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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - He underwent cardiac catheterization, which showed 3-vessel coronary artery disease and severe aortic … He was deemed a surgical candidate and was transferred to another facility for coronary artery bypass … Combining aortic valve replacement (AVR) with coronary artery bypass grafting (CABG) is associated with … Management of coronary artery disease in patients with aortic stenosis. … PCI and CABG for treating stable coronary artery disease: JACC Review Topic of the Week.
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - was referred to a cardiologist for elective diagnostic cardiac catheterization for possible coronary artery … Once the coronary arteries are engaged, contrast is injected, and fluoroscopic images are obtained in … at 30 days, major adverse cardiovascular events, and bleeding-related readmissions. 4 The femoral artery … Perforation of the left ventricle wall due to the insertion of a pulmonary artery catheter. … , GUSTO (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - is often due to thromboembolism—frequently from a cardiac source—that blocks the superior mesenteric artery … ischemia most often arises in the setting of atherosclerosis of at least two of the three main visceral arteries … (celiac artery, SMA, and inferior mesenteric artery) and is associated with insufficient mesenteric … common in patients with a history of chronic mesenteric ischemia due to atherosclerosis and peripheral artery
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - She had been admitted 1 month prior for evaluation of peripheral artery disease. … During that hospitalization, the patient underwent angioplasty of the right femoral artery, complicated … 0.6%, respectively.( 2 ) As the patient in this case had undergone angioplasty of the right femoral artery
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The Case A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted … for management of inferior mesenteric artery (IMA) stenosis. … She underwent IMA and right renal artery stenting by vascular surgery and was transferred to an internal … She contacted the primary team, who ordered a CT angiogram, which revealed internal mesenteric artery … The reviews concluded that the delay in diagnosis of internal mesenteric artery dissection and bowel
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psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - with suspected dissection of the left vertebral artery. … Cervical
artery dissections can occur spontaneously or after head or neck trauma, which can be minimal … Multiple patients with cervical artery
dissection, some complicated by posterior circulation stroke, … Vertebral artery dissections after chiropractic neck manipulation
in Germany over three years. … 'Convulsions' in basilar artery occlusion. Neurology. 1988;38(9):1500-1501. [Free full
text]
34.
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psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - with suspected dissection of the left vertebral artery. … Cervical artery dissections can occur spontaneously or after head or neck trauma, which can be minimal … Multiple patients with cervical artery dissection, some complicated by posterior circulation stroke, … Vertebral artery dissections after chiropractic neck manipulation in Germany over three years. … 'Convulsions' in basilar artery occlusion. Neurology. 1988;38(9):1500-1501.
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - The patient ultimately underwent a procedure to have his sphenopalatine artery embolized by interventional … accompanied by nasal obstruction.( 4 ) The nasal cavity is richly vascular and supplied with multiple arteries … Anterior epistaxis typically arises from the anterior ethmoidal artery or superior labial artery circulation … while posterior epistaxis arises from the sphenopalatine or posterior ethmoid arteries ( Figure ). … Pinching the upper lip "pressure point" also diminishes blood coming in from the upper lip artery.
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psnet.ahrq.gov/node/42838/psn-pdf
January 08, 2014 - Management of arterial lines and blood sampling in
intensive care: a threat to patient safety.
January 8, 2014
Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a
threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111/anae.12389.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - She had been admitted 1 month prior for evaluation of peripheral
artery disease. … During that hospitalization, the patient underwent angioplasty of the right femoral artery,
complicated … 0.6%, respectively.(2) As the patient in this case
had undergone angioplasty of the right femoral artery
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - A computed tomography angiogram
revealed complete occlusion of the left superficial femoral artery secondary … These findings would significantly raise the possibility of left superficial femoral artery disease.(
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psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - ://psnet.ahrq.gov/web-mm/forgotten-radiographic-read
The Case
A 60-year-old woman with peripheral artery … disease and chronic mesenteric ischemia was admitted for
management of inferior mesenteric artery ( … She underwent IMA and right renal artery
stenting by vascular surgery and was transferred to an internal … She contacted the primary team, who
ordered a CT angiogram, which revealed internal mesenteric artery … The reviews concluded that the
delay in diagnosis of internal mesenteric artery dissection and bowel
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psnet.ahrq.gov/node/38153/psn-pdf
October 15, 2008 - using an evidence-based, pay-for-performance
program to reduce errors and improve outcomes in coronary-artery
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psnet.ahrq.gov/node/866080/psn-pdf
June 05, 2024 - Based on data from cardiothoracic surgeons
performing coronary artery bypass graft surgeries, the authors
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - In a series of 142 cases, they found
perforators were present in 7% of basilar artery bifurcations, … 17% of internal carotid artery bifurcation
aneurysms, 12% of middle cerebral artery aneurysms, and 11% … of anterior communicating artery
aneurysms.18
https://psnet.ahrq.gov//#5
https://psnet.ahrq.gov//#6 … Neuromonitoring during aneurysm clipping has been shown to reduce the risk of injury to perforating
arteries
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - • He underwent cardiac catheterization, which showed 3-vessel coronary artery
disease and severe … • He was deemed a surgical candidate and was transferred to another facility for
coronary artery … • Combining aortic valve replacement (AVR) with coronary artery bypass grafting
(CABG) is an extended … Management of coronary artery disease in patients with aortic stenosis. Heart. 2023;109(4):322-329. … PCI and CABG for Treating Stable Coronary Artery Disease: JACC Review Topic of the Week.
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psnet.ahrq.gov/node/39472/psn-pdf
April 21, 2010 - closed malpractice claims found that diagnostic error—particularly for missed diagnoses of
coronary artery
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psnet.ahrq.gov/node/37956/psn-pdf
July 30, 2008 - hospital-mortality-when-failure-not-good-measure-success
https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
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psnet.ahrq.gov/node/867045/psn-pdf
October 30, 2024 - retrospective claims-based study, researchers examined the impact of SSI infections after coronary artery
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - A decision was made to use a radial artery approach. … After multiple attempts, the team was able to access her radial artery. … Review of the angiogram demonstrated the presence of an air embolism in the left coronary artery, caused … by air being introduced into the patient's radial artery during the catheter insertion.