30 results on '"Linh, Le Tuan"'
Search Results
2. Flow diverter stent for treatment of cerebral aneurysms: A report of 130 patients with 134 aneurysms
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Binh, Nguyen Thai, Luu, Vu Dang, Thong, Pham Minh, Cuong, Nguyen Ngoc, Anh, Nguyen Quang, Tuan, Tran Anh, Linh, Le Tuan, Thien, Nguyen Tat, Uddin, Md Jamal, Dinh, Thien Chu, and Chu, Dinh-Toi
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- 2020
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3. Minimally Invasive Treatment of Chyle Leak After Thyroidectomy and Cervical Lymph Node Dissection in Patients with Thyroid Carcinoma: Results of a Study Involving 36 Patients.
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Cuong, Nguyen Ngoc, Hoan, Le, My, Thieu Thi Tra, Luu, Doan Tien, Linh, Le Tuan, Canh, Pham Hong, Tinh, Trieu Quoc, Chi, Tran Nguyen Khanh, Trung, Nguyen Quang, and Hoa, Tran Quoc
- Subjects
LYMPHADENECTOMY ,DISSECTION ,THYROIDECTOMY ,THYROID cancer ,THORACIC duct ,TREATMENT effectiveness ,COMPUTED tomography - Abstract
Chyle leak (CL) after head and neck surgery is a rare but well-known complication. In patients with high-output leakage, the treatment can be complicated. This study aims to report on a recent innovation in lymphatic intervention for treating such patients. Materials and Methods: A retrospective review of 36 patients with chyle leak after neck surgery for thyroid cancer was conducted to assess the efficacy of percutaneous lymphatic embolization and thoracic duct (TD) disruption. Results: Antegrade catheterization of the thoracic duct was achieved in 31 of 36 patients (86.1%). Therefore, embolization of the thoracic duct and thoracic duct branches was performed in 26 and 5 patients, respectively. In 5 cases of unsuccessful antegrade catheterization into the thoracic duct, transcervical access embolization was performed in 2 patients, and TD disruption (TDD) was performed in 3 patients. The pooled overall technical success rate of lymphatic embolization was 33/36 patients (91.7%). One patient who underwent thoracic duct embolization (TDE) with technical success (1/33 patients) but clinical failure had additional treatment directly sclerosing the TD under computed tomography scan. Cervical fluid collection sclerotherapy was done in 7 patients as an additional treatment. Resolution of the chyle leak after procedures was observed in all patients (100%). The mean time to resolution was 3 days (1– 7 days). There was no complication intra and after procedures. Conclusion: TDE, selective TD branches embolization and TDD are safe and effective minimally invasive treatments for CL post-surgery for thyroid carcinoma. Sclerosing cervical fluid collection contributes to clinical success. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Conventional digital subtractional vs non-invasive MR angiography in the assessment of brain arteriovenous malformation
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Cuong, Nguyen Ngoc, Luu, Vu Dang, Tuan, Tran Anh, Linh, Le Tuan, Hung, Kieu Dinh, Ngoc, Vo Truong Nhu, Sharma, Kulbhushan, Pham, Van Huy, and Chu, Dinh-Toi
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- 2018
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5. An uncommon therapeutic option for a challenging cause of pleural effusion
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Linh Le Tuan, Cuong Nguyen Ngoc, Hung Tran Viet, Hoan Le, François Pons, and Delphine Natali
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Diseases of the respiratory system ,RC705-779 - Published
- 2019
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6. Sporadic Creutzfeldt-Jakob disease: Brain MRI lesion features from 2 cases reports
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Au, Hoang Dinh, Lan, Nguyen Thu, Binh, Nguyen Thai, Linh, Le Tuan, Hien, Ma Mai, and Duc, Nguyen Minh
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- 2024
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7. A 32-Year-Old Man With Dyspnea and Stridor.
