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70 results on '"Chao You"'

4. Cerebral vasospasm resulted in 'stent shortening' after pipeline assisted coil embolization for blood blister aneurysms

Author

Ting Wang, Junrao Li, Sen Lin, He Jiao, Chao You, Seidu A. Richard, Chaohua Wang, Changwei Zhang, and Xiao-Dong Xie

Subjects
Adult, Carotid Artery Diseases, Male, medicine.medical_specialty, medicine.medical_treatment, Observational Study, coils, surgery, Aneurysm, Cerebral vasospasm, Modified Rankin Scale, medicine.artery, Basilar artery, medicine, Humans, Vasospasm, Intracranial, Embolization, blood blister aneurysms, Aged, Retrospective Studies, Endovascular coiling, Pipeline Flex embolization device, business.industry, Angiography, Stent, General Medicine, Middle Aged, medicine.disease, Embolization, Therapeutic, Blood Vessel Prosthesis, cerebral vasospasm, endovascular, Female, Radiology, Internal carotid artery, business, Carotid Artery, Internal, Research Article
Abstract

Blood blister aneurysms (BBAs) are intracranial arterial lesions appearing in nonbranching sites of the supraclinoid internal carotid artery as well as the basilar artery. Endovascular treatment of BBAs is still not well established because of the rarity of these lesions. We report incidences of BBAs with associated vasospasms. Treatment of the BBAs and associate vasospasms with single Pipeline Flex embolization device (PLED) assisted coiling resulted in seemly shorting of the PLEDs in 3 patients. A retrospective analysis of patients with BBAs who were treated with single PLED assisted coiling from July 2018 to October 2019 was conducted. Patients’ ethnic and medical records, aneurysmal characteristics, intraoperative-rupture, cerebral vasospasm (CVS), postprocedure contrast filling, follow-up imaging, and results were analyzed. Neurological examination at baseline and outcome based on modified Rankin scale (mRS) at discharge as well as follow-ups were also documented. Six patients consisting of 5 females and 1 male, with a mean age of 48.3 years (range from 34–67) were identified during our analysis. All the BBAs were located in nonbranching site of supra-clinoidal segment of internal carotid artery with a mean neck width of 4.5 mm and mean aneurysm size of 4.23 mm. PLED assisted coiling's were performed in all of them. CVS was observed in 3 patients while 1 patient had an intraoperative-rupture of the BBA. Postprocedure contrast filling was still present in 1 patient. All the patients had good outcomes with discharge and follow-up mRS scores ≤ 2 except 1 patient with mRS score = 3 with aphasia. PLED assisted endovascular coiling is very safe and efficient in treating patients with BBAs. Resolution of CVSs after treatment made the PLEDs seemly shorter. Furthermore, a combination of arterial lengthening after gaining their tensile strength back and radical expansion of the PLED could account for the shortening.

Published
2021

5. Prognostic value of albumin-fibrinogen ratio in subarachnoid hemorrhage patients

Author

Dingke Wen, Chao You, Xuyang Liu, Zhiyuan Yu, and Lu Ma

Subjects
Male, medicine.medical_specialty, China, Subarachnoid hemorrhage, subarachnoid hemorrhage, Clinical Decision-Making, Observational Study, Logistic regression, 03 medical and health sciences, 0302 clinical medicine, Modified Rankin Scale, Predictive Value of Tests, Internal medicine, Outcome Assessment, Health Care, Medicine, Humans, 030212 general & internal medicine, cardiovascular diseases, albumin, Serum Albumin, Retrospective Studies, Inflammation, Receiver operating characteristic, business.industry, Diagnostic Tests, Routine, Area under the curve, Fibrinogen, General Medicine, Odds ratio, Recovery of Function, Middle Aged, medicine.disease, Prognosis, Confidence interval, nervous system diseases, Early Diagnosis, 030220 oncology & carcinogenesis, Biomarker (medicine), biomarker, Female, business, Biomarkers, Research Article
Abstract

Inflammation plays an important role in the pathophysiology of subarachnoid hemorrhage (SAH). Recent studies have indicated that the albumin to fibrinogen ratio (AFR) is a useful biomarker of inflammation. This research aimed to determine the ability of AFR to predict the prognosis of patients with SAH. A total of 440 patients with SAH who had been diagnosed within 72 hours of symptom onset were retrospectively reviewed. Clinical findings and laboratory data were retrieved from the hospital database. Functional outcome was measured according to the modified Rankin scale at 30 days. Logistic regression analysis was used to evaluate the correlation between AFR and the prognosis of patients with SAH. Receiver operating characteristic (ROC) analysis was performed to determine the prognostic ability of AFR at admission to predict the 30-day outcomes. The average age of all 440 patients with SAH was 56.75 ± 11.19 years and 31.4% (138) were male. Of these patients, 161 exhibited unfavorable outcomes at 30 days. According to the multivariate logistic regression analysis, the AFR was positively correlated with the outcome of patients with SAH (odds ratio 0.939, 95% confidence interval 0.885–0.996, P = .038). The ROC analysis revealed an area under the curve of 0.713 for AFR's ability to predict the 30-day outcomes. AFR is independently associated with the outcome of SAH patients. As a parameter that can be easily assessed at admission, AFR could be used to help the decision-making of clinical treatment.

Published
2021

32. Sustained hepatitis C virus clearance and increased hepatitis B surface antigen seroclearance in patients with dual chronic hepatitis C and B during posttreatment follow-up.

Author

Yu, Ming‐Lung, Lee, Chuan‐Mo, Chen, Chi‐Ling, Chuang, Wan‐Long, Lu, Sheng‐Nan, Liu, Chen‐Hua, Wu, Shun‐Sheng, Liao, Li‐Ying, Kuo, Hsing‐Tao, Chao, You‐Chen, Tung, Shui‐Yi, Yang, Sien‐Sing, Kao, Jia‐Horng, Su, Wei‐Wen, Lin, Chih‐Lin, Yang, Hung‐Chih, Chen, Pei‐Jer, Chen, Ding‐Shinn, and Liu, Chun‐Jen

Published
2013
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