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Procedure: Angiography

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Total 34927 results found since Jan 2013.

Acute pediatric stroke—what’s the hurry? A case for emergency physician-performed echocardiography
We describe a case of acute ischemic stroke for which emergent, physician-sonographer–performed transthoracic echocardiography (TTE) changed his outcome. The patient in this case presented with left-sided hemiparesis, with subsequent CT Angiography (CTA) imaging and follow-on neurosurgical embolectomy for a proximal middle cerebral artery occlusion after which showed early recovery of muscular deficit.
Source: The American Journal of Emergency Medicine - April 18, 2014 Category: Emergency Medicine Authors: Christopher D. Thom, Scott E. Sparks Tags: Case Report Source Type: research

Post-resuscitation care following out-of-hospital and in-hospital cardiac arrest
Cardiac arrest is a leading cause of death in developed countries. Although a majority of cardiac arrest patients die during the acute event, a substantial proportion of cardiac arrest deaths occur in patients following successful resuscitation and can be attributed to the development of post-cardiac arrest syndrome. There is growing recognition that integrated post-resuscitation care, which encompasses targeted temperature management (TTM), early coronary angiography and comprehensive critical care, can improve patient outcomes. TTM has been shown to improve survival and neurological outcome in patients who remain comatos...
Source: Heart - November 26, 2015 Category: Cardiology Authors: Girotra, S., Chan, P. S., Bradley, S. M. Tags: Review articles Reviews Source Type: research

Risk Factors in Pediatric Blunt Cervical Vascular Injury and Significance of Seatbelt Sign
Introduction: Computed tomography angiography (CTA) is used to screen patients for cerebrovascular injury after blunt trauma, but risk factors are not clearly defined in children. This modality has inherent radiation exposure. We set out to better delineate the risk factors associated with blunt cervical vascular injury (BCVI) in children with attention to the predictive value of seatbelt sign of the neck.Methods: We collected demographic, clinical and radiographic data from the electronic medical record and a trauma registry for patients less than age 18 years who underwent CTA of the neck in their evaluation at a Level I...
Source: Western Journal of Emergency Medicine - October 18, 2018 Category: Emergency Medicine Source Type: research

Near hangings: Epidemiology, injuries, and investigations
CONCLUSION Near hangings infrequently result in cervical injury, and intervention is rarely needed. When injuries are sustained, they occur to critical structures such as the larynx, trachea, and cervical vasculature. Therefore, effective injury screening is important. We recommend CTA of the neck as the optimal initial imaging investigation after near hangings. LEVEL OF EVIDENCE Epidemiologic, level IV; therapeutic/care management, level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - March 1, 2019 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

Beta-thalassemia major complicated by intracranial hemorrhage and critical illness polyneuropathy
S Sanju, MS Tullu, S Karande, MN Muranjan, P ParekhJournal of Postgraduate Medicine 2019 65(3):171-176 Intracranial hemorrhage (ICH) is rarely seen in patients with thalassemia. A seven-year-old male, known case of beta-thalassemia major, on irregular packed cell transfusions (elsewhere) and non-compliant with chelation therapy, presented with congestive cardiac failure (Hb-3 gm/dl). He received three packed red cell transfusions over 7 days (cumulative volume 40 cc/kg). On the 9th day, he developed projectile vomiting and two episodes of generalized tonic-clonic convulsions with altered sensorium. He had exaggerated deep...
Source: Journal of Postgraduate Medicine - July 17, 2019 Category: Internal Medicine Authors: S Sanju MS Tullu S Karande MN Muranjan P Parekh Source Type: research

Bilateral pediatric pial arteriovenous fistulas accompanying a giant arachnoid cyst with torticollis: A case report
We present a very rare associated occurrence of bilateral pediatric PAVF and a giant arachnoid cyst presenting as torticollis in a child. So far, this is the first case. Patient concerns: A 6-year-old male child was referred to our facility from a local hospital due to severe torticollis. Diagnoses: An enhanced computed tomography scan revealed 2 slightly high-density masses at the anterior pontine cistern, right circumferential cistern, as well as left posterior occipital region. The same computed tomography scan revealed a giant arachnoid cyst in the left occipital as well as the temporal region with a thin cerebra...
Source: Medicine - June 26, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Primary care physicians comprehensively manage acute pulmonary embolism without higher-level-of-care transfer: A report of two cases.
This report sets the stage for investigating the public health implications of comprehensive primary care-based PE management, including cost-savings as well as enhanced patient follow-up and patient satisfaction. PMID: 33157953 [PubMed - in process]
Source: Pain Physician - November 6, 2020 Category: Anesthesiology Authors: Isaacs DJ, Johnson EJ, Hofmann ER, Rangarajan S, Vinson DR Tags: Medicine (Baltimore) Source Type: research

