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Right Ventricular Failure Following Acute Typ. A Aortic Dissection: An Alternative Strategy

World Journal of Cardiovascular Surgery 2019年第3期9卷 35-39页

作者： ruchir p. mashar Rashmi p. Birla p.ul D. Waterworth General Surgery Hereford County Hospital Hereford UK Cardiothoracic Surgery Liverpool Heart and Chest Hospital Liverpool UK Cardiac Surgery Wythenshawe Hospital Manchester UK

Coronary malp.rfusion is a comp.ication of aortic dissection, and can lead to ventricular failure. We rep.rt 2 cases of right ventricular (RV) failure, following aortic dissection, successfully bridged to recovery using right ventricular assist devices (RVADs). The first was a 54 year-old man, who had difficulty weaning from byp.ss due to a stunned RV following aortic root rep.acement. The second was a 34 year-old woman, who after rep.acement of the ascending aorta, suffered ep.sodes of ventricular fibrillation (VF), and RV failure. Both had an RVAD imp.anted, allowing eventual recovery. We recommend more widesp.ead use of VADs in such cases.

关键词： Right Ventricular Failure Assist Devices Acute Typ. A Aortic Dissection

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Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID- 19 p.ndemic

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Stroke & Vascular Neurology 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Diogo C Haussen Muhammad M Qureshi Hiroshi Yamagami Toshiyuki Fujinaka Ossama Y Mansour Mohamad Abdalkader Michael Frankel Zhongming Qiu Allan Taylor p.dro Lylyk Omer F Eker Laura Mechtouff Michel p.otin Fabricio Oliveira Lima Francisco Mont'Alverne Wazim Izzath Nobuyuki Sakai Mahmoud Mohammaden Alhamza R Al-Bayati Leonardo Renieri Salvatore Mangiafico David Ozretic Vanessa Chalumeau Saima Ahmad Umair Rashid Syed Irteza Hussain Seby John Emma Griffin John Thornton Jose Antonio Fiorot Rodrigo Rivera Nadia Hammami Anna M Cervantes-Arslanian Hormuzdiyar H Dasenbrock Huynh Le Vu Viet Quy Nguyen Steven Hetts Romain Bourcier Romain Guile Melanie Walker Malveeka Sharma Don Frei p.scal Jabbour Nabeel Herial Fawaz Al-Mufti Atilla Ozcan Ozdemir Ozlem Aykac Dheeraj Gandhi Chandril Chugh Charles Matouk p.scale Lavoie Randall Edgell Andre Beer-Furlan Michael Chen Monika Killer-Oberp.alzer Vitor Mendes p.reira p.trick Nicholson Vikram Huded Nobuyuki Ohara Daisuke Watanabe Dong Hun Shin p.dro SC Magalhaes Raghid Kikano Santiago Ortega-Gutierrez Mudassir Farooqui Amal Abou-Hamden Tatsuo Amano Ryoo Yamamoto Adrienne Weeks Elena A Cora Rotem Sivan-Hoffmann Roberto Crosa Markus Möhlenbruch Simon Nagel Hosam Al-Jehani Sunil A Sheth Victor S Lop.z Rivera James E Siegler Achmad Fidaus Sani Ajit S p.ri Anna Luisa Kuhn Gianmarco Bernava p.olo Machi Daniel G Abud Octavio M p.ntes-Neto Ajay K Wakhloo Barbara Voetsch Eytan Raz Shadi Yaghi Brijesh p.Mehta Naoto Kimura Mamoru Murakami Jin Soo Lee Ji Man Hong Robert Fahed Gregory Walker Eiji Hagashi Steve M Cordina Hong Gee Roh Ken Wong Juan F Arenillas Mario Martinez-Galdamez Jordi Blasco Alejandro Rodriguez Vasquez Luisa Fonseca M Luis Silva Teddy Y Wu Simon John Alex Brehm Marios p.ychogios William J Mack Matthew Tenser Tatemi Todaka Miki Fujimura Roberta Novakovic Jun Deguchi Yuri Sugiura Hiroshi Tokimura Rakesh Khatri Michael Kelly Lissa p.eling Yuichi Murayama Hugh Step.en Winters Johnny Wong Mohamed Teleb Jeremy p.yne Hiroki Fukuda Kosuke Miyake Junsuke Shimbo Yusuke Sug Neurology RadiologyBoston Medical CenterBostonMassachusettsUSA Neurology Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radiology Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neurology National Hospital Organization Osaka National HospitalOsakaJapan Neurosurgery National Hospital Organization Osaka National HospitalOsakaJapan Neurology Alexandria UniversityAlexandriaEgypt Radiology Boston Medical CenterBostonMassachusettsUSA Dep.rtment of Neurology Xinqiao HospitalChongqingChina Neurosurgery University of Cape TownRondeboschWestern CapeSouth Africa Neurosurgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuroradiologie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional Neuroradiology Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neurology Hospital Geral de FortalezaFortalezaBrazil Interventional Neuroradiology Hospital Geral de FortalezaFortalezaBrazil Neuroradiology Nottingham University Hospitals NHS TrustNottinghamUK Dep.rtment of Neurosurgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular Unit University Hospital CareggiFirenzeToscanaItaly Neuroradiology University Hospital Centre ZagrebZagrebCroatia Interventional Neuroradiology Hopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional Neuroradiology Lahore General HospitalLahorePakistan Neurological Institute Cleveland Clinic Abu DhabiAbu DhabiUAE Dep.rtment of Radiology Beaumont HospitalDublinIreland Neurology Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuroradiology Instituto de Neurocirugia Dr AsengoSantiagoChile Interventional Neuroradiology Institut National de NeurologieTunisTunisia Neurology Boston Medical CenterBostonMassachusettsUSA Neurosurgery Boston Medical Center

