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https://www.readbyqxmd.com/read/30412165/-microsurgical-treatment-of-non-bleeding-cerebral-arteriovenous-malformations
#1
V A Gorozhanin, Yu V Pilipenko, O B Belousova, Sh Sh Eliava
Treatment of non-bleeding cerebral arteriovenous malformations (AVMs) causes a lot of controversy among neurosurgeons around the world. The most discussed issue is choosing the method and indications for a certain treatment option. Despite the accumulated data, including the results of randomized studies, there is no consensus on this issue among experts. The purpose of this review is to analyze current concepts of the management and reasonability of microsurgical treatment of non-bleeding cerebral AVMs based on the latest published studies...
2018: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/30410514/active-reperfusion-hemorrhage-during-thrombectomy-angiographic-findings-and-real-time-correlation-with-the-ct-spot-sign
#2
Diogo C Haussen, Ivan M Ferreira, Clara Barreira, Jonathan A Grossberg, Francesco Diana, Simone Peschillo, Raul G Nogueira
Introduction: Symptomatic intracranial hemorrhage represents one of the most feared complications of endovascular reperfusion. We aim to describe a series of patients that experienced immediate reperfusion injury with active intraprocedural extravasation within the territory of the deep penetrating arteries and provide real-time correlation with CT "spot sign." Methods: This was a retrospective analysis of patients that suffered reperfusion injury with active arterial extravasation during endovascular stroke treatment in two tertiary care centers...
October 2018: Interventional Neurology
https://www.readbyqxmd.com/read/30401385/clinical-outcomes-of-patients-with-the-heartmate-ii-left-ventricular-assist-device-a-single-center-experience-from-japan
#3
O Seguchi, K Kuroda, Y Kumai, S Nakajima, M Yanase, K Wada, Y Matsumoto, S Fukushima, T Fujita, J Kobayashi, N Fukushima
BACKGROUND: Left ventricular assist device (LVAD) therapy is the "gold standard" alternative therapy for patients with advanced heart failure. However, LVAD therapy is still uncommon in the Asia-Pacific region. Therefore, we aimed to elucidate the clinical outcomes of patients from Japan supported with the HeartMate II (HM-II) LVAD at our institution. METHODS: Ninety-two patients (mean 44.3 ± 12.1 years, 68 men, average body mass index 1.65 ± 0.28 m2 ; 81 with nonischemic cardiomyopathy) who underwent HM-II implantation for bridge to transplantation (n = 91) or for destination therapy in a clinical study (n = 1) at the National Cerebral and Cardiovascular Center between April 2013 and October 2017 were enrolled in this analysis...
November 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/30383680/neutrophil-to-lymphocyte-ratio-predicts-island-sign-in-patients-with-intracranial-hemorrhage
#4
Fan Zhang, Juan Qian, Chuanyuan Tao, Yuelong Wang, Sen Lin, Chao You, Mu Yang
Our previously studies indicated that inflammatory responses are involved in the hematoma expansion (HE) after intracranial hemorrhage (ICH) ictus. Here, we aim to evaluate the correlations among the ratio of neutrophil to lymphocyte ratio (NLR), HE, and island sign in patients with ICH.Patients with spontaneous ICH were retrospectively included. Clinical characteristics, imaging features, and laboratory parameters were obtained. Multivariable analysis was performed to evaluate the association of NLR with HE or island sign...
November 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30374819/remnant-liver-to-standard-liver-volume-ratio-below-40-is-safe-in-ex-vivo-liver-resection-and-autotransplantation
#5
Shu Shen, Yiwen Qiu, Xianwei Yang, Wentao Wang
BACKGROUND: The successful application of ex vivo liver resection and autotransplantation (ERAT) has gained widespread attention for the treatment of end-stage hepatic alveolar echinococcosis, which is considered to be unresectable by conventional methods due to extensive invasion of the extra- and intrahepatic vasculature. However, data on remnant liver volume (RLV) are limited, and the safe volume limit of remnant liver is still unclear. METHODS: To determine the effect of liver volume in the technically developed era, we investigated the impact of the remnant liver-to-standard liver volume ratio (RLV/SLV) on the outcomes of ERAT...
