She told me that she was headed to Lubbock today and asked if she could visit with me. We only charge exactly what we are charged. I also told her that unfortunately, Griggs charges a set fee to come out and do a repair and we do not make any money on this. I attempted to tell her that we have been using this vinyl for over 4 years and seldom have ever had to replace any of the strips because of damage so this was not normal wear and tear. I acknowledged that I was aware of the one place the vinyl lifted but that was not what we were charged for, it was for the complete replacement of the vinyl strip that was damaged. She claimed that a strip had lifted and she had turned in a request to have it repaired but chose to wait instead. It was quite a large scratch about 4" by 2" and would stick out notably for the next resident. Sloan today, she told me that she had not received the attachment to my email to her and I sent it to her immediately so that she could see the scratch on the vinyl that we had to repair due to damage. The 2nd did hang up on her after asking her to please stop screaming over the phone and she failed to stop causing Charity to hang up. She called and screamed at not only 1 of my employees but 2. Sloan the deposit accounting with copies of the photos, copy of the bill from Griggs and statement. We took photos of the damage and sent her a bill for the repair and the water bill for a total of $121.97. We found that one of the vinyl strips was damaged and scratched all the way across the strip. ![]() ![]() We did a move out walk through of this home with out the resident after attempting to schedule a move out walk through with her prior to her move out.
0 Comments
With its simple yet powerful melody and stadium-ready chorus, “We Will Rock You” quickly became a fan favorite, and it has since been covered by countless artists. Released in 1977, the song was written by Queen's lead singer, Freddie Mercury, as an anthem for the band's live shows. Queen's “We Will Rock You” is one of the most iconic and instantly recognizable songs in rock history. The song's powerful message of hope and perseverance is sure to inspire anyone who hears it. It is a call to action, urging listeners to break free from their self-imposed limitations and reach for their dreams. The song is an anthem for anyone who has ever felt trapped or held back by their circumstances. The singer proclaims that they are “headed for the top” and will never give up or back down. The lyrics describe someone who is “fed up with waiting” and is ready to take charge of their life. Trapt's “Headstrong” is a song about confidence and determination. If you're looking for a classic album that still packs a punch today, look no further than Welcome to the Jungle. But there's no denying the power of GN'R's music, and Welcome to the Jungle is a perfect example of why the band is considered one of the greatest rock bands of all time. It's also one of the most controversial albums ever made, with its frank depictions of drug use and violence. ![]() From the opening riff of “Welcome to the Jungle” to the hard-hitting lyrics of “Paradise City”, the album is a tour de force of rock ‘n' roll. Guns N' Roses – Welcome to the Jungle is one of the most iconic albums of all time. In a time when systemic injustice is once again at the forefront of public consciousness, “Bulls on Parade” remains as relevant as ever.Ģ4. It's a powerful and cathartic experience, and it's no wonder that the song has become an anthem for social justice movements around the world. The guitars chug and grind like an advancing tank, while Zack de la Rocha's vocals are filled with righteous indignation. ![]() The song opens with the sounds of gunfire and an air raid siren, setting the stage for an onslaught of sonic fury. Rage Against The Machine – Bulls on Paradeįew songs are as overtly political as Rage Against the Machine's “Bulls on Parade.” The song, which was released in 1996, is a searing indictment of the American military-industrial complex, and its lyrics unapologetically denounce the government's role in propagating violence and oppression. Macklemore and Ryan Lewis – Can't Hold Usīest Hype Songs 25. Rob Dougan – Clubbed To Death (The Matrix Soundtrack) Skrillex & Rick Ross – Purple Lamborghini Rage Against The Machine – Bulls on Parade Lifehacker’s App Directory is a new and growing directory of recommendations for the best applications and tools in a number of given categories, each week with a different