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Eitan Auriel - One of the best experts on this subject based on the ideXlab platform.
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symptomatogenic acute cervical artery dissection following Dental Procedure case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
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Symptomatogenic acute cervical artery dissection following Dental Procedure — Case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
Natan M Bornstein - One of the best experts on this subject based on the ideXlab platform.
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symptomatogenic acute cervical artery dissection following Dental Procedure case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
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Symptomatogenic acute cervical artery dissection following Dental Procedure — Case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
David S. Hungerford - One of the best experts on this subject based on the ideXlab platform.
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Infections associated with Dental Procedures in total hip arthroplasty
Journal of Bone and Joint Surgery American Volume, 1999Co-Authors: Dawn M. Laporte, Barry J. Waldman, Michael A. Mont, David S. HungerfordAbstract:Dental Procedures may lead to a transient bacteraemia lasting for up to 30 minutes. Of the numerous cases of total hip arthroplasty (THA) reported which have been infected from haematogenous sources, Dental Procedures have been involved only infrequently. We reviewed the records of 2973 patients after THA. Of the late infections identified in 52 patients, three (6%) were strongly associated with a Dental Procedure. Infection was diagnosed by culture from the affected joint; Streptococcus viridans was identified in two cases and Peptostreptococcus in one. One patient had diabetes mellitus and another rheumatoid arthritis, both conditions predisposing to infection. The Dental operations all lasted for more than 45 minutes and no patient received perioperative antibiotics. Infection of a THA after Dental Procedures is more common than has been previously suspected. Patients with systemic disease, or who are undergoing extensive Procedures, should be considered for prophylactic antibiotic treatment.
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Total knee arthroplasty infections associated with Dental Procedures.
Clinical Orthopaedics and Related Research, 1997Co-Authors: Barry J. Waldman, Michael A. Mont, David S. HungerfordAbstract:Total knee arthroplasties are at risk for hematogenous seeding secondary to Procedures that create a transient bacteremia. To define the risk of infection associated with Dental surgery, a retrospective review of the records of 3490 patients treated with total knee arthroplasty by the authors between 1982 and 1993 was performed. Sixty-two total knee arthroplasties with late infections (greater than 6 months after their Procedure) were identified, and of these, seven infections were associated strongly with a Dental Procedure temporally and bacteriologically. These seven cases represented 11% of the identified infections or 0.2% of the total knee arthroplasty Procedures performed during this period. In addition, among 12 patients referred for infected total knee arthroplasties from outside institutions, two infections were associated with a Dental Procedure. Five of the nine (56%) patients had systemic risk factors that predisposed them to infection, including diabetes and rheumatoid arthritis. All Dental Procedures were extensive in nature (average, 115 minutes; range, 75-205 minutes). Eight of the patients received no antibiotic prophylaxis. One patient had only one preoperative dose. Infections associated with Dental Procedures may be more common than previously suspected. Eight of these patients had no prophylactic antibiotics, and one had inadequate coverage. The authors think that patients with a total knee arthroplasty who have systemic disease that compromises host defense mechanisms against infections and who undergo extensive Dental Procedures should receive prophylactic antibiotics. A first generation cephalosporin, given 1 hour preoperatively and 8 hours postoperatively would provide the best prophylaxis against the organisms identified in this study.
Jeremy Molad - One of the best experts on this subject based on the ideXlab platform.
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symptomatogenic acute cervical artery dissection following Dental Procedure case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
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Symptomatogenic acute cervical artery dissection following Dental Procedure — Case series
Journal of the Neurological Sciences, 2016Co-Authors: Jeremy Molad, M Findler, Natan M Bornstein, Eitan AurielAbstract:Abstract Introduction Cervical artery dissection (CAD) is an important cause of ischemic stroke which may occur following minor traumatic neck manipulations or hyperextension. This paper describes four cases of CAD secondary to Dental Procedures. Cases Four patients were admitted to the neurology department due to various neurological deficits, which developed subsequently to Dental Procedure. CT angiography demonstrated CAD in all patients. No predisposing background disease or other neck manipulations were found. Discussion We describe four cases of Dental Procedure induced CAD. Since Dental Procedures are very common, CAD incidence may be higher than recognized. High clinical suspicion is crucial for promoting vascular imaging and diagnosis, especially among patients with non-neurologically symptomatic CAD. We suggest avoiding prolonged neck hyperextension during Dental Procedures, especially under general anesthesia, in order to prevent this rare but dramatic complication.
