International Journal of Angiology最新文献

Intra-Arterial Nitroglycerin Injection in Upper Extremity Buerger's Disease for Faster Ulcer Recovery: A Case Report 上肢布格尔病患者动脉内注射硝酸甘油以加快溃疡恢复：病例报告

IF 0.5

International Journal of Angiology Pub Date : 2024-07-22 DOI: 10.1055/s-0044-1788627

MD PhD Nyityasmono Tri Nugroho, MD Raka Aldy Nugraha, MD R. Mohamad Javier, MD Alexander Jayadi Utama, MD PhD Dedy Pratama, MD Tri Nugroho

{"title":"Intra-Arterial Nitroglycerin Injection in Upper Extremity Buerger's Disease for Faster Ulcer Recovery: A Case Report","authors":"MD PhD Nyityasmono Tri Nugroho, MD Raka Aldy Nugraha, MD R. Mohamad Javier, MD Alexander Jayadi Utama, MD PhD Dedy Pratama, MD Tri Nugroho","doi":"10.1055/s-0044-1788627","DOIUrl":"https://doi.org/10.1055/s-0044-1788627","url":null,"abstract":"Thromboangiitis obliterans (TAO), also known as Buerger's disease, is a challenging nonatherosclerotic vascular disorder predominantly affecting smokers. Current management of TAO lacks standard guidelines, with smoking cessation as the only cornerstone. We present the case of a 28-year-old smoker with TAO manifesting as necrotic finger ulcers. Regardless of initial debridement, conventional therapy failed to improve his condition. Angiography confirmed the diagnosis of TAO and intra-arterial nitroglycerin injection was administered, leading to immediate vasodilation and improved perfusion. Combined with oral vasodilators and anticoagulants, the patient showed significant ulcer healing within 2 weeks. TAO's etiology remains unclear; however, it is linked to smoking and immune responses. Diagnosis relies on clinical criteria and angiographic findings. While smoking cessation remains crucial, various pharmacological interventions like vasodilators show considerable potential for enhancing therapeutic outcomes. Our case highlights the potential of intra-arterial nitroglycerin in TAO management. However, further studies are warranted due to limited sample size. Advancements in understanding TAO's biology and diagnostic techniques offer hope for improved management strategies in the future.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of C-Reactive Protein, An Inflammatory Biomarker in The Development of Atherosclerosis and Its Treatment 炎症生物标记物 C-反应蛋白在动脉粥样硬化的发展和治疗中的作用

IF 0.5

International Journal of Angiology Pub Date : 2024-07-18 DOI: 10.1055/s-0044-1788296

K. Prasad

{"title":"Role of C-Reactive Protein, An Inflammatory Biomarker in The Development of Atherosclerosis and Its Treatment","authors":"K. Prasad","doi":"10.1055/s-0044-1788296","DOIUrl":"https://doi.org/10.1055/s-0044-1788296","url":null,"abstract":"This article deals with the role of c-reactive protein (CRP) in the development of atherosclerosis and its treatment. CRP has a predictive value in ischemic heart disease, restenosis, coronary artery disease, aortic atherosclerosis, and cerebrovascular disease. This article deals with the synthesis and mechanism of CRP-induced atherosclerosis and its treatment. CRP increases the formation of numerous atherogenic biomolecules such as reactive oxygen species (ROS), cytokines (interleukin [IL]-1β and IL-6), cell adhesion molecules (intercellular adhesion molecule-1, vascular cell adhesion molecule-1, monocyte chemoattractant protein-1, activated complement C5, monocyte colony-stimulating factor, and numerous growth factors [insulin-like growth factor, platelet-derived growth factor, and transforming growth factor-β]). ROS mildly oxidizes low-density lipoprotein (LDL)-cholesterol to form minimally modified LDL which is further oxidized to form oxidized LDL. The above atherogenic biomolecules are involved in the development of atherosclerosis and has been described in detail in the text. This paper also deals with the treatment modalities for CRP-induced atherosclerosis which includes lipid-lowering drugs, antihypertensive drugs, antioxidants, aspirin, antidiabetic drugs, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, regular physical activity, weight reduction, and stoppage of cigarette smoking. In conclusion, CRP induces atherosclerosis through increases in atherogenic biomolecules and the treatment modalities would prevent, regress, and slow the progression of CRP-induced atherosclerosis.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141824420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Grayscale Inversion to aid Diagnosis of Acute Occlusive and Chronic Pulmonary Embolism on CT. 灰度反转辅助 CT 诊断急性闭塞性肺栓塞和慢性肺栓塞。

