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Procedure: Angiography
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Total 8742 results found since Jan 2013.
Surgical evolution in spinal dural arteriovenous fistula treatment —a 7 years monocentric experience
AbstractAccounting for 70% of all spinal vascular malformations, spinal dural arteriovenous fistulas (SDAVF) are the most common type of malformation. Interruption of the fistulous arterialized vein point is the goal of surgical treatment. The aim of the study was to compare open surgery (laminectomy) versus minimal invasive surgery (MIS) in SDAVF treatment. Between March 2013 and March 2020, we retrospectively collected 21 consecutive adult patients with SDAVF. Since March 2017, MIS has been routinely used for surgical treatment. Pre- and post-operative clinical evaluations used Aminoff-Logue score (ALS). Complication rat...
Source: Neurosurgical Review - September 5, 2023 Category: Neurosurgery Source Type: research
Computer: " Normal ECG, " TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?
A 60-something awoke with 10/10 crushing chest pain. He walked in to triage.Here is the ECG:Computer interpretation: Normal ECGInterventionalistafter doing PCI: SUBTLE STT CHANGES IN LIMB LEADSTo me, this first ECG is diagnostic of inferior OMI.I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict:YOU TOO CAN HAVE THE PM Cardio AI BOT!! (THE PM CARDIO OMI AI APP)If you want this bot to help you make the early diagnosis of OMI and save your patient and his/her myocardium, you can sign up to get an early beta version of the bot here. It is not yet available, but this is y...
Source: Dr. Smith's ECG Blog - September 5, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A 50-something with chest pain.
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant.More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior. He reports feeling nauseated with emesis. He reports that this chest pain feels different than prior chest...
Source: Dr. Smith's ECG Blog - September 3, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG:What do you think?This was not identified as OMI by either the conventional algorithm nor the triage faculty physician.Smith: I think leads V3 and V4 are highly concerning, and all but diagnostic, for acute LAD occlusion. I would activate the cath lab, or at least look f...
Source: Dr. Smith's ECG Blog - September 1, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Non-contrast computed tomography findings for identification of chronically occluded coronary artery bypass grafts
CONCLUSION: Evaluation of coronary bypass grafts for chronic occlusion on non-contrast CT based off vessel morphology is feasible and accurate for venous grafts. Potential use cases include low-intermediate risk patients with chest pain or shortness of breath for whom non-contrast CT was ordered, or administration of iodine-based contrast is contraindicated.PMID:37649280 | DOI:10.1177/02841851231196873
Source: Acta Radiologica - August 31, 2023 Category: Radiology Authors: Jordan H Chamberlin Carter D Smith Elizabeth Van Swol Dhruw Maisuria Dhiraj Baruah Uwe Joseph Schoepf Jeremy R Burt Ismail M Kabakus Source Type: research
An Unusual Presentation of SCAD in a Young Male Soldier
We present a 21-year-old active duty male who was transferred from Okinawa, Japan to a tertiary military medical center for evaluation of hypercoagulable conditions after CT revealed non-obstructing portal venous thrombosis extending to right hepatic vein, splenic vein thrombosis with splenic infarct, and bilateral wedge-shaped renal infarct. Extensive work-up ultimately revealed mid-left anterior descending spiral dissection with transmural infarct of inferior, anteroseptal, and inferoseptal wall resulting in the formation of left ventricular thrombus, subsequently causing thromboembolism to multiple organs. This case dem...
Source: Military Medicine - August 31, 2023 Category: International Medicine & Public Health Authors: Oliver Lee Kelly Sun Elianna Goldstein James Jang Jeffrey Berenberg Source Type: research
Non-contrast computed tomography findings for identification of chronically occluded coronary artery bypass grafts
CONCLUSION: Evaluation of coronary bypass grafts for chronic occlusion on non-contrast CT based off vessel morphology is feasible and accurate for venous grafts. Potential use cases include low-intermediate risk patients with chest pain or shortness of breath for whom non-contrast CT was ordered, or administration of iodine-based contrast is contraindicated.PMID:37649280 | DOI:10.1177/02841851231196873
Source: Acta Radiologica - August 31, 2023 Category: Radiology Authors: Jordan H Chamberlin Carter D Smith Elizabeth Van Swol Dhruw Maisuria Dhiraj Baruah Uwe Joseph Schoepf Jeremy R Burt Ismail M Kabakus Source Type: research
Nonatheromatous Coronary Kink Causing Angiographic Obstruction: A Rare Structural Anomaly
We present an unusual case of coronary kinking in a patient presenting with exertional jaw pain in the absence of atherosclerotic risk factors. Multimodality imaging, coronary imaging, and coronary physiology helped establish the diagnosis and guide management.PMID:37645685 | PMC:PMC10462445 | DOI:10.1155/2023/6626263
Source: Atherosclerosis - August 30, 2023 Category: Cardiology Authors: Nikita Jhawar Abhiram Prasad S Michael Gharacholou Source Type: research
Ludwig's angina and acute myocardial infarction: A case report
Clin Case Rep. 2023 Aug 24;11(9):e7832. doi: 10.1002/ccr3.7832. eCollection 2023 Sep.ABSTRACTLudwig's angina was first described in 1839 by German physician, Wilhelm Frederick Von Ludwig as a rapidly and fatal progressive gangrenous cellulitis and edema of the soft tissues of the neck and floor of the mouth with rapid spread to other places like anterior mediastinum. However, Type 2 acute myocardial infarction (MI) due to Ludwig's angina has not been documented. A 62-year-old male presented to the emergency department with visible anterior neck swelling for 1 week, which was preceded by a tooth arch 1 week prior, the patie...
Source: Pain Physician - August 28, 2023 Category: Anesthesiology Authors: Ronald Kato Umar Ssebagala Kainembabazi Katrina Source Type: research
Acute Coronary Spasm Following Pelvic Fracture, Bleeding, and Shock in a Trauma Patient
We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST e...
Source: Acta Med Okayama - August 27, 2023 Category: Universities & Medical Training Authors: Yasuaki Yamakawa Kohei Miyashita Atsushi Morizane Masato Takeuchi Yuta Kawashima Tomoko Sugimura Yuichi Saisaka Source Type: research
