International Journal of Angiology最新文献_第2页

Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease 有指导的运动训练可改善有症状的下肢外周动脉疾病患者的姿势控制能力

IF 0.6

International Journal of Angiology Pub Date : 2023-11-27 DOI: 10.1055/s-0043-1777257

Francis Degache, Willy Mak, L. Calanca, Lucia Mazzolai, S. Lanzi

{"title":"Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease","authors":"Francis Degache, Willy Mak, L. Calanca, Lucia Mazzolai, S. Lanzi","doi":"10.1055/s-0043-1777257","DOIUrl":"https://doi.org/10.1055/s-0043-1777257","url":null,"abstract":"Abstract Patients with symptomatic peripheral artery disease (PAD) have been shown to present balance disorders and a history of falling, which are associated with functional and daily life impairments. Although postural control improvement is an important outcome, the benefits of supervised exercise training (SET) on postural control have been seldom investigated in these patients. This article investigates the effects of SET on traditional measures of postural control and on stabilogram-diffusion analysis (SDA) parameters in patients with symptomatic PAD. Patients with symptomatic chronic lower limb claudication were investigated. All subjects who completed the 3-month multimodal SET program and postural control assessment before and after SET were included. Center of pressure trajectory analysis and SDA parameters were investigated using a posturographic platform. Patients were instructed to stand on the platform and maintain balance to their best ability. Treadmill pain-free (PFWD) and maximal (MWD) walking distances were also assessed prior and following SET. Forty-four patients with PAD (65.2 ± 9.8 years, 34% women) were investigated. All postural control parameters were unchanged following SET, except the length of center of pressure displacement as a function of the surface of center of pressure trajectory (LFS), which was significantly increased (before SET: 1.4 ± 0.4; after SET: 1.5 ± 0.5; p = 0.042). PFWD (before SET: 103.5 ± 77.9 m; after SET: 176.8 ± 130.6 m; p ≤ 0.001) and MWD (before SET: 383.6 ± 272.0 m; after SET: 686.4 ± 509.0 m; p ≤ 0.001) significantly improved following SET. The increased LFS suggests a better postural control accuracy following SET in patients with symptomatic PAD.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"8 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139232983","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

Successful Endovascular Treatment of Postbiopsy AVF in Transplanted Kidneys: Lessons Learned from Two Cases in Multiorgan Transplant Recipients 移植肾活检后动静脉瘘的成功血管内治疗：从两例多器官移植受者中汲取的经验教训

IF 0.6

International Journal of Angiology Pub Date : 2023-11-27 DOI: 10.1055/s-0043-1777256

Sven Želalić, B. Šimunov, Bojana Maksimović, Rea Mužar, Mario Laganović, V. Vidjak

引用次数: 0

Current Evidence and Future Directions of Omega-3 Supplementation and Cardiovascular Disease Risk 补充欧米茄-3 和心血管疾病风险的当前证据和未来方向

IF 0.6

International Journal of Angiology Pub Date : 2023-11-24 DOI: 10.1055/s-0043-1777258

B. Dwiputra, Anwar Santoso, Budhi Setianto Purwowiyoto, B. Radi, B. Pandhita, Serlie Fatrin, A. M. Ambari

引用次数: 0

A Lethal Late Complication: Aortoesophageal Fistula after TEVAR 一种致命的晚期并发症:TEVAR术后主动脉食管瘘

International Journal of Angiology Pub Date : 2023-10-19 DOI: 10.1055/s-0043-1776144

Sedat Karaca, İslam Yalic, Barkın Bulut, Yaprak Engin, Hakan Posacıoğlu

引用次数: 0

ASVAL with Phlebectomy/Sclerofoam Technique: Preliminary Results ASVAL与静脉切除术/硬化泡沫技术:初步结果

International Journal of Angiology Pub Date : 2023-10-18 DOI: 10.1055/s-0043-1776145

