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Tran Duc Anh @anhkinvip

Vascular neurologist at Hue central hospital; Runner Vietnam Joined September 2013
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Tran Duc Anh retweeted
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NEJM @NEJM

10 months ago

𝗗𝘂𝗿𝗮𝗹 𝗩𝗲𝗻𝗼𝘂𝘀 𝗦𝗶𝗻𝘂𝘀 𝗦𝘁𝗲𝗻𝘁 𝗳𝗼𝗿 𝗧𝗿𝗲𝗮𝘁𝗶𝗻𝗴 𝗜𝗱𝗶𝗼𝗽𝗮𝘁𝗵𝗶𝗰 𝗜𝗻𝘁𝗿𝗮𝗰𝗿𝗮𝗻𝗶𝗮𝗹 𝗛𝘆𝗽𝗲𝗿𝘁𝗲𝗻𝘀𝗶𝗼𝗻 To place a dural venous sinus stent, with the patient under general anesthesia, an interventional radiologist threads a stent across the stenosis affecting the dominant transverse sinus after first verifying that a sizable venous pressure gradient exists across the region. The appealing feature of this procedure is that it corrects the anatomical obstruction that is considered central to the self-reinforcing rise in intracranial pressure (ICP). In a summary of 19 reported series, the risk of subdural or intracerebral hematoma was shown to have been small (0.49%), but two deaths were reported. The same review reported a mean drop in cerebrospinal fluid (CSF) pressure of 13.3 cm of water. Patients receive aspirin and clopidogrel for up to 6 months after the procedure to prevent stent thrombosis. The most serious limitation of venous sinus stenting is that the ICP is lowered, but not to a level in the normal range in some patients. If the ICP remains elevated, visual function may continue to deteriorate. Opening pressure cannot be checked immediately after stent placement, because lumbar puncture is contraindicated in patients receiving dual antiplatelet drugs. Many patients continue to receive acetazolamide owing to concern that stenting has been only partially effective. In various series, 15% of patients showed development of a new stenosis adjacent to the stent (seen in figure). Recurrent stenosis is evidence that ICP is still high, exposing the optic disks to ongoing damage precisely at the time decisive relief is paramount. A second stent can usually be inserted to lower ICP further, but sometimes a CSF shunt is needed to arrest vision loss. Learn more about treatments in the Review Article “Idiopathic Intracranial Hypertension” by Jonathan C. Horton, MD, PhD, from @ucsf: nej.md/3KJlVvk

Tran Duc Anh retweeted
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Stephan A Mayer @stephanamayer

a year ago

Turns out there’s no reason to do a thrombectomy on proximal LVO patients with an NIHSS <=5 after six hours from last known well neurology.org/doi/10.1212/WN…

Tran Duc Anh retweeted
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Elon Musk @elonmusk

2 years ago

Tran Duc Anh retweeted
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Stroke AHA/ASA @StrokeAHA_ASA

2 years ago

ESOC 2024: “Thrombolysis for Acute Ischemic Stroke - Exploring the Grey" #BloggingStroke contributor @chris7ianb shares highlights from this #ESOC2024 session. ahajournals.org/do/10.1161/blo… #stroke @Simona_Sacco_ @PoojaKhatriMD @Dr_No_Charite

Tran Duc Anh retweeted
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AshuJadhav @AshuPJadhav

2 years ago

INTERACT4: Impact of Prehospital BP-Lowering May Depend on Acute Stroke Type tctmd.com/news/interact4…

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AshuJadhav @AshuPJadhav

2 years ago

Intensive Ambulance-Delivered Blood-Pressure Reduction in Hyperacute Stroke | New England Journal of Medicine nejm.org/doi/full/10.10…

Tran Duc Anh retweeted
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Stroke AHA/ASA @StrokeAHA_ASA

2 years ago

Just Published #ESOC2024 Endovascular versus medical therapy in posterior cerebral artery stroke: role of baseline NIHSS and occlusion site @italolinfante @Dr_No_Charite @NguyenThanhMD @NagelSimon @MPeyT1 @ShadiYaghi2 @AshuPJadhav @HMasoud_ @VSainiMD @lorena_neuro

