Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Rarely, thrombus formation within an aneurysm can lead to symptoms via distal embolization and infarction. Brain and orbits MRI with contrast showed no acute abnormalities, including no evidence of infarction or intracranial hemorrhage.

Aneurysm 40

Aneurysm Embolism Hemorrhage Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:A new Plaque-RADS classification (I-IV) is proposed to categorize the degree of carotid plaque instability and risk of embolic ischemic stroke. A semiautomated segmentation software measured intraplaque hemorrhage (IPH) volumes.

Plaque 40

Plaque Embolism Strokes Stroke 40

Circulation

NOVEMBER 11, 2024

Patients with a history of prior hemorrhagic stroke were excluded from this analysis.

Atrial Fibrillation 40

Atrial Fibrillation Embolism Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

3 The third‐generation iteration of the Pipeline Embolization Device (PED) incorporates Shield technology, a phosphorylcholine coating designed to reduce thrombogenicity via mimicry of native cell membranes.4 One patient had a new intraparenchymal hemorrhage, but no appreciable deficit.

Embolism 40

Embolism Aneurysm Hemorrhage Stent 40

Stroke Journal

FEBRUARY 1, 2024

The purpose of this study was to compare the outcomes of EVT for ICAD with those of cardiogenic cerebral embolism (CE) based on real-world data from a multicenter, prospective registry study (K-NET registry) involving 40 centers in Japan.Methods:The K-NET study enrolled 3187 EVTs in 2018-2021, of which 358 (11%) were ICAD and 1870 (59%) were CE.

Embolism 40

Embolism Outcomes Hemorrhage Angioplasty 40

HeartRhythm

APRIL 30, 2024

Known complications associated with cryoablation include tamponade, phrenic nerve injury, stroke, pulmonary embolism, pulmonary vein stenosis, and atrioesophageal fistulas. Cryoablation for atrial fibrillation is a widely used technique for pulmonary vein isolation.

Atrial Fibrillation 40

Atrial Fibrillation Pulmonary Hemorrhage Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionOsler‐Weber‐Rendu disease, also known as hereditary hemorrhagic telangiectasia (HTT), is a developmental vascular disease characterized by multiple arteriovenous malformations (AVMs) due to genetic defects in endothelial angiogenesis pathways. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Hemorrhage 40

Hemorrhage Aneurysm Pulmonary Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Both anticoagulants can be used intraoperatively and postoperatively for DVT prophylaxis in patients undergoing subarachnoid hemorrhage (SAH) treatment. This nationwide, multicenter, retrospective study provides valuable insights for clinicians on how to prevent and manage HIT in patients with subarachnoid hemorrhage.

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Thrombosis 40

Stroke Journal

FEBRUARY 1, 2024

Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7% female; 43.2% lobar ICH), 3.3%, 3.1%, 0.5%, and 8.1%, respectively, experienced r-ICH, AIS, AMI, and MACE.

Hemorrhage 40

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare 40

ECG Cases

NOVEMBER 7, 2023

How does one's hemorrhage control strategy change when pulmonary embolism is the underlying diagnosis? What are the best strategies for suctioning blood from the airway to improve visualization during endotracheal intubation in crashing hemoptysis patients? and many more.

Embolism 92

Embolism Hemorrhage Pulmonary 92

Journal of the American Heart Association

JANUARY 31, 2024

The primary outcomes were ischemic stroke, systemic embolic events, and hospitalization for major bleeding. The secondary outcomes were intracranial hemorrhage, hospitalization for gastrointestinal bleeding, all‐cause mortality, and a composite outcome. The median follow‐up duration was 2.4 1.06];P=0.11).

Atrial Fibrillation 40

Atrial Fibrillation Tricuspid Embolism Hemorrhage 40

DAIC

MARCH 26, 2024

Addressing the serious issue of delayed and missed findings in diagnostic imaging, CINA-iPE is an AI-powered tool that detects incidental pulmonary embolism during routine CT scans. This is particularly relevant in the cancer patient population, where pulmonary embolism is a significant cause of mortality.

Embolism 105

Embolism Pulmonary Blood Clot Cancer 105

Journal of the American Heart Association

NOVEMBER 28, 2023

The efficacy outcome was the composite of stroke and systemic embolism. Safety outcomes included major bleeding, any clinically relevant bleeding, and intracranial hemorrhage. Stroke and systemic embolism risks did not differ significantly among DOACs. Each DOAC and VKA was compared pairwise in a network meta‐analysis.

