Neurointervention最新文献

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Recent Issues in Medical Journal Publishing and Editing Policies: Adoption of Artificial Intelligence, Preprints, Open Peer Review, Model Text Recycling Policies, Best Practice in Scholarly Publishing 4th Version, and Country Names in Titles. 医学期刊出版和编辑政策的最新问题:采用人工智能,预印本,开放同行评审,模型文本回收政策,学术出版第四版的最佳实践,以及标题中的国家名称。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00493
Sun Huh
{"title":"Recent Issues in Medical Journal Publishing and Editing Policies: Adoption of Artificial Intelligence, Preprints, Open Peer Review, Model Text Recycling Policies, Best Practice in Scholarly Publishing 4th Version, and Country Names in Titles.","authors":"Sun Huh","doi":"10.5469/neuroint.2022.00493","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00493","url":null,"abstract":"<p><p>In Korea, many editors of medical journal are also publishers; therefore, they need to not only manage peer review, but also understand current trends and policies in journal publishing and editing. This article aims to highlight some of these policies with examples. First, the use of artificial intelligence tools in journal publishing has increased, including for manuscript editing and plagiarism detection. Second, preprint publications, which have not been peer-reviewed, are becoming more common. During the COVID-19 pandemic, medical journals have been more willing to accept preprints to adjust rapidly changing pandemic health issues, leading to a significant increase in their use. Third, open peer review with reviewer comments is becoming more widespread, including the mandatory publication of peer-reviewed manuscripts with comments. Fourth, model text recycling policies provide guidelines for researchers and editors on how to appropriately recycle text, for example, in the background section of the Introduction or the Methods section. Fifth, journals should take into account the recently updated 4th version of the Principles of Transparency and Best Practice in Scholarly Publishing, released in 2022. This version includes more detailed guidelines on journal websites, peer review processes, advisory boards, and author fees. Finally, it recommends that titles of human studies include country names to clarify the cultural context of the research. Each editor must decide whether to adopt these six policies for their journals. Editor-publishers of society journals are encouraged to familiarize themselves with these policies so that they can implement them in their journals as appropriate.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"2-8"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/c9/neuroint-2022-00493.PMC9986353.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Novel Superior Cerebellar Artery Aneurysm Coming from a Superior Cerebellar Artery-Posterior Cerebral Artery Anastomotic Branch. 来自小脑上动脉-大脑后动脉吻合支的新型小脑上动脉动脉瘤。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00486
Anthony V Nguyen, Ethan A Benardete
{"title":"Novel Superior Cerebellar Artery Aneurysm Coming from a Superior Cerebellar Artery-Posterior Cerebral Artery Anastomotic Branch.","authors":"Anthony V Nguyen,&nbsp;Ethan A Benardete","doi":"10.5469/neuroint.2022.00486","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00486","url":null,"abstract":"<p><p>A middle-aged patient presented with subarachnoid hemorrhage and was found to have a ruptured superior cerebellar artery (SCA) aneurysm arising from the origin of a rare anastomotic branch between the right SCA and right posterior cerebral artery (PCA). The aneurysm was secured by transradial coil embolization, and the patient made a good functional recovery. This case demonstrates an aneurysm arising from an anastomotic branch between the SCA and PCA, which may represent a remnant of a persistent primordial hindbrain channel. Although variations in basilar artery branches are common, aneurysms rarely can form at the site of seldom- seen anastomoses between the branches of the posterior circulation. The complex embryology of these vessels, which includes anastomoses and the involution of primitive arteries, may have contributed to the development of this aneurysm arising from an SCA-PCA anastomotic branch.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"63-66"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/07/neuroint-2022-00486.PMC9986355.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10848492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AXS Vecta 0.071-0.074 Inch Aspiration Catheters for Mechanical Thrombectomy: Case Series and Literature Review. 用于机械取栓的AXS Vecta 0.071-0.074英寸抽吸导管:病例系列和文献综述。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00283
Fabio Settecase, Warren T Kim, Joey D English