IF 0.6

International Journal of Angiology Pub Date : 2024-06-05 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1786745

Achala Donuru, Drew A Torigian, Arun C Nachiappan

引用次数: 0

Pulmonary Embolism Following Lung Transplantation: Prevention and Management 肺移植术后肺栓塞：预防和管理

IF 0.6

International Journal of Angiology Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786859

Daniel Mohammadi, Suresh Keshavamurthy

引用次数: 0

Bilateral Dolichoarteriopathies of the Internal Carotid Artery: Surgical Treatment and Results 双侧颈内动脉胆脂瘤：手术治疗和结果

IF 0.6

International Journal of Angiology Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786856

Yerbol Dogalbayev, Alexandr Fursov, Tokan Sultanaliev, Irlan Sagandykov, S.S. Suleimenov, R. Fursov, Kuralay Ilbekova

{"title":"Bilateral Dolichoarteriopathies of the Internal Carotid Artery: Surgical Treatment and Results","authors":"Yerbol Dogalbayev, Alexandr Fursov, Tokan Sultanaliev, Irlan Sagandykov, S.S. Suleimenov, R. Fursov, Kuralay Ilbekova","doi":"10.1055/s-0044-1786856","DOIUrl":"https://doi.org/10.1055/s-0044-1786856","url":null,"abstract":"The approach to surgical treatment of symptomatic bilateral dolichoarteriopathies of the internal carotid artery (DICA) remains an unresolved problem today. The aim of this article is to compare the methods of reconstruction of the stage-by-stage surgical treatment of bilateral DICA, depending on the type of deformity. The study included 30 patients with clinical manifestations of cerebrovascular insufficiency (CVI), who were found to have hemodynamically significant bilateral DICA. The patients underwent stage-by-stage operations on both sides, resulting in a total of 60 reconstructive operations on the carotid arteries. Based on the type of reconstruction, the patients were divided into three groups. All three groups showed positive dynamics with relief of the CVI clinical symptoms (p = 0.01), except for patients with persistent residual effects after strokes. Hemodynamic indices in the ICA also normalized after surgery; the linear velocity of blood flow decreased to 0.842 ± 0.087 m/s (p = 0.01) in the first group, 0.825 ± 0.057 m/s (p = 0.01) in the second group, and 0.805 ± 0.083 m/s (p = 0.01) in the third group. The results of the treatment of bilateral DICA showed that with a correctly selected approach to stage-by-stage surgical treatment, it is possible to achieve restoration of blood flow along the internal carotid artery with regression of general cerebral symptoms.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posterior Skirt Technique with Mitral Valve Replacement for Mitral Annular Calcification 二尖瓣瓣环钙化的二尖瓣置换术后裙边技术

IF 0.6

International Journal of Angiology Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786858

Caleb Sokolowski, Tala Al-Saghir, Yeonsoo Sara Lee, Nicolas Ceniza, Frank Baciewicz

引用次数: 0

Clinical Presentation and Risk Stratification of Pulmonary Embolism 肺栓塞的临床表现和风险分层

IF 0.6

International Journal of Angiology Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786878

Abdul Qudoos Iqbal Mohammed, Lorin Berman, Mark Staroselsky, P. Wenn, O. Hai, A. Makaryus, R. Zeltser

