Review
Critical Care Medicine
Luigi La Via, Marinella Astuto, Veronica Dezio, Liliana Muscara, Sofia Palella, Mateusz Zawadka, Philippe Vignon, Filippo Sanfilippo
Summary: Evaluation of venous cavity size and respiratory variation using non-invasive methods in critically ill patients is not interchangeable between the longitudinal trans-hepatic and subcostal approaches. Further studies with accurate data reporting and appropriate statistical analysis are needed to establish proper cut-offs for fluid responsiveness when using the transhepatic approach for IVC visualization.
JOURNAL OF CRITICAL CARE
(2022)
Editorial Material
Medicine, General & Internal
Clement Lee, S. William Stavropoulos, William T. Kuo
Summary: This article discusses a case of incidentally discovered inferior vena cava filter, presenting two essays that argue for removal or deferring removal of the filter unless complications occur.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Daniel Manzur-Sandoval, Gerardo Arteaga-Cardenas, Rodrigo Gopar-Nieto, Emmanuel Lazcano-Diaz, Gustavo Rojas-Velasco
Summary: This study demonstrated a strong positive correlation between maximum and minimum diameters and respirophasic variation of the IVC in subcostal and transhepatic views. Evaluation of IVC respirophasic variation indices using the transhepatic view also showed high sensitivity for predicting fluid responsiveness in postoperative cardiac surgery patients. There is potential for the transhepatic view to be a valuable tool for hemodynamic management in this patient population.
JOURNAL OF CARDIAC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Georgios Zisis, Yang Yang, Quan Huynh, Kristyn Whitmore, Maria Lay, Leah Wright, Melinda J. Carrington, Thomas H. Marwick
Summary: The use of handheld ultrasound to assess residual congestion in patients with acute decompensated heart failure can help predict the risk of readmission and death. Heart failure nurses are capable of obtaining images and providing diagnostic reports that are predictive of patient outcomes.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Computer Science, Information Systems
Piero Policastro, Giovanni Chiarion, Francesco Ponzio, Leonardo Ermini, Stefania Civera, Stefano Albani, Giuseppe Musumeci, Silvestro Roatta, Luca Mesin
Summary: In this study, deep learning methods YOLO v4 and YOLO v4 tiny networks were used to automatically identify the location of the IVC and the view of the US scan. The output of these algorithms reduced operator dependency, shortened the time required for IVC analysis, and automatically recovered lost veins during acquisition. The models were trained on frames from 18 subjects and showed high accuracy, with the inclusion of tissue movement information improving the accuracy of the IVC detector.
Article
Cardiac & Cardiovascular Systems
Vijay Trehan, Safal, Ankur Gautam, Ankit Bansal
Summary: A case of successful balloon mitral valvotomy performed through a transhepatic approach in a patient with inferior vena cava anomaly was reported.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2022)
Article
Peripheral Vascular Disease
Maria Giuseppina Annetta, Bruno Marche, Giovanna Mercurio, Mauro Pittiruti
Summary: In this study, the visualization and localization of the catheter tip in the inferior vena cava were compared using two different ultrasound windows. The transhepatic view was found to be the preferred method for intraoperative localization of the catheter tip.
JOURNAL OF VASCULAR ACCESS
(2023)
Review
Radiology, Nuclear Medicine & Medical Imaging
Simon J. Li, Jean Lee, Jonathan Hall, Tom R. Sutherland
Summary: This article presents the anatomy, embryological development, various variants and diseases of the inferior vena cava, as well as common pitfalls in imaging. This information is crucial for clinical decision making and reducing misdiagnosis.
INSIGHTS INTO IMAGING
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Sabrina Dehbi, Remi Grange, Geraldine Poenou, Elie Ayoub, Claire Boutet, Fabrice-Guy Barral, Laurent Bertoletti, Sylvain Grange
Summary: This study aimed to analyze the removal rate and predictors of filter non-removal in a university hospital setting. The overall removal rate of IVCF was 40.5%, and the adjusted removal rate was 62.9%. Advanced age and cancer presence were the major factors influencing IVCF removal rate.
EUROPEAN RADIOLOGY
(2023)
Article
Urology & Nephrology
Xiaorui Yin, Jon D. Blumenfeld, Sadjad Riyahi, Xianfu Luo, Hanna Rennert, Irina Barash, Martin R. Prince
Summary: IVC compression is common in ADPKD patients over 40 years old, with Mayo Clinic class 1D/E, and in females with liver volume > 2000 ml/m. Complications may include deep vein thrombosis (DVT) and symptomatic hypotension.
