Stroke Journal

FEBRUARY 1, 2024

Introduction:The management of wide-necked internal carotid artery (ICA) aneurysms is technically challenging with established endovascular and microsurgical techniques that are limited by the associated morbidity and/or recurrence. Median aneurysm and neck size were 5.8 mm (IQR: 4.0-7.5) At a median 10.1 months (IQR: 6.3-12.6),

Aneurysm 40

Aneurysm Stenosis Academic Stent 40

American College of Cardiology

JULY 31, 2024

Eagle looks at a prospective multicenter cohort study that examined early and late aortic-related mortality and rupture after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms.

Aortic 41

Aortic Aneurysm Stenosis Article 41

DAIC

JANUARY 22, 2024

Blood lipids such as cholesterol and triglycerides are causal risk factors for coronary heart disease as well as several other types of cardiovascular disease , such as aortic stenosis). Smoking is a prevalent risk factor among people who have an abdominal aortic aneurysm.

Heart Disease 105

Heart Disease Research Aneurysm Cardiovascular Disease 105

Frontiers in Cardiovascular Medicine

AUGUST 8, 2024

We performed coronary angiography for the patient with ECMO support, indicating that the patient had an 80% critical stenosis of the left main coronary artery and an 80%–90% stenosis in the middle section of the left anterior descending artery with an aneurysm.

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Coronary Artery Bypass Graft Stenosis 52

Dr. Smith's ECG Blog

JANUARY 27, 2024

Smith : Old inferior MI with persistent ST Elevation ("inferior aneurysm") has well-formed Q-waves. In inferior aneurysm, we usually see QR-waves, whereas for anterior aneurysm, we see QS-waves (no R- or r-wave at all!). The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent.

Chest Pain 117

Chest Pain STEMI Aneurysm Stent 117

Dr. Smith's ECG Blog

JANUARY 31, 2020

Although diagnostic of MI, it is highly suspicious for " Old inferior MI with persistent ST Elevation" or "inferior aneurysm morphology" because of the well-formed Q-waves and the flat T-waves. To repeat: in contrast, anterior aneurysm is much more easily distinguished from acute MI due to the QS-waves.

Angina 52

Angina Stent Stents Aneurysm 52

Dr. Smith's ECG Blog

JUNE 18, 2011

The old ECG has a Q-wave with persistent ST elevation in lead III, and some reciprocal ST depression (typical for aneurysm morphology). This is "Persistent ST elevation after previous MI" or "LV aneurysm morphology". LV aneurysm is very different for inferior vs. anterior MI. The patient had a critical LAD stenosis.

STEMI 52

STEMI Pericarditis Hospital Aneurysm 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

However, CTA head and neck 4 days later demonstrated 90 percent stenosis of the mid left V2 at the C3‐4 level and a 75‐90 percent stenosis of the left mid V2 segment at the C5‐6 level (hard and soft plaque in these areas). He also had moderate stenosis of the right V4 segment.

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Circulation

NOVEMBER 11, 2024

Coronary angiography revealed a tortuous and extremely aneurysmal RCA, as well as multivessel coronary artery disease (mvCAD) involving LAD, D1, LCx, OM1. Notably, the LAD had multiple aneurysmal segments and areas of eccentric stenosis upto 90%.Multislice

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft ACE Inhibitor Coronary Angiogram Aneurysm 40

Dr. Smith's ECG Blog

JULY 11, 2024

The red arrow shows a roughly 80% stenosis of the proximal LAD. The blue arrow shows another stenosis of the LAD distal to the first diagonal branch of about 99%. The green arrow shows a 95% stenosis of the ostium of the first diagonal branch. The LV aneurysm morphology persists. This is the RAO caudal projection.

Outcomes 113

Outcomes Stenosis Outpatient Echocardiogram 113

Stroke: Vascular and Interventional Neurology

SEPTEMBER 13, 2023

Most cases were performed in an emergency condition, such as ruptured VA dissecting aneurysm (73 cases [70.2%]). The remaining image change was contralateral VA stenosis after VA PAO. years old; men, 73 [70.2%] cases; 95 [91.3%] VA PAO cases) from 8 centers. PAO was successful in all cases.

Aneurysm 40

Aneurysm Stroke Strokes Stenosis 40

MIBHS

MARCH 29, 2024

Transcatheter Aortic Valve Replacement (TAVR): TAVR is performed for patients with severe cases of aortic stenosis, which is the thickening of the aortic valve. It involves a metal sent, which is inserted into the aneurysm and aims to replace the damaged part of the aorta.

Open-Heart Surgery 52

Open-Heart Surgery Aortic valve Coronary Artery Bypass Graft Bicuspid/Mitral 52

Stroke Journal

JANUARY 30, 2025

carotid artery stenosis and unruptured cerebral aneurysm), abnormal symptoms or pathological findings (e.g. Among 339 (7%) people, there were 351 ED presentations within the 7 days before stroke and among 676 (13.78%) people, there were 765 ED presentations in the 30 days before stroke. migraine) and respiratory diseases (Table 1).

