This is the case of a 25-year-old obese man who presented with acute shortness of breath, chest pain, and palpitations. Of note, he lives a sedentary lifestyle and was recently hospitalized for incision and drainage of a left foot abscess. On presentation he was tachypnoeic, tachycardiac, and hypoxic but blood pressure was stable. Laboratory studies were significant for elevated D-dimer and mil...

Middle Cerebral Artery Embolectomy and Prolonged Widespread Vasospasm • Cerebral vasospasm following subarachnoid hemorrhage due to ruptured aneurysms has been discussed extensively during the past decade. Spasm involving the cerebral arteries also has been described in severe head injuries, infections, hypertensive encephalopathy and migraine. However, it has not been reported in cerebral embo...

BACKGROUND AND PURPOSE The traditional time window for acute ischemic stroke intra-arterial therapy (IAT) is <6 hours, which is based on pharmacological thrombolysis without penumbral imaging. This study was conducted to determine the safety of patient selection for IAT based on perfusion mismatch rather than time. METHODS A cohort of consecutive patients treated with IAT was identified by da...

Acute ischemic stroke due to embolic occlusion of the middle cerebral artery (MCA) in patients with chronic ipsilateral internal carotid artery (ICA) occlusion is quite rare. Several previous reports demonstrated that intra-arterial (IA) thrombolytic therapy or aspiration thrombectomy using the cross-circulation technique via an alternative collateral pathway is feasible in acute stroke patient...

cardiovascular surgery, pulmonary embolism remains the most serious postoperative complication. All efforts should be directed at eliminating the factors that contribute to its incidence. Recently, there has been a revival of interest in its treatment after Cooley and BealI1 reported the first successful pulmonary embolectomy using cardiopulmonary bypass in 1961. Around the same time hyperbaric...