October 29, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30361746/traumatic-minor-intracranial-hemorrhage-management-by-non-neurosurgeon-consultants-in-a-regional-trauma-center-is-safe-and-effective
#6
H Khalayleh, G Lin, H Kadar Sfarad, M Mostafa, N Abu Abed, A Imam, A P Zbar, E Mavor
BACKGROUND: There is debate concerning the need for specialist neurosurgical transfer of patients presenting to Level II trauma centers with a minimal head injury (Glasgow Coma Scale ≥13) and a small non-progressive intracranial bleeding (ICB). METHODS: A retrospective chart analysis was performed assessing the outcomes of adult patients presenting with a minor traumatic ICB on initial CT scan (minimal subarachnoid hemorrhage; small-width subdural hematoma without shift; punctate cerebral contusion)...
October 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30356112/a-stroke-gene-panel-for-whole-exome-sequencing
#7
REVIEW
Andreea Ilinca, Sofie Samuelsson, Paul Piccinelli, Maria Soller, Ulf Kristoffersson, Arne G Lindgren
Extensive analyses of known monogenic causes of stroke by whole-exome/genome sequencing are technically possible today. We here aimed to compile a comprehensive panel of genes associated with monogenic causes of stroke for use in clinical and research situations. We systematically searched the publically available database Online Mendelian Inheritance in Man, and validated the entries against original peer-reviewed publications in PubMed. First, we selected known pathogenic or putatively pathogenic stroke genes reported in at least one person with stroke, and classified the stroke phenotype for each gene into eight subgroups: (1) large artery atherosclerotic, (2) large artery non-atherosclerotic (tortuosity, dolichoectasia, aneurysm, non-atherosclerotic dissection, occlusion), (3) cerebral small-vessel diseases, (4) cardioembolic (arrhythmia, heart defect, cardiomyopathy), (5) coagulation dysfunctions (venous thrombosis, arterial thrombosis, bleeding tendency), (6) intracerebral hemorrhage, (7) vascular malformations (cavernoma, arteriovenous malformations), and (8) metabolism disorders...
October 24, 2018: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/30355096/reversal-of-vitamin-k-antagonist-therapy-before-thrombolysis-for-acute-ischemic-stroke
#8
Nicolas Chausson, Djibril Soumah, Manvel Aghasaryan, Tony Altarcha, Cosmin Alecu, Didier Smadja
Background and Purpose- Acute ischemic strokes under vitamin K antagonist (VKA) treatment are not uncommon, but intravenous thrombolysis (IVT) is not recommended for international normalized ratio (INR) >1.7 because of the excess bleeding risk. However, VKA-induced anticoagulation can be easily reversed by IV infusions of 4-factor prothrombin complex concentrate bolus and vitamin K. Our pilot study aimed to determine whether IVT immediately after anticoagulation reversal could be feasible and safe in acute ischemic stroke patients under VKA with INR >1...
October 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/30347945/mortality-in-malaria-intensive-care-mimic
#9
Trupti Trivedi, Poonam Bajaj, Nivedita Moulick, Namita Padwal
Background: While global incidence of malaria has fallen in last decade, it continues to be an important cause of mortality and morbidity in acutely ill febrile patients. Many patients with complicated malaria require ICU care. In past it was believed that vivax is a benign form of malaria, but now all complications of malaria are reported in vivax. . Aims and Objectives: To find out proportion of patients with plasmodium vivax and plasmodium falciparum malaria requiring treatment in Medical ICU...
April 2018: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/30344565/comparison-of-modified-versus-conventional-injection-techniques-of-low-molecular-weight-heparin-in-elderly
#10
Wenzhen Geng, Ying Zhang, Juan Shi
Objective: To analyze the clinical values of modified injection of low-molecular-weight heparin in reducing subcutaneous bleeding and pain. Methods: Two hundred and sixty patients with cerebral infarction, acute myocardial infarction or pulmonary embolism who underwent subcutaneous injection of low-molecular weight heparin in the hospital between December 2015 and December 2016 were selected. They were randomly divided into a control group and a research group, 130 each...
