A not negligible proportion of elderly patients with STEMI fulfilled the frailty criteria. Frailty was independently associated with mortality. A very simple, feasible geriatric assessment by trained nurses can contribute to predict mortality.
Tijuana grooves: El borde revisitado en la electrónica de Nortec* Introducción El híbrido de rock-industrial-electrónico [...] nos mantuvo cautivados y encerrados hasta mediados de los noventa, pero después de 1995 [...] no nos gustó lo que vimos, no había pasado nada desde los ochenta, el sonido de muchos de los grupos en la escena empezaba a sonar a cliché, ritmos machacantes, voces distorsionadas, secuencias de ametralladora…. Madurar no sólo es aprender de lo vivido, sino también abrirse a nuevas posibilidades y aceptar que hay momentos que tenemos que concluir ciertas etapas de nuestras vidas para empezar a escribir nuevos capítulos. Entrevista a Roberto Mendoza, componente del grupo Artefakto Initially trained as an ethnomusicologist, Susana Asensio obtained her Ph.D. from the University of Barcelona. She has been a post-doctoral Fulbright Visiting Scholar at
The pathogenesis of scalp AVM remains unclear. Some clinical experience suggests they might be also associated with a dural AVM or with vascular anomalies of the venous structures of the dura. In all our cases internal carotid angiograms and magnetic resonance scans were performed.Treatment of scalp AVMs is difficult because of their high shunt flow, complicated vascular anatomy, and cosmetic problems.The embolization alone could remedy a scalp arteriovenous fistula, without scalp ischemia. In our cases, transvenous embolization with direct puncture has been very effective using sclerosant liquids or NBCA and circular compression to avoid venous migration.
To present our experience of embolization for the treatment of intracranial aneurysms with third nerve palsy, we analyzed 15 patients with posterior communicating artery aneurysms presenting third nerve palsy. Nine had subaracnoid hemorrhage.In all of them a packing of aneurysm with different types of coils was performed. We employed in 4 cases coils with fibers, in 4 tungsten spirals and in 7 cases GDC coils.Most posterior communicating artery aneurysms are bilobulated. We have tried to pack and close the first lobulation of aneurysm and so we tried to deposit the less coils than possible. The mean time of recovery was 2.5 months: 1-5 months if the aneurysm was packed only in its first lobule and 3 months if the technical difficulties forced complete packing of the aneurysm. Although this is not a large series, it is significant and shows that the excellent recovery in all cases does not contraindicate aneurysm embolization with coils in patients with third nerve palsy. The bilobulated aneurysms in which we packed the first lobulation completely have a faster recovery.
In presurgical evaluation of temporal lobe epilepsy, invasive methods of recording are necesary if noninvasive electroencephalography is not conclusive. We describe a technique for recording electroencephalographic activity via an endovascular approach. Recordings were performed with a Seeker-10 microguide.All recordings were compared with simultaneous scalp recording. This semi-invasive method of identifying epileptogenic areas can detect the epileptiform discharges without interferences; it is useful as a complement to invasive techniques such as foramen ovale or depth recording. Purpose 1) To evaluate the possibilities of electroencephalographic recording directly from the cerebral hemispheres, via an endovascular approach.2) To show the technical aspects of intravascular electroencephalography.3) We demonstrate the advantages and disadvantages of intravascular EEG with respect to deep implantation electrodes in which conventional recording is not conclusive.
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