Postepy W Kardiologii Interwencyjnej最新文献

{"title":"Rectus sheath hematoma after percutaneous coronary intervention and hemodialysis.","authors":"Nart Zafer Baytuğan, Hasan Çağlayan Kandemir","doi":"10.5114/aic.2023.133812","DOIUrl":"10.5114/aic.2023.133812","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"382-383"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139379136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The change of angina levels in patients with chronic coronary syndromes and coronary microcirculatory dysfunction - a prospective study with 24 months follow-up.","authors":"Łukasz Niewiara, Paweł Kleczyński, Piotr Szolc, Bartłomiej Guzik, Marta Diachyshyn, Michalina Jelonek, Joanna Handzlik, Krzysztof Żmudka, Jacek Legutko","doi":"10.5114/aic.2023.133806","DOIUrl":"10.5114/aic.2023.133806","url":null,"abstract":"<p><strong>Introduction: </strong>A substantial proportion of patients with chronic coronary syndromes suffer from angina even after medical treatment and revascularization. Coronary microvascular dysfunction (CMD) is discussed as a potential mechanism.</p><p><strong>Aim: </strong>To assess angina status in patients with chronic coronary syndromes undergoing functional assessment of coronary circulation regarding the presence of coronary microcirculatory dysfunction.</p><p><strong>Material and methods: </strong>The study included 101 consecutive patients referred for coronary angiography requiring functional stenosis assessment, with median age of 66 years, 74% male, diagnosed or treated for dyslipidemia (91%) and diabetes type 2 (42%), 20% with a history of prior non-ST myocardial infarction. Fractional flow reserve (FFR), coronary flow reserve (CFR), resistive reserve ratio (RRR), and index of microcirculatory resistance (IMR) were measured. The diagnosis of CMD was defined by either IMR ≥ 25 units or CFR ≤ 2.0 in case of no significant stenosis. A change of one CCS class over 24 months follow-up was considered clinically significant.</p><p><strong>Results: </strong>In patients without CMD diagnosis, there was a significant decrease in angina intensity (<i>p</i> < 0.001). Lack of angina improvement was associated with lower median RRR (2.30 (1.70, 3.30) vs. 3.05 (2.08, 4.10), <i>p</i> = 0.004) and lower median CFR (1.90 (1.40, 2.50) vs. 2.30 (IQR: 1.60, 3.00), <i>p</i> = 0.021), as compared to patients with angina improvement.</p><p><strong>Conclusions: </strong>The presence of CMD is a risk factor for no angina improvement. Impaired coronary resistive reserve ratio and lower microvascular reactivity may be one of the pathomechanisms leading to the lack of angina improvement in patients with chronic coronary syndromes.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"318-325"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous treatment of native aortic coarctation performed in infants and children up to ten years old: a single-center experience.","authors":"Natalia Kowalska, Paweł Dryżek, Anna Mazurek-Kula, Hanna Ditrych, Tomasz Moszura, Sebastian Góreczny","doi":"10.5114/aic.2023.133226","DOIUrl":"10.5114/aic.2023.133226","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"375-377"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139379134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of outcomes in patients with severe aortic stenosis treated with small and large Medtronic Evolut R and Evolut PRO self-expandable prosthetic valves.","authors":"Krzysztof Wilczek, Piotr Chodór, Jan Harpula, Tomasz Hrapkowicz, Łukasz Włoch, Karolina Chodór-Rozwadowska, Grzegorz Honisz, Mariusz Gąsior, Zbigniew Kalarus","doi":"10.5114/aic.2023.133810","DOIUrl":"10.5114/aic.2023.133810","url":null,"abstract":"<p><strong>Introduction: </strong>Indications for transcatheter aortic valve implantation (TAVI) continue to expand. Very often TAVI must be done in large annuli. Implantation of the bigger prostheses is often associated with more procedural problems, which may affect the outcomes.</p><p><strong>Aim: </strong>To compare the outcomes of TAVI procedures using the self-expandable Medtronic Evolut R 34 with the smaller Evolut R or Evolut Pro 23, 26 or 29.</p><p><strong>Material and methods: </strong>We analysed 87 patients who received self-expandable Medtronic Evolut R and Pro valves. Group I consisted of 59 (67.81%) patients with Evolut 23, 26 or 29, and group II consisted of 28 (32.18%) patients who received an Evolut 34 valve.</p><p><strong>Results: </strong>EuroSCORE II was 5.59 in group I vs 7.87 in group II (<i>p</i> = 0.02). The oversizing rate was higher in group II: 24.1% vs. 18.5% (<i>p</i> < 0.001). The procedure and fluoroscopy times were longer in group II: 209 vs. 187 min (<i>p</i> = 0.03), 44 vs. 27 min (<i>p</i> = 0.01). Moderate paravalvular leak was found more frequently in group II: 5 v 1 (<i>p</i> = 0.04). There was less device success in group II: 22 (78.57%) vs. 57 (96.6%) (<i>p</i> = 0.05). Early safety criteria were similar in both groups: 52 (88.1%) and 24 (92.3%) (<i>p</i> = 0.56). 30-day mortality was similar: 4 (6.7%) vs. 0 in group I and II respectively (<i>p</i> = 0.16).</p><p><strong>Conclusions: </strong>TAVI procedures in patients requiring an Evolut R 34 prosthesis are more challenging than in those who need smaller valves. Paravalvular leaks are more frequently observed after TAVI with Evolut R 34, which results in lower device success.