A quarter of pregnant patients suffering stroke symptoms were misdiagnosed due to overlooked warning signs, according to a new study. The researchers highlight the need for better clinician education and decision-support tools to improve maternal health outcomes.
Researchers identified 32 common differentially expressed genes involved in IA, including NGFR and SERPINE1, which may serve as biomarkers. The study suggests that understanding the involvement of aging-related genes can aid in developing therapeutic strategies to minimize surgical interventions.
A team of researchers has proposed a novel ultrathin flexible sensor inserted endovascularly to detect Type-I endoleaks with maximum rupture risk. The sensor is robust enough to withstand dynamic processes and exhibits long-term stability and functionality.
Researchers found a connection between high TMAO levels and faster rates of aneurysm expansion, as well as greater risk for needing surgery. Targeting TMAO levels may help prevent and treat aneurysmal disease beyond surgery.
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A study in mice found that high triglyceride levels directly cause abdominal aortic aneurysms, challenging the notion that they are merely biomarkers of vascular disease. Researchers identified specific proteins and lipoproteins as causal drivers of aneurysm development and growth.
A new computational method combines 4D flow MRI, CFD, and data assimilation to estimate blood flow in brain aneurysms with greater accuracy and efficiency. The approach focuses on the aneurysm region, reducing computational cost while improving flow estimation.
A study published in Chinese Neurosurgical Journal found that the Neuroform Atlas stent-assisted coiling procedure is safe and effective for treating intracranial aneurysms in arteries less than 2.5 mm in diameter, with favorable outcomes and low postoperative complication rates.
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A landmark national study in China identifies the most effective treatment strategies for unruptured brain aneurysms, analyzing over 874,000 clinical entries and 42,000 radiological scans. The trial aims to guide patient-specific treatment strategies and inform healthcare planning in China's aging population.
A study found that tRF-AspGTC increases the risk of developing intracranial aneurysms by promoting vascular smooth muscle cell transformation and enhancing MMP9 expression. It also regulates TRIM29-mediated galectin-3 ubiquitination, leading to inflammation and oxidative stress.
Researchers at Johns Hopkins Medicine have discovered that excessive Gata4 protein accumulation in vascular smooth muscle cells contributes to aortic aneurysm vulnerability in Loeys-Dietz patients. The study's findings may help refine treatments for this genetic disorder, which affects connective tissue systems.
A large trial has found no major difference in clinical outcomes between restrictive and liberal blood transfusion strategies for critically ill patients with aneurysmal subarachnoid hemorrhage. The study suggests that integrating these results with other research can provide a deeper understanding of the optimal threshold.
A new scientific statement highlights improvements in diagnosis, initial treatment, and long-term management of patients with Kawasaki Disease, emphasizing the need for tailored management strategies. Advances in cardiac imaging techniques and risk categorization have led to better patient outcomes.
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Researchers have found that women are more likely to die from postoperative complications after high-risk cardiovascular surgery, with a failure to rescue rate of 10.7% compared to 8.6% for men. The quality of hospital where the procedure was performed did not affect this disparity.
Researchers found that obstructive sleep apnea increases the susceptibility of mice to develop abdominal aortic aneurysms, likely caused by intermittent hypoxia triggering enzyme activity that degrades the extracellular matrix. This degradation weakens the aorta, making it more prone to rupture.
Endomimetics is developing a Bionanomatrix coating to accelerate aneurysm occlusion and minimize thrombus formation in brain aneurysm patients. The coating promotes endothelialization through five synergistic elements, reducing inflammatory responses and platelet adhesion.
A new study published in the Stroke journal found that people with brain aneurysms are at higher risk of developing mental health conditions, including anxiety. The study, which analyzed data from over 85,000 people, found that younger adults were particularly vulnerable to this increased risk.
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A study published in JAMA Network Open found that years of high systolic blood pressure increase the risk of stroke, with Black and Hispanic patients facing a higher risk. Early diagnosis and controlled high blood pressure are crucial to preventing stroke, especially in these populations.
Researchers identified patterns of upregulated genes in aortic endothelium that contribute to aneurysm formation. They also found stiffer endothelium in sites prone to aneurysms, which can lead to vessel wall alterations and increased risk of rupture.
Patients with PFO and ASA are at risk of complications after closure, including left atrial dysfunction and cryptogenic stroke. The authors provide practical guidance for managing these concomitant conditions.
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A study by Linköping University researchers found that disturbed blood flow can cause inflammation and breakdown of the vessel wall in cases of aortic dilation. This discovery could lead to better diagnosis and treatment options for patients at risk of serious complications.
