عنوان ترانسليتريتد: Kaders voor verantwoorde antistollingszorg.

المؤلفون: Folkeringa RJ; Medisch Centrum Leeuwarden, afd. Cardiologie.; Contact: R.J. Folkeringa (richard.folkeringa@znb.nl)., Geersing GJ; Onze Lieve Vrouwe Gasthuis, Huisartspraktijk Buitenhof, Amsterdam., Cate HT; Maastricht Universitair Medisch Centrum, Cardiovasculair Research Institute Maastricht (CARIM) en Trombose Expertise Centrum.

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2018 Nov 30; Vol. 162. Date of Electronic Publication: 2018 Nov 30.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Anticoagulants/*therapeutic use , Atrial Fibrillation/*drug therapy , Thromboembolism/*prevention & control , Thrombolytic Therapy/*standards , Venous Thrombosis/*drug therapy, Administration, Oral ; Atrial Fibrillation/complications ; Humans ; Thromboembolism/etiology ; Thrombolytic Therapy/methods ; Venous Thrombosis/complications ; Vitamin K/antagonists & inhibitors

مستخلص: Until recently, vitamin K antagonists (VKAs) were the only form of anticoagulation for the prevention of thromboembolic complications in patients with atrial fibrillation or venous thromboembolisms. Various caregivers are involved in anticoagulation care. Criticism of the support by the thrombosis department focused mainly on the lack of guarantees regarding the interinstitutional anticoagulation chain of care. Initiatives have now been deployed to improve this support, as described in the national integrated anticoagulation care standard (LSKA, Landelijke Standaard Ketenzorg Antistolling) and the national primary care anticoagulation agreement (LESA, Landelijke Eerstelijns Samenwerkingsafspraken). However, rapidly increasing use of direct oral anticoagulants (DOACs) has dramatically altered anticoagulation care. Patients and caregivers are more often confronted with uncertainty about treatment coordination. This article aims to sketch frameworks for responsible anticoagulation care. We examine different topics, such as coordination, organisation of follow-up, availability for answering questions and switching from VKA to DOAC.

عنوان ترانسليتريتد: Een man met acute, reversibele blindheid.

المؤلفون: van Graafeiland AW; Elisabeth Tweesteden Ziekenhuis, afd. Neurologie, Tilburg.; Contact: Anne W. van Graafeiland (a.vangraafeiland@etz.nl)., Jansen BPW; Elisabeth Tweesteden Ziekenhuis, afd. Neurologie, Tilburg., Azizi F; Elisabeth Tweesteden Ziekenhuis, afd. Radiologie, Tilburg.

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Jun 09; Vol. 166. Date of Electronic Publication: 2022 Jun 09.

نوع المنشور: Case Reports; Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Stroke*/diagnosis , Stroke*/etiology , Stroke*/therapy, Aged, 80 and over ; Blindness/diagnosis ; Blindness/etiology ; Hemianopsia ; Humans ; Male ; Thrombectomy ; Thrombolytic Therapy ; Treatment Outcome

مستخلص: Background: Intra-arterial thrombectomy (IAT) in occlusions of the posterior cerebral artery (PCA) is uncommon and not a proven therapeutic solution, but can be performed in individual cases.
Case Description: An 80 year old man visited the emergency room after experiencing acute blindness. This was caused by a new hemianopia for the left visual field due to an occlusion of the right PCA, on top of a pre-existing hemianopia for the right visual field. Auxiliary testing showed an old ischemic stroke of the right occipital lobe, and a new occlusion of the right PCA. After deliberation with the patient, it was decided to perform IAT, because of the debilitating effect of the current neurological disabilities. IAT was succesfull and the patient completely recovered to the pre-existing level of functioning.
Conclusion: Although there is no indisputable evidence to suggest that IAT in occlusions of the PCA is safe and effective, this case illustrates that IAT can be considered on an individual basis. Based on individual patient characteristics and shared decision making, IAT can be performed after carefull consideration of the risks and benefits.

عنوان ترانسليتريتد: Longembolie met intermediair-hoog risico op overlijden.

المؤلفون: Jager NM; Medisch Spectrum Twente, Intensive Care,Enschede.; Contact: N. M. Jager (tnmjager@gmail.com)., Eijsvogel MMM; Medisch Spectrum Twente, afd. Longgeneeskunde, Enschede., Wagenaar M; Medisch Spectrum Twente, afd. Longgeneeskunde, Enschede., Beishuizen A; Medisch Spectrum Twente, Intensive Care, Enschede., Trof RJ; Medisch Spectrum Twente, Intensive Care, Enschede.

