Postepy W Kardiologii Interwencyjnej最新文献

{"title":"Simultaneous balloon aortic valvuloplasty and endovascular abdominal aortic repair in a high-risk patient with a symptomatic abdominal aortic aneurysm.","authors":"Łukasz Dzieciuchowicz, Artur Filipczak, Jan Węgłowski, Krzysztof Cyran","doi":"10.5114/aic.2024.139690","DOIUrl":"10.5114/aic.2024.139690","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"210-212"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636451","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":"Long-term outcomes of mechanical thrombectomy in acute ischaemic stroke patients with concomitant malignancy.","authors":"Ewa Włodarczyk, Paweł Wrona, Tomasz Homa, Maria Sobolewska, Dominik Wróbel, Dawid Rolkiewicz, Tadeusz Popiela, Agnieszka Słowik, Katarzyna Sawczyńska","doi":"10.5114/aic.2024.137433","DOIUrl":"https://doi.org/10.5114/aic.2024.137433","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with cancer (CP) need a different approach to acute ischaemic stroke (AIS) treatment as intravenous thrombolysis (IVT) may be contraindicated. Mechanical thrombectomy (MT) is a treatment of choice for otherwise eligible patients, although the literature on its long-term outcomes in CP is limited.</p><p><strong>Aim: </strong>Assessing outcomes of MT-treated AIS patients with concomitant malignancy in a year-long follow-up.</p><p><strong>Material and methods: </strong>The study included 593 MT-treated AIS patients admitted in 2019-2021. The group was divided into CP (defined as a diagnosis of malignancy and undergoing/qualified for cancer treatment within previous 5 years) and a control group. The profile of cardiovascular risk factors, stroke severity and discharge, 90-day and 365-day outcomes were compared between the groups.</p><p><strong>Results: </strong>CP and controls had a similar profile of cardiovascular risk factors and comparable stroke severity. CP were less frequently treated with IVT (25.7% vs. 59.1%, <i>p</i> < 0.001). There were no differences between the groups in the successful reperfusion rate and occurrence of haemorrhagic complications. Discharge and 90-day outcomes were similar. CP had higher 365-day mortality (48.6% vs. 29.9%, <i>p</i> = 0.024) but the percentage of patients achieving good functional outcome in a year-long observation was comparable.</p><p><strong>Conclusions: </strong>Treatment with MT seems beneficial for AIS patients with concomitant malignancy both in short- and long-term observation.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"95-102"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872231","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":"Contrast-enhanced echocardiography to define guidewire-related distal coronary artery perforation run-off and to rule out active intrapericardial bleeding.","authors":"George Kassimis, Sotirios Mitsiadis, Georgios Zormpas, Aristi Boulmpou, Stavros Vergopoulos, Nikolaos Fragakis","doi":"10.5114/aic.2024.137436","DOIUrl":"https://doi.org/10.5114/aic.2024.137436","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"117-118"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868600","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 efficacy of pharmacological cardioversion with antazoline and propafenone versus electrical cardioversion in atrial fibrillation during cryoablation.","authors":"Konrad Klocek, Michał Tworek, Katarzyna Klimek, Mateusz Zabochnicki, Marta Mazur, Krzysztof Milewski, Paweł Kaźmierczak, Adam Janas","doi":"10.5114/aic.2024.136392","DOIUrl":"https://doi.org/10.5114/aic.2024.136392","url":null,"abstract":"<p><strong>Introduction: </strong>Antazoline with propafenone may be an alternative to electrical cardioversion (ECV) in restoring sinus rhythm in patients with atrial fibrillation (AF), including during balloon cryoablation.</p><p><strong>Aim: </strong>To compare the efficacy of antazoline with propafenone and ECV in restoring and maintaining sinus rhythm at discharge in patients with AF during cryoablation with special regard to type of AF.</p><p><strong>Material and methods: </strong>The study retrospectively analyzed 196 patients who underwent elective cryoablation. Eighty-nine patients who developed AF in the perioperative period were selected as the study group (32 women and 57 men). The study group was divided into two groups - 46 (51.7%) patients were given pharmacological cardioversion with 70 mg of propafenone and 100 or 200 mg of antazoline, whereas the other 43 (48.3%) patients underwent ECV.</p><p><strong>Results: </strong>There were no statistically significant differences between the groups regarding: left atrial area, left atrium diameter, right atrial area and right atrium diameter. In the overall population, ECV was more effective than antazoline with propafenone therapy (31 [72.1%] vs. 20 [43.5%]; <i>p</i> = 0.01). A similar relationship was demonstrated in patients with persistent AF (13 [59.1%] vs. 3 [12.5%]; <i>p</i> = 0.002). There was no significant difference in the group of patients with paroxysmal AF (18 (85.6%) vs. 17 (77.3%); <i>p</i> = 0.7).</p><p><strong>Conclusions: </strong>In AF during the cryoablation procedure ECV appears to be more effective in restoring and maintaining sinus rhythm at discharge than antazoline with propafenone in the general AF patient population, especially in patients with persistent AF.