Cardiovascular Surgery and Interventions最新文献

Bilateral giant aneurysms of the carotid artery in one patient 一名患者的双侧颈动脉巨大动脉瘤

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1547

Ercan Keleş

引用次数: 0

Predictors of contrast nephropathy after percutaneous intervention of chronic total occlusion in patients with chronic coronary syndrome: A single-center study 慢性冠状动脉综合征患者经皮介入治疗慢性全闭塞后出现造影剂肾病的预测因素：单中心研究

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1527

F. Yurdam

{"title":"Predictors of contrast nephropathy after percutaneous intervention of chronic total occlusion in patients with chronic coronary syndrome: A single-center study","authors":"F. Yurdam","doi":"10.5606/e-cvsi.2023.1527","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1527","url":null,"abstract":"Objectives: This study was planned to determine the predictors of contrast nephropathy developing after percutaneous coronary intervention (PCI) in patients who underwent coronary angiography due to chronic coronary syndrome and were found to have chronic total occlusion (CTO). Patients and methods: The retrospective observational study included 110 patients with chronic coronary syndrome who were diagnosed with CTO between March 2017 and February 2023. All patients were divided into two groups: 53 patients (29 males, 14 females; mean age: 62.8±10.2 years; range, 42 to 84 years) who developed contrast-induced nephropathy (Group 1) and 57 patients (38 males, 19 females; mean age: 58.8±11.2 years; range, 37 to 79 years) who did not (Group 2). Results: The mean age of the patients in Group 1 was statistically greater than in Group 2 (p=0.04). In the multivariate regression analysis we performed for the prediction of contrast nephropathy in patients with CTO, chronic renal failure (OR: 0.025; 95% CI: 0.001-0.430, p=0.01), amount of opaque substance (OR: 1.115; 95% CI: 1.031-1.206, p=0.006), left ventricular ejection fraction (OR: 0.683; 95% CI: 0.551-0.847, p=0.001), and glucose (OR: 1.046; 95% CI: 1.014-1.078, p=0.004) were found to be independent predictors of contrast nephropathy. Conclusion: Our study revealed that baseline high creatinine (underlying chronic renal failure), high blood sugar that increases plasma osmolarity (uncontrolled diabetes mellitus), high amount of opaque material used, and low left ventricular ejection fraction are predictors of post-PCI contrast nephropathy. Paying attention to correctable risk factors before giving opaque material to patients for whom PCI is planned is valuable in terms of reducing kidney damage.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356955","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

Pulmonary artery sling: A rare congenital anomaly masquerading as asthma in a one-year-old male patient 肺动脉吊带：一名一岁男性患者伪装成哮喘的罕见先天性畸形

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1523

Mustafa Karaçelik

引用次数: 0

Correlation of QRS/T angle with clinical, echocardiographic, and hemodynamic variables in chronic thromboembolic pulmonary hypertension patients 慢性血栓栓塞性肺动脉高压患者 QRS/T 角与临床、超声心动图和血液动力学变量的相关性

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1524

Ayşe Çolak

{"title":"Correlation of QRS/T angle with clinical, echocardiographic, and hemodynamic variables in chronic thromboembolic pulmonary hypertension patients","authors":"Ayşe Çolak","doi":"10.5606/e-cvsi.2023.1524","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1524","url":null,"abstract":"Objectives: In this study, we aimed to examine the relationships between frontal QRS-T (fQRS-T) angle prognostic risk factors outlined in the current pulmonary hypertension (PH) guidelines and to demonstrate whether the fQRS-T could detect patients with unfavorable echocardiographic and hemodynamic data. Patients and methods: Between July 2009 and February 2023, a total of 33 patients (8 males, 25 females; median age: 61 years; range, 55 to 70 years) with chronic thromboembolic pulmonary hypertension (CTEPH) who underwent electrocardiographic (ECG) examination were retrospectively analyzed. The fQRS-T angle was calculated from surface ECGs. Functional class, 6-min walk distance, and brain natriuretic peptide values were recorded. Two-dimensional echocardiographic data including comprehensive right ventricular (RV) functions, right atrial area (RAA), tricuspid annular systolic plane excursion (TAPSE), systolic pulmonary artery pressure (sPAP), and TAPSE/sPAP ratio were noted. Among invasive hemodynamic variables, sPAP, mean PAP (mPAP), pulmonary vascular resistance (PVR), and cardiac index (CI) were obtained. The correlations between clinical, echocardiographic, and hemodynamic variables were analyzed. Results: There was no significant correlation between clinical variables and fQRS-T angle. The TAPSE and TAPSE/sPAP ratio were negatively correlated with fQRS/T angle (r=-0.37, p=0.02, r=-0.35, and p=0.03, respectively), whereas RV Tei index and RAA were positively correlated with the fQRS-T angle (r=0.53, p=0.014, r=0.47, and p=0.007, respectively). The hemodynamic data including sPAP, mPAP, and PVR were positively correlated with the fQRS-T angle (r=0.32, p=0.048, r=0.34, p=0.034, r=0.35, and p=0.02, respectively) and CI was negatively correlated with the fQRS-T angle (r=-0.30, p=0.048). Conclusion: Our study results suggest that the fQRS/T angle is correlated with poor prognostic echocardiographic and hemodynamic variables in CTEPH patients.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356910","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