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Mar 17; Vol. 166. Date of Electronic Publication: 2022 Mar 17.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Pulmonary Embolism*/diagnosis , Pulmonary Embolism*/therapy, Fibrinolytic Agents/adverse effects ; Humans ; Thrombolytic Therapy

مستخلص: Patients with intermediate-high risk pulmonary embolism have a different mix of clinical symptoms. Optimal treatment of patients with intermediate high-risk pulmonary embolism is necessary to prevent short-term mortality. According to the current guidelines, the use of standard coagulation is the treatment of choice in hemodynamic stable patients with intermediate-high risk pulmonary embolism. Systemic thrombolytic therapy is recommended in patients with intermediate-high risk pulmonary embolism who circulatory deteriorate or who did not respond appropriately to standard anticoagulation. Catheter-guided thrombolysis is reserved for patients with intermediate-high risk pulmonary embolism who have a contraindication for systemic thrombolysis or did not respond to systemic thrombolysis. The timing and choice for the right treatment are significant treatment dilemmas. The development of pulmonary embolism response teams helps in the decision-making in patients with intermediate high-risk pulmonary embolism.

عنوان ترانسليتريتد: Longembolie-interventieteams.

المؤلفون: Huisman MV; Leids Universitair Medisch Centrum, Leiden., Montero Cabezas JM, Klok FA

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2017; Vol. 161, pp. D1570.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Thrombolytic Therapy* , Triage*, Pulmonary Embolism/*therapy, Humans ; Time Factors

مستخلص: Adequate triaging of patients presenting with acute pulmonary embolism (PE) is essential for appropriate treatment, especially for patients with severe PE. Optimal treatment for this latter group of patients includes pharmaco-mechanical reperfusion treatment for the minority of patients who present with haemodynamic instability, and standard anticoagulation and close monitoring on the ward for the intermediate-high risk patient. In the USA, pulmonary embolism response teams (PERT) have been introduced to coordinate triaging of these patients. We discuss the potential role of PERT teams in Dutch hospitals. The main advantage of PERT could be a uniform management strategy that is supported by a multidisciplinary team including all key specialists in the treatment of severe PE.

عنوان ترانسليتريتد: Centralisatie van acute beroertezorg is slechter.

المؤلفون: De Schryver E; Rijnland Ziekenhuis, afd. Neurologie, Leiderdorp.

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2014; Vol. 158, pp. A8442.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Centralized Hospital Services* , Thrombolytic Therapy*, Stroke/*therapy, Humans ; Netherlands ; Quality of Health Care ; Time Factors ; Treatment Outcome

مستخلص: There is no evidence that centralisation of acute stroke care will lead to more performance of thrombolysis, in the Netherlands, to a reduction in the 'door-to-needle' time or a better outcome after stroke. The implementation of far-reaching changes in acute stroke care in the Netherlands would be dangerous, and would not lead to better and cheaper, but to worse and more expensive care.

عنوان ترانسليتريتد: Inspanningsgerelateerde trombose van de V. subclavia.

المؤلفون: Yo LS; Catharina-ziekenhuis, Afd. Radiologie, Eindhoven, the Netherlands. lonneke.yo@cze.nl, Lauret GJ, Tielbeek A, Teijink J

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2010; Vol. 154 (47), pp. A2197.

نوع المنشور: Case Reports; Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Thrombolytic Therapy*, Subclavian Vein/*pathology , Thoracic Outlet Syndrome/*complications , Thrombosis/*diagnostic imaging , Thrombosis/*drug therapy, Adult ; Constriction, Pathologic ; Female ; Humans ; Male ; Phlebography ; Thoracic Outlet Syndrome/diagnostic imaging ; Thoracic Outlet Syndrome/surgery ; Young Adult

مستخلص: Three patients, 2 women aged 42 and 20 years and a 21-year-old man, presented with painful swelling of the upper extremity. The symptoms developed after activities involving repetitive, excessive use of the upper extremity. Duplex examination and venography showed thrombosis of the subclavian vein. This specific type of thrombosis is known as effort thrombosis or Paget-von Schroetter syndrome. It results from a narrowed thoracic outlet combined with repetitive strenuous use of the upper extremity. All three patients were first treated with thrombolytic therapy using urokinase delivered locally in the thrombus with a catheter. After the thrombus had resolved, a first rib resection was performed to decompress the thoracic outlet. Due to the remaining substantial stenosis and vessel wall irregularity, additional percutaneous transluminal angioplasty was performed. It is important to treat effort thrombosis immediately and adequately. Otherwise, it may lead to a postthrombotic syndrome, which can be severely disabling.

عنوان ترانسليتريتد: Perioperatieve onderbreking van antistollingsmiddelen: praktische aanbevelingen.

المؤلفون: de Jong JS; Academisch Medisch Centrum/Universiteit van Amsterdam, Afd. Anesthesiologie, Amsterdam, The Netherlands. jasper.s.dejong@amc.uva.nl, Vink R, Henny ChP, Levi M, van den Brink RB, Kamphuisen PW

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2009; Vol. 153, pp. A83.

