International Journal of Angiology最新文献_第4页

The Relationship of Plasma Aterogenity Index and Mean Platelet Volume with the Risk of Development of 1-Year Total Major Adverse Cardiac Event in Patients with Non-ST Elevation Myocardial Infarction. 非ST段抬高型心肌梗死患者血浆醛固酮指数和平均血小板体积与1年总重大心脏不良事件发生风险的关系。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1764223

Agil Allahverdiyev, Irem Muge Akbulut Koyuncu, Busra Kuru, Aytac Allahverdiyeva, Fatih Sinan Ertas

{"title":"The Relationship of Plasma Aterogenity Index and Mean Platelet Volume with the Risk of Development of 1-Year Total Major Adverse Cardiac Event in Patients with Non-ST Elevation Myocardial Infarction.","authors":"Agil Allahverdiyev, Irem Muge Akbulut Koyuncu, Busra Kuru, Aytac Allahverdiyeva, Fatih Sinan Ertas","doi":"10.1055/s-0043-1764223","DOIUrl":"10.1055/s-0043-1764223","url":null,"abstract":"In our study, we aimed to reveal the role of plasma atherogenicity index and mean platelet volume in predicting the risk of developing a 1-year major adverse cardiac event (MACE) in patients with non-ST elevation myocardial infarction (NSTEMI). This study, which was planned from the retrospective cross-sectional study model, was performed with 100 patients diagnosed with NSTEMI and scheduled for coronary angiography. The laboratory values of the patients were evaluated, the atherogenicity index of plasma was calculated, and the 1-year MACE status was evaluated. In total, 79 of the patients were male and 21 were female. The average age is 60.8 years. At the end of the first year, the MACE improvement rate was found to be 29%. The PAI value was below 0.11 in 39% of the patients, between 0.11 and 0.21 in 14%, and above 0.21 in 47%. The 1-year MACE development rate was found to be significantly higher in diabetic patients and patients with hyperlipidemia. Lymphocyte count and triglyceride values of the patients in the high-risk group of atherogenic index of plasma (AIP) were found to be higher than the patients in the low-risk group. The neutrophil/lymphocyte, thrombocyte/lymphocyte ratios and high-density lipoprotein values of the patients in the high-risk group of AIP were found to be lower than those in the low-risk group. The rate of MACE development was found to be significantly higher in patients in the high-risk group of AIP ( p = 0.02). No correlation was found between the mean platelet volume and the MACE development status. While no significant relationship was found between MPV and MACE in NSTEMI patients, AIP, which includes atherogenic parameters, was found to be correlated with MACE.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"81-87"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9852828","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

Clinical and Hemodynamic Factors Associated with Low Gradient Severe Rheumatic Mitral Stenosis. 低梯度重度风湿性二尖瓣狭窄的临床和血流动力学因素。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1751231

Amiliana M Soesanto, Dina Roeswita, Indriwanto S Atmosudigdo, Suko Adiarto, Elen Sahara

{"title":"Clinical and Hemodynamic Factors Associated with Low Gradient Severe Rheumatic Mitral Stenosis.","authors":"Amiliana M Soesanto, Dina Roeswita, Indriwanto S Atmosudigdo, Suko Adiarto, Elen Sahara","doi":"10.1055/s-0042-1751231","DOIUrl":"https://doi.org/10.1055/s-0042-1751231","url":null,"abstract":"Discrepancy between narrowed mitral valve area and transmitral gradient is not uncommon, suggesting the presence of low gradient (LG)-severe mitral stenosis (MS). Some clinical and hemodynamic factors are believed to associate with LG-severe MS. Transthoracic echocardiography reports were reviewed retrospectively to evaluate the association of all clinical and hemodynamic parameters with LG-severe MS. A 36% of total 322 patients was in the LG-severe MS group. In multivariate analysis, atrial fibrillation (95% confidence interval [CI] 4.60-16.71, odds ratio [OR] 8.77), net atrioventricular compliance > 4 mL/mm Hg (95% CI 3.96-14.25, OR 7.51), tricuspid regurgitation maximal velocity (TR Vmax) > 3.4 m/s (95% CI 0.13-0.48, OR 0.25), stroke volume index ≤ 35 mL/m 2 (95% CI 1.49-6.25, OR 3.05), female gender (95% CI 1.30-5.33, OR 2.63), and severe tricuspid regurgitation (95% CI 1.04-5.50, OR 2.39) were found to be associated with LG-severe MS. Atrial fibrillation, net atrioventricular compliance, TR Vmax, stroke volume index, female gender, and severe TR were associated with low transmitral gradient in patients with severe MS.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"43-47"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886448/pdf/10-1055-s-0042-1751231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836505","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

