Postepy w kardiologii interwencyjnej = Advances in interventional cardiology最新文献

{"title":"Fully percutaneous insertion and removal of the Impella CP via a subclavian approach.","authors":"Sacha Jerzy, Krzysztof Krawczyk, Marek Gierlotka","doi":"10.5114/aic.2020.99273","DOIUrl":"https://doi.org/10.5114/aic.2020.99273","url":null,"abstract":"","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"343-346"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/d1/PWKI-16-41859.PMC7863807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of percutaneous patent foramen ovale closure on migraine headaches in patients with history of ischemic neurological events.","authors":"Węglarz Przemysław,&nbsp;Katarzyna Spisak-Borowska,&nbsp;Tomasz Bochenek,&nbsp;Ewa Konarska-Kuszewska,&nbsp;Jerzy Machowski,&nbsp;Maria Trusz-Gluza,&nbsp;Grzegorz Bajor,&nbsp;Katarzyna Mizia-Stec,&nbsp;Joel P Giblett,&nbsp;Patrick A Calvert","doi":"10.5114/aic.2020.99267","DOIUrl":"https://doi.org/10.5114/aic.2020.99267","url":null,"abstract":"<p><strong>Introduction: </strong>Observational studies have shown that migraine has been associated with patent foramen ovale (PFO). Whilst studies investigating PFO closure for the treatment of migraine have been neutral, there is some evidence that symptoms of migraine may improve if the PFO was closed after ischemic stroke.</p><p><strong>Aim: </strong>To establish whether closure of PFO in patients with stroke or transient ischemic attack (TIA) is associated with reduction in the severity of co-existent migraine headaches.</p><p><strong>Material and methods: </strong>Patients with ischemic stroke or TIA, PFO suitable for percutaneous closure and migraine, were given migraine severity questionnaires prior to PFO closure. These were followed up at 6 and 12 months after closure with the same questionnaire. The primary endpoint was change in migraine severity using the Migraine Severity Scale (MIGSEV). Migraine episode frequency, disability (using the MIDAS scale), and pain intensity were also assessed.</p><p><strong>Results: </strong>Sixty-two patients were included in the analysis. MIGSEV scores reduced from 7 (7-8) at baseline to 4 (3.25-6) at 6-month follow-up, and 3 (0-4) at 12-month follow-up (<i>p</i> < 0.001). Other measures of migraine headache were also improved at both 6- and 12-month follow-up. Twenty-four (38%) patients were rendered migraine free at 12 months.</p><p><strong>Conclusions: </strong>PFO closure for stroke or TIA prevention in patients with migraine was associated with a reduction in markers of migraine headache severity.</p>","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"315-320"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/aic.2020.99267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of infarction size, complete ST-segment resolution incidence, mortality and re-infarction and target vessel revascularization between remote ischemic conditioning and ischemic postconditioning in ST-segment elevation myocardial infarction patients undergoing primary percutaneous coronary intervention.","authors":"Haozhou Zhang,&nbsp;Lei Yang,&nbsp;Lei Wang","doi":"10.5114/aic.2020.99262","DOIUrl":"https://doi.org/10.5114/aic.2020.99262","url":null,"abstract":"<p><strong>Introduction: </strong>Due to higher morbidity and mortality, ST-segment elevation myocardial infarction (STEMI) causes many public health problems.</p><p><strong>Aim: </strong>To observe effects of remote ischemic conditioning (RIC) and ischemic postconditioning (IPC) on patients diagnosed as STEMI undergoing primary percutaneous coronary intervention (pPCI).</p><p><strong>Material and methods: </strong>This meta-analysis was conducted using indirect comparison by conducting a network meta-analysis (NMA). We conducted searches by utilizing PubMed and the other databases to identify randomized controlled trials (RCTs) that described IPC or RIC treated patients diagnosed with STEMI during processes of pPCI. Enzymatic infarct size and infarction size were evaluated and cardiac events were assessed during the follow-up.</p><p><strong>Results: </strong>Pooled results showed that lower enzymatic infarction size was associated with the RIC group compared to the IPC group (IPC <i>vs</i>. RIC: standardized mean difference (SMD) = 1.126; 95% confidence interval (CI): 0.756-1.677). Compared with IPC, RIC significantly reduced infarction size, which was assessed using cardiac magnetic resonance (CMR) (SMD = 1.113; 95% CI: 0.674-1.837). We noted a potential toward greater complete ST-segment resolution in RIC patients compared with IPC patients (odds ratio (OR) = 0.821; 95% CI: 0.166-4.051). No significant difference existed in all-cause mortality (OR = 2.211; 95% CI: 0.845-5.784), Target vessel revascularization (TVR) (OR = 0.045; 95% CI: 0.001-.662) or re-infarction (OR = 1.763; 95% CI: 0.741-4.193).</p><p><strong>Conclusions: </strong>This meta-analysis suggested RIC was correlated with significantly smaller infarction size compared to IPC. No significant superiority between RIC and IPC has been observed in this study on cSTR incidence, mortality and re-infarction or TVR.