September 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/30327750/a-rare-case-of-giant-solid-hemangioblastoma-accompanied-with-hemophilia-type-a
#11
Masaki Ujihara, Yoshinori Maki, Masaki Chin, Kensuke Takada, Yoshitaka Kurosaki, Sen Yamagata
The surgical removal of giant solid hemangioblastoma involves a high risk of perioperative bleeding and requires attentive hemostasis. Here, we present a case of a giant solid hemangioblastoma accompanied with hemophilia which was previously undiagnosed. A 35-year-old man without any past medical history was admitted with diplopia and ocular motility disorder. computed tomography (CT) and magnetic resonance imaging (MRI) revealed obstructive hydrocephalus and a solid giant tumor of more than 4.0 cm in diameter in the right cerebellopontine angle (CPA)...
October 2018: NMC Case Report Journal
https://www.readbyqxmd.com/read/30322747/prognostic-value-of-continuous-electroencephalography-in-children-undergoing-therapeutic-hypothermia-after-cardiac-arrest-a-pilot-study
#12
Tharapong Prajongkit, Montida Veeravigrom, Rujipat Samransamruajkit
OBJECTIVE: To determine the prognostic value of continuous electroencephalography (EEG) in children undergoing therapeutic hypothermia after cardiac arrest. METHOD: We retrospectively reviewed medical records and continuous EEG of all patients undergoing therapeutic hypothermia after cardiac arrest from November 2013 to September 2016. Demographic, clinical data and immediate complications were collected. Characteristics of continuous EEG including EEG background, time to normal trace (TTNT) and electrographic seizures were reviewed by investigators...
October 12, 2018: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/30321624/an-integrated-program-of-extracorporeal-membrane-oxygenation-ecmo-assisted-cardiopulmonary-resuscitation-and-uncontrolled-donation-after-circulatory-determination-of-death-in-refractory-cardiac-arrest
#13
Roberto Roncon-Albuquerque, Sérgio Gaião, Paulo Figueiredo, Nuno Príncipe, Carla Basílio, Paulo Mergulhão, Sofia Silva, Teresa Honrado, Francisco Cruz, Manuel Pestana, Gerardo Oliveira, Luis Meira, Ana França, João Paulo Almeida-Sousa, Fernando Araújo, José-Artur Paiva
AIM: To assess the feasibility of an integrated program of extracorporeal cardiopulmonary resuscitation (ECPR) and uncontrolled donation after circulatory determination of death (uDCDD) in refractory cardiac arrest (rCA). METHODS: Single center, prospective, observational study of selected patients with in-hospital (IHCA) and out-of-hospital (OHCA) rCA occurring in an urban area of ∼1.5 million inhabitants, between October-2016 and May-2018. 65 year old or younger patients without significant bleeding or comorbidities with witnessed nonasystolic cardiac arrests were triaged to ECPR if they had a reversible cause and high quality CPR lasting < 60 min...
October 13, 2018: Resuscitation
https://www.readbyqxmd.com/read/30321163/-treatment-of-an-aortic-arch-aneurysm-ruptured-into-the-lung
#14
V V Shlomin, I G Drozhzhin, Iu P Didenko, N Iu Grebenkina, P D Puzdriak, P B Bondarenko, D G Pavlov, G A Vereshchako
Described herein is a clinical case report concerning treatment of a 32-year-old female patient with rupture of an aneurysm of the arch and descending portion of the thoracic aorta, with the bleeding having penetrated the upper lobe of the left lung. The woman was admitted to the Department of Vascular Surgery of Municipal Multimodality Hospital No 2 of Saint Petersburg, presenting with a clinical pattern of aneurysmal rupture previously diagnosed by computed tomography performed at one of the local hospitals...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30317891/recurrent-epistaxis-due-to-cribriform-plate-dural-arteriovenous-fistula-are-they-related-should-the-treatment-be-from-venous-pial-or-arterial-side
#15
Manjul Tripathi, Chirag Kamal Ahuja, Abhishek Gupta, Kanchan Kumar Mukherjee, Aman Batish, Manish Buddhiraja
PURPOSE: Dural arteriovenous fistula (DAVF) of the anterior cranial fossa with cortical venous reflux is an aggressive neurovascular entity with a high rate of intracranial bleeding. Only two cases of anterior cranial fossa DAVF presenting with epistaxis alone have been reported. Endovascular approaches have emerged as the primary and safer treatment modality for most DAVFs. Certain fistulas are better treated with open surgical approaches and disconnection. CASE DESCRIPTION: A 55 years old male presented with the history of multiple episodes of severe epistaxis...
