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Embolic MCA Stroke Treated With tPA and TICI-3 Mechanical Thrombectomy Complicated by Hemiballismus: A Case Study and Literature Review
This report examines the etiology of hemiballistic movements that began 24 hours after a 63-year-old male with vascular risk factors received tissue plasminogen activator (tPa) and thrombolysis in cerebral ischemia 3 (TICI3) thrombectomy for a left middle cerebral artery (MCA) ischemic stroke. The clinical course was reviewed from an admission at a large academic institution where assessments included physical exams, head and neck computed tomography angiography (CTA), and head magnetic resonance imaging (MRI) without contrast. The patient's initial physical exam was consistent with a left MCA syndrome and included a Natio...
Source: Military Medicine - November 10, 2021 Category: International Medicine & Public Health Authors: Peter S Tatum Joshua Kornbluth Andrew Soroka Source Type: research

Immediate angiography may reduce stroke treatment time, improve recovery, lower disability
(American Heart Association) Immediate angiography, rather than the standard CT scan, reduced time to stroke treatment. Stroke patients who were assessed with an immediate angiography had less disability at 90 days compared to those who received a CT scan.
Source: EurekAlert! - Medicine and Health - March 18, 2021 Category: International Medicine & Public Health Source Type: news

Grant awarded to develop artificial intelligence to improve stroke screening and treatment
(University of Texas Health Science Center at Houston) New artificial intelligence technology that uses a common CT angiography (CTA) as opposed to the more advanced imaging normally required to help identify patients who could benefit from endovascular stroke therapy (EST) is being developed at UTHealth.
Source: EurekAlert! - Medicine and Health - May 12, 2021 Category: International Medicine & Public Health Source Type: news

EE558 Cost-Effectiveness of Direct Transfer of Acute Ischemic Stroke Patients to Angiography Suite
Patients with acute ischemic stroke due to large vessel occlusion (LVO), when eligible, are usually transferred from the emergency room to the angiography suite to undergo endovascular thrombectomy (EVT). Recently, the strategy of direct transfer of suspected LVO patients to the angiography suite (DTAS) has been shown to improve functional outcome. The present study aims to evaluate the cost-effectiveness of the DTAS strategy versus transfer of suspected LVO patients to the emergency room (ITER).
Source: Value in Health - December 1, 2022 Category: International Medicine & Public Health Authors: C Nguyen, MMH Lahr, DJ Van der Zee, H Van Voorst, M Ribo, YBWEM Roos, E Buskens, M Uyttenboogaart Source Type: research

An Endovascular Surgery Experience in Far-Forward Military Healthcare-A Case Series.
CONCLUSIONS: Interventional neuroradiology can fill an important role in military far forward care as these providers can treat both traumatic and atraumatic cerebral and extracranial vascular injuries. In addition, knowledge and skill with vascular access and general interventional radiology principles can be used to aid in other lifesaving interventions. As interventional equipment becomes more available and portable, this relatively young specialty can alter the treatment for servicemen and women who are injured downrange. PMID: 32812042 [PubMed - as supplied by publisher]
Source: Military Medicine - August 20, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Inhibition of the immunoproteasome LMP2 ameliorates ischemia/hypoxia-induced blood –brain barrier injury through the Wnt/β-catenin signalling pathway
ConclusionThis study suggests that inhibition of the immunoproteasome LMP2 ameliorates ischemia/hypoxia-induced BBB injury, and that the molecular mechanism involves the immunoproteasome-regulated activation of the Wnt/ β-catenin signalling pathway under ischemic conditions.
Source: Military Medical Research - December 3, 2021 Category: International Medicine & Public Health Source Type: research

Minor trauma causing stroke in a young athlete - Gupta V, Dhawan N, Bahl J.
A 17-year-old Caucasian male presented with sudden dizziness, ataxia, vertigo, and clumsiness lasting for a couple of hours. He had a subtle trauma during a wrestling match 2 days prior to the presentation. A CT Angiogram (CTA) and MRI showed left vertebra...
Source: SafetyLit: All (Unduplicated) - April 24, 2015 Category: Global & Universal Tags: Age: Adolescents Source Type: news

Analysis shows increased risk of early stroke with new-onset atrial fibrillation post-TAVR
(Society for Cardiovascular Angiography and Interventions) Results from 'Effect of bivalirudin versus unfractionated heparin in patients with baseline or new-onset atrial fibrillation in transcatheter aortic valve replacement: From the BRAVO-3 randomized trial' were presented today as a late-breaking clinical trial at the Society for Cardiovascular Angiography and Interventions (SCAI) 2017 Scientific Sessions in New Orleans.
Source: EurekAlert! - Social and Behavioral Science - May 11, 2017 Category: International Medicine & Public Health Source Type: news

Single-lane clipping technique for a ruptured aneurysm of A1 fenestration of the anterior cerebral artery: a case report and literature review
We report a case of A1 fenestration with a ruptured aneurysm wherein we successfully achieved complete obliteration of the aneurysm with a new "single-lane" clipping technique. A 64-year-old woman presented with a ruptured saccular A1 aneurysm at the proximal end of an A1 fenestration, resulting in subarachnoid hemorrhage. Microsurgical clipping was attempted; however, adequate exposure of the aneurysm could not be achieved. The recurrent artery of Heubner originated near the distal end of the lateral limb of the A1 fenestration. The lateral limb of the A1 fenestration had no perforating arteries, according to surgical exa...
Source: Nagoya Journal of Medical Science - March 16, 2023 Category: International Medicine & Public Health Authors: Yuki Kubota Yoshiki Hanaoka Tatsuro Aoyama Yu Fujii Toshihiro Ogiwara Tatsuya Seguchi Tetsuyoshi Horiuchi Source Type: research

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