{"title":"AXS Vecta 0.071-0.074 Inch Aspiration Catheters for Mechanical Thrombectomy: Case Series and Literature Review.","authors":"Fabio Settecase,&nbsp;Warren T Kim,&nbsp;Joey D English","doi":"10.5469/neuroint.2022.00283","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00283","url":null,"abstract":"<p><p>Aspiration catheters are widely used for thrombectomy either alone or in combination with a stent-retriever, with a distal inner diameter and trackability keys to their success. In an illustrative case series, we report our clinical experience with AXS Vecta (Stryker Neurovascular, Fremont, CA, USA), available in both 0.071-inch and 0.074-inch distal inner diameters, including the first 2 Vecta 74 cases reported. A literature review on AXS Vecta is also provided. In our series, 9 thrombectomies were performed (Vecta 71: 2 M1, 5 M2 occlusions; Vecta 74: 1 M1 and 1 ICA-terminus occlusion). The AXS Vecta was successfully delivered to the target site in all cases. In 7 of 9 cases, the catheter was delivered over a Tenzing 7 delivery catheter (Route 92 Medical, San Mateo, CA, USA). For 2 of 9 combination approach cases, Vecta was delivered using the stent-retriever wire as a rail. The median improvement in NIHSS score during hospitalization was 9 (IQR 5-12). Successful mTICI 2C or 3 recanalization was achieved in 8 of 9 (89%) patients after a median 2 (IQR 1-2) passes. Our median groin-to-reperfusion time was 23 (IQR 12.5-32) minutes, with no procedural complications. Two previous clinical studies of a total of 29 patients treated with Vecta 71 reported successful mTICI 2b-3 recanalization in 89-90% of cases. The Median groin-to-reperfusion time was 30 minutes. Complications were seen in 2 of 29 (6.9%) cases (vessel perforation and/or intracerebral hemorrhage). These data support the efficacy, deliverability, and safety of AXS Vecta for mechanical thrombectomy.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"47-57"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/6f/neuroint-2022-00283.PMC9986352.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10850098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Carotid Artery Stenting for Asymptomatic Carotid Stenosis: What We Need to Know for Treatment Decision. 无症状颈动脉狭窄的颈动脉支架植入术:我们需要知道的治疗决策。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2023.00031
Jang-Hyun Baek
{"title":"Carotid Artery Stenting for Asymptomatic Carotid Stenosis: What We Need to Know for Treatment Decision.","authors":"Jang-Hyun Baek","doi":"10.5469/neuroint.2023.00031","DOIUrl":"https://doi.org/10.5469/neuroint.2023.00031","url":null,"abstract":"<p><p>A clinical decision on the treatment of asymptomatic carotid stenosis is challenging, unlike symptomatic carotid stenosis. Carotid artery stenting (CAS) has been recommended as an alternative to carotid endarterectomy (CEA) based on the finding that the efficacy and safety of CAS were comparable to CEA in randomized trials. However, in some countries, CAS is often performed more frequently than CEA for asymptomatic carotid stenosis. Moreover, it has been recently reported that CAS is not superior to the best medical treatment in asymptomatic carotid stenosis. Due to these recent changes, the role of CAS in asymptomatic carotid stenosis should be revisited. When determining the treatment for asymptomatic carotid stenosis, one should consider several clinical factors including stenosis degree, patient life expectancy, stroke risk by medical treatment, availability of a vascular surgeon, high risk for CEA or CAS, and insurance coverage. This review aimed to present and pragmatically organize the information that is necessary for a clinical decision on CAS in asymptomatic carotid stenosis. In conclusion, although the traditional benefit of CAS is being revisited recently, it seems too early to conclude that CAS is no longer beneficial under intense and systemic medical treatment. Instead, a treatment strategy with CAS should evolve to select eligible or medically high-risk patients more precisely.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"9-22"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/e0/neuroint-2023-00031.PMC9986346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Strong Contrast Stagnation of Unilateral Vertebral Artery on Three-Dimensional Black Blood-Enhanced MRI Predicts Acute Medulla Infarction. 三维黑血增强MRI显示单侧椎动脉强对比停滞预示急性髓质梗死。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2023.00017
Seong Min Cho, Suh Yeon Park, Hyo Sung Kwak, Seung Bae Hwang
{"title":"Strong Contrast Stagnation of Unilateral Vertebral Artery on Three-Dimensional Black Blood-Enhanced MRI Predicts Acute Medulla Infarction.","authors":"Seong Min Cho,&nbsp;Suh Yeon Park,&nbsp;Hyo Sung Kwak,&nbsp;Seung Bae Hwang","doi":"10.5469/neuroint.2023.00017","DOIUrl":"https://doi.org/10.5469/neuroint.2023.00017","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate angiographic and contrast enhancement (CE) patterns on three-dimensional (3D) black blood (BB) contrast-enhanced MRI in patients with acute medulla infarction.</p><p><strong>Materials and methods: </strong>From January 2020 to August 2021, we retrospectively analyzed stroke 3D BB contrast-enhanced magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) findings of patients visiting the emergency room for symptom evaluation of acute medulla infarction. In total, 28 patients with acute medulla infarction were enrolled in this study. Four types of 3D BB contrast-enhanced MRI and MRA were classified as follows: 1=unilateral contrast-enhanced vertebral artery (VA)+no visualization of VA on MRA; 2=unilateral enhanced VA+hypoplastic VA; 3=no enhanced VA+unilateral complete occlusion of VA; 4=no enhanced VA+normal VA (including hypoplasia) on MRA.