Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2003
Case Reports[Shock occurring shortly after inferior vena cava interruption using an endovascular device: think of filter thrombosis].
We report the case of a 47-year-old man who experienced a pulmonary embolism associated with a femoral thrombus after a traumatic intracranial haematoma and had caval interruption using a new generation endovascular percutaneous filter. A shock occurred soon after the procedure, associated with inferior cava system inflation related to a filter thrombosis. ⋯ The situation became stable after intensive volume expansion. This report underlines the risk of complication associated to vena cava interruption despite the use of new generation filters and the significance of mechanical measures in prevention of thrombosis when anticoagulants are contraindicated.
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Ann Fr Anesth Reanim · Nov 2003
[Analysis of the criteria that contribute to the decision to harvest the heart in brain-dead organ donors].
The number of cardiac transplantation procedures does not increase because of the lack of donor hearts despite an increase in the number of brain-dead organ donors. The criteria used to select a donor heart are not formally standardized. The aim of the present study was to analyze the criteria that contribute to the selection of a donor heart. ⋯ After an initial phase of selection, the final decision to harvest a heart is based on several criteria. These results should be an incentive to conceive a score that could allow a more formal decision process for heart harvesting.