https://mycvns.com/index.php/journal <p><strong>Cardiovascular, Neurovascular &amp; Stroke (</strong>CVNS) Journal is an open-access, multidisciplinary, peer-reviewed medical journal for cardiovascular, neurovascular, as well as stroke medicine. We accept and publish articles that revolves around these specialties including the new trends in image-guided therapy (IGT). </p> <p><strong>Digital Archive</strong><br />The articles published in the CVNS will be assigned with digital object identifier (DOI). </p> <hr style="border-width: 1px 1px 0; border-style: solid; border-color: #dddedc; width: 100%; margin-left: auto; margin-right: auto;" /> Longe Medikal en-US Journal Of Cardiovascular, Neurovascular & Stroke 2600-7800 https://mycvns.com/index.php/journal/article/view/172 <p>Posterior inferior cerebellar artery (PICA) distal aneurysm is a relatively rare condition, accounting for 1% or less of all cerebral aneurysms. These aneurysms typically present with neck pain in the posterior cervical and occipital region. Additionally, they may manifest as severe headaches, altered consciousness, lower cranial nerve dysfunction, brainstem compression, or posterior fossa symptoms such as nausea, vomiting, imbalance, or ataxia. CT and MRI are the preferred imaging modalities for identifying and locating the infarct area and detecting other vascular abnormalities. Digital Subtraction Angiography (DSA) is the gold standard for detecting aneurysmal SAH. Endovascular treatment (EVT) has become the primary strategy for managing PICA aneurysms, as it reduces the risk of direct brainstem injury and complications related to anaesthesia.</p> sobri a Copyright (c) 2024 https://creativecommons.org/licenses/by-sa/4.0 2024-03-31 2024-03-31 6 1 8 14 10.32896/cvns.v6n1.8-14 https://mycvns.com/index.php/journal/article/view/169 <p><span style="font-weight: 400;">Patients with situs inversus totalis and renal failure encounter unique challenges, including heightened risks of vascular stenosis and thrombosis during dialysis due to altered blood flow patterns. A 19-year-old female with myelomeningocele and situs inversus totalis faces ESKD due to bladder dysfunction. Since her vascular access was unsuitable, she started hemodialysis with the right catheter (23cm cuff to tip). Unfortunately, she developed an MSSA central line-associated bloodstream infection, causing septic shock. CT and echocardiogram showed 9-mm tricuspid vegetation near the cavoatrial junction. She was discharged with a 19-cm permanent catheter after six weeks of intravenous cloxacillin. Patients with ESKD are at high risk for various vascular complications that can have significant repercussions if left untreated, and individuals with situs inversus face even more challenges. Inserting a catheter in a patient with dextrocardia can be difficult and complex, potentially requiring specific manoeuvres. They also possess unique vascular anatomy that cannot be managed in the same way as a typical ESKD patient. Therefore, it is critical to employ sterile methods, select an appropriate catheter size and type, and utilise imaging tools like ultrasound or venography to guide insertion and minimise the risk of complications. Situs inversus totalis complicated renal failure management.</span></p> Hazwani Ismail Wan Zul Haikal Hafiz Wan Zukiman Copyright (c) 2024 https://creativecommons.org/licenses/by-sa/4.0 2024-03-31 2024-03-31 6 1 1 7 10.32896/cvns.v6n1.1-7