Perforation of the vena cava, adjacent blood vessels or organ by one or more hooks. Pulmonary embolism due to introducer catheter manipulation leading to dislodgement of clot during Filter placement. Air embolism during Filter insertion, insertion site thrombosis, death due to movement of clots to the heart or lungs. Intended use/indication for use, the Greenfield Stainless Steel Vena cava filter with 12F (4.0 mm) Introducer System is indicated for the prevention of pulmonary embolism via placement in the vena cava in the following situations:. Venous thrombosis or pulmonary thromboembolism when anticoagulants are contraindicated or inadequate for management of venous thrombosis with significant risk of, or following, pulmonary thromboembolism. Failure of anticoagulant therapy in thromboembolic diseases.
Inferior vena cava filter - wikipedia
If the vitamina filter is not positioned to give adequate protection against pulmonary embolism, a second Filter should be placed. Operative removal has been recommended for a misplaced Filter which may interfere with the function of the tricuspid valve and/or produce cardiac rhythm disturbance. Precautions, a relative contraindication exists for this device for younger patients whose life expectancy is substantially greater than the clinical experience of the Greenfield Vena cava filter. Anatomical anomalies and other factors which can complicate insertion will alter the insertion technique. Careful attention to these instructions can shorten insertion time and reduce the likelihood of insertion difficulties. Potential adverse events, potential adverse events associated with the use of vena cava filters include the following: Incorrect release or placement of the filter. Movement or migration of the filter. Formation of clots on the filter which could result in complete blockage of blood flow through the vena cava. Hematoma (bruise) or bleeding at the insertion site. Infection, failure of the filter to attach itself securely and potential migration of the filter to the heart or lungs.
Management of Patients with neuromuscular Diseases. Welcome to the case phlebotomist studies archive. Here you will find all of the case studies we have featured in the past, searchable by either category or by date order. Directions for Use and Product Manuals for healthcare Professionals. These documents may change without notice; this website will always contain the most current version. Today there are two key approaches to how companies address spend analysis - database-driven and data-driven. These two approaches talk to how an organization s data integrates with the spend analysis software application.
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A guide to your ivc filter insertion - derby hospitals nhs foundation
Converted and validated historical data. Advanced level Excel User including macro creation/modification, gelijk graphing presentations (charts, trend lines, axis scales, multiple charts conditional formatting, name definition and creation, hyperlink creation, data validation (dropdown list, and warning error message filter (auto filter, advanced filter data consolidation, subtotal, sumif, vlookup, hlookup, pivot tables.
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Worked through sensitivities to ensure proper positioning and audit readiness. Also interfaced and updated documents directly with the executive team within the company (e.g., marketing, hr, regulatory, it, accounting). Reviewed, reconciled, and provided inputs to multiple documents within a sell-side due diligence effort, including the confidential Investment Memo and Management Presentation. Interfaced the needs of investment bankers and private equity team with all levels of the entity. Managed a dataroom (Merrill DataSite) in support of a sell-side due diligence effort for a 200 million post-secondary education company. Interfaced and coordinated updates with personnel from all levels outside of the company (private equity team, attorneys, investment bankers, and advisors).
Scope of work included design and implementation of multiple file rooms, managing user accesses, and acting as overall administrator. Created a project schedule defining pre-acquisition and post-acquisition milestones, and coordinated efforts to achieve objectives from the buyers perspective. Worked within the management team of the acquiring entity to achieve consensus on milestones and timeline. Consultant tj, cpa, big 4 cpa, prepared detailed G/L account mapping for ten business units, processed conversion of one year of historical data to the new chart of accounts and performed post-conversion data tie-out. Utilized jd edwards Plains to prepare, review and post journal entries, export trial balance data and run inquiries into the ar, ap, gl and Contract Billing modules. Supervised the planning, design, chart of accounts creation, mapping, data tie-out and report creation phases of an Enterprise implementation. Coordinated data tie-out and report creation phases of Essbase implementations.
