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Mediastinal and thoracic hematoma following transradial cerebral angiography: a case report.
BMC Neurol
October 2024
Department of Neurology, Meizhou People's Hospital, 63, Huangtang Road, Meijiang District, Meizhou City, Guangdong Province, 514031, China.
Background: Cerebral angiography through the transradial approach (TRA) is associated with a low risk of complications, but in rare cases, these complications can be life-threatening.
Case Presentation: A 56-year-old female patient was admitted for transradial cerebral angiography due to the complaint of right limb weakness and the diagnosis of cerebral infarction and cerebral artery stenosis. During the procedure, the patient coughed with expectoration and complained of throat discomfort, palpitations, and pains in the right shoulder and back.
Staged cerebral and brachiocephalic bypass in a patient with MCA and brachiocephalic steno-occlusion.
Neuroradiol J
August 2024
Department of Neurology, Lenox Hill Hospital, New York, NY, USA.
Brachiocephalic steal is a rare phenomenon that may lead to hemodynamic abnormalities in the ipsilateral vertebral and carotid arteries. Current treatment includes management of vascular risk factors, endovascular stenting, and surgical management depending on the severity of symptoms. We describe a patient with multiple vascular risk factors who presented with mild neurological symptoms and chronic right arm weakness associated with concurrent brachiocephalic steal and right MCA M1 stenosis on neuroimaging.
View Article and Find Full Text PDF[Pathological tortuosity of intracranial arteries (pure arterial malformation) - diagnosis and management tactics].
Zh Vopr Neirokhir Im N N Burdenko
April 2024
Burdenko Neurosurgical Center, Moscow, Russia.
Background: Tortuosity of intracranial arteries is rare and usually mistaken for arteriovenous malformations. In the world literature, the term «pure arterial malformations» is used to refer to this disease.
Objective: To summarize the experience of the Burdenko Neurosurgery Center on diagnosis of intracranial artery tortuosity, management and treatment of these patients, as well as to review appropriate literature data.
Neuro-Interventional Diagnosis and Treatment Using the Right Transradial Approach in Patients with Aberrant Right Subclavian Artery.
World Neurosurg
May 2024
Department of Neurology, Huangpi District People's Hospital affiliated to Jianghan University, Wuhan, P.R. China.
Objective: To assess the effectiveness and safety of neurological interventions using the right transradial approach (R-TRA) in patients with aberrant right subclavian artery (ARSA).
Methods: We retrospectively analyzed cases that underwent cerebral angiography and interventions at Huangpi District People's Hospital from January 2023 to July 2023. Out of 335 cases, 5 patients with ARSA were identified.
Focused view CT angiography for selective visualization of stroke related arteries: technical feasibility.
Eur Radiol
December 2023
Medical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Objectives: This study investigated the technical feasibility of focused view CTA for the selective visualization of stroke related arteries.
Methods: A total of 141 CTA examinations for acute ischemic stroke evaluation were divided into a set of 100 cases to train a deep learning algorithm (dubbed "focused view CTA") that selectively extracts brain (including intracranial arteries) and extracranial arteries, and a test set of 41 cases. The visibility of anatomic structures at focused view and unmodified CTA was assessed using the following scoring system: 5 = completely visible, diagnostically sufficient; 4 = nearly completely visible, diagnostically sufficient; 3 = incompletely visible, barely diagnostically sufficient; 2 = hardly visible, diagnostically insufficient; 1 = not visible, diagnostically insufficient.
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