Acta Angiologica最新文献_第7页

The association between vascular risk factors and the occurrence of non-thrombotic iliac vein lesions in patients with chronic venous disorders 慢性静脉疾病患者血管危险因素与非血栓性髂静脉病变发生的关系

IF 0.2

Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0009

R. Krzyżański, Ł. Dzieciuchowicz

{"title":"The association between vascular risk factors and the occurrence of non-thrombotic iliac vein lesions in patients with chronic venous disorders","authors":"R. Krzyżański, Ł. Dzieciuchowicz","doi":"10.5603/aa.2020.0009","DOIUrl":"https://doi.org/10.5603/aa.2020.0009","url":null,"abstract":"Introduction: Recently non-thrombotic iliac vein lesions (NIVL) due to their possible role in chronic venous insufficiency on one side and to the development of endovascular venous techniques on the other side have gained much interest. The purpose of this study was to establish if vascular risk and anthropometric factors are associated with the occurrence of NIVL in patients with chronic venous disorders. Material and methods: Thirty-three patients (8 men and 25 women) of the median age of 48 years with primary varicose veins that were qualified for great saphenous veins high ligation and stripping were included. The data concerning age, sex, body mass, height, body mass index, body surface area, hypertension, hypercholesterolemia, smoking and diabetes have been collected. During the varicose vein surgery, both iliac venous axis were interrogated with intravascular ultrasound. Percentage of stenosis of interrogated veins was calculated. The association between analyzed factors and morphology of iliac veins was statistically determined. Results: In a univariate analysis age negatively correlated with left common iliac vein (LCIV) stenosis and male sex, greater weight and body surface area and hypertension were associated with lesser stenosis of left external iliac vein. In a multivariate analysis, only age significantly negatively correlated with LCIV stenosis (p = 0.027). There was a correlation of borderline statistical significance between female sex and LCIV stenosis (p = 0.073). No other correlations were observed. Conclusions: Except for age and possibly sex, there is no association between NIVL and other anthropometric and vascular risk factors.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41926425","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

Prognostic significance of serum potassium level for major adverse cardiac events and death in patients with coronary atherosclerotic disease 血清钾水平对冠状动脉粥样硬化性疾病患者主要心脏不良事件和死亡的预后意义

IF 0.2

Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0010

Afrasyab Altaf, A. Alam, M. Salahuddin, Momina Khan, M. Mahmood, H. Shah, K. A. Shah

{"title":"Prognostic significance of serum potassium level for major adverse cardiac events and death in patients with coronary atherosclerotic disease","authors":"Afrasyab Altaf, A. Alam, M. Salahuddin, Momina Khan, M. Mahmood, H. Shah, K. A. Shah","doi":"10.5603/aa.2020.0010","DOIUrl":"https://doi.org/10.5603/aa.2020.0010","url":null,"abstract":"Introduction: Serum potassium levels have been shown in some animal studies to be associated with the process of atherosclerosis. We decided to assess the correlation of serum potassium level in ischemic heart disease patients with disease severity and its relationship with prognosis in terms of major acute cardiac events (MACE). Material and methods: This was a cross-sectional cohort study carried out at cardiology department of Rehman Medical Institute, from July 2016 to 31st Aug. 2018 a period of 26 months. 622 patients were included in the study. Clinical and angiographic characteristics were assessed based on the serum potassium level. Correlation of serum potassium level with Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) and Gensini scores was also evaluated. Follow up for MACE was carried out after one year. Results: Mean serum potassium level was 3.93 ± 0.95 (mEq/l) in coronary artery disease patients. Serum potassium level showed negative correlation with SYNTAX score (r = –0.60, p < 0.05) and Gensini score (r = –0.64, p < 0.05). There was also a significant difference between low and high potassium level in relation to the multi-vessel disease on coronary angiography (p < 0.05). Low potassium level was a good predictor of adverse outcomes as shown by Kaplan-Meier analysis. Multivariate Cox regression analysis showed that serum potassium level and diabetes were independent predictors of MACE (p < 0.05). Conclusion: Low serum potassium level is correlated with more severe coronary atherosclerosis. Low potassium levels are associated with significantly poor outcomes.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46385667","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

