Journal of vascular and interventional neurology最新文献

{"title":"Cerebral Thrombo-Angiitis Obliterans in a Patient with Marijuana Use.","authors":"Kunal Bhatia, Laura Qi, Adnan I Qureshi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"10 1","pages":"57-59"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999296/pdf/jvin-10-1-12.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36239790","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}

{"title":"Effectiveness of Topical Lidocaine-Prilocaine Cream for Pain Control During Femoral Artery Catheterization in Adult Patients: A Prospective Study.","authors":"Adnan I Qureshi,&nbsp;Muhammad A Saleem,&nbsp;Nishath Naseem,&nbsp;Emrah Aytac,&nbsp;Cetin Kursad Akpinar,&nbsp;Shawn S Wallery","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To test the effectiveness of topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) for pain control during femoral artery catheterization for neuro-endovascular procedures in adult patients.</p><p><strong>Methods: </strong>The body habitus overlying the femoral arterial pulsation was graded as: (1) pubic symphysis and iliac crest bone protuberances visualized; (2) Pubic Symphysis and Iliac Crest bone protuberances not seen but easily palpable; (3) Pubic Symphysis and Iliac Crest bone protuberances palpable with considerable difficulty; and (4) abdominal layers fold over the femoral region. The severity of pain at femoral artery catheterization was classified using a numeric rating scale score ranging from 0 (no pain) to 10 (worst pain). The primary endpoints were the proportion of patients with excellent (score of ≤1) and failed pain control (score of ≥8).</p><p><strong>Results: </strong>The mean (±SD) and median numeric rating scale scores were 2.4 ± 2.7 and 1, respectively, in 186 patients included. The proportion of patients with excellent pain control was 49.4% [95% confidence interval (CI) 42.1%-56.7%] and failed pain control was 6.9% (95% CI 4.1%-11.6%). The body habitus was graded as 1 (<i>n</i> = 31), 2 (<i>n</i> = 61), 3 (<i>n</i> = 48), and 4 (<i>n</i> = 46). In multivariate analysis, grade 4 body habitus [odds ratio (OR) 1.8; 95% CI 1.3-2.9], grade 4 ease of cannulation (OR 2.1; 95% CI 1.2-2.7), and previous femoral artery catheterization (OR 2.5; 95% CI 1.8-4.2) were independent predictors of failed pain control. Grade 1 ease of cannulation (OR 1.6; 95% CI 1.2-3.1) independently predicted excellent pain control.</p><p><strong>Conclusion: </strong>Topical EMLA cream as an adjunct to local lidocaine infiltration was associated with very low rates of failed pain control during femoral artery catheterization despite a relatively high rate of unfavorable body habitus.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"10 1","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999301/pdf/jvin-10-1-13.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36239791","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}

{"title":"Investigation of Gender Differences and Exclusive Criteria in a Diabetic Acute Ischemic Stroke Population Treated with Recombinant Tissue-Type Plasminogen Activator (rtPA).","authors":"Taylor Wapshott, Brice Blum, Williams Kelsey, Thomas I Nathaniel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Many studies have reported that women who survive stroke have less favorable outcomes than men in the use of rtPA, while others reported worse outcomes in men than women. The gender difference in the exclusion criteria in a diabetic stroke population is not fully understood. This issue was investigated in this study.</p><p><strong>Method: </strong>In a diabetic stroke population from a stroke registry of data collected between January 2010 to June 30, 2016, the gender difference was determined using demographics and clinical factors. Comparison was determined using univariate analysis while multivariable model was used to adjust for the effect of confounding variables.</p><p><strong>Results: </strong>In a diabetic stroke population of 439 patients, more females were excluded than males (<i>P</i> < 0.0001, OR = 2.323). The male exclusion was associated with atrial fibrillation (<i>P</i> = 0.011, OR = 3.697), carotid artery stenosis (<i>P</i> = 0.023, OR = 5.001), and cholesterol reducer (<i>P</i> = 0.037, OR = 0.409). In the female diabetic stroke population, exclusion from rtPA therapy was associated with language disturbances (<i>P</i> = 0.039, OR = 0.372), history of previous stroke (<i>P</i> = 0.005, OR = 3.276), antihypertensive medication use (<i>P</i> = 0.013, OR = 0.163), and antidiabetic medication use (<i>P</i> = 0.031, OR = 0.324).</p><p><strong>Conclusion: </strong>In a stroke population, women have a worse outcome than men in an untreated acute ischemic stroke population, but when treated there is no significant difference, suggesting a better treatment outcome for women compared to men. In a diabetic stroke population, the clinical variables for the exclusion criteria for women and men are significantly different, even after adjustment for confounding variables.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805905/pdf/jvin-9-6-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832804","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}