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Hoan, Le, Hang, Le Minh, Linh, Le Tuan, My, Thieu Tra, Minh, Tran Ngoc, Manh, Pham Thuan, and Cuong, Nguyen Ngoc
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DYSPNEA ,COUGH ,CHEST pain ,WHEEZE ,TUBERCULOSIS ,FEVER ,SYMPTOMS - Abstract
Case Presentation: A 32-year-old man was admitted to the hospital because of dyspnea on exertion for 2 months. Dyspnea occurred in both inspiration and expiration with an associated wheeze that was more pronounced with exertion. He had no other medical history or allergies. The patient was a current one-pack-a-day smoker for the past 5 years. He denied any close personal contact or recent exposure to any patients with active TB. He denied any current symptoms of chest pain, cough, fever, or changes in weight. On a prior admission for similar symptoms, the patient had been diagnosed with asthma and treated with an inhaled corticosteroid/long-acting beta-agonist with no change or improvement in symptoms. [ABSTRACT FROM AUTHOR]- Published
- 2022
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8. Intranodal Lymphangiography and Lymphatic Embolization Treatment for Groin Lymphorrhea: A Preliminary Vietnamese Report.
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Cuong, Nguyen Ngoc, Canh, Pham Hong, Linh, Le Tuan, Duc, Nguyen Minh, My, Thieu Thi Tra, and Hoan, Le
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LYMPHANGIOGRAPHY ,COMPRESSION stockings ,LYMPH nodes ,FEMORAL artery ,GROIN - Abstract
Purpose: This article described intranodal lymphangiography and embolization of patients with lymphatic leak post-operation of the groin region for various aetiologies (lymph node resection, femoral artery exposure). Materials and Methods: A retrospective analysis from 2018 to 2020 was performed and twelve consecutive patients underwent intranodal lymphangiography and intranodal lymphatic embolization to treat lymphorrhea or lymphocele post-operation of the groin. All the lymph nodes around the wound were punctured for lymphangiography. If the extravasation was found from the lymph node, the glue N-butyl cyanoacrylate (NBCA) diluted with lipiodol (ratio of 1:4) was injected to occlude the lymphatic vessel laceration. Results: All the lymph nodes around the wound were punctured with the median number of two lymph nodes for each patient (range from one to four lymph nodes); there were three patients with two leakage points. Intranodal lymphatic embolization was performed by glue NBCA diluted 1:4 with lipiodol. Additional treatment includes sclerotherapy (n=5) and percutaneous muscular flap operation (n=1). Clinical successful was achieved in twelve patients (100%) with no major complications. One patient experienced lymphedema which was was treated by compression stockings and rehabilitation therapy. Conclusion: Intranodal lymphangiography and embolization are effective methods to treat iatrogenic lymphatic leak while all the lymph nodes around the wound should be punctured to avoid missing lesions from other lymphatic vessels. [ABSTRACT FROM AUTHOR]
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- 2021
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9. Percutaneous embolization of hepatic lymphorrhea post-hepatectomy
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Dung, Le Viet, Binh, Nguyen Thai, Linh, Le Tuan, Hien, Phan Nhan, Dung, Tran Ngoc, Long, Tran Bao, My, Thieu-Thi Tra, and Duc, Nguyen Minh
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- 2022
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10. Correlations between apparent diffusion coefficient values and histopathologic factors in breast cancer.
