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Predictors of deep-vein thrombosis in subarachnoid hemorrhage: a retrospective analysis
ConclusionElevated d-dimer level at the time of hospitalization, motor deficit, and the presence of an intraparenchymal hemorrhage are independent risk factors for deep-vein thrombosis. Patients with DVT also had a significantly longer hospital stay. Even though further studies are needed, patients with elevated d-dimer at hospitalization and intraparenchymal cerebral hemorrhage may benefit from a more aggressive screening strategy for deep-vein thrombosis.
Source: Acta Neurochirurgica - August 13, 2020 Category: Neurosurgery Source Type: research

Carotid web leads to new thrombus formation: computational fluid dynamic analysis coupled with histological evidence
We describe a 48-year-old woman with carotid web who developed embolic stroke. We obtained a fresh thrombus from the internal carotid artery when carotid endarterectomy was performed. A preoperative computational fluid dynamics (CFD) study showed stagnation of blood around the web structure as well as the low wall shear stress. The rheological analysis newly disclosed mechanisms of thrombus formation related to the carotid web. CFD study in the carotid web may determine indication and timing of surgical interventions with further accumulation of clinical evidence.
Source: Acta Neurochirurgica - March 9, 2020 Category: Neurosurgery Source Type: research

Thromboembolic infarction caused by an unknown patent foramen ovale 30  years after VA shunt insertion: a case report and review of the literature
ConclusionsThromboembolic events due to a PFO are rare but possible life-threatening complication after VA shunt insertion. Therefore, preoperative cardiac diagnostic might be clinically relevant prior to a VA shunt implantation to avoid such complications.
Source: Acta Neurochirurgica - June 18, 2019 Category: Neurosurgery Source Type: research

Fatal intracranial aneurysm rupture after thrombolytic treatment for ischemic stroke: a case report and literature review
We present a case report of a patient who suffered fatal subarachnoid hemorrhage after thrombolysis from a known aneurysm. A history of recent previously inexperienced headaches was revealed retrospectively, suggestive of sentinel bleedings. A similar patient was identified in the literature; we thus propose that this history should be excluded in patients harboring an aneurysm considered for thrombolytic treatment.
Source: Acta Neurochirurgica - May 6, 2019 Category: Neurosurgery Source Type: research

Effective use of balloon guide catheters in reducing incidence of mechanical thrombectomy related distal embolization
ConclusionsThe risk of distal embolization was significantly decreased with the use of a BGC.
Source: Acta Neurochirurgica - July 9, 2017 Category: Neurosurgery Source Type: research