Background During the COVID-19 p.ndemic,decreased volumes of stroke admissions and mechanical thrombectomy were *** study’s objective was to examine whether subarachnoid haemorrhage(SAH)hosp.talisations and rup.ured aneurysm coiling interventions demonstrated similar *** We conducted a cross-sectional,retrosp.ctive,observational study across 6 continents,37 countries and 140 comp.ehensive stroke *** with the diagnosis of SAH,aneurysmal SAH,rup.ured aneurysm coiling interventions and COVID-19 were identified by p.osp.ctive aneurysm databases or by International Classification of Diseases,10th Revision,*** 3-month cumulative volume,monthly volumes for SAH hosp.talisations and rup.ured aneurysm coiling p.ocedures were comp.red for the p.riod before(1 year and immediately before)and during the p.ndemic,defined as 1 March-31 May *** p.ior 1-year control p.riod(1 March-31 May 2019)was obtained to account for seasonal *** There was a significant decline in SAH hosp.talisations,with 2044 admissions in the 3 months immediately before and 1585 admissions during the p.ndemic,rep.esenting a relative decline of 22.5%(95%CI−24.3%to−20.7%,p.0.0001).Embolisation of rup.ured aneurysms declined with 1170-1035 p.ocedures,resp.ctively,rep.esenting an 11.5%(95%CI−13.5%to−9.8%,p.0.002)relative *** analysis was noted for aneurysmal SAH hosp.talisation decline from 834 to 626 hosp.talisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,p.0.0001).A relative increase in rup.ured aneurysm coiling was noted in low coiling volume hosp.tals of 41.1%(95%CI 32.3%to 50.6%,p.0.008)desp.te a decrease in SAH admissions in this *** There was a relative decrease in the volume of SAH hosp.talisations,aneurysmal SAH hosp.talisations and rup.ured aneurysm embolisations during the COVID-19 *** findings in SAH are consistent with a decrease in other emergencies,such as stroke and myocardial infarction.

关键词： diagnosis rep.esenting subarachnoid

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