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Long-term Prognosis of Patients Who Contraindicated for Intravenous Thrombolysis in Acute Ischemic Stroke

Lee BY, Oh JS, Yoon SM

BACKGROUND: As intravenous thrombolysis (IVT) has very restricted inclusion criteria, eligible patients of IVT constitute a very small proportion and studies about their mortality are rare. The long-term mortality in...
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Characteristics of blood tests in patients with acute cerebral infarction who developed symptomatic intracranial hemorrhage after intravenous administration of recombinant tissue plasminogen activator

Lee C, Na JU, Lee JH, Han SK, Choi PC, Lee YH, Park SO, Shin DH

OBJECTIVE: Patients suspected as having acute ischemic stroke usually undergo blood tests, including coagulation-related indexes, because thrombocytopenia and coagulopathy are contraindications for recombinant tissue plasminogen activator (rtPA) administration. We aimed...
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Use of extracorporeal membrane oxygenation in patients with acute high-risk pulmonary embolism: a case series with literature review

Oh YN, Oh DK, Koh Y, Lim CM, Huh JW, Lee JS, Jung SH, Kang PJ, Hong SB

BACKGROUND: Although extracorporeal membrane oxygenation (ECMO) has been used for the treatment of acute high-risk pulmonary embolism (PE), there are limited reports which focus on this approach. Herein, we described...
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Comparison of Treatment Result Between Anticoagulation Alone and Catheter-Directed Thrombolysis Plus Anticoagulation in Acute Lower Extremity Deep Vein Thrombosis

Choi YJ, Kim DH, Kim DI, Kim HY, Lee SS, Jung HJ

PURPOSE: Deep vein thrombosis (DVT) is the third most common cause of cardiovascular morbidity and mortality. Anticoagulation has been the primary treatment modality for acute DVT. However, catheter-directed thrombolysis (CDT)...
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Cardiac Arrest from Patient Position Change after Spine Surgery on a Jackson Table

Hong B, Yoon SH, Park SY, Song S, Youn A, Hwang JG

The Jackson table has minimal effects on cardiac function because it does not elevate abdominal and thoracic pressures. In addition, it decreases venous congestion and increases exposure of the surgical...
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Association of Elevated Blood Pressure Levels with Outcomes in Acute Ischemic Stroke Patients Treated with Intravenous Thrombolysis: A Systematic Review and Meta-Analysis

Malhotra K, Ahmed N, Filippatou A, Katsanos A, Goyal N, Tsioufis K, Manios E, Pikilidou , Schellinger PD, Alexandrov AW, Alexandrov AV, Tsivgoulis G

BACKGROUND AND PURPOSE: Although arbitrary blood pressure (BP) thresholds exist for acute ischemic stroke (AIS) patients eligible for intravenous thrombolysis (IVT), current international recommendations lack clarity on the impact of...
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Successful Endovascular Therapy for Bilateral Popliteal Thrombotic Occlusions

Park SH, Jang WY, Hyun HJ, Choi SJ, Kim MJ, Rha SW

The popliteal artery is a relatively short vascular structure, but acute occlusion can decrease blood flow into the lower extremities and cause subsequent critical limb ischemia, amputation, and even mortality....
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The Evolution of the Neurosurgical Treatment of Ischemic Stroke

Withrow J, Todnem N, Rahimi S

The neurosurgical approach to the management of ischemic stroke has evolved dramatically over the past century with the bulk of these changes occurring over the past 25 years. With recent...
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Infarct Core Expansion on Computed Tomography before and after Intravenous Thrombolysis

Song D, Yoo J, Baek JH, Kim J, Lee HS, Kim YD, Nam HS, Heo JH

PURPOSE: Infarct core can expand rapidly in acute stroke patients receiving intravenous tissue plasminogen activator (IV t-PA). We investigated changes in the extent of infarct core during IV t-PA treatment,...
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Clinical Characteristics of Stroke Mimics Presenting to a Stroke Center within the Therapeutic Window of Thrombolysis