Atrial Fibrillation 40

Atrial Fibrillation Embolism Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Aneurysm 40

Aneurysm Embolism Stent Stents 40

Stroke Journal

DECEMBER 21, 2023

Nonvalvular atrial fibrillation is a common rhythm disorder of middle-aged to older adults that can cause ischemic strokes and systemic embolism. Lifelong use of oral anticoagulants reduces the risk of these ischemic events but increases the risk of major and clinically relevant hemorrhages.

Atrial Fibrillation 40

Atrial Fibrillation Research Stroke Strokes 40

EMS 12-Lead

AUGUST 25, 2024

MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation. Given infarct pattern on imaging, and obvious Advanced IAB on P-wave morphology, this is likely embolic PAF." Here is the admission ECG. Continuous Tele demonstrates Sinus Rhythm with high-burden PAC's.

AFIB 59

AFIB Embolism Atrial Fibrillation RN 59

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Embolization is now a well‐established endovascular technique to treat traumatic hemorrhagic injuries(4). On arrival at the hospital, the patient was hemodynamically stable with no ongoing hemorrhage or respiratory distress. Retrograde filling of the internal maxillary artery was noted.

Embolism 40

Embolism Hemorrhage Hospital Stroke 40

Journal of the American Heart Association

FEBRUARY 29, 2024

We examined potential causal associations between schizophrenia and a range of atherosclerotic, embolic, and hemorrhagic stroke outcomes.Methods and ResultsTwo‐sample Mendelian randomization analyses were conducted. Little evidence of associations with the other stroke subtypes was found.

Stroke 40

Stroke Strokes Hemorrhage Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

They usually present as subarachnoid hemorrhage, or parenquimatous hemorrhage as in our patient. CT: SAH and parenquimatous left frontal basal hemorrhage of 2x3.4cm. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionOphtalmic dural arteriovenous fistula is not a common diagnosis.

Hemorrhage 40

Hemorrhage Embolism Aneurysm Cancer 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Angiographic imaging demonstrated antegrade blood flow through the dissection as the source of recurrent embolic strokes. Post coil embolization angiographic runs demonstrated complete occlusion of the left vertebral V2 segment at the region of dissection which was confirmed via a left vertebral injection from a left femoral arterial access.

Strokes 40

Strokes Stroke Embolism Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDual antiplatelet therapy (DAPT) is necessary to minimize the risk of periprocedural thromboembolic complications associated with aneurysm embolization using Pipeline embolization device (PED). of PFT group patients were clopidogrel non‐responders requiring changes in their pre‐embolization DAPT regimen.

Embolism 40

Embolism Aneurysm Hemorrhage Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Evaluating the infarct volume and correlating it to time of anticoagulation initiation and HT can be detrimental to patient safety.Methods:We performed a retrospective review of all patients who were diagnosed with AIS secondary to cardio-embolic mechanisms and were admitted to our hospital between January 1, 2018, and December 31, 2022.

Hemorrhage 40

Hemorrhage Stroke Strokes Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

The primary outcome was an ischemic (stroke or systemic embolus) or hemorrhagic (ICH or major systemic hemorrhage) event observed within 30 days from the index stroke time of onset. No ischemic events were observed for Arm 1, and no hemorrhage events were observed for Arm 4. at the time of randomization. non-white, and 16.5%

Atrial Fibrillation 40

Atrial Fibrillation Strokes Stroke Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Statistical analysis was performed to identify predictors of inadequate occlusion.ResultsA total of 51 patients underwent endovascular embolization using the WEB device with a mean follow‐up of 14.9 Ruptured aneurysmal subarachnoid hemorrhage accounted for 15.7% (8/51) of all patients. There were no hemorrhagic complications.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Stroke Journal

FEBRUARY 1, 2024

8290 aneurysms embolizations were performed (13.5% Data was obtained through DataSUS, a public database. For the search, we utilized the CID-10 notification system from I60 until I64, including admissions, deaths, treatments and costs related to each CID-10.Results:Between were Male and 47.6% were Female. in 2017 to 2.3% of all SAH cases).

