keyword
https://read.qxmd.com/read/38547158/management-of-hypertension-in-heart-transplant-recipients-an-ongoing-conundrum
#1
JOURNAL ARTICLE
Juan Duarte Torres, Selim R Krim
PURPOSE OF REVIEW: Hypertension remains one of the most common clinical problems leading to significant posttransplant complications. This study reviews the pathophysiology of hypertension in the postcardiac transplant phase and provides an update on currently available antihypertensive therapies for heart transplant patients. RECENT FINDINGS: The true prevalence of hypertension in the heart transplant population remains unknown. Effective blood pressure (BP) control is key to prevent left ventricular remodeling, diastolic dysfunction and stroke...
March 28, 2024: Current Opinion in Cardiology
https://read.qxmd.com/read/38546011/cocaine-gut-a-rare-case-of-cocaine-induced-esophageal-gastric-and-small-bowel-necrosis
#2
JOURNAL ARTICLE
Lefika Bathobakae, Sacide S Ozgur, Rammy Bashir, Tyler Wilkinson, Phenyo Phuu, Ruhin Yuridullah, Gabriel Melki, Jessica Escobar, Sohail Qayyum
Cocaine is an indirect-acting sympathomimetic drug that inhibits norepinephrine and dopamine reuptake in the adrenergic presynaptic cleft. Cocaine use has been associated with strokes, angina, arrhythmias, and agitation. Data on gastrointestinal complications such as mesenteric ischemia, bowel necrosis, ulceration, and perforation are scarce. Here, we present a rare case of cocaine-induced esophageal, gastric, and small bowel necrosis that contributes to the limited literature on this subject. Diagnosis of cocaine-induced gastrointestinal complications involves a combination of imaging studies, laboratory assessments, and histopathological examinations...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38545668/balloon-rupture-during-transcatheter-aortic-valve-replacement
#3
REVIEW
Craig Basman, David Landers, Chad Kliger, Karla Rodriguez-Barragan, Sung-Han Yoon, Haroon Faraz, Ankitkumar Patel, Yuriy Dudiy, Mark Anderson, Ryan Kaple
A distinctive complication with balloon-expandable (BE) THV platforms such as the Edwards Sapien (Edwards Lifescience) is the possibility of balloon rupture during THV deployment. Balloon rupture is a rare occurrence that can result in stroke due to fragment embolism, incomplete THV expansion, and/or vascular injury upon retrieval of the balloon. Careful evaluation of preoperative computed tomography is essential to identify high-risk cases. While annular and left ventricular outflow tract (LVOT) calcification are widely acknowledged as common risks for balloon injury, it's essential to note that balloon injury can manifest at various anatomical sites...
March 28, 2024: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/38545173/effect-of-hyperbaric-oxygen-treatment-on-patients-with-heatstroke-complicated-by-multiple-organ-dysfunction-a-retrospective-study
#4
JOURNAL ARTICLE
Xiao-Xiao Ni, Nian-Bo He, Ye-Qun Guo, Yi-Xuan Dou, Xiao-Juan Xie, Zhi-Feng Liu
BACKGROUND: The benefits of hyperbaric oxygen (HBO) in treating animals with heat stroke (HS) have been established. This study aims to retrospectively analyze the effect of HBO on multiple organ dysfunction following HS in humans. METHODS: Retrospective data were collected from patients with HS admitted to our hospital in the past 7 years. Patients were categorized into groups based on whether they received HBO therapy. The study compared various factors, including sequential organ failure assessment (SOFA) and acute physiology and chronic health evaluation-Ⅱ (APACHE-Ⅱ) scores, mortality rates, neurological function scores, serum myocardial enzyme levels, liver, kidney, and coagulation function indicators, blood routine results, electrolyte levels, and modified Barthel index (MBI) score for standard daily living ability before treatment and after 2 and 4 weeks of treatment...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38544808/intracardiac-echocardiography-guided-left-atrial-appendage-occlusion
#5
REVIEW
Juan Carlos Diaz, Mauricio Duque, Jorge Marin, Julian Aristizabal, Cesar Niño, Oriana Bastidas, Carlos D Matos, Carolina Hoyos, Daniela Hincapie, Jorge E Romero
Left atrial appendage occlusion (LAAO) is a suitable alternative to oral anticoagulant therapy to prevent stroke in patients with AF. Most procedures are performed under transoesophageal echocardiography (TOE) guidance, which facilitates transseptal puncture, reduces the risk of procedurerelated complications and provides an additional method for device selection and real-time monitoring during device deployment. However, TOE has significant shortcomings, including the need for general anaesthesia/deep sedation as well as a significant risk of procedure-related adverse events...
