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Specialty: Emergency Medicine
Procedure: Angiography

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Total 79 results found since Jan 2013.

Carotid Dissection and Cerebral Infarction From Posterior Oropharyngeal Trauma: The Diagnostic and Therapeutic Challenges
Posterior oropharyngeal trauma commonly occurs in children and frequently presents to the emergency department (ED). Rarely, serious infectious and neurologic sequelae result. Emergency providers are tasked with the challenge of diagnosing the minority with life-threatening complications while maintaining thoughtful stewardship regarding radiation exposure. A previously healthy 2-year-old girl sustained trauma to her posterior oropharynx with a toothbrush that resulted in a left carotid dissection. This dissection was diagnosed in the ED via computed tomography angiogram, Otolaryngology and neurosurgery were consulted in t...
Source: Pediatric Emergency Care - January 1, 2019 Category: Emergency Medicine Tags: Illustrative Cases Source Type: research

Not Just Acid Reflux: The Need to Think Worst First
Discussion Heart disease is the leading cause of death in the United States.1 This year, 720,000 Americans will have a new coronary event—defined as first hospitalized myocardial infarction (MI) or coronary heart disease death—and around 335,000 will have a recurrent event. Approximately 35% of people who experience a coronary event in a given year and around 14% of patients who have an acute coronary syndrome will die from it.1 Roughly 60% of patients with an acute coronary syndrome are transported to the emergency department via ambulance.2–4. Up to one-third of patients experiencing an MI may not complain of chest...
Source: JEMS Special Topics - January 13, 2019 Category: Emergency Medicine Authors: Stephen Sanko, MD, FACEP Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

Diagnosis and management of acute aortic syndromes in the emergency department
AbstractAcute aortic syndromes (AASs) are deadly cardiovascular emergencies involving the thoracic aorta. AASs are relatively rare conditions, have unspecific signs and symptoms (including truncal pain, syncope, neurologic deficit and limb ischemia) and require contrast-enhanced tomography angiography (CTA) of the chest and abdomen for conclusive diagnosis and subsequent therapeutic planning. In the Emergency Department (ED), most patients with potential signs/symptoms of AASs are finally found affected by other alternative diagnoses. Hence, misdiagnosis and delayed diagnosis of AASs are major concerns. In critically ill p...
Source: Internal and Emergency Medicine - April 30, 2020 Category: Emergency Medicine Source Type: research

Utility of susceptibility weighted imaging (SWI) and pseudo-continuous arterial spin labeling (pCASL) in diagnosis of falcine venous thrombosis in a child with transient ischemic attack
AbstractPediatric stroke and transient ischemic attack (TIA) are uncommon but true emergencies with a wide differential diagnosis. Diagnostic imaging plays a critical role in differentiating the diverse range of etiologies. In this case, we report a 3-year-old female with no medical history who developed acute neurological deficits and demonstrate how adjunct advanced imaging including susceptibility weighted imaging (SWI) and pseudo-continuous arterial spin labeling (pCASL) can play a significant diagnostic role in the emergent setting. Imaging was performed with a Philips Ingenia 3.0T MRI. MRI brain, MR angiography (MRA)...
Source: Emergency Radiology - January 16, 2021 Category: Emergency Medicine Source Type: research

Effects of multiphase versus single-phase CT angiography for the detection of distal cerebral vessel occlusion
ConclusionThe use of mCTA results in increased sensitivity and negative predictive value, decreased reading time, increased diagnostic confidence, and the elimination of differences in accuracy between neuroradiologists and emergency radiologists.
Source: Emergency Radiology - April 18, 2021 Category: Emergency Medicine Source Type: research

Subarachnoid hemorrhage in the emergency department
ConclusionSubarachnoid hemorrhages are frequently misdiagnosed; therefore, we believe it is imperative to address the diagnosis and initiation of early management in the emergency medicine department to minimize poor outcomes in the future.
Source: International Journal of Emergency Medicine - May 12, 2021 Category: Emergency Medicine Source Type: research

