Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

There are QS-waves in V1-V3 suggesting old anterior MI with persistent ST Elevation (LV aneurysm morphology), but I have written a couple papers showing that in LV aneurysm, the T-wave is not > 0.36 T/QRS Amplitude Best Distinguishes Acute Anterior MI from Anterior Left Ventricular Aneurysm. Smith : "What was the outcome?"

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Chest Pain Aneurysm Stent Stents 114

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.

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Aneurysm Outcomes Embolism Stent 40

Dr. Smith's ECG Blog

NOVEMBER 17, 2014

There were many comments that it was too late for thrombolytics or that this signified an LV aneurysm, not acute MI. See my formula for differentiating anterior LV aneurysm (that is to say, persistent ST elevation after old MI) from acute anterior STEMI. See my answer below. This is my response: "This is definitely acute or subacute.

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Aneurysm STEMI Chest Pain Risk Factors 52

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 primary endpoint was angiographic complete aneurysm occlusion at long‐term (≥ 12 mo.)

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Aneurysm Outcomes Embolism Hemorrhage 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). Mortality rates have been reported up to 30% for unruptured and 80% for ruptured mycotic aneurysms. The average (minimum‐maximum; mm) size of ruptured IIAs was 3.3 (0.2‐11)

Aneurysm 40

Aneurysm Outcomes Hospital Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Background:Some studies have shown that females had a poorer prognosis after endovascular treatment for ruptured intracranial aneurysm than males. The study presented intracranial aneurysms after microsurgical and/or endovascular treatment from January 1, 2013 to December 31, 2022. vs 35.7 %, 10.8 % vs 5.7%, and 28.2%

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Aneurysm Hemorrhage Outcomes Stroke 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 19, 2024

BACKGROUNDThe rate of underlying ruptured aneurysms, complications, and their relevance to outcomes in “benign” perimesencephalic subarachnoid hemorrhage are not well known and underreported.METHODSRetrospective analysis of patients with perimesencephalic subarachnoid hemorrhage from a large tertiary care center (2007–2022).RESULTSEighty‐one

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Aneurysm Hemorrhage Outcomes Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Impact of race on outcomes in the treatment of intracranial aneurysm (IA) remains unclear. The primary outcome was 90-day mRS 0-2. The primary outcome in Hispanic patients was significantly lower than White patients (adjusted odds ratio [aOR] 0.36, 95% CI, 0.23-0.56,P< P< 001).

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Aneurysm Outcomes Stroke Strokes 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). Patients with secured IIAs are less likely to have in‐hospital mortality and are more likely to have better outcomes upon discharge.

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Aneurysm Embolism Outcomes Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDue to the relative rarity of unruptured intracranial aneurysms (UIA) in the pediatric population, evidence regarding treatment modalities and clinical outcomes remains limited. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

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Pediatrics Aneurysm Outcomes Inpatient 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 15, 2024

BACKGROUNDThe optimal endovascular approach for acutely ruptured wide‐neck intracranial aneurysms remains uncertain, and the use of stent‐assisted coiling or flow diversion is controversial due to antiplatelet therapy requirements and potential risks. Stroke: Vascular and Interventional Neurology, Ahead of Print. Of the patients, 60.5%

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Aneurysm Outcomes Hemorrhage Stent 40

Society of Thoracic Surgeons - Congenital

OCTOBER 11, 2023

Webinar Latin Heart Rounds Series: Rounds on a Patient with Ascending Aortic Aneurysm and Arch Involvement dkaczmarek Wed, 10/11/2023 - 11:22 December 15, 2023 Image Join us on December 15, when experts will provide up-to-date insight on the management of patients with aortic root and ascending aortic aneurysm involving the aortic arch.

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Aneurysm Aortic Webinar Aortic valve 52

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). Of the patients, 60.5%

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Aneurysm Outcomes Hemorrhage Stent 40

Journal of Cardiothoracic Surgery

APRIL 1, 2024

Open repair of thoracoabdominal aortic aneurysm (TAAA) was characterized by significant risk of postoperative mortality and morbidity. The aim of this study was to determine the perioperative predictors of ear.

