Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. 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). hours prior to arrival.

Stroke 40

Stroke Strokes Embolism Hemorrhage 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. Unique identifier: CRD42022329557.

Atrial Fibrillation 40

Atrial Fibrillation Embolism Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP87-AWMP87, February 1, 2024. Time from puncture to recanalization was 68 and 42 minutes, and symptomatic intracranial hemorrhage was significantly different between 1.4% and 0%, recurrent stroke 6.4% and 0%, recurrent stroke 6.4% and 0.05%, respectively. Reocclusion was 3.1%

Embolism 40

Embolism Outcomes Hemorrhage Angioplasty 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A66-A66, February 1, 2024. Introduction:Clinical practice guidelines recommend initiation of anticoagulation within 2 weeks after stroke due to atrial fibrillation (AF). Patients were randomized into one of 4 Arms: Day 3-4 from stroke onset, Day 6, Day 10, or Day 14. non-white, and 16.5%

Atrial Fibrillation 40

Atrial Fibrillation Stroke Strokes 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.

Atrial Fibrillation 40

Atrial Fibrillation Pulmonary Hemorrhage Embolism 40

EMS 12-Lead

AUGUST 25, 2024

MRI Brain demonstrated Left MCA acute/subacute infarct, MCA/PCA watershed, and no hemorrhagic transformation. In general, the longer an AFib episode the more increased risk of stroke. Given infarct pattern on imaging, and obvious Advanced IAB on P-wave morphology, this is likely embolic PAF." Here is the admission ECG.

AFIB 59

AFIB Embolism Atrial Fibrillation RN 59

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP23-AWP23, February 1, 2024. Introduction:Hemorrhagic transformation (HT) following acute ischemic stroke (AIS) is a common consideration especially when therapeutic anticoagulation is indicated in cases such as left ventricular or left atrial appendage thrombi.

Hemorrhage 40

Hemorrhage Stroke Strokes Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP78-ATMP78, 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

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

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP110-AWP110, February 1, 2024. Background:Antiplatelet administration within 48 hours of acute stroke presentation is standardized as it reduces mortality and recurrent ischemic stroke rate. Gender disparities have been noted in acute stroke care, including IV tPA and thrombectomy.

Stroke 40

Stroke Strokes Academic Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Both anticoagulants can be used intraoperatively and postoperatively for DVT prophylaxis in patients undergoing subarachnoid hemorrhage (SAH) treatment. SAH severity was determined using the National Institute of Health Stroke Scale as a template.

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Thrombosis 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

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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.

Hemorrhage 40

Hemorrhage Aneurysm Pulmonary Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionHere, we describe a patient in whom ischemic stroke was caused by compression of the Internal Carotid Artery (ICA) by a Pseudoaneurysm (PSA) of the External Carotid Artery (ECA) after Gun Shot injury.

Aneurysm 40

Aneurysm Stroke Strokes Embolism 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionLoss of autoregulation after endovascular therapy (EVT) for large‐artery acute ischemic stroke (AIS) is well documented. [1] 2] This pattern indicates intact vasomotor reactivity to fluctuating O2 and CO2 levels during episodes of apnea.

Stroke 40

Stroke Strokes Blood Pressure Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP288-AWP288, February 1, 2024. Results:Between 2017 and 2022, 1,283,435 CVD cases were notified (SAH=4,7%; ICH= 8.8%; and ischemic stroke=86.5%). Results:Between 2017 and 2022, 1,283,435 CVD cases were notified (SAH=4,7%; ICH= 8.8%; and ischemic stroke=86.5%). were Male and 47.6%

Cerebrovascular Disease 40

Cerebrovascular Disease Thrombolysis Hemorrhage Public Health 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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. Male, 46 years old, electric worker, right‐handed.

Hemorrhage 40

Hemorrhage Embolism Aneurysm Cancer 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionDual antiplatelet therapy (DAPT) is necessary to minimize the risk of periprocedural thromboembolic complications associated with aneurysm embolization using Pipeline embolization device (PED). A p‐value <0.05

Embolism 40

Embolism Aneurysm Hemorrhage Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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.

Embolism 40

Embolism Hemorrhage Hospital Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A134-A134, February 1, 2024. In severe OHSS, increases in capillary permeability can result in hemoconcentration and hypercoagulability leading to thrombotic events, including stroke and cerebral venous thrombosis. There were 1,955 hospitalizations for OHSS in NIS.

Thrombosis 40

Thrombosis Inpatient Embolism Myocardial Infarction 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). interquartile range, 25.2–32.2)

Atrial Fibrillation 80

Atrial Fibrillation BMI Stroke Strokes 80

DAIC

FEBRUARY 13, 2024

Other select data from research studies unveiled last week at the American Heart Association ’s International Stroke Conference (ISC) underscore and reinforce the pivotal role of the RapidAI platform in advancing stroke care. Improved Stroke Outcomes Following Implementation of RapidAI Platform at Ascension-Illinois, by Malisch et.

Stroke 111

Stroke Strokes Embolism Hospital 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe Pipeline Embolization Device (PED) is commonly used for intracranial aneurysm treatment. 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

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionEfficacy and safety of intravenous thrombolysis (IVT) in patients undergoing mechanical thrombectomy (MT) is still debatable. However, IVT's efficacy on stent retriever (SR) and aspiration thrombectomy (ASP) outcomes specifically remain unclear.

Thrombolysis 40

Thrombolysis Outcomes Embolism Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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

Embolism 40

Embolism Aneurysm Hemorrhage Stents 40

Dr. Smith's ECG Blog

APRIL 26, 2017

Notice also the very small LV cavity size at both diastole and systole (poor LV filling with good contractility) and apparent low stroke volume. The RV was small and IVC empty, making pulmonary embolism extremely unlikely. This is very good evidence that the ST elevation is not due to STEMI. So there is poor LV filling.

Chest Pain 52

Chest Pain STEMI Ultrasound Pulmonary 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionMechanical thrombectomy using stent retrievers and aspiration techniques has emerged as the standard of care for patients with acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (LVO).

Stroke 40

Stroke Strokes Embolism Stents 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP49-AWMP49, February 1, 2024. Acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), epilepsy, deep vein thrombosis and pulmonary embolism were secondary outcomes. All-cause mortality was the primary outcome.

COVID-19 40

COVID-19 Outcomes Thrombosis Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP221-AWP221, 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). in untreated patients.

Pediatrics 40

Pediatrics Hemorrhage Congenital Embolism 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 5, 2024

Stroke: Vascular and Interventional Neurology, Ahead of Print. The second most common treatment modality was endovascular embolization (36.9%). Eleven patients experienced intracranial hemorrhage as a complication of CPA; 10 of the 11 patients underwent decompressive craniectomy.

Embolism 40

Embolism Ischemia Hemorrhage Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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 Stents Stent 40

DAIC

JANUARY 22, 2024

The International Stroke Conference 2024 will be held Feb. According to program planners with the American Stroke Association, a division of the American Heart Association, findings from late-breaking science will include multiple high profile randomized clinical trials like RESILIENT-Extend, EMBOLISE, STEM, ZODIAC, among many others.

Stroke 100

Stroke Strokes Hospital Thrombolysis 100

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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 There were no hemorrhagic complications.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. to 1.45) for fatal or nonfatal stroke. Serious outcomes included death, arrhythmia, myocardial infarction, structural heart disease, pulmonary embolism, and hemorrhage. g/dL —Hypotension (obviously!)

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52