Intravascular Lithotripsy in Calcified Peripheral Lesions: Single-Center JEN-Experience. 钙化周围病变的血管内碎石术:单中心jeni -经验。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1751229

Pawel Aftanski, Marcus Thieme, Friederike Klein, P Christian Schulze, Sven Möbius-Winkler, Daniel Kretzschmar

{"title":"Intravascular Lithotripsy in Calcified Peripheral Lesions: Single-Center JEN-Experience.","authors":"Pawel Aftanski, Marcus Thieme, Friederike Klein, P Christian Schulze, Sven Möbius-Winkler, Daniel Kretzschmar","doi":"10.1055/s-0042-1751229","DOIUrl":"https://doi.org/10.1055/s-0042-1751229","url":null,"abstract":"Peripheral artery disease (PAD) shows increasing need for revascularization therapy. Interventional success in calcified lesions is limited. Here, intravascular lithotripsy (IVL), modifying intimal and medial calcium, is a promising treatment approach. A single-center, prospective all-comers registry for patients undergoing peripheral IVL was established to examine treatment success in PAD with severe vessel calcification. Periprocedural safety events as well as short-term and intermediate follow-up clinical data were evaluated. Between December 2018 and January 2021 all consecutive patients receiving peripheral lithotripsy at our center were analyzed. Clinical and angiographic data were evaluated. Angiographic images were analyzed using a semiautomatic software for quantitative vessel analysis. Eighty-five lesions in 61 limbs were treated with IVL in 51 patients presenting with Rutherford classes 2 to 5. Most lesions (68%) were localized in the superficial femoral artery. Mean calcified lesion length was 102.5 mm (10-390 mm), with a median peripheral arterial calcium score of 3, indicating a highly calcified status. In 58% of the patients, IVL was used as a stand-alone therapy. IVL resulted in a mean acute luminal gain of 2.6 ± 0.9 mm, resulting in stenosis reduction by 42.1 ± 15%. Mean ankle brachial index (ABI) improved significantly from 0.6 to 0.8 ( p < 0.0001) on day 1 after the intervention and remained stable at 6 months. This large real-world data of peripheral IVL reports compelling safety in a complex patient cohort. For the first time, clinical follow-up data demonstrated a sustained significant improvement in ABI after 6 months.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"11-20"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886450/pdf/10-1055-s-0042-1751229.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069636","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: 3

Undiagnosed Behçet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection. 未确诊的behet病并发多发性假性动脉瘤和COVID-19感染。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0041-1735208

Aanchal Mehta, Julien Al Shakarchi, Lewis Meecham, Santhosh Vijay, Richard Downing

{"title":"Undiagnosed Behçet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection.","authors":"Aanchal Mehta, Julien Al Shakarchi, Lewis Meecham, Santhosh Vijay, Richard Downing","doi":"10.1055/s-0041-1735208","DOIUrl":"https://doi.org/10.1055/s-0041-1735208","url":null,"abstract":"Behcet's disease (BD) is a rare multiorgan systemic disorder characterized by recurrent episodes of acute inflammation. Involvement of the vascular system, gastrointestinal tract, and central nervous system portends a poor prognosis. We report the case of a 54-year-old man who presented with a 2-week history of symptoms attributable to infrarenal aortic and left tibioperoneal trunk pseudoaneurysms, defined by CT angiography which also revealed right lower lobe pulmonary artery (PA) and right anterior tibial arterial aneurysms. A prior history of recurrent oral ulceration, periodic fever, cerebral venous sinus thrombosis, and aseptic endocarditis with pulmonary emboli invoked a diagnosis of BD. Immunosuppression was commenced immediately, following synchronous endovascular and open arterial intervention, except the PA aneurysm. He developed a fever and cough 8 days postoperatively as a consequence of COVID-19 infection from which he recovered without complications. The management of the patient's four aneurysms in different vascular territories and postoperative COVID-19 infection in the presence of mandatory immunosuppression are discussed.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"71-74"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886444/pdf/10-1055-s-0041-1735208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10643430","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