Denise Hachul - One of the best experts on this subject based on the ideXlab platform.
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Efeito de Anestésicos locais com e sem Vasoconstritor em Pacientes com Arritmias Ventriculares effect of Local Anesthetics with and without Vasoconstrictor Agent in Patients with Ventricular Arrhythmias
2020Co-Authors: Maria Teresa Fernández Cáceres, Francisco Darrieux, Ricardo Simões Neves, P. P. Ludovice, Fabio Sandoli De Brito, Maurício Ibrahim Scanavacca, Eduardo Sosa, Ana Cristina, Denise HachulAbstract:Summary Background: The routine use of local anesthetics associated to vasoconstrictors for the Dental treatment of patients with cardiopathies is still controversial, due to the risk of adverse cardiovascular effects. Objective: To evaluate and compare the hemodynamic effects of the use of local anesthetics with a non-adrenergic vasoconstrictor in patients with ventricular arrhythmia, when compared to the use of anesthetics without vasoconstrictor. Methods: A prospective randomized study evaluated 33 patients with positive serology for Chagas’ disease and 32 patients with coronary artery disease that presented complex ventricular arrhythmia at Holter monitoring (>10 EV/h and NSVT), of which 21 were females, aged 54.73 + 7.94 years, submitted to routine Dental treatment with pterygomandibular anesthesia. These patients were divided in two groups: group I received prilocaine 3% associated with felypressin 0.03 IU/ml and group II received lidocaine 2% without vasoconstrictor. The number and complexity of extrasystoles were analyzed, as well as the heart rate and systemic arterial pressure of the patients on the day before, one hour before, during the Procedure and one hour after the Dental Procedure. Results: No hemodynamic alterations or increase in the number and complexity of the ventricular arrhythmia related to the anesthetic used in the Dental Procedure were observed in either group. Conclusion: The results suggest that prilocaine 3% associated to a felypressin 0.03 IU/ml can be safely used in patients with Chagas’ disease or coronariopathy with complex ventricular arrhythmia. (Arq Bras Cardiol 2008;91(3):128-133)
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Efeito de anestésicos locais com e sem vasoconstritor em pacientes com arritmias ventriculares
Arquivos Brasileiros De Cardiologia, 2008Co-Authors: Maria Teresa Fernández Cáceres, Ana Cristina Ludovice, Francisco Darrieux, Ricardo Simões Neves, Fabio Sandoli De Brito, Maurício Ibrahim Scanavacca, Eduardo Sosa, Denise HachulAbstract:BACKGROUND: The routine use of local anesthetics associated to vasoconstrictors for the Dental treatment of patients with cardiopathies is still controversial, due to the risk of adverse cardiovascular effects. OBJECTIVE: To evaluate and compare the hemodynamic effects of the use of local anesthetics with a non-adrenergic vasoconstrictor in patients with ventricular arrhythmia, when compared to the use of anesthetics without vasoconstrictor. METHODS: A prospective randomized study evaluated 33 patients with positive serology for Chagas' disease and 32 patients with coronary artery disease that presented complex ventricular arrhythmia at Holter monitoring (>10 EV/h and NSVT), of which 21 were females, aged 54.73 + 7.94 years, submitted to routine Dental treatment with pterygomandibular anesthesia. These patients were divided in two groups: group I received prilocaine 3% associated with felypressin 0.03 IU/ml and group II received lidocaine 2% without vasoconstrictor. The number and complexity of extrasystoles were analyzed, as well as the heart rate and systemic arterial pressure of the patients on the day before, one hour before, during the Procedure and one hour after the Dental Procedure. RESULTS: No hemodynamic alterations or increase in the number and complexity of the ventricular arrhythmia related to the anesthetic used in the Dental Procedure were observed in either group. CONCLUSION: The results suggest that prilocaine 3% associated to a felypressin 0.03 IU/ml can be safely used in patients with Chagas' disease or coronariopathy with complex ventricular arrhythmia.