keyword
https://read.qxmd.com/read/38465183/unveiling-a-unique-case-of-scimitar-syndrome-clinical-significance-and-multidisciplinary-management-challenges-in-pakistan
#21
Gulalay Shamal, Anam Israr Khan, Ahsan Ali, Neha James, Moula Ghulam
Scimitar syndrome, a rare congenital cardiac anomaly, involves abnormal pulmonary vein drainage into systemic veins, leading to distinct imaging features resembling a curved-blade sword. This case report presents a unique instance of scimitar syndrome in Pakistan, emphasizing its clinical importance and the challenges of management. A 26-year-old female with a history of recurrent pulmonary infections and respiratory symptoms since childhood was diagnosed with scimitar syndrome. Radiological assessments, including chest X-rays, computed tomography pulmonary angiograms (CTPA), and transthoracic echocardiography, confirmed the presence of a curved vessel originating from the right hemidiaphragm and connecting with the inferior vena cava (IVC)...
February 2024: Curēus
https://read.qxmd.com/read/38463704/intraoperative-cardiac-arrest-during-liposuction-a-case-report
#22
JOURNAL ARTICLE
Lu Shu, Jian Zhou, Xue He
BACKGROUND: With the popularity of liposuction surgery, more awareness should be obtained regarding complications. Liposuction has been thought of as a safe procedure with a very low incidence of major complications. However, life-threatening risks of liposuction have rarely been reported. METHODS: We present a case of a 36-year-old woman who developed cardiac arrest during a liposuction procedure, and we present a literature review. RESULTS: She was previously healthy and had no risk factors for pulmonary embolism...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38457563/hybrid-surgery-of-vertebral-artery-transposition-combined-with-scallop-and-fenestration-technique-for-the-repair-of-type-b-aortic-dissection-patient-with-isolated-left-vertebral-artery-a-case-report
#23
JOURNAL ARTICLE
Shuxiong Ge, Zhongyou Xu, Jinlin Yan
RATIONALE: Acute type B aortic dissection (ABAD) is a fatal cardiovascular disease with high morbidity and mortality. Isolated left vertebral artery (ILVA) is a rare aortic arch mutation originating from the aortic arch. The simultaneous occurrence of both increases the complexity and difficulty of thoracic endovascular aortic repair. However, there have been few reports on the recommendation of thoracic endovascular aortic repair treatment strategies for aortic dissection patients concomitant ILVA with insufficient landing zone...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38455703/epipericardial-fat-necrosis-and-covid-19
#24
JOURNAL ARTICLE
Mohsin Haseeb, Abdullah Shafiq, Muhammad A Sheikh, Muhammad F Khan
BACKGROUND: Epipericardial fat necrosis (EFN) is a rare and self-limiting cause of acute chest pain. We describe a case of EFN in a patient with a recent coronavirus disease (COVID-19). CASE PRESENTATION: A 55-year-old male presented with a sudden onset of left-sided pleuritic chest pain for the past two days. The patient was diaphoretic, tachypneic, and tachycardic. Acute coronary syndrome was ruled out. A computed tomography (CT) pulmonary angiogram revealed an ovoid encapsulated fatty mass surrounded by dense appearing tissue...
2024: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/38451269/safety-and-efficacy-of-lvis-jr-stent-assisted-coiling-of-intracranial-aneurysms-in-small-diameter-parent-arteries-a%C3%A2-single-center-experience
#25
JOURNAL ARTICLE
Shuailong Shi, Shuhai Long, Fangfang Hui, Qi Tian, Zhuangzhuang Wei, Ji Ma, Jie Yang, Ye Wang, Xinwei Han, Tengfei Li
OBJECTIVE: To investigate the safety and efficacy of LVIS Jr stent-assisted coiling (SAC) of intracranial aneurysms (IAs) in small-diameter parent arteries and determine the factors influencing incomplete aneurysm occlusion. MATERIAL AND METHODS: Clinical and imaging data of 130 patients with IAs in small-diameter parent arteries that were treated with LVIS Jr SAC were retrospectively analyzed. Stent apposition was evaluated by high-resolution flat detector CT, and aneurysm embolization density was evaluated using 2D-DSA...
