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Background Covert atrial fibrillation (AF) is a predominant aetiology of embolic stroke of undetermined source (ESUS). Conclusion Our study showed that posterior circulation infarcts with brainstem/cerebellum involvement are associated with AF detection in ESUS patients undergoing ILR.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Prior clinical trials have demonstrated the efficacy of ultrasound-facilitated catheter-directed thrombolysis (USCDT) for the treatment of acute intermediate-risk pulmonary embolism (PE) using reduced thrombolytic doses and shorter infusion durations.
Massive pulmonary embolism (MPE) carries significant 30-day mortality and is characterized by acute right ventricular failure, hypotension, and hypoxia, leading to cardiovascular collapse and cardiac arrest. Veno-venous ECMO can support oxygenation but is not designed to help circulation.
High-risk acute pulmonary embolism affects around 5% of all pulmonary embolisms and can take a dramatic course even in young people. Acute obstruction of the pulmonary circulation by a blood clot can lead to circulatory failure with a high mortality rate.
Background and Purpose:Right-to-left shunt (RLS) is one of the potential embolic sources in embolic stroke of undetermined source (ESUS), but the eligibility of conducting shunt study to detect RLS in ESUS is still unknown. 0.99, p = 0.037) and anterior circulation lesion (OR 2.23, 95%CI 1.08-4.62, cm/s, p = 0.021).
BackgroundAcute pulmonary embolism (APE) is a common and potentially fatal cardiovascular disease that can lead to sudden cardiac arrest in severe cases. For patients with concurrent main pulmonary artery embolism and bleeding, balloon pulmonary angioplasty may be an option.
Clinical examinations such as chest computer tomography were completed and identified as mediastinal hematoma caused by a rupture of the subclavian artery branch and occlude the artery under digital subtraction angiography guidance, the artery was considered to be a collateral vessel of non-bronchial arterial circulation.
We also developed parabioses between tPANulland wild-type mice (tPAWT), anticipating that a tPAWTdonor would restore levels of tPA to normal ones, in the circulation but not in the brain parenchyma of a tPANullrecipient. In this context, the impact of endogenous parenchymal tPA is limited.
Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014499, January 1, 2025. BACKGROUND:The aim of this study was to examine the impact of early versus delayed catheter-based therapies (CBTs) on clinical outcomes in patients with acute intermediate-risk pulmonary embolism (PE).METHODS:This
Circulation, Volume 150, Issue Suppl_1 , Page A4140574-A4140574, November 12, 2024. Introduction:Atrial myxomas are cardiac tumors that can cause arterio-occlusive diseases due to embolization of myxomatous fragments. Treatment is through prompt surgical resection, with recurrence rates relatively rare.
Introduction:A new Plaque-RADS classification (I-IV) is proposed to categorize the degree of carotid plaque instability and risk of embolic ischemic stroke.
pulmonary embolism, sepsis, etc.), Coronary thrombosis or embolism can result in MINOCA, either with or without a hypercoagulable state. Diagnosis of MINOCA should be made according to the Fourth Universal Definition of MI, in the absence of obstructive coronary artery disease (CAD) (no lesion ≥50%). myocarditis).
Circulation, Volume 150, Issue Suppl_1 , Page A4145271-A4145271, November 12, 2024. Given ongoing embolic phenomena, likely from LSE, she underwent MVR with mechanical valve and LA appendage ligation and continued mycophenolate and warfarin. Acute stroke workup was negative, and syncope was attributed to possible brief seizure.
RCA-dependent LAD circulation through collaterals 3. Embolic STEMI with showers of emboli into both LCX and LAD Simultaneous or sequential Anterior and Inferior STEMI 5. Wrap around LAD true Global MI 2. True bifurcation STEMI with static thrombus (Carinal trapping of thrombus ,Coronary Lerish sydrome ) 4.
With the advancement of endovascular coil devices, aneurysm embolization with coiling is becoming the more preferred treatment approach compared to craniotomy with microsurgical clipping. 60% of aneurysms were located along the right anterior circulation and vessels involved mirrored epidemiological data in the literature.
Although generally considered a benign anatomic variant, a PFO may facilitate passage of a thrombus from the venous to arterial circulation, thereby resulting in cryptogenic stroke or systemic embolization. Patent Foramen Ovale (PFO) is a common congenital atrial septal defect present in 20%–35% of the general population.
IntroductionMiddle meningeal artery (MMA) embolization has emerged as an adjunctive treatment in the management of chronic subdural hematomas (cSDH). After surgical cSDH evacuation, embolization offers enhanced resorption of cSDH fluid by infarcting the neomembranes at the capillary level. years, all male). 1.4mm, midline shift of 1.8±0.9mm.
IntroductionPosterior circulation strokes account for 20% of ischemic strokes (1). Optimal management for posterior circulation strokes has been studied less than for anterior circulation strokes (2). Angiographic imaging demonstrated antegrade blood flow through the dissection as the source of recurrent embolic strokes.