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"103-108"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871277","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":"Risk factors of acute kidney injury during hospitalization in acute ischaemic stroke patients undergoing mechanical thrombectomy.","authors":"Paweł Wrona, Katarzyna Sawczyńska, Dominik Wróbel, Kaja Zdrojewska, Mateusz Giełczyński, Paweł Mizera, Paweł Brzegowy, Tadeusz Popiela, Agnieszka Słowik, Marcin Krzanowski","doi":"10.5114/aic.2024.136374","DOIUrl":"https://doi.org/10.5114/aic.2024.136374","url":null,"abstract":"<p><strong>Introduction: </strong>Acute kidney injury (AKI) seems to worsen the prognosis of acute ischaemic stroke (AIS) patients treated with mechanical thrombectomy (MT). At the same time, the procedure of MT increases AKI risk by iodinated contrast use. Identification of factors predisposing to AKI after MT is important for recognizing vulnerable patients and successful prevention.</p><p><strong>Aim: </strong>To identify factors associated with the occurrence of AKI during hospitalization in MT-treated AIS patients.</p><p><strong>Material and methods: </strong>The study included all AIS patients treated with MT in the University Hospital in Krakow from 2019 to 2021. The diagnosis of AKI during hospitalisation was based on serum creatinine concentration levels, according to the Kidney Disease Improving Global Outcomes guidelines. We compared patients with and without AKI in terms of age, sex, comorbidities, stroke course and laboratory test results at admission. We identified factors associated with the occurrence of AKI using univariate logistic regression analysis, with significant variables subsequently added to the multivariate analyses.</p><p><strong>Results: </strong>Among 593 MT-treated AIS patients the incidence of AKI during hospitalisation was 12.6%. AKI development was associated with diabetes, chronic kidney disease, total volume of iodinated contrast obtained during hospitalisation, posterior circulation stroke, lack of intravenous thrombolysis, and laboratory test results at admission: haemoglobin, glucose, urea, potassium, and creatinine. Total contrast volume and urea level were the most important independent risk factors associated with occurrence of AKI.</p><p><strong>Conclusions: </strong>AKI is common in MT-treated AIS patients. There is a need to establish a protocol for decreasing the risk of AKI in AIS patients undergoing MT and, in case it occurs, a procedure for its treatment.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"89-94"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868671","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":"Dynamic Thebesian veins anomaly in a patient with recurrent tako-tsubo-like syndrome.","authors":"Mateusz Drabczyk, Zofia Kampka, Małgorzata Cichoń, Michał Holecki, Katarzyna Mizia-Stec, Maciej Tomasz Wybraniec","doi":"10.5114/aic.2024.136409","DOIUrl":"https://doi.org/10.5114/aic.2024.136409","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"119-120"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874936","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":"Radial access versus distal radial access: the vote for use of ultrasonography?","authors":"Bogumił Ramotowski, Anna Żuk, Paweł Lewandowski, Tomasz Słomski, Paweł Maciejewski, Andrzej Budaj","doi":"10.5114/aic.2024.136408","DOIUrl":"https://doi.org/10.5114/aic.2024.136408","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"112-114"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854282","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":"Predictors of periprocedural myocardial infarction after rotational atherectomy.","authors":"Michał Błaszkiewicz, Kamila Florek, Wojciech Zimoch, Piotr Kübler, Wojciech Wańha, Wojciech Wojakowski, Paweł Pawlus, Krzysztof Reczuch","doi":"10.5114/aic.2024.137419","DOIUrl":"https://doi.org/10.5114/aic.2024.137419","url":null,"abstract":"<p><strong>Introduction: </strong>Rotational atherectomy (RA) presents superior efficacy over traditional balloon angioplasty in managing calcified plaques, albeit being associated with a perceived heightened aggressiveness and increased risk of periprocedural complications.</p><p><strong>Aim: </strong>To assess the frequency and predictive factors of periprocedural myocardial infarction (MI) following RA.</p><p><strong>Material and methods: </strong>This was a retrospective observational study, encompassing 534 patients. The definition of periprocedural MI was consistent with the 4^th universal definition of MI.</p><p><strong>Results: </strong>Periprocedural MI occurred in 45 (8%) patients. This subset tended to be older (74.6 ±8.2 vs. 72 ±9.3%; <i>p</i> = 0.04) with SYNTAX Score (SS) > 33 points (<i>p</i> = 0.01), alongside elevated rates of no/slow flow (<i>p</i> = 0.0003). These patients less often fulfilled the indication for RA, which is a non-dilatable lesion. The incidence of traditional risk factors was similar in both groups. Univariable logistic regression models revealed: male gender (OR = 0.54; <i>p</i> = 0.04), non-dilatable lesion (OR = 0.41; <i>p</i> = 0.01), prior coronary artery bypass grafting (CABG) (OR = 0.07; <i>p</i> = 0.01) as negative and SS > 33 (OR = 2.8; <i>p</i> = 0.02), older age (OR = 1.04; <i>p</i> = 0.04), no/slow flow (OR = 7.85; <i>p</i> = 0.002) as positive predictors. The multivariable model showed that occurrence of no/slow flow (OR = 6.7; <i>p</i> = 0.02), SS > 33 (OR = 2.95; <i>p</i> = 0.02), non-dilatable lesion (OR = 0.42; <i>p</i> = 0.02), and prior CABG (OR = 0.08; <i>p</i> = 0.02) were independent predictors of periprocedural MI.