Background/introduction
Implantable cardioverter and ventricular assist devices have significantly improved the quality of life and survival rate of patients with cardiac arrhythmias and cardiac insufficiency (1-2).
Although these devices are crucial for cardiac function,
life-threatening complications related to device itself,
surgical technique and peri and postoperative management (bleeding,
thromboembolic events,
infection…etc) may occur (3-4).
Neurological events may present as a devastating complication of cardiac devices and reduce the life-quality.
The incidence of acute neurological events was reported as ranging between 14% and 47%,
in patients with...
Description of activity and work performed
a.
Patient data
This retrospective multi-center study was approved by our institutional review board.
One hundred sixty-seven patients with ICD or LVAD implantation underwent to neuroemergency CT examinations (head CT,
head and neck CT angiography) between January 2014 and October 2018 were included in this study.
Patients were classified into two groups towards the type of implanted cardiac devices as LVAD and ICD groups.
LVAD group included 75 patients (120 male,
55 female,
mean age: 54±11) and ICD group included 92 patients (46 male,
46...
Conclusion and recommendations
The diagnostic accuracy and reliability of an imaging technique is important for the diagnosis of a pathologic condition such as bleeding,
ischemia in a patient admitted to emergency department (ED) with acute neurological events.
Cranial CT is the most frequently preferred imaging modality in EDs and the utilization of cranial CT in the neurology and EDs has rapidly increased in the last decades (3,
11-12). In our study,
all the patients with ICD and LVAD who admitted to ED with neurological symptoms had one or...
Personal/organisational information
Personal/Organization Information
Gökçen Çoban Çifçi1,
Åžafak Parlak1,
Mehmet Ruhi Onur1,
Egemen Çifçi2,
Cenk Erarslan3,
UÄŸur Canpolat4,
Ergün Barış Kaya4,
Kudret Aytemir4,
Kader Karlı Oğuz1
1- Hacettepe University Medical School,
Department of Radiology
2- Yüksek İhtisas Education and Research Hospital,
Department of Radiology
3- Ege University Medical School,
Department of Radiology
4- Hacettepe University Medical School,
Department of Cardiology
References
References
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Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure.
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Dew MA,Kormos RL,Winowich S et al.
Quality of life outcomes in left ventricular assist system inpatients and outpatients.
ASAIO J.
1999;45:218-25
Toda K,
Sawa Y.
Clinical management for complications related to implantable LVAD use.
Gen Thorac Cardiovasc Surg.
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Deng MC,
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Hertz MI,
et al.
Mechanicalcirculatorysupportdevicedatabaseof...