{"title":"Vertebral Artery Origin Stent Placement Using the Dual Lumen Qureshi-Jiao Guidecatheter.","authors":"Adnan I Qureshi,&nbsp;Yabing Wang,&nbsp;Mohammad Rauf Afzal,&nbsp;Liqun Jiao","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>We report the first experience with a new dual lumen guide catheter with lumen A with curved tip designed for delivery of stent and angioplasty catheters and lumen B with side exit for coaxial placement of stiff 0.014 inch wire.</p><p><strong>Methods: </strong>We prospectively determined technical success, intended procedure (stent delivery at target lesion and a final residual stenosis <30%) completed without a need for a different catheter, and technical ease, intended procedure completed without ≥3 unsuccessful attempts in patients with symptomatic vertebral artery origin stenosis. Vertebral artery origin was classified as type A if originated from ascending segment and type B if originated from an arch or horizontal segment of subclavian artery.</p><p><strong>Results: </strong>The mean age of the four treated patients was 66.2 years (range 64-68 years). The mean percentage of vertebral artery origin stenosis was 82.7% (range 60-92%). The origin of vertebral artery from subclavian artery was classified as type A and type B origins in two patients each. The dual lumen catheter was advanced over an exchange length of 0.035 inch glide wire in one patient and directly through transfemoral insertion in three patients. Technical success and technical ease was achieved in all four procedures. Post procedure residual stenosis was 6% (range 5-7%). The primary operator rated the performance of guide catheter as superior compared with another catheter used in such procedures.</p><p><strong>Conclusion: </strong>The present study demonstrates the feasibility of performing stent placement for vertebral artery origin stenosis by using a dual lumen catheter with superior performance.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805908/pdf/jvin-9-6-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832807","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}

{"title":"Artery of Trigeminal Nerve Ganglion.","authors":"Adnan I Qureshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The artery to trigeminal nerve ganglion has been identified as a branch that arises from the extracranial segment of middle meningeal artery prior to entry into the foramen spinosum. The role of the artery in being the arterial supply to trigeminal nerve ganglion is supported by electrophysiological and clinical suppression of trigeminal nerve activity during selective intra-arterial injection of anesthetics.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"57-58"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805900/pdf/jvin-9-6-14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35833830","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}

{"title":"Severe reversible cerebral vasoconstriction syndrome in a postpartum patient treated successfully with direct instillation of intra-arterial verapamil during cerebral angiography.","authors":"M T Crockett,&nbsp;M Di Loreto,&nbsp;T J Philips","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"43-44"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805896/pdf/jvin-9-6-10.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832808","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}

{"title":"Potential New Cysteine Sparing Mutation in the NOTCH3 Gene in a Patient with Nonfamilial CADASIL-like Disease.","authors":"Adnan I Qureshi,&nbsp;Muhammad T Khan,&nbsp;Omer Naveed,&nbsp;Muhammad A Saleem","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Several different mutations have been reported in patients with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). We present a unique case with transversion not involving cysteine on neurogenic locus notch homolog protein 3 gene.</p><p><strong>Case description: </strong>We present a case of 65-year-old woman with new ischemic stroke resulting in right hemiparesis. She has previously suffered minor strokes at age 56, 58, and 60 years and migraine headaches between age 10 and 50 years. Magnetic resonance imaging demonstrated multifocal chronic ischemic infarctions with encephalomalacia in the left posterior parietal, parieto-occipital regions and the pons. An analysis of the protein sequence of notch 3 gene did not demonstrate any alterations characteristics of CADASIL disease. There was a deoxyribonucleic acid variant with transversion of alanine with tyrosine and change of histidine with leucine on notch 3 gene. None of the family members had any clinical manifestations suggestive of CADASIL.</p><p><strong>Conclusion: </strong>We report the first report of deoxyribonucleic acid variation in notch 3 gene associated with clinical features of CADASIL without any familial component.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"51-54"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805898/pdf/jvin-9-6-12.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35833828","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}