Effects of multiphase versus single-phase CT angiography for the detection of distal cerebral vessel occlusion
ConclusionThe use of mCTA results in increased sensitivity and negative predictive value, decreased reading time, increased diagnostic confidence, and the elimination of differences in accuracy between neuroradiologists and emergency radiologists.
Source: Emergency Radiology - October 1, 2021 Category: Emergency Medicine Source Type: research

Echocardiographic predictors of mortality in intermediate-risk pulmonary embolism
AbstractData regarding further risk stratification of intermediate-risk pulmonary embolism (IR-PE) are scanty. Whether transthoracic echocardiography may be helpful in further risk assessment of death in such population has still to be proven. Two-hundred fifty-four consecutive patients (51.6% females, age 63.7  ± 17.3 years) with IR-PE admitted to a tertiary regional referral center were enrolled. Patients underwent a complete transthoracic echocardiography within 36 h from hospital admission, on top of clinical assessment, physical examination, computer tomography pulmonary angiography (CTPA), and serum measuremen...
Source: Internal and Emergency Medicine - January 21, 2022 Category: Emergency Medicine Source Type: research

Ankylosis of the cervical spine increases the incidence of blunt cerebrovascular injury (BCVI) in CTA screening after blunt trauma
ConclusionAnkylosis of the cervical spine increases the incidence of BCVI up to sevenfold compared to general blunt trauma populations, affecting especially the vertebral arteries.
Source: Emergency Radiology - May 20, 2022 Category: Emergency Medicine Source Type: research

Occipital Lobe Status Epilepticus; A Rare Stroke Mimic with Novel Imaging Findings: A Case Report
ConclusionHemianopsia...
Source: Western Journal of Emergency Medicine - July 27, 2022 Category: Emergency Medicine Source Type: research

Protect That Neck! Management of Blunt and Penetrating Neck Trauma
Blunt and penetrating vascular injuries to the neck represent a significant burden of mortality and disability among trauma patients. Blunt cerebrovascular injury can present with signs of stroke either immediately or in a delayed fashion. Most injuries are detected with computed tomography angiogram and managed by antiplatelet agents or unfractionated heparin. In contrast, for patients presenting with penetrating neck injuries, assessment for hard signs of vascular and aerodigestive injury should be done and prompt emergent surgical consultation if present. Overall management priorities for penetrating neck injuries focus...
Source: Emergency Medicine Clinics of North America - November 22, 2022 Category: Emergency Medicine Authors: Matt Piaseczny, Julie La, Tim Chaplin, Chris Evans Source Type: research

Minor head injury-induced striatocapsular infarction in a 3-year-old girl
In emergency departments (EDs), the diagnosis of childhood arterial ischemic stroke (AIS) is often delayed due to its rarity, diverse causes, and emergency physicians ’ low awareness of the diagnosis. The potential for delayed diagnosis may be amplified in cases of striatocapsular infarction following a minor head injury (MHI). Reported cases show the patient's age range of 1 month–7 years, preceding minor falls, fast onset of neurological manifestations (2 m inutes–72 hours), fast neurological recovery even without antithrombotic therapy (recovery in 2 weeks–13 months), involvement of the basal ganglia, and normal...
Source: The Journal of Emergency Medicine - May 9, 2023 Category: Emergency Medicine Authors: Sowon Moon, Ji Eun Park, Da Eun Jung, Jung Heon Kim Tags: Visual Diagnosis in Emergency Medicine Source Type: research

Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department
Acad Emerg Med. 2023 May;30(5):442-486. doi: 10.1111/acem.14728.ABSTRACTThis third Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE-3) from the Society for Academic Emergency Medicine is on the topic adult patients with acute dizziness and vertigo in the emergency department (ED). A multidisciplinary guideline panel applied the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and strength of recommendations regarding five questions for adult ED patients with acute dizziness of less than 2 weeks' duration. The intended pop...
Source: Accident and Emergency Nursing - May 11, 2023 Category: Emergency Medicine Authors: Jonathan A Edlow Christopher Carpenter Murtaza Akhter Danya Khoujah Evie Marcolini William J Meurer David Morrill James G Naples Robert Ohle Rodney Omron Sameer Sharif Matt Siket Suneel Upadhye Lucas Oliveira J E Silva Etta Sundberg Karen Tartt Simone Van Source Type: research