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Preliminary experience of endovascular treatment of acute mesenteric occlusion in stable patients with acute type A aortic dissection.
J Thorac Dis
November 2024
Department of Cardiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Background: Patients presenting with Stanford type A aortic dissection complicated by acute occlusion of the superior mesenteric artery (SMA) exhibit an exceedingly high mortality rate, even if emergency surgery for ascending aorta repair is performed. consequently, appropriate management of acute SMA occlusion arising from acute Stanford type A aortic dissection is crucial. This study aimed to evaluate the safety and efficacy of endovascular treatment of acute mesenteric occlusion first in stable patients with acute type A aortic dissection.
View Article and Find Full Text PDFArticle Synopsis
- * Inflammation and iron overload following ischemia can lead to ferroptosis, a type of cell death, which worsens brain injury during the reperfusion phase.
- * Understanding the interplay between ferroptosis and neuroinflammation can help develop new therapies aimed at reducing brain injury after stroke.
Variations in the management of pediatric cerebral vasospasm.
J Neurosurg Pediatr
November 2024
1Monroe Carell Jr. Children's Hospital, Division of Pediatric Neurosurgery, Vanderbilt University Medical Center.
Objective: Pediatric cerebral vasospasm (PCV) is associated with aneurysmal subarachnoid hemorrhage (aSAH), but aSAH is uncommon in children. No universal guidelines exist for PCV management. The authors sought to assess variations in practice patterns in pediatric aSAH and PCV management.
View Article and Find Full Text PDFHyperacute thrombosis of a vertebral artery stent with a single missed dose of a P2Y12 inhibitor and poor stent wall apposition: illustrative case.
J Neurosurg Case Lessons
October 2024
Cooper Medical School of Rowan University, Camden, New Jersey.
Background: Iatrogenic vertebral artery injury during surgery can cause pseudoaneurysm, hemorrhage, thrombosis, ischemia, or death. Strategies to prevent cerebrovascular embolic complications include surgical ligation, endovascular stenting, and/or antiplatelet therapy.
Observations: A 73-year-old female with a known right vertebral artery occlusion underwent a C2-3 laminectomy, complicated by left vertebral artery injury and occlusion with subsequent posterior circulation ischemia.
Traumatic Aortic Disruption Index is Associated with Mortality and Urgency of Stent Grafting in Blunt Thoracic Aortic (Grade 3) Injuries.
Ann Vasc Surg
January 2025
Department of Surgery, University of New Mexico, Albquerque, NM.
Background: Delayed stent grafting for blunt thoracic aortic injuries (BTAIs) is current standard of care. However, given the heterogeneity of pseudoaneurysm presentations, it is currently unclear which severe BTAIs require more urgent intervention. We hypothesize that a Traumatic Aortic Disruption Index (TADI) calculation based on sagittal computed tomography angiography imaging measurements would correlate with urgency of stent grafting.
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