OBJECTIVE Manipulation of the atherosclerotic aorta during cardiac surgery is assumed to cause embolization, which can contribute to adverse outcomes. Recently, as a result of worldwide trials deploying the Embol-X intraaortic filter during cardiac surgery, such emboli were captured and processed for histopathologic analysis. METHODS Filters with a pore size of 120 microns were placed in 2297...

INTRODUCTION Dual antiplatelet therapy (DAPT) with aspirin and a thienopyridine (eg, clopidogrel) prevents stent related thromboembolic events in cardiac patients and is frequently utilized during neurointerventional surgery. However, recent data suggest that many patients exhibit clopidogrel resistance. Prasugrel-a newer thienopyridine-lowers the rate of cardiac stent thromboses in clopidogrel...

INTRODUCTION To date, most animal studies of myocardial ischemia have used open-chest models with direct surgical coronary artery ligation. We aimed to develop a novel, percutaneous, minimally-invasive, closed-chest model of experimental myocardial infarction (EMI) in the New Zealand White rabbit and compare it with the standard open-chest surgical model in order to minimize local and systemic ...

Here, we report a case of splenic artery aneurysm rupture in patient with known heterozygosity mutation the ACTN2 gene (variant c.971G > A p.Arg324Gln). The came to our emergency department epigastric pain radiating lumbar area, an absence peritonism signs. An abdominal computed tomography angiography showed ruptured huge (5 cm) aneurysm. Therefore, underwent endovascular coil embolization c...

Introduction:  The use of carbon dioxide blower has been recognized as the standard of care in patients undergoing beating coronary artery bypass grafting (CABG) due to higher solubility and lower risk of embolization. On the other hand, the compressed air blower has gone out of use since air can be easily trapped and is less soluble which can cause coronary embolism. The prese...

A 69-year-old woman with a history of paroxysmal atrial fibrillation and sick sinus syndrome with a dual-chamber pacemaker was admitted to our institution with Staphylococcus aureus bacteremia. She exhibited nonspecific neurologi-cal complaints, and head CT demonstrated multiple cerebral lesions consistent with septic emboli. Transesophageal echo-cardiography revealed a 3-cm vegetation on the r...

Background Chronic subdural hematoma is associated with high rates of perioperative complications and recurrence. Methods The classic treatments are observation or surgical evacuation. Middle meningeal artery embolization a recently emerging procedure that has evolved as the neuroendovascular community gained collective experience. This review summarizes pathophysiology chronic hematoma, review...