KIDNEY INTERNATIONAL REPORTS
(2021)
Review
Cardiac & Cardiovascular Systems
Ingrid M. Bistervels, Andrea Buchmuller, Bernard Tardy
Summary: The risks of filter complications in pregnancy are comparable to the nonpregnant population, but could lead to fetal or maternal death. Therefore, inferior vena filters should only be considered in pregnant women in limited situations, such as extensive thrombosis with a contraindication for anticoagulants.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Multidisciplinary Sciences
Maximilian Hoffman, David L. Convissar, Marie-Louise Meng, Sean Montgomery, Yuriy S. Bronshteyn
Summary: In recent decades, diagnostic point-of-care ultrasound (POCUS) has been widely used by clinicians to aid medical decision-making. One common application of POCUS is imaging the inferior vena cava (IVC), which is practiced across various medical specialties. While the relationship between IVC sonographic data and intravascular volume status is complex, standardized image acquisition methods are necessary for repeatability. This paper provides guidance on standardized IVC image acquisition, including patient positioning, transducer selection, probe placement, image optimization, and discusses the limitations and alternative views of IVC sonographic imaging.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2023)
Article
Medicine, General & Internal
Shizhi Wang, Yuqiu Li, Qijun Yang, Xue Zhang, Yunqi Cheng, Zimeng Li, Jingyi Wang, Qingfu Zeng
Summary: Careful preoperative examination, correct surgical treatment methods, and multidisciplinary collaboration can lead to safe and successful operations in patients with primary tumors of the inferior vena cava, improving the survival rate. In our study, four patients who underwent initial resection of the primary tumors had successful outcomes with no disease-specific deaths, serious complications, or recurrence during follow-up. Retrospective review of cases in this field is necessary for further research and improvement of treatment strategies.
FRONTIERS IN MEDICINE
(2022)
Article
Critical Care Medicine
Ahmed Hasanin, Nadia Karam, Maha Mostafa, Amr Abdelnasser, Waleed Hamimy, Ahmed Z. Fouad, Akram Eladawy, Ahmed Lotfy
Summary: The study aimed to predict fluid responsiveness in mechanically ventilated patients with septic shock after emergency laparotomy by measuring inferior vena cava (IVC) distensibility using the transhepatic approach. The results showed that the transhepatic approach demonstrated good accuracy in predicting fluid responsiveness and was feasible for a larger number of patients compared to the subxiphoid approach.
Review
Radiology, Nuclear Medicine & Medical Imaging
Yusuf Ahmad, Brian Funaki, Sana Jilani, Osman Ahmed
Summary: This article analyzed medical malpractice and product liability lawsuits related to IVC filters using a well-recognized legal research database. It found that most recent lawsuits were filed against manufacturers, with the main litigious filters being the G2 and Greenfield filters. Most cases resulted in rulings for physicians or manufacturers.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Anesthesiology
Antonio Messina, Davide Colombo, Giulia Lionetti, Lorenzo Calabro, Katerina Negri, Chiara Robba, Gianmaria Cammarota, Elena Costantini, Maurizio Cecconi
Summary: This study examined the effects of fluid challenge (FC) administration in elective surgical patients with low or normal blood pressure. It also evaluated the pharmacodynamic effects of FC in normotensive and hypotensive patients. The results showed that FC was effective in restoring mean arterial pressure (MAP) to >= 65 mmHg after 5 minutes in both normotensive and hypotensive patients, but the magnitude and duration of pressure augmentation were greater in the hypotensive group.
JOURNAL OF CLINICAL MONITORING AND COMPUTING
(2023)
Letter
Cardiac & Cardiovascular Systems
Luigi La Via, Cristina Santonocito, Antonio Messina, Chiara Robba, Filippo Sanfilippo
Review
Critical Care Medicine
Antonio Messina, Valeria Alicino, Maurizio Cecconi
Summary: The purpose of this article is to systematically review and critically assess the use of transpulmonary thermodilution (TPTD) by providing a detailed description of technical aspects, evaluating the use of TPTD-derived parameters in specific clinical settings, and exploring the limits of this technique.
