International Journal of Angiology最新文献_第10页

Conservative Approach is Safe for Perfused-Pulseless Hands Following Blunt Brachial Artery Injury in Children. 儿童钝性肱动脉损伤后无脉搏灌注手保守入路是安全的。

IF 0.6

International Journal of Angiology Pub Date : 2022-03-01 DOI: 10.1055/s-0041-1742139

Ahmad R Naga, Ali A Elemam, Nagib A Elaskary, Ashraf E Elsharkawy, Hassan Lotfy

{"title":"Conservative Approach is Safe for Perfused-Pulseless Hands Following Blunt Brachial Artery Injury in Children.","authors":"Ahmad R Naga, Ali A Elemam, Nagib A Elaskary, Ashraf E Elsharkawy, Hassan Lotfy","doi":"10.1055/s-0041-1742139","DOIUrl":"https://doi.org/10.1055/s-0041-1742139","url":null,"abstract":"Blunt trauma of the brachial artery (BA) in pediatric age is often associated with neurological and orthopaedic injuries. Acute ischemic hands warrant immediate exploration, but the management of warm-pulseless hands following elbow trauma is controversial. This study evaluates the role of conservative treatment of blunt BA injuries in children with non-threatened hands. Eleven children with blunt trauma onto the BA having warm-pulseless hands were studied retrospectively. After a mean follow-up period of 2.5 ± 0.9 years, all cases had thorough clinical examination and duplex scan to assess the treatment outcomes. At the end of follow-up period, all subjects had well-perfused hands with intact wrist pulses. The duplex scan revealed those who had interposition grafts to be patent and one case had an aneurysmal dilatation. There was no statistical significance difference between affected and healthy forearms regarding the mean peak systolic velocity at the wrist, affected side was 62 ± 0.82 cm/s versus 68 ± 0.57 cm/s for opposite side ( p -value = 0.14). Patients with blunt BA trauma and warm-pulseless hands could be managed safely with conservative treatment, leaving surgical exploration for those who did not regain pulses after 48 hours. Duplex ultrasound can safely verify the patency of surgical repair and can be used for surveillance to detect future complications.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 1","pages":"48-51"},"PeriodicalIF":0.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8881107/pdf/10-1055-s-0041-1742139.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10655204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary and Secondary Prevention of CAD: A Review. 冠心病的一级和二级预防:综述。

IF 0.6

International Journal of Angiology Pub Date : 2022-03-01 DOI: 10.1055/s-0041-1729925

Lindsay Short, Van T La, Mandira Patel, Ramdas G Pai

引用次数: 1

Does AGE-RAGE Stress Play a Role in the Development of Coronary Artery Disease in Obesity? 年龄压力在肥胖患者冠状动脉疾病的发展中起作用吗?

IF 0.6

International Journal of Angiology Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742587

Kailash Prasad, Amal S Khan, Kalpana K Bhanumathy

{"title":"Does AGE-RAGE Stress Play a Role in the Development of Coronary Artery Disease in Obesity?","authors":"Kailash Prasad, Amal S Khan, Kalpana K Bhanumathy","doi":"10.1055/s-0042-1742587","DOIUrl":"https://doi.org/10.1055/s-0042-1742587","url":null,"abstract":"This article deals with the role of AGE (advanced glycation end products)-RAGE (receptor for AGE) stress (AGE/sRAGE) in the development of coronary artery disease (CAD) in obesity. CAD is due to atherosclerosis in coronary artery. The serum/plasma levels of AGE and sRAGE are reduced, while AGE-RAGE stress and expression of RAGE are elevated in obese individuals. However, the levels of AGE are elevated in obese individuals with more than one metabolic syndrome. The increases in the AGE-RAGE stress would elevate the expression and production of atherogenic factors, including reactive oxygen species, nuclear factor-kappa B, cytokines, intercellular adhesion molecule-1, vascular cell adhesion molecule-1, endothelial leukocyte adhesion molecules, monocyte chemoattractant protein-1, granulocyte-macrophage colony-stimulating factor, and growth factors. Low levels of sRAGE would also increase the atherogenic factors. The increases in the AGE-RAGE stress and decreases in the levels of sRAGE would induce development of atherosclerosis, leading to CAD. The therapeutic regimen for AGE-RAGE stress-induced CAD in obesity would include lowering of AGE intake, prevention of AGE formation, degradation of AGE in vivo, suppression of RAGE expression, blockade of AGE-RAGE interaction, downregulation of sRAGE expression, and use of antioxidants. In conclusion, the data suggest that AGE-RAGE stress is involved in the development of CAD in obesity, and the therapeutic interventions to reduce AGE-RAGE would be helpful in preventing, regressing, and slowing the progression of CAD in obesity.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 1","pages":"1-9"},"PeriodicalIF":0.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8881108/pdf/10-1055-s-0042-1742587.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

