Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital between January 2018 and January 2023.ResultsThe ResultsThe mean aneurysm dome size was 5.29 mm (2–22 mm), and the mean aneurysm neck size was 3.2 12; ATLAS, 14). Postoperative thrombotic complications were observed in 1 patient.

Aneurysm 40

Aneurysm Embolism Stent Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionFlow diverters (FD) are stent‐type devices that enable the exclusion of intracranial aneurysms in clinical scenarios where coil‐type devices exhibit high failure rates. Adults older than 18 with non‐ruptured intracranial aneurysms were included. years (±13.3). years (±13.3). Neck measurements were in the range of 1.9

Aneurysm 40

Aneurysm Embolism Angioplasty Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe use of detachable coils for endovascular embolization of cerebral aneurysms has become a safe and effective alternative to direct surgical clipping in patients with ruptured aneurysmal subarachnoid hemorrhage. Immediate complete occlusion and occlusion with residual neck was achieved in 66.7%

Aneurysm 40

Aneurysm Stent Stents Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionFlow diversion (FD) is commonly used for the treatment of aneurysms involving the ophthalmic segment of the carotid artery (COA). The origin of the ophthalmic artery (OA) in relation to the aneurysm sac can affect recurrence and complications. directly from the aneurysm fundus, B. aneurysm neck, C.

Aneurysm 40

Aneurysm Outcomes Embolism Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionInfectious intracranial aneurysms (IIAs), commonly referred to as mycotic aneurysms, are a common sequela of infective endocarditis (IE). were treated with an endovascular approach; 50% underwent onyx embolization, 28.6% underwent n‐BCA embolization, 14.2% Among those IIAs treated, 92.8% 9); (P=0.002).

Aneurysm 40

Aneurysm Embolism Outcomes Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Statistical analysis was performed to identify predictors of inadequate occlusion.ResultsA total of 51 patients underwent endovascular embolization using the WEB device with a mean follow‐up of 14.9 Ruptured aneurysmal subarachnoid hemorrhage accounted for 15.7% (8/51) of all patients. Retreatment was required in 1 aneurysm.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionMycotic aneurysms of paraspinal arteries are a rare finding. Furthermore, knowledge regarding the management of paraspinal mycotic aneurysms and the efficacy of endovascular repair of these lesions is scarce.⁴MethodsWe Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Aneurysm 40

Aneurysm Peripheral Arterial Disease Coronary Artery Disease ICU 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe Pipeline Embolization Device (PED) is commonly used for intracranial aneurysm treatment. While its effectiveness for certain types of aneurysms is well‐established, its efficacy for saccular aneurysms remains debatable. The mean aneurysm size was 7.72 The mean age was 55.7 years, and 78.3%

Aneurysm 40

Aneurysm Outcomes Embolism Hemorrhage 40

Stroke: Vascular and Interventional Neurology

JANUARY 25, 2024

BACKGROUNDCurrently, endovascular treatment of intracranial aneurysms is limited by low complete occlusion rates. The advent of novel endovascular technology has expanded the applicability of endovascular therapies; however, the superiority of novel embolic devices over the traditional Guglielmi detachable coils is still debated.

Aneurysm 40

Aneurysm Embolism Technology Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionIndications for flow diversion for the treatment of cerebral aneurysms have increased remarkably in recent years.1 1 This has been particularly useful for aneurysms that are difficult to treat via endosaccular or open approaches, such as pseudoaneurysms.2

Embolism 40

Embolism Aneurysm Hemorrhage Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionBasilar‐tip aneurysm (BTA) is the most common aneurysm found in the posterior circulation, representing 5–8% of total intracranial aneurysms. Coil embolization (CE) is safer and more efficacious in the treatment of BTAs compared to open surgery but has increased rate of recanalization. vs. 10.7%).

Aneurysm 40

Aneurysm Stent Stents ICU 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionInfectious Intracranial Aneurysms (IIAs), commonly referred to as mycotic aneurysms, are a common sequela of infective endocarditis (IE). However, if one is able to embolize and secure IIAs, then that delay between endovascular therapy (EVT) and surgery may be shortened.

Aneurysm 40

Aneurysm Embolism Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Eventually, the PSA of the Internal maxillary artery (IMAX) was embolized, resulting in resolution of the patient's symptoms.MethodsCase ReportResultsA 75‐year‐old male with a history of atrial fibrillation on Eliquis presented to the emergency department after sustaining a gunshot wound to the left face.

Aneurysm 40

Aneurysm Stroke Strokes Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionRuptured aneurysmal SAH accounts up to 80% of nontraumatic SAH, with more than 80% located in the anterior circulation and a mortality rate upwards of 50%.1‐3 1,2,4–6 Despite this, EVT of intracranial aneurysms has its own risk of complications including intraoperative rupture and thromboembolic events.7

Aneurysm 40

Aneurysm Stroke Strokes Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDual antiplatelet therapy (DAPT) is necessary to minimize the risk of periprocedural thromboembolic complications associated with aneurysm embolization using Pipeline embolization device (PED). of PFT group patients were clopidogrel non‐responders requiring changes in their pre‐embolization DAPT regimen.

