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Measurement of cardiac index and stroke volume using electrical cardiometry before and after administration of adenosine in a 6-year-old patient with supraventricular tachycardia
We report the case of a 6-year-old boy who developed a supraventricular tachycardia during an upper endoscopy while under general anesthesia. A noninvasive electrical cardiometry device was applied to the patient, and cardiac index and stroke volume were measured before and after the administration of adenosine. Cardiac index fell 41% (P
Source: Journal of Clinical Anesthesia - September 29, 2015 Category: Anesthesiology Authors: Samuel M. Vanderhoek, Charles J. Coté Tags: Case report Source Type: research

Swallowing Tablets and Capsules Increases the Risk of Penetration and Aspiration in Patients with Stroke-Induced Dysphagia
Abstract We evaluated the prevalence of difficulties swallowing solid dosage forms in patients with stroke-induced dysphagia and whether swallowing tablets/capsules increases their risk of penetration and aspiration. Concurrently, we explored whether routinely performed assessment tests help identify patients at risk. Using video endoscopy, we evaluated how 52 patients swallowed four different placebos (round, oval, and oblong tablets and a capsule) with texture-modified water (TMW, pudding consistency) and milk and rated their swallowing performance according to the Penetration Aspiration Scale (PAS). Additionall...
Source: Dysphagia - July 24, 2015 Category: Speech Therapy Source Type: research

In‐hospital costs in patients with seizures and epilepsy after stroke
Summary ObjectivesTo verify the net effect of seizures after stroke on the use of in‐hospital health care resources. MethodsConsecutive patients with first‐ever stroke were admitted to the stroke unit of a Moscow hospital and followed prospectively until death or discharge. Each patient experiencing seizures was matched for age, sex, stroke type, National Institutes of Health Stroke Scale score at admission, and stroke risk factors to 2+ patients with no seizures, as controls. Resources consumed included length of hospital stay, admission to the intensive care unit (ICU), diagnostic tests, medical consultations and tre...
Source: Epilepsia - June 13, 2015 Category: Neurology Authors: Alla Guekht, Maria Mizinova, Andrey Ershov, Denis Guz, Igor Kaimovsky, Paolo Messina, Ettore Beghi Tags: Full‐Length Original Research Source Type: research

Electrical pharyngeal stimulation for dysphagia treatment in tracheotomized stroke patients: a randomized controlled trial
Conclusion In this pilot study, EPS enhanced remission of dysphagia as assessed with fiberoptic endoscopic evaluation of swallowing (FEES), thereby enabling decannulation in 75 % of patients.
Source: Intensive Care Medicine - June 13, 2015 Category: Intensive Care Source Type: research

Balancing risk and reward: a critical review of the intragastric balloon for weight loss
Worldwide, more than 1.4 billion adults are overweight or obese and either have or are at increased risk of numerous, potentially disabling conditions. In the United States, 68% of adults are overweight or obese, and the epidemic is spreading to children.1,2 Obesity is associated with a number of comorbidities including type 2 diabetes mellitus, coronary heart disease, sleep apnea, stroke, gallbladder and liver disease, musculoskeletal disease, and an increase in the prevalence of certain cancers.
Source: Gastrointestinal Endoscopy - April 14, 2015 Category: Gastroenterology Authors: Shantanu Gaur, Samuel Levy, Lisbeth Mathus-Vliegen, Ram Chuttani Tags: Review article Source Type: research

An Unusual Cause Of Recurrent Ischemic Stroke: Trousseau's Syndrome From Gastric Cancer (P4.231)
CONCLUSIONS: Trousseau’s Syndrome must be considered in those presenting with recurrent strokes with an otherwise negative embolic work up especially in the elderly and those with cancer risk factors. It must prompt the clinician to look for an associated malignancy.Disclosure: Dr. JADEJA has nothing to disclose. Dr. Johnson has nothing to disclose. Dr. Soetanto has nothing to disclose. Dr. Nalleballe has nothing to disclose. Dr. DeNiro has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Graber has received personal compensation for activities with Stemedica Inc., Novocure Inc., and Biogen Idec.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Jadeja, N., Johnson, J., Soetanto, A., Nalleballe, K., DeNiro, L., Qureshi, I., Graber, J. Tags: Neuro-oncology: Paraneoplastic Disorders Source Type: research