October 13, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/30315363/effect-of-premorbid-hypertension-control-on-outcome-of-patients-with-aneurysmal-subarachnoid-hemorrhage
#16
Jianfeng Zheng, Rui Xu, Guojing Liu, Zongduo Guo, Xiaochuan Sun
OBJECTIVE: Hypertension is common in patients with aneurysmal subarachnoid hemorrhage (SAH). However, it is still unclear whether premorbid antihypertensive therapy can help to reduce the risk of severe aneurysmal bleeding. Therefore, this study aims to assess the effect of premorbid hypertension control on outcome of patients with aneurysmal SAH. METHODS: We retrospectively reviewed the clinical data of patients with intracranial aneurysms admitted to our institution from February 2012 to December 2017...
October 12, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/30299374/perfusion-of-porcine-kidneys-with-macromolecular-heparin-reduces-early-ischemia-reperfusion-injury
#17
Amir Sedigh, Sofia Nordling, Fredrik Carlsson, Erik Larsson, Bo Norlin, Norbert Lübenow, Fredrik Lennmyr, Gunnar Tufveson, Peetra U Magnusson, Tomas Lorant
BACKGROUND: Previously we have been able to demonstrate the possibility of coating the inner surface of the renal arteries in porcine kidneys with a heparin conjugate during hypothermic machine perfusion (HMP). The purpose of this study was to assess the efficacy of this treatment in reducing early ischemia-reperfusion injury. METHOD: Brain death was induced in male landrace pigs by stepwise volume expansion of an epidural balloon catheter until negative cerebral perfusion pressure was obtained...
October 6, 2018: Transplantation
https://www.readbyqxmd.com/read/30295705/hereditary-haemorrhagic-telangiectasia-with-multiple-complications-presenting-in-an-older-patient
#18
Rano Abdulla Kyzy, Victoria Durojaiye, Jason Leo Walsh
Hereditary haemorrhagic telangiectasia (HHT) is a rare autosomal dominant multi-organ vascular disorder associated with bleeding and a reduced life expectancy. We present a 91-year-old woman with complications of previously undiagnosed HHT. This case demonstrates three potential complications: pulmonary arteriovenous malformation (AVM) resulting in a right to left shunt, cerebral infarctions and pericardial effusion. Despite these potentially life-threatening complications and the reduced life-expectancy associated with HHT the patient has survived to an advanced age...
October 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/30288849/postablation-cerebral-embolisms-in-balloon-based-atrial-fibrillation-ablation-with-periprocedural-direct-oral-anticoagulants-a-comparison-between-cryoballoon-and-hotballoon-ablation
#19
Kohki Nakamura, Takehito Sasaki, Yutaka Take, Yoshinori Okazaki, Mitsuho Inoue, Hiroyuki Motoda, Yuko Miki, Katsura Niijima, Eiji Yamashita, Keiko Koyama, Nobusada Funabashi, Shigeto Naito
INTRODUCTION: This prospective observational study aimed to investigate the incidence of symptomatic and silent cerebral embolisms after balloon-based ablation of atrial fibrillation (AF) in patients receiving periprocedural anticoagulation with direct oral anticoagulants (DOACs), and compare that between cryoballoon and HotBalloon ablation (CBA and HBA). METHODS AND RESULTS: We enrolled 123 consecutive AF patients who underwent a balloon-based pulmonary vein isolation (PVI) and brain magnetic resonance (MR) imaging after the ablation procedure (CBA, n = 65; HBA, n = 58)...
October 4, 2018: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/30284726/autoimmune-heparin-induced-thrombocytopenia-of-delayed-onset-a-clinical-challenge
#20
Anne Kuitunen, Marjatta Sinisalo, Annukka Vahtera, Leena Hiltunen, Kaija Javela, Outi Laine
BACKGROUND: Heparin-induced thrombocytopenia (HIT) usually appears at 5 to 10 days after initiation of heparin. Autoimmune HIT can arise after discontinuation of heparin treatment (delayed-onset HIT) or without any preceding heparin exposure (spontaneous HIT syndrome). CASE REPORT: This case presents a course of autoimmune HIT with delayed onset. The patient was hospitalized due to influenza pneumonia and received low-molecular-weight heparin thromboprophylaxis for 9 days...
October 4, 2018: Transfusion
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