Embolism 40

Embolism Aneurysm Hemorrhage Stroke 40

Stroke: Vascular and Interventional Neurology

OCTOBER 6, 2024

A right posterior communication artery aneurysm was discovered incidentally on workup images. The aneurysm was treated using a Woven Endobridge SingleLayer Sphere (SLS) intrasaccular flow disrupter device. On discussing potential options, including observation, the patient opted for endovascular intervention.

Aneurysm 40

Aneurysm Embolism Hospital Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

HIT patients had significantly higher rates of deep vein thrombosis (p < 0.01), pulmonary embolism (p < 0.01), central venous sinus thrombosis (p = 0.01), pneumonia (p < 0.01), urinary tract infection (p < 0.01), acute kidney injury (p < 0.01), and cerebral vasospasm (p < 0.01).

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Thrombosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

AngioCT: a dilated orbito frontal vein, and a venous aneurysm at the anterior third of the superior sagittal sinus. We catheterized ophthalmic artery, and did embolization through it, with a successful result, and with no ophthalmic symptoms after embolization.ConclusionDural arteriovenous fistulas are shunts found from dural vessels.

Embolism 40

Embolism Hemorrhage Aneurysm Cancer 40

Dr. Smith's ECG Blog

FEBRUARY 29, 2016

This may be permanent and may be associated with echocardiographic dyskinesis (aneurysm). LV aneurysm is common in completed, full thickness (transmural) MI, which is what we have here. LV aneurysm puts them at risk for a mural thrombus, which puts them at risk for embolism, especially embolic stroke.

Aneurysm 52

Aneurysm Ischemia Embolism STEMI 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. Despite its severity, patients with aneurysmal SAH remain understudied, particularly concerning the evaluation of the incidence and consequences of subsequent acute kidney injury (AKI).

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

A Chest CT angiography and a CT angiography of the intra and extracranial vasculature demonstrated an extensive right holohemispheric cerebral AVM, an unruptured 8‐mm basilar artery aneurysm, and multiple enlarged pulmonary arteries with narrow inlet and outlets concerning for pulmonary AVMs.

Hemorrhage 40

Hemorrhage Aneurysm Pulmonary Embolism 40

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. CT chest showed left sided pulmonary embolism and a pulmonary infarct that had previously been mistaken for pneumonia. Instead, he was diagnosed with pneumonia — that turned out to be a left-sided pulmonary embolism that was initially missed.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Stroke Journal

FEBRUARY 1, 2024

8290 aneurysms embolizations were performed (13.5% Mortality percentages were: SAH=20.2%, ICH=25.3%, Ischemic Stroke=15.3%. Rates of Thrombolysis were alarming, but with an increasing tendency: 22969 were performed, from 1.6% in 2017 to 2.3% in 2022 of all ischemic strokes. of all SAH cases).

Cerebrovascular Disease 40

Cerebrovascular Disease Thrombolysis Public Health Hemorrhage 40

Dr. Smith's ECG Blog

JANUARY 9, 2023

CT angiogram chest: no aortic dissection or pulmonary embolism. Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus. No further troponins were measured. Serial chest xrays: progressive bilateral pulmonary edema. No further cath details available.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

MAY 19, 2020

The patient's heart had significant recovery: Echo : Estimated LVEF 32%, apical wall motion abnormality with diastolic distortion (LV aneurysm), suggestive of old MI. pulmonary embolism, sepsis, etc.), Coronary thrombosis or embolism can result in MINOCA, either with or without a hypercoagulable state. myocarditis).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. LVOTO is due to septal hypertrophy, SAM, and anterior displacement of mitral valve apparatus. Doppler echo showing LVOT gradient in HCM.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

Dr. Smith's ECG Blog

MARCH 11, 2016

Both of these are very suggestive of " No-Reflow ," or poor microvascular reperfusion due to downstream embolization of microscopic platelet-fibrin aggregates. Perhaps she will not develop an LV aneurysm. However, much ST elevation remains, and there is no re-constitution of R-waves. That remains to be seen.

Myocardial Infarction 52

Myocardial Infarction Pericarditis STEMI Angina 52

Stroke Journal

JANUARY 30, 2025

Object:The introduction of antiplatelet agents is essential in stent-assisted coil embolization (SACE) for the treatment of intracranial aneurysms, and preoperative drug efficacy assessment is important in reducing the risk of ischemic complications. Stroke, Volume 56, Issue Suppl_1 , Page ADP37-ADP37, February 1, 2025.

Aneurysm 40

Aneurysm Stent Stents Embolism 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Serious outcomes included death, arrhythmia, myocardial infarction, structural heart disease, pulmonary embolism, and hemorrhage. of ED visits.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 3, 2024

His initial high sensitivity troponin I returned at 1300 ng/L and given that his cardiac workup was otherwise unremarkable, a CT was obtained to evaluate for pulmonary embolism and aortic aneurysm or dissection but this too was unrevealing. Another EKG was also obtained. ECG at time 82 minutes: What do you think?

Catheterization Laboratory 111

Catheterization Laboratory STEMI Blog Ischemia 111

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No thoracic aortic hematoma, aneurysm or dissection. No pulmonary embolism is identified. While in the ED, patient's pain worsened to previous severity of 6/10 pain and improved to 3/10 on NTG drip. CT Angio Chest IMPRESSION 1. There are moderate coronary artery calcifications.

STEMI 121

STEMI Chest Pain Myocardial Infarction Aneurysm 121