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Neurologic Complications of Organ Transplantation

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Ureteral anastomosis with a polyimide stent in rat kidney transplantation.

Tong Wang, Zhou Yu, Chen Chen, Yajuan Song, Xianhui Zeng, Yingjun Su, Chenggang Yi,

Background: Complications associated with ureteral anastomosis in kidney transplantation are highly prevalent, despite the development of various types of stents. The current stent materials and placement methods have several limitations. This study attempts to provide an alternative by investigating ureteral anastomosis with a polyimide stent and a modified placement method ... Read more >>

Ren Fail (Renal Failure)
[2020, 42(1):193-199]

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A96 PERIOPERATIVE RATE OF CHANGE IN SODIUM CONCENTRATION AND ITS IMPACT ON LENGTH OF STAY IN CRITICAL CARE UNIT POST LIVER TRANSPLANTATION: BENCHMARKING FOR QUALITY MANAGEMENT PROGRAM.

L J James, S E Allen, K M Peltekian,

AbstractAimsThe aim of this quality improvement project was to benchmark the rate of change in serum sodium (delta-Na) in the perioperative period for liver transplantation (OLT) to correlate it with neurological complications as well as length of stay in critical care unit.MethodsData for total of 46 patients who underwent liver ... Read more >>

J Can Assoc Gastroenterol (Journal of the Canadian Association of Gastroenterology)
[2020, 3(Suppl 1):111-113]

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Glial cells in intracerebral transplantation for Parkinson's disease.

Nikola Tomov,

In the last few decades, intracerebral transplantation has grown from a dubious neuroscientific topic to a plausible modality for treatment of neurological disorders. The possibility for cell replacement opens a new field of perspectives in the therapy of neurodegenerative disorders, ischemia, and neurotrauma, with the most lessons learned from intracerebral ... Read more >>

Neural Regen Res (Neural regeneration research)
[2020, 15(7):1173-1178]

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Diffusion MRI Findings in Encephalopathy Induced by Immunosuppressive Therapy after Liver Transplantation.

Emanuele Tinelli, Nicoletta Locuratolo, Alberto Pierallini, Massimo Rossi, Francesco Fattapposta,

Neurological complications are common after liver transplantation, as they affect up to one-third of the transplanted patients and are associated with significant morbidity. The introduction of calcineurin inhibitors, cyclosporine A and tacrolimus, in immunosuppressive regimens significantly improved the outcome of solid-organ transplantation even though immunosuppression-associated neurotoxicity remains a significant complication, ... Read more >>

Case Rep Med (Case reports in medicine)
[2020, 2020:1015385]

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Utilizing vertebral body autograft for anterior cervical corpectomy/fusion.

Haydn Hoffman, Carlos R Goulart, Michael A Galgano,

Background:There are numerous ways to reconstruct cervical vertebral bodies and achieve arthrodesis following anterior cervical corpectomy and fusion (ACF). However, device and donor site complications abound. Here, we describe a novel technique for performing ACF using the vertebral body itself as a structural autograft. Methods:The anterior cervical spine was accessed ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2020, 11:24]

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Transverse process strut and titanium mesh cages in the stability reconstruction of thoracic single segment tuberculosis: a retrospective single-center cohort study.

Weiyang Zhong, Xinjie Liang, Ke Tang, Xiaoji Luo, Zhengxue Quan,

BACKGROUND:A retrospective and comparative study of transverse process strut (TPS, Group A) compared with titanium mesh cages (TMCs, Group B) in the reconstruction of thoracic stability through the one-stage posterior approach to treat single-segment tuberculosis. METHODS:Sixty patients from January 2013 to December 2016 were analyzed and divided into two groups. ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):172]

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Gut Microbiota and Stroke.

