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ESTUDIOS


01 octubre 2012

CIRCULATION. Anticoagulation With the Oral Direct Thrombin Inhibitor Dabigatran Does Not Enlarge Hematoma Volume in Experimental Intracerebral Hemorrhage

Arne Lauer, BSc; Flor A. Cianchetti, BSc; Elizabeth M. Van Cott, MD; Frieder Schlunk, BSc; Elena Schulz, BSc; Waltraud Pfeilschifter, MD; Helmuth Steinmetz, MD; Chris B. Schaffer, PhD; Eng H. Lo, PhD; Christian Foerch, MD

Background—The direct thrombin inhibitor dabigatran etexilate (DE) may constitute a future replacement of vitamin K antagonists for long-term anticoagulation. Whereas warfarin pretreatment is associated with greater hematoma expansion after intracerebral hemorrhage (ICH), it remains unclear what effect direct thrombin inhibitors would have. Using different experimental models of ICH, this study compared hematoma volume among DE-treated mice, warfarin-treated mice, and controls. Circulation. 2011; 124: 1654-1662 Published online before print September 12, 2011, doi: 10.1161/​CIRCULATIONAHA.111.035972. Copyright © 2011 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539

01 octubre 2012

CVIR. Endovascular Acute Stroke Treatment Performed by Vascular Interventional Radiologists: Is It Safe and Efficacious?

Lars Fjetland, Sumit Roy, Kathinka D. Kurz, Jan Petter Larsen, Martin W. Kurz

Purpose: To evaluate the safety and efficacy of neurointerventional procedures in acute stroke patients performed by a team of vascular interventional radiologists in close cooperation with diagnostic neuroradiologists and stroke neurologists and to compare the results with those of previous reports from centres with specialised interventional neuroradiologists. CardioVascular and Interventional Radiology October 2012, Volume 35, Issue 5, pp 1029-1035. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012

01 diciembre 2012

CVIR. Percutaneous Extraction of Cement Leakage After Vertebroplasty Under CT and Fluoroscopy Guidance: A New Technique

Nicolas Amoretti, Laurent Huwart

Purpose: We report a new minimally invasive technique of extraction of cement leakage following percutaneous vertebroplasty in adults. CardioVascular and Interventional Radiology December 2012, Volume 35, Issue 6, pp 1492-1495. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012

01 noviembre 2011

CIRCULATION. Statins and Intracerebral Hemorrhage. Collaborative Systematic Review and Meta-Analysis

Daniel G. Hackam, MD, PhD; Mark Woodward, PhD; L. Kristin Newby, MD, MHS; Deepak L. Bhatt, MD, MPH; Mingyuan Shao, MS; Eric E. Smith, MD, MPH; Allan Donner, PhD; Muhammad Mamdani, PharmD, MA, MPH; James D. Douketis, MD; Hisatomi Arima, MD, PhD; John Chalmers, MD, PhD; Stephen MacMahon, DSc, PhD; David L. Tirschwell, MD, MSc; Bruce M. Psaty, MD, PhD; Cheryl D. Bushnell, MD, MHS; Maria I. Aguilar, MD; Dan J. Capampangan, MD; David J. Werring, MBBS, BSc, PhD; Paola De Rango, MD, PhD; Anand Viswanathan, MD, PhD; Nicolas Danchin, MD, PhD; Ching-Lan Cheng, PhD; Yea-Huei Kao Yang, BSPharm; B. Marianne Verdel, PharmD, PhD; Mei-Shu Lai, MD, PhD; James Kennedy, MBChB, MSc; Shinichiro Uchiyama, MD, PhD; Takenori Yamaguchi, MD, PhD; Yasuo Ikeda, MD, PhD; Marko Mrkobrada, MD

Background—A recent large, randomized trial suggested that statins may increase the risk of intracerebral hemorrhage. Accordingly, we systematically reviewed the association of statins with intracerebral hemorrhage in randomized and observational data. Circulation. 2011; 124: 2233-2242 Published online before print October 17, 2011, doi: 10.1161/​CIRCULATIONAHA.111.055269. Copyright © 2011 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539

01 diciembre 2012

CVIR. Endovascular Mechanical Recanalisation After Intravenous Thrombolysis in Acute Anterior Circulation Stroke: The Impact of a New Temporary Stent