A cerebrovascular stroke following endoscopy for an elderly patient with acute upper gastrointestinal bleeding
Publication date: Available online 2 February 2015 Source:Alexandria Journal of Medicine Author(s): Ahmed Gado , Basel Ebeid Elderly people constitute an increasing proportion of those presenting with acute upper gastrointestinal bleeding. Not only in upper gastrointestinal bleeding is advanced age a risk of death, but also exceeding 60years of age results in an increased risk of cerebrovascular and cardiovascular events. Factors likely to influence the morbidity and mortality associated with endoscopy in an elderly cohort with acute gastrointestinal bleeding include the acuity and severity of bleeding and the presence o...
Source: Alexandria Journal of Medicine - February 5, 2015 Category: Journals (General) Source Type: research

Pericardial Endoscopy-Guided Left Atrial Appendage Ligation: A Pilot Study in a Canine Model Structural Heart Disease
Conclusions— Pericardial endoscopy-guided LAA ligation could provide an alternative, minimally invasive, and feasible solution for LAA closure that does not require vascular access or a transseptal puncture.
Source: Circulation: Cardiovascular Interventions - December 16, 2014 Category: Cardiology Authors: Kimura, T., Takatsuki, S., Miyoshi, S., Katsumata, Y., Nishiyama, T., Nishiyama, N., Tanimoto, Y., Aizawa, Y., Jinzaki, M., Fukuda, K. Tags: Catheter-based coronary and valvular interventions: other, Embolic stroke Structural Heart Disease Source Type: research

Intraluminal Cell Transplantation Prevents Growth and Rupture in a Model of Rupture-Prone Saccular Aneurysms Basic Sciences
Conclusions— Lack of smooth muscle cells in the aneurysm wall promotes wall degradation, aneurysm growth and rupture, even if the aneurysm is occluded by luminal thrombus. Transplantation of smooth muscle cells into the luminal thrombus can reduce this degenerative remodeling.
Source: Stroke - November 24, 2014 Category: Neurology Authors: Marbacher, S., Frosen, J., Marjamaa, J., Anisimov, A., Honkanen, P., von Gunten, M., Abo-Ramadan, U., Hernesniemi, J., Niemela, M. Tags: Animal models of human disease, Arterial thrombosis, Other Vascular biology Basic Sciences Source Type: research

P-001 High-Resolution Optical and Angiographic CT Imaging of Flow-Diverter Stents for Assessment of Vessel Wall Apposition
Conclusion Due to its superior in-plane resolution, OCT clearly visualised the distinction between the vessel wall and the FD stent struts. Nevertheless, our example showed that VasoCT enables identification of apposition distances in the order of 0.5mm. Although OCT is clinically used in interventional cardiology, its neurovascular application is currently limited to the experimental setting. Here we showed that OCT can provide a gold-standard for the validation of VasoCT assessments of FD apposition. References Pierot L, Wakhloo AK. Stroke 2013;44:2046–2054 Kizilkilic O, et al. J Neurosurg 2012;117:45–49 F...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: van der Marel, K., Gounis, M., King, R., Wakhloo, A., Puri, A. Tags: Oral poster abstracts Source Type: research

