NEJM Journal Watch - Cardiology

NOVEMBER 20, 2024

Among patients with low-risk pulmonary embolism, 18 months of anticoagulation significantly reduced its recurrence, compared with 6 months of treatment.

Embolism 40

Embolism Pulmonary Cancer 40

Medical Xpress - Cardiology

OCTOBER 30, 2024

Findings from the first international randomized controlled trial to compare patient outcomes following treatment with large-bore mechanical thrombectomy (LBMT) versus catheter-directed thrombolysis (CDT) for intermediate-risk pulmonary embolism (PE) show that LBMT is superior with respect to the hierarchically-tested aggregated outcome of all-cause (..)

Embolism 52

Embolism Pulmonary ICU Outcomes 52

Med Page Today

FEBRUARY 11, 2024

(MedPage Today) -- PHOENIX -- For chronic or subacute subdural hematoma, embolization of the middle meningeal artery (MMA) reduced recurrence, three randomized trials showed. Two trials with the Onyx liquid embolic system and one with the Squid.

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Embolism 59

Medical Xpress - Cardiology

DECEMBER 10, 2023

Mechanical thrombectomy (MT) is safe and effective in real-world, high-risk patients with pulmonary embolism (PE), according to a study published online Oct. 31 in the Journal of the Society for Cardiovascular Angiography & Interventions.

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ECG Guru

JULY 14, 2023

These are typical ECG changes that may indicate a pulmonary embolism. The patient has an acute pulmonary embolism. Sinus tachycardia may be present in acute pulmonary embolism. Wee see a SR with LAFB and conspicuous T-wave inversions in the inferior leads and in V1-V6. ECG 2 was taken from the same patient 1 year earlier.

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Embolism Pulmonary Tachycardia 52

American College of Cardiology

MAY 6, 2024

The following are key points to remember from a European consensus statement on embolic strokes of undetermined source.

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Embolism Strokes Stroke Article 65

Med Page Today

MAY 4, 2024

(MedPage Today) -- LONG BEACH, Calif. -- Big Data may provide some answers to the many questions surrounding advanced catheter-based pulmonary embolism (PE) therapies, a buzzing field that otherwise has little evidence from real-world practice.

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Embolism Pulmonary 89

HCPLive

FEBRUARY 6, 2024

These data indicate that in the US, the outpatient management of patients with pulmonary embolism identified as lower-risk may continue to be underutilized.

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Embolism Pulmonary Outpatient 72

Frontiers in Cardiovascular Medicine

OCTOBER 10, 2024

Genetic protein S (PS) deficiency caused by PROS1 gene mutation is an important risk factor for hereditary thrombophilia.Case introductionIn this case, we report a 28-year-old male patient who developed a severe pulmonary embolism during his visit. The patient was diagnosed with acute pulmonary embolism and pneumonia.

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Embolism Pulmonary Chest Pain Thrombosis 40

Medical Xpress - Cardiology

OCTOBER 3, 2024

For men with benign prostatic hyperplasia (BPH), prostatic artery embolization (PAE) is safe and effective over 24 months of follow-up, according to a study published online Sept. 4 in Cardiovascular and Interventional Radiology.

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Embolism 40

American College of Cardiology

OCTOBER 29, 2024

The goal of the trial was to compare the efficacy and safety of large-bore mechanical thrombectomy (LBMT) with catheter-directed thrombolysis (CDT) in the treatment of intermediate-high risk pulmonary embolism (PE).

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Thrombolysis Embolism Pulmonary Article 40

Journal of Cardiothoracic Surgery

APRIL 7, 2024

Pulmonary embolism is the most common cardiovascular disease after myocardial infarction and stroke. Konstantinides (Eur Heart J 41(4):543–603, 2020) Current guidelines categorize patients with PE as being at.

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Embolism Pulmonary Myocardial Infarction Cardiovascular Disease 52

Frontiers in Cardiovascular Medicine

OCTOBER 10, 2024

m, with an average age of 62.0 ± 16.0 years, and the time from computed tomography pulmonary angiography (CTPA) diagnosis to interventional treatment averaged 2.8 ± 2.2

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Embolism Pulmonary Chest Pain 52

Frontiers in Cardiovascular Medicine

JUNE 5, 2024

After preoperative evaluation, coil embolization was successfully performed to treat the pseudoaneurysm, resulting in a satisfactory outcome at the 1-year follow-up.ConclusionCoil embolization serves as an effective treatment option for ascending aortic pseudoaneurysm in BD when open surgical repair and stent graft placement are unsuitable.