Alberto Garavello, Paola Fiamma, Enrico Oliva

{"title":"ASVAL with Phlebectomy/Sclerofoam Technique: Preliminary Results","authors":"Alberto Garavello, Paola Fiamma, Enrico Oliva","doi":"10.1055/s-0043-1776145","DOIUrl":"https://doi.org/10.1055/s-0043-1776145","url":null,"abstract":"Abstract The ambulatory selective varicose vein ablation under local anesthesia (ASVAL) method recommends preserving the great saphenous vein (GSV), unless there is a serious terminal valve insufficiency, and suggests phlebectomy of superficial varicose reservoir as a primary treatment. To increase patient comfort, foam safety and cosmetic results, we used ASVAL with a mixed phlebectomy/foam technique on local anesthesia. Thirty consecutive patients treated with ASVAL phlebectomy-sclerofoam technique were reviewed retrospectively between December 2022 and April 2023. All patients were evaluated by clinical examination and duplex ultrasound (DUS); the main selection criteria were a minimal GSV insufficiency (main GSV < or = to 1 cm). Muller phlebectomy of tributaries at entry point in the saphenous trunk was performed; after 1 week, patients were checked for foam sclerotherapy of residual trunk. Under visual control, 0.5% polidocanol foam (from 5 to 10 cc. “Tessari Technique”) was injected in visible veins and elastic compression with pad was applied for 1 week. Compression with Class I elastic stockings was prescribed, and patients were reviewed after 1 month. Postoperative complications included thigh hematoma in two patients, three thrombosis of injected trunk, and hyperpigmentation in three patients. No GSV thrombosis at DUS was recorded. In 27 patients, a satisfying cosmetic result was achieved, and in 3 patients a new foam session was needed. Phlebectomy/foam ASVAL technique is a safe, low-traumatic technique with no need of US guidance, with less risk of foam migrating in GSV, simple and inexpensive, for patients with less advanced GSV insufficiency.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135825493","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

Three-Dimensional Morphometric Analysis of Anterior Cerebral Circulation Aneurysms 脑前循环动脉瘤的三维形态分析

International Journal of Angiology Pub Date : 2023-09-14 DOI: 10.1055/s-0043-1774740

Giancarlo Saal-Zapata, Melanie Walker, Rosa Cervantes-Medina, Rodolfo Rodríguez-Varela

{"title":"Three-Dimensional Morphometric Analysis of Anterior Cerebral Circulation Aneurysms","authors":"Giancarlo Saal-Zapata, Melanie Walker, Rosa Cervantes-Medina, Rodolfo Rodríguez-Varela","doi":"10.1055/s-0043-1774740","DOIUrl":"https://doi.org/10.1055/s-0043-1774740","url":null,"abstract":"Abstract This article assesses the association between anterior circulation morphometry and the presence of intracranial aneurysm using three-dimensional rotational angiography (3DRA). A retrospective analysis at a Peruvian academic medical center between December 2018 and February 2020 identified 206 patients with unruptured intracranial aneurysms and matched controls who underwent 3DRA. Angiographic images were obtained per standard of care, and measurements of the vasculature were performed using 3DRA vascular automated software. A total of 163 aneurysms and 43 control angiograms were evaluated. Women represented 82.5% of the cases and the mean age was 55.9 years (standard deviation ± 14.2). In multivariate analysis, five specific features were found to be statistically significant predictors for presence of an anterior circulation aneurysm: female sex (odds ratio [OR] = 2.71; p = 0.048), C-shape of the middle cerebral artery (MCA) (OR = 2.73; p = 0.018), distal internal carotid artery (ICA) diameter (OR = 3.42; p = 0.012), ICA bifurcation angle (OR = 1.02; p = 0.036), and length of the carotid siphon (OR = 1.08; p = 0.047). Features detected on 3DRA suggest morphological characteristics of the ICA and MCA may be predictive for intracranial aneurysm. Our findings build from prior reports by demonstrating five specific patient and imaging features associated with anterior circulation aneurysms. While 3DRA is the standard of care in many settings, medical centers with resource limitations may not have access to this technique. The demographic and morphological features identified in our study may have correlates that if detected on contrast computed tomography or magnetic resonance imaging studies, may be used to help screen for a higher level of care in select patients.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135552674","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

