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Journal of Vascular and Interventional Neurology

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https://www.readbyqxmd.com/read/29163751/extracranial-four-vessel-dissection-with-reversible-cerebral-vasoconstriction-syndrome-in-a-habitual-cocaine-user-presenting-with-thunderclap-headache
#1
Spurthi Sunil Surpur, Raghav Govindarajan
No abstract text is available yet for this article.
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163750/long-acting-liposomal-bupivacaine-for-percutaneous-sympathetic-stellate-ganglion-blockade-a-technical-note
#2
Adnan I Qureshi, Muhammad A Waqas, Vikram Jadhav, Muhammad A Saleem, Jeff Campbell, Shawn S Wallery
Introduction: We describe the use of long acting liposomal bupivacaine for percutaneous stellate ganglion blockade to treat severe headaches following internal carotid artery dissection. Methods: A 43-year old woman developed right-sided refractory headache after right internal carotid artery dissection. Patient underwent percutaneous stellate ganglion block using bupivacaine hydrochloride (0.25%-20 ml) in the past with short acting relief. Liposomal bupivacaine (EXPAREL) 13...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163749/isolated-extracranial-vasospasm-and-intracranial-dissection-an-unusual-imaging-manifestation-of-reversible-cerebral-vasoconstriction-syndrome
#3
Fatmah Al Zahmi, Sumeet G Dua, Miral D Jhaveri, Shawna Cutting
Reversible cerebral vasoconstriction syndrome (RCVS) is a distinct clinical syndrome characterized by thunderclap headache and reversible cerebral vasoconstriction. An association between RCVS and arterial dissection has emerged in recent years, where dissection typically involves the cervical vertebral arteries. In this vignette, we describe isolated reversible vasoconstriction, involving the extracranial arteries and intracranial dissection-a combination hitherto never reported.
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163748/transradial-approach-for-deployment-of-a-flow-diverter-for-an-intracranial-aneurysm-in-a-patient-with-a-type-3-aortic-arch
#4
Geoffrey W Peitz, Bhavani Kura, Jeremiah N Johnson, Ramesh Grandhi
Background: Flow diversion with the Pipeline embolization device (PED) is an effective treatment for giant and wide-neck intracranial aneurysms, but the standard transfemoral approach may not be feasible in patients with Type-3 aortic arches. Case Report: An 84-year-old woman presented with a right internal carotid artery (ICA) giant aneurysm and a Type-3 aortic arch, necessitating a transradial approach for access to the right common carotid artery. A triaxial catheter system made for a stable platform for the deployment of two telescoping PEDs to treat the patient's right ICA giant aneurysm...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163747/endovascular-stenting-of-tandem-carotid-artery-origin-and-bifurcation-stenotic-lesions-using-flow-reversal
#5
Andrew A Fanous, Parham Yashar, Ashish Sonig, Amanda Zakeri, Kenneth V Snyder, Elad I Levy, Jason M Davies, Adnan H Siddiqui
Background: The treatment of tandem lesions involving severe stenosis of the internal carotid artery with concomitant stenosis of the ipsilateral common carotid artery (CCA) origin represents an ongoing challenge. Current options for the treatment of tandem carotid artery origin and bifurcation stenotic lesions include open surgical endarterectomy, endovascular stenting, balloon angioplasty, and hybrid procedures combining both modalities. However, these options are either associated with high peri-operative risks or not always anatomically feasible...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163746/genetic-insights-into-cerebrovascular-disorders-a-comprehensive-review
#6
Fawaz Al-Mufti, Ahmed Alkanaq, Krishna Amuluru, Rolla Nuoman, Ahmed Abdulrazzaq, Tamarah Sami, Halla Nuoaman, Caroline Hayes-Rosen, Charles J Prestigiacomo, Chirag D Gandhi
No abstract text is available yet for this article.