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Linh, Le Tuan, Duc, Nguyen Minh, My, Thieu-Thi Tra, Bang, Luong Viet, Tien, Nguyen Cong, and Thong, Pham Minh
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BREAST cancer ,MAGNETIC resonance imaging ,PROGESTERONE receptors ,HER2 protein ,MANN Whitney U Test - Abstract
Background. Breast cancer is the most common malignancy diagnosed in women, and the incidence gradually increases. Magnetic resonance imaging (MRI) is become widely used to identify benign and malignant breast tumors. Objective: The aim of this study was to evaluate the relationships between apparent diffusion coefficient (ADC) values and histopathologic prognostic factors in breast cancer. Methods. Forty-nine breast carcinoma patients were included evaluated for prognostic factors, including histological type, histological grade, estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2), and molecular subtype. Minimum (ADCmin) and mean (ADCmean) ADC values were compared among prognostic factor groups by Mann–Whitney U test and Kruskal–Wallis test. Results. Lower mean ADCmin and ADCmean values were observed for no special type (NST) than for invasive lobular carcinoma (ILC) type (0.81 ± 0.03 × 10−3 and 0.96 ± 0.03 × 10−3 mm2 /s, P= 0.002 and 0.03, respectively). The mean ADCmin and ADCmean values for the highlevel Ki-67 group were significantly lower than those for the low-level Ki-67 group (P = 0.001 and 0.008, respectively). No correlations were observed between ADC values and histological grades, ER, PR, HER2, and molecular subtypes. Conclusion. ADCmin and ADCmean values correlated with the proliferation marker Ki-67 and histological grade. ADC values can serve as noninvasive indicators of cell proliferation in breast cancer. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Endovascular treatment of ruptured blister-like aneurysms: A case report and review of the literature
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Binh, Nguyen Thai, Duc, Nguyen Minh, Tuyen, Le-Van, My, Thieu-Thi Tra, and Linh, Le Tuan
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- 2021
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12. Diagnosis and treatment of hemosuccus pancreaticus induced by intraductal papillary mucinous neoplasm: a case report and review of the literature
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Long, Tran Bao, Binh, Nguyen Thai, Dung, Le Viet, Linh, Le Tuan, Luu, Doan Tien, My, Thieu-Thi Tra, and Duc, Nguyen Minh
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- 2021
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13. Percutaneous sclerosing injection to the thoracic duct under CT guidance for cervical chylous leakage post thyroidectomy: A case report
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Cuong, Nguyen Ngoc, Hoan, Le, Linh, Le Tuan, Tan, Pham Huy, My, Thieu Thi Tra, and Duc, Nguyen Minh
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- 2021
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14. A case report of pericallosal aneurysm successfully treated with flow diverter stents
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Dung, Le Viet, Duc, Nguyen Minh, Binh, Nguyen Thai, Linh, Le Tuan, Luu, Doan Tien, My, Thieu-Thi Tra, Huy, Tran Duc, and Thong, Pham Minh
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- 2021
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15. A 69-Year-Old Man With Chronic Cough and Recurrent Pneumonia.
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Hoan, Le, Hang, Le Minh, Thanh Hong, Dinh Thi, Nhu Quynh, Nguyen Thi, Linh, Le Tuan, Cuong, Nguyen Ngoc, Minh, Tran Ngoc, Luan, Dao Thi, Thang, Nguyen Duy, and Delphine, Natali
- Abstract
Case Presentation: A 69-year-old man consulted for a 3-day history of fever, wet cough, and yellow-green phlegm. He denied having any dyspnea, chest pain, hemoptysis, swallowing disorders, choke, chills, asthenia, anorexia, or weight loss. He reported a continuous dry cough and three episodes of pneumonia in the past 4 years. He was a nonsmoker, without any other personal or familial medical history. He had no known professional exposure. He was born and lived in Vietnam but had no known contact with TB in his family or workplace. He was never imprisoned or homeless and did never travel abroad. [ABSTRACT FROM AUTHOR]- Published
- 2020
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16. Non-functioning adrenocortical carcinoma
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Lenh, Bui-Van, Duc, Nguyen Minh, Tra My, Thieu-Thi, Minh, Tran Ngoc, Bang, Luong Viet, Linh, Le Tuan, Giang, Bui-Van, and Thong, Pham Minh
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- 2021
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17. A 24-Year-Old Man With Recurrent Hemoptysis.