{"title":"Clinical Presentation and Risk Stratification of Pulmonary Embolism","authors":"Abdul Qudoos Iqbal Mohammed, Lorin Berman, Mark Staroselsky, P. Wenn, O. Hai, A. Makaryus, R. Zeltser","doi":"10.1055/s-0044-1786878","DOIUrl":"https://doi.org/10.1055/s-0044-1786878","url":null,"abstract":"Pulmonary embolism (PE) presents with a spectrum of symptoms, ranging from asymptomatic cases to life-threatening events. Common symptoms include sudden dyspnea, chest pain, limb swelling, syncope, and hemoptysis. Clinical presentation varies based on thrombus burden, demographics, and time to presentation. Diagnostic evaluation involves assessing symptoms, physical examination findings, and utilizing laboratory tests, including D-dimer. Risk stratification using tools like Wells score, Pulmonary Embolism Severity Index, and Hestia criteria aids in determining the severity of PE. PE is categorized based on hemodynamic status, temporal patterns, and anatomic locations of emboli to guide in making treatment decisions. Risk stratification plays a crucial role in directing management strategies, with elderly and comorbid individuals at higher risk. Early identification and appropriate risk stratification are essential for effective management of PE. As we delve into this review article, we aim to enhance the knowledge base surrounding PE, contributing to improved patient outcomes through informed decision-making in clinical practice.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140984576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endovascular Aneurysm Repair (EVAR) in Rupture of the Infrarenal Abdominal Aortic Aneurysm (AAA) with Severe Neck Angulation in Conscience of National Health Coverage in Tertiary Referral Hospital in Indonesian: Case Report 在印尼三级转诊医院进行血管内动脉瘤修补术 (EVAR) 治疗伴有严重颈部成角的肾下腹主动脉瘤 (AAA)破裂，符合国家医疗保险规定：病例报告

IF 0.6

International Journal of Angiology Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786509

N. Nugroho, Ryoga Primananda, R. M. Javier, Ihza Fachriza, Raden Suhartono

引用次数: 0

Role of Retrograde Tibiopedal Access in Limb Salvage in Patients with Critical Lower Limb Ischemia 逆行胫骨入路在重症下肢缺血患者肢体救治中的作用

IF 0.6

International Journal of Angiology Pub Date : 2024-05-10 DOI: 10.1055/s-0044-1786857

Baker M. Ghoneim, Khaled M. Abdo Elhindawy, Fouad S. Fouad, Mostafa H. Abo Ellil, A. Shaker

{"title":"Role of Retrograde Tibiopedal Access in Limb Salvage in Patients with Critical Lower Limb Ischemia","authors":"Baker M. Ghoneim, Khaled M. Abdo Elhindawy, Fouad S. Fouad, Mostafa H. Abo Ellil, A. Shaker","doi":"10.1055/s-0044-1786857","DOIUrl":"https://doi.org/10.1055/s-0044-1786857","url":null,"abstract":"The aim of this study was to assess the efficacy and safety of retrograde tibiopedal access as an alternative approach in cases of critical limb ischemia (CLI) when antegrade access has failed. A prospective study was conducted that included patients with CLI who underwent tibiopedal access after failed antegrade recanalization from January 2018 to June 2022. Follow-up was conducted at 6, 12, and 24 months. The primary outcomes evaluated were technical success rate and primary patency. Secondary outcomes included complication rate, mortality rate, and limb salvage rate (LSR). Forty-eight patients had CLI and Trans Atlantic Inter-Society Consensus infrainguinal lesions. The retrograde approach was used through the anterior tibial artery in 28 patients (58%), the posterior tibial artery in 18 patients (37.5%), and the peroneal artery in 2 patients (4.5%). Technical success was achieved in 90% of patients (43 patients). There was a significant increase in the anklebrachial index after the procedure with a mean follow-up of 22 months. Twenty-two months primary patency rate was 85.2%, while secondary patency rate was 100% and LSR was 96%, respectively. There was no mortality in the series. Retrograde tibiopedal approach is an alternative option for managing peripheral arterial disease and CLI. This method offers another means of crossing lesions when antegrade access failed, and the intervention can be completed either in an antegrade or retrograde approach. As the retrograde approach does not impact access site, considered a feasible safe treatment alternative which increase the success rate of endovascular treatment.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140994107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between Skeletal Muscle Characteristics and Arterial Stiffness: Chronic Limb-Threatening Ischemia the Key Element 骨骼肌特征与动脉僵硬度之间的关系：慢性肢体缺血是关键因素

IF 0.6

International Journal of Angiology Pub Date : 2024-04-25 DOI: 10.1055/s-0044-1786396

Joana Ferreira, Susana Roque, I. Vila, A. Mansilha, Pedro Cunha

引用次数: 0