Benjamin Y Q Tan, Prakash R Paliwal, Vijay K Sharma,

Ischemic stroke remains a significant health problem, which is expected to increase owing to an aging population. A considerable proportion of stroke patients suffer from gastrointestinal complications, including dysphagia, gastrointestinal hemorrhage, and constipation. Often, these complications adversely affect stroke outcomes. Recent research postulates the role of "brain-gut axis" in causing ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):155-158]

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Risk factors for ischemic complications in vascular reconstructive surgeries.

Fumihiro Matano, Yasuo Murai, Shun Sato, Kenta Koketsu, Kazutaka Shirokane, Eitaro Ishisaka, Atsushi Tsukiyama, Akio Morita,

OBJECTIVE:There have been reports on postoperative ischemic complications with vascular reconstructive surgery. However, various factors, such as lesions, operative technique, and perioperative treatment, prevent analyzing the causes of ischemic complications in vascular reconstruction surgeries. In the present study, we analyzed the cause of ischemic complications for vascular reconstruction surgeries with ... Read more >>

Clin Neurol Neurosurg (Clinical neurology and neurosurgery)
[2020, 193:105768]

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Minimizing CSF Leak and Wound Complications in Tethered Cord Surgery with Prone Positioning: Outcomes in 350 Patients.

Manish Baldia, Vedantam Rajshekhar,

BACKGROUND:We document the results of a protocol to reduce the incidence of cerebrospinal fluid (CSF) leak and other wound complications in patients undergoing tethered cord surgery (TCS). METHODS:Data from all patients undergoing TCS between January 2009 and April 2019 were reviewed retrospectively. Diagnosis (high risk or low risk; based on ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease.

Dante C Dali, Satvik Jhamb, C Steven Powell, Shahab A Akhter,

The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of the combined surgical management of symptomatic carotid, coronary and ... Read more >>

J Surg Case Rep (Journal of Surgical Case Reports)
[2020, 2020(2):rjz392]

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Two-year Clinical and Radiographic Results with a Multidimensional, Expandable Interbody Implant in Minimally Invasive Lumbar Spine Surgery.

Donald W Kucharzyk, Larry E Miller,

IntroductionMinimally invasive spine surgery has become more prevalent in recent years, but the delivery of interbody devices with small footprints may insufficiently restore the disc space, which may lead to instability and non-union. Vertically expandable interbody implants have partially addressed this limitation, but lateral fusion support remains a concern. The ... Read more >>

Cureus (Cureus)
[2020, 12(2):]

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Fractured osteochondroma presenting with popliteal pseudoaneurysm: Case report and review of literature.

Reuben Jian-Yuan Chen, Sara Dawen Qi, Roel H D Vaes, Claudia Di Bella, Raoul Mayer,

Osteochondroma, the most common tumor of bone, is usually asymptomatic. Vascular complications are an atypical presentation and include true or false aneurysm formation, deep venous thrombosis, and arterial insufficiency. A review of the English literature identified 130 cases of osteochondroma-related vascular complications. We describe the case of a 38-year-old man ... Read more >>

J Vasc Surg Cases Innov Tech (Journal of Vascular Surgery Cases and Innovative Techniques)
[2020, 6(1):96-100]

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The impact of implant material and patient age on the long-term outcome of secondary cranioplasty following decompressive craniectomy for severe traumatic brain injury.

Martina Hamböck, Arthur Hosmann, Rudolf Seemann, Harald Wolf, Florian Schachinger, Stefan Hajdu, Harald Widhalm,

BACKGROUND:Secondary cranioplasty (CP) is considered to support the neurological recovery of patients after decompressive craniectomy (DC), but the treatment success might be limited by complications associated to confounders, which are not yet fully characterized. The aim of this study was to identify the most relevant factors based on the necessity ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2020, 162(4):745-753]

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Therapeutic plasma exchange in pediatric intensive care: Indications, results and complications.