A Very Rare Cause of Thrombotic Peripheral Occlusion. 一个非常罕见的原因血栓性外周闭塞。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1745850

Daniel Kretzschmar, Marcus Thieme, Rene Aschenbach, P Christian Schulze, Sven Möbius-Winkler

{"title":"A Very Rare Cause of Thrombotic Peripheral Occlusion.","authors":"Daniel Kretzschmar, Marcus Thieme, Rene Aschenbach, P Christian Schulze, Sven Möbius-Winkler","doi":"10.1055/s-0042-1745850","DOIUrl":"https://doi.org/10.1055/s-0042-1745850","url":null,"abstract":"Abstract A 45-year-old healthy woman presented with claudication of the right leg. The resting ankle-brachial index (ABI) was reduced to 0.6, and a duplex scan revealed an occlusion of the right popliteal artery. Angiography presented a patent superficial femoral artery that ends above the knee joint. Laterally, there was delayed retrograde contrast filling of the popliteal artery. After exploring the internal iliac artery, we crossed a thrombotic occlusion of a persisting sciatic artery (PSA). Local thrombolysis with recombinant tissue plasminogen activator (1 mg/h) was initiated. The Angiography 18 hours later showed a reduction of thrombotic material and relevant stenosis in the proximal part of the vessel. Residual thrombus and the stenosis were covered by two stentgrafts (Gore Viabahn Endoprosthesis) that were stabilized by an interwoven stent (Supera). Final angiography displayed a patent sciatic artery and a three-vessel run off. Postinterventional ABI was normalized to 1.0. The magnetic resonance imaging 6 days after the intervention demonstrated a patent PSA again and a normal blood flow on the left leg. A PSA should be included in the differential diagnosis of lower limb ischemia or suspected aneurysm formation. We demonstrated the feasibility of an interventional approach with an excellent outcome in this case.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"75-80"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886445/pdf/10-1055-s-0042-1745850.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007982","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

Effects of Moderate Intensity Aerobic Exercise to FSTL-1 Regulation in Atherosclerosis: A Systematic Review. 中等强度有氧运动对动脉粥样硬化中FSTL-1调节的影响:一项系统综述

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1750184

Vito Anggarino Damay, Setiawan Setiawan, Ronny Lesmana, Muhammad Rizki Akbar, Antonia Anna Lukito

{"title":"Effects of Moderate Intensity Aerobic Exercise to FSTL-1 Regulation in Atherosclerosis: A Systematic Review.","authors":"Vito Anggarino Damay, Setiawan Setiawan, Ronny Lesmana, Muhammad Rizki Akbar, Antonia Anna Lukito","doi":"10.1055/s-0042-1750184","DOIUrl":"https://doi.org/10.1055/s-0042-1750184","url":null,"abstract":"Moderate intensity exercise is considered as a primary step to prevent coronary artery diseases (CADs) by stimulated FSTL-1 secretion as a novel myokines to improve endothelial cell function, prevent arterial stiffness, or vascular inflammation. This review aims to provide the current evident role of FSTL-1 as a novel myokine secreted during exercise to prevent atherosclerosis progression. A systematic review using databases from (PubMed), ScienceDirect, and The Cochrane Library, was conducted up to October 2021 to identify all the eligible experimental and observational studies that assess how moderate intensity exercises stimulate FSTL-1 secretion to prevent atherosclerosis. Results were described through narrative synthesis of the evidence. From 84 retrieved references, 15 studies met the inclusion criteria and were included in this review. The overall results suggest that exercise or physical activity can stimulate myokines secretion, especially in FSTL-1. FSTL-1 is a myokine or adipokine that plays a potential role in preventing atherosclerosis by various mechanisms such as via improvement of endothelial functions, suppression of smooth muscle cells (SMCs) proliferation, and reduction of arterial thickening. FSTL-1 is a relatively new and less known myokine, but probably holds a key role in assessing how moderate intensity aerobic exercise prevents atherosclerosis progression by preventing endothelial dysfunction, arterial stiffness, or vascular inflammation.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"1-10"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886452/pdf/10-1055-s-0042-1750184.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836502","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

