Acta Angiologica最新文献_第10页

Current evidence of rivaroxaban in cancer-associated thrombosis 利伐沙班治疗癌症相关血栓的最新证据

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Acta Angiologica Pub Date : 2018-10-25 DOI: 10.5603/AA.2018.0018

Grzegorz Halena, A. Kulik

引用次数: 1

Evaluation of the healing progress of phlegmon related to type 2 diabetes treated with the local hyperbaric oxygen therapy 局部高压氧治疗2型糖尿病相关痰的疗效评价

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Acta Angiologica Pub Date : 2018-10-25 DOI: 10.5603/AA.2018.0017

J. Pasek, G. Cieślar, A. Sieroń

{"title":"Evaluation of the healing progress of phlegmon related to type 2 diabetes treated with the local hyperbaric oxygen therapy","authors":"J. Pasek, G. Cieślar, A. Sieroń","doi":"10.5603/AA.2018.0017","DOIUrl":"https://doi.org/10.5603/AA.2018.0017","url":null,"abstract":"Introduction. Phlegmon is a disease which causes purulent inflammation of the subcutaneous tissue, being of unlimited character. This disease does not only affect the external coverings of the body; it may also be transmitted to the internal organs, and lead to their insufficiency. Case report. The study presents the results of the physical therapy applied to phlegmon located in the right shank and foot of a 57-year old patient with type 2 diabetes after an ineffective typical symptomatic treatment. A local hyperbaric oxygen therapy has been used in this treatment which utilizes the therapeutic effect of gases with high oxygen content close to 100%,exceeding the pressure of one atmosphere. Results. After completion of the 4-month therapy complete regression of pain symptoms was achieved assessed accordingly to the VAS scale, as well as the complete healing of wounds, reduction of the inflammatory reaction and skin congestion, thanks to which the amputation of the limb turned out not to be necessary. The thermographic assessment performed after the completion of the treatment confirmed normalization of the previously reduced temperature of tissues in the area of healed wounds. Conclusions. The obtained initial results indicate that the therapy with the use of the local hyperbaric oxygen therapy may constitute a useful adjunctive method for treatment of patients whose wounds are hard to heal, including wounds with inflammatory origin.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2018-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48381057","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: 5

The role of alpha-1-antitrypsin protein in the pathogenesis of abdominal aortic aneurysm α -1-抗胰蛋白酶蛋白在腹主动脉瘤发病中的作用

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Acta Angiologica Pub Date : 2018-04-12 DOI: 10.5603/AA.2018.0006

Agata Dżeljilji, J. Chorostowska-Wynimko, D. Szewczyk, Wojciech Popiołek, Artur Kierach, P. Andziak

{"title":"The role of alpha-1-antitrypsin protein in the pathogenesis of abdominal aortic aneurysm","authors":"Agata Dżeljilji, J. Chorostowska-Wynimko, D. Szewczyk, Wojciech Popiołek, Artur Kierach, P. Andziak","doi":"10.5603/AA.2018.0006","DOIUrl":"https://doi.org/10.5603/AA.2018.0006","url":null,"abstract":"Alpha-1-antitrypsin is a potent antiprotease playing an important role in maintaining protease-antiprotease balance. It protects the structures of extracellular matrix against destruction by proteolytic enzymes. Loss of elasticity occurs when increased protease activity is accompanied by qualitative impairment or reduced concentrations of antiproteases. Alpha-1-antitrypsin deficiency is a risk factor for obstructive lung disease, including emphysema, liver and kidney disorders and, less often, follicular panniculitis, granulomatosis with polyangiitis (previously Wegener’s granulomatosis). Literature also emphasises the role of AAT in the development of aortic aneurysms, and results of biochemical studies support this theory. Aortic aneurysm is an important clinical problem, unceasingly associated with high mortality. For this reason, it is exceptionally important to identify its risk factors. Studies on the relationship between AAT and development of AAA (abdominal aortic aneurysm) have been conducted since the 1990s. Due to the development in molecular diagnostic techniques, new reports on the topic appeared over the last decade.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2018-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48980874","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: 2

