Presentation
We herein present a case of an internal carotid artery embolism associated with a hidden internal carotid artery aneurysm. The aneurysm was visualized during successful endovascular treatment of the carotid embolism. [ncbi.nlm.nih.gov]
The typical facial features of Sotos' syndrome were not present. Gross examination of the surgical specimen revealed that tumor was present in the resected margin of left renal vein. [tandfonline.com]
Scott Trerotola, who presented... [vascularnews.com]
We describe the case of a 39-year-old female who presented due to acute severe ischaemia in the left hand, although the radial pulse was still present, with a transient ischemic attack in the left hemisphere at the same time. [pesquisa.bvsalud.org]
Entire Body System
- Collapse
Common Signs and Symptoms of PE: Shortness of breath Chest pain, often worse when taking a breath A feeling of apprehension Sudden collapse Coughing Sweating Bloody phlegm (coughing up blood) The signs and symptoms of these disorders can vary by individual [universityhealth.org]
[…] of the Filtration Element Myocardial Infarction Other conduction disturbances Pain and tenderness Pain, infection, or discomfort at the access site Pseudoaneurysm Renal failure/insufficiency Restenosis of the stented artery Seizure Stent deformation, collapse [cardiovascular.abbott]
The stent acts as scaffolding to prevent the artery from collapsing or from closing up again after the procedure is completed. The patient is awake during this procedure and usually discharged from the hospital the following day. [aans.org]
- Falling
[…] seems to be the sudden change in the ECG rhythm and fall in EtCO 2. [neurologyindia.com]
Chicago195145623–626.Falls H. F. Bassett R. C. and Lamberts A. E. Ocular complications encountered in intracranial arteriography. Arch. Ophthal. Chicago 1951 45 623–626. Search Google Scholar Export Citation 7. Fisher[C.] M. [thejns.org]
Due to the coincident nature of this fall and thrombus, the fall was classified by the CEC as “possibly device-related,” although no causal relationship between the 2 was demonstrated. No patient (0%) had carotid stenosis or occlusion. [onlinejacc.org]
If you fall into a high-risk group for this disease, your doctor will want to test you for early signs of damage. During a physical exam,your doctor will listen to the arteries in your neck with a stethoscope for a swishing sound called a bruit. [healthline.com]
This also points to the relatively undamaged primary collateral pathways that do not allow cerebral blood flow in watershed areas to fall below a critical level sufficient enough to lead to a BZ infarct. [jamanetwork.com]
- Pallor
The general physical examination revealed conjunctival pallor. The patient’s stool was hemoccult-positive. [hindawi.com]
- Epilepsy
[…] following conditions can produce symptoms that are similar to those of anterior circulation stroke: Other conditions that mimic anterior circulation stroke include the following: Brain tumor Hypoglycemia Brain abscess Carotid disease and stroke Seizure and epilepsy [emedicine.medscape.com]
Cardiovascular
- Vascular Disease
Peripheral vascular disease is a common, disabling malady, and patients seeking treatment may turn to their cardiologist for advice and treatment. [books.google.com]
Operative findings: Part of the survey on cerebral vascular disease entailed the application of vascular surgery to strokes. [pubs.rsna.org]
(arteries, veins) VASCULAR DISEASES The vascular system is the network of blood vessels that circulate blood to and from the heart and lungs. Vascular diseases are very common, especially as people age. [cirse.org]
This Medical Coverage Guideline More information Peripheral Vascular Disease Peripheral artery disease (PAD) results from the buildup of plaque (atherosclerosis) in the arteries of the legs. [healthdocbox.com]
Pediatric Iatrogenic Vascular Injury MESENTERIC VASCULAR DISEASE 227. Arteriographic Evaluation of Splanchnic Artery Occlusive Disease 228. Duplex Scanning in the Diagnosis of Splanchnic Artery Occlusive Disease 229. [booktopia.com.au]
- Heart Failure
Demystifying heart failure: A Q&A with Sara Kalantari, MD University of Chicago Medicine cardiologist and heart failure expert Sara Kalantari, MD, explains heart failure, including symptoms, diagnoses, treatments and common misconceptions. [uchicagomedicine.org]
Skip to content Humble man’s heart failure reversed through innovative treatment February 12, 2020 Stanley Botten, underwent a surgery to repair a hiatal hernia in January 2017 only to return to the hospital to learn he'd been hit with his second pulmonary [vitalheartandvein.com]
It can mimic pneumonia, congestive heart failure, and a viral illness known as pleurisy. [universityhealth.org]
