Acute aortic occlusion in a patient with heparin-induced thrombocytopenia treated by thrombectomy.

Abstract:

INTRODUCTION:Heparin-induced thrombocytopenia syndrome (HITS) is an infrequent complication of heparin anticoagulation. CASE REPORT:We present the case of a 44-year-old male who was admitted with acute ischaemia of his right lower limb. He was initially treated with unfractionated heparin and thrombolysis, but subsequently developed acute aortic thrombosis 8 days following initiation of heparin therapy. This was treated with bilateral per-femoral thrombectomy with curative result. CONCLUSION:This case report draws the attention of surgeons to the difficulties in diagnosing HITS and highlights the multidisciplinary management of a complicated case of acute ischaemia.

journal_name

Ir J Med Sci

authors

Collins D,Moloney MA,O'Donnell D,Brophy D,Sheehan SJ

doi

10.1007/s11845-010-0531-1

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

397-400

issue

3

eissn

0021-1265

issn

1863-4362

journal_volume

181

pub_type

杂志文章
  • Alterations in human endothelial cell morphology, proliferation and function by a macrophage-derived factor.

    abstract::Changes in endothelial cell (EC) morphology occur at sites of physiological lymphocyte traffic and in areas of chronic inflammation. Previous studies have shown that EC shape changes also occur in vitro following exposure of EC monolayers to peripheral blood mononuclear cell (PBMC)-derived conditioned media (CM). In t...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942828

    authors: Heffernan M,Chance A,Hess EV,Highsmith RF,FitzGerald O

    更新日期:1994-08-01 00:00:00

  • Significant improvements in quality of life following paediatric tonsillectomy: a prospective cohort study.

    abstract:BACKGROUND:The clinical efficacy of adenotonsillectomy is under debate with falling tonsillectomy rates in the UK and Ireland. In 2010, an NHS commissioned randomised controlled trial recommended medical management, leading to some Primary Care Trusts refusing to commission any tonsillectomies at all. With the HSE cutt...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-016-1398-6

    authors: Thong G,Davies K,Murphy E,Keogh I

    更新日期:2017-05-01 00:00:00

  • Aminoglycoside induced ototoxicity in patients with cystic fibrosis.

    abstract::The improved survival of cystic fibrosis (CF) patients is partly due to intensive treatment for their chronic infections. Treatment usually includes intravenous and nebulised aminoglycoside antibiotics and they receive a large cumulative dose of these antibiotics over their lifetime. There is little information in the...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02961666

    authors: Mulherin D,Fahy J,Grant W,Keogan M,Kavanagh B,FitzGerald M

    更新日期:1991-06-01 00:00:00

  • A retrospective study (2001-2017) of acute and chronic morbidity and mortality associated with Staphylococcus aureus bacteraemia in a tertiary neonatal intensive care unit.

    abstract:BACKGROUND:Staphylococcus aureus bacteraemia (SAB) in NICU patients can cause significant morbidity and mortality. AIMS:To review early and late neonatal SAB with regard to risk factors, treatment, acute complications and long-term outcomes. METHODS:A retrospective study of laboratory confirmed SAB over a 16-year per...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-01992-y

    authors: O'Reilly D,O'Connor C,McCallion N,Drew RJ

    更新日期:2019-11-01 00:00:00

  • Factors affecting warfarin dose requirements and quality of anticoagulation in adult Egyptian patients: role of gene polymorphism.

    abstract:BACKGROUND:Warfarin is the mainstay of anticoagulation therapy worldwide. CYP2C9 and VKORC1 are two major genetic factors associated with inter-individual and inter-ethnic variability in the warfarin dose. AIM:This study aims to assess the impact of VKORC1-1639G>A polymorphism and the most common CYP2C9 variant allele...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-0978-y

    authors: Bazan NS,Sabry NA,Rizk A,Mokhtar S,Badary OA

    更新日期:2014-06-01 00:00:00

  • Expression of RAD51, BRCA1 and P53 does not correlate with cellular radiosensitivity of normal human fibroblasts.

    abstract:AIMS:To evaluate the potential role of key DNA repair proteins in the sensitivity of normal human fibroblasts to ionising radiations. METHODS:Radiosensitivity of six human fibroblast strains established from skin biopsies of women who had undergone conservative breast surgery and received a curative breast conserving ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-010-0554-7

    authors: Saleh EM,El-Awady RA

    更新日期:2011-09-01 00:00:00

  • Methods of recording theatre activity across publicly funded hospitals in Ireland.