Inhibitory effect of cilostazol on intimal hyperplasia and smooth muscle cell proliferation in a rabbit carotid artery anastomosis model 西洛他唑对兔颈动脉吻合模型内膜增生和平滑肌细胞增殖的抑制作用

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1481

Uğur Karagöz

{"title":"Inhibitory effect of cilostazol on intimal hyperplasia and smooth muscle cell proliferation in a rabbit carotid artery anastomosis model","authors":"Uğur Karagöz","doi":"10.5606/e-cvsi.2023.1481","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1481","url":null,"abstract":"Objectives: This study aims to investigate the effect of cilostazol on intimal hyperplasia and smooth muscle cell proliferation in a rabbit carotid artery anastomosis model. Materials and methods: A total of 16 New Zealand male rabbits weighing 2 to 3 kg were used in this study. The rabbits were divided into two groups with eight in each group as Group A and Group B. A vertical neck incision was made in an appropriate position for all group rabbits and the right carotid artery was dissected. The same artery was transected and anastomosis using 8/0 polypropylene was performed with a continuous anastomosis technique. Group A was assigned as the control group and no medication was given. Cilostazol was administrated to Group B at a dose of 25 mg/kg twice a day per oral for 21 days. At the end of Day 21, the anastomosis segments of the right carotid artery and contralateral carotid artery of all rabbits were sent to the histology laboratory for analysis. The lumen diameter, lumen area, intimal area, medial area, and intima/media area ratio were estimated. Results: In the serial sections, the mean lumen diameter of Group B was found to be significantly higher than Group A (p=0.001). The lumen area of Group B was significantly higher than Group A (p=0.001). The section series were evaluated and the area of the intima of Group B was significantly lower than Group A (p=0.001). The medial area of Group B was significantly larger than Group A (p=0.001). The intima/media area ratio was significantly higher in Group A (p=0.001). Conclusion: Cilostazol may be useful for preventing intimal hyperplasia and smooth muscle cell proliferation after vascular surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356914","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

Outcomes of preoperative fragmented QRS detection on operative and postoperative events in patients undergoing elective coronary artery bypass grafting 术前片段 QRS 检测对择期冠状动脉旁路移植术患者手术和术后事件的影响

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1504

Baran Şimşek

{"title":"Outcomes of preoperative fragmented QRS detection on operative and postoperative events in patients undergoing elective coronary artery bypass grafting","authors":"Baran Şimşek","doi":"10.5606/e-cvsi.2023.1504","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1504","url":null,"abstract":"Objectives: This study aims to investigate the preoperative electrocardiographic data of patients who were candidates for elective coronary artery bypass grafting (CABG) in terms of fragmented QRS (fQRS) presence and to evaluate short-term outcomes of fQRS on operative and postoperative courses. Patients and methods: Between January 2019 and April 2022, a total of 178 patients (137 males, 41 females; mean age: 61.4±9.3 years; range, 39 to 85 years) who underwent elective CABG were retrospectively analyzed. Preoperative electrocardiographic examinations were performed to detect fQRS. The patients were divided into two groups according to presence of fQRS as the fQRS+ (n=35) and fQRS– (n=143) group. Demographic, clinical, laboratory, operative, and postoperative data of both groups were evaluated. Results: The mean duration of cardiopulmonary bypass (p=0.017) and number of CABG (p=0.026) in the fQRS group were found to be significantly higher, while the mean preoperative left ventricular ejection fraction values were lower in this group (p<0.001). There was a significant increase in the left ventricular ejection fraction values at the postoperative third month in the fQRS+ group (p<0.001). Mortality encountered in 5.7% in the fQRS+ group, while this rate was 2.7% in the fQRS– group (p=0.336). Conclusion: Preoperative detection of QRS fragmentations on admission electrocardiograms may have an additional value in predicting postoperative cardiac status and short-term prognosis in patients undergoing CABG.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356626","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

Late surgical conversion after failed endovascular aortic repair: Our single-institutional experience 血管内主动脉修补术失败后的晚期手术转换：我们单一机构的经验