focus. If you have another you prefer instead, let us know what it is and why you like it in the comments. In the end, Revo’s easily the best there is, so we can’t recommend it enough for you Windows app hoarders out there. ![]() These are far from the only ones on the market, but they’re the ones you might want to check out instead of Revo. Plus, if you already have it on your system, it can be convenient to just use it instead of downloading and installing Revo separately. It isn’t quite as feature-filled as Revo’s, but it’ll get the job done better than Windows’ default uninstaller. It’s pretty much the only reason we’d ever recommend it over Revo, so if you have a bunch of programs you need to clean out, this is probably the app to go with.ĬCleaner, our favourite Windows maintenance tool, also has an uninstaller built in. The best feature of IOBit, however, is the batch uninstaller. It does, however, perform a bit better, especially on 64-bit machines, and it has a pretty handy 1-click toolbar uninstaller. IOBit Uninstaller is a pretty nice program that performs very similar tasks, though it isn’t quite as thorough as Revo. But trying out Revo Uninstaller Free can give you an idea of how the program works.Revo is the most thorough of the uninstallers out there, but if you don’t like it for some reason, there are a few programs that perform similar tasks. If you’re constantly installing and uninstalling software, the Pro version of Revo Uninstaller will serve you better. It also works well for removing software that the Windows built-in tool can’t handle, though you’ll need the Pro version to force uninstalls. That said, its Hunter Mode could be useful for identifying which application is causing pop-ups to appear on your computer. Revo Uninstaller Free doesn’t bring many new features to the table, and there are quite a few other free uninstallers that offer the same features in a more polished package. Again, this is a feature that’s only available in the paid version of Revo Uninstaller. With this free software, you can queue up multiple applications to uninstall at the same time. While it lacks a Hunter Mode and doesn’t include any of the system utilities of Revo Uninstaller Free, it can perform a forced uninstall on software that won’t budge, something that you only get with Revo Uninstaller Pro.Īnother free uninstall tool is Advanced Uninstaller PRO. Wise Program Uninstaller is another free system utility designed to make uninstalling applications easier. It certainly runs circles around the default option in. During our testing, we sent a few emails requesting information and received replies within 24 hours. Editors' Review Staff Revo Uninstaller adds some serious power to uninstalling programs, but not a lot of speed. There’s also live chat support and support by email. Most of the guides pertain to Revo Uninstaller Pro, however, which has a different user interface than the Free version and different features. ![]() Revo Group has a good support site for its Uninstaller products, with user manuals, tutorials, videos, and frequently asked questions. The Revo Uninstaller website has many useful resources for getting the most out of the software (Image credit: Revo Uninstaller Free) Support It also found a few false positives, so you need to check each entry to make sure you really want to delete them. ![]() In our testing, Revo Uninstaller Free found several registry entries and files to be removed. After the installation is complete, you’re asked whether you want to perform a Safe, Moderate, or Advanced scan of the files and registry entries that the uninstalled program may have left behind or whether you want to skip this step altogether.Ī Moderate scan takes around 60 seconds, and it searches the most likely locations for remnants of the uninstalled program. Revo Uninstaller Free will then run the program’s standard uninstaller. When you choose a program to uninstall from the list, you’re first asked whether you want to make a System Restore point. Windows apps can be removed on the next tab, and the Tools menu includes eight system utilities for cleaning up files on your computer. Revo Uninstaller Free has a simple interface, with the option of viewing your installed applications as a list or a grid. Revo Uninstaller Free has a straightforward interface (Image credit: Revo Uninstaller Free) Interface and in use ![]() Fixed not having a Arch-Gun equipped by default (if they own an Archwing primary weapon with the Gravimag installed) when changing Loadouts.Shared Affinity gain now applies to Atmosphere Arch-Guns but only while equipped in the main hand.Increased the speed of Corvas projectiles to fix them dying before reaching their intended falloff ranges.Charged Shot Critical Damage increased from 2.6 to 3x.Minimum Fall Off Damage increased from 175 to 440.Archwing Gun stats normalized - space combat now uses ground “Heavy Weapon” stats.Fixed the Corvas’ reload sound FX spamming.