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Pharmacotherapy for pulmonary embolism: new anticoagulants

Hwang HG, Kim YK

Background: Pulmonary embolism is associated with reduced survival and considerable economic burden worldwide. In Korea, the incidence of pulmonary embolism has been gradually increasing. Older individuals are at an increased...
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High-on-Aspirin Platelet Reactivity Differs Between Recurrent Ischemic Stroke Associated With Extracranial and Intracranial Atherosclerosis

Noh KC, Choi Hy, Woo HG, Chang JY, Heo SH, Chang Di, Kim BJ

Background and Purpose Ischemic stroke recurs despite the use of antiplatelet agents. Various mechanisms are involved in recurrence due to intracranial atherosclerosis (ICAS) and extracranial atherosclerosis (ECAS). High-on-aspirin platelet reactivity...
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Clinical Experiences of High-Risk Pulmonary Thromboembolism Receiving Extracorporeal Membrane Oxygenation in Single Institution

Jang J, Koo SM, Kim KU, Kim YK, Uh ST, Jang GE, Chang W, Lee BY

Background: The main cause of death in pulmonary embolism (PE) is right-heart failure due to acute pressure overload. In this sense, extracorporeal membrane oxygenation (ECMO) might be useful in maintaining...
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Incidence of Venous Thromboembolism: The 3 rd Korean Nationwide Study

Hwang HG, Lee JH, Kim SA, Kim YK, Yhim HY, Hong J, Bang SM

Background: The incidence of venous thromboembolism (VTE) has gradually increased in the Korean population. This study aimed to evaluate the annual age- and sex-adjusted incidence rates (ASR) of VTE and...
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Current status and development direction of hyperbaric medicine in Korea

Lee SM, Heo T, Kim G, Kim H

Background: The indications of hyperbaric oxygen therapy (HBOT) covered by the health insurance in Korea increased to 16 in 2019, which includes acute central retinal artery obstruction within 24 hours...
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Stroke and Systemic Thromboembolism according to CHA 2 DS 2 -VASc Score in Contemporary Korean Patients with Atrial Fibrillation

Lee KB, Kim TH, Park J, Park JK, Kang KW, Kim J, Park HW, Choi EK, Kim JB, Lee YS, Shim J, Joung B

Purpose: The incidence of stroke and/or systemic thromboembolism (SSE) has not been properly evaluated in well-anticoagulated atrial fibrillation (AF) patients. This study investigated the incidence of SSE according to CHA2DS2-VASc...
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Short-term effects of fibrinolytic therapy on the hemodynamic parameters of patients with intermediate- and high-risk pulmonary embolism

Çıldır H, Aksay E, Şancı E, Bayram B, Çolak N, Sevinç C

Objective We aimed to determine the effect of fibrinolytic therapy on hemodynamic parameters at 4 hours after treatment and bleeding complications in patients with intermediate- and high-risk pulmonary embolism. Methods This...
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Acute Pulmonary Embolism and Chronic Thromboembolic Pulmonary Hypertension: Clinical and Serial CT Pulmonary Angiographic Features

An J, Nam Y, Cho H, Chang J, Kim DK, Lee KS

In acute pulmonary embolism (PE), circulatory failure and systemic hypotension are important clinically for predicting poor prognosis. While pulmonary artery (PA) clot loads can be an indicator of the severity...
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High-Resolution Intracranial Vessel Wall MRI Findings Among Different Middle Cerebral Artery Territory Infarction Types

Won SY, Cha J, Choi HS, Kim YD, Nam HS, Heo JH, Lee SK

Objective: Intracranial atherosclerotic stroke occurs through various mechanisms, mainly by artery-to-artery embolism (AA) or branch occlusive disease (BOD). This study evaluated the spatial relationship between middle cerebral artery (MCA) plaques...
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Endovascular Treatment of Large Vessel Occlusion Strokes Due to Intracranial Atherosclerotic Disease

Lee JS, Lee SJ, Hong JM, Alverne FJAM, Lima FO, Nogueira RG

Mechanical thrombectomy (MT) has become the gold-standard for patients with acute large vessel occlusion strokes (LVOS). MT is highly effective in the treatment of embolic occlusions; however, underlying intracranial atherosclerotic...
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Cardiac arrest occurred by cerebral fat embolism

