Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDrug‐eluting stent (DES) use in symptomatic intracranial atherosclerosis disease (ICAD) has been described in the literature using different guiding and distal access catheters. Decision was made to deploy a drug eluting stent into the stenosed M1 segment. The Phenom intermediate catheter was then removed, and the 2.25

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Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ADP36-ADP36, February 1, 2025. All patients had headache, and funduscopic examination demonstrated papilledema for all patients. All patients had headache, and funduscopic examination demonstrated papilledema for all patients. Additional randomized and controlled clinical research is deserved.

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Stents Stent Stenosis Angioplasty 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

XIENCE Skypoint™ stent was deployed within the left vertebral artery (V4 segment) with restoration of flow preceded by eptifibatide drip (Fig 2). Repeat CTA at six months showed patent left vertebral and basilar arteries.ConclusionRescue stenting using DES may be a successful and safe therapeutic intervention for challenging failed MT.

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Stroke Journal

FEBRUARY 1, 2024

Background:Persistent hypotension after carotid artery stenting (CAS) can lead to adverse outcomes, prolong length of stay (LOS), and increase hospital costs. Conclusion:Prior use of RASI for the treatment of hypertension is associated with persistent hypotension after CAS. Persistent hypotension prolonged LOS (P=0.014).Conclusion:Prior

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Stents Stent Blood Pressure Hypertension 40

Dr. Smith's ECG Blog

MAY 5, 2024

He learned more about the patient: A 77 year old female with a past medical history of hypertension and hyperlipidemia presented to the ED at around 0520 after waking up at 0400 with 10/10 chest heaviness radiating to both arms. There was a 100% proximal LAD occlusion that was opened and stented. The cath lab was activated.

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EKG Technician Chest Pain Blog STEMI 124

Stroke: Vascular and Interventional Neurology

FEBRUARY 19, 2024

Patients with mRS score 0–2 were less likely to have hypertension (61.4% On multivariate analysis, higher presentation National Institutes of Health Stroke Scale and hypertension were associated with worse functional outcomes. Multivariate logistic regression was performed to identify predictors of functional outcome.P <

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Stents Stent Circulation Stroke 40

Dr. Smith's ECG Blog

MAY 20, 2024

A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.

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Chest Pain Blood Pressure Ischemia STEMI 125

Stroke Journal

JANUARY 21, 2024

Various risk factors, including hypertension, diabetes, hyperlipidemia, smoking, and advanced age lead to ICAS, which in turn results in stroke through different mechanisms. Herein, we focus on current management strategies for ICAS-large vessel occlusion discussed, including the use of perfusion imaging, endovascular therapy, and stenting.

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Stenosis Stent Stents Risk Factors 66

Open Heart

JANUARY 21, 2025

Background Aortic coarctation (CoA) is a congenital anomaly leading to upper-body hypertension and lower-body hypotension. Despite surgical or interventional treatment, arterial hypertension may develop and contribute to morbidity and mortality. Results The study cohort’s age was 41.5±13.7 ±15.8 mm Hg (p<0.001).

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Aortic Blood Pressure Hypertension Angioplasty 52

Heart BMJ

AUGUST 14, 2024

Clinical introduction The patient was a man in his 40s with a medical history of hypertension, Behcet’s disease (BD) and chronic renal dysfunction.

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Aneurysm Chest Pain Myocardial Infarction Thrombosis 52

Dr. Smith's ECG Blog

JANUARY 27, 2024

Old ‘NSTEMI’ A history of coronary artery disease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent. Does this change your interpretation?

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Chest Pain STEMI Aneurysm Stent 117

Frontiers in Cardiovascular Medicine

MAY 21, 2024

The transplant renal artery lesion was intervened with a stent. Urine output gradually returned after 3 weeks, and serum creatinine level was normalized after 2 months.ConclusionsTransplant recipients commonly have atherosclerosis and hypertension, which are risk factors for arterial dissection.

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Transplant Ultrasound Plaque Atherosclerosis 52

Dr. Smith's ECG Blog

APRIL 22, 2024

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. Here are other very interesting posts: Wellens' syndrome: to stent or not?

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Chest Pain Myocardial Infarction Anatomy Angina 117

Dr. Smith's ECG Blog

APRIL 14, 2024

A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night. The culprit was opened and stented. He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity.

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Chest Pain Ischemia Myocardial Infarction Ultrasound 119

Stroke Journal

JANUARY 30, 2025

Common comorbidities included hypertension (62.5%), smoking (56.3%), and hyperlipidemia (46.9%). Of the 32 patients, 9(28.1%) had dissection with diagnostic angiograms, 6(18.8%) endovascular thrombectomy, 15(46.9%) aneurysm treatment, and 2(6.3%) angioplasty with or without stenting. Only 4(12.5%) were treated with hyperacute stenting.

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Stent Stents Angioplasty Aneurysm 40

The British Journal of Cardiology

APRIL 16, 2024

Intra-procedural data included access route, coronary anatomy, lesion complexity, number of stents deployed, door-to-balloon time for primary PCI, and any intra-procedural complications. and the average number of stents 2.6. Mean age was 60.9 ± 9.4 years, and 459/567 (81.0%) were male. The total number of PCI was 367 (122.3

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Outcomes Cardiogenic Shock Angina STEMI 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Baseline patient demographics and clinical characteristics recorded include age, gender, HbA1C level, National Institutes of Health Stroke Scale (NIHSS) at admission, manual CT ASPECTS and stroke risk factors (hypertension, atrial fibrillation, coronary artery disease, congestive heart failure, LDL, smoking, history of stroke/TIAs).

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Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. Peak troponin was 12 ng/mL.