(Undocumented) Added new "BATTERY" CompatibilityTag.The Ceramica Collection seems to be fashioned after the Corvas the Pandero Ceramica Skin in particular bearing a striking resemblance.Firing at objects at various ranges yielded no difference in the shot spread pattern and damage regardless of whether one charged the weapon or not. Prior to Hotfix 15.3.3 (), the charged mode was not working.A corvus was also a Roman naval warfare device that was used to latch onto and board enemy vessels. Corvas is derived from corvus, the Latin term for crow, a bird commonly viewed as a harbinger of death and destruction on battlefields in many northern European cultures.In atmosphere, the fully-charged stagger further feeds the disparity. ![]()
![]() many of these icons are also faceless or from the back and could be used as faceless icons for a variety of muses. Note: unfortunately, these icons are not of the best quality as the highest quality pixelation of the film I could find was 536p. These icons were requested by though they also fit into task #070 ( Jewish) by (( cw/tw drinking, alcohol, and cigarettes )) Her birthday is Maand she is currently 48 years old. Notes: Rachel is of Hungarian and Austrian descent and she was born in England. They can be used as RP icons or in RP posts, but please do not include them in non-roleplay posts, gif hunts, or masterlists. do not post edited icons for the purpose of distribution), but please remember to credit me when using them even if you have edited them. These icons may be edited for personal use only (i.e. They are sized at 100x100 and have not been edited in any way. These icons were made by me from my original screen caps. Revelations 2: Alex Wesker, Barry Burton, Claire Redfield, Moira Burton, Natalia Kordaīy following the link below you’ll find 230 still icons of actress Rachel Weisz from her role of Ronit Krushka in the 2017 film Disobedience.RE7: Alan Droney, Chris Redfield, Eveline, Jack Baker, Lucas Baker, Marguerite Baker, Mia Winters, Zoe Baker.RE5: Albert Wesker, Chris Redfield, Excella Gionne, Jill Valentine, Josh Stone, Ozwell Spencer, Ricardo Irving, Sheva Alomar.RE4: Ada Wong, Ashley Graham, Ingrid Hunnigan, Jack Krauser, Leon Kennedy, Luis Sera, Bitores Mendez, Osmund Saddler, Ramon Salazaer.are some links to some faceless gif hunt directorys you can look through. I do not own any the gifs unless stated otherwise and will happily credit the creators or remove the gifs they own if requested. RE3 Remake: Brad Vickers, Carlos Oliveira, Jill Valentine, Robert Kendo, Marvin Branagh, Mikhail Viktor, Do you know of any faceless gifs of brunette females pulling their hair out of. Under the cut are 56 mostly HQ gifs of faceless scars and injuries.RE2 Remake ending: Claire Redfield, Leon Kennedy, Sherry Birkin.RE2 Remake: Ada Wong, Annette Birkin, Ben Bertolucci, Brian Irons, Claire Redfield ‘98 skin, Claire Redfield (multiple skins), Leon Kennedy, Marvin Branagh, Robert Kendo, Sherry Birkin, WIlliam Birkin.CG movie: Infinite Darkness trailer: Original trailer in its entirety.CG movie: Vendetta: Chris Redfield, Damien, DC, Glenn Arias, Leon Kennedy, Maria, Nadia, Rebecca Chambers.CG movie: Degeneration: Angela Miller, Claire Redfield, Curtis Miller, Frederick Downing, Ingrid Hunnigan, Leon Kennedy, Rani Chawla, Senator Davis.you will find faces both overused and underused here, as well as the occasional stock images (i.e. CG movie: Damnation: Ada Wong, Leon Kennedy, Svetlana Belikova this is a rph blog for indie smut roleplayers, particularly in the area of faceclaims and resources.In these folders you will (currently) find: Trailer and gameplay gaps from RE8 trailers and maiden demo I usually divvy them up in smaller folders for convenience, but if there’s any issues at all with the caps or downloading the folders, please feel free to let me know! Latest update: 4/16 you will find faces both overused and underused here, as well as the occasional stock images (i.e. These are all as high quality as I could find and cap, and there are literally thousandsin several of these folders. No credit is needed, but super appreciated if you want to. Also included are caps I’ve taken of various mods I’ve played through RE2make and RE3made with.