How an Aggressive Treatment of No-reflow Phenomenon in Primary Percutaneous Coronary Intervention with High Thrombus Burden can Achieve a Grade III TIMI-flow: A Case Report 如何积极治疗高血栓负荷的初级经皮冠状动脉介入治疗无血流现象才能达到III级timi -血流:一个病例报告

IF 0.6

International Journal of Angiology Pub Date : 2022-02-16 DOI: 10.1055/s-0043-1764475

J. W. Martha, I. C. S. Putra, William Kamarullah, Aron Husink, T. A. Sihite

{"title":"How an Aggressive Treatment of No-reflow Phenomenon in Primary Percutaneous Coronary Intervention with High Thrombus Burden can Achieve a Grade III TIMI-flow: A Case Report","authors":"J. W. Martha, I. C. S. Putra, William Kamarullah, Aron Husink, T. A. Sihite","doi":"10.1055/s-0043-1764475","DOIUrl":"https://doi.org/10.1055/s-0043-1764475","url":null,"abstract":"Abstract Introduction The management of the no-reflow phenomenon is still being debated by experts as there is no specific algorithm, limited recommended drug choices, and insufficient data regarding the combination of drugs in currently available guidelines. Thus, in this case report, we would like to propose a new combination of drugs as an alternative to the recommended drugs of choice in the treatment of no-reflow phenomenon. Case Presentation A 41-year-old man arrived at the emergency department complaining of chest pain 30 minutes prior to arrival. However, the patient was later diagnosed with extensive anterior ST-elevation myocardial infarction, KILLIP classification I, which was caused by the entire blockage of the proximal left anterior descending coronary artery. Angiography was conducted after stent placement during the main percutaneous coronary intervention and revealed grade I thrombolysis in myocardial infarction (TIMI)-flow with no coronary artery blockage. We then used an intracoronary approach to give nitroglycerin, heparin, and eptifibatide. The findings of posttreatment angiography revealed an improvement in coronary blood flow with a grade II TIMI flow. Furthermore, intravenous injection of eptifibatide and morphine effectively restored perfusion to a grade III TIMI flow. Conclusion Aggressive and precise treatment with a drug of choice is required to counteract the no-reflow phenomenon. Presently, only a limited range of first-line medications are available to treat this condition. Not only that, but several of the prescribed medications are not easily accessible, especially in developing countries. Therefore, we offer a novel combination medicaments consisting of nitroglycerin, heparin, and glycoprotein IIb/IIIa inhibitor as an alternative treatment of the no-reflow phenomenon.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43532142","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

Intracaval Leiomyoma with Intracardiac Extension. 伴有心内扩展的腔内子宫肌瘤

IF 0.5

International Journal of Angiology Pub Date : 2022-02-12 eCollection Date: 2023-06-01 DOI: 10.1055/s-0041-1741467

