International Journal of Angiology最新文献_第6页

Preventable Hospital Admission-associated VTE: Thoughts on Thromboprophylaxis as Asians. 可预防的住院相关静脉血栓栓塞：对亚洲人血栓预防的思考。

IF 0.9

International Journal of Angiology Pub Date : 2024-10-01 eCollection Date: 2025-03-01 DOI: 10.1055/s-0044-1791544

Esan Saciin D Maran, Chaozer Er, Sandeep Gohar, Thofique Adamjee

{"title":"Preventable Hospital Admission-associated VTE: Thoughts on Thromboprophylaxis as Asians.","authors":"Esan Saciin D Maran, Chaozer Er, Sandeep Gohar, Thofique Adamjee","doi":"10.1055/s-0044-1791544","DOIUrl":"10.1055/s-0044-1791544","url":null,"abstract":"Previous studies surveying senior and junior doctors have shown that thromboprophylaxis was not commonly practiced in hospitalized medical patients in three public hospitals in Singapore. We, therefore, conducted an audit of our hospital's venous thromboembolism (VTE) clinic cases to study the proportion of preventable hospital admission-associated VTE (HAAVTE). All newly diagnosed VTE cases referred to our VTE clinic from March 2023 to December 2023 were reviewed, to identify those potentially associated with recent hospital admissions. We then reviewed the medical records of those cases to see if thromboprophylaxis was prescribed if indicated. HAAVTEs that had high VTE risk and did not receive appropriate thromboprophylaxis (pharmacological or mechanical) were considered preventable HAAVTE. Thirteen cases of HAAVTEs were identified, out of which only one was given the appropriate thromboprophylaxis. The proportion of preventable HAAVTE was 92.3%. Thromboprophylaxis is not widely practiced in our hospital. More effort is required to improve local thromboprophylaxis practice for hospitalized patients to reduce the burden of preventable HAAVTE.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"34 1","pages":"78-81"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407451","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

Comment on Clinical Presentation and Risk Stratification of Pulmonary Embolism. 肺栓塞的临床表现及危险分层。

IF 0.9

International Journal of Angiology Pub Date : 2024-10-01 eCollection Date: 2025-06-01 DOI: 10.1055/s-0044-1791547

Hugh A Glazier, Amir Kaki

引用次数: 0

Venous Thromboembolism Risk Assessment and Thromboprophylaxis Practice in Hospitalized Medical Patients: The Experience of a Singapore Teaching Hospital. 住院病人静脉血栓栓塞风险评估及血栓预防实践：新加坡一家教学医院的经验。

IF 0.9

International Journal of Angiology Pub Date : 2024-09-30 eCollection Date: 2025-03-01 DOI: 10.1055/s-0044-1791506

Sin Yin Lee, Chaozer Er

{"title":"Venous Thromboembolism Risk Assessment and Thromboprophylaxis Practice in Hospitalized Medical Patients: The Experience of a Singapore Teaching Hospital.","authors":"Sin Yin Lee, Chaozer Er","doi":"10.1055/s-0044-1791506","DOIUrl":"10.1055/s-0044-1791506","url":null,"abstract":"Despite the availability of institutional guidelines, the practice of venous thromboembolism (VTE) risk assessment and thromboprophylaxis remains inadequate in Singapore. With hospital-associated VTE (HA-VTE) being a common cause of preventable mortality for medical patients, it is vital for prompt, appropriate prescription of thromboprophylaxis after VTE risk assessment. This study aimed to (1) assess the local practice of VTE risk assessment and prophylaxis according to institutional guidelines, (2) study the risk factors of potential preventable HA-VTE among hospitalized medical patients, and (3) improve the quality of care with respect to early prevention of HA-VTE. An audit was performed on daily new admissions to two general medical wards in a teaching hospital in Singapore (total capacity of 76 beds) over 2 weeks. Each new admission's medical records were reviewed to examine whether (1) VTE risk assessment was performed by the managing medical teams, (2) thromboprophylaxis was prescribed during admission in high VTE risk patients, and (3) any contraindications to pharmacological thromboprophylaxis for cases with high VTE risk but no pharmacological thromboprophylaxis prescribed was present. Only 1 out of 52 cases had VTE risk assessment performed. Thirty-one cases (59.1%) were identified to have high VTE risk using the Padua Prediction Score. However, only 1 out of the 31 cases (3.2%) had VTE prophylaxis prescribed. Adherence to local institutional guidelines remains poor despite increasing awareness of the importance of VTE risk assessment and prophylaxis in the prevention of associated morbidity and mortality. Certain patient profiles should prompt clinicians to perform VTE risk assessment.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"34 1","pages":"75-77"},"PeriodicalIF":0.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407493","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

Thromboangiitis Obliterans (Buerger's Disease): A Young Woman's Rare Case and Current Knowledge. 血栓闭塞性脉管炎（伯格氏病）：一个年轻女性的罕见病例和目前的知识。

IF 0.8

International Journal of Angiology Pub Date : 2024-09-27 eCollection Date: 2026-06-01 DOI: 10.1055/s-0044-1791505