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Embolism Aortic Thrombosis Stent 52

Journal of Cardiovascular Electrophysiology

OCTOBER 30, 2024

A potential complication of LPs is dislodgement and/or embolization (D/E) during or after implant. Conclusion AVEIR VR implants may be complicated by dislodgement with or without embolization. The rate of D/E since the US approval of both devices was significantly higher for AVEIR VR compared to Micra VR (0.88% vs 0.29%; p  < .0001).

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Embolism Pacemaker 40

HeartRhythm

MARCH 14, 2024

Artificial intelligence (AI)-enabled sinus rhythm (SR) electrocardiogram (ECG) interpretation can aid in identifying undiagnosed paroxysmal atrial fibrillation (AF) in patients with embolic stroke of undetermined source (ESUS).

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Atrial Fibrillation Electrocardiogram Embolism Strokes 81

Stroke Journal

FEBRUARY 1, 2024

Introduction:Middle meningeal artery embolization for chronic subdural hematomas is a promising treatment either as an adjuvant to surgical evacuation of the hematoma or as a primary treatment modality. A total of 67 patients (42%) were treated with particles and 93(58%) with liquid embolic agents.

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Embolism Strokes Stroke Outcomes 40

Frontiers in Cardiovascular Medicine

FEBRUARY 14, 2024

Background Pulmonary embolism is a condition of right cardiac dysfunction due to pulmonary circulation obstruction. Malignant tumor-induced pulmonary embolism, which has a poor therapeutic outcome and a significant impact on hemodynamics, is the cause of sudden death in patients with malignant tumors.

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Embolism Pulmonary Blood Pressure Hospital 64

Stroke: Vascular and Interventional Neurology

AUGUST 24, 2023

Middle meningeal artery embolization is an increasingly common procedure involved in the treatment of chronic subdural hematoma (cSDH) that can be an adjuvant intervention or an alternative to traditional medical or surgical therapies.

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Embolism Strokes Stroke 40

Journal of Cardiothoracic Surgery

FEBRUARY 7, 2024

Surgical pulmonary artery thrombectomy is a well-established emergency treatment for massive pulmonary embolism (PE) in which fibrinolysis or thrombolysis are not effective. However, surgery for massive PE tha.

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Embolism Pulmonary Thrombolysis 52

Circulation

NOVEMBER 11, 2024

this clinical case, we discussed sub-massive pulmonary embolism (PE) complicated by a right heart clot-in-transit presenting insidiously. Acute sub-massive pulmonary embolism is defined as intermediate risk PE associated with right ventricular dysfunction without hemodynamic instability.

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Embolism Pulmonary Ultrasound ICU 40

HeartRhythm

APRIL 30, 2024

Air embolism is a rare but potentially fatal complication of left heart catheter ablation. We present a case of massive air embolism and introduce a 4-step approach to management.

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Embolism Ablation 40

American College of Cardiology

JANUARY 2, 2024

What are the contemporary management strategies and associated outcomes in patients with high-risk pulmonary embolism (PE)?

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Embolism Pulmonary Outcomes Article 54

Medical Xpress - Cardiology

MAY 3, 2024

New data from the Acute Pulmonary Embolism Extraction Trial with the AlphaVac System (APEX-AX) demonstrated that catheter-directed mechanical thrombectomy is safe and effective in patients with acute intermediate-risk pulmonary embolism (PE) with significant improvement in the right ventricle (RV) function and minimal major adverse events.

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Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

However, conventional surgical and transcatheter arterial embolization treatments are less effective. In the present case, a 76-year-old hypertensive woman was admitted with dizziness and diagnosed with an unruptured bronchial artery aneurysm, which was treated by transcatheter arterial embolization and aortic stent-graft.

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Embolism Aneurysm Stent Stents 59

Circulation

NOVEMBER 11, 2024

We postulate that the Amulet device dislodged shortly after deployment and was held within the left atrium by the MitraClip until detachment, allowing for device embolization and severe MR. To our knowledge this is the first documented instance of Amulet device migration into the LV in a patient with a MitraClip.

