Takayasu Arteritis Presenting with Ischemic Stroke: Two case reports

Takayasu arteritis is a rare vasculitic disease characterized with inflamation of vessels. It commonly results stenosis and dilatations of aort and aortic branches. Ischemic Cerebrovascular Disease is one of the major complications of Takayasu arteritis. In this report we concluded two Takayasu arteritis cases in the light of current data whom presented with ischemic stroke clinical symptoms

Effects of aspiration pneumonia on the intensive care requirements and in-hospital mortality of hospitalised patients with acute cerebrovascular disease

Introduction : In this study, we aimed to evaluate the effects of the development of aspiration pneumonia (AP) on the intensive care unit (ICU) requirements and in-hospital mortality of patients hospitalised in the neurology ward due to an acute cerebrovascular accident (CVA). Material and methods: Five hundred and three patients hospitalised in the neurology ward following an acute CVA were retrospectively analysed. The patients were divided into two groups: those with AP (group 1) and those without AP (group 2). Demographic characteristics and physical and radiological findings, including the localisation, lateralisation and aetiology of the infarction, in addition to ICU requirements and mortality, were evaluated. Results : Aspiration pneumonia was detected in 80 (15.9%) patients during the in-hospital stay. Transfer to the ICU for any reason was required in 37.5% of the patients in group 1 and 4.7% of those in group 2 (p < 0.001). In-hospital mortality occurred in 7.5% and 1.4% of the patients in group 1 and group 2, respectively (p = 0.006). The incidence of AP was highest in patients with an infarction of the medial cerebral artery (MCA) (p < 0.001). AP was associated with older age (p < 0.001), hypertension (p = 0.007), echocardiography findings (p = 0.032) and the modified Rankin Scale (mRS) score (p < 0.001). Conclusions : Our findings suggest that the requirement rate for transfer to the ICU and the mortality rate appear to be significantly higher in patients with a diagnosis of AP. Precautions should be taken, starting from the first day of hospitalisation, to decrease the incidence of AP in patients with acute CVA, focusing especially on older patients and those with a severe mRS score

Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone

Objective To compare the results of endovascular therapy for chronic limb-threatening ischemia (CLTI) in patients categorized under the gray and yellow zones of the patient risk, limb severity, and anatomic pattern (PLAN) concept over a 2-year follow-up period. Methods Patients who underwent endovascular therapy for peripheral artery disease and presented with CLTI from February 2017 to February 2019 were retrospectively reviewed. The patients were grouped into yellow and gray zones based on the PLAN concept. Preoperative and postoperative walking distances, Rutherford classes, and postoperative target vessel patency rates were recorded and compared between the groups. Follow-up evaluations were performed at 1, 6, 12, and 24 months post-procedure. Results Of the 387 patients evaluated, the yellow and gray groups comprised 88 patients each. The overall patency rates were similar between the groups (84 (95.45%) vs. 81 (92.05%), respectively). The occlusion-/stenosis-free survival times, amputation-free survival time, and mean survival time were not significantly different. However, the gray group had a significantly higher number of atherectomy interventions (74 vs. 59) and crosser devices used (62 vs. 42). Conclusion Endovascular therapy is an effective treatment option for patients in the gray zone of the PLAN color coding system

sj-pdf-2-imr-10.1177_03000605231211768 - Supplemental material for Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone

Supplemental material, sj-pdf-2-imr-10.1177_03000605231211768 for Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone by Ali Baran Budak, Levent Altınay, Orhan Eren Günertem, Muhammet Sefa Sağlam, Emre Külahçıoğlu, Naim Boran Tümer, Betül Keskinkılıç Yağız, Serdar Gökay Terzioğlu, Tonguç Saba, Kanat Özışık and Serdar Günaydın in Journal of International Medical Research</p

sj-pdf-1-imr-10.1177_03000605231211768 - Supplemental material for Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone

Supplemental material, sj-pdf-1-imr-10.1177_03000605231211768 for Evaluation of endovascular treatment of chronic limb-threatening ischemia for patients in the PLAN gray zone by Ali Baran Budak, Levent Altınay, Orhan Eren Günertem, Muhammet Sefa Sağlam, Emre Külahçıoğlu, Naim Boran Tümer, Betül Keskinkılıç Yağız, Serdar Gökay Terzioğlu, Tonguç Saba, Kanat Özışık and Serdar Günaydın in Journal of International Medical Research</p