Eric Larose,
Helena Tizon-Marcos,
Josep Rodés-Cabau,
Stéphane Rinfret,
Jean-Pierre Déry,
Can M Nguyen,
Onil Gleeton,
Jean-Rock Boudreault,
Louis Roy,
Bernard Noël,
Guy Proulx,
Jacques Rouleau,
Gérald Barbeau,
Robert De Larochellière and
Olivier F Bertrand
Abstract
We hypothesized that myocardial injury would be reduced in late STEMI by proximal embolic protection (PEP).
31 patients with first STEMI 12-24 hr after pain onset and TIMI 0-1 flow were treated with or without PEP (cohort design matched for age, gender, and infarct-related artery). Contrast-enhanced...
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PMID: 20506154
PDF is available here.
Abstract
Subclavian artery stenosis represents a relatively lower rate for upper extremity emboli source. Subclavian artery stenosis with thrombus localized distal to the stenosis was diagnosed on the arteriography of a patient who had a history of three previous brachial artery embolectomies. In this report...
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PMID: 21038132
PDF is available here.
Abstract
Many studies have demonstrated the value of echocardiography in the assessment of critically ill patients in the intensive care unit and emergency room settings, including more recently the use of focused echocardiography. This can be performed within the time frame allowed during the pulse check of...
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PMID: 20463464
PDF is available here.
Abstract
Power M-mode transcranial Doppler identifies a subgroup of patients with malignant MES. These signals are more frequent in longer arterial trajectory. Patients with malignant MES have larger baseline infarcts, a higher prevalence of intraluminal thrombus or ulcerated plaque in the carotid artery, an...
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PMID: 20185777
PDF is available here.
Abstract
Embolus trajectory through the cerebral arteries is dependent on embolus size and strongly favors the MCA for large emboli. The 70:30 ratio of MCA:anterior cerebral artery emboli observed by Doppler ultrasound is consistent with the trajectories of small emboli that tend to be asymptomatic....
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PMID: 20150542
PDF is available here.
Abstract
Primary percutaneous coronary intervention (PPCI) has been shown to be superior to thrombolysis in patients presenting with ST-segment elevation acute myocardial infarction (STEMI) in reducing death, stroke and re-infarction. However, bleeding and thrombotic complications can occur despite successfu...
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PMID: 20372760
PDF is available here.
Abstract
AZD0837 is an investigational oral anticoagulant which is converted to the active form, AR-H067637, a selective direct thrombin inhibitor. The present study, a multicentre, randomised, parallel-group, dose-guiding study, assessed the safety and tolerability of an immediate-release formulation of AZD...
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PMID: 20076850
PDF is available here.
Abstract
Common cause of stroke detected was infective meningitis (Tuberculosis and Bacterial). Predominant cause of haemorrhagic stroke was Hypertension. Stroke in young age occurred predominantly in males. Cardio embolism, pregnancyinduced hypertension and puerperal sepsis were other major causes....
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PMID: 20225778
PDF is available here.
Abstract
We used a nationally-representative cohort of community-based anticoagulation care in the United States. Data collected included indications for therapy, demographics, selected comorbid conditions, international normalised ratio (INR) target ranges, INR control, and clinical outcomes. We identified...
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PMID: 20024499
PDF is available here.
Abstract
The patient underwent anticoagulation therapy without removal of screw. After 2 weeks, the thrombus had disappeared. Subsequently, the pedicle screws were removed. At final follow-up, the patient complained of a grade 4/5 hemiparesis, facial nerve palsy, and hearing loss in his left ear. CONCLUSION:...
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PMID: 20081504
PDF is available here.
Abstract
In the literature there is no consensus how to treat a symptomatic floating aortic thrombus. This report shows that therapeutic strategies are influenced by the localisation of the thrombus, the co-morbidities of the patient and the physician' s preferences. Endovascular treatment in combination wit...
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PMID: 20690525
PDF is available here.
Abstract
We report an unusual presentation of cardiac papillary fibroelastoma of the aortic valve in a 62-year-old man. The fibroelastoma caused a left main coronary artery embolus and symptoms of acute coronary syndrome. The fibroelastoma was successfully excised during a valve-sparing surgical procedure. W...
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PMID: 20548825
PDF is available here.
Abstract
A 65 year old female patient was admitted with acute onset of severe intermittent claudication in the right lower extremity. Angiography revealed embolic material in the right femoral artery and peripheral arterial thrombosis in the right leg. She was treated with thrombolysis first, thereafter calc...
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PMID: 20087290
PDF is available here.
Abstract
Mesenteric ischemia in the elderly is an uncommon but often fatal disorder for which the prognosis depends entirely on the speed and accuracy of the diagnosis. A high index of suspicion is required as the early signs and symptoms, at a time when ischemic changes are reversible, are typically nonspec...
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PMID: 19699412
PDF is available here.
Abstract
Our review will highlight strategies for reverting patients back to NSR and then maintaining them in NSR, with emphasis on the recent updates, including the role of ablation in the management of atrial flutter....
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PMID: 19668035
PDF is available here.