Īnyway! These are absolutely free for anyone to use. Right now, only a few of these have caps for all the characters, but eventually I will have these updated with more games and characters. I’m working on getting caps for all major characters for most of the games and CG movies (maybe I can be talked into the live action movies but it’s not on the agenda right now). Size of masterlist.This is a major WIP of mine. Is due to Tumblr removing the links when you go on the blog because of Please like or reblog if this is useful to you. If any links are broken please let me know. Same blog or I went in different tags etc. Go, the older the gif hunts are except if there are gif hunts from the Sometimes they just put all the gifs in one place. Some gif hunts don’t specify how many there are as ![]() Some gif hunts don’t specify how many there are as sometimes they just put all the gifs in one place. Below you will find them in certain categories such as downloads, general, kissing, male, female, couples, supernatural etc. Below you will find them in certain categories such as downloads, general, kissing, male, female, couples, supernatural etc. roleplaytipsandadvice: Anon requested a masterlist of faceless gif hunts. Anon requested a masterlist of faceless gif hunts. ![]() Made for Samsung Galaxy Note 9/8 S10/S10E/S9/S8/S7 Edge, iPhone 11/11 Pro/XS/XR/ X/8 Plus and more. Easy to clip onto your sun visor, wireless, hassle-free, and space-saving. Manufacturer of Bluetooth sun visor, handsfree car kits and headsets, cellular phone cases and chargers. Auto Drive Hands-free Bluetooth Speakerphone is designed to keep up with your active lifestyle, it makes a great helper for road trips and everyday driving. Main Features: Built-in microphone and stereo speakers, noise-canceling and echo-proof. This product works by means of wireless transmissions which secures an uninterrupted connection. It is not only for the car, it can also be used as a conference speakerphone on desk when needed. Besign BK06 Bluetooth 5.0 in Car Speakerphone with Visor Clip, Wireless Car Kit for Handsfree Talking, Motion Auto On, Siri Google Assistant Support, Dual 2W Speakers Features : BLUETOOTH V5.0 and Long Working time: The latest Bluetooth 5.0+EDR technology provides lower power consumption and wider compatibility. 3-hour rechargeable battery provides up to 10 hours of talk time and 1000 hours on standby. Our Top Pick 9.7/10 our score Buy Now Best Bluetooth Handsfree Speaker 1. In Hurry Checkout Our Top Pick Of Best Bluetooth Handsfree Speaker. ![]() Automatic Re-connection with speakerphone and the last connected Bluetooth. Looking for the best bluetooth handsfree speaker that can last long and perform well Read our review and buying guide on best bluetooth handsfree speaker below. It wirelessly transmits phone calls and music to the speaker, and seamlessly switches between incoming call and music, private calls and speaker, what is more, you can wake up your phone’s voice assistant by simply pressing a button. Tritton, which also makes the AX Micro Bluetooth headset, has recently launched the Visor Bluetooth Hands-Free Car Kit, which is essentially a portable speakerphone. iXchange Portable Visor-Mounted Bluetooth Hands-Free Car Kit. It is easy and convenient to attach to visor. This Auto Drive Hands-free Bluetooth Speakerphone is designed and built with high-performance Bluetooth module and audio decoding chip, directly plays crystal clear audio through its dual speakers after connecting to Bluetooth. ![]() "These meme stocks are so volatile in their trading it doesn't take much to get a big move up or down," said MKM Partners analyst Eric Handler, whose AMC rating is "sell" with a $1 price target. read moreĪMC did not immediately respond to a request for comment. Vagner, who said he worked at Noble Group and in credit analyst roles at banks before launching Iceberg in 2015, declined to reveal details of the firm's short position.ĪMC's latest rally was helped by heavy trading of equity options, financial derivatives that give buyers the right to buy or sell shares at a fixed price in the future, depending on where the stock price is.