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The authors explore the case of a girl with cerebrovascular moyamoya disease born in a congenital diaphragmatic hernia. The terminal portion of the internal CA with the construction of moyamoya vessels on the left side of the brain was stenosis of the terminal portion of the brain; extracranial anastomotic arteries supplied the correct ICA; extracranial anastomotic arteries revealed stenosis of the terminal portion of the brain; the terminal portion of the internal CA with the construction of moyamoya vessels on the left side of the brain; the right arteries; extracranial an artery angi arteries; the artery; extracra artery; the left of the brain; the left of the brain; extracra; the right artery; When she was 7 years old, the same thing happened in the intracranial ICA with the introduction of moyamoya vessels occurred on her right side. Both decreased cerebral blood flow were present twice, and the moyamoya vessels were able to compensate for the cerebral ischemia.
Source link: https://doi.org/10.3171/2008.12.peds08221
Sarcopenia was diagnosed as a result of the European Working Group on Sarcopenia in Older People's recommendations by investigating muscle strength, muscle mass, and muscle function. Patients with sarcopenia had a significant intima-media thickness than those without sarcopenia. Multiple carotid plaques and > 50% stenosis were significantly more common in patients with sarcopenia than those with pre-sarcopenia and without sarcopenia. Conclusion Severe carotid atherosclerosis was correlated with a decrease in muscle mass, reducing the risk of adverse outcomes in patients with a sarcopenia comorbidity.
Source link: https://doi.org/10.1136/annrheumdis-2022-eular.3744
The aim of this research was to investigate the predictive value of triglyceride/HDL cholesterol ratio and whole blood viscosity in patients admitted to our clinic and scheduled for coronary artery bypass graft surgery. Patients with severe carotid or peripheral arterial disease were admitted in group 2; those in group 2 who had peripheral arterial disease and stenosis were not detecting were not included in group 2. Results: Group 1 was composed of 255 patients, mean age 58. 1 - 8. 9 years, with 44 patients in group 2 having a mean age of 64. 1 years; 209 years; 9. 6 years; the 44 patients in group 2 had a mean age of 64. 1 u00b1 10. 6 years. In group two, the incidence of diabetes mellitus and tobacco use was both highly elevated. Conclusion: With complete blood viscosity and TG/HDL-C ratios, it is possible to forecast additional arterial diseases in patients scheduled for CABG with full blood viscosity and TG/HDL-C ratios, both of which can be obtained by simple blood tests.
Source link: https://doi.org/10.1532/hsf.2991
Carotid artery disease is common in clinical practice and accounts for approximately 30% of ischemic strokes in the general population. Given the inflammatory nature of the atherosclerotic process, blood cell count indicators of systemic inflammation may be especially useful, both from a pathophysiological and clinical viewpoint.
Source link: https://doi.org/10.2174/1381612826666201222155630
The vascular surgeon's thromboembolism from a stenotic carotid artery is of particular concern to the vascular surgeon, with over one-third of all strokes causing strokes caused by thromboembolism from a stenotic carotid artery, causing carotid artery stenosis, the leading cause of stroke. This paper explores the evidence establishing the epidemiology, detection, and surgical treatment of carotid artery stenosis that support national guidelines.
Source link: https://doi.org/10.12968/hmed.2022.0184
BACKGROUND Although most cases of internal carotid artery agenesis are medically absent due to a well-developed collateral pathway, several instances may experience ischemic signs in conjunction with other occlusive cerebrovascular disorders. The authors chronicle herein the first case of an ICA agenesis that caused an ischemic attack due to a coincidence with moyamoya disease. OBSERVATIONS A 3-year-old girl was admitted to the authors' U2019 hospital due to the onset of right arm weakness and clonic convulsion. LESSONS LESSONS: When patients with ICA agenesis develop ischemic symptoms, careful investigation of the source and appropriate care, including surgical care, are required.
Source link: https://doi.org/10.3171/case22119
Methods: The study team consisted of 117 patients with coronary artery disease and CA stenosis, CA stenosis, and 88 patients with CAD and ruled out CA stenosis. Results: No significant association was found between studied polymorphisms and the occurrence or the severity of CA stenosis in the Polish population with CAD. Conclusion: This is the first review that shows that common NR3C1 gene variants do not influence CA stenosis and are unlikely to be related to atherosclerosis. The hunt for genes that can act as prognostic markers in predicting CA stenosis is still underway.
Source link: https://doi.org/10.3390/biomedicines10081912
OBJECTIVE CONSULTIVE Controversy surrounding the optimal management of subcutaneous coronary artery disease prior to carotid endarterectomy and the effects of CAD on clinical outcomes following CEA remains. Over a 10-year period, the researchers analyzed a total of 722 cases involving patients without a history of CAD who underwent cardiac risk assessment by radionuclide myocardial perfusion imaging and CEA. Perioperative cardiac risk was determined on the basis of postoperative elevation of cardiac troponin I in the absence of myocardial ischemia. These patients did have a higher risk of perioperative cardiac disease during their perioperative period and similar primary endpoint incidences as those without subcutaneous CAD. Patients with subcutaneous CAD can have CEA with good short- and long-term outcomes provided they receive selective coronary revascularization and optimal perioperative medical care.
Source link: https://doi.org/10.3171/2016.3.jns16287
OBJECTIVE Although intracranial vessel remodeling has been achieved in moyamoya disease, there are questions regarding the effect of bypass surgery on hemodynamic changes within the internal carotid artery. The authors sought to quantify the surgical effects of bypass surgery in bilateral ICAs in moyamoya disease and to estimate pressure decrease along the length of the ICA to predict surgical outcomes. On the nonsurgical side, the PD in ICAs on the surgical side decreased by 21. 8 percent and increased by 11. 7 percent. When the PD in contralateral ICAs was compared between patients with a complete or incomplete CoW, the authors found that the PDI in the former group decreased by 2. 3 percent and increased by 20. 8 percent in the latter period. The vessel remodeling characteristics of contralateral ICA were similar to CoW configurations.
Source link: https://doi.org/10.3171/2017.5.jns163112
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