Methods Eligible patients had atrial fibrillation, CHA2DS2-VASc (Congestive heart failure, Hypertension, Age 75 years, Diabetes, Stroke/transient ischemic attack, Vascular disease, Age 65 to 74 years, Sex category) ≥2, OAC unsuitability, CCA size 4.8 [onlinejacc.org]
[…] systems: Abrupt closure Allergic reactions Aneurysm Angina/Coronary ischemia Arteriovenous Fistula Bacteremia or septicemia Bleeding from anticoagulant or antiplatelet medications Bradycardia/arrhythmia Cerebral edema Cerebral hemorrhage Congestive Heart [cardiovascular.abbott]
- Hypotension
Case 1 had sudden bradycardia followed by severe hypotension and sudden drop in EtCO 2, suggesting large amount of air entry in the cerebral circulation. [neurologyindia.com]
Venous access should be available during carotid stenting in order to manage bradycardia and / or hypotension by either pharmaceutical intervention or place of a temporary pacemaker, if needed. [cardiovascular.abbott]
[…] types and positions LICA, RICA, LCCA, RCCA and bifurcation lesions Type I, II, III and bovine aortic arch anatomies Realistic device behavior requiring appropriate device selection Procedural complications including spasms, dissections, bradycardia and hypotension [mentice.com]
Musculoskeletal
- Arm Weakness
If you get symptoms such as facial weakness, arm weakness or speech problems, call 999 straight away. [bhf.org.uk]
A is for arm weakness. One arm is weak or numb. When the person lifts both arms at the same time, one arm may drift downward. S is for speech difficulty. You may notice slurred speech or difficulty speaking. [fairview.org]
Eyes
- Transient Blindness
Transient ischemic attacks (TIA), or “mini-strokes,” can appear as transient blindness in part or all of one eye and may signal an oncoming stroke. [ucdmc.ucdavis.edu]
Neurologic
- Seizure
Case 1 received only benzodiazepine as treatment for seizures, whereas Case 2 received in addition low-dose thiopentone infusion for seizures and vasopressors to induce hypertension (systolic BP ≥ 150 mmHg). [neurologyindia.com]
[…] especially on one side of the body Sudden confusion or trouble speaking or understanding Sudden trouble seeing in one or both eyes Sudden trouble walking, dizziness, or loss of balance or coordination Sudden, severe headache with no known cause Sudden new seizures [fairview.org]
[…] organ Loss of all of or part of the Filtration Element Myocardial Infarction Other conduction disturbances Pain and tenderness Pain, infection, or discomfort at the access site Pseudoaneurysm Renal failure/insufficiency Restenosis of the stented artery Seizure [cardiovascular.abbott]
- Tingling
He also described having several episodes of right upper extremity numbness and tingling intermittently over that past month. He denied any recent head or neck trauma. His past medical history was remarkable for rectal bleeding. [hindawi.com]
- Focal Neurological Deficit
The patient came to the emergency department due to left-hemisphere focal neurological deficits with unknown time of onset. He was last seen to be asymptomatic at 9.30. [elsevier.es]
neurological deficit in the area of distribution of the cerebral arteries. [icd10data.com]
Hyperperfusion syndrome without intracranial hemorrhage was defined as the occurrence, either alone or in combination, of an ipsilateral throbbing headache with or without nausea, vomiting, ipsilateral focal seizure, or focal neurologic deficit without [ajnr.org]
- Hemianesthesia
</li></ul><ul><li>When the origins of both the ACA and MCA are occluded at the top of the carotid artery, abulia or stupor occurs with hemiplegia, hemianesthesia, and aphasia or anosognosia. [slideshare.net]
Findings related to the ACA territory are as follows: Crural paresis > arm paresis Frontal signs (eg, abulia) Findings related to the anterior choroidal artery territory are as follows: Hemiparesis Hemianesthesia Homonymous hemianopia Lacunar syndromes [emedicine.medscape.com]
- Irritability
Nicotine can irritate the inner lining of your arteries. Smoking also increases your heart rate and blood pressure. Diabetes. [mayoclinic.org]
Smoking can irritate the lining of your arteries. It can also increase your heart rate and blood pressure. Older age makes your arteries stiffer and more susceptible to damage. [healthline.com]
Blood that comes into direct contact with brain tissue irritates the tissue and, over time, can cause scar tissue to form in the brain, sometimes leading to seizures. [merckmanuals.com]
Workup
However, in the setting of symptoms suggestive of stroke or TIA, workup for this condition may be indicated. [unboundmedicine.com]
Treatment
The aneurysm was visualized during successful endovascular treatment of the carotid embolism. In retrospect, the aneurysm was at risk of rupture during the procedure. [ncbi.nlm.nih.gov]
The aneurysm was visualized during endovascular treatment of the ICA embolism. Knowledge of the association may lower the risk of endovascular treatment. [ajnr.org]