Hospital 40

Hospital Stroke Strokes Aneurysm 40

Stroke Journal

JANUARY 30, 2025

While certain angioarchitectural features, such as aneurysms, deep venous drainage, a single draining vein, venous outflow stenosis, or small nidus size, increase hemorrhage risk, they do not fully predict it. Background:Pediatric brain arteriovenous malformation (bAVM) patients often present with intracranial hemorrhage.

Hemorrhage 40

Hemorrhage Pediatrics Aneurysm Stenosis 40

Journal of the American Heart Association

JANUARY 31, 2024

BackgroundSupravalvar aortic stenosis (SVAS) is a characteristic feature of Williams–Beuren syndrome (WBS). Journal of the American Heart Association, Ahead of Print. Its severity varies: ~20% of people with Williams–Beuren syndrome have SVAS requiring surgical intervention, whereas ~35% have no appreciable SVAS.

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:While some brain arteriovenous malformations (bAVM) demonstrate long-term stability, others demonstrate dynamic changes (new aneurysms or venous outflow stenosis) that confer higher rupture risk even after apparent cure. Stroke, Volume 55, Issue Suppl_1 , Page AWP217-AWP217, February 1, 2024.

Pediatrics 40

Pediatrics Aneurysm Stenosis Stroke 40

Dr. Smith's ECG Blog

OCTOBER 15, 2024

The EKG is diagnostic of acute inferior, posterior, and lateral OMI superimposed on “LV aneurysm” morphology. Angiography revealed a 30% nonobstructive stenosis of the mid LAD. There was a 70% culprit stenosis of the first obtuse marginal branch in a right dominant system. Patient 2 , EKG 1: What do you think?

Chest Pain 116

Chest Pain STEMI Echocardiogram Stent 116

Dr. Smith's ECG Blog

JULY 31, 2013

It showed a 99% stenosis in the RCA, and proximal to a posterolateral branch. A coronary aneurysm was found. Some of these MIs in young people are due to anomolies: aneurysm from a disorder known to be associated with coronary aneurysms (left out to maintain anonymity) in this case. A second troponin returned at 1.71

Chest Pain 52

Chest Pain Aneurysm STEMI Ischemia 52

DAIC

SEPTEMBER 4, 2024

Early onset symptoms of the disease were defined as moderate or severe aortic stenosis or aortic regurgitation, a large thoracic aortic aneurysm, needing to have aortic surgery, or aortic dissection. Researchers aimed to identify genetic variants that may lead to an increased risk of the disease in young adults.

Aortic valve 52

Aortic valve Bicuspid/Mitral Aortic Research 52

Dr. Smith's ECG Blog

JANUARY 16, 2020

Also a h/o LV aneurysm with thrombus, on anticoagulation, as well as a dual chamber pacemaker. OM1 is occluded and OM2 has 60% stenosis. Her RCA is a medium caliber vessel with tandem, at least moderate stenosis in the mid segment. Aneurysm of the mid-portion of the lateral and inferolateral wall. They called 911.

Aneurysm 40

Aneurysm Heart Disease Stent Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Cerebral angiogram showed diffuse multifocal narrowing with a ‘beads‐on‐a‐string’ appearance of the cerebral vasculature and no aneurysms (Figure 3). Brain MRA 3 months after discharge showed no areas of cerebrovascular focal stenosis (Figure 4). Thrive patch contains undisclosed amounts of sympathomimetics and vasoactive compounds.

Document 40

Document Hemorrhage Aneurysm Stenosis 40

Dr. Smith's ECG Blog

JANUARY 28, 2023

hours after that first diagnostic ECG) : Mid-LAD culprit lesion, 99% stenosis, no pre-intervention TIMI flow available, but described as "severe subtotal lesion", which was stented with reported TIMI 3 flow resulting. Another lesion in the proximal LAD with 80% stenosis was stented as well. Culprit is 100% stenosis in the Proximal LAD.

STEMI 52

STEMI Chest Pain Stent Stents 52

All About Cardiovascular System and Disorders

APRIL 9, 2024

When there is associated mitral stenosis, the colour Doppler jet of mitral flow merges with that of aortic regurgitation in the left ventricle as both occur in diastole. Eccentric aortic regurgitation has been reported in ascending aortic aneurysm. m/sec, indicating the absence of any associated aortic stenosis.

Aortic 40

Aortic Bicuspid/Mitral Aortic valve Stenosis 40

Dr. Smith's ECG Blog

JULY 3, 2018

Here are the images from the cardiac cath: Mid to distal-LAD in-stent stenosis with 100% occlusion and TIMI flow 0 LAD post-DES placement with TIMI 3 flow The amount of territory supplied by this vessel becomes obvious here (and goes on for a few more frames below this still). No further echocardiograms were available after cath.