Guntulu Sık, Asuman Demirbuga, Agageldi Annayev, Arzu Akcay, Agop Çıtak, Gülyüz Öztürk,

Therapeutic plasma exchange (TPE) is an effective treatment method in selective indications. Secondary to access and technical features, it is more difficult to apply in pediatric population than adults. The aim of this study is investigate safety, clinical indications, and results of this method in critically ill pediatric patients who ... Read more >>

Ther Apher Dial (Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy)
[2020, 24(2):221-229]

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Neurotoxicity including posterior reversible encephalopathy syndrome after initiation of calcineurin inhibitors in transplanted methylmalonic acidemia patients: Two case reports and review of the literature.

Femke Molema, Monique Williams, Janneke Langendonk, Sarwa Darwish-Murad, Jacqueline van de Wetering, Ed Jacobs, Willem Onkenhout, Esther Brusse, Anke van der Eerden, Margreet Wagenmakers,

Introduction:New neurological symptoms in methylmalonic acidemia (MMA) patients after liver and/or kidney transplantation (LKT) are often described as metabolic stroke-like-events. Since calcineurin inhibitors (CNIs) are a well-known cause of new neurological symptoms in non-MMA transplanted patients, we investigated the incidence of CNI-induced neurotoxicity including posterior reversible encephalopathy syndrome (PRES) in ... Read more >>

JIMD Rep (JIMD reports)
[2020, 51(1):89-104]

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Novel Technique for C1-2 Interlaminar Arthrodesis Utilizing a Modified Sonntag Loop-Suture Graft With Posterior C1-2 Fixation.

Robert Mawunyo Koffie, Alexandra Giantini Larsen, Benjamin L Grannan, Muhamed Hadzipasic, Vijay Yanamadala, Ganesh M Shankar, Laura Van Beaver, John H Shin,

Objective:Conventional techniques for atlantoaxial fixation and fusion typically pass cables or wires underneath C1 lamina to secure the bone graft between the posterior elements of C1-2, which leads to complications such as cerebrospinal fluid (CSF) leak and neurological injury. With the evolution of fixation hardware, we propose a novel C1-2 ... Read more >>

Neurospine (Neurospine)
[2020, :]

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Surgical Complexity and Outcome of Patients Undergoing Re-do Aortic Valve Surgery.

Renata Greco, Mirko Muretti, Jasmina Djordjevic, Xu Yu Jin, Elaine Hill, Maurizio Renna, Mario Petrou,

Objectives:Re-do aortic valve surgery carries a higher mortality and morbidity compared with first time aortic valve replacement (AVR) and often requires concomitant complex procedures. Transcatheter aortic valve replacement (TAVR) is an option for selective patients. The aim of this study is to present our experience with re-do aortic valve procedures ... Read more >>

Open Heart (Open heart)
[2020, 7(1):e001209]

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The elevated admission white blood cell count relates to adverse surgical outcome of acute Stanford type a aortic dissection.

Mingjia Ma, Juan Shi, Xin Feng, Jing Wang, Ligang Liu, Xiang Wei,

BACKGROUND:The purpose of the study was to examine the association between white blood cell count (WBCc) on admission and early outcome in patients with the acute Stanford type A aortic dissection (TAAD). METHODS:From January 2012 to December 2018, we retrospectively evaluated a series of 331 consecutive patients underwent surgery for ... Read more >>

J Cardiothorac Surg (Journal of Cardiothoracic Surgery)
[2020, 15(1):48]

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Role of extracorporeal cardiopulmonary resuscitation in adults.

Hongsun Kim, Yang Hyun Cho,

Extracorporeal cardiopulmonary resuscitation (ECPR) has been performed with increasing frequency worldwide to improve the low survival rate of conventional cardiopulmonary resuscitation (CCPR). Several studies have shown that among patients who experience in-hospital cardiac arrest, better survival outcomes and neurological outcomes can be expected after ECPR than after CCPR. However, studies ... Read more >>

Acute Crit Care (Acute and critical care)
[2020, 35(1):1-9]

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Late Cervical Spinal Cord Herniation Resulting from Post-Traumatic Brachial Plexus Avulsion Injury.