Researchers found that taking lisinopril, simvastatin, metformin, and tamsulosin may lower the risk of a ruptured brain aneurysm. The study associated these drugs with a decreased risk after adjusting for other factors.
A new study reveals that traumatic intracranial aneurysms are more common and associated with intracerebral hematomas after civilian gunshot wounds, challenging conventional wisdom. Spontaneous resolution occurs in approximately 40% of patients.
Scientists have developed a functional model of thoracic aortic aneurysm using human cells in laboratory rats, offering new avenues for drug development and effective screening. The model successfully mimics dilation of the human aorta and has potential applications for treating this potentially fatal condition.
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Patients living in areas with severe primary care shortages have a higher risk of emergency surgery, complications after surgery, and readmission. The study highlights the need for efforts to increase training and geographic distribution of primary care providers.
Researchers are developing minimally invasive techniques to repair and regenerate tissue in aortic aneurysms using actively targeted, drug-releasing nanoparticles. The team found that rod-shaped particles with high aspect ratios were selectively taken up by diseased endothelial cells, leading to improved therapy outcomes.
The new guidelines recognize the aorta as an independent organ, bundling its treatment with other specialties. This holistic approach improves treatment outcomes for patients with aortic rupture and other serious diseases.
Researchers developed a physics-based metric to predict aortic aneurysm development, measuring 'fluttering' in blood vessels. The 'flutter instability parameter' forecasted abnormal growth three years prior to occurrence with 98% accuracy.
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A study of over 2.9 million patients found that gender concordance was associated with lower mortality for female patients, but higher mortality for male patients. The quality of surgical care provided by female surgeons is equivalent to or slightly better than that provided by male surgeons.
A novel robotic system developed by USC researchers can help clinicians accurately assess a patient's rehabilitation progress. The method generates an 'arm nonuse' metric using machine learning and a socially assistive robot to track how much a patient is using their weaker arm spontaneously.
A study in fruit flies reveals a potential connection between a respiratory system defect and the development of aortic aneurysms in humans. Researchers identified proteins that play a crucial role in maintaining tube structure and integrity, which may also be relevant to human tubular diseases.
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A study of hospitalized adults with new-onset atrial fibrillation found that 1 in 3 patients experienced a recurrent episode of AF within a year. This rate is approximately 7 times higher than in matched control participants, suggesting that oral anticoagulation therapy may be warranted for these patients.
A new study from UTHealth Houston finds that AI-powered algorithm can improve detection rates of unruptured cerebral aneurysms. The study used a machine learning algorithm to analyze CT angiograms and identified 36 true aneurysms, with 24 previously not referred for follow-up.
Researchers investigated the Wnt signaling pathway's deregulation in human abdominal aortic aneurysm and found marked increases in WNT2 mRNA levels and active β-catenin. The study suggests that the Wnt/β-catenin pathway may be a promising therapeutic target for AAA, but current inhibitors showed limited efficacy.
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The USC NRV Center performs complex revascularization procedures and conducts innovative research to treat debilitating conditions. The center will use the funding to enhance clinical care and education with a focus on technological innovation.
Scientists at RIKEN Center for Brain Science find that somatic mutations in six genes lead to intracranial aneurysms, which can be blocked with a drug. The study establishes the first non-surgical animal model of intracranial aneurysm and provides a potential new treatment option.
Aneurysmal subarachnoid hemorrhage-related hydrocephalus is a complex syndrome that can lead to cognitive impairment and neurological damage. The new consensus guideline recommends standard-of-care approaches, including history review, head CT scans, and medications or surgical interventions to manage excessive intracranial pressure.
Researchers found increased levels of TMAO in abdominal aortic aneurysm (AAA) patients, which led to disease progression. Inhibiting TMAO production reduced aneurysm severity, suggesting a potential therapeutic target.
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Two researchers will receive $1 million each for their five-year studies on new medication-based approaches to repair damaged aortas, as well as the effects of exercise on healing heart muscle and brain tissue after a heart attack or stroke. The American Heart Association's Merit Award supports innovative research with high impact.
Researchers found that immune-modulating cells may slow the expansion of bulges in the aorta by creating a less-inflammatory environment. A second study discovered evidence that a COVID-19 infection promotes the enlargement of abdominal aortic aneurysms, which are extremely dangerous and potentially fatal if they rupture.
Researchers have identified low CD4 counts, high viral loads and inconsistent antiretroviral therapy use as possible risk factors for aneurysm formation and growth in adults living with HIV. A history of more severe illness may also be associated with a higher risk of brain aneurysm growth.
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A study published in Circulation Research identifies the FHL5 gene as a key regulator of vascular disease, including heart attacks and aneurysms. The discovery advances our understanding of the underlying causes of vascular disease and provides new insights into genetic risk factors.