Safety and Effectiveness of Inferior Vena cava filters - medscape
Utilized buy-side due diligence to start up and oversee operations of newly acquired subsidiary. . Used this and subsequent operational information to finalize contingent purchase price for acquisition. Developed post acquisition financial structure and operations including a new chart of accounts, standardized accounting policies wordt and procedures, integrated financial accounting systems and synchronized monthly forecasting and closing procedures. Extensive experience building, improving and refining financial and valuation models for various types of businesses. Familiar with various financial models and analytical tools including dcf, capm, npv, irr, eva, growth model, moving average, trend analysis, ratio analysis, multiples, sensitivity analysis and scenario modeling. Consultant RM2, mba, cpa, msf, cma, cfm, cgma, pmp. Big 4 cpa, participated in buy-side due diligence for three recreation dealerships, including review and testing of balance sheet accounts and interviewing personnel on processes and procedures. Created, reviewed, updated, and edited hundreds of documents in support of a sell-side due diligence effort for a 200 million post-secondary education company. This included creating audit ready financial reports, summarizing financial data in user friendly formats, and ensuring consistency of the overall lamellen presentation.
Consultant ec, mba, cpa, cfa, top 20 mba, extensive experience in budgeting and forecasting, preparing ad hoc financial analyses, and building a variety of financial models and tools supporting strategic decision making. Produced annual operating budgets and calculated overhead allocations to trekken cost centers. Analyzed monthly budget to actual variances and developed reports to consolidate budgeted expenses. Forecasted net operating income for existing portfolios and potential acquisitions. Buy and Sell. Built cash flow models to compute the npv and irr of possible alternatives. Developed supplemental schedules such as same-store comparison, asset summary, revenue allocation and debt analysis for required sec filings, including 10K, 10Q and. Executed sell-side and buy-side m a transactions for an investment bank specializing in m a advisory services, debt and equity financing, and providing strategic counsel to restaurant franchisors/franchisees.
Do not activate the Greenfield Titanium Vena cava filter release mechanism prior to proper positioning in the vena cava, as the Greenfield Titanium Vena cava filter cannot be safely reloaded into the carrier capsule. Do not attempt to modify the filter in any way prior to release. Always use the jugular sheath/dilator set with the jugular introducer catheter. Likewise, always use the femoral sheath/dilator set with the femoral introducer catheter. Never use the jugular introducer catheter for femoral vein insertion or vice versa. Do not attempt to remove or reposition a filter when the hooks are engaged in vessel or heart walls. Do not attempt percutaneous removal and/or repositioning of a filter with hooks engaged in a vessel or tissue. A misplaced Filter which nevertheless provides adequate protection against pulmonary embolism should be left in place.
Patients with deep vein thrombosis on anticoagulants who develop a complication forcing the discontinuation of anticoagulation. Contraindications, patients in whom the diameter of the inferior vena cava exceeds 28 mm (for example, some patients with congestive heart failure) are contraindicated for Greenfield Titanium Vena cava filter placement. Proper fixation of the Greenfield Titanium Vena cava filter in the ivc may be compromised when caval diameter exceeds. Presence of thrombus at the femoral puncture site, in the iliac vein, or in the inferior vena cava risks the dislodgement and embolism of thrombus during catheter manipulation. These conditions are absolute contraindications to implantation via femoral vein approach. Absence of thrombus at this level must be confirmed by venography or Doppler/duplex evaluation. Percutaneous insertion in those patients with abnormal clotting times. Warnings, never advance the guidewire, sheath/dilator or introducer catheter without the use of fluoroscopic guidance.antibiotici
Inferior Vena cava (IVC) Filter Placement johns Hopkins Medicine
Caution: Federal law (USA) restricts this device to ontharingslaser sale by or on the order of a physician. Prior to use, please see the complete directions for Use for more information on Indications, contraindications, warnings, Precautions, Adverse events, and Operators Instructions. Intended use/indication for use, current indications for Greenfield Titanium Vena cava filter placement are as follows:. When adequate anticoagulation fails to prevent recurrent embolism. Patients with venous thrombosis or pulmonary embolism who have a contraindication to anticoagulation, or are difficult to manage on anticoagulation. Patients with chronic, recurrent pulmonary embolism with associated pulmonary hypertension and corpulmonale. Following an episode of massive pulmonary embolism.