Abstract
We report the case of a 38-year-old man who was initially hospitalized because of odontogenic cellulitis. Given the deterioration of his clinical state (septic shock and multiple organ failure), neck computed tomography was performed, revealing both cervical and parotid abscesses, and thrombosis of...
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PMID: 19300351
PDF is available here.
Abstract
Among 120 patients, 91 (75.8%) were with acute arterial embolism and 29 (24.2%) were with acute arterial thrombosis. Normal peripheral pulse on the contralateral limb was more commonly found in patients with acute arterial embolism than in patients with acute arterial thrombosis (71.4% vs. 31.0%, p...
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PMID: 19626806
PDF is available here.
Abstract
A 24-year-old male patient with anterior myocardial infarction, caused by embolization from mitral valve prosthesis due to inadequate anticoagulation is presented. The patient underwent cardiac catheterization within 90 minutes of arrival. Angiography showed total occlusion of the left anterior desc...
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PMID: 19534381
PDF is available here.
Abstract
We report a case and present images of a patient who died of sequelae after thrombus formation in the thoracic aorta as an exceedingly rare complication of IABP use....
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PMID: 19494416
PDF is available here.
Abstract
Provisional GP IIb/IIIa use in bivalirudin-treated patients is higher in contemporary non-emergent PCI practice than that seen in randomized trials and is associated with similar in-hospital ischemic events, but more frequent bleeding events. These data suggest that a strategy of bivalirudin monothe...
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PMID: 19494400
PDF is available here.
Abstract
Myocardial ischemia is one of the most extensively studied topics in modern cardiovascular research. Early investigators first reported experimental myocardial ischemia (EMI) in 1862. The open-chest (surgical) approach is a well-developed model of EMI that enables researchers to directly access and...
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PMID: 19384314
PDF is available here.
Abstract
We evaluated plasma levels of IL-1beta, TNF-alpha, IL-6 and IL-10, E-selectin, P-selectin, sICAM-1,sVCAM-1, vWF, TPA and PAI-1. Patients with ischaemic stroke classified as cardio-embolic (CEI) showed, compared to other subtypes, significantly higher median plasma levels of TNF-alpha , IL-6 and IL-1...
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PMID: 19404547
PDF is available here.
Abstract
We present the case of a 34-year-old female with severe aortic regurgitation and highly symptomatic paroxysmal AF. Acute embolic MI occurred 4 days after DC cardioversion of AF, although there was no left atrial thrombus detected before this procedure. Insufficient anticoagulation therapy during the...
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PMID: 19299222
PDF is available here.
Abstract
We evaluated all cases with the diagnosis of arterial dissection submitted between 1996 and 2005 to the Schlichtungsstelle für Arzthaftpflichtfragen der Norddeutschen Arztekammern for assessment of the accusations brought against the therapists who conducted the manipulation. Neither in the 7 car...
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PMID: 19221970
PDF is available here.
Abstract
We describe a 39 year-old man admitted to hospital presenting with left hemiparesis and a peripheral embolism. He had no history of thrombotic events. Transthoracic echocardiography showed a large, polypoid and mobile mass (4.0 x 1.2 cm) attached to the apex of the left ventricle, highly suggestive...
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PMID: 19950093
PDF is available here.
Abstract
In a recent systematic review, de Gregorio et al. reported that left ventricular thrombus formation and subsequent cardioembolism in patients with tako-tsubo cardiomyopathy are rare but well-defined complications that can be efficaciously treated with anticoagulant therapy. These data underline the...
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PMID: 19145113
PDF is available here.
Abstract
A total of 74 patients were treated for supra-aortic aneurysms. Of all aneurysms treated, 63% were degenerative, 24% iatrogenic, 8% traumatic, 3% genetic, and 1% mycotic. The subclavian artery was most commonly affected (50%, 2/3 in the right side), followed by the common carotid (36%), internal car...
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PMID: 19174249
PDF is available here.
Abstract
The blue (or purple) toe syndrome consists of the development of blue or violaceous discoloration of one or more toes in the absence of obvious trauma, serious cold-induced injury, or disorders producing generalized cyanosis. The major general categories are: (1) decreased arterial flow, (2) impaire...
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PMID: 19103358
PDF is available here.
Abstract
Atheroembolic renal disease can be defined as renal failure due to occlusion of the renal arterioles by cholesterol crystal emboli usually dislodged from ulcerated atherosclerotic plaques of the aorta. Atheroembolic renal disease is part of multisystem disease, since the embolization usually involve...
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PMID: 19382074
PDF is available here.
Abstract
We discuss the diagnosis of cutaneous vasculitis (CV) and the pitfalls related to the cutaneous pathology. We also describe the essential features of the major categories of skin vasculitis....
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PMID: 19646358
PDF is available here.
Abstract
Thrombus aspiration was effective in 58 patients (83%) and resulted in a marked reduction of TIMI-thrombus score 4/5 (40% pre- versus 7% postthrombus aspiration) and increase of the rate of TIMI-flow 3 (36% pre- versus 66% postthrombus aspiration). The incidence of myocardial blush grade 2 and 3 wer...