Using image-based computational blood dynamics, researchers mimicked health conditions and investigated hemodynamic parameters to better understand how aneurysm size affects blood flow. They found that altered blood flow velocity distribution can lead to rupture, emphasizing the importance of early detection and treatment options.
Researchers from Beth Israel Deaconess Medical Center found that newer unibody aortic stent grafts failed to meet non-inferiority compared to non-unibody devices. A surveillance program is recommended to monitor safety events related to aortic stent grafts.
A new algorithm predicts female patients are at higher risk for kidney damage after aneurysm repair, with those having reduced glomerular filtration rate facing a 4.7 times increased risk. The algorithm could help identify patients at risk and optimize them before surgery.
A new study using mice reveals that genetic mutations associated with increased risk of abdominal aneurysms, a 'silent killer' condition responsible for nearly 5,000 deaths annually. The findings could lead to earlier detection methods and screening for predisposed patients.
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Researchers at the University of Oklahoma are designing a customized device to better treat unique brain aneurysms. The device uses advanced biomedical 3-D printing to tailor the treatment to the specific shape, size, and location of each aneurysm.
Researchers at RIKEN Center for Integrative Medical Sciences discover genes and individual variations associated with atrial fibrillation, predicting stroke and mortality risk. They also uncover a potential treatment target, ERRg, involved in the pathogenesis of atrial fibrillation.
Researchers discover a shared genetic basis between fibromuscular dysplasia (FMD) and abdominal aortic aneurysms (AAA), with males more likely to develop AAA when a family member has FMD. The study suggests that screening for AAA in male relatives of patients with FMD may be beneficial, along with established guidelines.
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A new injectable hydrogel has been developed with enhanced shear-thinning properties, improved cellular biocompatibility, and significantly reduced clotting times. The biomaterial was created by adding sodium phytate to a gelatin-based compound, promoting even greater cohesion and triggering the initiation of blood coagulation.
Aneurysms occur when blood vessel thins and expands, leading to increased stress on walls and rising rupture probability. The new model uses computed tomography scans to reconstruct geometry and blood flow patterns.
A large Kaiser Permanente study found that most patients with a thoracic aortic aneurysm less than 5.5 cm are not at high risk of experiencing dissection or requiring surgery. The study's findings support the current consensus guidelines recommending surgery for patients with larger aneurysms.
Researchers have developed an injectable shear-thinning hydrogel that exhibits enhanced cohesive strength, resisting fragmentation even under pulsating liquid flows. The gel, similar to toothpaste, retains its structure when force is removed, making it a potential breakthrough in treating critical vascular conditions.
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A study published in JAMA Cardiology found that the mortality rate for patients with a torn aorta has decreased significantly, from 37% in the 1950s to nearly 6% today. However, patients who did not receive surgery died at a rate five times higher than those who underwent treatment.
Researchers developed nanoparticles to deliver anti-inflammatory payloads directly to inflamed blood vessels, significantly increasing survival chances and delaying rupture onset. Targeting specific NF-kappaB subunits improved therapeutic effects with fewer adverse effects.
A Rutgers study found that women are more likely to die or require repeat surgery five years after abdominal aortic aneurysm repair. The researchers highlighted the need for increased inclusion of women in aortic device creation and trial enrollment, given differences in aortic anatomy between men and women.
Researchers found significant decrease in national Kawasaki disease cases in 2020, coinciding with school closures and masking mandates. KD cases rebounded after lifting of masks and return of in-person schooling, hinting at respiratory portal of entry as trigger.
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A study of over 3,000 adults found that RAAS inhibitors lowered aneurysm rupture risk by 18%. Using proper antihypertensive medications can decrease the risk of a ruptured aneurysm. The study suggests that nearly 18% of ruptured aneurysms may be prevented with RAAS inhibitors.
Researchers found that cancer patients who underwent elective AAA repair were associated with longer hospital stays, renal failure, respiratory problems, and infection. However, a cancer diagnosis did not increase the risk of in-hospital mortality or cardiac complications.
A novel mesh plug treatment, Woven EndoBridge (WEB), has been shown to be equally effective in treating sidewall brain aneurysms compared to bifurcation aneurysms. The study found a complication rate similar between the two approaches and demonstrated the safety and efficacy of WEB for sidewall aneurysms.
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A new robotic system allows surgeons to remotely treat patients experiencing a stroke or aneurysm, providing teleoperated endovascular treatment during the critical golden hour. With just one hour of training, neurosurgeons can successfully operate the system to guide a wire through complex vessels and reach difficult-to-reach areas.