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It is recommended to perform percutaneous thrombectomy for high-risk pulmonary embolism when alternative treatments are not adequate and for intermediate- or high-risk pulmonary embolism when ...
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NICE
A pulmonary embolism is when a pulmonary artery is obstructed by an embolus (usually a blood clot) that travels to the lungs from deep veins in the leg or pelvis. A high-risk PE is defined by sustained systemic hypotension or shock. An intermediate-risk PE involves right ventricular dysfunction or myocardial injury without major haemodynamic compromise. High‑risk PE accounts for less than 10% of acute PE cases and is a medical emergency with a high mortality rate. The first-line treatment ...
ver más ... 2023There is uncertainty regarding the benefit of percutaneous transarterial carotid artery stenting for extracranial carotid stenosis in asymptomatic adults versus classical carotid endarterectomy.
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NICE
The carotid arteries can become stenosed by fatty deposits favoring blood clots formation. Fragments can then detach and lodge in thinner arteries that supply blood to the brain. This can cause a stroke or transient ischemic attack. If the carotid stenosis is not causing any health problems it is asymptomatic. For people with asymptomatic extracranial carotid stenosis, management includes lifestyle modification (diet, exercise, and smoking cessation) and pharmacological therapy ...
ver más ... 2023Biodegradable subacromial spacer insertion is not recommended in patients with rotator cuff tears when debridement is an appropriate option.
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NICE
People who have rotator cuff tears may have shoulder pain and weakness, with reduced shoulder function, leading to a reduced quality of life. Rotator cuff tears can be caused by an injury or can develop gradually. They can be minor or serious depending on the degree of tendon damage. Minor rotator cuff tears are very common and may not cause any symptoms. Diagnosis is usually made by ultrasound or MRI. The guideline is based on a comprehensive literature search and a detailed review of ...
ver más ... 2023There is uncertainty about the efficacy and safety of endoscopic transluminal vaginal hysterectomy and adnexal surgery for benign gynecologic conditions, so their use is recommended only when special ...
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NICE
Benign gynecological conditions are those non-neoplastic pathologies that affect the female reproductive system: chronic pelvic pain, uterine prolapse, fibroids and abnormal vaginal bleeding. If left untreated, they can cause intense and prolonged pain, infections and reduced quality of life. Currently there are different surgical approaches including hysterectomy, adnexectomy and myomectomy. Conventional hysterectomy (removal of the uterus) can be performed via laparotomy, laparoscopy or ...
ver más ... 2023Extracorporeal carbon dioxide removal is not recommended in people with acute hypoxic respiratory failure. Extracorporeal carbon dioxide removal is recommended only in the investigation of acute ...
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NICE
Respiratory failure is a serious lung condition that causes the patient to feel short of breath because the lungs cannot deliver enough oxygen to the blood. Simultaneously, it can cause the accumulation of carbon dioxide that can damage tissues and organs. It is defined with PaO2 values less than 60 mmHg with or without hypercapnia (PaCO2 greater than 45 mmHg). The most common cause of hypercapnic respiratory failure is an acute exacerbation of chronic obstructive pulmonary disease. Its ...
ver más ... 2023