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Rates of Spinal Cord Infarction After Repair of Aortic Aneurysm or Dissection Clinical Sciences
Background and Purpose—The rate of spinal cord infarction (SCI) after surgical or endovascular repair of an aortic aneurysm or dissection is unclear.Methods—Using administrative claims data, we identified adult patients discharged from nonfederal acute care hospitals in California, New York, and Florida who underwent surgical or endovascular repair of an aortic aneurysm or dissection between 2005 and 2013. Patients with SCI diagnosed before the aortic repair were excluded. Our primary outcome was an SCI during the index hospitalization for aortic repair. Descriptive statistics were used to estimate crude rates of SCI. ...
Source: Stroke - July 24, 2017 Category: Neurology Authors: Gino Gialdini, Neal S. Parikh, Abhinaba Chatterjee, Michael P. Lerario, Hooman Kamel, Darren B. Schneider, Babak B. Navi, Santosh B. Murthy, Costantino Iadecola, Alexander E. Merkler Tags: Cardiovascular Surgery, Revascularization, Aneurysm, Aortic Dissection Original Contributions Source Type: research

Retrospective analysis of Spinal Cord Infarction after Aortic Repair (P6.300)
Conclusions:The rate of spinal cord infarction after aortic repair is low overall, but is higher after repair of a ruptured aortic aneurysm or dissection.Study Supported by:Dr. Gialdini is supported by the Feil Family Foundation.Dr. Kamel is supported by NIH grants K23NS082367 and R01NS097443 as well as the Michael Goldberg Research Fund.Disclosure: Dr. Gialdini has nothing to disclose. Dr. Merkler has nothing to disclose. Dr. Parikh has nothing to disclose. Dr. Lerario has nothing to disclose. Dr. Chatterjee has nothing to disclose. Dr. Kamel has received personal compensation for activities with Genentech as a speaker. D...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gialdini, G., Merkler, A., Parikh, N., Lerario, M., Chatterjee, A., Kamel, H. Tags: Cardiovascular Issues in Ischemic Stroke Source Type: research

Subarachnoid Hemorrhage with and without Concomitant Sickle Cell Disease, a Comparison Using the Nationwide Inpatient Sample (S4.004)
Conclusions: Based on these data, 2 out of every 1000 cases of SAH in the United States, will be related to SCD. SAH occurs at a much younger age in patients with SCD. Prognosis in patients with SAH related to SCD may be better than in non-SCD patients.Disclosure: Dr. Al Zahmi has nothing to disclose. Dr. Conners has nothing to disclose. Dr. Cutting has nothing to disclose. Dr. Cherian has nothing to disclose. Dr. Song has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Garg has received research support from AHA and RTSC. Dr. Ouyang has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Al Zahmi, F., Conners, J., Cutting, S., Cherian, L., Song, S., Lee, V., Garg, R., Ouyang, B. Tags: Health Disparities and Sex Differences in Stroke Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes
Background: Acute kidney injury (AKI) has been associated with all-cause short- and long-term mortality. However, its association with cardiovascular (CV) events remains unclear. We sought to investigate this in patients undergoing open (OAR) or endovascular (EVAR) abdominal aortic aneurysm repair, as they are likely to develop both AKI and CV morbidity. A meta-analysis was subsequently performed to confirm this in other CV-interventions. Methods: AKI-incidence was assessed in a multicentre-cohort of 1,068 patients undergoing EVAR (947 individuals) or OAR electively using the ‘Acute Kidney Injury Network' criteria. A com...
Source: American Journal of Nephrology - October 24, 2015 Category: Neurology Source Type: research

Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers Clinical Sciences
Conclusions— There is notable interhospital heterogeneity in outcomes among even the largest volume unruptured intracranial aneurysm referral centers. Although further regionalization may be needed, mandatory participation in prospective, adjudicated registries will be necessary to reliably identify factors associated with superior outcomes.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Zacharia, B. E., Bruce, S. S., Carpenter, A. M., Hickman, Z. L., Vaughan, K. A., Richards, C., Gold, W. E., Lu, J., Appelboom, G., Solomon, R. A., Connolly, E. S. Tags: Health policy and outcome research, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research