    abstract:BACKGROUND:A review of theatre activity in all Health Service Executive (HSE) hospitals in Cork and Kerry in 2008 required a manual extraction of theatre activity data from largely paper-based log books. A key data management recommendation suggested that "a standardised computerised theatre log book system be develope...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1030-y

    authors: Cronin J,Healy O,Hegarty H,Murray D

    更新日期:2014-09-01 00:00:00

  • 'Breaking up is hard to do': perspectives of general practitioners and patients towards removals from GP lists.

    abstract:BACKGROUND:The numbers of removals of patients from General Practitioner lists in Ireland is increasing and is a cause for some concern. AIMS:To examine the views of both general practitioners and patients toward removals of patients from general practitioner lists. METHODS:Questionnaire survey to general practitione...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0062-6

    authors: Clarke M,Whitford DL,O'Reilly F

    更新日期:2007-09-01 00:00:00

  • Advances in the management of severe aortic stenosis.

    abstract:BACKGROUND:Recent developments in the management of severe aortic stenosis have resulted in a paradigm shift in the way we view the condition. Patients previously denied intervention in the form of surgical aortic valve replacement (SAVR) are now candidates for transcatheter aortic valve implantation and the risk and a...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-016-1417-7

    authors: O'Sullivan KE,Bargenda S,Sugrue D,Hurley J

    更新日期:2016-05-01 00:00:00

  • Effects of fine-needle aspiration biopsy (FNAB) nodule depth on pain score.

    abstract:PURPOSE:Fine-needle aspiration biopsy (FNAB) of the thyroid is generally a well-tolerated procedure associated with weak levels of pain. However, pain may be very intense in some patients. The cause for the pain in these patients has not been identified. The hypothesis of this study is that there is a likely relationsh...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1337-y

    authors: Toman H,Ozkul F,Erbag G,Erbas M,Simsek T,Adam G,Arik MK,Asik M

    更新日期:2016-08-01 00:00:00

  • A carotid artery aneurysm with a twist: case report and review.

    abstract:BACKGROUND:Since their original description in 1687, aneurysms of the extracranial internal carotid artery (ICA) remain rare and account for less than 2% of all carotid operations (Zwolak et al. in: J Vasc Surg 1:415-422, 1984; El-Sabrout, Cooley in: J Vasc Surg 31:702-712, 2000). Cerebrovascular morbidity and mortalit...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-009-0353-1

    authors: Noad RL,O'Donnell ME,McCavert M,Gardner R,Lee B,Lau LL

    更新日期:2012-09-01 00:00:00

  • An approach to the education about, and assessment of, attitudes in undergraduate medical education.

    abstract:BACKGROUND:Attitudes have been shown to be important determinants of the quality and efficacy of medical care. There is little research on the education about, and assessment of, attitudes in undergraduate medical education. AIM:To describe the design and delivery of an attitude awareness workshop, and the associated ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03170282

    authors: Kelly ME,Fenlon NP,Murphy AW

    更新日期:2002-10-01 00:00:00

  • Out-of-hospital cardiac arrest quality of life follow-up study of survivors in Munster, Ireland.

    abstract::Quality of life of out-of-hospital cardiac arrest (OHCA) survivors is believed to be as important as a factor in resuscitation outcome as the survival rate. The aim of this investigation is to assess the quality of life outcomes of survivors of out-of- hospital cardiac arrest in the Munster region. OHCAR was used to i...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02189-4

    authors: Henry K,Mulcaire J,Kirby A,Cotter A,Masterson S,O'Donnell C,Deasy C

    更新日期:2020-08-01 00:00:00

  • Minimally invasive techniques in common surgical procedures: implications for training.

    abstract:BACKGROUND:Laparoscopic techniques are increasingly used in common surgical procedures. Many of these procedures are used to teach basic surgical trainees (BST) and therefore introduction of these techniques may have implications for training. AIMS:To establish whether the introduction of laparoscopic techniques reduc...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02914782

    authors: McCormick PH,Tanner WA,Keane FB,Tierney S

    更新日期:2003-01-01 00:00:00

  • Appropriate use of elective coronary angiography in patients with suspected stable coronary artery disease.

    abstract:INTRODUCTION:The American College of Cardiology Foundation (ACCF) with other professional societies developed appropriate use criteria (AUC) for diagnostic coronary angiography. This study aims to examine the appropriate use of elective coronary angiography for patients with suspected stable coronary artery disease in ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-018-1953-4

    authors: Hanrahan MT,O'Flynn AM,McHugh SM,Kearney P,Kearney PM

    更新日期:2019-08-01 00:00:00

  • Placental chorioangiosis associated with foetal death--a case report.

    abstract::A case of foetal death with retroplacental haemorrhage at 24 weeks gestation is reported, where the placenta histologically showed diffuse severe chorioangiosis. The latter is an infrequently reported placental vascular anomaly, which recent studies have indicated to be an important sign of neonatal morbidity and mort...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937381

    authors: Sheehan MM,Kealy WF,Mundow LS

    更新日期:1990-08-01 00:00:00

  • Awareness of diabetes complications in an Irish population.

    abstract:BACKGROUND:Patients' awareness of the increased cardiovascular risk associated with their diabetes is poorly documented. AIM:The aim of this study was to assess the awareness of diabetes complications among patients with diabetes in Ireland. METHODS:Patients attending diabetes outpatient clinics in two teaching hospi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0301-0

    authors: O'Sullivan EP,Bhargava A,O'Callaghan M,Buckley U,De Faoite T,Moynihan K,Thabit H,Walsh CH,Sreenan S

    更新日期:2009-12-01 00:00:00

  • The impact of reminder letters on attendance for breast cancer screening.

    abstract:OBJECTIVE:The aims of this investigation was to analyse the response to second and third postal invitations from a group of patients previously invited for mammographic screening and to identify any demographic differences between responders and non-responders. SUBJECTS:The subjects were females aged 50-64 yr resident...

    journal_title:Irish journal of medical science

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02939577

    authors: Hayes C,O'Herlihy B,Hynes M,Johnson Z

    更新日期:1999-01-01 00:00:00

  • Anticholinesterases and the cholinergic link hypothesis with reference to the rabbit ear artery.

    abstract::1. Constrictor responses of the isolated perfused rabbit ear artery to electrical stimulation and to intraluminally applied noradrenaline and histamine have been studied before and after addition to the perfusate of the anticholinesterases neostigmine and physostigmine. 2. Both neostigmine (6×10(-5)-2.4×10(-4) mol/l) ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02939056

    authors: Wallace WF,Hobbs FM,Mock GR

    更新日期:1975-12-01 00:00:00

  • Current opinions and practices for the management of acute appendicitis: an international survey.

    abstract:BACKGROUND:In recent decades the management of acute appendicitis has evolved significantly. Improved access to early imaging and better clinical scoring algorithms have resulted in less negative appendicectomy rates. In addition, non-operative management has become increasingly utilized. The aim of this study was to a...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02349-6

    authors: Boland PA,Donlon NE,Kelly ME,Nugent T,Free R,Waters P,Neary P,Rausa E,Proud D,Donohoe CL,Barry KM,Reynolds JV

    更新日期:2020-08-27 00:00:00

  • Spontaneous rupture of a splenic artery aneurysm in the third trimester.

    abstract::Due to the difficulties in the diagnosis of ruptured splenic artery aneurysm in pregnancy both maternal and fetal mortality continue to be high. A case is presented of a 37 year old woman who ruptured a splenic artery aneurysm at 29 weeks gestation. The presentation of the disease, its risk factors and treatment, as w...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/BF02945175

    authors: English JD

    更新日期:1993-05-01 00:00:00

  • The association between the development of weighing technology, possession and use of weighing scales, and self-reported severity of disordered eating.

    abstract::The aim of this study is to investigate David Healy's hypothesis that the development of weighing technologies significantly contributes to the development of anorexia nervosa. A newly developed questionnaire and the EAT-26 were used to investigate these ideas. The key results from this study are that a positive corre...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1047-2

    authors: Walsh DJ,Charlton BG

    更新日期:2014-09-01 00:00:00

  • Clinical value of digital tomographic fusion imaging in the diagnosis of avascular necrosis of the femoral head in adults.

