Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe optimal endovascular approach for wide‐neck intracranial aneurysms (IAs) during the acute phase of bleeding remains uncertain, and the use of stent‐assisted coiling or flow diversion is controversial due to antiplatelet therapy requirements and potential risks (1, 2).

Aneurysm 40

Aneurysm Outcomes Hemorrhage Stent 40

Dr. Smith's ECG Blog

OCTOBER 26, 2010

More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). Then ACS (STEMI) might be primary; this might be cardiogenic shock. One must clearly rule out these processes before jumping on the ACS diagnosis.

STEMI 52

STEMI Cardiogenic Shock Tachycardia Aneurysm 52

Stroke Journal

FEBRUARY 1, 2024

Methods:This was a retrospective observational study using data from the large multicenter international Stroke Thrombectomy and Aneurysm Registry (STAR). The primary outcome measure was successful recanalization defined as modified Thrombolysis in Cerebral Ischemia (mTICI) score of 2b or higher.

Circulation 40

Circulation Stroke Strokes Thrombolysis 40

Journal of the American Heart Association

FEBRUARY 29, 2024

BackgroundDelayed cerebral ischemia represents a significant contributor to death and disability following aneurysmal subarachnoid hemorrhage. In murine studies (n=30), the endovascular perforation model was predominantly used, while rat studies primarily employed intracisternal blood injection to mimic subarachnoid hemorrhage.

Ischemia 40

Ischemia Hemorrhage Blood Pressure Aneurysm 40

Journal of the American Heart Association

DECEMBER 29, 2023

BackgroundThe outcome of diffuse angiogram‐negative subarachnoid hemorrhage (dan‐SAH) compared with aneurysmal SAH (aSAH) remains unclear. 60.12];P=0.042), or delayed cerebral ischemia (12.3% 4.64];P<0.001), presence of intraventricular hemorrhage (OR, 3.58 [95% CI, 1.72–7.46];P=0.001), 18.95];P=0.045).

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Ischemia 40

Stroke Journal

JANUARY 30, 2025

Introduction:Aneurysmal subarachnoid hemorrhage (aSAH) survivors suffer cognitive and behavioral challenges preventing their return to work and social activities. Clinical variables, modified Rankin score (mRS) at discharge, hemorrhage volume, and the occurrence of vasospasm or new ischemia during hospitalization were collected.

Hemorrhage 40

Hemorrhage Aneurysm Quality of Life Ischemia 40

Stroke Journal

JANUARY 30, 2025

Background:According to the 2023 guidelines for the management of patients with aneurysmal subarachnoid hemorrhages (SAH), early treatment of ruptured aneurysms reduces the risk of repeated bleeds and facilitates treatment of delayed cerebral ischemia. No differences were noted in the size or location of aneurysm.

Aneurysm 40

Aneurysm Hospital Outcomes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Subarachnoid hemorrhage (SAH), commonly caused by a ruptured aneurysm, carries a high rate of disability and death. Preclinical studies demonstrate SAH induces dysregulation of the cerebrovasculature and increases neuroinflammation, which contributes to early brain injury and delayed cerebral ischemia.

Hemorrhage 40

Hemorrhage Ischemia Aneurysm Stroke 40

Dr. Smith's ECG Blog

OCTOBER 20, 2013

This ECG is diagnostic of diffuse subendocardial ischemia. Because the patient had asystole, was resuscitated without difficulty, and had no neurologic function, suspected a cerebral hemorrhage was suspected as the etiology of the arrest, specifically subarachnoid hemorrhage. What is the utility of a head CT in cardiac arrest?

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Stroke: Vascular and Interventional Neurology

APRIL 12, 2025

BACKGROUNDWe automated subarachnoid hemorrhage volume (SAHV) calculation with artificial intelligence (SAHVAI) and created 3dimensional volumetric images (SAHVAI3D) using noncontrast head computed tomography data for patients with aneurysmal SAH. Stroke: Vascular and Interventional Neurology, Ahead of Print.

Hemorrhage 40

Hemorrhage Aneurysm Biomarkers Ischemia 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. Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Left BBB vi. LVH or RV d.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52