Remove Aneurysm Remove Stenosis Remove Stents
article thumbnail

Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft

Frontiers in Cardiovascular Medicine

In this case, we present a symptomatic patient with a Kommerell's diverticulum and a left aberrant subclavian artery complicated by proximal stenosis and poststenotic aneurysm.

Stent 75
article thumbnail

H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?

Dr. Smith's ECG Blog

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
article thumbnail

Abstract 167: Surgical treatment for unruptured Anterior communicating artery aneurysm

Stroke: Vascular and Interventional Neurology

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.

article thumbnail

Abstract WP181: Treatment of Unruptured Small and Medium Wide-Necked Aneurysms of the Internal Carotid Artery Using the 64-Wire Surpass Evolve: Results of the SEASE International Registry

Stroke Journal

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),

article thumbnail

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.

Dr. Smith's ECG Blog

Old ‘NSTEMI’ A history of coronary artery disease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent. Does this change your interpretation?

article thumbnail

See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

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. All three lesions had TIMI 2 flow prior to stenting.

Outcomes 100
article thumbnail

Abstract 114: “Failing” DAPT? Think Again

Stroke: Vascular and Interventional Neurology

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.