A5082350289- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Central Venous Catheters and Hemodialysis
- Intracranial Aneurysms: Treatment and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Venous Thromboembolism Diagnosis and Management
- Neutropenia and Cancer Infections
- Congenital Anomalies and Fetal Surgery
- Esophageal and GI Pathology
- Infective Endocarditis Diagnosis and Management
- Abdominal Surgery and Complications
- Peripheral Artery Disease Management
- Neurological Disorders and Treatments
- Spinal Dysraphism and Malformations
- Vascular Malformations Diagnosis and Treatment
- Chemotherapy-related skin toxicity
- Hernia repair and management
- Antiplatelet Therapy and Cardiovascular Diseases
- Stroke Rehabilitation and Recovery
- Neurogenetic and Muscular Disorders Research
Fort Sanders Regional Medical Center
2023
Loma Linda University Medical Center
2014-2020
Loma Linda University
2014-2020
Previous comparative mechanical thrombectomy device trials reported a substantial crossover rate from first-line aspiration to stent-retriever thrombectomy. A specialized delivery catheter may help track large-bore catheters target occlusions. We report our multicenter experience of intracranial large vessel occlusions using the FreeClimbTM 70 and Tenzing® 7 (Route 92, San Mateo, CA).After local Institutional Review Board approval, we retrospectively reviewed clinical, procedural, imaging...
<h3>SUMMARY:</h3> Patients with spinal muscular atrophy often have complete interlaminar osseous fusion, precluding lumbar puncture via the standard approach. Recently, we developed a new coaxial curved-needle variation of fluoroscopy-guided transforaminal for intrathecal injections in this patient population. Between October 2017 and November 2018, fifty-nine consecutive punctures using technique were performed 12 patients nusinersen injection, 100% technical success rate no C1–2 required....
Since Trousseau's initial publication, the development of thromboembolic events related to malignancy has been well established. The pathophysiology this is understood be through activation coagulation cascade neoplastic cells themselves or therapy initiated (chemotherapy surgery). To date, there have a variety studies, such as OASIS-CANCER trial, which highlight relationship hypercoagulability ischemic stroke. Despite these efforts, clear evidence lacking for utilization antiplatelet...
A 67-year-old male was brought to hospital (Linda University Medical Center, Loma Linda, CA, USA) after being hit by a car. The patient underwent surgery for fractured acetabulum. post-operative course complicated 7 days of ileus. An upper gastrointestinal (GI) series ( i.e. barium swallow) with small bowel follow-through requested. There were no immediate complications during the GI series. supine abdominal radiograph at 8 h post-upper …
<h3>Introduction/Purpose</h3> Previous large vessel occlusion (LVO) comparative thrombectomy device trials reported a substantial rate of crossover from first line aspiration (AT) to stent-retriever (SR) thrombectomy. Use 0.070 inch 'large-bore' catheters for AT is associated with increased flow rates, pass effect, faster recanalization, reduced procedure time and better reperfusion rates. A distal inner diameter catheter, FreeClimb<sup>TM</sup> 70 (Route 92, San Mateo, CA), was recently...
<h3>Background</h3> Delayed coil migration is an infrequently reported complication following endovascular treatment of cerebral aneurysms with detachable coils. Here we report on a verified case delayed initially successful balloon-assisted embolization broad-based aneurysm the basilar tip. Additionally, perform meta-analysis reports available in literature to identify morphological characteristics seen cases migration. <h3>Methodology</h3> Systematic review PubMed database making use MeSH...
<h3>Background and purpose</h3> The clinical constellation of mild acute stroke symptoms M1 occlusion occurs not infrequently. Whereas thrombectomy is clearly beneficial for ELVO with NIHSS ≥8, which predominantly embolic, milder presentation suggests chronic etiology, namely intracranial atherosclerotic disease (ICAD), has been shown an effective treatment. This retrospective study reports the discharge outcomes medical management versus mechanical in a cohort patients low stroke....
<h3>Background</h3> The SolitaireX revascularization device (Medtronic, Irvine, CA) is deliverable through an 021 microcatheter and incorporates a parametric stent design resulting in lower radial force smaller diameter vessels compared with Solitaire Platinum Trevo (Stryker Neurovascular, Fremont, CA), spite of its large 6 mm diameter. combination low ease delivery make the attractive choice for (M2 segment) thromboembolism. <h3>Purpose</h3> To report our preliminary safety effectiveness...
Clopidogrel and Prasugrel are both platelet inhibitors that act on the P2Y12 adenosine diphosphate receptor. utilizes a multi-step inhibition process while inhibits functioning in single step. In part due to these differences mechanisms of action, an estimated 30% patients treated with non-responders as compared has very low rate non-respondance. Inadequate is associated delay care, often requiring operative rescheduling, increased incidence ischemic events. our study, we compare cohort...