Īs the share price skyrocketed, market makers who sold AMC options were forced to buy the company’s shares to offset their exposure, driving the stock higher in a phenomenon known as a gamma squeeze. Commodities trader Noble denied the allegations but subsequently saw its profits collapse and was forced to sell most of its assets. Iceberg gained attention in 2015 for highlighting what it called aggressive accounting practices at Hong Kong-based Noble Group. ![]() ![]() Vagner said Iceberg is a company that makes both long and short bets but declined to give further details. Little is known about Iceberg, which publishes a blog with its research on Wordpress. Vagner said that while there are risks associated with betting against meme stocks, "any sharp rise is followed by a correction. "Our position is based on the fundamentals of the company and the fact its stock price has been inflated by call options, which is always temporary," said Iceberg's Arnaud Vagner in an email to Reuters.īearish investors forced to unwind their bets in the face of a rapidly rising stock price have helped fuel rallies this year in AMC, video game retailer GameStop (GME.N) and other companies that are popular on online forums such as Reddit’s WallStreetBets.ĪMC shares, while well below their June 2 peak of $72.62, were still up more than 2,500% year-to-date after finishing 2020 at $2.12. The so-called meme stock closed at $51.96 after falling almost 12% to $47.77 in morning trading after Iceberg's tweet that it had sold the shares short, which involves borrowing shares with a view to buying them back at a lower price to cover the bet. The phrase was first coined in a 1966 New York Times article by sociologist William Petersen, who used it to describe Japanese Americans overcoming discrimination to find success, attributing it to hard work and family structure.July 2 (Reuters) - AMC Entertainment (AMC.N) shares closed down 4% on Friday after short-seller Iceberg Research tweeted that it had made a bearish bet against the theater chain operator's stock. Sung said it’s important to consider the “model minority” myth during conversations like this. “The ‘roof Korean or Asian’ can be historically situated within a pattern of touting Asian Americans as both a proxy for whiteness and as a racial weapon against Black claims of racial inequity,” she said. When used by right-wing extremists, the “roof Korean” meme is meant to drive a wedge between Black and Korean communities, said Wendy Sung, an assistant professor of critical media studies at the University of Texas at Dallas. Racial resentment and distrust are bound to spring from that, as they did in Koreatown in 1992, when many Black patrons of Korean American businesses believed shop owners were funneling money out of the community and never putting anything back in. If we recognize that white Americans have, historically speaking, monopolized and excluded racial minorities from resources, we can see how easily Black people and Asians may feel as if they’re competing for the same pool of limited resources among themselves. (One of the Minneapolis police officers who stood by last month as Derek Chauvin pressed his knee down on George Floyd’s neck is Asian American, which has sparked a heated debate in the community about how Asians benefit from their proximity to whiteness.) The fact that the meme has been shared or defended by some Asian Americans underscores an important truth: Racial minorities can be and often are racist against other racial minorities ― and in many Asian American families, anti-Blackness sentiment runs deep. ![]() Step 5: Download the same and get its printout for further use. Step 4: Your CA Foundation hall ticket 2023 will be displayed on the screen. ![]() ![]() ![]() Step 3: A new window will open, enter your login credentials and submit. In the future, it will be important for pharmacy educators to identify and study best practices for use of PCOA within student assessment and remediation plans.Step 1: Visit the official website at Step 2: On the homepage, click on the link available for CA Foundation June admit card. Survey results indicate wide variability between programs regarding PCOA cut points (benchmarks), stakes, and remediation approaches. Remediation was most commonly required for P3 students (22%).Conclusion. Remediation for at risk students was required by less than 25% of programs. Programs used a variety of approaches to establish the benchmark (or cut point) for PCOA performance. The approach for assigning “stakes” to PCOA performance varied among programs depending on the student’s professional year in the curriculum. The