Andrew S Jack, Jens R Chapman, Praveen V Mummaneni, Line G Jacques, Carter S Gerard,

BACKGROUND:Spinal cord herniation (SCH) is often described as occurring spontaneously in the thoracic spine, with few cases of cervical SCH reported as a late complication of traumatic brachial plexus avulsion. We present 2 cases of nerve root avulsion and pseudomeningocele formation, resulting in delayed cervical SCH and neurologic deterioration. CASE ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:1-7]

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Prophylactic veno-arterial extracorporeal membrane oxygenation in patients undergoing high-risk percutaneous coronary intervention.

F S van den Brink, T A Meijers, S H Hofma, A J van Boven, A Nap, A Vonk, P Symersky, K D Sjauw, P Knaapen,

PURPOSE:Complex high-risk percutaneous coronary intervention (PCI) is challenging and frequently accompanied by haemodynamic instability. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) can provide cardiopulmonary support in high-risk PCI. However, the outcome is unclear. METHODS:A two-centre, retrospective study was performed of all patients undergoing high-risk PCI and receiving VA-ECMO for cardiopulmonary support. RESULTS:A total of ... Read more >>

Neth Heart J (Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation)
[2020, 28(3):139-144]

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Miniplate-Augmented Interlaminar Fusion in C1-C2 Screwing.

Po-Jen Huang, Jiann-Her Lin, Yung-Hsiao Chiang,

OBJECTIVE:The interlaminar fusion combination involving C1-C2 screwing fixation is one of the most effective techniques for atlantoaxial dislocation or subluxation, and the bone graft is usually stabilized by wiring constructs. However, some adverse events were reported during the insertion of sublaminar wiring, such as accidentally damaging the spinal cord or ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Efficacy of Levetiracetam for Epilepsy in Pediatric Liver Transplant Recipients With Posterior Reversible Encephalopathy Syndrome.

Taner Sezer, Oya Balcı Sezer, Figen Özçay, Aydıncan Akdur, Adnan Torgay, Mehmet Haberal,

OBJECTIVES:Liver transplant is currently the most effective option for patients with end-stage liver disease. Seizures are the most common neurologic complication after liver transplant. Posterior reversible encephalopathy syndrome is a neurologic syndrome characterized by lethargy, seizures, visual disturbances, and radiologic findings of edema in the posterior regions of the cerebral ... Read more >>

Exp Clin Transplant (Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation)
[2020, 18(Suppl 1):96-98]

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Total endovascular repair of an intraoperative stent-graft deployed in the false lumen of Stanford type A aortic dissection: A case report.

Xu-Ran Li, Yuan-Hao Tong, Xiao-Qiang Li, Chang-Jian Liu, Chen Liu, Zhao Liu,

BACKGROUND:A 46-year-old male underwent ascending aortic replacement, total arch replacement, and descending aortic stent implantation for Stanford type A aortic dissection in 2016. However, an intraoperative stent-graft was deployed in the false lumen inadvertently. This caused severe iatrogenic thoracic and abdominal aortic dissection, and the dissection involved many visceral arteries. ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2020, 8(5):954-962]

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Surgical treatment of adolescent idiopathic scoliosis: Complications.

Omar A Al-Mohrej, Sahar S Aldakhil, Mohammed A Al-Rabiah, Anwar M Al-Rabiah,

Despite the fact that spinal surgeries for adolescent idiopathic scoliosis (AIS) result in good outcomes for most patients, they are not without complications either medically or surgically. Neurologic injury represents the most severe complication and is, as such, the most feared. Further complications include dural tears, peripheral neuropathy, surgical-site infections, ... Read more >>

Ann Med Surg (Lond) (Annals of medicine and surgery (2012))
[2020, 52:19-23]

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