Yahia MM, Bashir S

This study aimed at identifying the frequency and final diagnoses of stroke mimics (SMs) among suspected stroke cases, and seeking differences in clinical & imaging features between SMs and true...
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Massive Pulmonary Embolism with Thrombus-in-Transit Entrapped by a Patent Foramen Ovale

Oh JY, Lee WJ, Kim HJ

“Thrombus-in-transit” in pulmonary embolism is associated with high mortality and refers to a free-floating clot in the right atrium or right ventricle, indicating that deep vein thrombosis is present en...
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Treatment by Transradial Urokinase Infusion and Percutaneus Transhepatic Thrombectomy in Superior Mesenteric Veno us Thrombosis with Intestinal Infarction

Bae SH, Kim KH, Whang JY, Lee JM, Kim JM, Ku JM, Lee J

Mesenteric venous thrombosis has a low prevalence and nonspecific clinical symptoms, and it may cause bowel infarction and death. Early diagnosis and prompt surgical intervention with anticoagulants are important to...
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Intravenous Thrombolysis Use in Acute Stroke with Cardiac Myxoma

Kim EY, Jeong HY, Lee YS

No abstract available.
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Provocative mesenteric angiography for diagnosis and treatment of occult gastrointestinal hemorrhage

Kim CY

Occult gastrointestinal (GI) hemorrhage can be a great challenge to both patients and physicians, exerting a great toll on patients and the healthcare system. While diagnostic capabilities for diagnosing GI...
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Sarpogrelate Based Triple Antiplatelet Therapy Improved Left Ventricular Systolic Function in Acute Myocardial Infarction: Retrospective Study

Choi JH, Cho JR, Park SM, Shaha KB, Pierres F, Sumiya T, Chun KJ, Kang MK, Choi S, Lee N

PURPOSE: The purpose of this study was to assess the potential benefit of a 5-hydroxytryptamine receptor antagonist, sarpogrelate-based triple antiplatelet therapy (TAPT) in comparison with dual antiplatelet therapy (DAPT) in...
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Visibility of CT Early Ischemic Change Is Significantly Associated with Time from Stroke Onset to Baseline Scan beyond the First 3 Hours of Stroke Onset

Gao J, Parsons MW, Kawano H, Levi CR, Evans TJ, Lin L, Bivard A

BACKGROUND AND PURPOSE: Non-contrast brain computed tomography (NCCT) remains the most common imaging modality employed to select patients for thrombolytic therapy in acute ischemic stroke. The current study used the...
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Dual Mechanical Thrombectomy for Recanalization of a Resistant Acute Posterior Circulation Stroke

Peker A, Akgoz A, Arsava EM, Topçuoglu MA, Arat A

A 71-year-old man with acute basilar artery occlusion was referred for endovascular treatment 6 hours after the onset of stroke with a Glasgow Coma Score of 3 and National Institutes...
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Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction

Do YR

Use of recombinant tissue plasminogen activator (rt-PA) for the treatment of acute cerebral infarction secondary to aortic dissection is challenging because of a narrow time window and potential life-threatening complications....
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Effectiveness of Percutaneous Aspiration Thrombectomy for Acute or Subacute Thromboembolism in Infrainguinal Arteries

Cha JG, Kim CS, Kim YH, Kim SH

PURPOSE: To report the feasibility and long-term clinical outcome of percutaneous aspiration thrombectomy for treating acute or subacute arterial thromboembolism in the infrainguinal arteries. MATERIALS AND METHODS: Thirty limbs of 29...
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Multidisciplinary Approach to Decrease In-Hospital Delay for Stroke Thrombolysis

Jeon SB, Ryoo SM, Lee DH, Kwon SU, Jang S, Lee EJ, Lee SH, Han JH, Yoon MJ, Jeong S, Cho YU, Jo S, Lim SB, Kim JG, Lee HB, Jung SC, Park KW, Lee MH, Kang DW, Suh DC, Kim JS

BACKGROUND AND PURPOSE: Decreasing the time delay for thrombolysis, including intravenous thrombolysis (IVT) with tissue plasminogen activator and intra-arterial thrombectomy (IAT), is critical for decreasing the morbidity and mortality of...
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