Aortoesophageal fistula as a complication of thoracic aorta stent graft implantation: two cases and literature review 主动脉食管瘘是胸主动脉支架植入术的并发症：2例报告及文献复习

IF 0.2

Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0012

Olga Basiak, L. Grabowska-Derlatka, T. Jakimowicz, O. Rowiński

{"title":"Aortoesophageal fistula as a complication of thoracic aorta stent graft implantation: two cases and literature review","authors":"Olga Basiak, L. Grabowska-Derlatka, T. Jakimowicz, O. Rowiński","doi":"10.5603/aa.2020.0012","DOIUrl":"https://doi.org/10.5603/aa.2020.0012","url":null,"abstract":"Thoracic endovascular aortic repair (TEVAR) is a method of choice in the treatment of thoracic aorta aneurysms and dissections. In case of a thoracoabdominal aneurysm, endovascular treatment is also being chosen more often, especially in patients with multimorbidity. Despite better results and less invasiveness in comparison to classic open surgery, endovascular treatment is also associated with complications. One of the rarer and usually fatal complications are aortoesophageal fistula (AEF). We present two cases, in which TEVAR complication was AEF. Case 1 was an 87-year-old woman with a history of TEVAR 5 years earlier, who presented increased inflammation parameters, massive gastrointestinal bleeding, and progressive anemia. Case 2 was a 66-year-old woman with a history of TEVAR 6 months earlier, who on admission presented medium increased inflammatory markers and anemia. None of the patients was qualified for surgical treatment. Both patient 1 and patient 2 died during hospitalization. Diagnostic imaging plays a key role in the diagnosis of AEF. CT angiography performed in patients with AEF can show the presence of gas in the sac of aneurysm as a result of infection, a defect in the aortic wall, or thickened esophagus with fluid level. CT angiography of the aorta combined with esophagogastroduodenoscopy (EGD) and contrast-enhanced X-ray examination of the gastrointestinal tract, enables to confirm or exclude the diagnosis of AEF. Atypical clinical feature and increased parameters of inflammation in patients with the history of TEVAR should always suggest the presence of AEF.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49378758","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: 1

Wyniki lecznia operacyjnego pękniętych tętniaków aorty brzusznej (PTAB) w materiale własnym 自体材料中破裂腹主动脉瘤（PTAB）的外科治疗结果

IF 0.2

Acta Angiologica Pub Date : 2020-06-26 DOI: 10.5603/aa.2020.0001

D. Janczak, Marcin Merenda, Andrzej Litarski, K. Pormańczuk, M. Malinowski, Jakub Kobecki, Mariusz Chabowski

{"title":"Wyniki lecznia operacyjnego pękniętych tętniaków aorty brzusznej (PTAB) w materiale własnym","authors":"D. Janczak, Marcin Merenda, Andrzej Litarski, K. Pormańczuk, M. Malinowski, Jakub Kobecki, Mariusz Chabowski","doi":"10.5603/aa.2020.0001","DOIUrl":"https://doi.org/10.5603/aa.2020.0001","url":null,"abstract":"Background. Pekniety tetniak aorty jest definiowany jako krwawienie poza przydanke poszerzonej ściany aorty. Czestośc wystepowania peknietego tetniaka aorty brzusznej (PTAB) waha sie pomiedzy 5.6 a 17.5 na 100.000 mieszkancow w ciągu roku i wydaje sie malec w ciągu ostatnich dwoch dekad. Celem pracy byla ocena wynikow leczenia pacjentow z peknietym tetniakiem aorty brzusznej Material i metoda: Do analizy wlączono pacjentow operowanych z powodu peknietego tetniaka aorty brzusznej w Klinice Chirurgicznej 4 Wojskowego Szpitala Klinicznego z Polikliniką we Wroclawiu w latach 2011-2017. Z powodu peknietego tetniaka aorty brzusznej operowano lącznie 140 pacjentow. Ocene wynikow leczenia przeprowadzono na podstawie retrospektywnej analizy dokumentacji medycznej pacjentow, oceniającej wyniki leczenia w oparciu o nastepujące parametry: śmiertelnośc okolo- i pooperacyjna, powazne powiklania okolo- i pooperacyjne (ostry zespol wiencowy, niedokrwienie jelit, niewydolnośc nerek, niewydolnośc oddechowa, niedokrwienie konczyn dolnych). Wyniki Uzyskane wyniki potwierdzają, pomimo ciąglego postepu, wysoką śmiertelnośc oko-lo-i pooperacyjną z powodu peknietego tetniaka aorty brzusznej. Dalszy rozwoj techniki operacyjnej z leczeniem wewnątrznaczyniowym (EVAR), postepowania anestezjologicznego, moze pozwolic na uzyskanie lepszych wynikow leczenia. Wymaga to jednak duzego wysilku organizacyjnego z zapewnieniem calodobowej dostepności wielospecjalistycznego zespolu (chirurg naczyniowy, anestezjolog, technik radiolog, personel pielegniarski), z mozliwością wykonywania procedur wewnątrznaczyniowych. Wnioski Leczenie operacyjne pacjentow z peknietym tetniakiem aorty brzusznej nadal wiąze sie z wysokimi wskaźnikami śmiertelności i znaczną ilością powiklan pooperacyjnych.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45752005","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