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Hoan, Le, Cuong, Nguyen Ngoc, Thang, Nguyen Duy, Hong, Dinh Thi Thanh, Hang, Le Minh, Linh, Le Tuan, Minh, Tran Ngoc, Pons, François, and Natali, Delphine
- Abstract
Case Presentation: A 24-year-old man was admitted for a new episode of hemoptysis. He reported 3 episodes of hemoptysis in the past 2 years. He had no other medical history and was a nonsmoker. As a Vietnamese person born and living in Vietnam, he was at risk for TB, but had not had contact with those having TB in his family or workplace, was never imprisoned nor homeless, and never traveled abroad. He never experienced pneumonia. He coughed up a small amount of fresh with air red blood (around 5 mL each time) several time for 3 days. He had no dyspnea, no chest pain, no fever, no asthenia, and no anorexia. [ABSTRACT FROM AUTHOR]- Published
- 2020
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18. Cecum perforation due to a fish bone.
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Dung, Le Thanh, Duc, Nguyen Minh, My, Thieu-Thi Tra, Linh, Le Tuan, Luu, Vu Dang, and Thong, Pham Minh
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INTESTINAL perforation ,FOREIGN bodies ,CECUM ,GASTROINTESTINAL system ,ABDOMINAL pain ,HOSPITAL emergency services ,AGE groups - Abstract
Foreign body (FB) ingestion is a common condition encountered in clinical practice, especially among the pediatric age group; however, this occurrence is rare among adults. Some FBs can induce the perforation of the gastrointestinal tract, including fish bones, chicken bones and toothpicks. The ingestion of FBs is rarely associated with bowel perforation, and most FBs are passed spontaneously. The ingestion of sharp and pointed objects typically produces adverse events related to the upper gastrointestinal system, and FBs are rarely retained in the colon. Bowel perforation caused by the ingestion of FBs should be diagnosed and treated in a timely manner. Here, we present the unusual case of a 51-year-old male who presented to the emergency room with complaints of acute abdominal pain secondary to fish bone ingestion, which triggered cecum perforation. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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19. Value of Diffusion Weighted MRI with Quantitative ADC Map in Diagnosis of Malignant Thyroid Disease.
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Linh, Le Tuan, Cuong, Nguyen Ngoc, Hung, Tran Viet, Hieu, Nguyen Van, Lenh, Bui Van, Hue, Nguyen Duy, Pham, Van Huy, Nga, Vu Thi, and Chu, Dinh-Toi
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DIFFUSION magnetic resonance imaging , *MAGNETIC resonance imaging , *DIFFUSION coefficients , *DIAGNOSIS , *CANCER , *THYROID diseases - Abstract
Thyroid nodule is a common disease in clinical practice. The diagnosis of malignant thyroid tumors determines the treatment strategy. Among a number of methods have claimed to help evaluating thyroid nodules, ultrasound is a usable one in spite of several disadvantages (dependent on the physician/technician, incomparable, etc.) and magnetic resonance imaging (MRI) accompanied by quantitative apparent diffusion coefficient (ADC) is a promising diagnostic tool. This study was designed to investigate the usefulness of ADC cut-off values and the protocol of thyroid MRI derived from quantitative diffusion weighted imaging (DWI) in differentiating benign and malignant thyroid nodules. The study was conducted on 93 patients with 128 thyroid nodules, diagnosed and underwent surgery at Hanoi Medical University Hospital. All the patients took thyroid MRI with different b levels (from 200 to 800). ADC value was calculated to each b level, and the statistical tests were conducted with the Statistical Package for Social Sciences (SPSS—Windows and Mac version 20) and STATA 12. The mean ADC with all the b ranging from 200 to 800 of malignant groups was significantly higher than the group of benign lesions (p from <0.001 to 0.01). We chose b = 500 as a standard b-value in the protocol of thyroid MRI. The ADC cut-off point for distinguishing malignant from benign thyroid lesions: 1.7 × 10−3 mm2/s with high accuracy (87.1%, 95% CI: 79.59–92.07%). The study revealed that quantitative diffusion weighted MRI with ADC measurement could potentially quantitatively differentiate between benign and malignant thyroid nodules. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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20. Evaluation of Factors Influenced on the Effectiveness of Percutaneous Nephrolithotomy.
