Posterior Reversible Encephalopathy Syndrome Triggered by Vertebral Artery Angiogram

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Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

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Rakesh V Reddy, Sanjay Agarwal, Vinod Choudhary, Amit K SinghalIndian Journal of Anaesthesia 2018 62(12):988-990 A 39-year-old female patient with hepatitis B-related decompensated chronic liver disease underwent living donor liver transplantation. Preoperatively, she had a normal electrocardiogram (ECG) and echocardiography, and also a negative dobutamine stress echocardiography test. Intraoperative course went uneventful. Two hours postoperatively, she developed hypotension. Initially, hypotension was treated with fluids and blood products after confirming normal echocardiography, but with time, patient's haemodynam...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Abstract Congenital abnormalities of the thoracic aorta encompass a variety of disorders with variable clinical manifestations ranging from asymptomatic to life threatening. A variety of imaging modalities are available for the evaluation of these anomalies with computed tomography (CT) commonly preferred due to its excellent spatial resolution and rapid acquisitions, avoiding the need of general anesthesia or even sedation. We review the embryology, imaging findings, and associations of multiple congenital thoracic aorta malformations with emphasis in the role of CT angiography in the evaluation of these patholog...
Source: Radiologic Clinics of North America - Category: Radiology Authors: Tags: Radiol Clin North Am Source Type: research
Conclusion: High RDW levels seem to be associated to a higher risk of pulmonary embolism in multiple trauma patients. Early preventive anticoagulation and non pharmacological measures should be used in patients with increased RDW levels.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Pulmonary embolism Source Type: research
Congenital abnormalities of the thoracic aorta encompass a variety of disorders with variable clinical manifestations ranging from asymptomatic to life threatening. A variety of imaging modalities are available for the evaluation of these anomalies with computed tomography (CT) commonly preferred due to its excellent spatial resolution and rapid acquisitions, avoiding the need of general anesthesia or even sedation. We review the embryology, imaging findings, and associations of multiple congenital thoracic aorta malformations with emphasis in the role of CT angiography in the evaluation of these pathologies.
Source: Radiologic Clinics of North America - Category: Radiology Authors: Source Type: research
ConclusionsAccidental placement of CVC s into the PA is a rare complication. The catheter should be removed. Patients should be urgently transferred to a center with access to interventional radiology and cardiothoracic surgery.
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Conclusion: The double-clip technique, a variation of booster clipping is an effective procedure to ensure a proper occlusion of small and very small aneurysms. Videolink: http://surgicalneurologyint.com/videogallery/double-clipping-technique/. PMID: 30386677 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
A 51 year old man was admitted with traumatic knee dislocation with clinical signs of acute limb ischaemia. A computed tomography scan confirmed the knee dislocation and also major axial deviation of the right popliteal artery outside the knee joint. After reduction of the dislocation under general anaesthesia, a check digital subtraction angiogram was performed. It demonstrated correct realignment of the right popliteal artery with a short stenosis subsequently treated by transluminal balloon angioplasty.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D ’Oeil Source Type: research
Discussion: Fluorescein aqueous angiography in live humans was similar to that reported in nonhuman primates and to ICG aqueous angiography in live humans. As segmental patterns with sequential angiography using ICG followed by fluorescein were similar, these tracers can now be used sequentially, before and after trabecular outflow interventions, to assess their effects on AHO in live human subjects.
Source: Journal of Glaucoma - Category: Opthalmology Tags: Original Studies Source Type: research
CONCLUSIONS:GA induced a 5 to 10 minutes delay for groin puncture, without impact on recanalization time metrics, or neurological outcome at 3 months. Our results demonstrate that a well-organized workflow is associated with reasonable delay in performing GA for MT, without effect on outcome compared to sedation.
Source: Journal of Neuroradiology - Category: Radiology Source Type: research
Conclusion: Neurological complications in the following of SAH should be actively treated in order to improve outcome. The early neuro-ICU phase remains a key determinant of long-term recovery.
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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