Publications by authors named "P Bhogal"
Background: The effect of temporary blood flow arrest during endovascular thrombectomy for acute ischemic stroke is uncertain due to the lack of evidence from randomized controlled trials. We aimed to investigate whether temporary blood flow arrest during endovascular thrombectomy using a balloon guide catheter improves intracranial vessel recanalization compared with nonflow arrest.
Methods: The ProFATE trial (Proximal Blood Flow Arrest During Endovascular Thrombectomy) was a multicenter, randomized, participant- and outcome-blinded trial at 4 thrombectomy centers in the United Kingdom.
Background: The efficacy and safety of endovascular thrombectomy (EVT) beyond 6 hours from stroke onset for patients with large vessel occlusion (LVO) selected without CT perfusion(CTP) or MR imaging(MRI) is undetermined. We conducted a systematic review and meta-analysis of the current literature comparing outcomes for late presenting patients with LVO treated by best medical management (BMM) with those selected for EVT based only on non-contrast CT(NCCT)/CT angiography(CTA) (without CTP or MRI).
Methods: PRISMA guidelines were employed.
Article Synopsis
- * A rare case is presented involving a 56-year-old man with paratesticular lesions, which were linked to an undescended testicle and an incidental nodule near the umbilicus.
- * After thorough medical examinations, he was diagnosed with a metastatic midgut neuroendocrine tumor, highlighting the complexity of such tumors and their varied presentations.
Article Synopsis
- * The review highlights various reasons for EVT underutilization, including challenges faced by healthcare providers, patients, and stakeholders in developing these services.
- * It emphasizes the need for implementation research, strategic partnerships, and advocacy efforts to address these challenges and improve access to EVT.
Endovascular treatment has become the standard therapy for cerebral aneurysms, while the effective treatment for middle cerebral artery (MCA) bifurcation aneurysms remains a challenge. Current flow-diverting techniques with endovascular coils cover the aneurysm orifice as well as adjacent vessel branches, which may lead to branch occlusion. Novel endovascular flow disruptors, such as the Contour device (Cerus Endovascular), are of great potential to eliminate the risk of branch occlusion.
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