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Hoa TQ, Nguyet TTM, Van Anh NT, Linh LT, Duc NM, and Au HD
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- Humans, Male, Female, Treatment Outcome, Retrospective Studies, Nephrolithotomy, Percutaneous methods, Kidney Calculi surgery, Urinary Calculi
- Abstract
Background: Generally, there are many methods for the treatment of urinary stones, of which percutaneous nephrolithotomy (PCNL) is a minimally invasive and highly effective method, and now become the first-line management for urinary stones, especially in the cases of complex stones and staghorne calculi. Accurate assessment of stone location, stone morphology, degree of hydronephrosis as well as urinary system abnormalities is extremely important in the percutaneous nephrolithotomy strategy., Objective: The aim of this study was to evaluate the S.T.O.N.E score as well as other factors that influenced the effectiveness of PCNL., Methods: Descriptive study on 71 patients with kidney stones, who underwent multi-slice CT scan of the urinary system before PCNL and then PCNL at Hanoi Medical University Hospital from July 2022 to July 2023. All patients received the informed consent and agreed to participate in the study. The factors included the stone area, the track length (from the skin surface to the stone central), the degree of urinary tract dilatation, the number of involved calyces, the density of stone, the renal parenchyma thickness, the ureteral wall thickness and fat infiltration measured on MSCT non-contrast phase. These factors were used to predict the effectiveness of PCNL including the stone clearance rate (SCR) and the operation time., Results: The mean age of the patient group was 53.8±12.3. The male/female ratio was 1.54. There was a significant difference (p<0.05) between the following factors and the operation time: the stone area (<400, 400-799, 800-1599 and >1600 mm2), the degree of urinary tract dilatation (no or might and moderate or severe dilatation), the number of involved calyces (≤ 2, 3 and staghorne calculi), the renal parenchyma thickness (<18 mm and ≥18mm). In contrast, there were no significant differences between the following factors and the surgery time (p>0.05): the track length (<100 and ≥100 mm), and the stone density (<950 and ≥950 HU). Regarding the S.T.O.N.E score (included five factors: Size, Track length, Obstruction, Number of involved calyces, and Evaluation of stone density), there was a strong correlation between S.T.O.N.E score and the surgery time (p<0.001, r=0.94), and the SCR (p=0.001, r=-0.97)., Conclusion: The evaluation of these factors played an important role in the prediction of the effectiveness of PCNL., Competing Interests: The authors declare no conflict of interests., (© 2024 Tran Quoc Hoa, Than Thi Minh Nguyet, Nguyen Thanh Van Anh, Le Tuan Linh, Nguyen Minh Duc, Hoang Dinh Au.)
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- 2024
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21. Sporadic Creutzfeldt-Jakob disease: Brain MRI lesion features from 2 cases reports.
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Au HD, Lan NT, Binh NT, Linh LT, Hien MM, and Duc NM
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Sporadic Creutzfeldt-Jakob disease (sCJD) is an uncommon prion disease, also a fatal degenerative brain disorder. We aimed to illustrate 2 clinical cases, a 60-year-old female and a 57-year-old male, who came to the hospital due to rapidly progressive cognitive decline. A 1.5T brain MRI in both patients detected cortical and basal ganglia signal abnormalities with diffuse, asymmetrical features. The patient underwent electroencephalography and cerebrospinal fluid tests, which showed abnormal waves and a positive 14-3-3 protein test in the CSF samples of both patients. According to the 2018 US Centers for Disease Control and Prevention (CDC) diagnostic criteria, we finally diagnosed these patients with sCJD., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
- Published
- 2023
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22. Chylous ascites after donor nephrectomy: MR lymphangiography and lymphatic embolization treatment.