Utility of 18F-FDG PET/CT Imaging in Diagnosing Pulmonary Prosthetic Valve Endocarditis in a Pediatric Patient
This report highlights the utility of 18F-FDG PET/CT imaging to complement the Duke criteria for determining the diagnosis and therapeutic management of pediatric patients with infective endocarditis.
Source: Clinical Nuclear Medicine - November 10, 2021 Category: Nuclear Medicine Tags: Interesting Images Source Type: research

Myocardial perfusion SPECT in Germany from 2012 to 2021: insights into development and quality indicators
CONCLUSION: The 2012 to 2021 MPS surveys reveal a continuously growing number of examinations with only a mild temporary effect of the COVID-19 pandemic and a centralisation with increasing numbers per centre. Performance and technical data reveal a high-grade adherence of MPS practice to the current ESC guideline. A large potential of non-invasive diagnostics remains for the future.PMID:36780003 | PMC:PMC9923638 | DOI:10.1007/s00259-023-06129-z
Source: Molecular Medicine - February 13, 2023 Category: Molecular Biology Authors: O Lindner W Sch äfer C Rischpler S Silber W Burchert Working Group “Cardiovascular Nuclear Medicine” of the German Society for Nuclear Medicine Source Type: research

The Art of Medicine or the Medico-Legal minefield
When Hippocrates started tutoring the first medical students on the steps of the Acropolis back in Ancient Greece, the art of medicine was born and the gradual understanding of disease processes and healing could really begin. It really goes without saying that things have significantly changed from Hippocrates’ day. I would say that even forward thinkers such as himself, could barely imagine the advancements that we have achieved, wondering at our ability to treat a vast array of ailments which truly benefit humanity. He may, however, be a bit disappointed that the common cold still runs rife and that ‘man flu’ caus...
Source: Life in the Fast Lane - November 3, 2014 Category: Emergency Medicine Authors: Johnny Iliff Tags: Administration Arcanum Veritas Art of Medicine Medico-Legal minefield Source Type: blogs

CMS: Millions of patients across the nation are benefiting from the - um - potential - of Health IT?
I presume this is, in part, a response to the Jan. 21 letter from AMA and the other medical societies as I wrote about two days ago at http://hcrenewal.blogspot.com/2015/01/meaningful-use-not-so-meaningul.html:CMS intends to modify requirements for Meaningful Usehttp://blog.cms.gov/2015/01/29/cms-intends-to-modify-requirements-for-meaningful-use/January 29By Patrick Conway, MDToday, we at the Centers for Medicare & Medicaid Services (CMS) are pleased to announce our intent to engage in rulemaking to update the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs beginning in 2015. These intended chan...
Source: Health Care Renewal - January 29, 2015 Category: Health Management Tags: CMS healthcare IT difficulties healthcare IT dissatisfaction healthcare IT myths MD Patrick Conway Source Type: blogs

Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma
ConclusionsPoint-of-care ultrasound and Color flow Duplex Doppler examination are increasingly used in the decision making process of trauma-related vascular injuries.
Source: Critical Ultrasound Journal - February 15, 2017 Category: Radiology Source Type: research

Percutaneous liver biopsy in Fontan patients
ConclusionPercutaneous liver biopsy in Fontan patients can be performed safely with high technical success rates and without increased complication rates. Meticulous technique and close observation are recommended to reduce post-biopsy complications. The degree of right heart pressure elevation was not associated with hemorrhage.
Source: Pediatric Radiology - February 19, 2019 Category: Radiology Source Type: research

Isolated Increased Intracranial Pressure and Unilateral Papilledema in an Infant With Traumatic Brain Injury and Nondepressed Basilar Skull Fracture
We describe a previously healthy 11-month-old female infant with nondepressed skull fracture who developed increased ICP in the absence of intracranial changes on imaging. Funduscopic examination revealed unilateral papilledema, and opening pressure on lumbar puncture was elevated at 35 cm of H2O. Computed tomography scan demonstrated a nondepressed occipital bone fracture. However, further imaging, including magnetic resonance imaging with angiogram/venogram, did not reveal any intracranial abnormalities. In particular, there was no evidence of sinus venous thrombosis. Given her presentation and signs of increased ICP, sh...
Source: Pediatric Emergency Care - November 1, 2019 Category: Emergency Medicine Tags: Illustrative Cases Source Type: research

Safety and Feasibility of Cervical Pedicle Screw Insertion in Pediatric Subaxial Cervical Spine Without Navigation: A Retrospective Cohort Study
Conclusions: CPS insertion in pediatric subaxial cervical spine without neuronavigation is safe, feasible, and effective in carefully selected cases. Biomechanical advantages of CPS can be extended to the pediatric subaxial cervical spine. Level of Evidence: Level IV—retrospective cohort.
Source: Journal of Pediatric Orthopaedics - January 16, 2021 Category: Orthopaedics Tags: Spine Source Type: research