</p><p><strong>Conclusions: </strong>Periprocedural MI after RA was not an uncommon complication, occurring in nearly one-twelfth of patients. Our analysis implicated female gender, older age, and more severe coronary disease in its occurrence. As expected, the presence of no/slow flow amplified the risk of periprocedural MI, whereas prior CABG and non-dilatable lesions mitigated this risk.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"62-66"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868670","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":"Coronary calcifications, the Achilles heel in coronary interventions.","authors":"Moustafa Dawood, Moustafa Elwany, Hoda Abdelgawad, Mohamed Sanhoury, Moataz Zaki, Eman Elsharkawy, Moustafa Nawar","doi":"10.5114/aic.2024.136415","DOIUrl":"https://doi.org/10.5114/aic.2024.136415","url":null,"abstract":"<p><p>Percutaneous coronary intervention in severely calcified coronaries has been associated with higher rates of procedural complications, including myocardial infarction and death in addition to increased frequency of coronary revascularization on an intermediate and long-term basis. The SYNTAX score, which is designed to assess the complexity of coronary artery disease and aids in choosing a revascularization method, allocates two points per lesion when there is heavy calcification present on fluoroscopy. With the advent of novel multimodality imaging technologies, the detection and evaluation of coronary calcifications improved significantly over the last decade. Several tools are now available for modifying calcified lesions including different types of dedicated balloons and atherectomy devices, which may create some degree of confusion regarding the suitable application of each instrument. The aim of this review is to cover this vital topic from different aspects. First, we tried to provide an overview on the pathophysiology and types of coronary calcification and its risk factors. Then, we outlined the available imaging modalities for the evaluation of calcified coronary lesions, highlighting the points of strength and weakness of each of them. A comprehensive discussion of calcium-modifying techniques was elaborated, summarizing their mechanism of action, pros and cons, and possible complications. Finally, an integrated algorithm was proposed for the best management of calcified coronary lesions.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"1-17"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865947","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":"Radial artery spasms - angiographic morphology, risk factors and management.","authors":"Jan Roczniak, Andrzej Tarnawski, Artur Dziewierz, Szymon Glanowski, Artur Pawlik, Karol Sabatowski, Rafał Januszek, Łukasz Rzeszutko, Andrzej Surdacki, Stanisław Bartuś, Michał Chyrchel","doi":"10.5114/aic.2024.136936","DOIUrl":"https://doi.org/10.5114/aic.2024.136936","url":null,"abstract":"<p><strong>Introduction: </strong>Radial artery is the preferred access for coronary interventions. However, the procedure is sometimes interrupted by a spasm which causes pain, prolongs the procedure, and can force the access crossover.</p><p><strong>Aim: </strong>To observe factors contributing to a symptomatic radial artery spasm.</p><p><strong>Material and methods: </strong>In this prospective study, we present results of 103 consecutive patients regarding radial artery spasm and angiographic image of the punctured artery. Angiography of the radial artery was performed in 70 (68.0%) patients. Potential risk factors for radial artery spasm were evaluated.</p><p><strong>Results: </strong>The overall incidence of the radial artery spasm was high - 25 (24.3%). Signs of spasm were present in 37.1% of radial artery angiographies before the procedure and 60.1% after, however, it did not always indicate a symptomatic spasm. Risk factors related to radial artery spasm included female sex (OR = 2.94, <i>p</i> = 0.02), failure of the first puncture attempt (OR = 3.12, <i>p</i> = 0.014) and use of non-hydrophilic sheath (OR = 9.56, <i>p</i> = 0.036). Radial artery narrowing at the tip of the sheath was also a risk factor for spasm (<i>p</i> = 0.022). No spasms were observed after hydrophilic sheath application (<i>n</i> = 13). The administration of a radial cocktail was not observed to significantly decrease the spasm odds.</p><p><strong>Conclusions: </strong>Risk factors for radial artery spasm include female sex and multiple puncture attempts. Hydrophilic sheath coating protects against radial artery spasm. Overall signs of a spasm in the angiography are common and do not imply a symptomatic spasm, which can be predicted by a tight narrowing at the tip of the sheath.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 1","pages":"53-61"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856595","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}