International Journal of Angiology最新文献_第6页

An Unusual Presentation of Mycotic Popliteal Artery Pseudoaneurysm due to Pasteurella multocida Infection. 多杀性巴氏杆菌感染所致真菌性腘动脉假性动脉瘤的罕见表现。

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International Journal of Angiology Pub Date : 2022-12-01 DOI: 10.1055/s-0040-1718545

Antoni Orgiu, Thomas Zanier, Mahine Kashi-Dakhil, Rym Zaimi, Bassel Dakhil, Pascale Longuet, Patrick Bagan

引用次数: 0

SARS-CoV-2 Virus Infection-Related Arterial Thromboembolism Leading to Critical Limb Ischemia and Amputation. SARS-CoV-2病毒感染相关动脉血栓栓塞导致严重肢体缺血和截肢

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International Journal of Angiology Pub Date : 2022-12-01 DOI: 10.1055/s-0041-1739235

Jenna Smith, Aleem Mirza, Jesse Manunga, Nedaa Skeik

引用次数: 0

Diagnosis and Management of Aortic Valvular Disease in the Elderly. 老年人主动脉瓣病变的诊断与治疗。

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International Journal of Angiology Pub Date : 2022-11-29 eCollection Date: 2022-12-01 DOI: 10.1055/s-0042-1759527

Andrew J Gorton, Suresh Keshavamurthy, Sibu P Saha

引用次数: 1

Pathophysiology, Diagnosis, and Management of Hypertension in the Elderly. 老年高血压的病理生理、诊断和治疗。

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International Journal of Angiology Pub Date : 2022-11-29 eCollection Date: 2022-12-01 DOI: 10.1055/s-0042-1759486

James J Glazier

{"title":"Pathophysiology, Diagnosis, and Management of Hypertension in the Elderly.","authors":"James J Glazier","doi":"10.1055/s-0042-1759486","DOIUrl":"10.1055/s-0042-1759486","url":null,"abstract":"There is a high prevalence of systemic arterial hypertension in the elderly; 70% of adults >65 years have this disease. A key mechanism in the development of hypertension in the elderly is increased arterial stiffness. This accounts for the increase in systolic blood pressure and pulse pressure and fall in diastolic blood pressure (isolated systolic hypertension) that are commonly seen in the elderly, compared with younger persons. The diagnosis of hypertension is made on the basis of in-office blood pressure measurements together with ambulatory and home blood pressure recordings. Lifestyle changes are the cornerstone of management of hypertension. Comprehensive guidelines regarding blood pressure threshold at which to start pharmacotherapy as well as target blood pressure levels have been issued by both European and American professional bodies. In recent years, there has been considerable interest in intensive lowering of blood pressure in older patients with hypertension. Several large, randomized controlled trials have suggested that a strategy of aiming for a target systolic blood pressure of <120 mm Hg (intensive treatment) rather than a target of <140 mm Hg (standard treatment) results in significant reduction in the incidence of adverse cardiovascular events and total mortality. A systolic blood pressure treatment of <130 mm Hg should be considered favorably in non-institutionalized, ambulatory, free living older patients. In contrast, in the older patient with a high burden of comorbidities and limited life expectancy, an individualized team-based approach, based on clinical judgment and patient preference should be adopted. An increasing body of evidence for older adults with hypertension suggests that intensive blood pressure lowering may prevent or at least partially prevent cognitive decline.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 4","pages":"222-228"},"PeriodicalIF":0.6,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10466867","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

Pathophysiology and Management of Heart Failure in the Elderly. 老年心力衰竭的病理生理学和治疗。

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International Journal of Angiology Pub Date : 2022-11-11 eCollection Date: 2022-12-01 DOI: 10.1055/s-0042-1758357

Nakeya Dewaswala, Vinayak Mishra, Huzefa Bhopalwala, Abdul Khan Minhas, Suresh Keshavamurthy

{"title":"Pathophysiology and Management of Heart Failure in the Elderly.","authors":"Nakeya Dewaswala, Vinayak Mishra, Huzefa Bhopalwala, Abdul Khan Minhas, Suresh Keshavamurthy","doi":"10.1055/s-0042-1758357","DOIUrl":"10.1055/s-0042-1758357","url":null,"abstract":"The population of elderly adults is increasing globally. It has been projected that the population of adults aged 65 years will increase by approximately 80% by 2050 in the United States. Similarly, the elderly population is rising in other countries; a notable example being Japan where approximately 30% of the population are aged above 65 years. The pathophysiology and management of heart failure (HF) in this age group tend to have more intricacies than in younger age groups owing to the presence of multiple comorbidities. The normal aging biology includes progressive disruption at cellular and genetic levels and changes in molecular signaling and mechanical activities that contribute to myocardial abnormalities. Older adults with HF secondary to ischemic or valvular heart disease may benefit from surgical therapy, valve replacement or repair for valvular heart disease and coronary artery bypass grafting for coronary artery disease. While referring these patients for surgery, patient and family expectations and life expectations should be taken into account. In this review, we will cover the pathophysiology and the management of HF in the elderly, specifically discussing important geriatric domains such as frailty, cognitive impairment, delirium, polypharmacy, and multimorbidity.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 4","pages":"251-259"},"PeriodicalIF":0.6,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10832940","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

Impact of Ultrasound-Guided Foam Sclerotherapy for Pain Control in Patients with Chronic Venous Disease and Great Saphenous Vein Reflux. 超声引导泡沫硬化疗法对慢性静脉疾病和大隐静脉返流患者疼痛控制的影响。

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International Journal of Angiology Pub Date : 2022-11-11 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1758384