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Embolism Atrial Fibrillation Bicuspid/Mitral Document 40

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Introduction Multiple abnormal electrocardiographic findings have been documented in patients experiencing acute pulmonary embolism. To date, only a limited number of cases involving a complete atrioventricular block have been reported in acute pulmonary embolism.

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Embolism Pulmonary Blood Pressure Thrombolysis 49

Frontiers in Cardiovascular Medicine

FEBRUARY 22, 2024

Missile embolization is rare in penetrating trauma, occurring in 0.3% Bullet embolism into the left ventricle is less frequent, with few instances described in the literature. This paper describes an instance of left ventricular bullet embolism from the pulmonary venous system following gunshot chest trauma.

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Embolism Pulmonary Cardiothoracic Bicuspid/Mitral 64

Journal of Cardiothoracic Surgery

MARCH 10, 2024

Prosthetic valve thrombosis (PVT) in aortic valve and its complication coronary embolism is a very rare condition. Diagnosis and treatment process is challenging. We present a young patient with acute myocardi.

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Aortic valve Embolism Myocardial Infarction Aortic 52

Frontiers in Cardiovascular Medicine

JULY 21, 2024

Despite the elevated mortality rates associated with high-risk pulmonary embolism (PE), this condition remains understudied. Data regarding the effectiveness and safety of invasive therapies such as venoarterial extracorporeal membrane oxygenation (VA-ECMO) in this patient population remains controversial.

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Embolism Cardiogenic Shock Pulmonary Cardiac Arrest 59

Frontiers in Cardiovascular Medicine

MARCH 27, 2024

Standard catheter-directed thrombolysis (CDT) and thrombus aspiration are considered potentially promising approaches for reopening the embolism-related pulmonary artery in patients with pulmonary embolism (PE) with high thrombotic burden and deteriorating hemodynamics, especially in those for whom systemic thrombolysis is contraindicated or has failed. (..)

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Thrombolysis Embolism Pulmonary Anatomy 64

Frontiers in Cardiovascular Medicine

MAY 12, 2024

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.

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Embolism Hemorrhage Pulmonary Cardiac Arrest 52

ECG Cases

OCTOBER 18, 2021

Jesse McLaren runs through 10 cases and explains how the ECG can be integral in the diagnosis and management of pulmonary embolism, even though it is not incorporated into any of the commonly used decision tools for diagnosis of pulmonary embolism.

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Embolism Pulmonary 52

HeartRhythm

APRIL 30, 2024

Embolic stroke of undetermined source (ESUS), a subset of cryptogenic stroke, which excludes small-vessel disease cause, has a high recurrence rate and is a subgroup in need of further characterisation and treatment optimisation. AF detection rates with implantable cardiac monitoring (ICM) following cryptogenic stroke are >12% at 12 months.

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Embolism Strokes Stroke Atrial Fibrillation 40

Circulation

NOVEMBER 11, 2024

Introduction:Atrial myxomas are cardiac tumors that can cause arterio-occlusive diseases due to embolization of myxomatous fragments. Circulation, Volume 150, Issue Suppl_1 , Page A4140574-A4140574, November 12, 2024. Treatment is through prompt surgical resection, with recurrence rates relatively rare.

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Embolism Hemorrhage Echocardiogram Strokes 40

Frontiers in Cardiovascular Medicine

FEBRUARY 18, 2024

Then the patient experienced the most severe complications of IABP, including multiple organ embolism and intestinal necrosis. The patient was transferred to the cardiac intensive care unit for intra-aortic balloon pump (IABP) due to frequent malignant arrhythmia after PCI.

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Embolism Myocardial Infarction Aortic Arrhythmia 59

Circulation: Cardiovascular Interventions

JUNE 10, 2024

We reported the feasibility and short-term outcomes of percutaneous transcatheter therapy with cerebral embolic protection. The indications for the transcatheter therapy were failed fibrinolysis, contraindications for fibrinolysis, not willing for fibrinolysis, or high risk for surgery. 1273.47) days, stroke was 1211.38 (95% CI, 1110.40–1312.35)

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Embolism Bicuspid/Mitral Outcomes Cardiovascular Interventions 40