March 7, 2024: Clinical Neuroradiology
https://read.qxmd.com/read/38441514/development-and-validation-of-a-natural-language-processing-model-to-identify-low-risk-pulmonary-embolism-in-real-time-to-facilitate-safe-outpatient-management
#26
JOURNAL ARTICLE
Krunal D Amin, Elizabeth Hope Weissler, William Ratliff, Alexander E Sullivan, Tara A Holder, Cathleen Bury, Samuel Francis, Brent Jason Theiling, Bradley Hintze, Michael Gao, Marshall Nichols, Suresh Balu, William Schuyler Jones, Mark Sendak
STUDY OBJECTIVE: This study aimed to (1) develop and validate a natural language processing model to identify the presence of pulmonary embolism (PE) based on real-time radiology reports and (2) identify low-risk PE patients based on previously validated risk stratification scores using variables extracted from the electronic health record at the time of diagnosis. The combination of these approaches yielded an natural language processing-based clinical decision support tool that can identify patients presenting to the emergency department (ED) with low-risk PE as candidates for outpatient management...
March 2, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38425642/the-value-of-electrocardiography-in-predicting-inpatient-mortality-in-patients-with-acute-pulmonary-embolism-a-cross-sectional-analysis
#27
JOURNAL ARTICLE
Nishen Raghubeer, Sa'ad Lahri, Clint Hendrikse
INTRODUCTION: Pulmonary embolism (PE) is a significant global cause of mortality, ranking third after myocardial infarction and stroke. ECG findings may play a valuable role in the prognostication of patients with PE, with various ECG abnormalities proving to be reasonable predictors of haemodynamic decompensation, cardiogenic shock, and even mortality. This study aims to assess the value of electrocardiography in predicting inpatient mortality in patients with acute pulmonary embolism, as diagnosed with computed tomography pulmonary angiogram...
June 2024: African Journal of Emergency Medicine Revue
https://read.qxmd.com/read/38425603/separating-out-pulmonary-sequestration
#28
Linda H Pham, Yassine Hamdaoui, Ghazarian Zeron, Ahmed El-Bershawi, Ahmad Alazzeh
Pulmonary sequestration (PS) is a rare congenital anomaly that accounts for 1% to 6% of all pulmonary malformations at birth. It is characterized by a focal area of pulmonary tissue that does not have direct communication with the tracheobronchial tree and does not get blood supply from the pulmonary circulation. We present the case of a 28-year-old female with a history of recurrent pulmonary infections who was found to have intralobar sequestration and underwent curative surgical excision. Because pulmonary sequestration is commonly misdiagnosed, as it can mimic other conditions on chest X-rays, this case illustrates the importance of recognizing pulmonary sequestration as a separate entity and diagnosing/treating it appropriately...
January 2024: Curēus
https://read.qxmd.com/read/38422535/tough-balloon-with-a-vulnerable-shaft-an-unexpected-device-failure
#29
JOURNAL ARTICLE
Konstantinos C Theodoropoulos, Konstantinos Tsakiridis, Polychronis Vazakidis, George Kassimis, Antonios Ziakas
A 73-year-old man, with a previous long drug-eluting stent (DES) from the mid-portion of the left main stem artery (LMS) to proximal left anterior descending artery (LAD), underwent elective coronary angiogram due to worsening anginal symptoms and an abnormal myocardial perfusion single photon emission computed tomography (SPECT) showing ischemia in the LAD territory.
February 29, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38416035/denoising-multiphase-functional-cardiac-ct-angiography-using-deep-learning-and-synthetic-data
#30
JOURNAL ARTICLE
Veit Sandfort, Martin Willemink, Marina Codari, Domenico Mastrodicasa, Dominik Fleischmann
"Just Accepted" papers have undergone full peer review and have been accepted for publication in Radiology: Artificial Intelligence . This article will undergo copyediting, layout, and proof review before it is published in its final version. Please note that during production of the final copyedited article, errors may be discovered which could affect the content. Coronary CT angiography (CTA) is increasingly used for cardiac diagnosis. Dose modulation techniques can reduce radiation dose, but resulting functional images are noisy and challenging for functional analysis...
February 28, 2024: Radiology. Artificial intelligence
https://read.qxmd.com/read/38413475/superior-laryngeal-artery-originating-from-the-lingual-artery
#31
JOURNAL ARTICLE
Mugurel Constantin Rusu, Cătălin Constantin Dumitru, Alexandra Diana Vrapciu
In most cases, the superior laryngeal artery (SLA) branches from the superior thyroid artery, which, in turn, leaves the external carotid artery. Few dissection studies found previously that the SLA could originate from the lingual artery. We report here probably the first evidence of such a rare anatomical variation found unilaterally in a retrospectively evaluated by computed tomography angiography adult male case. The left SLA left a suprahyoid coil of the lingual artery and continued over the greater hyoid horn to enter the larynx through the thyrohyoid membrane...