Rare Case of Chronic Limb-Threatening Ischemia in a 32-Year-Old Patient with Nephrotic Syndrome: A Case Report 32岁肾病综合征患者发生罕见的慢性危及肢体缺血1例

International Journal of Angiology Pub Date : 2023-09-14 DOI: 10.1055/s-0043-1774739

Jonathan Edbert Afandy, Taofan Taofan, Suci Indriani, Edwin Adhi Darmawan Batubara, Suko Adiarto

{"title":"Rare Case of Chronic Limb-Threatening Ischemia in a 32-Year-Old Patient with Nephrotic Syndrome: A Case Report","authors":"Jonathan Edbert Afandy, Taofan Taofan, Suci Indriani, Edwin Adhi Darmawan Batubara, Suko Adiarto","doi":"10.1055/s-0043-1774739","DOIUrl":"https://doi.org/10.1055/s-0043-1774739","url":null,"abstract":"Abstract Chronic limb-threatening ischemia represents the end stage of peripheral artery disease (PAD), primarily affecting individuals over 60 years old. While quite rare, nephrotic syndrome (NS) is recognized for increasing the susceptibility to arterial thromboembolism (ATE). A 32-year-old male complained of resting pain in his left leg and pain after walking 50 meters with his right leg. He had a 9-year history of NS confirmed through biopsy and was on a daily regimen of 2 × 360 mg mycophenolic acid and 1 × 8 mg methylprednisolone. He had no history of hypertension, diabetes, or smoking. Atrophy and ulcers were observed on his left leg. Laboratory tests revealed elevated D-dimer and borderline high cholesterol levels. The right ankle-brachial index was 0.5, and for the left, it was 0.33. Computed tomography angiography identified occlusion in the left external iliac artery and right superficial femoral artery (SFA). The patient underwent percutaneous transluminal angioplasty with a plain balloon on both legs and an additional drug-eluting stent on the left SFA. He was discharged on rivaroxaban, clopidogrel, aspirin, simvastatin, mycophenolic acid, and methylprednisolone, with no complaints. The mechanism behind NS-caused ATE remains unclear, although it is associated with the loss of anticoagulants in urine, increased procoagulant activity, altered fibrinolytic systems, thrombocytosis, and enhanced platelet activation. Prolonged corticosteroid therapy in NS management also amplifies the risk of thromboembolism by promoting a hypercoagulable state. We suspected NS and the prolonged use of corticosteroids as risk factors for ATE, manifested as PAD in our patient. While optimal NS therapy may reduce the risk of PAD, prolonged corticosteroid use should be closely monitored.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135552682","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

Hypoxia Due to a Large Right to Left Interatrial Shunt with Normal Right-Sided Filling Pressures in the Setting of a Separation between the Septum Primum and Secundum: A Case Report. 右至左房间分流大且右侧填充压力正常的室间隔分离所致缺氧1例。

IF 0.6

International Journal of Angiology Pub Date : 2023-09-01 DOI: 10.1055/s-0042-1749075

Nicolas W Shammas, Kathleen Keyes, William Witcik, Jon Robken, Edmund Coyne, Humphrey Wong

引用次数: 0

Ventricular Septal Rupture Complicating an Acute ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic. COVID-19大流行期间室间隔破裂并发急性st段抬高型心肌梗死

IF 0.6

International Journal of Angiology Pub Date : 2023-09-01 DOI: 10.1055/s-0040-1720971

Ines V Tanto, Surya Dharma, Dafsah A Juzar, Arinto A H Bono

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From the President 来自总统

IF 0.6

International Journal of Angiology Pub Date : 2023-08-01 DOI: 10.1177/00031313231178572

R. MacLeod

引用次数: 0