Stent fracture after endovascular treatment patient with subclavian vein thrombosis – difficult diagnosis and complication of venous thoracic outlet syndrome 锁骨下静脉血栓形成患者血管内治疗后支架骨折——胸廓静脉出口综合征的诊断困难和并发症

IF 0.2

Acta Angiologica Pub Date : 2020-06-26 DOI: 10.5603/aa.2020.0003

P. Wierzchowski, P. Brazis, A. Migdalski, A. Jawień

引用次数: 0

The role of physical activity in prevention and treatment of peripheral vascular disorders 体育活动在预防和治疗周围血管疾病中的作用

IF 0.2

Acta Angiologica Pub Date : 2020-06-26 DOI: 10.5603/aa.2020.0004

J. Pasek, Agata Stanek, G. Cieślar

引用次数: 2

Selected biomarkers of atherosclerosis - clinical aspects 动脉粥样硬化的选定生物标志物-临床方面

IF 0.2

Acta Angiologica Pub Date : 2020-06-26 DOI: 10.5603/aa.2020.0005

S. Surma, T. Czober, Tomasz Lepich, Oskar Sierka, G. Bajor

{"title":"Selected biomarkers of atherosclerosis - clinical aspects","authors":"S. Surma, T. Czober, Tomasz Lepich, Oskar Sierka, G. Bajor","doi":"10.5603/aa.2020.0005","DOIUrl":"https://doi.org/10.5603/aa.2020.0005","url":null,"abstract":"Atherosclerosis is a inflammatory-immunological-degenerative process. Cardiovascular diseases account for 42% of premature deaths among men and 52% of premature deaths among woman. Identification of classical biomarkers of atherosclerosis, such as LDL, HDL and triglycerides may not be helpful in patients with moderate or unusual cardiovascular risk. Non-classical indicators of atherosclerosis include markers of the inflammatory proces, mar-kers of atherosclerotic plaque injury, acute phase proteins, ischemic markers, markers of tissue necrosis, markers of myocardial dysfunction. The identification of CVD biomarkers enables the classification of patients to appropriate cardiovascular risk groups. Knowledge about the CVD risk group makes it possible to take rapid therapeutic intervention aimed at limiting this risk. Pharmacotherapy for cardiovascular diseases is primarily based on lowering cholesterol’s level in the blood. Additional properties of statins (the most important lipid-lowering drugs) enable their pleiotropic effect by limiting the progression of atherosclerotic lesions by reducing the volume of atherosclerotic plaque. Further research on the pathogenesis of atherosclerosis will allow to learn new risk factors and new biomarkers of this disease.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44138936","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: 7