Peripheral vascular disease is a common, disabling malady, and patients seeking treatment may turn to their cardiologist for advice and treatment. [books.google.com]
Surgical treatment of occlusive disease of the carotid artery. Ann. Surg.1959149: 711–719.Bahnson H. T. Spencer F. C. and Quattle-baum J. K. Jr. Surgical treatment of occlusive disease of the carotid artery. Ann. Surg. 1959 149: 711–719. [thejns.org]
[…] or surgical treatment was good ( 11 ). [spandidos-publications.com]
Prognosis
Prognosis of carotid siphon stenosis.. Stroke, Vol. 18, Issue. 2, p. 537. CrossRef Google Scholar Gautier, Jean-Claude 1988. Amaurosis Fugax. p. 24. [cambridge.org]
Hankey GJWarlow CP Prognosis of symptomatic carotid artery occlusion: an overview. Cerebrovasc Dis.1991;1:245-256.Google Scholar 7. [jamanetwork.com]
Observations on the prognosis and surgical treatment. J. Neurosurg. 16, 705–730 (1959) PubMed CrossRef Google Scholar 12. [link.springer.com]
In the “carotid T-occlusion” (thrombolytic occlusion from the proximal ICA section to the ACA and MCA), the prognosis is uncertain, even if recanalisation is performed within a few hours. [bmcneurol.biomedcentral.com]
Etiology
/diagnosis Postoperative Complications/etiology* Tomography, X-Ray Computed/methods Transplantation, Autologous/adverse effects Transplantation, Autologous/methods Ultrasonography, Doppler, Transcranial/methods Vision Disorders/etiology Young Adult [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
ICD-10-CM Codes › I00-I99 Diseases of the circulatory system › I60-I69 Cerebrovascular diseases › Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology [icd10data.com]
The frequent occurrence of mitral valve prolapse in normal populations suggests that this anomaly may be incidental rather than etiologic in patients with cerebral embolic phenomena. [n.neurology.org]
An exhaustive stroke work-up did not provide a plausible etiology for his symptoms. His complete blood count and iron studies, however, revealed evidence of severe iron-deficiency anemia without reactive thrombocytosis. [hindawi.com]
Epidemiology
Epidemiology Approximately 10% of ischemic strokes are due to carotid stenosis. [casemed.case.edu]
Epidemiology [ 1 ] Moderate-to-severe asymptomatic carotid atherosclerotic stenosis occurs in 2-5% of European women and 2-8% of European men aged over 60 years. The prevalence is much higher in high-risk groups. Risk factors Increasing age. [patient.info]
Moossy, John (1966) Morphology, sites and epidemiology of cerebral atherosclerosis. In Cerebrovascular Disease. Ass. Res. Nerv. Ment. Dis. 41:1. [cambridge.org]
[…] status Asymptomatic: tend to be homogenous and stable Symptomatic: tend to be heterogeneous and unstable; present with stroke or transient cerebral ischemic attack Degree of stenosis High grade: 80–99% stenosis Moderate grade: 50–79% stenosis Low grade: Epidemiology [unboundmedicine.com]
The analysis indicated that the epidemiology of ruptured AAAs is... [vascularnews.com]
Pathophysiology
Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. [books.google.de]
Carotid stump syndrome: Pathophysiology and endovascular treatment options. Cardiovascular and interventional radiology 2011;34(Suppl 2):S48-52. [j-stroke.org]
The possible pathophysiological causes and the treatment of this case are discussed. [spandidos-publications.com]
Posterior Cerebral Artery The posterior cerebral arteries stem in most individuals from the basilar artery but sometimes originate from the ipsilateral internal carotid artery [Garcia JH et al., In Barnett HJM at al (eds) Stroke Pathophysiology, Diagnosis [strokecenter.org]
Prevention
(number needed to treat to prevent one stroke at 5 years, 17). [blogs.nejm.org]
Dual Layer Design Open cell stent platform wrapped in MicroNet mesh MicroNet TM For continuous embolic prevention SmartFit TM Technology Eliminates need for tapered version Carotid Embolic Prevention System The CGuard TM Embolic Prevention System (EPS [inspiremd.com]
[…] and Hyo Suk Nam and Young Dae Kim and Ji Hoe Heo and Dong Joon Kim}, journal={Journal of neurosurgery}, year={2013}, volume={119 3}, pages={ 642-7 } } OBJECT Carotid artery stenting (CAS) can be an alternative option for carotid endarterectomy in the prevention [semanticscholar.org]
(Carotid Artery Implant for Trapping Upstream Emboli for Preventing Stroke in Atrial Fibrillation Patients [CAPTURE]; NCT03571789) Key Words atrial fibrillation carotid filter common carotid artery embolic protection oral anticoagulation stroke prevention [onlinejacc.org]
Prevention Prevention of PE is a lot easier than diagnosis or treatment. Therefore, when hospitalized, it is important to ask your health care providers what measures are being taken to prevent PE. [universityhealth.org]