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Hoa TQ, Cuong NN, My TTT, Linh LT, Hoan L, Canh PH, Tinh TQ, Chi TNK, Luu DT, and Long H
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Chylous ascites results from the leakage of lipid-rich lymphatic fluid into the peritoneal cavity. Most postsurgical chylous ascites occurs following abdominal aortic surgeries. However, rarely, it is a complication after laparoscopic donor nephrectomy. Postsurgical chylous ascites are often managed with conservative treatment or surgery, but lymphatic embolization may be required. Here, we presented a 45-year-old male patient who was referred for abdominal distension for 1 week after left donor nephrectomy. The drain fluid was milky and fluid analysis revealed high concentrations of triglycerides and chylomicron, confirming diagnosis of chylous ascites. The patient was treated with conservative therapy including a low-fat diet and fluid drainage but continued to have high draining output (up to 1500-2000 mL/24 h). He underwent magnetic resonance lymphangiography and intranodal lymphangiography, revealing extravasation of contrast into the abdomen and the left renal fossa. We embolized the interstitial lymphatic of the left retroperitoneal and lymphatic vessels leak. The patient was discharged from hospital at the fifth day after intervention. In this article, we demonstrate lymphatic lesions, the safety, and success of this technique., (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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23. Cholecystitis-an uncommon complication following thoracic duct embolization for chylothorax: A case report.
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Dung LV, Hien MM, Tra My TT, Luu DT, Linh LT, and Duc NM
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Background: Chylothorax is an uncommon condition in which chyle leaks into the pleural cavity, and biliary peritonitis is a rare complication of thoracic duct embolization in clinical practice., Case Summary: We describe the case of a 50-year-old woman who presented with chylothorax and underwent thoracic duct embolization using a coil and a mixture of histoacryl glue and lipiodol. The patient developed upper abdominal pain and fever after the intervention. She was diagnosed with biliary peritonitis and treated with cholecystectomy at Hanoi Medical University Hospital., Conclusion: Although thoracic duct embolization is considered a safe and minimally invasive procedure, it is not without risk. Following thoracic duct embolization, severe or persistent abdominal pain should be explored utilizing imaging data and laboratory results to determine problems as soon as possible., Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflicts of interest., (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
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- 2022
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24. Preoperative embolization of hypervascular spinal tumors: Two case reports.
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Binh NT, Hoa TQ, Linh LT, My TT, Anh PQ, and Duc NM
- Abstract
The performance of preoperative embolization on a spinal tumor can be a useful adjunctive procedure that minimizes blood loss and complications, particularly for both metastatic and non-metastatic hypervascular tumors. We discuss two cases of hypervascular spinal tumors that were successfully treated with preoperative embolization and surgery. The first patient was an 18-year-old man who presented with cervical and shoulder pain for two months without paralysis or weakness. Magnetic resonance imaging revealed a tumor located in the D2 posterior vertebral arch that extended into the spinal canal and compressed the spinal cord. The second patient was a 68-year-old man with back pain that radiated to the legs for ten days. Magnetic resonance imaging revealed a mass in the L4 vertebral body. Both patients received tumor embolization and surgery. After surgery, neither patient experienced any major complications. Histological examination revealed osteoblastoma in the first patient and plasmacytoma in the second patient., Competing Interests: There are no conflicts of interest., (© 2022 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science.)
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- 2022
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25. Percutaneous Transhepatic Cholecystolithotomy by Holmium Laser for Non-high-Risk Patients with Symptomatic Gallbladder Stones.