Gender Influence on Abdominal Aortic Aneurysm Surgery in a Caribbean Population. 性别对加勒比海地区人群腹主动脉瘤手术的影响。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1750017

Patrick Harnarayan, Steve Budhooram, Dave Harnanan, Michael J Ramdass, Shariful Islam, Vijay Naraynsingh

{"title":"Gender Influence on Abdominal Aortic Aneurysm Surgery in a Caribbean Population.","authors":"Patrick Harnarayan, Steve Budhooram, Dave Harnanan, Michael J Ramdass, Shariful Islam, Vijay Naraynsingh","doi":"10.1055/s-0042-1750017","DOIUrl":"https://doi.org/10.1055/s-0042-1750017","url":null,"abstract":"Female patients with abdominal aortic aneurysms (AAAs) are usually less common and older than their male counterparts. We report on AAA disease in a Caribbean nation with respect to gender and review their outcomes relative to the male population. Data were collected prospectively and analyzed retrospectively for patients with AAAs who underwent surgery from 2001 to 2018. Sixty patients were diagnosed with AAA with 44 going on to have surgical repair of which 35 were males, aged 61 to 89 (mean age 73.4 years). Nine women ages 44 to 74 years (mean age 60.8 years) had surgical intervention, three being between 40 and 49 years. The size of aneurysms in these patients ranged from 4.3 to 11.0 cm in diameter (average 6.95 cm), female patients having an average diameter of 6.7 cm. Of the 44 patients, 43 underwent open and one endovascular repair. Thirty-three were elective cases and 11 were ruptured with 32 aorto-aortic and 13 aorto-iliac repairs. There were nine fatalities, three elective and six ruptured, with only one being female. Women had similar outcomes to men in all age groups with young patients having good results. Female AAA patients are usually older, undergo less surgical procedures especially if endovascular, and have worse outcomes than their male counterparts. Our study showed that the females were younger but had similar outcomes to the male patients. The female Caribbean patients may present at much younger ages than in continental populations and this may be due to genetic, ethnic, or lifestyle factors.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 1","pages":"26-33"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886443/pdf/10-1055-s-0042-1750017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9836503","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

5-Year Follow-Up of Endovascular Management in a Patient with Chronic Concomitant DeBakey Type II and IIIa Aortic Dissection. 慢性合并DeBakey II型和IIIa型主动脉夹层患者血管内处理的5年随访。

IF 0.6

International Journal of Angiology Pub Date : 2023-03-01 DOI: 10.1055/s-0042-1742307

Taofan Siddiq, Iwan Dakota, Suko Adiarto, Suci Indriani, Sugisman Sugisman, Asmoko Resta Permana, Chang Shu

引用次数: 0

Clinical Profile, Management, and Outcome of Visceral Artery Pseudoaneurysms: 5-Year Experience in a Tertiary Care Hospital. 内脏动脉假性动脉瘤的临床表现、处理和预后：一家三甲医院的五年经验。

IF 0.6

International Journal of Angiology Pub Date : 2023-02-13 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1761292

Faiz Altaf Shera, Tahleel Altaf Shera, Naseer Ahmad Choh, Mudasir H Bhat, Omair Ashraf Shah, Feroze A Shaheen, Irfan Robbani, Tariq Gojwari