2024: Arrhythmia & Electrophysiology Review
https://read.qxmd.com/read/38543886/herpes-zoster-and-cardiovascular-disease-exploring-associations-and-preventive-measures-through-vaccination
#6
REVIEW
Minako Yamaoka-Tojo, Taiki Tojo
Herpes zoster, induced by the reactivation of the varicella-zoster virus (VZV), is a unilaterally distributed vesicular rash that can cause multiple complications. VZV not only causes neurological problems, including postherpetic neuralgia and ocular zoster, but also causes inflammatory vasculopathy and increases the incidence of hemorrhagic or ischemic complications. Therefore, understanding the association between the development of herpes zoster and the subsequent occurrence of acute stroke or cardiovascular diseases, including myocardial infarction and heart failure, is of great interest...
February 28, 2024: Vaccines
https://read.qxmd.com/read/38541922/the-prepetrous-segment-of-the-internal-carotid-artery-as-a-neglected-site-of-symptomatic-atherosclerosis-a-single-center-series
#7
JOURNAL ARTICLE
Marialuisa Zedde, Ilaria Grisendi, Federica Assenza, Manuela Napoli, Claudio Moratti, Lara Bonacini, Giovanna Di Cecco, Serena D'Aniello, Claudio Pavone, Giovanni Merlino, Jukka Putaala, Franco Valzania, Rosario Pascarella
(1) Background: Non-stenotic complicated plaques are a neglected cause of stroke, in particular in young patients. Atherosclerosis has some preferential sites in extracranial arteries and the prepetrous segment of the internal carotid artery has been rarely described as site of atheroma in general and of complicated atheroma in stroke patients. The aim of this study is to describe the rate of the prepetrous internal carotid artery's (ICA) involvement in a single-center case series of young stroke patients. (2) Methods: All patients < 50 years old with acute ischemic stroke admitted to a single-center Stroke Unit during two time periods (the first one from 1 January 2018 to 31 December 2019, and the second one from 1 January 2021 to 30 June 2022), were prospectively investigated as part of a screening protocol of the Searching for Explanations for Cryptogenic Stroke in the Young: Revealing the Etiology, Triggers, and Outcome (SECRETO) study [ClinicalTrials...
March 15, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541884/obesity-related-hemodynamic-alterations-in-patients-with-cushing-s-disease
#8
JOURNAL ARTICLE
Agnieszka Jurek, Paweł Krzesiński, Beata Uziębło-Życzkowska, Przemysław Witek, Grzegorz Zieliński, Robert Wierzbowski, Anna Kazimierczak, Małgorzata Banak, Grzegorz Gielerak
Background : Cushing's disease (CD) is associated with a specific form of metabolic syndrome that includes visceral obesity, which may affect cardiovascular hemodynamics by stimulating hypercortisolism-related metabolic activity. The purpose of this study was to evaluate the relationship between obesity and the hemodynamic profile of patients with CD. Methods : This prospective clinical study involved a hemodynamic status assessment of 54 patients newly diagnosed with CD with no significant comorbidities (mean age of 41 years)...