Douglas Poschinger-Figueiredo, Carlos Eduardo Virgini-Magalhães, Claudia Salvador Amorim, Alessandra Krykhtine Peres Poschinger, Fernanda Pires Chequer

{"title":"Impact of Ultrasound-Guided Foam Sclerotherapy for Pain Control in Patients with Chronic Venous Disease and Great Saphenous Vein Reflux.","authors":"Douglas Poschinger-Figueiredo, Carlos Eduardo Virgini-Magalhães, Claudia Salvador Amorim, Alessandra Krykhtine Peres Poschinger, Fernanda Pires Chequer","doi":"10.1055/s-0042-1758384","DOIUrl":"10.1055/s-0042-1758384","url":null,"abstract":"Chronic venous disease (CVD) associated with great saphenous vein (GSV) reflux has a higher prevalence of pain in the lower limbs. This study evaluates the impact of ultrasound-guided foam sclerotherapy (UGFS) for GSV and symptom control, accessed by the visual analogue scale (VAS). Patients with CVD who underwent GSV-UGFS were included in this retrospective cohort (417 limbs). The pain was measured before and after the treatment. The scale alteration was assessed as a function of age, sex, Clinical Etiologic Anatomic Pathophysiologic (CEAP) classes, total of sclerotherapy sessions, GSV occlusion patterns, and ulcer healing. Majority of patients were female (59.2%), and the mean age was 56 ± 11.5 years. In the total sample, 78.2% of the GSVs were fully occluded, 19.7% had partial occlusion, 2.2% remained open, and 3.2 ± 1.9 (median = 3.0) sessions were performed. The reduction of symptoms occurred in 88.3% of participants (VAS drop median = 4.8). Patients younger than 50 years and females had the greatest VAS decreases. When comparing the outcomes of complete occlusion versus partial occlusion, there was no significant difference in VAS pain reduction ( p = 0.14). The comparison between CEAP clinical classes also did not show statistically significant differences in delta VAS ( p = 0.71). GSV-UGFS was effective for pain control. However, this improvement does not appear to be related to the pattern of occlusion, indicating that in the short term, the outcomes of total and partial occlusion suggest successful management of symptoms. Other aspects such as gender, age, pretreatment pain intensity, and CEAP classes seem to play a role in the clinical outcome.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 3","pages":"172-178"},"PeriodicalIF":0.6,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371908","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

Calcific Aortic Valve Stenosis with Aging and Current Development in its Pathophysiology. 钙化性主动脉瓣狭窄与衰老及其病理生理学研究进展。

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International Journal of Angiology Pub Date : 2022-11-02 eCollection Date: 2022-12-01 DOI: 10.1055/s-0042-1758382

Arber Kodra, Michael Kim

引用次数: 2

May–Thurner Syndrome: A Forgotten Cause of Deep Vein Thrombosis 梅-瑟纳综合征:深静脉血栓形成的一个被遗忘的原因

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International Journal of Angiology Pub Date : 2022-11-02 DOI: 10.1055/s-0042-1758193

Iwan Junianto, Ervan Zuhri, H. Andriantoro, S. Indriani, T. Siddiq, S. Adiarto

引用次数: 0

Acute Mediastinal Bleeding with Pleural Escape: Case Report of a Rare Interventional Complication with Unusual Resolve 急性纵隔出血伴胸膜脱逃：一例罕见的介入性并发症的病例报告

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International Journal of Angiology Pub Date : 2022-09-26 DOI: 10.1055/s-0042-1756487

W. A. Widodo, A. Mansjoer, Ismail Dilawar, Andri Kurnia, Daniel Ruslim

引用次数: 0

Pure Endovascular versus Hybrid Approach for Management of Iliofemoral Arterial Disease: A Randomized Controlled Trial. 单纯血管内与混合治疗髂股动脉疾病的方法：一项随机对照试验。

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International Journal of Angiology Pub Date : 2022-09-23 eCollection Date: 2023-06-01 DOI: 10.1055/s-0042-1756622

Ahmed A Shaker, Ahmed H Shehata, Khaled M Alhindawy, Walid El Daly

{"title":"Pure Endovascular versus Hybrid Approach for Management of Iliofemoral Arterial Disease: A Randomized Controlled Trial.","authors":"Ahmed A Shaker, Ahmed H Shehata, Khaled M Alhindawy, Walid El Daly","doi":"10.1055/s-0042-1756622","DOIUrl":"10.1055/s-0042-1756622","url":null,"abstract":"Common femoral artery (CFA) atherosclerotic lesions currently remain one of the last limitations for adoption of endovascular repair as the first-line treatment, easy surgical accessibility, and, last but not least, favorable long-term outcomes, still making CFA disease treatment part of the surgical domain. In the last 5 years, improvement of the endovascular equipment and technical skills of the operators have led to an increase in percutaneous CFA procedures. A single-center randomized prospective study of 36 symptomatic (Rutherford 2-4) CFA stenotic or occlusive lesions were included, and patients were randomized over two groups based on the management approach SUPERA versus hybrid technique. Patients had a mean age 60.8 ± 8.2 years. Thirty-two (88.9%) patients reported improvement of the clinical symptoms, 28 (87.5%) patients had intact pulse postoperatively, and 28 (87.5%) had patent vessels. Follow-up showed that none developed reocclusion or restenosis during the period of follow-up. Comparison of difference in peak systolic velocity ratio (PSVR) among study groups showed that the hybrid technique had more reduction of PSVR postintervention compared to the SUPERA group with a p -value of < 0.0001. Safety and feasibility of endovascular approach with the SUPERA stent to the CFA (no stent zone) has low incidence of postoperative morbidity and mortality in well experienced surgical hands.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"88-94"},"PeriodicalIF":0.6,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191691/pdf/10-1055-s-0042-1756622.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499847","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