Giuliana Autiero, Anna Padovan, Francesca Vittone, Elisabetta Grolla, Michele Dalla Vestra

{"title":"Thromboangiitis Obliterans (Buerger's Disease): A Young Woman's Rare Case and Current Knowledge.","authors":"Giuliana Autiero, Anna Padovan, Francesca Vittone, Elisabetta Grolla, Michele Dalla Vestra","doi":"10.1055/s-0044-1791505","DOIUrl":"10.1055/s-0044-1791505","url":null,"abstract":"In this paper, we described the clinical features and the typical vascular imaging picture of a rare case of thromboangiitis obliterans (TAO) in a 47-year-old, young, Caucasian woman without relevant medical records except for smoking habits and admitted to our Department of Internal Medicine with a necrotic lesion of the first and third toes of the right foot. After a rapid clinical and instrumental evaluation, necrotic tissue debridement was performed and the patient was treated with Iloprost infusion and antibiotics (for overlapping infection) with clinical improvement. Moreover, we summarized the current knowledge about the disease making an update and critical examination of the literature. TAO, also known as Buerger's disease, is a rare disease. In recent decades, the incidence of TAO has decreased in Europe and the United States in men but several studies have reported an increase in the prevalence of disease in women. TAO is a segmental nonatherosclerotic inflammatory disorder that involves primarily small and medium arteries, veins, and nerves of the extremities with limb ischemia, pain, claudication, ulcers, and necrosis that can lead to amputation. Smoking is considered the main risk factor, but despite that, more than 100 years have passed since the first description of the disease by Leo Buerger, and knowledge on pathogenesis, precipitating factors, and therapy remain still unclear.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"35 2","pages":"111-116"},"PeriodicalIF":0.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13171200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147941395","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

The Year in Cardiology-Practice Changing Trials from European Society of Cardiology Congress 2023. 2023年欧洲心脏病学会年会的心脏病学年度实践改变试验。

IF 0.9

International Journal of Angiology Pub Date : 2024-08-13 eCollection Date: 2025-03-01 DOI: 10.1055/s-0044-1788893

Akshyaya Pradhan, Umesh Tripathi, Abhishek Singh

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 0.5

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

Long-Term Outcomes of Endovascular Repair of Thoracic Aortic Aneurysms. 胸主动脉瘤血管内修复术的长期疗效。

IF 0.5

International Journal of Angiology Pub Date : 2024-05-30 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1787304

Andrew J Gorton, Suresh Keshavamurthy, Sibu P Saha

{"title":"Long-Term Outcomes of Endovascular Repair of Thoracic Aortic Aneurysms.","authors":"Andrew J Gorton, Suresh Keshavamurthy, Sibu P Saha","doi":"10.1055/s-0044-1787304","DOIUrl":"10.1055/s-0044-1787304","url":null,"abstract":"The thoracic aorta is a dynamic structure composed of the aortic root, ascending aorta, aortic arch, and descending aorta. It is subject to the pressure and volume of the cardiac cycle and susceptible to atherosclerotic and aneurysmal changes. With these changes, the risk for acute aortic syndromes increases, thus creating the impetus for earlier interventions. The previous standard of open surgical repair has undergone a transition in recent years toward endovascular repair being favored in the descending and abdominal aortas with ongoing investigation into approaches for the ascending and aortic arch. These therapies have been shown to improve early mortality and morbidity outcomes with the caveat of more interventions compared with open surgery. We undertook this review to analyze the current data available regarding long-term outcomes in patients undergoing endovascular repair for thoracic aortic disease. The data support long-term benefit of endovascular repair for thoracic aortic disease. The primary indications identified for reintervention are endoleak and further aneurysmal degeneration. As the devices available for endovascular repair evolve, ongoing review of these outcomes will be necessary. It will also be important to trend the results as further techniques become available for endovascular repair of the ascending aorta and aortic arch.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"33 4","pages":"237-249"},"PeriodicalIF":0.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582768","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

Anticoagulation in the Management of Acute Pulmonary Embolism-A Review. 急性肺栓塞治疗中的抗凝疗法--综述。

IF 0.5

International Journal of Angiology Pub Date : 2024-03-12 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1782537

Raul Del Toro Mijares, Adrian Rojas Murguia, Mateo Porres-Aguilar, Debabrata Mukherjee

