Dissecting MCA Aneurysm
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A patient presented with a fusiform aneurysm involving the left middle cerebral artery (MCA) bifurcation and lower division. The aneurysm was treated with stent placement in the lower division of the MCA, followed by coil placement, which resulted in almost complete occlusion. Follow-up imaging later revealed growth of residual aneurysm, which was then treated with additional coil placement, achieving complete occlusion.
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2) Times were significantly reduced through parallel processing that allowed for concurrent clinical assessment, imaging, and lab preparation while alerting the neurointervention team.
3) A case example showed door-to-recanalization times under 90 minutes were possible through strict adherence to the parallel processing protocol.
Flow diverters – Challenges in Indian scenario, procter, financial, experience
This document discusses the challenges of using flow diverters in India, including their high cost, the small number of centers that can perform the procedures, lack of equipment and training, and the need for more published data and registries. It outlines protocols for proctoring physicians on new flow diverter devices from companies like Medtronic, Microvention, and Stryker, which typically involve a combination of animal lab training, supervised clinical cases, and requirements to complete a certain number of cases before becoming an independent user or proctor. Issues around patient costs, training standards, experience levels, anti-coagulation protocols, and addressing complex aneurysm cases are also mentioned. The document calls for more industry support in training, and
Stroke in India: Disease, systems, and Treatment
The document discusses mechanical thrombectomy for stroke treatment in India. It summarizes several key trials from 2015 that supported the use of endovascular therapy. The AHA/ASA 2015 guidelines recommend endovascular therapy with a stent retriever for certain stroke patients. The document then reviews the epidemiology of stroke in India and prevalence of intracranial atherosclerotic disease. It provides an overview of the current state of mechanical thrombectomy in India, including the limited number of centers (around 60) and cases performed annually. Challenges to further adoption are discussed like lack of training programs, guidelines, infrastructure and public awareness. Potential solutions proposed include dedicated training programs, developing a consensus on standards, and increasing awareness through education
Balloon Assisted Coiling in Ruptured Cerebral Aneurysms
This document discusses balloon-assisted coiling techniques for treating ruptured cerebral aneurysms. It begins by outlining the historical use of balloons to treat broad-neck aneurysms using the "remodeling technique." It then provides details on techniques such as balloon selection and placement, aneurysm types best suited for different techniques, and potential complications. The conclusion is that balloon-assisted coiling is a versatile technique that does not increase complications compared to standalone coiling and can achieve better aneurysm occlusion, especially for difficult ruptured aneurysm cases.
Tricks of handling difficult cannulations
This document discusses tricks and techniques for difficult cannulations during neurointerventional procedures. It outlines strategies for accessing the aortic arch, internal carotid artery (ICA), and areas distal to aneurysms. Long sheaths, distal access catheters, and co-axial techniques are presented as options that have improved cannulation success. Guidance on sheath and catheter selection is provided for different vessel paths. The importance of catheter placement as high as possible in the ICA is emphasized. Reverse curve cannulations are also mentioned. Overall, the document stresses that careful cannulation is critical for procedural success and different strategies may be needed depending on the vessel target.
Blister Aneurysms
Vipul Gupta discusses the management of small blister aneurysms, which are rare and characterized by a hemispherical shape and fragile walls. Endovascular treatment is challenging due to their small size and friable nature. Overlapping stents are often needed to retain coils and prevent rupture or continued growth. Newer options include flow diverters, which may provide better occlusion than single or overlapping stents alone. Careful antiplatelet protocols are important. While flow diverters appear safe and effective for internal carotid artery blisters, their role in other locations requires more study. Ongoing advances aim to improve outcomes for these high-risk lesions.
Stroke Awareness
This document discusses stroke, its causes, symptoms, treatments, and importance of early intervention. Stroke occurs when a blood vessel supplying the brain is blocked by a clot or ruptures, depriving brain tissue of oxygen. Early recognition of stroke symptoms using the FAST test and immediate medical treatment are crucial, as every minute of delay causes further brain damage. Specialized stroke units and clot-busting drugs within 4.5 hours of symptoms can significantly improve outcomes. Rehabilitation is also important for recovery. Lifestyle changes can help prevent additional strokes. Public awareness and advocacy are needed to improve stroke care worldwide.