March 14, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541182/takayasu-s-arteritis-a-special-case-report-and-review-of-the-literature
#9
Paloma Moisii, Irina Jari, Alexandru Gratian Naum, Doina Butcovan, Grigore Tinica
Background : Takayasu's arteritis is a rare type of vasculitis with severe complications like stroke, ischemic heart disease, pulmonary hypertension, secondary hypertension, and aneurysms. Diagnosis is achieved using clinical and angiographic criteria. Treatment is medical and surgical, but unfortunately, the outcome is limited. Case presentation : A 34-year-old Caucasian woman had an ischemic stroke (2009). She was diagnosed with Takayasu's arteritis and received treatment with methotrexate, prednisolone, and antiplatelet agents, with a mild improvement in clinical state...
March 9, 2024: Medicina
https://read.qxmd.com/read/38540992/uncommon-carotid-artery-stenting-complications-a-series-by-images
#10
JOURNAL ARTICLE
Giuseppe Vadalà, Vincenzo Sucato, Francesco Costa, Fausto Castriota, Roberto Nerla, Giuseppe Roscitano, Antonio Giovanni Versace, Alfredo Ruggero Galassi, Antonio Micari
AIMS: To describe through emblematic images rare but clinically relevant carotid artery stenting complications that occurred at two high-volume centres for carotid artery stenting (CAS). BACKGROUND: CAS is an alternative to carotid endarterectomy (CEA) for the treatment of carotid artery stenosis in patients judged to be at high risk for CEA. CAS complications range between 1 and 9% and are higher in older patients complaining of neurological symptoms at the time of presentation...
February 26, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38539434/vascular-morbidity-and-mortality-in-craniopharyngioma-patients-a-scoping-review
#11
REVIEW
Julia Beckhaus, Carsten Friedrich, Hermann L Müller
Craniopharyngioma (CP) treatment, including surgery and radiotherapy, can have short- and long-term vascular side effects. Hypothalamic damage is related to morbid obesity and may increase the lifelong risk of experiencing vascular events in CP patients. This review summarized the available evidence regarding vascular complications in adamantinomatous or papillary CP patients, whatever their age at diagnosis. Three databases (Medline, CINAHL, Web of Science) were searched (06/2023) to retrieve eligible articles...
March 8, 2024: Cancers
https://read.qxmd.com/read/38539052/incidental-avf-creation-during-unrelated-hospitalization-is-associated-with-worse-outcomes-compared-with-outpatient-avf-creation
#12
JOURNAL ARTICLE
Muhammad Saad Hafeez, Othman M Abdul-Malak, Katherine M Reitz, Catherine Go, Mohammad H Eslami, Rabih A Chaer, Theodore H Yuo
INTRODUCTION: Arteriovenous fistula (AVF) creation during an inpatient hospitalization is often performed for patient convenience and to ensure compliance. We sought to evaluate whether this approach has comparable outcomes to outpatient AVF creation. METHODS: We identified patients undergoing index AVF creation from the United States Renal Data System dataset (2012-2017). Patients were grouped into outpatient and inpatient. Outpatient included patients that were operated in either an outpatient setting, ambulatory surgical center or were admitted inpatient on the day of AVF creation...
March 27, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38538637/effectiveness-of-a-high-intensity-laser-for-improving-hemiplegic-shoulder-dysfunction-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Nadia Mohamed Abdelhakiem, Marwa Shafiek Mustafa Saleh, Magdy M A Shabana, Hisham A Abd El Wahaab, Haitham M Saleh
Hemiplegic shoulder pain (HSP) is a common complication that occurs after stroke and has been reported in up to 84% of hemiplegic patients. One of the recommended treatment options for shoulder pain is high-intensity laser therapy (HILT). This study aimed to determine the effectiveness of high-intensity laser therapy on pain, function and hand grip strength in patients with hemiplegic shoulder dysfunction. Forty-four hemiplegic patients were randomly divided into two groups: Group 1 (study group, n = 22) received 3 HILT sessions a week for three weeks in combination with three sessions of therapeutic exercise per week for three weeks, and Group 2 (control group, n = 22) received a conventional exercise program for HSP three times a week for three weeks...
