Emergency Medicine News & Articles

1 Risk factors for multiple intracranial aneurysms rupture: A retrospective study Clinical Neurology and Neurosurgery, May 17, 2013
Lu HT et al. - The presence of predicting the rupture risk of intracranial aneurysms has recently generated considerable controversy. The authors retrospectively investigated the risk factors for multiple intracranial aneurysms related to rupture. The study reveals the pattern of ruptured multiple intracranial aneurysms, in terms of age, size and location of aneurysms. Age, size, and site of aneurysm should be considered in the decision whether to treat an unruptured aneurysm or not. ...

2 Long-term prognosis in patients with clipped unruptured cerebral aneurysms--increased cerebrovascular events in patients with surgically treated unruptured aneurysms Neurosurgical Review, May 6, 2013
Hokari M et al. - The authors retrospectively investigated surgical immediate and long-term overall results after clipping of the unruptured aneurysms. The long-term periodic examination to detect recurrent aneurysms and appropriate management to prevent stroke should be performed for patients with surgically treated unruptured aneurysm. Methods Patients were subsequently followed to clarify the occurrence of subarachnoid hemorrhage (SAH), and stroke other than ...

3 Endovascular repair of bilateral common iliac artery aneurysms following open abdominal aortic aneurysm repair with preservation of both hypogastric arteries using commercially available stent grafts Journal of Vascular Surgery, May 9, 2013
Cuff R et al. - Endovascular treatment of aneurysmal disease has become the predominant form of repair for all aneurysms. Some areas continue to pose specific challenges to stay within the general tenets of successful repair, mainly achieving adequate seal without sacrificing other arterial pathways. Following aortic aneurysm repair, the common iliac arteries can continue to have aneurysmal degeneration. The authors present a case of bilateral common iliac artery aneurysms that presented ...

4 Intra-Aneurysmal Pressure and Flow Changes Induced by Flow Diverters: Relation to Aneurysm Size and Shape American Journal of Neuroradiology, April 30, 2013
Larrabide I et al. - Calculations in 23 cases did not reveal significant intra-aneurysmal mean or peak pressure changes, indicating a minor role of pressure changes in the rare event of secondary ruptures after FD use. Other hemodynamic variables (WSS and velocity) exhibited more significant changes, indicating their role in intra-aneurysmal thrombus formation. Size-dependent, significantly higher reduction in WSS and velocity was observed in small aneurysms compared ...

5 Repair of a Complex Thoracic Aneurysm From Relapsing Polychondritis Vascular and Endovascular Surgery , May 10, 2013
Jacobs CE et al. - A 29-year-old female with a history of relapsing polychondritis (RP) and open repair of a proximal descending thoracic aneurysm presented with 2 areas of asymptomatic thoracic aortic aneurysmal dilatation. The patient returned 3 months later with symptomatic aneurysm expansion, and she underwent ascending aortic arch replacement. She subsequently underwent staged endovascular repair of the distal descending thoracic aorta. RP is a rare disorder with an ...

6 Fenestrated Stent-Grafts for Salvage of Prior Endovascular Abdominal Aortic Aneurysm Repair European Journal of Vascular and Endovascular Surgery, May 13, 2013
Katsargyris A et al. - The study aims to review the authors' experience with fenestrated endovascular aneurysm repair (F-EVAR) to treat complications after previous standard infrarenal endovascular aneurysm repair (EVAR). F-EVAR represents a feasible option for the repair of juxtarenal abdominal aortic aneurysm after prior EVAR failure. It is advantageous in terms of mortality and less morbid than open surgery, but is associated with increased technical challenges because of ...

7 Tiny aneurysms treated with single coil: Morphological comparison between bare platinum coil and matrix coil Clinical Neurology and Neurosurgery, April 29, 2013
Chun YI et al. - The authors analyzed the angiographic results of tiny aneurysms treated with various kinds of single coils including polyglycolic-polylactic acid (PGLA)-coated coils. The tiny aneurysms treated with a single Matrix2 coil tended to have better follow-up angiographic results than the aneurysms treated with a single platinum coil. Furthermore, the use of a stent-assisted technique and increasing the packing density also positively affected the ...

8 Endovascular repair of descending thoracic aortic aneurysm in patient with Wiskott-Aldrich syndrome Journal of Vascular Surgery, May 8, 2013
Makar RR et al. - An association has been reported between Wiskott-Aldrich syndrome and necrotizing vasculitis and aneurysmal arterial dilatation. The authors present here the first endovascular repair of descending thoracic aortic aneurysm in a 35-year-old male patient with the classical Wiskott-Aldrich syndrome phenotype. He had a successful endovascular repair with early discharge from hospital with no postoperative complications. His 1-year ...

9 Infectious or Noninfectious? Ruptured, Thrombosed Inflammatory Aortic Aneurysm with Spondylolysis Cardiovascular and Interventional Radiology, May 9, 2013
Stefanczyk L et al. - A case of inflammatory aneurysm with posterior wall rupture and inflammatory infiltration of the iliopsoas muscle and spine, together with extensive vertebral body destruction, is presented. The aneurysm was successfully treated with endovascular aneurysm repair EVAR.

10 Risk of Rupture of an Intracranial Aneurysm Based on Patient Characteristics Stroke, May 10, 2013
Vlak MHM et al. - The authors aimed to study lifestyle and personal characteristics as risk factors for the rupture of intracranial aneurysms. Smoking, migraine and, inversely, hypercholesterolemia are independent risk factors for aneurysmal rupture. Data from the questionnaire are insufficient to conclude whether hypercholesterolemia or its treatment with statins exerts a risk-reducing effect. The pathophysiological mechanisms through which smoking and migraine increase the risk ...