Use of Apixaban and Warfarin in Patients Undergoing Procedures: Insights from ARISTOTLE (P5.002)
CONCLUSIONS: Procedures are common in patients with atrial fibrillation. The majority of procedures are non-major and non-emergent, and anticoagulation therapy is likely to be stopped peri-procedure. Overall and among emergent procedures, rates of clinical events in the first 30 days post-procedure were low and comparable between treatment groups.Study Supported by: Bristol-Myers Squibb Company and Pfizer Inc. Editorial assistance (i.e., formatting the abstract to ensure compliance with AAN guidelines) was provided by Claire Hall of Caudex Medical and was funded by Bristol-Myers Squibb Company and Pfizer Inc.Disclosure: Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Lopes, R., Garcia, D., Wojdyla, D., Dorian, P., Alexander, J., Wallentin, L., Lanas, F., Hanna, M., Held, C., Granger, C. Tags: Cerebrovascular Disease and Interventional Neurology II Source Type: research

Use of Apixaban and Warfarin in Patients Undergoing Procedures: Insights from ARISTOTLE (I2-2.003)
CONCLUSIONS: Procedures are common in patients with atrial fibrillation. The majority of procedures are non-major and non-emergent, and anticoagulation therapy is likely to be stopped peri-procedure. Overall and among emergent procedures, rates of clinical events in the first 30 days post-procedure were low and comparable between treatment groups.Study Supported by: Bristol-Myers Squibb Company and Pfizer Inc. Editorial assistance (i.e., formatting the abstract to ensure compliance with AAN guidelines) was provided by Claire Hall of Caudex Medical and was funded by Bristol-Myers Squibb Company and Pfizer Inc.Disclosure: Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Lopes, R., Garcia, D., Wojdyla, D., Dorian, P., Alexander, J., Wallentin, L., Lanas, F., Hanna, M., Held, C., Granger, C. Tags: New Antithrombotic Agents for Stroke Prevention Data Blitz Presentations Source Type: research

Predictor of rehabilitation outcome for dysphagia
Conclusion: The results of this study suggest that a combination of factors other than stroke, including cognitive dysfunction and a decrease in activity of daily living (ADL) influence the outcome of dysphagia. It is not rare for patients who resume oral intake to be readmitted within a year for symptoms such as fever. Therefore, effective rehabilitation programs should be developed for the impairments of elderly patients and common disabilities such as dysphagia.
Source: Auris, Nasus, Larynx - April 7, 2014 Category: ENT & OMF Authors: Akihiro Kojima, Yoshimasa Imoto, Yoko Osawa, Shigeharu Fujieda Tags: General Otolaryngology Source Type: research

Loss of Mural Cells Leads to Wall Degeneration, Aneurysm Growth, and Eventual Rupture in a Rat Aneurysm Model Basic Sciences
Conclusions— In the presented experimental setting, complete loss of mural cells acts as a driving force for aneurysm growth and rupture. The findings suggest that aneurysms missing mural cells are incapable to organize a luminal thrombus, leading to recanalization, increased inflammatory reaction, severe wall degeneration, and eventual rupture.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Marbacher, S., Marjamaa, J., Bradacova, K., von Gunten, M., Honkanen, P., Abo-Ramadan, U., Hernesniemi, J., Niemela, M., Frosen, J. Tags: Basic Sciences Source Type: research

Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment
have been produced by the Japan Gastroenterological Endoscopy Society in collaboration with the Japan Circulation Society, the Japanese Society of Neurology, the Japan Stroke Society, the Japanese Society on Thrombosis and Hemostasis and the Japan Diabetes Society. Previous guidelines from the Japan Gastroenterological Endoscopy Society have focused primarily on prevention of hemorrhage after gastroenterological endoscopy as a result of continuation ofantithrombotic therapy, without considering the associated risk of thrombosis. The new edition of the guidelines includes discussions of gastroenterological hemorrhage assoc...
Source: Digestive Endoscopy - November 12, 2013 Category: Gastroenterology Authors: Kazuma Fujimoto, Mitsuhiro Fujishiro, Mototsugu Kato, Kazuhide Higuchi, Ryuichi Iwakiri, Choitsu Sakamoto, Shinichiro Uchiyama, Atsunori Kashiwagi, Hisao Ogawa, Kazunari Murakami, Tetsuya Mine, Junji Yoshino, Yoshikazu Kinoshita, Masao Ichinose, Toshiyuki Tags: Guideline Source Type: research

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