IF 0.2

Acta Angiologica Pub Date : 2020-06-26 DOI: 10.5603/aa.2020.0002

Anna Szarnecka-Sojda, W. Jacheć, M. Polewczyk, Agnieszka Łętek, Jarosław Miszczuk, A. Polewczyk

{"title":"Infection-related complications in patients with end stage renal failure dialyzed through a permanent catheter","authors":"Anna Szarnecka-Sojda, W. Jacheć, M. Polewczyk, Agnieszka Łętek, Jarosław Miszczuk, A. Polewczyk","doi":"10.5603/aa.2020.0002","DOIUrl":"https://doi.org/10.5603/aa.2020.0002","url":null,"abstract":"Objectives Progression of renal failure leads to an increase in the number of patients who require forming dialysis access. Old age and a rising morbidity make it impossible to form a native arteriovenous fistula and a permanent catheter becomes the first choice. The presence of a catheter frequently generates complications, including infections, which may result in a higher mortality rate. Patients and methods A retrospective analysis data has been conducted, involving 398 patients who had permanent catheters implanted from 2010 to 2016. Out of this group, 65 patients who suffered infection-related complications have been identified. Risk factors for infection and a survival rate of the population have been estimated. Results Between 2010 and 2016, 495 catheters were implanted for 398 patients aged 68.73(13.26) years on average. 92 catheter-related infections (23.1%) were recorded in 65 patients. A higher risk of infection has been noted among younger patients, with coronary disease and heart failure. Patients affected by infection had 35.38% survivability as against 38.14% for those with no infection: p= 0.312. A higher mortality risk was identified among patients suffering catheter-related infections with cardiac implants and vascular prostheses. Unfavourable prognosis was for infections occurring together with hypotension, high leucocytosis, a low number of platelets and a high leukocyte/platelet ratio. Conclusion Dialysis patients who use permanent catheters run a high risk of infection-related complications, especially younger patients suffering from coronary conditions and heart failure. Severe catheter-related infections lead to a high mortality rate, therefore it is necessary to limit this form of access.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47918161","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

What should surgeon know about COVID-19? 关于COVID-19，外科医生应该知道什么?

IF 0.2

Acta Angiologica Pub Date : 2020-04-30 DOI: 10.5603/aa.a2020.0007

Aleksandra Krasińska, M. Wichrowska, Z. Krasiński

引用次数: 0

Pathogenesis regarding development and structure of unstable atherosclerotic plaque in internal carotid artery in relation to high risk factors of an ischaemic stroke. Current status of knowledge 颈内动脉不稳定动脉粥样硬化斑块的形成和结构与缺血性卒中高危因素的关系。知识现状

IF 0.2

Acta Angiologica Pub Date : 2019-09-30 DOI: 10.5603/aa.2019.0013

N. Wiśniewska, Emil Kania, A. Płoński, J. Głowiński

{"title":"Pathogenesis regarding development and structure of unstable atherosclerotic plaque in internal carotid artery in relation to high risk factors of an ischaemic stroke. Current status of knowledge","authors":"N. Wiśniewska, Emil Kania, A. Płoński, J. Głowiński","doi":"10.5603/aa.2019.0013","DOIUrl":"https://doi.org/10.5603/aa.2019.0013","url":null,"abstract":"Worldwide, stroke is the second leading cause of death and a major cause of disability . However, the mortality of stroke differs between countries and geographical regions. In high-income countries, i.e. in the United States, stroke has fallen from the third to the fourth leading cause of death. The risk for ischaemic stroke increases with the degree of internal carotid artery stenosis. 70–99% carotid artery stenosis (according to NASCET) in symptomatic patients is an indication for a vascular intervention since this group will achieve significant benefits from surgical treatment. Asymptomatic patients with 60–99% (according to NASCET) carotid artery stenosis may also benefit from surgical procedures when at least one-factor conditioning a high risk of ischaemic stroke incidence exists. These factors may include morphological structure features of atherosclerotic plaque described in imaging examinations that are indicative of its instability and specific clinical predispositions. The paper presents stages of unstable atherosclerotic plaque development and features of its morphological structure that may significantly increase the risk for ischaemic stroke and compares them with current guidelines: Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47841674","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