Sung AJ, Lee SH, Shin H, Lim D

  • KMID: 2524969
  • J Korean Soc Emerg Med.
  • 2021 Dec;32(6):712-715.
Fat embolism syndrome is a rare disease associated with long bone fractures and plastic surgery. In previous studies of cerebral fat embolism, no reports of cardiac arrest occurred by cerebral...
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Prevalence of deep vein thrombosis and its clinical significance in patients with acute symptomatic pulmonary embolism

Park JH, Lee JB, Jin YH, Jeong TO, Kim SE, Oh TH, Lee JM, Yoon JC

  • KMID: 2524961
  • J Korean Soc Emerg Med.
  • 2021 Dec;32(6):620-626.
Objective: The aims of this study were to determine the prevalence of deep vein thrombosis (DVT) and assess the association of concomitant DVT and unfavorable outcomes in patients with acute...
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Validation of a novel diagnostic nomogram for pulmonary thromboembolism in the emergency department

Lee SM, Kim HS, Jung WJ, Hwang SO, Roh YI, Kim SJ, Cha KC

  • KMID: 2524958
  • J Korean Soc Emerg Med.
  • 2021 Dec;32(6):591-600.
Objective: Diagnosis of pulmonary thromboembolism (PTE) is essential for preventing serious complications in the emergency department (ED) or intensive care unit. Contrast computed tomography (CT) of the chest is used...
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Use of ratio of D-dimer to C-reactive protein as an adjunctive method to differentiate between pulmonary embolism and pneumonia in elderly patients

Seo J, Cho JH, Ohk TG, Lee HY, Park CW

  • KMID: 2524954
  • J Korean Soc Emerg Med.
  • 2021 Dec;32(6):561-569.
Objective: Discriminating between pulmonary embolism (PE) and pneumonia in the emergency department (ED) is one of the fastidious tasks. Elderly patients are at more risk of PE and pneumonia than...
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Percutaneous Mechanical Thrombectomy of Submassive Pulmonary Embolism and Extensive Deep Venous Thrombosis for Early Thrombus Removal

Jo EA, Choi KW, Han A, Ahn S, Min S, Jae H, Lee M, Min SK

Traditional treatment with anticoagulation in nonfatal submassive pulmonary embolism can result in serious sequelae of chronic thromboembolic pulmonary hypertension or poor exercise tolerance, and functional impairment. To prevent long-term complications...
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Bilateral Brachial Artery Aneurysms with Distal Embolisms in a Patient with Prolonged Crutch Compression

Simsek B, Guclu O, Huseyın S, Yuksel V

Chronic axillary crutch use may lead to axillary or brachial artery aneurysms and associated axillobrachial thromboembolic complications. Most of these aneurysms remain asymptomatic and undiagnosed until a complication occurs. Early...
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Risk Factors for Pulmonary Cement Embolism (PCE) After Polymethylmethacrylate Augmentation: Analysis of 32 PCE Cases

Guo H, Huang H, Shao Y, Qin Q, Liang D, Zhang S, Tang Y

Objective: Pulmonary cement embolism (PCE) is an underestimated but potentially fatal complication after cement augmentation. Although the treatment and follow-up of PCE have been reported in the literature, the risk...
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Cardiac Arrest due to Carbon Dioxide Embolism During Laparoscopic Gynecologic Surgery of a Patient with Previous Abdominal Surgery: A Case Report

Kim NS

Catastrophic carbon dioxide (CO2) embolism is a rare, but potentially life-threatening, the complication of laparoscopic gynecologic surgery. We report the case of a healthy 53-year-old woman who developed CO2 embolism...
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The demographic, clinical, and medical manifestations of pulmonary thromboembolism development in COVID-19

Sadeghi S, Nasirian M, Keivany E, Nasri P, Mirenayat MS

Background Since the emergence of coronavirus disease 2019 (COVID-19), various clinical manifestations ranging from asymptomatic to severe, life-threatening courses have been presented. It is well known that COVID-19 patients are at...
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Non-Surgical Resolution of Inflow Cannula Obstruction of a Left Ventricular Assist Device: A Case Report

Lee Y, Sung K, Kim WS, Jeong DS, Shinn SH, Cho YH

A 55-year-old woman who had received an implantable left ventricular assist device 3 months earlier presented with dyspnea and a low-flow alarm of the device. Computed tomography and log-file analysis...
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