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163745/possible-reversible-cerebral-vasoconstriction-syndrome-associated-with-eucalyptus-case-report
#7
Daniel Lapid, Mohtashim Arbaab Qureshi, Ihtesham Aatif Quresh, Mohammed Rauf Afzal, Alberto Maud, Gustavo J Rodriguez, Rakesh Khatri
Background: Reversible cerebral vasoconstrictive syndrome (RCVS) has characteristic clinical features, brain imaging and Angiographic features. The majority of RCVS cases are associated with the use of antidepressants, polysubstance abuse, and nasal decongestants. We here present a case that highlights the use of eucalyptus herbs as a possible precipitant factor for RCVS formation. Case Presentation: A 42-year-old woman presented to the emergency department with a tingling sensation on the right-hand side of her body and a two-week progressive throbbing severe holocranial headache radiating to the neck, with associated nausea, photophobia, and phonophobia...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163744/spinal-arteriovenous-fistula
#8
Hisham Salahuddin, Mark Buehler, Syed Zaidi
No abstract text is available yet for this article.
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163743/comparison-of-endovascular-treatment-with-intravenous-thrombolysis-for-isolated-m2-segment-of-middle-cerebral-artery-occlusion-in-acute-ischemic-stroke
#9
Adnan I Qureshi, Muhammad A Saleem, Emrah Aytac
Background: The benefit of endovascular treatment for distal large artery ischemic occlusions such as M2 segment of middle cerebral artery is not clear. Methods: We retrospectively analyzed data from 51 subjects who had an isolated M2 segment occlusion on baseline computed tomographic (CT) angiogram who were randomized to either intravenous (IV) recombinant tissue plasminogen activator (rt-PA) followed by endovascular treatment or IV rt-PA alone in a multicenter trial...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29163742/endovascular-treatment-of-spontaneous-intracranial-internal-carotid-dissection-in-a-young-patient-affected-by-systemic-lupus-erythematosus-a-case-report
#10
Sergio Racchiusa, Marcello Longo, Gianmarco Bernava, Antonio Pitrone, Rosario Papa, Francesca Granata, Giuseppe Centorrino, Sergio Lucio Vinci
Systemic lupus erythematosus (SLE) increases the risk of cerebrovascular events due to vascular changes, resulting in the weakening of the vessel walls. Moreover, patients with SLE have more incidence of arterial lesions such as dissections. Internal carotid dissection (ICA) is an infrequent cause of ischemic stroke, representing 2% of all ischemic events. We present a case of ischemic stroke, caused by a spontaneous dissection of intracranial ICA, treated with endovascular stent implantation, in a 22-year-old woman affected by SLE, newly diagnosed...
October 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702121/occurrence-of-femoral-nerve-injury-among-patients-undergoing-transfemoral-percutaneous-catheterization-procedures-in-the-united-states
#11
Mohammad El-Ghanem, Ahmed A Malik, Andre Azzam, Hussam A Yacoub, Adnan I Qureshi, Nizar Souayah
BACKGROUND: The proximity of the femoral nerve to the femoral artery renders it vulnerable to injury during transfemoral percutaneous catheterization (TPC) procedures. OBJECTIVE: To determine the incidence of femoral nerve injury in patients undergoing cardiac catheterization in a nationally representative inpatient database. METHODS: We analyzed data released annually from the Nationwide Inpatient Sample. We pooled data from 2002 to 2010 and, using the ICD-9-CM procedure codes, identified patients who underwent TPC...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702120/inpatient-versus-outpatient-management-of-tia-or-minor-stroke-clinical-outcome
#12
Shahram Majidi, Christopher R Leon Guerrero, Kathleen M Burger, John F Rothrock
BACKGROUND: The management of patients with acute transient ischemic attack (TIA) or minor stroke is highly variable. Whether hospitalization of such patients significantly improves short-term clinical outcome is unknown. We assessed the short-term clinical outcome associated with inpatient versus outpatient management of patients with TIA or minor stroke. METHODS: We evaluated a consecutive series of patients with acute TIA or minor ischemic stroke (NIH Stroke Scale score ≤ 3) presenting to a single emergency department (ED)...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702119/a-population-based-study-of-the-incidence-of-acute-spinal-cord-infarction
#13
Adnan I Qureshi, Mohammad Rauf Afzal, M Fareed K Suri
