Discover and read the best of Twitter Threads about #Aneurysm

Most recents (8)

1) Welcome to a new #accredited #tweetorial in our series of educational programs on #hypertrophic #cardiomyopathy #HCM. Previous programs, still available for 🆓CE/#CME, are at cardiometabolic-ce.com/category/hcm/.
Now you can earn another 0.75hr credit by following this 🧵!
2) Our expert author is JA Linderbaum MS, ARNP, FACC, FPCNA @jlinderbaum, Associate Professor of Medicine, @MayoClinic, CV #NursePractitioner, Assoc. Medical Editor #AskMayoExpert.
#FOAMed #MedEd @MedTweetorials #CardioTwitter @transformingHC @TNPJ_Journal #cardiology
3) This program is supported by an unrestricted educational grant from Bristol Myers-Squibb. Statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/. Credit for #physicians #nursepractitioners #physicianassociates #nurses #pharmacists from @academiccme.
Read 70 tweets
1a) Welcome to a new #accredited #tweetorial on a very challenging topic: managing #ICH in a patient taking anti-FXa #DOACs! Your expert authors are both #neurointensivists: Richard Choi, DO @rkchoi @christianacare and Casey Albin, MD @caseyalbin @EmoryNeuroCrit ImageImage
1b) #Physicians #Nurses #Pharmacists #physicianassociate #NPs earn 0.5h CE/#CME from @academiccme for following this 🧵 Image
2) This program is supported by an educational grant from AstraZeneca and is intended for #HCPs. Accreditation statement and faculty disclosures at cardiometabolic-ce.com/disclosures/. Prior (& future) programs in this space, available for 🆓CE/#CME credit, at cardiometabolic-ce.com/category/antit….
Read 52 tweets
Dr. Karen Stout - presenting the 7 rules to evaluate #Congenital #HeartDisease by #yesCCT at #SCCT2022

Rule - 1: ALWAYS be prepared. Check cases a day prior & PLAN the imaging

@Heart_SCCT @FiRSTSCCT @SinghVasvi @AChoiHeart
KNOW the anatomy.
If you don’t understand the repair- LOOK up. #Google

@Fentanes_MD @JWeirMcCall @Nidhi_Madan9
Rule - KNOW the surgical history
#SCCT2022

@Heart_SCCT @SandeepHedgire @JWeirMcCall
Read 9 tweets
#WeekendLecture
#GeneticsAndStroke

#Genetics is involved in several #stroke related conditions, such as small vessel disease #SVD, aneurysms, dissections, cavernomas, and intracranial #hemorrhages

Check this 🧵!
Prepared by @J_Rosales_MD
Edited by @interneurona Image
#Weekendlecture

#Genetic & #SVD
🧬🧠

✅1,5% of cerebral #SVD are #monogenic disorders
✅AR, AD or X-linked
☝🏼Absence of family history doesn't rule out diagnosis because of
👉de novo mutation
👉reduced expression or
👉incomplete penetrance
ahajournals.org/doi/10.1161/ST…
#Weekendlecture

#Genetic & #SVD

When to #suspect?🕵️‍♀️

✅early onset stroke without vascular RFs
✅systemic features and neuroimaging of an specific monogenic disorder
✅consanguinity
✅negative work up for other causes of SVD

👉ahajournals.org/doi/10.1161/ST… Image
Read 15 tweets
This is a very late #WeekendLecture
but you can review it anytime you want😉
🧠#Aneurysm & #Subarachnoid Hemorrhage
Unruptured intracranial aneurysms are pathologic dilations at major branching brain arteries
~3% of adult population
nejm.org/doi/full/10.10…
thelancet.com/journals/lance… Image
#WeekendLecture
#Aneurysms & #SAH
The most common presentation of intracranial aneurysm is rupture leading to #SAH
The risk of rupture depends on patient and aneurysm related factor, ie: age/gender/location/size/growth, etc
🧠ahajournals.org/doi/10.1161/ST…
🧠journals.lww.com/continuum/Abst… Image
#WeekendLecture
#Aneurysms & #SAH
It is well known that endovascular or neurosurgical management of #unruptured intracranial aneurysm is not free of procedural #complications
This study investigates risk factors for this complications @JAMANeuro
👇
jamanetwork.com/journals/jaman… ImageImage
Read 10 tweets
1/n Basically, if there is an arch aneurysm and a descending aneurysm, it’s pretty hard to get exposure to fix both. So, if you leave an “elephant trunk” behind, it dangles into the descending aneurysm. On return for DTA repair,

First described by Hans Borst in 1983.
#AortaEd
2/n When it’s time to do the descending aorta via left thoracotomy, you can easily clamp the free floating elephant trunk, and stretch it down past the aneurysm. Once the distal anastomosis is sutured in place, the aneurysm is excluded. Simple.

#AortaEd #Aneurysm #dtaa #TAAD
3/n Of course, with this approach, the patient still needs two highly invasive open operations.

Enter #TEVAR, in the early 1990s. First pioneered by Mike Dake, Scott Mitchell, and Craig Miller @StanfordCTSurg in 1992, these home-brewed devices were quickly refined.
Read 6 tweets
Let's get started on our first @realbrainbook CBD.
A 49 year old woman presents to the emergency department with an acute onset headache, vomiting, neck stiffness and photophobia. On examination she is conscious and alert with a GCS of 15. She has no neurological deficits #BBSAH
Based on the history what are your thoughts on differential diagnoses? #BBSAH
Indeed, some great differentials mentioned. Here are some important ones to consider:
Vascular: Ruptured #aneurysm, Ruptured arterio-venous malformation #AVM
Infectious: #Meningitis ,Ruptured mycotic aneurysm
Other: #Migraine, Traumatic haemorrhage #BBSAH
Read 50 tweets
#ClimateAlarmists ignore the fact that all of their propaganda efforts to scare people into submitting to expensive CO2 reduction schemes are having less than no restraining effect on the one & a half degrees of #GlobalWarming over the last two centuries.
vox.com/2015/5/15/8612…
Nothing being done now is having any effect on reducing CO2. We could help Nature do it the old fashioned way by planting a trillion trees. But that takes time.
#ClimateAlarmists prefer preventing the poorest people from trying to stay alive during winter.
livescience.com/65880-planting…
Scientists are proving that active geothermal sources around the globe are causing most of the glacier melting & ocean warming. And more of that heat should be harnessed to benefit humanity, as has been done throughout human history.
#GeothermalGlobalWarming #ClimateChange
Read 57 tweets

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