Gabriele M Iacona, Serge Harb, Venkatesh Krishnamurthi, James J Yun

引用次数: 0

Ischemic Stroke in Young Adults Caused by Cervical Artery Dissection-A Retrospective Study. 颈动脉夹层导致的年轻人缺血性中风--一项回顾性研究。

IF 0.5

International Journal of Angiology Pub Date : 2021-12-31 eCollection Date: 2022-06-01 DOI: 10.1055/s-0041-1740318

Lucija Jazbec, Marija Menih, Rok Arh

{"title":"Ischemic Stroke in Young Adults Caused by Cervical Artery Dissection-A Retrospective Study.","authors":"Lucija Jazbec, Marija Menih, Rok Arh","doi":"10.1055/s-0041-1740318","DOIUrl":"10.1055/s-0041-1740318","url":null,"abstract":"Background Ischemic stroke is one of the most common causes of death and disability. The most common independent cause is cervical artery dissection, which represents around 20% of all cases of ischemic stroke in young adults. Risk factors for dissection include male gender, migraine (particularly with aura), hyperhomocysteinemia, recent infection, recent history of minor cervical trauma, young age, current smoking status, increased leucocyte count, and shortened activated partial thromboplastin time, whereas hypercholesterolemia and being overweight appear protective. Patients and Methods This retrospective study was based on data of all patients aged 18 to 49 who were hospitalized in the University Medical Centre Maribor for ischemic stroke between 2010 and 2019 inclusive. The results of the research were analyzed by IBM SPSS Statistics 28 software. For statistical significance, a cut-off value of p < 0.05 was used. Results The study includes 196 patients with 198 events of ischemic stroke. Dissection of cervical arteries was presented in 16 (8.2%) cases. The presence of arterial hypertension proved to have a relation with the presence of a dissection; patients with dissection are less likely to suffer from arterial hypertension. Duration of hospitalization in the group with dissection lasted significantly longer than in the group without dissection. Conclusions Dissection of cervical or intracranial artery is an important cause of ischemic stroke, especially in young adults. Therefore, it should be considered in young adults with presentation of stroke who lack traditional and modifiable risk factors.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 2","pages":"126-130"},"PeriodicalIF":0.5,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272308/pdf/10-1055-s-0041-1740318.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10803397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hybrid Repair with Reversed Sequence Supra-aortic Debranching in Ruptured Arch Aneurysm 主动脉上逆行去支复合修复主动脉弓破裂动脉瘤

IF 0.6

International Journal of Angiology Pub Date : 2021-12-01 DOI: 10.1055/s-0041-1736441

A. Marumoto, K. Yoneda, Kenji Tanaka, Katsukiyo Kitabayashi

{"title":"Hybrid Repair with Reversed Sequence Supra-aortic Debranching in Ruptured Arch Aneurysm","authors":"A. Marumoto, K. Yoneda, Kenji Tanaka, Katsukiyo Kitabayashi","doi":"10.1055/s-0041-1736441","DOIUrl":"https://doi.org/10.1055/s-0041-1736441","url":null,"abstract":"Abstract Aortic arch pathology in a high-risk patient in whom the resternotomy approach is unfeasible due to treated mediastinitis after ascending aortic replacement presents a unique challenge for hybrid arch repair (HAR) because of the need for supra-aortic debranching from unusual inflow sites other than the ascending aorta. This report describes a “reversed sequence” extra-anatomical supra-aortic debranching procedure as a salvage technique performed to enable HAR. An 83-year-old woman with a history of ascending aortic replacement for type A aortic dissection, mediastinitis complicated by sternal osteomyelitis, and a chest wall reconstructed with a rectus abdominis myocutaneous flap presented with chest pain because of a contained dissecting arch aneurysm rupture. The patient underwent supra-aortic debranching from the bilateral common femoral arteries and thoracic endovascular aortic repair to the ascending aorta under cerebral near-infrared spectroscopy (NIRS) monitoring. Completion imaging by angiography demonstrated successful exclusion of the ruptured aneurysm. The regional cerebral oxygen saturation level, monitored by NIRS, did not change markedly during surgery. The patient was neurologically intact with adequate cerebral blood flow assessed postoperatively by 123I-IMP single photon emission computed tomography. Total debranching of the supra-aortic vessels from the common femoral artery for inflow is feasible and provides adequate cerebral perfusion. This procedure may offer an alternative treatment option in patients with complex conditions involving aortic arch pathology.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41998896","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

