Publications by authors named "A Wlderk"

Article Synopsis
  • - The study aimed to explore how acute kidney injury (AKI) affects 3-month mortality rates in patients with acute ischemic stroke who underwent mechanical thrombectomy (MT).
  • - After reviewing 3,314 studies, only 18 met the criteria for analysis, ultimately focusing on 3,229 patients, finding a pooled odds ratio for mortality at 3 months in AKI patients to be 5.8.
  • - Results indicated that AKI significantly increased mortality risk, with diabetes as a contributing factor, whereas younger age and less contrast media appeared to be protective factors.
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Aim: To investigate the optimum antiplatelet therapy regimen (APTR) for emergent carotid artery stenting following mechanical thrombectomy (MT) in stroke patients with tandem occlusion.

Methods: A literature search was performed on Pubmed/OVID/Cochran's CENTRAL database for studies from 2015 to 2022. Patient characteristics, antiplatelet regimen type, mTICI, 90 days-mRS, acute in-stent thrombosis (AIST), mortality, intracranial hemorrhage (ICH), and sample size were recorded.

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Background: Contrast media used in mechanical therapies for stroke and myocardial infarction represent a significant cause of acute kidney injury (AKI) in acute medical scenarios. Although the continuous saline infusion line (CSIL) is a standard procedure to prevent thrombus formation within the catheter during neurovascular interventions of mechanical thrombectomy (MT), it is not utilized in percutaneous coronary interventions (PCI).

Methods: A systematic review of the incidence of AKI after MT for stroke treatment was performed.

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Article Synopsis
  • Enteropathic spondyloarthritides (eSpAs) are joint diseases linked to inflammatory bowel disease, with significant underreporting of arthritis cases due to medication masking symptoms and delayed diagnoses.
  • In a study involving 190 eSpA patients, it was found that the median diagnostic delay was 48 months, with no notable difference between axial and peripheral types, though radiographic-axial SpA (r-axSpA) showed longer delays compared to non-radiographic cases.
  • Key factors influencing diagnostic delays include age, education level, disease duration, and the presence of specific radiographic features, with men experiencing more spinal damage and higher diagnostic delays than women.
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Purpose: To report a case of bilateral thalamic infarction (BTI) presenting as progressive thalamic dementia due to a midline tentorial dAVF (TdAVF) and to provide a systematic review of the literature.

Methods: We performed a systematic literature review of previously reported cases of bi-thalamic signal changes due to dAVF considering population characteristics, clinical presentation, imaging findings, treatments, and outcomes.

Results: We found 29 papers from 1985 until 2021 describing 35 cases of BTI dAVF-related.

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