Aorto-renal bifurcation stenting in a juvenile non-specific aorto-arteritis: case report 主动脉-肾分叉支架置入术治疗青少年非特异性大动脉炎1例

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Acta Angiologica Pub Date : 2018-04-12 DOI: 10.5603/AA.2018.0004

Amro Alsharabi, T. Jakimowicz, P. Hammer, S. Nazarewski

引用次数: 0

Critical limb ischemia caused by adductor canal compression syndrome — case report with the review of the literature 内收管压迫综合征引起的严重肢体缺血1例并文献复习

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Acta Angiologica Pub Date : 2018-04-12 DOI: 10.5603/AA.2018.0003

Piotr Kaszczewski, T. Ostrowski, J. Żyłkowski, Z. Gałązka

引用次数: 1

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report 主动脉-肾分叉支架置入术治疗青少年非特异性大动脉炎1例

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Acta Angiologica Pub Date : 2018-04-12 DOI: 10.5603/AA.2018.0005

S. Sinha, V. Krishna, N. Khanna, Lawrence Rajan, M. Jha, V. Mishra, M. Asif, R. Thakur, Mahmadula Razi

引用次数: 0

Cultural and psychological determinants of pain assessment during lower limb angioplasty 下肢血管成形术中疼痛评估的文化和心理因素

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Acta Angiologica Pub Date : 2018-04-12 DOI: 10.5603/AA.2018.0002

M. Stanisić, T. Rzepa, Jarosław Nakonieczny, Przemysław Kubaszewski, Maciej Putowski, M. Popek, Athanasios Liougkos

{"title":"Cultural and psychological determinants of pain assessment during lower limb angioplasty","authors":"M. Stanisić, T. Rzepa, Jarosław Nakonieczny, Przemysław Kubaszewski, Maciej Putowski, M. Popek, Athanasios Liougkos","doi":"10.5603/AA.2018.0002","DOIUrl":"https://doi.org/10.5603/AA.2018.0002","url":null,"abstract":"Introduction. It is a common unofficial perception of surgeons performing endovascular operations that patients living in the different social and economic environment assess pain differently during peripheral angioplasty procedures. The objective was to examine the differences in assessing pain experienced during endovascular arterial interventions on lower limbs, by Polish and German patients, and to analyse the psychological determinants of the assumed differences, by referring to mental dispositions such as optimism and satisfaction with own life quality. Material and methods. 101 patients were qualified for endovascular intervention on lower limbs arteries — 51 Germans (M = 67.31; SD = 9.82) and 50 Poles (age M = 67.88; SD = 8.4). 37 women and 64 men were classified as Rutherford category 2–3. Three scales were applied: 1. Life Orientation Test-Revised 2. Satisfaction With Life Scale 3. Pain Appraisal Scale which comprises emoticons showing subsequent degrees of sustained pain and the corresponding Visual Analogue Scale. Results. The patients from Poland graded their life quality lower than the German patients (M = 23.44; SD = 5.977 and M = 25.94; SD = 5.584). The Poles presented a lower level of optimism (M = 15.04; SD = 3.703 vs M = 15.8; SD = 3.516). The Polish patients classified the level of pain during lower limb angioplasty as higher than in German patients (M = 4.22; SD = 2.999 and M = 2.88; SD = 2.215) (p < 0.012). Conclusions. Resistance to pain experienced during endovascular procedures probably depends on the assessment of the patient’s current life situation, determined by satisfaction with own life quality and related optimism. With great caution, it might also be supposed that resistance to pain depends on the life standard typical of a given population","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2018-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46070154","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

Perthes syndrome: a pediatric case Perthes综合征：一例儿科病例

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Acta Angiologica Pub Date : 2017-12-28 DOI: 10.5603/AA.2017.0017