Pericarditis 52

Pericarditis Chest Pain Stent Stents 52

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

They found an acute lesion of the LAD at the site of the prior stents, including 70% proximal LAD lesion and 95% mid-LAD stenosis with TIMI 3 flow at the time of cath. In Dr. Smith's experience one must wait at least 2 weeks to find out if this electrical LVA morphology will resolve, and whether it will be accompanied by anatomic aneurysm.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Aneurysm 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2015

An elderly patient with a ruptured abdominal aortic aneurysm: Formal ECG Interpretation (final read in the chart!) : "Inferior ST elevation, lead III, with reciprocal ST depression in aVL." Is there likely to be fixed coronary stenosis that led to demand ischemia during pneumonia? --Was What do you think? Does he need a stress test? --Is

STEMI 40

STEMI Chest Pain Cardiac Arrest Stent 40

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. distal stenosis or occluded small branches), and 3) nonischemic causes for myocyte injury (e.g., It was uncertain whether this represented: 1. myocarditis).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

MARCH 9, 2023

Note that this obvious STEMI does not have 100% stenosis at the time of cath. It showed a mid LAD culprit with 95% with no pre intervention timi flow listed. PCI was performed, with TIMI 3 flow after the intervention. A significant portion of obvious STEMIs have TIMI 3 flow upon rapid angiogram. hours earlier?

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Blog 52

Dr. Smith's ECG Blog

APRIL 17, 2023

Repeat ECG at 1624 (shortly before cath): QS waves now present in V2-V3, with slight STE, showing the pattern of left ventricular aneurysm morphology. Upon arrival to the PCI center, the repeat troponin returned at 13,962 ng/L. Chest pain is documented as ongoing.

Chest Pain 52

Chest Pain STEMI Document Ischemia 52

Stroke Journal

JANUARY 30, 2025

Introduction:Although flow diverters (FD) are a long-established treatment-option for brain aneurysms, the evidence of data associated with therapy success is still based on relatively small heterogeneous studies. Median diameter and neck width of aneurysms were 7.2 91.7% (719) of aneurysms were saccular. mm (IQR, 5-11) and 6.5

Aneurysm 40

Aneurysm Stents Stent Stenosis 40

American College of Cardiology

OCTOBER 2, 2024

In this week’s View, Dr. Eagle looks at sex-specific differences in alive hospital discharge following abdominal aortic aneurysm (AAA) repair.

Aortic 49

Aortic Hospital Aneurysm Stenosis 49

DAIC

FEBRUARY 7, 2024

Meschia’s lecture, “Asymptomatic Carotid Stenosis: Current and Future Considerations,” will be presented Feb. Globus New Investigator Award in Stroke awardee, is a postdoctoral fellow at Barrow Aneurysm & AVM Research Center (BARRC) at the Barrow Neurological Institute in Phoenix. Chimowitz, M.B., Ch.B. , the recipient of the Ralph L.

Stroke 105

Stroke Strokes Research Health Disparities 105

Stroke: Vascular and Interventional Neurology

MAY 30, 2024

Transvenous, external carotid, and strokerelated interventions were excluded.RESULTSOf 62 total interventions with the Armadillo catheter, 58 procedures (53/58 [91.4%] for aneurysms, 3/58 [5.6%] for arteriovenous malformations, and 2/58 [3.4%] for intracranial stenosis) in 55 patients (mean age, 57.2 standrad deviation (SD), 12.4]

Aneurysm 40

Aneurysm Stenosis Circulation Stroke 40

Circulation

NOVEMBER 14, 2024

The protein model also improved the prediction of other outcomes, including ASCVD (cstatistic +0.035), myocardial infarction (+0.023), stroke (+0.024), aortic stenosis (+0.015), heart failure (+0.060), abdominal aortic aneurysm (+0.024), and dementia (+0.068).CONCLUSIONS:Measurement

Cardiovascular Disease 40

Cardiovascular Disease Dementia Biomarkers Myocardial Infarction 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. Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. orthostatic vitals b.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Dr. Smith's ECG Blog

MARCH 3, 2025

There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. Smith : "decompensation" of aortic stenosis might have initiated this entire cascade. What "initiates" the aortic stenosis cascade? The scan showed a bicuspid aortic valve with severe stenosis and coronary artery disease.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No thoracic aortic hematoma, aneurysm or dissection. First obtuse marginal also had an 80% stenosis and was stented. Patient states pain improved on ambulance ride over after receiving 325 mg Aspirin and nitroglycerin, with pain down to 2/10. CT Angio Chest IMPRESSION 1. No pulmonary embolism is identified.

STEMI 121

STEMI Chest Pain Myocardial Infarction Aneurysm 121