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Aneurysm Aortic Risk Factors Outcomes 40

Frontiers in Cardiovascular Medicine

OCTOBER 7, 2024

ObjectiveTo evaluate the effect of malnutrition assessed by the Geriatric Nutritional Risk Index (GNRI) on major adverse cardiac and cerebrovascular events (MACCE) in the elderly patients after endovascular aortic aneurysm repair (EVAR).Materials The primary outcome was MACCE. Malnutrition status was assessed by the GNRI.

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Aneurysm Aortic Hospital Outcomes 59

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionIntracranial Aneurysm results from enlargement in the wall of a blood vessel in the brain, especially in the circle of Willis. Based on limited reports, the 30‐day mortality rate from aneurysmal Sub Arachnoid Hemorrhage was 26.6% Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

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Aneurysm Hemorrhage Risk Factors Outcomes 40

Frontiers in Cardiovascular Medicine

DECEMBER 14, 2023

Objective The objective of this study was to perform a network meta-analysis (NMA) to assess the efficacy and safety of three different surgical interventions- open surgical repair (OSR), hybrid surgical repair (HSR), and endovascular repair (EVAR)- for the treatment of thoracoabdominal aortic aneurysms (TAAAs).

Aneurysm 64

Aneurysm Aortic Hospital Outcomes 64

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionFlow diversion (FD) has emerged as an effective treatment option for intracranial aneurysms (IAs). This study aimed to investigate the outcomes of FD for these aneurysms.MethodsA retrospective analysis of a multicentric observational registry was performed between 2014 and 2022. interquartile range [IQR]: 52.8‐65.3

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Aneurysm Circulation Hemorrhage Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionTo provide our single‐institution experience and outcome data with the WEB device in 51 patients treated for ruptured and unruptured intracranial aneurysms.MethodsOcclusion rates in a cohort of 51 patients treated with WEB were collected at time of procedure and at last follow‐up between the years 2019 and 2021.

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Aneurysm Embolism Hemorrhage Document 40

Stroke Journal

FEBRUARY 1, 2024

Background and Purpose:The flow diverter (FD) has dramatically improved the treatment outcome of large / giant internal carotid artery (IC) aneurysms. However, it is difficult to predict the treatment outcome of FD just after the treatment. Stroke, Volume 55, Issue Suppl_1 , Page ATP151-ATP151, February 1, 2024.

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Aneurysm Outcomes Stent Stents 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Improved imaging modalities have led to an increased detection of intracranial aneurysms, many of which are small. Tiny size was defined as an aneurysm with a maximum dimension of ≤3 mm. Demographics, aneurysm characteristics and treatment safety were queried. The mean aneurysm width was 1.9

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Aneurysm Outcomes Inpatient Nursing 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. Propensity score matching resulted in matching 65 patients with dan‐SAH to 260 patients with aSAH, and clinical outcomes were compared between the groups. versus 0%,P=0.027), death (11.2%

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Hemorrhage Aneurysm Outcomes Ischemia 40

Stroke: Vascular and Interventional Neurology

SEPTEMBER 6, 2024

BackgroundFlow diversion has emerged as a promising treatment strategy for intracranial aneurysms, yet the influence of antiplatelet therapy on treatment outcomes remains uncertain. Standardization efforts and further investigation are warranted for optimizing neurointerventional outcomes.

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Aneurysm Outcomes Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

There is limited data on the influence of COVID‐19 on treatment and outcomes in patients with intracranial aneurysms. We aimed to investigate the impact of COVID‐19 on the overall complications, including ischemic stroke and subarachnoid hemorrhage (SAH) rates in patients treated for intracranial aneurysms (IAs).MethodsThis

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COVID-19 Aneurysm Outcomes Inpatient 40

Stroke Journal

FEBRUARY 1, 2024

Background:Cerebral vasospasm is a well-known complication after aneurysmal subarachnoid hemorrhage (aSAH) and occurs more commonly in younger patients. Worse outcome was defined as 3-month modified Rankin Scale 4-6. Vasospasm was defined based on transcranial Doppler (TCD) criteria. years [SD 13.3], 65% female and 70% white).