PCOA was most frequently administered to third-year pharmacy (P3) students. The most common uses of the PCOA included curricular assessment (76%), individual student performance assessment (74%), and cohort performance assessment (71%). Survey items were designed to investigate common uses of the PCOA, cut points, and “stakes” assigned to the PCOA, identification of at-risk students, and remediation approaches.Results. Assessment professionals from 135 US schools and colleges of pharmacy were invited to complete a 38-item electronic survey. To determine and describe the current uses of the Pharmacy Curriculum Outcomes Assessment (PCOA) by US schools and colleges of pharmacy.Methods. Other physician assistant programs could develop analyses of their internal testing assessments to identify students at risk of PANCE failure and allocate institutional and program resources to improve rates of PANCE passage. Most importantly, regression analyses revealed the combined solution of SUMM and MCQ to most accurately predict PANCE performance at the low end of the scale.CONCLUSION: This research suggests that all assessment measures tested can provide helpful estimates of PANCE performance however the combined SUMM and MCQ solution provided the most reliable and accurate prediction of PANCE performance for "high risk" students. Discriminant analyses revealed the combined solution of PACKRAT, SUMM, and MCQ to most accurately differentiate between the "pass" versus "fail" groups on the PANCE. This study's goal was to improve prediction of PANCE failure using other predictive measures, alone and in combination, with the PACKRAT.METHODS: Correlation and discriminate and regression analyses were conducted on 3 years of data (2007-2009) collected from Chatham University PA Studies graduates, with convergent results.RESULTS: Significant positive correlations between the PANCE and each of the assessment measures were found (in order of significance): (1) the PACKRAT exam (2) a summative multiple choice question exam given near the end of the clinical (second) year (3) average multiple-choice-question-exam results from the didactic (first) year (4) prerequisite preadmission GPA and (5) overall preadmission GPA. PURPOSE: A significant positive correlation between the Physician Assistant National Certifying Examination (PANCE) and the PAEA Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) has been found in previous studies. ![]() 2022 first-round cornerback Kaiir Elam emerged as a starter late last season, so the presumption is that he'll carry that role over.For now, he's behind Milano on the weak side. Don't be surprised if third-round linebacker Dorian Williams eventually works his way into the starting lineup next to Matt Milano.This entire projected starting group was on the team last season. The Bills ultimately may be better off having been outbid for Edmunds, who was erratic. ![]() Linebacker Tremaine Edmunds left for Chicago in free agency, but this defense (and roster, in general) has excellent continuity.Epenesa were high picks who haven't been consistent. The Bills need more pass-rushing juice on the edge when Greg Rousseau and/or Von Miller are not on the field.He'll compete for snaps with DaQuan Jones. Poona Ford was signed to add more beef to the defensive tackle position.Right tackle remains a concern, and the OL group overall is average. Second-round pick O’Cyrus Torrence will battle Ryan Bates for a right guard spot. The offensive line signed Connor McGovern from Dallas.Latavius Murray and Nyheim Hines are quality reserves, too, if James Cook doesn't hold up. Damien Harris is one of the best pure power runners in football if he can stay healthy - even if he plays less on passing downs. Still, a veteran addition to this roster in camp ( Jarvis Landry?) could make sense. Shakir has flashed enough to believe he could challenge Davis. Khalil Shakir, Trent Sherfield and explosive returner Deonte Harty are the top options for WR3 snaps.Expect plenty of two-TE sets, but it wouldn't surprise me if this is Knox's last year in Buffalo despite his big contract. But it's also worth wondering if his skills are duplicative with those of Dawson Knox. Kincaid was a great value late in the first round.2 wideout, and the Bills are still searching for a No. I love tight end Dalton Kincaid as a seam stretcher in this offense.If the goal of this Bills offseason was to get Josh Allen more help, Buffalo's effort feels incomplete. They suggested that