Cerebrovascular Disease 40

Cerebrovascular Disease Thrombolysis Hemorrhage Public Health 40

Stroke Journal

FEBRUARY 1, 2024

We used previously validated ICD-10-CM codes for acute ischemic stroke, intracerebral and subarachnoid hemorrhage, cerebral venous thrombosis, acute myocardial infarction, pulmonary embolism, and acute deep venous thrombosis to define our study outcome.Results:We identified a total of 747 patients with OHSS in HCUP.

Thrombosis 40

Thrombosis Inpatient Embolism Myocardial Infarction 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Eventually, the PSA of the Internal maxillary artery (IMAX) was embolized, resulting in resolution of the patient's symptoms.MethodsCase ReportResultsA 75‐year‐old male with a history of atrial fibrillation on Eliquis presented to the emergency department after sustaining a gunshot wound to the left face.

Aneurysm 40

Aneurysm Stroke Strokes Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Outcomes have improved over time with advances in endovascular embolization. The pediatric-cured group demonstrated lower risk of intraprocedural or postprocedural hemorrhagic complications (p=0.03). Introduction:Vein of Galen Malformations (VOGM) are congenital arteriovenous malformations which carry a mortality of 76.7%

Pediatrics 40

Pediatrics Hemorrhage Congenital Embolism 40

Circulation

JANUARY 24, 2024

The primary efficacy and safety outcomes were stroke or systemic embolic events (stroke/SEE) and major bleeding, respectively; secondary outcomes were ischemic stroke/SEE, intracranial hemorrhage, death, and the net clinical outcome (stroke/SEE, major bleeding, or death). Each outcome was examined across BMI and BW.

Atrial Fibrillation 80

Atrial Fibrillation BMI Stroke Strokes 80

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Outcomes of interest included successful recanalization (modified Thrombolysis In Cerebral Infarction (mTICI) ≥2b), functional independence (modified Rankin Scale (mRS) ≤2), modified first pass efficacy (mFPE), symptomatic intracranial hemorrhage (sICH), and embolization to new territories (ENT).ResultsWe

Thrombolysis 40

Thrombolysis Outcomes Embolism Stent 40

Stroke Journal

FEBRUARY 1, 2024

Patients who transitioned to comfort care, had an embolic source, were treated with a therapeutic dose of anticoagulation, had hemorrhagic conversion of infarct, or had a contraindication to antiplatelet use were excluded. We grouped patients based on their gender identification: male versus female.

Strokes 40

Strokes Stroke Academic Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1] This might result in worse outcomes, despite successful recanalization, from hyper‐ or hypoperfusion with a risk for hemorrhagic conversion or larger stroke volume, respectively. An Embolic etiology was suspected and a 20‐minuteTCD was done for spontaneous emboli detection on bilateral middle cerebral arteries (MCA).

Strokes 40

Strokes Stroke Blood Pressure Document 40

DAIC

MAY 15, 2024

Blood leakage or air entering the LVAD from this location will impact the integrity of the blood flow and may lead to longer than expected surgery, bleeding (hemorrhage), right heart failure, or air embolism. Use of these devices may cause serious injury or death.

Transplant 105

Transplant Heart Failure Heart Transplant Pediatrics 105

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe Pipeline Embolization Device (PED) is commonly used for intracranial aneurysm treatment. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. While its effectiveness for certain types of aneurysms is well‐established, its efficacy for saccular aneurysms remains debatable.

Aneurysm 40

Aneurysm Outcomes Embolism Hemorrhage 40

DAIC

APRIL 4, 2024

The use of the affected product may result in surgical procedural delay, vascular injury or hemorrhage, and in extreme rare occasions it may result in embolism. This is a crack found in the far end of the catheter that is placed in the vessels in the brain, where different parts of the catheter are joined together.

Reimbursement 77

Reimbursement Embolism Stent Stents 77

DAIC

FEBRUARY 13, 2024

mismatch volume of ≥15 mL, and ischemic core volume TIMELESS is the first study to show that an intravenous thrombolytic can be given up to 24 hours after LKW without an increase in brain hemorrhage. Key imaging criteria: target mismatch ratio of ≥1.8, Many SDH patients are lost to follow-up.

Stroke 111

Stroke Strokes Embolism Hemorrhage 111