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"359-366"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pitfalls of percutaneous mitral balloon valvuloplasty.","authors":"Zbigniew Chmielak, Paweł Tyczyński, Patrycjusz Stokłosa, Aleksandra Mioduszewska, Adam Witkowski","doi":"10.5114/aic.2023.133248","DOIUrl":"10.5114/aic.2023.133248","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"384-385"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139379135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left main calcified lesion treated with orbital atherectomy and two-stent double-kissing Culotte technique in a very elderly patient with frailty syndrome.","authors":"Mateusz Barycki, Adrian Włodarczak, Piotr Rola, Szymon Włodarczak, Artur Jatrzębski, Maciej Lesiak","doi":"10.5114/aic.2023.133253","DOIUrl":"10.5114/aic.2023.133253","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"380-381"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of statins on bone turnover markers in postmenopausal women: a pilot study.","authors":"Marta Walczak, Anna Braszak-Cymerman, Lena Bielawska, Wiesław Bryl","doi":"10.5114/aic.2023.133700","DOIUrl":"10.5114/aic.2023.133700","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"367-370"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular repair versus best medical treatment for uncomplicated acute type B acute aorta dissection: a meta-analysis.","authors":"Yunpeng Ma, Yinzun Qi, Qiang Li, Wenjie Zhao, Shuangxiong Zhu, Yu Zhang, Xin Chen","doi":"10.5114/aic.2023.133256","DOIUrl":"10.5114/aic.2023.133256","url":null,"abstract":"<p><strong>Introduction: </strong>In acute type B aortic dissection (TBAD) patients, thoracic endovascular aorta repair (TEVAR) and best medical treatment (BMT) have both been employed for the clinical management of this condition. The relative efficacy of TEVAR and BMT when used to manage cases of acute uncomplicated TBAD, however, remains to be clarified.</p><p><strong>Aim: </strong>To conduct a pooled meta-analysis comparing acute uncomplicated TBAD patient outcomes associated with primary TEVAR or BMT treatment.</p><p><strong>Material and methods: </strong>Relevant articles published up to July 2023 were identified by searching the Web of Science, PubMed, and Wanfang databases. Pooled analyses of endpoints from these studies were then conducted.</p><p><strong>Results: </strong>Six relevant studies were included in this meta-analysis, involving 522 and 535 patients who underwent TEVAR and BMT treatment, respectively. No significant differences were observed between these two groups with respect to pooled hospitalization duration, re-intervention rates, early mortality, organ failure incidence, stroke incidence, or the incidence of retrograde type A dissection (<i>p</i> = 0.89, 0.12, 0.09, 0.36, 0.09, and 0.95, respectively). TEVAR, however, was associated with significantly better pooled thrombosed/obliterated false lumen, late mortality, aorta-related mortality, and rupture rates relative to BMT (<i>p</i> = 0.00001, 0.002, 0.0001, and 0.04, respectively). TEVAR was associated with a 7% pooled type I endoleak incidence rate. Endpoints exhibiting significant heterogeneity included hospitalization duration, thrombosed/obliterated false lumen rates, and rupture rates (<i>I</i> ² = 96%, 73%, and 61%, respectively).</p><p><strong>Conclusions: </strong>While TEVAR and BMT yield similar short-term outcomes for acute uncomplicated TBAD patients, TEVAR may be associated with a better long-term patient prognosis.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"311-317"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neutrophil and lymphocyte count as predictors of the location of calcific coronary lesions in patients treated with rotational atherectomy.","authors":"Michał Lesiak, Tomasz K Urbanowicz, Anna Olasińska-Wiśniewska, Michal Michalak, Marek Grygier, Krzysztof J Filipiak, Andrzej Tykarski, Marek Jemielity, Maciej Lesiak","doi":"10.5114/aic.2023.133809","DOIUrl":"10.5114/aic.2023.133809","url":null,"abstract":"<p><strong>Introduction: </strong>The role of immune system activation in development and progression of atherosclerotic plaques has been postulated. Previous studies on inflammation have focused on the severity of coronary disease, the risk of acute coronary syndrome, and the prediction of outcomes based on hematological indices obtained from whole blood count analysis.</p><p><strong>Aim: </strong>To analyze simple data of the whole blood count in relation to the location of calcified atherosclerotic lesions in patients treated with coronary rotational atherectomy (RA).</p><p><strong>Material and methods: </strong>Eighty-one patients (57 (70%) males, mean (SD) age of 70.4 ±8 years) who underwent RA were enrolled in the study. The study group was divided into two subgroups depending on the proximal (group 1) and non-proximal (group 2) location of the culprit lesions in coronary arteries. The angiographic results were compared with demographic and clinical data and whole blood count analysis.</p><p><strong>Results: </strong>The multivariable analysis revealed the predictive value of low neutrophil (OR = 0.75, 95% CI: 0.58-0.97, <i>p</i> = 0.030) and lymphocyte counts (OR = 0.27, 95% CI: 0.11-0.68, <i>p</i> = 0.005) for the proximal location of the culprit lesions. In the ROC analysis, combined neutrophil and lymphocyte counts showed the best prediction of proximal location, with the area under the curve of 0.747 (<i>p</i> < 0.001), yielding a sensitivity of 79.07% and specificity of 73.68%.</p><p><strong>Conclusions: </strong>The lower neutrophil and lymphocyte counts in peripheral blood count analysis may be more representative of proximal calcified coronary lesions. The relationship between neutrophil and lymphocyte blood count and calcific atherosclerotic plaque location can indicate the inflammatory background of epicardial atheroma formation and distribution.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"343-350"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pentafurcation of the left main coronary artery.","authors":"Paweł Tyczyński, Michał Tylkowski, Jerzy Pręgowski, Maciej Michałowski, Maria Sudomir, Adam Witkowski","doi":"10.5114/aic.2023.133255","DOIUrl":"10.5114/aic.2023.133255","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"19 4","pages":"378-379"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}