Gunther Fesl, Maximilian Patzig, Markus Holtmannspoetter, Thomas E. Mayer, Thomas Pfefferkorn, Christian Opherk, Hartmut Brueckmann, Martin Wiesmann

Purpose: Treatment of acute stroke by endovascular mechanical recanalisation (EMR) has shown promising results and continues to be further refined. We evaluated the impact of a temporary stent compared with our results using other mechanical devices. CardioVascular and Interventional Radiology December 2012, Volume 35, Issue 6, pp 1326-1331. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

01 noviembre 2012

JVIR. Does Age of Fracture Affect the Outcome of Vertebroplasty? Results from Data from a Prospective Multicenter FDA IDE Study

Mubin I. Syed, MD , Azim Shaikh, MD, MBA , Cortoss Study Group

Purpose: To evaluate whether the age of a fracture is a variable that can identify patients for whom vertebroplasty would be most beneficial. Journal of Vascular and Interventional Radiology Volume 23, Issue 11 , Pages 1416-1422, November 2012. Copyright © 2012 SIR. Published by Elsevier Inc. All rights reserved.

01 diciembre 2012

CVIR. Procedural Predictors of Outcome in Patients Undergoing Endovascular Therapy for Acute Ischemic Stroke

Ansaar T. Rai, Yahodeep Jhadhav, Jennifer Domico, Gerald R. Hobbs

Purpose: To identify factors impacting outcome in patients undergoing interventions for acute ischemic stroke (AIS). CardioVascular and Interventional Radiology December 2012, Volume 35, Issue 6, pp 1332-1339. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

01 noviembre 2011

JACC CARDIOVASCULAR INTERVENTIONS. Carotid Revascularization Immediately Before Urgent Cardiac Surgery

Creighton W. Don, MD, PhD; John House, MS; Christopher White, MD; Thomas Kiernan, MD; Mary Weideman, MS; Nicholas Ruggiero, MD; Andrew McCann, MD; Kenneth Rosenfield, MD

Practice Patterns Associated With the Choice of Carotid Artery Stenting or Endarterectomy: A Report From the CARE (Carotid Artery Revascularization and Endarterectomy) Registry J Am Coll Cardiol Intv. 2011;4(11):1200-1208. doi:10.1016/j.jcin.2011.09.010. Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

01 octubre 2012

CVIR. Posttraumatic Basilar Artery Herniation Associated with Dissecting Aneurysm Formation: Follow-up Over 20 Months

Jingqin Fang, Lianqin Kuang, Jinhua Chen, Yi Wang, Rong Chen, Kunlin Xiong, Weiguo Zhang

Introduction The fracture in the clivus of occipital bone, which might be longitudinal, transverse, or oblique, accounts for 0.36–0.57% of traumatic brain injuries found by computed tomography (CT) [1, 2]. Among these, the longitudinal clivus fracture has the highest mortality rate as a result of the direct injury of brain stem and vertebrobasilar artery [1–3]. Longitudinal clival fracture with the incarceration of vertebrobasilar artery at the fracture site is unusual. Only 15 cases had been reported previously [3, 4–15], and 10 patients died [3, 4, 6–11]. CardioVascular and Interventional Radiology October 2012, Volume 35, Issue 5, pp 1237-1241. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012

01 octubre 2012

CVIR. Quantitative Discomanometry: Correlation of Intradiscal Pressure Values to Pain Reduction in Patients With Intervertebral Disc Herniation Treated With Percutaneous, Minimally Invasive, Image-Guided Techniques

Dimitrios K. Filippiadis, A. Mazioti, O. Papakonstantinou, E. Brountzos, A. Gouliamos, N. Kelekis, A. Kelekis

Purpose: To illustrate quantitative discomanometry’s (QD) diagnostic efficacy and predictive value in discogenic-pain evaluation in a prospective study correlating intradiscal pressure values with pain reduction after percutaneous image-guided technique (i.e., percutaneous decompression, PD). CardioVascular and Interventional Radiology October 2012, Volume 35, Issue 5, pp 1145-1153. Copyright © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

01 noviembre 2011

JACC CARDIOVASCULAR INTERVENTIONS. Carotid Artery Stenting Before Cardiac Surgery. A Promising Path Down a Muddy Road?