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Atherosclerosis Aneurysm Hemorrhage Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionFlow diverters have demonstrated reliable safety and effectiveness for the treatment of selected anterior circulation intracranial aneurysms. However, posterior circulation aneurysms comprise around 10‐15% of all aneurysms, and they frequently present atypical morphological and anatomical characteristics.

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Aneurysm Circulation Hemorrhage Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 7, 2023

BACKGROUNDCerebral aneurysms are common, but there is no blood test for their diagnosis. Cerebral aneurysms are diagnosed incidentally or upon rupture. Probabilities, costs, and outcomes were obtained from the literature and the National Inpatient Sample database. Quality‐adjusted life years were used to assess outcomes.

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Aneurysm Inpatient Risk Factors Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionIntracranial aneurysms, both ruptured and unruptured, pose a significant risk to the general population. Cases of unruptured intracranial aneurysms (UIA) are estimated to affect roughly 3% of the general population and aneurysmal subarachnoid hemorrhage (aSAH) have an incidence of 8 to 9 people per 100,000.

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Aneurysm Embolism Stent Stents 40

Stroke Journal

JANUARY 30, 2025

Neutrophils are reported to be critical mediators of to poor outcome after subarachnoid hemorrhage (SAH). In this study, our hypothesis was that markers of NETs are higher in aneurysmal SAH patients developing DCI compared to SAH patients not developing DCI. nucleosome. nucleosome.

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Aneurysm Biomarkers Ischemia Hemorrhage 40

Stroke Journal

JANUARY 30, 2025

Introduction:Flow diversion (FD) is a minimally invasive treatment for unruptured intracranial aneurysms (UIA) and is often preferred over open cerebrovascular surgery; however, FD patients are at risk of post-procedural stroke and hemorrhage. Initial hospitalization outcomes were assessed.

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Aneurysm Hospital Hemorrhage Outcomes 40

Stroke: Vascular and Interventional Neurology

SEPTEMBER 12, 2023

BackgroundUnruptured cerebral aneurysms (UCAs) have a relatively low prevalence of ≈3%, but detection can prevent devastating consequences of subarachnoid hemorrhage. There were a total of 36 true aneurysms with 4 cases of multiple aneurysms. Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023.

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Aneurysm Hemorrhage Stroke Strokes 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. For ruptured aneurysms, Adjuvant therapy (BAC or SAC) was used to treat larger dimension aneurysms compared to CE (p = 0.046). vs. 10.7%).

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Aneurysm Stent Stents ICU 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

It is primarily caused by the rupture of intracranial aneurysms, leading to severe consequences and a 60% 6‐month mortality rateii. Although tools like the PHASES scoreiii and the Unruptured Intracranial Aneurysms Treatment Score (UIATS)iv help guide aneurysm management, they are not tailored specifically to the scenario of UIAs in SAH.

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Aneurysm Hemorrhage Hypertension Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Life‐threatening bleeds may occur from the AVM nidus or associated aneurysms. Two large inflow aneurysms, felt to be the rupture site, projecting from the proximal left pericallosal artery were also demonstrated. An incidental ACA aneurysm was also noted. Onyx‐18 was then injected into the main AVM pedicle under a blank roadmap.

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Aneurysm Embolism Hemorrhage Hypertension 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

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Aneurysm Stroke Strokes Embolism 40

Stroke Journal

FEBRUARY 1, 2024

We aim to better understand this risk and its impact on in-hospital outcomes over a longitudinal time period in a large population based sample.Methods:We analyzed the 2000-2019 National Inpatient Sample, selecting for aneurysmal SAH (aSAH). Pregnant patients were identified.

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Inpatient Aneurysm Hemorrhage Outcomes 40

Frontiers in Cardiovascular Medicine

DECEMBER 3, 2024

BackgroundThe risk of limb graft occlusion (LGO) after endovascular aneurysm repair (EVAR) is increased by severe tortuosity of the iliac artery. The primary outcomes were the incidence of limb occlusion and technical success during the follow-up period. In contrast, group B consisted of those who did not receive a BMS.

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Aneurysm Stent Stents Angioplasty 40