{"title":"Anticoagulation in the Management of Acute Pulmonary Embolism-A Review.","authors":"Raul Del Toro Mijares, Adrian Rojas Murguia, Mateo Porres-Aguilar, Debabrata Mukherjee","doi":"10.1055/s-0044-1782537","DOIUrl":"10.1055/s-0044-1782537","url":null,"abstract":"Venous thromboembolism (VTE) is a very frequent cardiovascular entity that encompasses deep vein thrombosis and pulmonary embolism (PE). This last entity represents a major cause of cardiovascular morbidity and mortality. The incidence of PE and the rate of PE-related morbidity significantly increase with age, race, and underlying medical conditions, such as malignancy. Given the recent advances in diagnostic strategies and algorithms, patients can be risk assessed and treated promptly to avoid disease progression. Anticoagulation is the mainstay of treatment for acute PE that is not hemodynamically unstable. Direct oral anticoagulants, such as apixaban, rivaroxaban, or edoxaban, are currently the preferred agents for the treatment of patients who present with acute PE or for long-term treatment. Treatment duration should be continued for at least 3 months, and all patients should be assessed for extended duration of therapy based on the precipitating factors that led to the development of the VTE. Novel anticoagulant agents targeting factor XI/XIa are currently being investigated in phases 2 and 3 clinical trials, representing an attractive option in anticoagulation therapies in patients with VTE. For hemodynamically unstable patients, systemic thrombolysis is the treatment of choice, and it may also be of benefit-in reduced dose-for patients with intermediate to high risk who are at risk of hemodynamic collapse.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"33 2","pages":"95-100"},"PeriodicalIF":0.5,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283676","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

Pericardial Decompression Syndrome: A Comprehensive Review of a Controversial Entity. 心包减压综合征：对有争议实体的全面回顾。

IF 0.5

International Journal of Angiology Pub Date : 2024-02-16 eCollection Date: 2024-09-01 DOI: 10.1055/s-0044-1780536

Karan Sarode, Amar Patel, Kedzie Arrington, Rakhee Makhija, Debabrata Mukherjee

{"title":"Pericardial Decompression Syndrome: A Comprehensive Review of a Controversial Entity.","authors":"Karan Sarode, Amar Patel, Kedzie Arrington, Rakhee Makhija, Debabrata Mukherjee","doi":"10.1055/s-0044-1780536","DOIUrl":"10.1055/s-0044-1780536","url":null,"abstract":"Pericardial decompression syndrome is an ambiguous clinical entity which has generated controversy regarding its existence. Following pericardial decompression, patients experienced clinical deterioration ranging in complications from pulmonary edema to death that could not be attributed to any other distinct clinical pathology. Multiple theories have suggested the pathophysiology behind pericardial decompression syndrome is related to preload-afterload mismatch following pericardial decompression, coronary microvascular ischemia, and stress from high adrenergic state. Our review aims to describe this syndrome by analyzing demographics, etiology of pericardial effusion, method of drainage, volume of pericardial fluid removed, time to decompensation, and clinical outcomes. A systematic review of MEDLINE/PubMed and Google Scholar literature databases were queried for case reports, case series, review articles, and abstracts published in English journals between 1983 and December 2022. Each author's interpretation of echocardiographic and/or pulmonary arterial catheterization data provided in the case reports was used to characterize ventricular dysfunction. Based on our inclusion criteria, 72 cases of pericardial decompression syndrome were included in our review. Our results showed that phenotypic heterogeneity was present based on echocardiographic findings of right/left or biventricular failure with similar proportions in each type of ventricular dysfunction. Time to decompensation was similar between immediate, subacute, and acute cases with presentation varying between hypoxic respiratory failure and shock. This review article highlights theories behind the pathophysiology, clinical outcomes, and therapeutic options in this high mortality condition.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"33 3","pages":"139-147"},"PeriodicalIF":0.5,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916627","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

Diagnostic Strategies in Pulmonary Embolism. 肺栓塞的诊断策略。

IF 0.5

International Journal of Angiology Pub Date : 2024-02-12 eCollection Date: 2024-06-01 DOI: 10.1055/s-0044-1779661

Margaret Mary Glazier, James J Glazier

{"title":"Diagnostic Strategies in Pulmonary Embolism.","authors":"Margaret Mary Glazier, James J Glazier","doi":"10.1055/s-0044-1779661","DOIUrl":"10.1055/s-0044-1779661","url":null,"abstract":"Key to the diagnosis of pulmonary embolism (PE) is a careful bedside evaluation. After this, there are three further diagnostic steps. In all patients, estimation of the clinical probability of PE is performed. The other two steps are measurement of D-dimer when indicated and chest imaging when indicated. The clinical probability of PE is estimated at low, moderate, or high. The prevalence of PE is less than 15% among patients with low clinical probability, 15 to 40% with moderate clinical probability, and >40% in patients with high clinical probability. Clinical gestalt has been found to be very useful in estimating probability of PE. However, clinical prediction rules, such as Wells criteria, the modified Geneva score, and the PE rule out criteria have been advocated as adjuncts. In patients with high clinical probability, the high prevalence of PE can lower the D-dimer negative predictive value, which could increase the risk of diagnostic failure. Consequently, patients with high probability for PE need to proceed directly to chest imaging, without prior measurement of D-dimer level. Key studies in determining which low to moderate probability patients require chest imaging are the Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism (ADJUST-PE), the Simplified diagnostic management of suspected pulmonary embolism (YEARS), and the Pulmonary Embolism Graduated D-Dimer trials. In patients with low clinical probability, PE can be excluded without imaging studies if D-dimer is less than 1,000 ng/mL. In patients in whom there is not a low likelihood for PE, this can be excluded without imaging studies if the D-dimer is below the age-adjusted threshold.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"33 2","pages":"89-94"},"PeriodicalIF":0.5,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11152624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283586","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