Use of ivabradine in supraventricular tachycardia caused by refractory focal atrial tachycardia in neonates to avoid radiofrequency ablation

Supraventricular tachycardia (SVT) is a clinical condition caused by many arrhythmias and from different etiologies. Any arrhythmogenic focus above the ventricles due to reentrant or isolated ectopic focus can cause SVT. Neonates usually tolerate tachy- and bradyarrhythmias better than any other age groups. In SVT, the signs of cardiac failure appear after at least 36–48 hrs. We are here presenting a case report of SVT caused by unifocal atrial ectopic focus and treated by ivabradine as it was not responding to usual antiarrhythmic drugs. Literature showing the usage of ivabradine in SVT in pediatric age group is scarce; therefore, we are reporting this case

Groin Puncture to Recanalization Time May Be a Strong Predictor of mTICI 2c/3 over mTICI 2b in Patients with Large Vessel Occlusions Successfully Recanalized with Mechanical Thrombectomy

Mechanical thrombectomy (MT) is an important therapeutic option in the management of acute ischemic stroke (AIS) caused by large vessel occlusions (LVO). While achieving a modified thrombolysis in cerebral infarction (mTICI), grades of 2b, 2c, and 3 are all considered successful recanalization; recent literature suggests that mTICI grades of 2c/3 are associated with superior outcomes than 2b. The aim of this preliminary study is to determine whether any baseline or procedural parameters can predict whether successfully recanalized patients achieve an mTICI grade of 2c/3 over 2b. Consecutive patients from 9/2019 to 10/2021 who were successfully recanalized following MT for confirmed LVO were included in the study. Baseline and procedural data were collected through manual chart review and analyzed to ascertain whether any variables of interest could predict mTICI 2c/3. A total of 47 patients were included in the preliminary study cohort, with 35 (74.5%) achieving an mTICI score of 2c/3 and 12 (25.5%) achieving an mTICI score of 2b. We found that a lower groin puncture to recanalization time was a strong, independent predictor of TICI 2c/3 (p = 0.015). These findings emphasize the importance of minimizing procedure time in achieving superior reperfusion but must be corroborated in larger scale studies

Case report of a giant cell tumor of the carotid sheath

Giant cell tumor of the soft tissue (GCTST) is a neoplasm with low malignant potential and typically affects the trunk and extremities. Herein, we present a case of a palpable right neck mass diagnosed as a GCTST of the carotid sheath in a 38-year-old woman. A review of the imaging characteristics as well as of the differential diagnoses of primary neoplasms of the carotid space is presented