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1493

S. Akansel

{"title":"Late surgical conversion after failed endovascular aortic repair: Our single-institutional experience","authors":"S. Akansel","doi":"10.5606/e-cvsi.2023.1493","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1493","url":null,"abstract":"Objectives: In this study, we report our single-center experience with late surgical conversion (SC) after endovascular aneurysm repair (EVAR) and risk factors for reintervention. Patients and methods: Between January 2007 and December 2017, a total of 98 patients (94 males, 4 females; mean age: 69.1±8.6 years; range, 35 to 86 years) who underwent infrarenal EVAR were retrospectively analyzed. During the study period, additional eight patients who underwent EVAR at an external center were referred to our center. Overall, nine patients underwent late SC. In the late SC group, stent grafts used for EVAR were Endurant™ (n=5), Talent™ (n=2), Powerlink™, and Anaconda™ (n=1). Results: The mean time from initial EVAR to open conversion was 45.3±35.4 months. Four (44.4%) patients presented with more than one different concomitant indications. The most frequent reason for the late SC was type 3 endoleak (n=5, 55.5%). Late SC was performed electively in five (55.5%) patients. Partial stent graft removal was performed in three (33.3%), complete removal in three (33.3%), and complete preservation of the stent graft in three (33.3%) patients. Among 98 patients, the mean aneurysm diameter was significantly higher in those with late complication and undergoing second EVAR (p=0.001). The cut-off value for second EVAR was ≥66 mm with a sensitivity of 88.89% and specificity of 71.91% (p=0.001). Conclusion: The surveillance program after EVAR is of utmost importance to ensure that patients do not need urgent conversion, particularly in patients with an initial aneurysm diameter of ≥66 mm.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356655","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

Comparison of the cardioprotective effects of St. Thomas and del Nido cardioplegia 圣托马斯和德尔尼多心脏麻痹对心脏保护作用的比较

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1538

M. Cayir

{"title":"Comparison of the cardioprotective effects of St. Thomas and del Nido cardioplegia","authors":"M. Cayir","doi":"10.5606/e-cvsi.2023.1538","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1538","url":null,"abstract":"Objectives: This study aimed to histopathologically examine the cardioprotective effects of St. Thomas and del Nido (DN) cardioplegia. Materials and methods: A total of 18 rabbits aged 23 weeks and weighing 2000 g were included in the experimental animal study. The animals were randomized to three groups, with six rabbits in each group. The first group was determined as the control group and no cardioprotective agent was given after ligation of the aorta. The rabbits in the second group received DN cardioplegia solution, and those in the third group received the St. Thomas cardioplegia solution. The groups were histopathologically graded and evaluated with six different scores. Results: There were statistically significant differences between St. Thomas, DN, and control groups with hematoxylin and eosin, caspase 3 and connexin 43 staining at 30, 60, and 90 min (p<0.05). However, the St. Thomas, DN, and control groups showed equal score 2- and score 3-weighted, score 3-weighted, and score 3-weighted distributions with connexin 43 at 90 min, respectively; there was no statistically significant difference between the groups (p=0.144). Conclusion: The most adverse tissue damage observed were localized hemorrhage and localized necrosis areas at the end of 90 min of cellular damage. Both cardioplegia applications significantly reduced tissue loss compared to the control group. However, we believe that DN cardioplegia has a longer application time and has better protection.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356780","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

A rare case of left main coronary artery atresia misdiagnosed as an anomalous left coronary artery from the pulmonary artery and presented as dilated cardiomyopathy 一例左冠状动脉主干闭锁的罕见病例，被误诊为肺动脉左冠状动脉异常，表现为扩张型心肌病

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1503

Serdar Basgoze

引用次数: 0

Evaluation of endothelial dysfunction with coronary flow reserve measurement in patients with fibromyalgia 通过冠状动脉血流储备测量评估纤维肌痛患者的内皮功能障碍

Cardiovascular Surgery and Interventions Pub Date : 2023-07-21 DOI: 10.5606/e-cvsi.2023.1500

Göksel Güz

{"title":"Evaluation of endothelial dysfunction with coronary flow reserve measurement in patients with fibromyalgia","authors":"Göksel Güz","doi":"10.5606/e-cvsi.2023.1500","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1500","url":null,"abstract":"Objectives: This study aims to investigate the role of increased inflammation and oxidative stress over endothelial functions with echocardiographic evaluation of coronary flow reserve in patients with fibromyalgia (FM). Patients and methods: Between December 2021 and September 2022, a total of 38 female patients (mean age: 43.4±7.0 years; range, 34 to 51 years) with the diagnosis of FM and 35 healthy controls (15 males, 20 females; mean age: 41.1±6.3 years; range, 34 to 49 years) were included. The endothelial functions were evaluated by measuring coronary flow reserve. Coronary flow reserve of the left anterior descending coronary artery was measured from distal and middle portions with pulse wave Doppler at both baseline and hyperemic peak diastolic flow rate by transthoracic echocardiography. Results: There were no significant differences in clinical, demographical and laboratory findings between the FM and control group, except for conventional C-reactive protein (CRP) levels. The mean hyperemic peak diastolic flow rate and coronary flow reserve values were significantly lower in FM patients (p<0.001). Conclusion: Chronic stress and pain augment the sympathetic activity, resulting in endothelial dysfunction and increasing the cardiovascular risk. Endothelial dysfunction should be evaluated by measuring coronary flow reserve in FM patients.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139356842","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