February 27, 2024: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38404656/use-of-veno-venous-extracorporeal-membrane-oxygenation-for-stabilization-prior-to-redo-sternotomy-for-aortic-pseudoaneurysm-repair
#32
Anson Y Lee, Emily L Larson, Ifeanyi D Chinedozi, Jennifer S Lawton, Hamza Aziz
Background: Aortic pseudoaneurysms are particularly dangerous because of the risk of rupture and compression of mediastinal structures, including the trachea, and resultant respiratory distress. If respiratory distress progresses to respiratory failure, extracorporeal membrane oxygenation may be used to provide oxygenation prior to or during pseudoaneurysm repair. Case presentation: A 62-year-old male with a history of emergent aortic ascending and arch replacement for Stanford Type A dissection 10 months prior presented to his primary care physician with dyspnea...
January 3, 2024: Global Cardiology Science & Practice
https://read.qxmd.com/read/38399578/the-diversity-of-the-linguofacial-trunk
#33
JOURNAL ARTICLE
Cătălin Constantin Dumitru, Alexandra Diana Vrapciu, Mugurel Constantin Rusu
Background and Objectives : Typically, the external carotid artery (ECA) sends off separate anterior branches: the superior thyroid, lingual, and facial arteries. These could, however, form common trunks: thyrolinguofacial, linguofacial (LFT), or thyrolingual. Although known, the LFT variant was poorly detailed previously, and most authors just counted the variant. We aimed to demonstrate the individual anatomical possibilities of the LFT on a case-by-case basis. Materials and Methods : 150 archived angioCT files were used...
February 8, 2024: Medicina
https://read.qxmd.com/read/38399520/coronary-artery-occlusion-with-sharp-blood-pressure-drop-during-general-anesthesia-induction-a-case-report
#34
Jae Young Ji, Yong Han Seo, Ho Soon Jung, Hea Rim Chun, Jin Soo Park, Woo Jong Kim, Jae Min Ahn, Yu Jun Park, Ye Eun Shin, Chan Ho Park
Most anesthetics reduce cardiac functions and lower blood pressure (BP), potentially causing excessive BP reduction in dehydrated patients or those with heart conditions, such as coronary artery disease (CAD). Considering the increased prevalence of cardiovascular disease with age, anesthesiologists must be cautious about BP reduction during general anesthesia in older adults. In the present case, a 76-year-old male patient with undiagnosed CAD in a hypovolemic state experienced a significant drop in systolic BP to the fifties during propofol and sevoflurane anesthesia...
January 29, 2024: Medicina
https://read.qxmd.com/read/38396152/the-effect-of-arterial-spin-labeling-mr-angiography-asl-mra-in-visualizing-the-branches-of-external-carotid-artery
#35
JOURNAL ARTICLE
Akira Yogi, Junji Ito, Kazuki Ishikawa, Joichi Heianna, Satoshi Sakugawa, Narihisa Aguni, Makoto Obara, Hiroyuki Maeda, Akihiro Nishie
This study aimed to assess the performance of arterial-spin labeling MRA (ASL-MRA) for visualizing the external carotid artery (ECA) branches in comparison with time-of-flight MRA (TOF-MRA) and CT angiography (CTA). We retrospectively selected 31 consecutive patients, who underwent both MRAs and CTA, prior to the intra-arterial chemoradiotherapy (IACRT) for head and neck cancer. Four patients underwent IACRT bilaterally, so we analyzed 35 ECAs. Pseudo-continuous, three-dimensional ASL using a turbo field echo sequence was acquired...
February 24, 2024: Scientific Reports
https://read.qxmd.com/read/38390425/dual-ectopy-unique-appearance-of-ectopic-thyroid
#36
Liam du Preez, Francis Flaherty, Ragaa Elkabbani
A 67-year-old female underwent a computed tomography angiogram (CTA) of the head in the setting of acute, short-term memory loss. Two lobulated hyperattenuating lesions were incidentally discovered at the base of the tongue and the hyoid bone. Upon further investigation in the outpatient setting including further imaging and ultrasound-guided biopsy, the lesions were confirmed to be ectopic thyroid tissue with dual ectopy. Heterotopic tissue, especially when arising at separate sites, can be concerning for a broad differential diagnosis including malignancy, and further evaluation is certainly recommended...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38389425/utilization-and-reimbursement-of-diagnostic-cerebral-angiograms-a-medicare-trends-analysis-from-2013-to-2020
#37
JOURNAL ARTICLE
Avi A Gajjar, Michael M Covell, Najib Muhammad, Cathleen Kuo, Georgios S Sioutas, Mohamed M Salem, Sebastian Ivan Fras, Brian T Jankowitz, Jan-Karl Burkhardt, Visish M Srinivasan
INTRODUCTION: Increasing life expectancy has caused growing concern about maintaining viable neurointerventional practices due to altered Medicare payment structures. This study analyzes the financial trends of three common diagnostic tests for cerebrovascular disease: cerebral digital subtraction angiography (DSA), computed tomography angiography (CTA), and magnetic resonance angiography (MRA). METHODS: Medicare Part B National Summary Data files from 2013 to 2020 were queried by Current Procedural Terminology (CPT) codes for DSA (36221-36228), CTA (70496, 70498), and MRA (70544-70547, 70549)...