thromboembolism due to coil loop herniation into the PICA origin and occlusion of a perforating artery was possible causes of the PICA territory infarction. Although PICA has rich pial anastomoses, there have been case reports of PICA infarction on follow up images after endovascular procedure. In one case, there was lateral medullary infarction 2 days after internal trapping. Only one case revealed recanalization of the dissecting aneurysm after 1 year, which was retreated with internal trapping ( Fig. In our study, clinical and radiologic results were satisfactory in upruptured patients treated with internal trapping and stent placement with or without coils. This technique, as well as parent artery occlusion, show favorable results in unruptured VADA cases according to several reports. Reconstructive techniques, stent placement with or without coil embolization, aims at the preservation of the vertebral artery flow. For making a decision of parent artery occlusion in cases of unruptured VADA, there are several factors to be considered: risk of bleeding in conservative treatment risk of ischemic complications during procedure blood supply from the anterior and posterior spinal artery, perforating arteries, and patency of contralateral vertebral artery and relationship between aneurysm and PICA. Risk of bleeding from unruptured VADA was higher than previous reports and endovascular treatment should be considered in some cases, such as in cases of increased size of aneurysmal dilatation during follow-up period and when double lumen sign is visible in the acute stage. Administration of antiplatelet or anticoagulant in patients with unruptured VADAs and ischemic presentations may exacerbate aneurysmal dissection and cause rupture of the aneurysm. 1).Īlthough unruptured VADAs usually show benign clinical course, the natural course of the unruptured VADAs is still unknown and treatment guideline remains controversial. In our case, there was one ruptured VADA case which showed antegrade recanalization 6 months after internal trapping ( Fig. Detachable coils were insufficient to cover the entry of the dissecting aneurysm. The mechanism of the antegrade recanalization can be explained as following (1) if microcatheter navigate into the false lumen and occlude the false lumen with detachable coils, true lumen dilates into the normal diameter as false lumen collapses (2). However, there were several case reports of antegrade recanalization after endovascular treatment for ruptured VADAs. Multiple studies regarding direct occlusion of the pathologic segment were reported. First, deconstructive techniques can be performed by balloon or coil embolization. Two main concepts in the endovascular treatment of the VADA are deconstructive and reconstructive techniques for the parent vessels. Endovascular intervention is mandatory to prevent these fatal rebleeding. Ruptured VADA shows high incidence (over 70%) of rebleeding within 24 hours which results in poor clinical outcome. SAH occurs due to rupture of the thin layer of intradural adventitia. After disruption, leukocyte and macrophage infiltration, endothelial coverage, and neointima formation follow subsequently. Primary mechanism of the arterial dissection is disruption of the internal elastic lamina. Favorable outcome (mRS 0 and 1) was achieved in 5 patients and poor outcome in 8 patients. Follow-up mRS was available in 13 patients. There were 6 procedure-related complications: lateral medullary infarction (n=2), embolic infarction (n=2), unintended arterial occlusion (n=1), and parent artery dissection (n=1). In 2 cases treated with stent-assisted coil embolization, follow up imaging studies showed no change in 1 case and complete occlusion with vessel remodeling in 1 case ( Fig. Follow up imaging study in 7 cases treated with internal trapping revealed complete occlusion in 6 cases and antegrade recanalization in 1 case ( Fig. Immediate angiographic results revealed complete occlusion in 14 cases and incomplete occlusion in 3 cases. In ruptured cases (n=17), endovascular treatment consisted of internal trapping with coil embolization (n=13) and stent-assisted coil embolization using self-expandable stent (n=4). Results of immediate and follow up imaging studies in ruptured VADAs are presented in the table. Of 17 ruptured VADAs, 5 cases initially presented with poor grades (4 or 5), 8 cases with grade 3, 2 cases with grade 2, and 1 patient with grade 1. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |