Catheter‐directed thrombolysis (CDT) has emerged as a potential management option for proximal deep vein thrombosis (DVT). Low‐dose alteplase with concomitant heparin have traditionally been used in this setting. Patients with heparin‐induced thrombocytopenia (HIT) undergoing CDT pose a challenge since heparin would be contraindicated. Robust evidence regarding use of direct thrombin inhibitors...

BACKGROUND Previous studies have shown a good agreement between central venous pressure (CVP) measurements from catheters placed in superior vena cava and catheters placed in the abdominal cava/common iliac vein. However, the influence of intra-abdominal pressure on such measurements remains unknown. METHODS We conducted a prospective, observational study in a tertiary teaching hospital. We e...

BACKGROUND Transjugular intrahepatic portosystemic shunt (TIPS) has become an important and effective interventional procedure in treatment of the complications related to portal hypertension. Although the primary patency of TIPS has been greatly improved due to the clinical application of cover stent-grafts, the long-term patency is still suboptimal. This study was to investigate the feasibili...

A 14 year old girl with double outlet right ventricle, left isomerism, and complicated atrial anatomy had undergone corrective surgery with intra-atrial rerouting at 5 years of age. Cardiac catheterisation eight years after the surgery showed that she had two systemic venous baZe stenoses: between the hepatic vein and caval vein, and the caval vein and right atrium. Two Palmaz stents were succe...

Knowledge of the renal vascular anatomy greatly contributes to the success of surgical, invasive and radiological procedures of the retroperitoneal region. In today's era of transplant, this knowledge is of utmost importance in performing donor nephrectomy so that number of fatal intra-operative complications can be prevented. Herein, we report on a rare anomaly of left renal vein in which dual...

A rare case of spontaneous rupture of a branch of the uterine vein in a primigravida is discussed. The patient with an uncomplicated pregnancy presented with signs and symptoms suggestive of abruptio placenta with foetal distress. Lower segment Caesarean section was performed. The cause of acute pain was identified to be intra-abdominal bleeding secondary to the rupture of a branch of the uteri...

Objective The purpose of this study was to investigate the clinical value of hepatic segmental staining under intra-operative ultrasonography guidance in anatomic segment 8 (S8) segmentectomy. Method This was a retrospective study of 31 patients with hepatocellular carcinoma (HCC) whose lesions were located in S8. Under intra-operative ultrasonography guidance, the hepatic portal vein branch of...

Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbil...

The effects of treadmill exercise on components of the cardiovascular (venous return, heart rate, arterial blood pressure) and respiratory systems (minute ventilation, tidal volume, breathing frequency, oxygen consumption, carbon dioxide production) and intra-abdominal pressure were investigated in the Savannah monitor lizard, Varanus exanthematicus B., at 35 degrees C. Compared with resting co...