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Binh NT, Ly NL, Hien PN, Linh LT, Lenh BV, and Duc NM
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- Adult, Female, Humans, Male, Middle Aged, Recurrence, Cholecystectomy, Laparoscopic, Gallstones surgery, Lasers, Solid-State therapeutic use
- Abstract
Background: The development of gallstones, also known as cholelithiasis, is one of the most common diseases associated with the gastrointestinal tract. In developing countries 10% to 15% of men and >25% of women experience gallstones., Objective: The aim of the study was to evaluate the outcomes following percutaneous transhepatic cholecystolithotomy by holmium laser in non-high-risk patients with symptomatic gallbladder stones., Methods: This was an intervention study without control and with longitudinal follow-up. Subjects included patients who had only gallbladder stones, a normal gallbladder contractility index, and required a conservative treatment., Results: The study included 44 patients (20 men, 24 women), with a mean age of 41.5 ± 13.4 years. The success rate was 97.7%, and only 1 of 44 patients required follow-up laparoscopic cholecystectomy. Gallstones were successfully removed from 43 of 44 patients (97.7%). The complication rate was 13.6% (6/44 patients), and only minor complications were reported for 5 of the 6 patients with complications. In 34 of 43 patients, follow-up examinations were performed after 1 and 6 months. The gallstone recurrence rate at six-month follow-up was 11.8%, and a collapsed gallbladder was detected in 1 of 34 patients, with the remaining 33 patients retaining normal gallbladder contractility indices (>40%)., Conclusion: Percutaneous transhepatic cholecystolithotomy by holmium laser has a high gallstone removal rate (97.7%); however, recurrence remains a major problem. The complication rate was about 13.6%, most of which were minor complications. Cases associated with treatment failure or serious complications should be detected and treated promptly., Competing Interests: There are no conflicts of interest to declare., (© 2022 Nguyen Thai Binh, Ngo-Thi Ly Ly, Phan Nhan Hien, Le Tuan Linh, Bui-Van Lenh, Nguyen Minh Duc.)
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- 2022
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26. Percutaneous embolization of hepatic lymphorrhea post-hepatectomy.
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Dung LV, Binh NT, Linh LT, Hien PN, Dung TN, Long TB, My TT, and Duc NM
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Abdominal effusion due to hepatic lymphorrhea post-hepatectomy is an extremely rare and complex complication in clinical practice. No standard treatment method has been established for this condition to date. We report a case of complicated intra-abdominal lymphatic leakage in a patient following hepatectomy to treat hepatocellular carcinoma. The patient underwent percutaneous embolization of the hilar hepatic lymphatic system, combined with intensive medical treatment. Percutaneous embolization represents a safe and effective method that should be considered as a first-line treatment for this complication., (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
- Published
- 2021
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27. Combination of Lymph Node Embolization and Musculocutaneous Flap Operation for Managing Groin Lymphorrhea.
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Dung PV, Cuong NN, Quang TD, Canh PH, Linh LT, and Duc NM
- Abstract
Lymphorrhea complications are common following femoral exposure for endovascular procedures. In patients unresponsive to either non-operative or operative therapy, treatment can be complicated. A 86-year-old male patient experienced lymphorrhea after stent graft to treat an abdominal aortic aneurysm, and five operative debridement attempts failed. Intranodal lymphangiography revealed leakage points from two lymph nodes directly into the wound, which were resolved by lymph node embolization using glue. Because the wound was large, a pedicled anterolateral thigh flap (ALT) operation was indicated. Percutaneous lymph node embolization combined with ALT operation may be effective for patients with large wounds and high-flow lymphatic leaks., Competing Interests: Disclosure StatementThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© 2021 The Editorial Committee of Annals of Vascular Diseases.)
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- 2021
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28. Emergency embolization for breast pseudoaneurysm following vacuum-assisted biopsy: a case report.