BACKGROUND: There is a paucity of reliable data regarding incidence of acute spinal cord infarction in population-based studies. OBJECTIVES: To determine the incidence of acute spinal cord infarction using a population-based design. METHODS: Medical records and neuroimaging data of all patients with acute spinal cord infarction from Stearns and Benton Counties, Minnesota, between January 1, 2010 and May 31, 2014 were reviewed. Patients with a first-time diagnosis of spinal cord infarction were categorized as primary or secondary depending upon underlying etiology identified...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702118/comparison-of-nutech-functional-score-with-european-stroke-scale-for-patients-with-cerebrovascular-accident-treated-with-human-embryonic-stem-cells-nfs-for-cva-patients-treated-with-hescs
#14
Geeta Shroff
PURPOSE: Stem cell therapy is a promising modality for treatment of patients with chronic cerebrovascular accident (CVA) in whom treatment other than physiotherapy or occupational therapy does not address the repair or recovery of the lost function. In this study, the author aimed at evaluating CVA patients treated with human embryonic stem cell (hESC) therapy and comparing their study outcomes with globally accepted European Stroke Scale (ESS) to that with novel scoring system, Nutech functional score (NFS), a 21-point positional and directional scoring system for assessing patients with CVA...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702117/balloon-angioplasty-for-intracranial-atherosclerotic-disease-a-multicenter-study
#15
Lakshmi Sudha Prasanna Karanam, Mukesh Sharma, Anand Alurkar, Sridhar Reddy Baddam, Vijaya Pamidimukkala, Raghavasarma Polavarapu
AIM: To evaluate the role and efficacy of the balloon angioplasty in intracranial atherosclerotic disease (ICAD) in patients who presented with acute stroke due to vessel occlusion and in patients with symptomatic disease despite optimum medical management. METHODS: From 2013 to 2016, a total of 39 patients (24 males and 15 females with a mean age of 64.5 years) underwent balloon angioplasty over a period of 2 years and 8 months in three different institutions in India...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702116/management-of-aggressive-cerebral-dural-arteriovenous-fistulae-experience-using-endovascular-embolization
#16
Rajeev Sivasankar, Raju Augustine George, Rochan Pant, Samresh Sahu, Rohit Aggarwal, Aftab Alam
No abstract text is available yet for this article.
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702115/staged-arterial-and-venous-embolizations-in-treatment-of-type-iv-intraosseous-dural-arteriovenous-fistula
#17
Aleksandra V Betcher, Andrew W Schnure, Paul H Janda, Rajneesh Agrawal, Amandeep Dhillon
OBJECTIVE: This is a case report of an adult male with complex type IV intraosseous DAVF causing severe venous hypertension and bony destruction, presenting with severe hemotympanum, and a novel way of staged arterial and venous embolizations to treat the emergent symptoms. METHODS: First and second stages were direct selective arterial embolizations using Onyx liquid agent. Goal was to reduce flow into the fistula by embolizing the feeder branch and distal penetration of the nidus with Onyx...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702114/cerebral-infarction-as-a-rare-complication-of-wasp-sting
#18
Payam Moein, Ramin Zand
No abstract text is available yet for this article.
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702113/cost-effectiveness-analysis-of-the-unfractionated-heparin-versus-low-molecular-weight-heparin-in-hospitalized-patients-with-stroke-due-to-atrial-fibrillation-in-shiraz-south-of-iran
#19
Nahid Hatam, Jamshid Bahmei, Khosro Keshavarz, Farnia Feiz, Reihaneh Sedghi, Afshin Borhani-Haghighi
BACKGROUND: Patients with atrial fibrillation (AF) make a unique group of strokes. Unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) are among the medications used for preventing blood coagulation. This study was carried out aiming at analyzing the cost effectiveness of LMWH versus UFH in hospitalized patients with stroke due to AF with respect to the Iranian population. METHODS: This randomized study was an economic evaluation of cost effectiveness with the help of the cross-sectional data of 2013-2015...
June 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/28702112/patient-preference-for-transradial-access-over-transfemoral-access-for-cerebrovascular-procedures
#20
Sudhakar R Satti, Ansar Z Vance, Sohil N Golwala, Tim Eden
PURPOSE: Shared decision-making, when physicians and patients collaborate and agree on health care decisions, is a key tenant of patient-centered care. Choice of access site for neurovascular procedures is rarely a shared decision point between physicians and patients. We present our initial evaluation of patient preference for radial over femoral access for cerebrovascular procedures. MATERIALS AND METHODS: IRB approved single-center, prospective, and consecutive survey of all patients undergoing transradial access for cerebrovascular imaging and intervention...
June 2017: Journal of Vascular and Interventional Neurology
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