</p><p><strong>Results: </strong>Of the 28 patients with acute medulla infarction, 7 (25.0%) showed delayed positive findings after 24 hours on diffusion-weighted imaging (DWI). Of these patients, 19 (67.9%) showed CE of the unilateral VA on 3D BB contrast-enhanced MRI (type 1 and 2). Of the 19 patients with CE of VA on 3D BB contrast-enhanced MRI, 18 showed no visualization of enhanced VA on MRA (type 1), and 1 showed hypoplastic VA. Of the 7 patients with delayed positive findings on DWI, 5 showed CE of the unilateral VA and no visualization of the enhanced VA on MRA (type 1). Symptom onset to door time or initial MR check time was significantly shorter in the groups with delayed positive findings on DWI (P<0.05).</p><p><strong>Conclusion: </strong>Unilateral CE on 3D BB contrast-enhanced MRI and no visualization of the VA on MRA are related to the recent occlusion of the distal VA. These findings suggest that the recent occlusion of the distal VA is related to acute medulla infarction, including delayed visualization on DWI.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/04/neuroint-2023-00017.PMC9986345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thanks to the Reviewers of the Neurointervention. 感谢《神经干预》的审稿人。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00472
Sang Hyun Suh
{"title":"Thanks to the Reviewers of the Neurointervention.","authors":"Sang Hyun Suh","doi":"10.5469/neuroint.2022.00472","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00472","url":null,"abstract":"","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10794538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fully Reversible Contrast-Induced Encephalopathy Mimicking Stroke after Flow Diverter Treatment of Carotid Cave Aneurysm. 颈动脉腔动脉瘤分流治疗后完全可逆的造影剂诱导的模拟卒中脑病。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00353
Elie Diamandis, Vanessa M Swiatek, Daniel Behme
{"title":"Fully Reversible Contrast-Induced Encephalopathy Mimicking Stroke after Flow Diverter Treatment of Carotid Cave Aneurysm.","authors":"Elie Diamandis,&nbsp;Vanessa M Swiatek,&nbsp;Daniel Behme","doi":"10.5469/neuroint.2022.00353","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00353","url":null,"abstract":"<p><p>Contrast-induced encephalopathy (CIE) is a rare complication of coronary and neurointerventional procedures. The condition is believed to arise from endothelial damage secondary to exposure to iodinated contrast media. A wide spectrum of clinical manifestations has been reported including seizures, cortical blindness, and focal neurological deficits. This report details the case of fully reversible CIE mimicking severe anterior circulation stroke in a 55-year-old female following elective endovascular treatment with a flow diverter of a carotid cave aneurysm. The patient was managed conservatively with intravenous hydration and steroids and showed an excellent prognosis with supportive management.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/2d/neuroint-2022-00353.PMC9986354.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9417547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Fracture of a Flow Diverter in the Cervical Internal Carotid Artery Due to Eagle Syndrome. 鹰综合征导致颈内颈动脉血流分流器骨折。
Neurointervention Pub Date : 2023-03-01 DOI: 10.5469/neuroint.2022.00409
Johannes A R Pfaff, Friedrich Weymayr, Monika Killer-Oberpflazer
{"title":"Fracture of a Flow Diverter in the Cervical Internal Carotid Artery Due to Eagle Syndrome.","authors":"Johannes A R Pfaff,&nbsp;Friedrich Weymayr,&nbsp;Monika Killer-Oberpflazer","doi":"10.5469/neuroint.2022.00409","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00409","url":null,"abstract":"<p><p>In Eagle syndrome, elongated styloid processes may provoke internal carotid dissection and pseudoaneurysm causing stroke and data regarding possible complications or long-term results of pseudoaneurysm treatment using a flow diverter are limited. We report a case of a dissection-related pseudoaneurysm in the left cervical carotid artery treated by implantation of a flow diverter. Follow-up imaging of the flow diverter showed fracture of a continuous radiopaque marker at 3 months and fracture of a second continuous radiopaque marker at 7 months, while contrasting of the vessel was preserved. At the time of angiographic control (8 months after implantation), the flow diverter and the extracranial left internal carotid artery were occluded, and the patient did not experience any symptoms throughout the period.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"18 1","pages":"72-75"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/e8/neuroint-2022-00409.PMC9986348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
PHIL and Squid Embolization of Cerebral Arteriovenous Malformation: A Retrospective Case Series of 23 Patients. PHIL和Squid栓塞治疗脑动静脉畸形:23例回顾性病例。
Neurointervention Pub Date : 2022-11-01 Epub Date: 2022-08-30 DOI: 10.5469/neuroint.2022.00199
Eric Yuk Hong Cheung, Rebecca Yuen Ting Ng, Simon Chun Ho Yu, James Tin Fong Zhuang, George Kwok Chu Wong