Take Care of Your Health
This document discusses health issues affecting adolescents and young adults. It notes that good health in adolescence is important for lifelong well-being, but more investment is needed in prevention and early intervention. Some health risks for this age group include mental health problems, substance abuse, nutrition, and social media use. The document also discusses diabetes prevalence worldwide and risk factors for different ethnic groups. It provides information on type 1 and type 2 diabetes. Food and lifestyle choices that impact health are also addressed.
Stroke EVT- A Discussion
A sixty five year old female presented at five hours after symptom onset with a NIHSS score of 22. Imaging showed a right middle cerebral artery occlusion. The patient underwent mechanical thrombectomy using a stent retriever. Follow up imaging showed reperfusion of the previously occluded vessel and the patient was discharged with mild residual aphasia and a modified Rankin score of 2. Factors such as rapid triage protocols, minimizing delays from imaging to treatment, and standardized approaches can help reduce time to recanalization and improve outcomes in acute ischemic stroke.
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Blister aneurysms- Evolution of Endovascular management
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Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed一比一原版布里斯托大学毕业证(Bristol毕业证书)学历如何办理
补办文凭【微信号:176555708】【(Bristol毕业证书)】【微信号:176555708】《成绩单、外壳、offer、真实留信官方学历认证（永久存档/真实可查）》采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【我们承诺采用的是学校原版纸张（纸质、底色、纹路）我们拥有全套进口原装设备，特殊工艺都是采用不同机器制作，仿真度基本可以达到100%，所有工艺效果都可提前给客户展示，不满意可以根据客户要求进行调整，直到满意为止！】
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信号:176555708】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信号:176555708】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
At Malayali Kerala Spa Ajman we providing the top quality massage services for our customers.
Our massage center prioritizes efficiency to ensure a quality massage experience for our clients at Malayali Kerala Spa Ajman. We offer a convenient appointment system and precise massage services.
Reach us at Villa No 7, Near Ammar Bin Yasir Street Al Rashidiya 2 - Ajman - United Arab Emirates.
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nursing management of patient with Empyema ppt
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
Know Latest Hiranandani Hospital Powai News.pdf
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Discover the Perfect Way to Relax - Malayali Kerala Spa Ajman
Malayali Kerala Spa in Ajman, one among the top rated massage centre in ajman, welcomes you to experience high quality massage services from massage staffs from all ove rthe world! Being the best spa massage service providers, we take pride in offering traditional massage services of different countries, like
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Top 5 Benefits of Cancer Registry Services
Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa Ajman
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Our Spa in Ajman stands out for its effectiveness in enhancing wellness. Our therapists focus on treating the root cause of issues, providing tailored treatments for each client. We take pride in offering the most satisfying Pakistani Spa service, adjusting treatment plans based on client feedback.
For the most result-oriented Russian Spa treatment in Ajman, visit our Massage Center. Our Russian therapists are skilled in various techniques to address health concerns. Our body-to-body massage is efficient due to individualized care and high-grade massage oils.Test bank advanced health assessment and differential diagnosis essentials fo...
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The Ultimate Guide in Setting Up Market Research System in Health-Tech
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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Dissecting MCA Aneurysm
- 1. Dr Vipul Gupta Medanta-The Medicity Gurgaon, India
- 2. A B Fig. 1 A & B – DSA (A) with 3D reconstruction (B) shows a fusiform aneurysm involving left MCA bifurcation particularly the lower division. Dissecting MCA Aneurysm
- 3. C & D - Road map images showing a micro catheter being navigated to lower division of MCA. E – Stent deployment in lower division of MCA. F- DSA after coil placement showing almost complete occlusion. C D E F
- 4. A B C D Fig. 2 A- Follow-up Angiogram revealing growth of residual aneurysm. B & C – 3D angiography. B – overlap of coil mass (orange) and the recurrent aneurysm seen. C- By changing the angulation the neck of the recurrent aneurysm could be profiled. D – Road map image showing tip of coiling microcatheter at the neck of the aneurysm.
- 5. E E – Post coiling angiogram showing complete occlusion. F – Native image showing the coil mass. F https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular Stroke and Neurovascular Interventions Foundation www.sanif.co.in
- 6. E E – Post coiling angiogram showing complete occlusion. F – Native image showing the coil mass. F https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular Stroke and Neurovascular Interventions Foundation www.sanif.co.in