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Condition: Atrial Fibrillation
Procedure: Angiography
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Total 480 results found since Jan 2013.
Preprocedural determination of an occlusion pathomechanism in endovascular treatment of acute stroke: a machine learning-based decision
CONCLUSIONS: An ML-PM could accurately determine an occlusion pathomechanism with common preprocedural findings. A decision flowchart consisting of the four most influential findings was clinically applicable and superior to single common preprocedural findings for determining an occlusion pathomechanism.PMID:35710314 | DOI:10.1136/neurintsurg-2022-018946
Source: Atherosclerosis - June 16, 2022 Category: Cardiology Authors: Jang-Hyun Baek Byung Moon Kim Dong Joon Kim Ji Hoe Heo Hyo Suk Nam Young Dae Kim Myung Ho Rho Pil-Wook Chung Yu Sam Won Yeongu Chung Source Type: research
P-024 Balloon guide catheter use for stroke intervention: does the access site matter?
ConclusionsPatients treated with MT via TFA or sTRA had similar angiographic and clinical outcomes, differing only in the rate of crossover from one approach to another.Abstract P-024 Table 1TFA and sTRA Variable RadialN=30 FemoralN=63 P-value Age; mean (SD) 70.9 (13.9) 72.7 (11.4) 0.504 Women, n (%) 13 (43.3) 35 (55.6) 0.375 Diabetes, n (%) 7 (23.3) 18 (28.6) 0.629 Hypertension, n (%) 22 (73.3) 52 (82.5) 0.409 Hyperlipidemia, n (%) 18 (60) 30 (47.6) 0.278 Atrial fibrillation, n (%) 13 (43.3) 24 (38.1) 0.656 NIHSS at admission; mean (SD) 15 (8) 16 (6) 0.131 Intravenous alteplase, n (%) 10 (33.3) 20 (31.7) 1 ICA occlusion,...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Waqas, M., Monteiro, A., Cappuzzo, J., Dossani, R., Almayman, F., Metcalf-Doetsch, W., Snyder, K., Davies, J., Siddiqui, A., Levy, E. Tags: SNIS 19th annual meeting oral poster abstracts Source Type: research
Pearls & Oy-sters: Cerebral venous air embolism after central catheter removal: Too much air can kill
A 95-year-old woman with a history of hypertension presented from a long-term care facility for altered mental status in the context of dehydration and hypoglycemia. Multiple attempts to obtain a peripheral IV failed, and a triple lumen catheter was placed into the right internal jugular vein using the Seldinger technique under ultrasound guidance. No complications followed the procedure. The patient was then rehydrated and given multiple ampules of D50, leading to prompt resolution of the hypoglycemia and improvement in her mental status. After resolution of symptoms, the central line was removed, with the head of the bed...
Source: Neurology - March 30, 2015 Category: Neurology Authors: Bartolini, L., Burger, K. Tags: MRI, All Clinical Neurology, All Cerebrovascular disease/Stroke, Embolism RESIDENT AND FELLOW SECTION Source Type: research
"Reverse Locked-in Syndrome": A rare presentation after endovascular recanalization of top-of-the-basilar artery occlusion (P4.302)
CONCLUSION: Complete opthalmoplegia, bilateral ptosis, and arreactive mydriasis without appendicular motor dysfunction, a "reverse locked-in" state, is a rare presentation after ischemic stroke involving the paramedian midbrain tegmentum. This syndrome is the opposite of locked-in syndrome, which is cause by ventral pontine infarction. Timely endovascular thrombectomy, even when a patient presents in coma, may offer dramatic recovery with good functional outcome.Disclosure: Dr. Raibagkar has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Kaplan has nothing to disclose. Dr. Chavali has nothing to disclose. Dr. Ni...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Raibagkar, P., Kim, J., Kaplan, T., Chavali, R., Nitka, M., Chou, S., Edlow, B. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research
A Comparison of Three Different CTA Collateral Scoring Systems Ability to Predict MR Lesion Volume and Outcome after Ischemic Stroke (P6.010)
Conclusions: The CS system evaluating collaterals in the sylvian fissure of the affected vs. contralateral side correlated best with follow-up mRS and is a good predictor of lesion volume. This system could be used for prognostication in the acute setting when decisions about intervention may rely on a CTA alone.Disclosure: Dr. De Havenon has nothing to disclose. Dr. O'Donnell has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Chung has nothing to disclose. Dr. Smith has nothing to disclose. Dr. Majersik has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: De Havenon, A., O'Donnell, S., Wang, H., Chung, L., Smith, G., Majersik, J. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research
Cerebral hyperperfusion syndrome after mechanical thrombectomy
Case summary A male patient in his late 50s who had untreated atrial fibrillation received mechanical thrombectomy for right middle cerebral artery occlusion (MCA), with complete recanalization. After initial neurological improvement, he developed headache and altered vigilance 2 days post-thrombectomy. Transcranial duplex sonography (TCD) showed increased blood flow velocities in the entire ipsilateral (recanalized) MCA-M1 segment.1 2 Brain MRI with angiography excluded focal stenosis and showed vasogenic edema, hemorrhagic transformation of the ischemic infarct, and cerebral hyperperfusion in the right MCA territory (fig...
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Kneihsl, M., Enzinger, C., Gattringer, T. Tags: Ischemic stroke Source Type: research
Large Left Ventricular Pseudoaneurysm Presenting as an Embolic Stroke After a "Silent" Myocardial Infarction
Tex Heart Inst J. 2023 Mar 1;50(2):e227922. doi: 10.14503/THIJ-22-7922.ABSTRACTA 72-year-old woman with no history of coronary artery disease presented with an acute left middle cerebral artery stroke and was found to have a large left ventricular pseudoaneurysm measuring 8.7 × 7.6 cm and 2 large left ventricular thrombi, the source of her systemic embolization. Despite initial medical management, she developed refractory New York Heart Association functional class III heart failure, uncontrolled atrial fibrillation, and further enlargement of her pseudoaneurysm to 5.5 × 10.6 × 9.2 cm. She underwent urgent aneurysmectom...
Source: Texas Heart Institute Journal - March 29, 2023 Category: Cardiology Authors: Cameron Incognito Joshua Parker Michael Arustamyan Milad Matta Kristine Posadas Ran Lee Source Type: research
Case of malignant brain edema despite successful recanalization after mechanical thrombectomy for anterior circulation stroke
CONCLUSION: MBE after MT results in unsatisfactory functional outcomes, even if it has successful revascularization. No collateral in the territory of the occluded vessel in the initial angiogram is one of the predictors of MBE after MT.PMID:37151444 | PMC:PMC10159319 | DOI:10.25259/SNI_28_2023
Source: Surgical Neurology International - May 8, 2023 Category: Neurosurgery Authors: Nur Setiawan Suroto Asra Al Fauzi Ayu Yoniko Christi Kevin Ariel Tiopan Simanjuntak Perthdyatama Syifaq Budiono Source Type: research
