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- W2777412990 abstract "Objective: We retrospectively examined CT Angiogram of patients with Acute Ischaemic stroke (AIS) to determine the frequency of concurrent PE (Pulmonary embolism) in AIS Background: Silent pulmonary embolism may be associated with AIS both as a concurrent or even causative condition or as a consequence of hemiplegia. With the widespread use of CT Angiogram (CTA), at initial stroke presentation, upper lobe PE may be detected incidentally. Design/Methods: To identify the patients, we conducted a text search of our hospital radiology database from Jan 2015 to May 2016 for the word “pulmonary emboli” OR “pulmonary thrombus” OR “pulmonary artery thrombus” in stroke CTA reports. We identified 10 patients from a list of 3431 scans (3132 unique patients) and reviewed their charts for history and all diagnostic lab tests. Results: The period prevalence of PE in our study was 0.32. The mean age was 61.1 and stroke severity varied from NIHSS 4 to 22. Among 10 cases 7 had concurrent PE diagnosed with AIS presentation and 3 had PE diagnosed after 2 days of AIS presentation. DVT was associated with PE and AIS in 7/10 patients. We suspected Venous thromboembolism causing PE and paradoxical embolism via PFO in 3/10 patients. Clinically we suspected thrombophilia in 2 patients and Heparin induced thrombocytopenia in 1 patient but we could not confirm the same. All patients were treated with intravenous unfractionated Heparin (UFH) except one patient who developed thrombocytopenia after UFH and was switched to argatroban. Outcome at discharge was death in 4/10, MRS 4–5 in 3/10 patients while the remaining 3 patients had good clinical recovery. Conclusions: PE was observed in 0.32% of AIS and associated with high rates of death and disability. CTA stroke protocol images from aortic arch to vertex allows visualization of upper pulmonary arteries and detection PE in AIS. Disclosure: Dr. Eswaradass has nothing to disclose. Dr. Dey has nothing to disclose. Dr. Singh has nothing to disclose. Dr. Hill has nothing to disclose." @default.
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- W2777412990 date "2017-04-18" @default.
- W2777412990 modified "2023-09-24" @default.
- W2777412990 title "PULMONARY EMBOLISM IN ACUTE ISCHAEMIC STROKE (P4.293)" @default.
- W2777412990 hasPublicationYear "2017" @default.
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