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Successful reperfusion of bilateral middle cerebral artery embolic occlusions using stent retriever thrombectomy.
Abstract A 40-year-old woman presented to our stroke center for a left middle cerebral artery embolic occlusion. This was successfully treated with mechanical thrombectomy using a stent retriever and balloon guide catheter aspiration. The patient was discharged home in good condition on clopidogrel but returned 2 months later with a contralateral right middle cerebral artery embolic occlusion. This was also successfully treated, this time with a stent retriever and local aspiration (Sol-Arc technique). She was once again discharged in good condition but with warfarin and an implanted loop recorder. This case demo...
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Miller A, Onofrio A, Graybeal D, Mir O, Linebarger MB, Layton KF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute kidney injury and undiagnosed immunoglobulin A nephropathy after dabigatran therapy.
We report a case of a man who resumed dabigatran after 6 weeks of prior therapy and began experiencing hematuria with worsening kidney function. Renal biopsy with immunofluorescence and electron microscopy showed mesangial deposits consistent with immunoglobulin A nephropathy. With discontinuation of dabigatran and addition of methylprednisolone, the gross hematuria cleared and urine output improved. PMID: 29904298 [PubMed]
Source: Baylor University Medical Center Proceedings - June 16, 2018 Category: Universities & Medical Training Authors: Jansky L, Mukkamala P, Jebakumar D, Rao A, Goldson TM, Forjuoh SN Tags: Proc (Bayl Univ Med Cent) Source Type: research

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