نوع المنشور: English Abstract; Journal Article; Review

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Perioperative Care* , Thrombolytic Therapy*/adverse effects, Anticoagulants/*adverse effects , Postoperative Hemorrhage/*prevention & control , Thrombosis/*prevention & control, Anticoagulants/therapeutic use ; Humans ; Intraoperative Complications/prevention & control ; Platelet Aggregation Inhibitors/administration & dosage ; Platelet Aggregation Inhibitors/adverse effects ; Vitamin K/antagonists & inhibitors

مستخلص: If patients being treated with anticoagulants need to undergo an operation then physicians need to consider whether to suspend the use of this medication or to allow its use to be continued. Suspending the use of anticoagulants increases the risk of thrombosis, whereas continued use may cause bleeding complications. No evidence-based scientific research has been carried out regarding best practice for the perioperative use of anticoagulants.Antithrombotic drugs are vitamin K antagonists and platelet aggregation inhibitors. For daily practice, appropriate bridging strategies can be used for perioperative anticoagulant policy for various risk groups, such as patients with venous thromboembolism, atrial fibrillations, mechanical heart valves and coronary heart diseases (including coronary stents) and patients who have experienced a cerebrovascular accident. In the vast majority of cases the treating physician must carefully consider each individual case in order to realise the best policy.

عنوان ترانسليتريتد: Een hartinfarct verijdeld door snelle percutane coronaire interventie.

المؤلفون: van Etten J; Onze Lieve Vrouwe Gasthuis, afd. Cardiologie, Amsterdam, The Netherlands., Verheugt FW

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2009; Vol. 153, pp. A467.

نوع المنشور: Case Reports; English Abstract; Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Angioplasty, Balloon, Coronary* , Myocardial Reperfusion* , Thrombolytic Therapy*, Myocardial Infarction/*therapy, Combined Modality Therapy ; Electrocardiography ; Female ; Fibrinolytic Agents/therapeutic use ; Humans ; Male ; Middle Aged ; Stents ; Treatment Outcome

مستخلص: In a 55-year-old woman and a 51-year-old man with an ST segment elevation myocardial infarction confirmed by ECG, the infarction could still be aborted by percutaneous coronary intervention with stenting. An aborted myocardial infarction can be described as an acute myocardial infarction in which rapid reperfusion therapy allows normalization of ECG abnormalities with no meaningful cardiac enzyme abnormalities found in the blood. Scientific evidence shows fibrinolysis to be effective in aborting myocardial infarction, but for percutaneous coronary intervention this has not been proven. Nevertheless, the results of the 2 cases discussed in our article are promising.

عنوان ترانسليتريتد: Ruimere behandelindicaties voor herseninfarct.

المؤلفون: de Jonge JC; UMC Utrecht, afd. Neurologie en Neurochirurgie, Hersencentrum Rudolf Magnus.; Contact: J.C. de Jonge (j.c.dejonge-6@umcutrecht.nl)., van der Worp HB; UMC Utrecht, afd. Neurologie en Neurochirurgie, Hersencentrum Rudolf Magnus., Kappelle LJ; UMC Utrecht, afd. Neurologie en Neurochirurgie, Hersencentrum Rudolf Magnus.

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2019 May 03; Vol. 163. Date of Electronic Publication: 2019 May 03.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Patient Selection*, Brain Ischemia/*therapy , Fibrinolytic Agents/*administration & dosage , Thrombectomy/*methods , Thrombolytic Therapy/*methods, Administration, Intravenous ; Humans

مستخلص: Broader indications for treatment of ischaemic stroke Current guidelines suggest that selected patients with ischaemic stroke can be treated with intravenous thrombolysis or mechanical thrombectomy within 4.5 or 6 hours, respectively, after onset of the stroke. Recent developments in imaging have made it possible to distinguish permanently damaged brain tissue from brain tissue that is potentially salvageable after reperfusion, and recent trials have demonstrated that the window of time for intravenous thrombolysis and mechanical thrombectomy can be extended by selecting patients on the basis of the amount of potentially salvageable brain tissue. Patients with symptoms of acute stroke must be referred to a specialist stroke centre as soon as possible, even if more than 6 hours have passed since the onset of clinical symptoms.

عنوان ترانسليتريتد: Wordt de trombosedienst een DOAC-dienst?

المؤلفون: Tieleman RG; Martini Ziekenhuis Groningen en Universitair Medisch Centrum Groningen, afd. Cardiologie.; Contact: R.G. Tieleman (r.tieleman@mzh.nl).

المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2018 Nov 30; Vol. 162. Date of Electronic Publication: 2018 Nov 30.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE

مواضيع طبية MeSH: Ambulatory Care Facilities/*trends , Anticoagulants/*therapeutic use , Fibrinolytic Agents/*therapeutic use , Thrombolytic Therapy/*trends, Administration, Oral ; Humans ; Netherlands

مستخلص: In the Netherlands, a well-organized network of anticoagulation centres has been managing anticoagulation with vitamin K antagonists for the last 60-70 years. The introduction of direct oral anticoagulant (DOAC) therapy has made treatment much more straightforward and it can now be managed by a general physician or a nurse specialized in cardiovascular risk management. The involvement of the current anticoagulation centres in anticoagulation therapy will accordingly become smaller over time, as more patients will be treated with DOACs, and anticoagulation centres in their present form may no longer be needed.