A "20/20" Match: ACC/AHA 2017 versus ESC/ESH 2018 Guidelines for Management of Hypertension. “20/20”匹配:ACC/AHA 2017与ESC/ESH 2018高血压管理指南

IF 0.6

International Journal of Angiology Pub Date : 2021-11-22 eCollection Date: 2021-12-01 DOI: 10.1055/s-0041-1732433

Akshyaya Pradhan, Shweta Vohra, Rishi Sethi

引用次数: 0

Coronary Artery Fistulae in Adult: Two Decades of Experience in Clinical Presentation, Angiographic Feature, and Management. 成人冠状动脉瘘:二十年的临床表现、血管造影特征和治疗经验。

IF 0.6

International Journal of Angiology Pub Date : 2021-11-10 eCollection Date: 2021-12-01 DOI: 10.1055/s-0041-1727134

Tuncay Taskesen, Kofi Osei, Russell Hamilton, Justin Ugwu, Daniel Shivapour, Mark Tannenbaum, Magdi Ghali

{"title":"Coronary Artery Fistulae in Adult: Two Decades of Experience in Clinical Presentation, Angiographic Feature, and Management.","authors":"Tuncay Taskesen, Kofi Osei, Russell Hamilton, Justin Ugwu, Daniel Shivapour, Mark Tannenbaum, Magdi Ghali","doi":"10.1055/s-0041-1727134","DOIUrl":"https://doi.org/10.1055/s-0041-1727134","url":null,"abstract":"Coronary artery fistula (CAF) in adults is a rare but significant coronary artery anomaly. Main data on that rare disease were mostly obtained from case reports and small studies. In presented study, we share our two-decade experience on the clinical and angiographic characteristics of CAF. The data were collected retrospectively by analyzing the angiographic data between January 1, 2000 and December 31, 2019. Demographic data, clinical data, laboratory, and cardiac catheterization reports were reviewed. CAFs were found in 40 patients (0.06%). There were 22 male (55%) patients. The mean age was 61.2 years. Twenty-nine patients (72.5%) had small, 4 patients (10%) had medium, and 7 patients (17.5%) had large CAFs. The majority of study population had solitary CAF ( n = 31, 77.5%). The pulmonary artery is the major side of fistula drainage ( n = 20, 50%). The study population was divided into two groups as follow: group 1-small CAFs 29 (72.5%), group 2-medium and large CAF (MLCAF) 11 (27.5%). Patients with MLCAFs had more atrial fibrillation, abnormal coronary morphology, and multiple fistulae. In patients with hemodynamically significant CAFs, 7 (17.5%) patients had surgical ligation and 3 (7.5%) patients had transcutaneous closure. Three patients died during mean follow-up period of 5 years. The incidence and the pattern of CAFs in our study were similar to previous studies. Clinical course of small fistulae was benign. Symptomatic MLCAFs need to be treated by transcatheter or surgical way and should be individualized per patient.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"30 4","pages":"277-284"},"PeriodicalIF":0.6,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608461/pdf/10-1055-s-0041-1727134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39936270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CABG versus PCI in the Treatment of Unprotected Left Main Disease in Diabetics: A Literature Review. CABG与PCI治疗糖尿病无保护左主干疾病:文献综述。

IF 0.6

International Journal of Angiology Pub Date : 2021-11-10 eCollection Date: 2021-09-01 DOI: 10.1055/s-0041-1735517

Daniel Lambert, Allan Mattia, Angel Hsu, Frank Manetta

引用次数: 1