Spontaneous thrombosis with a conservative approach to posterior spinal artery pseudoaneurysm management: A case series
In this study, we address the rarity and management challenges associated with ruptured spinal artery pseudoaneurysms, which comprise < 1% of subarachnoid hemorrhage cases. With our limited understanding of their natural history, the prevailing consensus leans towards surgical clipping, contrasting with the typically benign symptoms of sudden back pain and lower extremity weakness. Despite reported low morbidity and mortality, fatal re-ruptures underscore the need for effective management strategies. In this context, we present the largest case series to date, featuring five patients with spinal subarachnoid hemorrhage ...
Source: Interventional Neuroradiology - May 8, 2024 Category: Radiology Authors: Yasaman Pirahanchi Benjamin Atchie Michael Flynn Ian Kaminsky Source Type: research
Myasthenic Crisis and Concomitant Takotsubo Syndrome Complicated by Shock: A Case Report
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3306-23. Online ahead of print.ABSTRACTA man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, ...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Moeko Omiya Yusuke Morii Masako Mukai Yuya Mitsuhashi Ken Kato Toshiaki Isogai Source Type: research
Cholesterol Crystal Embolism: Autopsy-proven Gastrointestinal Lesions, Pancreatitis, and End-stage Kidney Disease Which Developed after Undergoing Selective Abdominal Angiography
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3469-24. Online ahead of print.ABSTRACTA 78-year-old man with atherosclerosis was diagnosed with hepatocellular carcinoma by transfemoral angiography of the celiac and superior mesenteric arteries (SMA). After surgery, a serum examination revealed progressive renal failure with eosinophilia, leading to end-stage kidney disease, in addition to active gastric ulcers and pancreatitis. Cyanosis in the bilateral toes showed a cholesterol crystal embolism (CCE) in a skin biopsy. Autopsy revealed that CCE involved the arterioles of multiple organs, and its distribution was ana...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Naoki Yamamoto Norihiko Sakai Daichi Kaikoi Daichi Yomogida Sho Kajikawa Takaaki Wada Takahiro Yuasa Hisayuki Ogura Koichi Sato Taro Miyagawa Shinji Kitajima Tadashi Toyama Akinori Hara Miho Shimizu Takashi Wada Yasunori Iwata Source Type: research
IntraCardiac echocardiography-guided leaflet modification for coronary protection prior to transcatheter valve-in-valve replacement
J Invasive Cardiol. 2024 May 7. doi: 10.25270/jic/24.00134. Online ahead of print.ABSTRACTA 79-year-old man with a failed 25-mm CE Magna Ease 3300 surgical prosthesis (Edwards Lifesciences) and of high re-operative surgical risk (STS 8%) presented with dyspnea, NYHA III. Cardiac computed tomography angiography revealed anatomy that was high risk for coronary occlusion with a short right coronary artery height of 6 mm and a valve-to-coronary distance of 2 mm.PMID:38718283 | DOI:10.25270/jic/24.00134 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 8, 2024 Category: Cardiology Authors: Arber Kodra Denny Wang Priti Mehla Ythan Goldberg Ahmad Mustafa Michael Cinelli Jacob Scheinerman Chad Kliger Source Type: research
Quantitative evaluation of the effects of flow diverter treatment on aneurysm hemodynamics using time-resolved rotational angiography
CONCLUSIONS: Analysis of a four-dimensional-digital subtracted angiography acquisition allows assessment of the effects of flow diversion treatment on aneurysm hemodynamic parameters and shows a significant decrease in flow inside the aneurysm compared to the parent vessel distal to the aneurysm.PMID:38715369 | DOI:10.1177/15910199241252519 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - May 8, 2024 Category: Radiology Authors: Jeremy C Peterson Julie M DiNitto Annette Birkhold Nickalus Kahn Christopher Nickele Dan Hoit Violiza Inoa Lucas Elijovich David Dornbos Adam S Arthur Source Type: research
Spontaneous thrombosis with a conservative approach to posterior spinal artery pseudoaneurysm management: A case series
In this study, we address the rarity and management challenges associated with ruptured spinal artery pseudoaneurysms, which comprise < 1% of subarachnoid hemorrhage cases. With our limited understanding of their natural history, the prevailing consensus leans towards surgical clipping, contrasting with the typically benign symptoms of sudden back pain and lower extremity weakness. Despite reported low morbidity and mortality, fatal re-ruptures underscore the need for effective management strategies. In this context, we present the largest case series to date, featuring five patients with spinal subarachnoid hemorrhage ...