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Chest Pain Myocardial Infarction Blog Stent 130

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The reappearance of de Winter's pattern caused by acute stent thrombosis: A case report. Am J Emerg Med. 2014;32:e5–e8.

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Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 82

Circulation

NOVEMBER 11, 2024

Patients with dextrocardia present a diagnostic challenge, particularly in the context of acute coronary syndrome.Case Presentation:A 49-year-old male with a medical history of dextrocardia, hypothyroidism, dyslipidemia and hypertension was referred to a cardiologist by his primary physician due to a 3-week history of unstable angina.

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Coronary Artery Disease Angioplasty Anatomy Angina 40

Circulation

NOVEMBER 11, 2024

Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR). Hypertension (HTN, 85.4%) and diabetes (DM, 18.9%) were prevalent. Background:Vertebrobasilar artery stenosis (VBAS) can cause posterior circulation strokes (PCS). Mean age was 69.45

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Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Our case describes a patient with right extracranial internal carotid artery (ICA) thrombus secondary to later‐diagnosed CaW on close follow‐up imaging.MethodsWe report a 55‐year‐old African American man with history of hypertension, type 2 diabetes mellitus and hyperlipidemia presented with acute onset slurred speech and left facial droop (FP).

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Atherosclerosis Stent Stents Stroke 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. The image on the left shows the LAD before intervention, and the red circled portion on the right indicates the stented region.

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Plaque Angina Blog Stent 127

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and chest pain. On day 3 of hospitalization she underwent coronary angiography, revealing a 95% lesion in the mid-LAD which was stented. There is sinus rhythm with PACs and PVCs.

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Chest Pain Pericarditis Embolism Stent 52

All About Cardiovascular System and Disorders

JANUARY 14, 2024

If the pulmonary anatomy is poor, there will be post repair right ventricular hypertension, which is deleterious and has long term seqeulae. Stenting of the patent ductus arteriosus can be considered in neonatal period for improving oxygen saturation till corrective surgery. If McGoon’s ratio is below 0.8,

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Congenital Heart Disease Pulmonary Anatomy Congenital 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

She was treated with intravenous hydration, permissive hypertension with head of bed in flat position and transferred for further evaluation. On arrival, she continued have mild right hemiparesis and aphasia. She was discharged home on HD20.ConclusionWe

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Blood Pressure Stenosis Hemorrhage Thrombosis 40

Journal of Cardiothoracic Surgery

FEBRUARY 2, 2024

Univariate predictors of prolonged ICU stays included a left atrial diameter of &gt; 4& cm (P &lt; 0.001),chronic obstructive airway disease COPD (P = 0.005), hypertension (P = 0.006), diabetes mellitus (P = 0.009), having coronary stents (P = 0.006), B-blockers use (..)

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ICU Atrial Fibrillation Hospital Risk Factors 40

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion. RAO Caudal View Post PCI This is the RAO Caudal view after thrombectomy and stent placement. The proximal LAD is now widely patent.

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Chest Pain Blog Hospital Tachycardia 120

Dr. Smith's ECG Blog

JUNE 11, 2021

Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. So the RCA was stented. But by this time the patient went into cardiogenic shock and passed away.

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Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

MARCH 22, 2024

Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think? This was the cost of preventing infarction of the anterior wall.)

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Chest Pain STEMI Bradycardia Ischemia 114

EMS 12-Lead

MARCH 19, 2023

Vital signs were noted to be unremarkable with respect to any hypo-hypertensive crisis, hypoxia, etc. He denied any known medical history, specifically: coronary artery disease, hypertension, dyslipidemia, diabetes, heart failure, myocardial infarction, or any prior PCI/stent. Breath sounds were clear in all lung fields.

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Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

This unique case highlights the diagnostic and therapeutic challenges of a patient with multiple vascular risk factors who suffered from strokes secondary to BHS.MethodsA 79‐year‐old man with a past medical history of peripheral artery disease, abdominal aortic aneurysm, myocardial infarction with drug eluding stents (on dual antiplatelet therapy (DAPT)), (..)

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Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Patient underwent emergent mechanical thrombectomy with ADAPT to TICI3 revascularization with future plan for possible angioplasty and stenting of R vertebral stenosis. Repeat CTA redemonstrated right vertebrobasilar artery tandem occlusion. CT perfusion was without mismatch.

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Angioplasty Stroke Strokes Circulation 40

Dr. Smith's ECG Blog

APRIL 14, 2023

Sent by Anonymous, written by Pendell Meyers A man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute heavy substernal chest pain that began while eating breakfast about an hour ago, and had been persistent since then, despite EMS administering aspirin and nitroglycerin. Pre-intervention.

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Chest Pain STEMI Stent Stents 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

A woman in her 40's who was healthy, except for hypertension, was at work when she suddenly complained of neck and shoulder pain and then collapsed. It was stented. It was witnessed, and CPR was performed by trained individuals. Here is the post cath ECG T-wave inversions consistent with anterior MI, but not diagnostic.

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Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Dr. Smith's ECG Blog

DECEMBER 14, 2016

The patient had no hypertension, no tachycardia, a normal hemoglobin, no drug use, no hypotension/shock, no murmur of aortic stenosis. It was opened and stented with a door to balloon time of about 120 minutes (this is long for STEMI, but very short for a high risk Non STEMI). If it is MI, is it type 1 or type 2?

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Chest Pain STEMI Aortic Myocardial Infarction 52

Open Heart

MARCH 3, 2025

Background Drug-eluting stents (DESs) have become the gold standard of coronary angioplasty since their inception in 2002. Despite the DP-DES group exhibiting significantly higher rates of risk factors, such as arterial hypertension (63.1% vs 57.5%, p=0.010), a greater average number of stents implanted per patient (1.72±0.92

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Stents Stent Myocardial Infarction Angioplasty 52