{"title":"Clinical Profile, Management, and Outcome of Visceral Artery Pseudoaneurysms: 5-Year Experience in a Tertiary Care Hospital.","authors":"Faiz Altaf Shera, Tahleel Altaf Shera, Naseer Ahmad Choh, Mudasir H Bhat, Omair Ashraf Shah, Feroze A Shaheen, Irfan Robbani, Tariq Gojwari","doi":"10.1055/s-0043-1761292","DOIUrl":"10.1055/s-0043-1761292","url":null,"abstract":"Visceral artery pseudoaneurysms are potentially lethal lesions and tend to rupture in a high proportion of cases, thereby warranting an immediate and active intervention. We present our experience of splanchnic visceral artery pseudoaneurysms in a university hospital over a 5-year time interval with emphasis on etiology, clinical presentation, management (endovascular/surgical), and final outcome. This was a retrospective study in which we searched our image database for pseudoaneurysms of visceral arteries over a period of 5 years. The clinical and operative details were retrieved from the medical record section of our hospital. The lesions were analyzed for the vessel of origin, size, etiology, clinical features, mode of treatment, and outcome. Twenty-seven patients with pseudoaneurysms were encountered. Pancreatitis (8) was the most common cause, followed by previous surgery (7) and trauma (6). Fifteen were managed by the interventional radiology (IR) team, 6 by surgery, and in 6 no intervention was done. Technical and clinical success was achieved in all patients in the IR group with few minor complications. Surgery and no intervention carry a high mortality in such a setting (66 and 50%, respectively). Visceral pseudoaneurysms are potentially fatal lesions, commonly encountered after trauma, pancreatitis, surgeries, and interventional procedures. These lesions are easily salvageable by minimally invasive interventional techniques (endovascular embolotherapy), and surgeries carry a lot of morbidity and mortality in such cases and a prolonged hospital stay.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"113-120"},"PeriodicalIF":0.6,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9502839","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

Acute Limb Ischemia after Cardiovascular Surgery: A Deadly Duo Combination with High Mortality. 心血管手术后急性肢体缺血：死亡率极高的致命二合一。

IF 0.6

International Journal of Angiology Pub Date : 2023-02-13 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1761290

Suci Indriani, Raditya Dewangga, Suko Adiarto, Taofan Siddiq, Iwan Dakota, Hananto Andriantoro, Marc Vuylsteke

{"title":"Acute Limb Ischemia after Cardiovascular Surgery: A Deadly Duo Combination with High Mortality.","authors":"Suci Indriani, Raditya Dewangga, Suko Adiarto, Taofan Siddiq, Iwan Dakota, Hananto Andriantoro, Marc Vuylsteke","doi":"10.1055/s-0043-1761290","DOIUrl":"10.1055/s-0043-1761290","url":null,"abstract":"Acute limb ischemia (ALI) is a predictor of high morbidity and mortality. Previous studies showed that ALI developed after cardiac surgery may increase mortality. This study aimed to elucidate the clinical course and identify risk factors contributing to mortality in patients with ALI after cardiovascular surgery. This is a single-center retrospective cohort study. We analyzed data from 52 patients with ALI after cardiovascular surgery between 2016 and 2020. We evaluated the risk factors for 1-year mortality using Cox proportional hazards regression analysis. Most of the patients with ALI were male and the median age was 56 years (23-72 years). Most of the patients with ALI had coronary artery diseases. The 1-year mortality rate was 55.8% ( n = 29 patients). Multivariable analysis revealed that cardiopulmonary bypass (CPB) time ≥ 100 minutes (hazard ratio [HR]: 3.067, 95% confidence interval [CI]: 1.158-8.120) and postoperative acute kidney injury (HR: 2.927, 95% CI: 1.358-6.305) were significantly increasing the risk of mortality in patients with ALI after an operation. ALI after cardiovascular surgery was associated with high 1-year mortality in our study and long CPB time and postoperative acute kidney injury contributed to the mortality.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 3","pages":"158-164"},"PeriodicalIF":0.6,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371910","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