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PMID: 19021272
PDF is available here.
Abstract
Acute mesenteric ischaemia is a catastrophic abdominal emergency with an extremely high mortality rate. This article discusses the aetiology, diagnosis and treatment of acute mesenteric ischaemia with emphasis on avoidance of common errors that contribute to the poor outcome inherent to this conditi...
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PMID: 19186606
PDF is available here.
Abstract
We report the case of recurrent peripheral arterial embolism caused by a mobile thrombus of the descending aorta, which was successfully treated by implanting an endovascular stent graft. DISCUSSION: Our case demonstrates, that endovascular stent graft placement is feasible and can be performed as a...
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PMID: 18722794
PDF is available here.
Abstract
The first patient was a 3-year-old girl diagnosed with stage IV Wilms' tumor. Treatment was started with the introduction of a totally implantable catheter through the subclavian vein. At the time of removal, it was realized that the catheter had fractured inside the heart. An endovascular procedure...
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PMID: 19274324
PDF is available here.
Abstract
A 62-year-old woman was admitted because of sudden onset of increasingly severe pain in the left lower leg and foot. She also reported having had diarrhoea for the past few days. INVESTIGATIONS:Physical examination revealed a cold and pale left leg below the knee joint. Peripheral sensory and motor...
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PMID: 18798131
PDF is available here.
Abstract
Our data indicated that postmortem measurements of NT-proBNP are reliable and compatible with clinical findings....
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PMID: 18553094
PDF is available here.
Marco De Carlo,
David A Wood,
John G Webb,
Ulrich Gerckens,
Bernardo Cortese,
Eberhard Grube,
G B John Mancini,
Mitch W Krucoff,
Colleen McQueen Rn,
Tom Goff,
Anna S Petronio and
Jaap N Hamburger
Abstract
This international multicenter registry demonstrates that the adjunctive use of Rinspiration during primary PCI is safe and feasible. The excellent STR data compare favorably with results of previous trials using different devices for thrombus management, indicating a potential clinical benefit.
(c)...
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PMID: 18655122
PDF is available here.
Abstract
Percutaneous closure of PFO is a feasible procedure, but it is not a risk-free technique. However, in correctly selected patients (ie, large PFO and those at risk for neurologic relapse), nearly complete PFO closure seems to provide protection from future neurologic ischaemic events at midterm follo...
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PMID: 18657668
PDF is available here.
Abstract
We report a 36-year-old man who admitted due to brain infarctions of the pons and cerebellum. He had a history of brain infarction 4 years ago. Chest radiograph and enhanced CT showed an abnormal shadow in the superior mediastinum. Chest enhanced CT showed dilated right and persistent left superior...
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PMID: 18717183
PDF is available here.
Abstract
We present a case of successful percutaneous closure of a LV false aneurysm in a patient at high operative risk who suffered cardioembolic stroke related to thrombus within the aneurysm. The primary aim of treatment was to prevent recurrent embolic event....
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PMID: 17851128
PDF is available here.
Abstract
PVTT occurred more commonly in the younger (< 50 years old), and those with high level of GGT, segment location of S3 and microvascular invasion....
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PMID: 18953925
PDF is available here.
Abstract
Renal artery embolism was first described in 1940, but it is only recently becoming recognized as a clinically significant entity. Although relatively uncommon, it is clearly responsible for considerable morbidity in patients who experience it. The pathogenesis is typically related to cardiac thromb...
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PMID: 18224377
PDF is available here.
Abstract
Distal thrombus embolization during primary percutaneous coronary intervention occurs frequently and is associated with compromised long term outcomes. Apart from pharmacological agents, great interest has recently been shown in various mechanical devices aimed at either reducing the amount of throm...
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PMID: 18398237
PDF is available here.
Abstract
A 66-year-old man with thoracic and abdominal aortic aneurysm suffered from microembolism in the lower extremities after total arch replacement. He presented with livedo reticularis with palpable peripheral pulses, and the serum creatinine kinase level elevated up to 7,695. The abdominal aortic aneu...
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PMID: 18414354
PDF is available here.
Abstract
With the advent of new imaging techniques, the aorta has been increasingly identified as a source of arterial embolism. The majority of thrombi occur in aneurysms or are adherent to atherosclerotic lesions in the abdominal aorta. Thrombi in the thoracic aorta are much less common, particularly in ap...
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PMID: 18364189
PDF is available here.
Abstract
We herein present the first case report of successful treatment of symptomatic mobile/ulcerated thrombi of the thoracic and abdominal aorta using staged endovascular stent graft repair. Successful treatment of the thoracic component with a thoracic aortic graft (TAG, Gore-Tex, W. L. Gore & Assoc., F...
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PMID: 18178473
PDF is available here.
Abstract
We describe a 42-year-old male who suffered two acute ischaemic attacks, one in the upper right limb and another in the cerebral territory supplied by the left sylvian artery, from a thrombus that developed in a bicuspid and stenotic aortic valve. The diagnosis was made with transthoracic and transo...
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PMID: 18267923
PDF is available here.