William Anthony Gray, MD

The management of synchronous carotid disease and coronary or valvular disease requiring surgical repair has been a constant challenge to clinicians for decades and for a variety of reasons. First, although it is a vexing problem, it is relatively infrequent, such that any single institution/operator experience in management will always be clouded by “the last case I did” syndrome, more reflective than definitive. Second, even in patients without carotid stenosis, the risk of stroke inherent in cardiac surgery from other sources (atheroembolic from aortic manipulation, air emboli, and so on) clouds the assessment of the neurological “natural” history of the unoperated carotid stenosis in this setting. However, it seems clear enough that the patient with symptomatic carotid disease is at most risk and requires further management consideration, but that most asymptomatic patients with unilateral disease can withstand a cardiac operation with little increase in overall stroke risk and, therefore, should not be subjected to carotid revascularization risks (2). Next, the published database that generally helps guide such decisions in practice comprises largely single-center reports, and usually retrospectively analyzed. J Am Coll Cardiol Intv. 2011;4(11):1197-1199. doi:10.1016/j.jcin.2011.09.009. Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

01 noviembre 2011

CIRCULATION. Cerebral Abscess Due to Persistent Left Superior Vena Cava Draining Into the Left Atrium

Ming-Sum Lee, MD, PhD; Reena L. Pande, MD; Balaji Rao, MD; Michael J. Landzberg, MD; Raymond Y. Kwong, MD

A 47-year-old woman with a history of paroxysmal atrial fibrillation presented with seizure. She noted progressive fatigue in the preceding 6 months. The week before admission, she had worsening headaches and increased irritability. On the day of admission, she developed an episode of grand-mal seizure. MRI of the brain revealed a round lesion in the left frontal lobe measuring 11 cm by 15 mm with an extensive halo of T2 hyperintensity surrounding the lesion and minimal inherent T1 high signal along the border. The lesion was suspicious for an abscess. She was taken to the operating room for biopsy. Craniotomy and corticectomy revealed an abscess cavity with a large amount of purulent material. Culture of the purulent drainage grew Streptococcus intermedius. She was started on penicillin G and metronidazole. Circulation. 2011; 124: 2362-2364 doi: 10.1161/​CIRCULATIONAHA.111.046102. Copyright © 2011 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539

01 noviembre 2011

JACC CARDIOVASCULAR INTERVENTIONS. Carotid Artery Stenting and Cardiac Surgery in Symptomatic Patients

Jan Van der Heyden, MD; Danihel Van Neerven; Uday Sonker, MD; Egbert T. Bal, MD; Johannes C. Kelder, MD; Herbert W.M. Plokker, MD, PhD; Maarten J. Suttorp, MD, PhD

Objectives: The purpose of this study was to evaluate the feasibility and safety of the combined outcome of carotid artery stenting (CAS) and coronary artery bypass graft (CABG) surgery in neurologically symptomatic patients. J Am Coll Cardiol Intv. 2011;4(11):1190-1196. doi:10.1016/j.jcin.2011.07.012. Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

01 noviembre 2012

RADIOLOGY. Prediction of Subacute Infarct Size in Acute Middle Cerebral Artery Stroke: Comparison of Perfusion-weighted Imaging and Apparent Diffusion Coefficient Maps

Aurélie Drier, MD, , Thomas Tourdias, MD, , Yohan Attal, PhD, , Igor Sibon, MD, PhD, , Gurkan Mutlu, MD, , Stéphane Lehéricy, MD, PhD, , Yves Samson, MD, , Jacques Chiras, MD, , Didier Dormont, MD, , Jean-Marc Orgogozo, MD, , Vincent Dousset, MD, PhD, and , Charlotte Rosso, MD, PhD

Purpose: To compare perfusion-weighted (PW) imaging and apparent diffusion coefficient (ADC) maps in prediction of infarct size and growth in patients with acute middle cerebral artery infarct.

01 octubre 2012

JACC.Pre-procedural Risk Quantification for Carotid Stenting Using the CAS Score A Report From the NCDR CARE Registry

Beau M. Hawkins, MD; Kevin F. Kennedy, MS; Jay Giri, MD, MPH; Adam J. Saltzman, MD; Kenneth Rosenfield, MD; Douglas E. Drachman, MD; Christopher J. White, MD; John A. Spertus, MD, MPH; Robert W. Yeh, MD, MSc

Objectives We developed and internally validated a risk score to predict in-hospital stroke or death after carotid artery stenting (CAS). J Am Coll Cardiol. 2012;60(17):1617-1622. doi:10.1016/j.jacc.2012.07.026. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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