Source: Interventional Neuroradiology - May 8, 2024 Category: Radiology Authors: Yasaman Pirahanchi Benjamin Atchie Michael Flynn Ian Kaminsky Source Type: research
Myasthenic Crisis and Concomitant Takotsubo Syndrome Complicated by Shock: A Case Report
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3306-23. Online ahead of print.ABSTRACTA man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, ...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Moeko Omiya Yusuke Morii Masako Mukai Yuya Mitsuhashi Ken Kato Toshiaki Isogai Source Type: research
Cholesterol Crystal Embolism: Autopsy-proven Gastrointestinal Lesions, Pancreatitis, and End-stage Kidney Disease Which Developed after Undergoing Selective Abdominal Angiography
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3469-24. Online ahead of print.ABSTRACTA 78-year-old man with atherosclerosis was diagnosed with hepatocellular carcinoma by transfemoral angiography of the celiac and superior mesenteric arteries (SMA). After surgery, a serum examination revealed progressive renal failure with eosinophilia, leading to end-stage kidney disease, in addition to active gastric ulcers and pancreatitis. Cyanosis in the bilateral toes showed a cholesterol crystal embolism (CCE) in a skin biopsy. Autopsy revealed that CCE involved the arterioles of multiple organs, and its distribution was ana...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Naoki Yamamoto Norihiko Sakai Daichi Kaikoi Daichi Yomogida Sho Kajikawa Takaaki Wada Takahiro Yuasa Hisayuki Ogura Koichi Sato Taro Miyagawa Shinji Kitajima Tadashi Toyama Akinori Hara Miho Shimizu Takashi Wada Yasunori Iwata Source Type: research
Outcomes of Transcatheter Closure of Congenital Left Circumflex Coronary Artery Fistula
CONCLUSIONS: TCC of LCX-CAF is a feasible and effective alternative to surgical repair, with comparable outcomes in selected patients. Optimal medical therapy to prevent post-closure myocardial infarction requires further investigation.PMID:38719573 | DOI:10.1253/circj.CJ-23-0800 (Source: Circulation Journal)
Source: Circulation Journal - May 8, 2024 Category: Cardiology Authors: Peijian Wei Fang Fang Fengwen Zhang Yihang Li Pengxu Kong Shuyi Feng Zhongying Xu Liang Xu Junyi Wan Gejun Zhang Xiangbin Pan Source Type: research
IntraCardiac echocardiography-guided leaflet modification for coronary protection prior to transcatheter valve-in-valve replacement
J Invasive Cardiol. 2024 May 7. doi: 10.25270/jic/24.00134. Online ahead of print.ABSTRACTA 79-year-old man with a failed 25-mm CE Magna Ease 3300 surgical prosthesis (Edwards Lifesciences) and of high re-operative surgical risk (STS 8%) presented with dyspnea, NYHA III. Cardiac computed tomography angiography revealed anatomy that was high risk for coronary occlusion with a short right coronary artery height of 6 mm and a valve-to-coronary distance of 2 mm.PMID:38718283 | DOI:10.25270/jic/24.00134 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 8, 2024 Category: Cardiology Authors: Arber Kodra Denny Wang Priti Mehla Ythan Goldberg Ahmad Mustafa Michael Cinelli Jacob Scheinerman Chad Kliger Source Type: research
Quantitative evaluation of the effects of flow diverter treatment on aneurysm hemodynamics using time-resolved rotational angiography