February 22, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38387650/nonaneurysmal-perimesencephalic-subarachnoid-hemorrhage-on-noncontrast-head-ct-an-accuracy-inter-rater-and-intra-rater-reliability-study
#38
JOURNAL ARTICLE
Anass Benomar, Jose Danilo B Diestro, Houssam Darabid, Karim Saydy, Lora Tzaneva, Jimmy Li, Eleyine Zarour, William Tanguay, Nohad El Sayed, Igor Gomes Padilha, Laurent Létourneau-Guillon, Céline Bard, Kristoff Nelson, Alain Weill, Daniel Roy, Johanna Eneling, William Boisseau, Thanh N Nguyen, Mohamad Abdalkader, Ahmed A Najjar, Ahmad Nehme, Émile Lemoine, Gregory Jacquin, David Bergeron, Tristan Brunette-Clément, Chiraz Chaalala, Michel W Bojanowski, Moujahed Labidi, Roland Jabre, Katrina H D Ignacio, Abdelsimar T Omar, David Volders, Adam A Dmytriw, Jean-François Hak, Géraud Forestier, Quentin Holay, Richard Olatunji, Ibrahim Alhabli, Lorena Nico, Jai J S Shankar, Adrien Guenego, Jose L R Pascual, Thomas R Marotta, Juan I Errázuriz, Amy W Lin, Aderaldo Costa Alves, Robert Fahed, Christine Hawkes, Hubert Lee, Elsa Magro, Lila Sheikhi, Tim E Darsaut, Jean Raymond
BACKGROUND AND PURPOSE: To evaluate the reliability and accuracy of nonaneurysmal perimesencephalic subarachnoid hemorrhage (NAPSAH) on Noncontrast Head CT (NCCT) between numerous raters. MATERIALS AND METHODS: 45 NCCT of adult patients with SAH who also had a catheter angiography (CA) were independently evaluated by 48 diverse raters; 45 raters performed a second assessment one month later. For each case, raters were asked: 1) whether they judged the bleeding pattern to be perimesencephalic; 2) whether there was blood anterior to brainstem; 3) complete filling of the anterior interhemispheric fissure (AIF); 4) extension to the lateral part of the sylvian fissure (LSF); 5) frank intraventricular hemorrhage; 6) whether in the hypothetical presence of a negative CT angiogram they would still recommend CA...
February 20, 2024: Journal of Neuroradiology. Journal de Neuroradiologie
https://read.qxmd.com/read/38358180/serpent-strikes-sapien-sways-a-rare-case-of-bilateral-cerebellar-infarct-following-viper-bite
#39
K M Srinath, Mahim Sethi, B Madhu, M C Prasad, Sunila B Sangappa
Ischemic stroke following snake bite is rare. We report a posterior circulation infarct involving bilateral cerebellum and occipital lobe following Russell's viper bite in a previously healthy individual. A 50 years old healthy individual, soon after being bitten by the Russel viper on the left foot he developed pain and swelling followed by drooping of eyelids, slurring of speech and giddiness with multiple episodes of vomiting. The patient was administered ASV as well as neostigmine and atropine injections...
2024: Annals of African Medicine
https://read.qxmd.com/read/38352816/idiopathic-bilateral-pulmonary-vein-thrombosis
#40
JOURNAL ARTICLE
Adeel Nasrullah, Muhammad Ibraiz Bilal, Khalid Malik, Briana DiSilvio, Tariq Cheema
UNLABELLED: A 52-year-old female with a history of chronic lymphoedema and untreated deep vein thrombosis, presented with non-specific right-sided chest pain. A CT angiogram confirmed bilateral inferior pulmonary vein thromboses (PVT). A comprehensive hypercoagulable workup and age-appropriate cancer screening were unremarkable; the lack of associated risk factors confirmed idiopathic PVT. The management strategy of systemic anticoagulation with apixaban and multidisciplinary follow-up underscores the treatment challenges of rare presentations...
2024: European Journal of Case Reports in Internal Medicine
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