{"title":"Recurrent Intracerebral Hemorrhage after Exercise in a Young Patient Presenting with Sporadic Cerebral Amyloid Angiopathy in a Young Patient.","authors":"Muhammad Taimur Malik,&nbsp;Corey Myers,&nbsp;Syed Jaffar Kazmi,&nbsp;Ramin Zand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cerebral Amyloid Angiopathy (CAA) is one of the significant causes of lobar intracerebral hemorrhage (ICH) mainly among elderly people. Sporadic cases of CAA have been linked to genetic polymorphisms with an increased risk of disease, an earlier presentation, and an accelerated pathology [1]. Here, we present a patient with no significant risk factors who had a recurrent intracerebral hemorrhage secondary to CAA probably induced by exercise.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"12-13"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805902/pdf/jvin-9-6-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832801","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}

{"title":"Comparison of Clinical and Radiological Outcome of Carotid Angioplasty and Stenting after Direct Navigation Versus Exchange Methods: A Randomized Clinical Trial.","authors":"Mojtaba Rismanchi,&nbsp;Afshin Borhani-Haghighi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to compare the frequency of microembolic brain infarcts after direct navigation method versus exchange method in carotid artery stenting and vertebral artery origin angioplasty.</p><p><strong>Methods and material: </strong>This is a prospective study conducted at Shiraz University of Medical Sciences in southern Iran. Consecutive patients undergoing \"carotid angioplasty and stenting\" and \"vertebral artery origin stenting\" were randomly assigned into two groups with \"direct navigation method\" and \"exchange method.\" Subsequently, postprocedural magnetic resonance imaging (MRI) including diffusion weighted imaging and apparent diffusion coefficient were obtained within the first 24 hours after completion of the procedure.</p><p><strong>Results: </strong>In total, 89 patients were recruited (67% male, mean age: 72 years). Cases comprised of 38 left internal carotid arteries (ICAs), 38 right ICAs, 6 left vertebral artery origin, and 7 right vertebral artery origin. Forty patients underwent exchange method, while 49 underwent direct navigation method. There was only one clinical stroke that occurred in \"exchange method\" group. Fifteen patients (37.5%) in exchange group and 23 patients (46.9%) in direct navigation group developed diffusion restricted lesions. In exchange group, 13 patients (32.5%) had at least one diffusion restricted lesion ipsilateral to the target vessel, and three patients (7.5%) had at least one diffusion restricted lesion contralateral to the target vessel. In direct navigation group, these measures were 19 (38.8%) and 9 (18.4%). However, no statistically significant intergroup differences were observed. The only significant difference was bilateral infarct percentile, which was more common in the direct navigation method (0.032).</p><p><strong>Conclusion: </strong>Diffusion restricted lesions were more common in the direct navigation method, both ipsilateral and contralateral to the target vessel, and in both carotid and vertebral artery study subgroups. However, differences were not statistically significant.</p>","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805897/pdf/jvin-9-6-11.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832809","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}

{"title":"Cerebral Angiography in Moyamoya Syndrome Secondary to Vasculopathy in Down Syndrome.","authors":"Mohamed Shehabeldin,&nbsp;Doungporn Ruthirago,&nbsp;Yazan J Alderazi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":88555,"journal":{"name":"Journal of vascular and interventional neurology","volume":"9 6","pages":"55-56"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805899/pdf/jvin-9-6-13.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35833829","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}