March 28, 2024: Scientific Reports
https://read.qxmd.com/read/38538170/chimney-stenting-vs-basilica-for-prevention-of-acute-coronary-obstruction-during-transcatheter-aortic%C3%A2-valve-replacement
#14
JOURNAL ARTICLE
Antonio Mangieri, Ines Richter, Mauro Gitto, Ahmed Abdelhafez, Francesco Bedogni, Jonas Lanz, Matteo Montorfano, Axel Unbehaun, Francesco Giannini, Roberto Nerla, Maurizio Taramasso, Alfonso Ielasi, Tanja Rudolph, Marco Ferlini, Flavio Ribichini, Enrico Poletti, Azeem Latib, Antonio Colombo, Nicolas M Van Mieghem, Holger Thiele, Mohamed Abdel-Wahab
BACKGROUND: Coronary obstruction (CO) is a potentially life-threatening complication of transcatheter aortic valve replacement (TAVR). Chimney stenting or leaflet laceration with transcatheter electrosurgery (Bioprosthetic or Native Aortic Scallop Intentional Laceration to Prevent Iatrogenic Coronary Artery Obstruction [BASILICA]) are 2 techniques developed to prevent CO. OBJECTIVES: The aim of the present study was to compare periprocedural and 1-year outcomes of chimney and BASILICA in TAVR patients at high risk of CO...
March 25, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38538057/comparison-of-rescue-intracranial-stenting-versus-best-medical-treatment-alone-in-acute-refractory-large-vessel-occlusion-study-protocol-for-the-pistar-multicenter-randomized-trial
#15
JOURNAL ARTICLE
Kévin Premat, Agnès Dechartres, Amandine Baptiste, Alexis Guedon, Mikael Mazighi, Laurent Spelle, Christian Denier, Titien Tuilier, Hassan Hosseini, Bertrand Lapergue, Federico Di Maria, Nicolas Bricout, Hilde Henon, Benjamin Gory, Sébastien Richard, Cyril Chivot, Audrey Courselle, Stéphane Velasco, Mathias Lamy, Vincent Costalat, Caroline Arquizan, Gaultier Marnat, Igor Sibon, Stephanie Lenck, Eimad Shotar, Julien Allard, Nader Sourour, Vincent Degos, Sonia Alamowitch, Frédéric Clarençon
BACKGROUND: Mechanical thrombectomy (MT) has become a standard treatment for acute ischemic strokes (AIS). However, MT failure occurs in approximately 10-30% of cases, leading to severe repercussions (with mortality rates up to 40% according to observational data). Among the available rescue techniques, rescue intracranial stenting (RIS) appears as a promising option. OBJECTIVE: This trial is poised to demonstrate the superiority of RIS in addition to the best medical treatment (BMT) in comparison with BMT alone, in improving the functional outcomes at 3 months for patients experiencing an AIS due to a large vessel occlusion refractory to MT (rLVO)...
March 27, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38537791/clinically-asymptomatic-hemorrhagic-conversion-is-associated-with-need-for-inpatient-rehabilitation-following-mechanical-thrombectomy-for-anterior-circulation-ischemic-stroke
#16
JOURNAL ARTICLE
Alice Hung, Emeka Ejimogu, Kathleen Ran, Sumil Nair, Wuyang Yang, Ryan Lee, Vivek Yedavalli, Argye Hillis, Philippe Gailloud, Justin Caplan, Fernando Gonzalez, Risheng Xu
BACKGROUND: Hemorrhagic conversion (HC) is a known complication following acute ischemic stroke(AIS) in patients undergoing mechanical thrombectomy(MT). While symptomatic HC(sHC) has been shown to lead to poor neurologic outcomes, the effect of asymptomatic HC(aHC) is unclear. This study aims to identify predictors of aHC and to determine the short-term outcomes. METHODS: This is a single-institution retrospective study of patients with anterior circulation stroke(AIS) who underwent MT between January 2016 and September 2022...