CONCLUSIONS: Analysis of a four-dimensional-digital subtracted angiography acquisition allows assessment of the effects of flow diversion treatment on aneurysm hemodynamic parameters and shows a significant decrease in flow inside the aneurysm compared to the parent vessel distal to the aneurysm.PMID:38715369 | DOI:10.1177/15910199241252519 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - May 8, 2024 Category: Radiology Authors: Jeremy C Peterson Julie M DiNitto Annette Birkhold Nickalus Kahn Christopher Nickele Dan Hoit Violiza Inoa Lucas Elijovich David Dornbos Adam S Arthur Source Type: research
Spontaneous thrombosis with a conservative approach to posterior spinal artery pseudoaneurysm management: A case series
In this study, we address the rarity and management challenges associated with ruptured spinal artery pseudoaneurysms, which comprise < 1% of subarachnoid hemorrhage cases. With our limited understanding of their natural history, the prevailing consensus leans towards surgical clipping, contrasting with the typically benign symptoms of sudden back pain and lower extremity weakness. Despite reported low morbidity and mortality, fatal re-ruptures underscore the need for effective management strategies. In this context, we present the largest case series to date, featuring five patients with spinal subarachnoid hemorrhage ...
Source: Interventional Neuroradiology - May 8, 2024 Category: Radiology Authors: Yasaman Pirahanchi Benjamin Atchie Michael Flynn Ian Kaminsky Source Type: research
Myasthenic Crisis and Concomitant Takotsubo Syndrome Complicated by Shock: A Case Report
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3306-23. Online ahead of print.ABSTRACTA man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, ...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Moeko Omiya Yusuke Morii Masako Mukai Yuya Mitsuhashi Ken Kato Toshiaki Isogai Source Type: research
Cholesterol Crystal Embolism: Autopsy-proven Gastrointestinal Lesions, Pancreatitis, and End-stage Kidney Disease Which Developed after Undergoing Selective Abdominal Angiography
Intern Med. 2024 May 9. doi: 10.2169/internalmedicine.3469-24. Online ahead of print.ABSTRACTA 78-year-old man with atherosclerosis was diagnosed with hepatocellular carcinoma by transfemoral angiography of the celiac and superior mesenteric arteries (SMA). After surgery, a serum examination revealed progressive renal failure with eosinophilia, leading to end-stage kidney disease, in addition to active gastric ulcers and pancreatitis. Cyanosis in the bilateral toes showed a cholesterol crystal embolism (CCE) in a skin biopsy. Autopsy revealed that CCE involved the arterioles of multiple organs, and its distribution was ana...
Source: Internal Medicine - May 8, 2024 Category: Internal Medicine Authors: Naoki Yamamoto Norihiko Sakai Daichi Kaikoi Daichi Yomogida Sho Kajikawa Takaaki Wada Takahiro Yuasa Hisayuki Ogura Koichi Sato Taro Miyagawa Shinji Kitajima Tadashi Toyama Akinori Hara Miho Shimizu Takashi Wada Yasunori Iwata Source Type: research
Associations of quantitative contrast sensitivity with vascular metrics on widefield swept-source OCT angiography across stages of diabetic retinopathy
CONCLUSIONS: DR-induced microvascular changes on OCTA are associated with larger changes on CS than in VA. CS is affected earlier than VA in the course of DR and performed better in discriminating between controls, DMnoDR and across DR stages.PMID:38719345 | DOI:10.1136/bjo-2023-323900 (Source: The British Journal of Ophthalmology)
Source: The British Journal of Ophthalmology - May 8, 2024 Category: Opthalmology Authors: Filippos Vingopoulos Grace Baldwin Raviv Katz Ying Cui Jade Y Moon Itika Garg Rebecca Zeng Nimesh A Patel David Wu Deeba Husain Joan W Miller Leo A Kim Demetrios G Vavvas John B Miller Source Type: research