{"title":"PHIL and Squid Embolization of Cerebral Arteriovenous Malformation: A Retrospective Case Series of 23 Patients.","authors":"Eric Yuk Hong Cheung,&nbsp;Rebecca Yuen Ting Ng,&nbsp;Simon Chun Ho Yu,&nbsp;James Tin Fong Zhuang,&nbsp;George Kwok Chu Wong","doi":"10.5469/neuroint.2022.00199","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00199","url":null,"abstract":"<p><p>Precipitating hydrophobic injectable liquid (PHIL; MicroVention, Aliso Viejo, CA, USA) and Squid (Balt, Irvine, CA, USA) are 2 newer liquid embolic agents used in endovascular embolization of cerebral arteriovenous malformation (AVM). This study aims to investigate and compare the effectiveness and safety profile of the 2 newer liquid embolic agents in the embolization of cerebral AVM. This is a retrospective study on all patients diagnosed with cerebral AVM undergoing endovascular embolization with liquid embolic agents PHIL and Squid admitted to the Division of Neurosurgery, Department of Surgery in Prince of Wales Hospital from January 2014 to June 2021. Twenty-three patients with cerebral AVM were treated with 34 sessions of endovascular embolization with either PHIL or Squid (17 sessions each) liquid embolic agents with a male to female ratio of 2.3:1 (male 16; female 7) and mean age of 44.6 (range, 12 to 67). The mean total nidus obliteration rate per session was 57% (range, 5% to 100%). Twenty-one patients (91.3%) received further embolization, stereotactic radiosurgery, or surgical excision after initial endovascular embolization. There were 2 morbidities (1 neurological and 1 non-neurological, 6%) and no mortalities (0%). All patients had static or improvement in modified Rankin Scale at 3 to 6 months at discharge. PHIL and Squid are effective and safe liquid embolic agents for endovascular embolization of cerebral AVM, achieving satisfactory nidal obliteration rates and patient functional outcomes.</p>","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":"17 3","pages":"174-182"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/ba/neuroint-2022-00199.PMC9626609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33448237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Intracranial Artery Stenosis in Young Men Related to Habitual Periodic Cigarette Smoking in a Closed Space: Could It Be a New Syndrome? 年轻男性颅内动脉狭窄与在封闭空间习惯性周期性吸烟有关:这可能是一种新的综合征吗?
Neurointervention Pub Date : 2022-11-01 Epub Date: 2022-07-27 DOI: 10.5469/neuroint.2022.00290
Dae Chul Suh
{"title":"Intracranial Artery Stenosis in Young Men Related to Habitual Periodic Cigarette Smoking in a Closed Space: Could It Be a New Syndrome?","authors":"Dae Chul Suh","doi":"10.5469/neuroint.2022.00290","DOIUrl":"https://doi.org/10.5469/neuroint.2022.00290","url":null,"abstract":"Cerebrovascular disease (stroke) is decreasing in tendency and is the 4th leading cause of death in 2020 in Korea, after cancer, cardiac disease, and pneumonia, which are all increasing in tendency. Racial differences between Asians and Caucasians have been suggested to explain the distribution of cerebral atherosclerosis. Angiographic and autopsy studies in stroke patients have shown that Asians tend to have more intracranial vascular occlusions, whereas whites tend to have more extracranial lesions. This difference tends to be more definite and statistically significant when a single severe stenosis is present. Cigarette smoking (CS) is a major risk factor for cerebral atherosclerotic disease. Intracranial atherosclerotic stenosis is thought to be more prevalent among young smokers with angiographically-confirmed symptomatic severe atherosclerotic stenosis. The overall smoking rate in Korea was 20.6% in 2020 and has continuously decreased in tendency year by year. Males showed a much higher rate of 34.0% than females (6.6%) in 2020. Younger males with 19–49 years of age showed a higher smoking rate, revealing that the forties showed the highest smoking rate, and then a decreasing tendency in even older males. A study in healthy young men showed a significant decrease in cerebral flow rate after CS, especially in the anterior circulation. Considering the changes in flow velocity and cross-sectional area in cerebral arteries, it could be suggested that cerebrovascular impedance increased after CS, especially at the main trunk level of the distal intracranial vessels. A single intracranial artery stenosis, especially in M1 segment, has been found in the relatively young males who have been exposed to a habitual and periodic heavy smoking atmosphere in a closed space. Those patients could not reveal any other specific risk factors for atherosclerosis except smoking. Habitual and periodic smoking in a closed room is often related to gambling once or twice a month, night duty at work, or overnight condolences for the deceased as with a traditional Korean funeral process (Fig. 1). Such intracranial stenotic lesions may improve after proper medication, including antiplatelet agents or even angioplasty, without requiring intracranial stenting, which was a relatively common procedure in Korea.","PeriodicalId":19140,"journal":{"name":"Neurointervention","volume":" ","pages":"131-132"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/2b/neuroint-2022-00290.PMC9626614.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40539227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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