CURRENT OPINION IN CRITICAL CARE
(2023)
Review
Anesthesiology
Antonio Messina, Yaroslava Longhitano, Christian Zanza, Lorenzo Calabro, Federico Villa, Gianmaria Cammarota, Filippo Sanfilippo, Maurizio Cecconi, Chiara Robba
Summary: This article presents a systematic review that found approximately one in five patients with SAH develop cardiac dysfunction, which is associated with higher in-hospital mortality.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2023)
Review
Anesthesiology
Luigi La Via, Cristina Santonocito, Nicola Bartolotta, Bruno Lanzafame, Alberto Morgana, Carlotta Continella, Giulia Cirica, Marinella Astuto, Filippo Sanfilippo
Summary: This study compared the advantages of alpha-2 agonists and fentanyl as adjuvants for spinal anesthesia in elective cesarean sections through a systematic review and meta-analysis. The results showed that alpha-2 agonists significantly increased the time to first rescue analgesia and prolonged the duration of sensory block compared to fentanyl. Additionally, alpha-2 agonists were associated with lower rates of shivering and nausea or vomiting.
MINERVA ANESTESIOLOGICA
(2023)
Letter
Anesthesiology
Sofia Palella, Liliana Muscar, Luigi La Via, Filippo Sanfilippo
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Review
Anesthesiology
Antonio Putaggio, Stefano Tigano, Alessandro Caruso, Luigi La Via, Filippo Sanfilippo
Summary: In adult patients undergoing cardiac surgery, a conservative transfusion protocol integrating hemoglobin levels with a marker of organ hypoperfusion reduces the number of transfused red blood cell units and the number of patients transfused at least once without apparent harm signals.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Article
Anesthesiology
Antonio Messina, Giovanni Sotgiu, Laura Saderi, Mariangela Puci, Katerina Negri, Chiara Robba, Filippo Sanfilippo, Stefano Romagnoli, Maurizio Cecconi
Summary: This study used a clustering approach to assess the different phenotypes of cardiovascular responses to fluid challenge administration. Three hemodynamic clusters were identified, enhancing the ability to detect fluid responsiveness at the bedside.
MINERVA ANESTESIOLOGICA
(2023)
Review
Anesthesiology
Filippo Sanfilippo, Antonio Messina, Sabino Scolletta, Elena Bignami, Andrea Morelli, Maurizio Cecconi, Giovanni Landoni, Stefano Romagnoli
Summary: The impact of left ventricular diastolic dysfunction on critically ill patients admitted to the intensive care unit has gained recent interest. Treatment options for diastolic dysfunction are limited, making a proactive approach crucial in improving outcomes. The CHEOPS bundle, combining chest ultrasound, hemodynamics assessment, optimization of mechanical ventilation and pulmonary circulation, and stabilization, provides a potentially useful acronym for optimizing the management of critically ill patients with left ventricular diastolic dysfunction.
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
(2023)
Article
Medicine, General & Internal
Francesco Vasile, Luigi La Via, Paolo Murabito, Stefano Tigano, Federica Merola, Tiziana Nicosia, Giuseppe De Masi, Andrea Bruni, Eugenio Garofalo, Filippo Sanfilippo, Kassiani Theodoraki, Chun Yang
Summary: This study aimed to investigate the prevalence of perioperative hypotension after spinal anesthesia for cesarean section and its correlation with neonatal well-being. Continuous non-invasive hemodynamic monitoring allowed for early detection and prompt treatment of maternal hypotension, resulting in satisfactory outcomes for neonatal health.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Critical Care Medicine
Antonio Messina, Mariagiovanna Caporale, Lorenzo Calabro, Giulia Lionetti, Daniele Bono, Guia Margherita Matronola, Andrea Brunati, Luciano Frassanito, Emanuela Morenghi, Massimo Antonelli, Michelle S. Chew, Maurizio Cecconi
Summary: The overall performance of PPV and SVV in predicting fluid responsiveness in the operating room is moderate, approaching an AUC of 0.80 only in some subgroups of surgical patients. The wide grey zone of these dynamic indices should be carefully considered during the assessment of fluid responsiveness. Factors such as high tidal volume and the choice of colloids for fluid challenge may influence the reliability of PPV.
Letter
Radiology, Nuclear Medicine & Medical Imaging
Filippo Sanfilippo, Luigi La Via, Veronica Dezio, Simone Messina, Marinella Astuto
JOURNAL OF ULTRASOUND
(2023)