Circulation, Volume 150, Issue Suppl_1 , Page A4143224-A4143224, November 12, 2024. Efficacy endpoints included rates of stroke and embolism, and number of devices used.Results:All 83 procedures were successfully completed with no perioperative procedural complications and no documented leaks on follow-up TEE. On average, 1.14
Circulation, Volume 150, Issue Suppl_1 , Page A4141755-A4141755, November 12, 2024. Furthermore, as expected, the anticoagulation complications, including bleeding and embolic events, had a lower frequency in the internet-based group than in the conventional group (6.94% vs. 12.74%; P =.01).
Over time, robust anastomoses may develop between the patent ipsilateral external carotid artery and the anterior circulation distal to the site of occlusion. Magnetic resonance imaging revealed embolic appearing strokes in the right middle cerebral artery territory (Figure 1A).
Circulation: Cardiovascular Interventions, Ahead of Print. 0.99]) and concurrent pulmonary embolism (odds ratio, 5.36 [95% CI, 2.48–12.1]) Important predictors for utilizing advanced treatment included younger age and the presence of a concurrent pulmonary embolism. Younger age (odds ratio, 0.98 [95% CI, 0.96–0.99])
BACKGROUNDDynamic compression of extracranial arteries in the cervicocerebral circulation is a rare phenomenon of ischemic stroke.METHODSRetrospective chart review.RESULTSHere, we present a young fighter pilot who presented with recurrent embolic strokes of undetermined source.
Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024. Air embolism from ECMO decannulation is another possibility, though air embolisms may include cerebrovascular pathology, which was not observed. Case presentation:A 64-year-old man presented with one day of chest pain.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. We quantified PFO closure among individuals with ≥2 years of preprocedure coverage to establish indications, classified hierarchically as stroke/systemic embolism, migraine, transient ischemia attack, or other.Results:We identified 5315 patients undergoing PFO closure (51.8%
Relevance to Today's CASE: As per Dr. Smith — Trying to predict the "culprit" artery in today's case was confusing. The dramatically changing distribution of ST-T wave elevation and depression first predicted one — and then soon after, another "culprit" vessel.
Circulation, Volume 150, Issue Suppl_1 , Page A4140882-A4140882, November 12, 2024. In patients with nonvalvular A fib, the majority of embolic strokes are caused by thrombi development in the left atrial appendage. Introduction:Atrial fibrillation (A fib) is the most common arrhythmia affecting 1-2% of the general population.
Circulation, Volume 150, Issue Suppl_1 , Page A4146431-A4146431, November 12, 2024. The growing adoption of advanced imaging modalities, such as transesophageal echocardiography (TEE), has led to more frequent detection of cardiac structural abnormalities.
Circulation, Volume 150, Issue Suppl_1 , Page A4131838-A4131838, November 12, 2024. After collaboration with the pulmonary embolism response team and echo team, the patient underwent aspiration thrombectomy via AngioVac system with transesophageal echocardiography (TEE) guidance.
Circulation, Volume 150, Issue Suppl_1 , Page A4145631-A4145631, November 12, 2024. In light of a leukocytosis of 14,000 and a recent urine sample positive for E.
Introduction:Carotid artery webs are a rare cause of embolic stroke of undetermined source, especially among the young without conventional risk factors. Stroke, Volume 55, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2024. However, despite its detriment, the rate of stroke recurrence is not well studied.
Hemodynamic and embolic factors attribute towards the microembolization from the proximal carotid stump through the external carotid artery (ECA), into the facial artery and IMax and their distal branches which anastomose with the ophthalmic artery, causing the emboli to end up in the major branches of the carotid terminus.
Background:Intracranial Atherosclerotic Disease (ICAD) large vessel occlusion (LVO) is responsible for up to 30% of anterior circulation LVOs and is less amenable to mechanical thrombectomy.
We determined the number of patients who were admitted with AIS due to thrombosis or embolism of anterior circulation arteries and those who received MT in a particular region/state based on the State Inpatient Database of NIS.
Circulation, Volume 150, Issue Suppl_1 , Page A4140066-A4140066, November 12, 2024. Background:The no-reflow has been reported to be associated with larger infarct size and mortality after acute myocardial infarction (AMI). It may be reversible.
Safety and efficacy of mechanical thrombectomy in posterior circulation MVO is unclear compared to medical treatment only (1). We described a left intracranial ICA flow diversion occlusion without anterior circulation ischemia and left PCA ischemia demonstrated. arterial dissection and or perforations).
Pulmonary embolism is obstruction of blood vessels of the lungs by clots carried by blood circulation, usually from the legs. Remember that by preventing blood clots in the legs, you are preventing a life threatening disease called pulmonary embolism, in which oxygen level of blood can fall markedly.
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.
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