    abstract:BACKGROUND:To explore the clinical significance of digital tomographic fusion imaging in the diagnosis of avascular disease of the femoral head in adults. METHODS:Eighty-two adult patients with avascular necrosis of the femoral head confirmed by MRI in the department of orthopedics of our hospital were studied retrosp...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02451-9

    authors: Zhang J,Wang Z,Hong G

    更新日期:2021-01-06 00:00:00

  • The first 20 years of heart transplantation in Ireland.

    abstract:BACKGROUND:The first Irish heart transplant was performed on the 10th of September 1985. Over the next 20 years, 229 transplants were performed in 228 recipients. AIMS:To evaluate the success of the first generation of cardiac transplantation in Ireland. METHODS:Analysis of clinical outcomes and survival statistics f...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03168991

    authors: Healy DG,Akbar MT,Baktiari N,Egan JJ,Mahon N,Veerasingam D,McCarthy J,Hurley J,Neligan M,Wood AE

    更新日期:2006-01-01 00:00:00

  • Hepatic haemangiosarcoma in a patient with psoriasis and Crohn's disease.

    abstract::Hepatic haemangiosarcoma is a rare condition although there are known carcinogens in 25%. This case reports hepatic haemangiosarcoma in a 59 year old man with psoriasis and Crohn's disease who had previously received combined treatment with psoralen and UVA light. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/BF02942382

    authors: McCarthy CJ,Norton M,O'Morain C

    更新日期:1992-12-01 00:00:00

  • Pituitary tuberculoma: a rare cause of sellar mass.

    abstract:INTRODUCTION:Pituitary tuberculosis is an uncommon cause of sellar mass [1]; the estimated prevalence worldwide is not known, and there have been no reports of the condition occurring in Ireland. Tuberculosis of the pituitary gland may present as a sellar mass or with symptoms of hypopituitarism. CASE PRESENTATION:A 4...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-017-1654-4

    authors: Zia-Ul-Hussnain HM,Farrell M,Looby S,Tormey W,Javadpour M,Mcconkey S,Thompson CJ

    更新日期:2018-05-01 00:00:00

  • Risk of drug interactions and prescription appropriateness in elderly patients.

    abstract:BACKGROUND:In Europe, adverse drug reactions and drug interactions are the cause of considerable morbidity and mortality. In over 75s, hospital access due to adverse drug reactions can be as high as 1 in every 3. AIMS:To assess the quality of the prescribed polytherapies in the territory, in terms of the risk of drug ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02148-8

    authors: Petrini E,Caviglia GP,Pellicano R,Saracco GM,Morino M,Ribaldone DG

    更新日期:2020-08-01 00:00:00

  • Acute ischaemic stroke: a systematic review of the cost-effectiveness of emergency endovascular therapy using mechanical thrombectomy.

    abstract:PURPOSE:Although good evidence exists regarding the clinical effectiveness of mechanical thrombectomy for people with acute ischaemic stroke, cost-effectiveness should also be considered. The aim of this study was to systematically review the evidence of cost-effectiveness of emergency endovascular therapy using mechan...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-018-1946-3

    authors: Teljeur C,Harrington P,Glynn RW,Ryan M

    更新日期:2019-08-01 00:00:00

  • A novel technique for repair of iatrogenic tracheal tear complicating three-stage oesophagectomy.

    abstract::We report a rare case of iatrogenic tracheal tear during a three-stage oesophagectomy in a 76-year-old woman and review current literature. The tear occurred due to trauma from a double lumen endotracheal tube. We used a novel technique of repairing the tear, which extended to the carina, avoiding a second thoracotomy...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0169-4

    authors: Harney TJ,Condon ET,Lowe D,McAnena OJ

    更新日期:2009-09-01 00:00:00

  • Modulatory role of background music on cognitive interference task in young people.

    abstract:BACKGROUND:The Stroop Colour and Word Test (SCWT) is the most extensively used neuropsychological test in humans to evaluate the ability to inhibit cognitive interference. Any music played while the listener's primary attention is focused on another activity is known as background music and its effects on SCWT have not...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02365-6

    authors: Kumaradevan KS,Balan A,Khan K,Alji RM,Narayanan SN

    更新日期:2020-09-18 00:00:00