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Tran Duc Anh @anhkinvip

2 years ago

@holdcoin69 @Crypto_BabyBoss Mua khi có tiếng súng. Bán khi có tiếng kèn

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Tran Duc Anh @anhkinvip

2 years ago

@Trong0322 @rss3_ Đu sau mới đặt có 5 chiếc dép mà đã bay rồi thôi. Thank Trọng

Tran Duc Anh retweeted
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Mohamad AbdalKader @AbdalkaderMD

3 years ago

Cerebral veins: a new frontier in Neuro-IR. sciencedirect.com/science/articl… @NguyenThanhMD @ferdinandhui @MattAmansMD @eytanraz @uta_hanning @alicenomalice @WBrinjikji @adelmalek @tomoxl @BDouraied @JNeuroradiology

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Tran Duc Anh @anhkinvip

3 years ago

Acute stenting with Solitaire AB in left M2-MCA dominant. Oral DAPT before procedure. Patience is important: stenosis improves after 10mins of waiting. mTICI 2b repufusion and excellent outcome after 1 day.

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Tran Duc Anh @anhkinvip

3 years ago

Acute occlusion in both right proximal and terminal ICA due to atherosclerosis with minimal collateral flow via ECA. Angioplasty was performed in both sites with stenting in proximal part. Good final result in flow-up MRA and clinically.

Tran Duc Anh retweeted
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Thanh Nguyen 🇺🇦 @NguyenThanhMD

3 years ago

Management of Unruptured Intracranial Aneurysms and Brain Arteriovenous Malformations 🧠 journals.lww.com/continuum/Abst… Part of a @ContinuumAAN @AANmember 2023 series on Cerebrovascular Disease led by Dr. Jones and Dr. Kamel @LyellJ @hoomankamel 🙏 journals.lww.com/continuum/Page…

Tran Duc Anh retweeted
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Edmonton Stroke Program @EdmontonStroke

4 years ago

Early Versus Delayed Non–Vitamin K Antagonist Oral Anticoagulant Therapy After Acute Ischemic Stroke in Atrial Fibrillation (TIMING): A Registry-Based Randomized Controlled Noninferiority Study ahajournals.org/doi/abs/10.116…

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Tran Duc Anh @anhkinvip

4 years ago

@JoeCarrera_MD @dkleindo @AANMember @TheNewANA1 @StrokeAHA_ASA Could you please send me the full text version? My email is [email protected]. I'm so sorry if I bothered you for writing here. Thank you very much.

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Tran Duc Anh @anhkinvip

4 years ago

@JoeCarrera_MD @dkleindo @AANMember @TheNewANA1 @StrokeAHA_ASA I found out that you published a similar paper named ASPECTS Scoring Applied to CTA Source Images is Predictive of Final Infarct Volume and Good Functional Recovery. It will be very useful for me to complete my thesis if I can refer to your full text paper.

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Tran Duc Anh @anhkinvip

4 years ago

@JoeCarrera_MD @dkleindo @AANMember @TheNewANA1 @StrokeAHA_ASA Dear Mr. Joe Carrera, My name is Duc Anh, a doctor from Vietnam. I am writing my master thesis on the prognostic value of ASPECTS CTA source images.

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Tran Duc Anh @anhkinvip

4 years ago

@jildazz @hldmak @DrLe2287 @VladoKZg In this study authors used onyx HD500 alone, not in combination with coil. And they aneurysms were so complicated that were unsuitable for coil treatment.

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Tran Duc Anh @anhkinvip

4 years ago

It is an honor for the stroke center of Hue Central Hospital to contribute a small part to this global research.

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Thanh Nguyen 🇺🇦 @NguyenThanhMD

4 years ago

Global impact of COVID19 on CVT & mortality. MMQ @PiersKlein @ShadiYaghi2 @Diana_A_Sousa @VancouverStroke @JimSiegler @ossama_mansour @DStrambo @SomaBanerjee73 @MicheleRomoli @sedovapetra @NagelSimon @arsovska_anita @AbdalkaderMD @RaulNogueiraMD j-stroke.org/upload/pdf/jos…

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Tran Duc Anh @anhkinvip

5 years ago

A case of distal emboli aspirated successfully by powerful #3MAX.

anhkinvip Profile Picture

Tran Duc Anh @anhkinvip

6 years ago

42yo heavy smoker with history of 10 times TIAs presented with bilaterel INO and right dysmetria. His symptoms disapeared completely a day afterward. Cerebellar collateral circulation is still strong enough to supply upper part of BA. Is he a lucky man?

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