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Binh NT, Duc NM, Tra My TT, Dung LV, Luu DT, and Linh LT
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- Adult, Aneurysm, False diagnostic imaging, Aneurysm, False etiology, Biopsy adverse effects, Biopsy methods, Breast Diseases diagnostic imaging, Breast Diseases etiology, Breast Diseases therapy, Female, Hematoma diagnostic imaging, Hematoma etiology, Hematoma therapy, Hemorrhage etiology, Humans, Ultrasonography, Mammary, Aneurysm, False therapy, Breast Neoplasms diagnosis, Embolization, Therapeutic methods, Hemorrhage therapy
- Abstract
Vacuum-assisted breast biopsy (VABB) is a minimally invasive procedure and has become an important treatment method. Although VABB is a minimally invasive procedure, it might cause complications, particularly those associated with blood vessels. In this article, we aimed to describe a 35-year-old female who experienced pseudoaneurysm post-VABB and was successfully treated with embolization. She presented to the hospital with a suspected left breast tumor. The pathology report after biopsy confirmed fibroadenoma, and the patient underwent VABB to remove the tumor. One hour after VABB, the patient described pain and swelling at the location of the removed tumor. Breast ultrasound revealed a hematoma and pseudoaneurysm. The bleeding did not stop following the application of manual compression. Breast hemorrhage was controlled by endovascular embolization. Pseudoaneurysm is an uncommon complication of VABB, and embolization represents an effective method for the management of breast pseudoaneurysm., Competing Interests: The authors declare no competing interests., (Copyright: Nguyen Thai Binh et al.)
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- 2021
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29. Detecting Fetal Central Nervous System Anomalies Using Magnetic Resonance Imaging and Ultrasound.
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Linh LT, Duc NM, Nhung NH, My TT, Luu DT, and Lenh BV
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- Female, Humans, Male, Pregnancy, Pregnancy Trimester, Third, Prospective Studies, Fetus diagnostic imaging, Magnetic Resonance Imaging methods, Nervous System Malformations diagnostic imaging, Prenatal Diagnosis methods, Ultrasonography, Prenatal methods
- Abstract
Background: Most fetal abnormalities can be detected on ultrasound, the evaluation of fetal CNS abnormalities can be limited by various factors, including obesity, polyhydramnios, multiple pregnancies, and increased cranial ossification during the third trimester., Objective: This study aimed to evaluate the ability to detect fetal central nervous system (CNS) anomalies using in utero magnetic resonance imaging (iuMRI) and ultrasound (US) techniques., Methods: This prospective study was approved by the institutional review board (Ref: 2968/QĐ-ĐHYHN dated 11 July 2019), and the requirement to obtain the informed consent of patients was waived. This study included 66 fetuses with diagnosed or suspected CNS abnormalities based on the results of a prenatal screening US performed at the antenatal diagnosis center of the Central Obstetrics and Gynecology Hospital. All pregnant women with a suspected diagnosis of abnormal fetal CNS on US underwent 1.5-Tesla iuMRI within 14 days of the US at Hanoi Medical University Hospital between June 2019 and June 2020. Cohen's kappa coefficient (κ) was used to determine the agreement between US and iuMRI findings., Results: A total of 66 pregnant women were examined, including 66 fetuses, for which 79 abnormalities were detected by US and 98 abnormalities were detected by iuMRI. The average gestational age was 29 weeks and 6 days. The comparison of iuMRI and US findings revealed similar diagnoses for 71 abnormalities (67%) and different diagnoses for 35 abnormalities (33%). The level of agreement between US and iuMRI was almost perfect for ventriculomegaly and cystic lesions, with κ values 0.87 and 0.84, respectively. The level of agreement between US and iuMRI was the weakest for hemorrhage, with a κ value 0 (no agreement), and cortical abnormalities, with a κ value of 0.46 (weak agreement)., Conclusion: The level of agreement between US and iuMRI diagnoses was almost perfect for the detection of ventriculomegaly and was weakest for the detection of hemorrhage and cortical abnormalities, which were abnormalities detected by iuMRI but not by ultrasound., (© 2021 Le Tuan Linh, Nguyen Minh Duc, Nguyen-Thi Hong Nhung, Thieu-Thi Tra My, Doan Tien Luu, Bui Van Lenh.)
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- 2021
- Full Text
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30. Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report.
- Author
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Cuong NN, Binh NT, Hien PN, Hoang N, Linh LT, Luu DT, Luu VD, Huan PD, Ngoc VTN, Uddin MJ, Nga VT, and Chu DT
- Abstract
Background: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur., Case Report: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region., Conclusions: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.
- Published
- 2019
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