F. Fitouri, S. Sahli, Y. Houas, N. Sassi, M. Hamzaoui

引用次数: 1

Radial artery pseudoaneurysm (RAP) following transradial intervention — an extremely rare complication successfully managed by surgery: case report 桡动脉假性动脉瘤(RAP)经桡动脉介入治疗后-一种极其罕见的并发症，手术成功处理:病例报告

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Acta Angiologica Pub Date : 2017-12-28 DOI: 10.5603/AA.2017.0018

S. Sinha, M. Jha, V. Mishra, Mahmadula Razi, A. Mahrotra, M. Asif, Nasar Abdali, V. Chaturvedi, L. Rekwal

{"title":"Radial artery pseudoaneurysm (RAP) following transradial intervention — an extremely rare complication successfully managed by surgery: case report","authors":"S. Sinha, M. Jha, V. Mishra, Mahmadula Razi, A. Mahrotra, M. Asif, Nasar Abdali, V. Chaturvedi, L. Rekwal","doi":"10.5603/AA.2017.0018","DOIUrl":"https://doi.org/10.5603/AA.2017.0018","url":null,"abstract":"The transradial access for diagnostic and therapeutic purpose is becoming increasingly popular, mainly because of its lack of complications. Radial artery pseudoaneurysm (RAP) is an extremely rare complication, so many of its clinical features are unknown and treatment is not systematic. Therapeutic options are conservative management, ultrasound-guided compression, thrombin injection and surgical intervention. Here, we report a 43-year old female who underwent transradial percutaneous angioplasty of left anterior descending artery. During cannulation of her radial artery, multiple puncture attempts were done. Upon removal of the transra¬dial compression band (TR Band), forearm ecchymosis and small hematoma were noted with mild pain. Tight compression bandage was applied but on the following day, she had complaints of increasing right forearm pain and tenderness. Physical evaluation revealed increased swelling of the right forearm and an ultrasound of the right forearm demonstrated a RAP of the right radial artery measuring up to 3.9x1.9 cm with 3.4 mm neck. Tight compression bandage was further prolonged following ultrasound compression with vascular probe which failed to alleviate her complaints. Following failure of conservative therapy and in lieu of her symptoms, surgical exploration, clot removal and successful repair was done.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2017-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44529138","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: 2

Balloon-grab technique to bridge steep renal artery during endovascular thoracoabdominal aortic aneurysm repair: technical note 胸腹主动脉瘤腔内修复术中球囊抓取技术桥接陡峭肾动脉:技术要点

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Acta Angiologica Pub Date : 2017-12-28 DOI: 10.5603/AA.2017.0016

Michał Macech, T. Jakimowicz, P. Hammer, T. Grochowiecki, S. Nazarewski

{"title":"Balloon-grab technique to bridge steep renal artery during endovascular thoracoabdominal aortic aneurysm repair: technical note","authors":"Michał Macech, T. Jakimowicz, P. Hammer, T. Grochowiecki, S. Nazarewski","doi":"10.5603/AA.2017.0016","DOIUrl":"https://doi.org/10.5603/AA.2017.0016","url":null,"abstract":"The aim of the study is to describe an endovascular manoeuvre that can help in the cannulation and stenting of difficult renal arteries in endovascular thoracoabdominal aortic aneurysm exclusion (EVAR) with a branched stent graft. Routinely, dedicated branch and target vessels are cannulated in antegrade fashion through a transaxillary approach. If renal arteries are steep, tortuous, and unfavourable, cannulation failure can preclude a successful endovascular procedure. In that situation, the guidewire slips off the artery. However, another guidewire and balloon can be introduced to the target vessel through femoral access. Expansion of an additional percutaneous transluminal angioplasty (PTA) balloon in the target vessel grabs the guidewire or catheter cannulated in typical fashion and prevents it from slipping off. At this point, a stiffer wire can be introduced, and the covered stent easily bridges the target vessel. The rest of the procedure is continued typically. Expansion of an additionally introduced balloon allows the surgeon to grab the guidewire in the renal artery, thus excluding an aneurysm during EVAR. Our early experience shows that this method is effective and durable.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2017-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45682926","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: 2