International Journal of Angiology最新文献_第9页

Endovascular Procedure in Patient with Ruptured Abdominal Aortic Aneurysm after High-Risk Early Percutaneous Coronary Intervention 高危早期经皮冠状动脉介入治疗后腹主动脉瘤破裂患者的血管内手术

IF 0.6

International Journal of Angiology Pub Date : 2022-04-19 DOI: 10.1055/s-0041-1740316

T. Taofan, S. Adiarto, S. Indriani, Arindya Rezeki, E. Oepangat, R. M. Santoso

引用次数: 0

Eversion Carotid Endarterectomy: Cardiac Troponin Assessment. 内翻颈动脉内膜切除术：心肌肌钙蛋白评估

IF 0.5

International Journal of Angiology Pub Date : 2022-03-10 eCollection Date: 2023-06-01 DOI: 10.1055/s-0042-1743254

Thomas Kotsis, Panagitsa Christoforou, Dorothea Tsekoura, Konstantinos Nastos

{"title":"Eversion Carotid Endarterectomy: Cardiac Troponin Assessment.","authors":"Thomas Kotsis, Panagitsa Christoforou, Dorothea Tsekoura, Konstantinos Nastos","doi":"10.1055/s-0042-1743254","DOIUrl":"10.1055/s-0042-1743254","url":null,"abstract":"Myocardial infarction (MI) is an eversion carotid endarterectomy (eCEA) complication, but most events are unknown, and true incidence and correlation remain controversial. Routine cardiac troponin measurement is a commonly used method for assessing early identification and treatment of MI and stratifying high-risk patients. The aim of the present study is to evaluate the effect of troponin elevation levels following eCEA and to investigate a possible correlation between adverse cardiovascular events and the incidence of postoperative myocardial infarction following emergent vascular surgery. The study included 54 patients who underwent eCEA. High-sensitive troponin I (hsTnI) levels were routinely monitored pre- and postoperatively, with an upper reference range of 34.5 pg/mL for men and 15.6 pg/mL for women. Increases were correlated with demographic and clinical risk factors, as well as clinical or subclinical cardiovascular events. hsTnI was increased in percentage (13%) postoperatively, and non-ST segment elevation MI was diagnosed in eight patients. No patient had clinical symptoms of MI and only two of them presented with simultaneous electrocardiographic changes. Increased levels did not correlate with comorbidities or other surgical risk factors. hsTnI elevation may occur in patients after eCEA and mostly correlates with silent non-ST segment elevation MI that occurred in the early postoperative phase, indicating a possible value as a tool for cardiovascular event diagnosis during the patient's hospitalization.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"32 2","pages":"100-105"},"PeriodicalIF":0.5,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191692/pdf/10-1055-s-0042-1743254.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499842","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

Association of Admission Time and Mortality in STEMI Patients: A Systematic Review and Meta-analysis. STEMI 患者入院时间与死亡率的关系：系统回顾与元分析》。

IF 0.5

International Journal of Angiology Pub Date : 2022-03-03 eCollection Date: 2022-12-01 DOI: 10.1055/s-0042-1742610

Surya Dharma, William Kamarullah, Adelia Putri Sabrina

{"title":"Association of Admission Time and Mortality in STEMI Patients: A Systematic Review and Meta-analysis.","authors":"Surya Dharma, William Kamarullah, Adelia Putri Sabrina","doi":"10.1055/s-0042-1742610","DOIUrl":"10.1055/s-0042-1742610","url":null,"abstract":"This systematic review and meta-analysis aimed to evaluate patients with acute ST-segment elevation myocardial infarction (STEMI) who were admitted during off-hours and treated with primary angioplasty associated with an increased risk of mortality compared with those admitted during regular working hours. We performed a systematic literature search using PubMed, SCOPUS, Europe PMC, and Cochrane CENTRAL databases that was finalized on March 15, 2021. The primary outcome was mortality comprising early (in-hospital), midterm (30 days to 1 year), and long-term mortality (>1 year). A total of 384,452 patients from 56 studies were included. The overall mortality of acute STEMI patients admitted during off-hours and regular hours were 6.1 and 6.7%, respectively. Patients admitted during off-hours had similar risk of early, midterm, and long-term mortality compared to those admitted during regular working hours ([relative risk or RR = 1.07, 95% confidence interval or CI, 1.00-1.14, p = 0.06; I 2 = 45%, p = 0.0009], [RR = 1.00, 95% CI, 0.95-1.05, p = 0.92; I 2 = 13%, p = 0.26], and [RR = 0.95, 95% CI, 0.86-1.04, p = 0.26; I 2 = 0%, p = 0.76], respectively). Subgroup analyses indicated that the results were consistent across all subgroups ([women vs. men], [age >65 years vs. ≤65 years], and [Killip classification II to IV vs. Killip I]). Funnel plot was asymmetrical. However, Egger's test suggests no significance of small-study effects ( p = 0.19). This meta-analysis showed that patients with acute STEMI who were admitted during off-hours and treated with primary angioplasty had similar risk of early, midterm, and long-term mortality compared with those admitted during regular working hours.","PeriodicalId":13798,"journal":{"name":"International Journal of Angiology","volume":"31 4","pages":"273-283"},"PeriodicalIF":0.5,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803553/pdf/10-1055-s-0042-1742610.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814319","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

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