March 25, 2024: World Neurosurgery
https://read.qxmd.com/read/38537790/comparison-of-the-efficacy-and-safety-between-intravenous-thrombolysis-direct-endovascular-therapy-and-bridging-therapy-for-acute-basilar-artery-occlusion-in-cerebral-infarction-patients
#17
JOURNAL ARTICLE
Yuan Shen, Mingchao Li, ShuFang Wang, Lei Xia, Xiaoyu Ni, Li Zhou, Jianguo Zhong, Haicun Shi, Zhifeng Dong
OBJECTIVE: To compare the efficacy and safety of intravenous thrombolysis (IVT), direct endovascular therapy (EVT), and bridging therapy (BT=IVT+EVT) for acute basilar artery occlusion cerebral infarction. METHODS: One hundred and fourteen patients with acute basilar artery occlusion cerebral infarctions admitted between January 2020 and August 2023 were selected. Differences in the reperfusion rate, prognosis, incidence of stroke-associated pneumonia, and mortality rate were compared among the three groups...
March 25, 2024: World Neurosurgery
https://read.qxmd.com/read/38537246/external-trigger-free-charge-switchable-cationic-ligands-in-the-design-of-safe-and-effective-universal-heparin-antidote
#18
JOURNAL ARTICLE
Chanel C La, Stephanie A Smith, Manu Thomas Kalathottukaren, Charles A Haynes, James H Morrissey, Jayachandran N Kizhakkedathu
Thrombosis, the formation of blood clots within a blood vessel, can lead to severe complications including pulmonary embolism, cardiac arrest, and stroke. The most widely administered class of anticoagulants is heparin-based anticoagulants such as unfractionated heparin (UFH), low-molecular weight heparins (LMWHs), and fondaparinux. Protamine is the only FDA approved heparin antidote. Protamine has limited efficacy neutralizing LMWHs and no reversal activity against fondaparinux. The use of protamine can lead to complications, including excessive bleeding, hypotension and hypersensitivity, and has narrow therapeutic window...
March 27, 2024: Advanced Healthcare Materials
https://read.qxmd.com/read/38536509/mid-and-long-term-results-of-open-repair-for-chronic-type-b-aortic-dissection-in-endovascular-era
#19
JOURNAL ARTICLE
Akitoshi Takazawa, Toshihisa Asakura, Osamu Kinoshita, Hiroyuki Nakajima, Akihiro Yoshitake
Medical management is the standard treatment of chronic type B aortic dissection (CTBAD). However, the roles of open surgical repair (OSR) and thoracic endovascular repair (TEVAR) in patients with CTBAD remain controversial. Thus, this study aimed to assess and compare the mid- and long-term clinical outcomes of OSR via left thoracotomy with that of TEVAR for CTBAD. The data of 85 consecutive patients who underwent surgery for CTBAD from April 2007 to May 2021 were retrospectively reviewed. The patients were divided into two groups: Group G, which included patients who underwent OSR, and Group E, which included patients who underwent TEVAR...
March 27, 2024: Heart and Vessels
https://read.qxmd.com/read/38535812/-bothrops-lanceolatus-envenoming-in-martinique-a-historical-perspective-of-the-clinical-effectiveness-of-bothrofav-antivenom-treatment
#20
JOURNAL ARTICLE
Dabor Resiere, Jonathan Florentin, Hossein Mehdaoui, Hatem Kallel, Veronique Legris-Allusson, Papa Gueye, Remi Neviere
Bothrofav, a monospecific antivenom, was introduced in June 1991 and has shown excellent effectiveness against life-threatening and thrombotic complications of Bothrops lanceolatus envenoming. Because of the reoccurrence of cerebral stroke events despite the timely administration of antivenom, new batches of Bothrofav were produced and introduced into clinical use in January 2011. This study's aim was to evaluate the effectiveness of Bothrofav generations at treating B. lanceolatus envenoming. During the first period of the study (2000-2010), 107 patients were treated with vials of antivenom produced in June 1991, while 282 envenomed patients were treated with vials of antivenom produced in January 2011 in the second study period (2011-2023)...
March 13, 2024: Toxins
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