CardiacWire

JANUARY 24, 2025

Current guidelines recommend direct-acting oral anticoagulants (DOACs) for AF because they reduce ischemic stroke with a lower risk of brain hemorrhage. Unfortunately, DOACs often cause gastrointestinal bleeding, which prompted the development of new stroke-prevention methods like Factor XI inhibition. per 100 person-years vs. 0.83).

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Stroke Strokes AFIB Thrombosis 59

Circulation

NOVEMBER 11, 2024

Introduction:Atrial myxomas are cardiac tumors that can cause arterio-occlusive diseases due to embolization of myxomatous fragments. Herein, we present a case of recurrent left atrial myxoma with hemorrhagic, cerebral embolization.Case Report:A 34-year-old male presented with acute onset numbness and tingling of the left arm.

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Embolism Hemorrhage Echocardiogram Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe use of detachable coils for endovascular embolization of cerebral aneurysms has become a safe and effective alternative to direct surgical clipping in patients with ruptured aneurysmal subarachnoid hemorrhage. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

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Aneurysm Stents Stent Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The Woven EndoBridge (WEB) is an ellipsoid embolization device designed to provide intrasaccular flow disruption along the aneurysm neck, which has been proven to be an effective method in treating a wide spectrum of wide‐necked bifurcation aneurysms. Embolization was performed with a WEB SL 6 x 4 mm device (Figure 1: C,D ‐blue arrow).

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Aneurysm Embolism Hemorrhage Stenosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Cerebral AVMs may manifest with new‐onset seizures or intraparenchymal (IPH) or subarachnoid hemorrhages (SAH). The inflow aneurysms were accessed and embolized with coils using a second microcatheter prior to AVM embolization. Embolization of three posterior feeding pedicles was subsequently performed utilizing dilute NBCA.

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Aneurysm Embolism Hemorrhage Hypertension 40

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.

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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.

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Plaque 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.

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Embolism Aneurysm Hemorrhage Stents 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.

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Embolism Outcomes Angioplasty Hemorrhage 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.

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Atrial Fibrillation Pulmonary Hemorrhage Embolism 40

Circulation

NOVEMBER 11, 2024

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

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Atrial Fibrillation Embolism Stroke Strokes 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.

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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.

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Hemorrhage Aneurysm Outcomes Thrombosis 40

Stroke Journal

JANUARY 30, 2025

To clarify this, we compared antiphospholipid antibody levels in patients with acute cerebral infarction with or without recurrence, expansion, or hemorrhagic transformation of infarct in each stroke subtype.Methods:Consecutive ischemic stroke patients in a comprehensive stroke center were screened between April 2013 and April 2024.

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Embolism Stroke Strokes Hemorrhage 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.

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AFIB Embolism Atrial Fibrillation RN 59

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.

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Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare 40

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).

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Atrial Fibrillation Tricuspid Embolism Hemorrhage 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.

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Aneurysm Embolism Stents Stent 40

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.

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Atrial Fibrillation Embolism Stroke Strokes 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.

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Transplant Heart Failure Heart Transplant Pediatrics 105

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.

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Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

EMS 12-Lead

MARCH 30, 2024

The receiving staff suspects pulmonary embolism due to S1Q3T3 on the ECG and administers TPA. The patient did have massive pulmonary emboli, but he also had profound intraventricular and subarachnoid hemorrhages. On ED arrival ROSC is achieved. The patient was ultimately discharged with a poor neurologic outcome.

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Cardiac Arrest Pacemaker Pulmonary Bradycardia 124

Journal of Cardiovascular Electrophysiology

DECEMBER 23, 2024

with 95% CI [1.59, 2.13], p <0.01), a 32% increase in the risk of intracranial hemorrhage (HR: 1.32 However, the impact of anemia did not significantly affect the risk of stroke, transient ischemic stroke (TIA), or systemic embolism (HR: 1.07 However, anemia did not significantly impact stroke, TIA, or systemic embolism.

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Atrial Fibrillation Outcomes Embolism Hemorrhage 40

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.

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Stroke Strokes Embolism Hospital 111

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.

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Atrial Fibrillation Research Stroke Strokes 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.

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Atrial Fibrillation BMI Stroke Strokes 80

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.

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Embolism Hemorrhage Hospital Stroke 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.

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Embolism Hemorrhage 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.

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Stroke Strokes 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.

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Embolism Aneurysm Hemorrhage Stroke 40

Stroke Journal

JANUARY 30, 2025

Pooled analysis of primary and secondary endpoints showed that DOAC significantly reduced the risk of stroke or systemic embolism by 18% (OR, 0.82(95%CI: 0.97), P=0.02), and hemorrhagic stroke by 57% (OR, 0.43(95%CI: 0.91), P&lt;0.01), stroke by 19% (OR, 0.81(95%CI: 0.56), P&lt;0.01) when compared with warfarin.

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Atrial Fibrillation Stroke Strokes Embolism 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.

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Stroke Strokes Hemorrhage Embolism 40

Stroke Journal

JANUARY 30, 2025

Patients with traumatic brain injury, intracranial hemorrhage, recent neurosurgical procedures, or ischemic stroke at admission were excluded. The most common pattern of stroke was multifocal small embolic (51.6%), followed by single embolic (25.3%), watershed (12.1%), territorial (7%), and lacunar (5%).

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Cardiac Arrest Stroke Strokes Embolism 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.

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Reimbursement Embolism Stents Stent 77

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.

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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%

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Atrial Fibrillation Stroke Strokes 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.

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Aneurysm Embolism Hemorrhage Document 40