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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238694 | PMC |
| http://dx.doi.org/10.1007/s00392-021-01871-6 | DOI Listing |
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An Alternative Rescue Procedure for Neuroform Atlas® Withdrawal During Deployment: A Report of Two Cases.
Cureus
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General Internal Medicine, Nagareyama Central Hospital, Chiba, JPN.
Neuroform Atlas (NFA; Stryker Neurovascular, Fremont, CA, USA) is a useful and safe device for the treatment of broad-necked and unruptured cerebral aneurysms. Rarely does a proximal shift of both the stent and delivery catheter occur during deployment, and it can be complex to treat. We present two cases in which an NFA that had migrated proximally during deployment was successfully retrieved.
View Article and Find Full Text PDFAn Eye on the First Surgical Side: Appreciating the Potential Impacts of a Second DBS Lead on Ipsilateral Symptoms.
Tremor Other Hyperkinet Mov (N Y)
July 2024
Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, Florida, USA.
Clinical Vignette: A 63-year-old man with severe essential tremor underwent staged bilateral ventralis intermedius (Vim) deep brain stimulation (DBS). Left Vim DBS resulted in improved right upper extremity tremor control. Months later, the addition of right Vim DBS to the other brain hemisphere was associated with acute worsening of the right upper extremity tremor.
View Article and Find Full Text PDFEndless loop tachycardia among patients with devices having advanced preventive algorithms: A case series and brief review.
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September 2024
Department of Cardiology, RTIICS, Kolkata, India.
Article Synopsis
- Endless loop tachycardia (ELT) is a frequent issue in patients with implanted cardiac devices and can cause serious symptoms despite preventive measures.
- * A study analyzed 20 cases of sustained ELT from 4,520 device checkups over four years, finding it usually benign but occasionally harmful, particularly in patients with left ventricular dysfunction.
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Practical Guidance for Hemodynamic Assessment by Right Heart Catheterization in Management of Heart Failure.
JACC Heart Fail
July 2024
Division of Cardiology, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA.
Heart failure is a clinical syndrome characterized by the inability of the heart to meet the circulatory demands of the body without requiring an increase in intracardiac pressures at rest or with exertion. Hemodynamic parameters can be measured via right heart catheterization, which has an integral role in the full spectrum of heart failure: from ambulatory patients to those in cardiogenic shock, as well as patients being considered for left ventricular device therapy and heart transplantation. Hemodynamic data are critical for prompt recognition of clinical deterioration, assessment of prognosis, and guidance of treatment decisions.
View Article and Find Full Text PDFElectrical Storm/Refractory Ventricular Tachycardia.
J Educ Teach Emerg Med
April 2024
Creighton University School of Medicine Phoenix Program, Valleyhealth Medical Center, Department of Emergency Medicine, Phoenix, AZ.
Audience: This simulation case was created for emergency medicine (EM) residents at all levels of training.
Background: Cardiac electrical storm (ES) is commonly defined as three or more episodes of sustained ventricular tachycardia, ventricular fibrillation, or three shocks from an implantable defibrillator within a 24 hour period.1 This can occur in up to 30-40% of patients with implantable defibrillators; however, it may also present in a wide variety of patients, including those with structural heart disease, myocardial infarction, electrolyte disturbances, and channelopathies.
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