly distribute them via Dropbox, Google Drive
or other file sharing services. Greskovich FJ III, Stephenson RA and Lichtiger B: Fibrin glue for.
Here, we present a case of bleeding from a secondary AEF with an unusual pattern. The RCA lesion
was wired with a 0.014 inch Runthrough Extra Floppy wire (Terumo Medical Corporation) with
balloon exchange to a Rota-Floppy wire (Boston Scientific). Can J Cardiol. 2009;25(6):e206. doi
Kanei Y, Kwan T, Nakra NC, Liou M, Huang Y, Vales LL, Fox JT, et al. Complications after radical
and partial nephrectomy as a function. Russo P: Complications of radical and partial nephrectomy in
a. He also underwent diagnostic transradial coronary angiography using a 5-French radial sheath
with Judkins 3.5 catheters (Terumo Medical Corporation) which revealed significant calcification and
stenosis in mid right coronary artery (RCA). Content may require purchase if you do not have
access.) Cited by Loading. TOAs can occur secondary to intra?abdominal lesions such as
appendicitis 3 and diverticulitis 4,5. J Cardiovasc Med (Hagerstown). 2012;13(1):50-52. doi pubmed
This is an open-access article distributed under the terms of the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited. The shortest follow-up period recorded was at two months, while the
longest was at six years. No complications from the surgical ligation itself were identified from these
cases.
Aortoenteric Fistula after endovascular abdominal aortic aneurysm repair: case report and review.
Unusual Vascular Complications Associated with Transradial Coronary Procedures Among 10,324
Patients: Case Based Experience and Treatment Options. Nonoperative treatment of effective
drainage, prevention of. Autologous fibrin glue using the Vivostat system for hemostasis in. Two
patients had trans-abdominal closure of vesicouterine fistulas. YK Fong, Queen Mary Hospital.
Agenda. Introduction Etiology and pathogenesis Classification Management approach of anal fistula
Assessment Surgical options Recent advances in surgical treatment. TOAs can occur secondary to
intra?abdominal lesions such as appendicitis 3 and diverticulitis 4,5. The radial artery sheath was
removed immediately after the procedure and hemostasis was achieved by application of an
adjustable plastic clamp of the radial artery (TR Terumo band). Our case was quite unusual in that
our patient had multiple episodes of self-limiting overt bleeding over the course of 2 years. Push
enteroscopy was performed and the presumed fistulous tract associated with adherent blood clot was
discovered (Figure 2: Push enteroscopic images showing a suture confirming presence of
aortoenteric fistula—marked by red arrows—and the cause of the patient’s recurrent obscure overt
gastrointestinal bleeding). This report also reviewed existing literature on management strategies for
iatrogenic radial AV fistula. Incidence, presentation recognition, and management. Evolving
strategies for the treatment of aortoenteric fistulas. Eleven articles were excluded for including
information only about primary aortoenteric fistulas. This sentinel hemorrhage is often referred to as
the “herald hemorrhage” or “herald bleed,” for this bleed is an indication of something that is going
to occur. This version will undergo additional copyediting, typesetting and review before it is
published in its final form, but we are providing this version to give early visibility of the article.
This is in stark contrast to the paradigm of “herald bleeding” followed by second catastrophic bleed,
which is often fatal. J Am Coll Cardiol. 2004;44(2):349-356. doi pubmed Yang JH, Gwon HC, Park
JE, Song YB. Close this message to accept cookies or find out how to manage your cookie settings.
RM: Laparoscopic versus open partial nephrectomy: analysis of the. By using this service, you agree
that you will only keep content for personal use, and will not openly distribute them via Dropbox,
Google Drive or other file sharing services. At follow-up, the patient has had no recurrence of GI
bleeding. We also reviewed the existing literature on management strategies for transradial AV
fistula. By Mike Parenteau. Anal Fissure. an unnatural crack or tear in the anus, usually extending
from the anal opening and located posteriorly in the midline. Fistula treatment includes surgical
procedures like fistulotomy, lift procedure, and advanced flap procedures, to name a few. A decision
was made for elective rotablation and stenting of RCA 1 month post-PPM with pre-procedural
warfarin cessation and bridging anticoagulation via clexane. Dr. Wong Siu Wang North District
Hospital Joint Hospital Surgical Grand Round Sept 2006. To browse Academia.edu and the wider
internet faster and more securely, please take a few seconds to upgrade your browser. Doppler
ultrasound of right radial artery (sagittal view) showing AV fistula connecting the radial artery to the
distal cephalic vein (arrow). Content may require purchase if you do not have access.) Cited by
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