</p>","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"278-286"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/aic.2020.99262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of mitral regurgitation and mitral complex geometry in patients after transcatheter aortic valve implantation.","authors":"Sorysz Danuta,&nbsp;Agata Krawczyk-Ożóg,&nbsp;Artur Dziewierz,&nbsp;Tomasz Tokarek,&nbsp;Barbara Zawiślak,&nbsp;Mateusz Hołda,&nbsp;Kinga Komnata,&nbsp;Andrzej Surdacki,&nbsp;Stanisław Bartuś,&nbsp;Dariusz Dudek","doi":"10.5114/aic.2020.99265","DOIUrl":"https://doi.org/10.5114/aic.2020.99265","url":null,"abstract":"<p><strong>Introduction: </strong>Mitral regurgitation (MR) of varying degrees and mechanisms is a common finding in patients with aortic stenosis with different improvement after transcatheter aortic valve implantation (TAVI).</p><p><strong>Aim: </strong>To evaluate the impact of TAVI on mitral complex geometry and the degree of MR.</p><p><strong>Material and methods: </strong>A total of 31 patients (29.0% males) with severe aortic stenosis and moderate or severe MR at the baseline who underwent TAVI were included in this study. Clinical and echocardiographic characteristics were determined at baseline and at 6 and 12 months.</p><p><strong>Results: </strong>After TAVI, decrease of MR vena contracta width (<i>p</i> = 0.00002, <i>p</i> = 0.00004), aorto-mural mitral annulus diameter (<i>p</i> = 0.00008, <i>p</i> = 0.02), increase of mitral annular plane systolic excursion (<i>p</i> = 0.0004, <i>p</i> = 0.0003), left ventricular stroke volume (<i>p</i> = 0.0003, <i>p</i> = 0.0004), ejection fraction (<i>p</i> = 0.0004, <i>p</i> = 0.01) and decrease of major dimension of left ventricle in three chamber view (<i>p</i> = 0.05, <i>p</i> = 0.002) were observed in patients at both time points. Additionally, we observed a decrease of distance between the head of the papillary muscles (<i>p</i> = 0.003) at 6 months and a decrease of left atrium volume index (<i>p</i> = 0.01) and systolic pulmonary artery pressure (<i>p</i> = 0.01) at 12 months.</p><p><strong>Conclusions: </strong>Patients with moderate or severe MR undergoing TAVI achieved significant improvement of mitral valve complex function resulting in the reduction of MR degree.</p>","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"300-305"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/58/PWKI-16-41851.PMC7863815.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training in congenital interventional cardiology: interviews with experts from around the globe - part one.","authors":"Goreczny Sebastian,&nbsp;Shakeel A Qureshi,&nbsp;Ziyad M Hijazi,&nbsp;Audrey C Marshall,&nbsp;Evan M Zahn,&nbsp;Sung-Hae Kim,&nbsp;Ryan Callahan","doi":"10.5114/aic.2020.99258","DOIUrl":"https://doi.org/10.5114/aic.2020.99258","url":null,"abstract":"<p><p>The foundation of wisdom is rooted in experience, and thus we reflexively call upon our senior leaders, mentors, coaches, and family members for guidance in our personal and professional lives. Witnessing the weathered perspectives of others allows for an internal audit of one's own strengths and deficiencies, which ultimately inspires personal growth. This experience is heightened when both the mentor and the mentee, for example, share a common goal. The field of congenital interventional cardiology, with its constant evolution and diverse technical approaches, requires a lifetime of learning, as well as safe passage of knowledge to the next generation. While there are published recommendations for what to consider when completing this task, hearing the sentiments of those with experience may be more profitable for future fellows and current interventionalists. In part one of a series, we hope to accomplish this goal by presenting an opportunity to learn from our experienced colleagues on the topic of congenital interventional cardiology training. Specifically, we aim to share expert opinions on how to succeed as a congenital interventional fellow, illustrate the diversity of teaching styles and expectations in various healthcare systems, and for the mid-career interventionalists, provide insight into the character traits of a successful mentor of interventional fellows.</p>","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"244-261"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/0f/PWKI-16-41845.PMC7863812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous coronary dissection and asymptomatic splenic artery aneurysms in a young woman.","authors":"Chyrchel Michał,&nbsp;Artur Dziewierz,&nbsp;Bernadeta Chyrchel,&nbsp;Tomasz Gallina,&nbsp;Oskar Szafrański,&nbsp;Andrzej Surdacki","doi":"10.5114/aic.2020.99272","DOIUrl":"https://doi.org/10.5114/aic.2020.99272","url":null,"abstract":"","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"340-342"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/f1/PWKI-16-41858.PMC7863796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From 78% oxygen saturation to 95% in 60 minutes: Osler-Weber-Rendu syndrome endovascular treatment.","authors":"Szmygin Maciej,&nbsp;Michał Sojka,&nbsp;Krzysztof Pyra,&nbsp;Tomasz Jargiełło","doi":"10.5114/aic.2020.99277","DOIUrl":"https://doi.org/10.5114/aic.2020.99277","url":null,"abstract":"Pulmonary arteriovenous malformations (PAVMs) are abnormal communications between the pulmonary artery and pulmonary vein without an intervening capillary system. PAVMs are most commonly associated with Hereditary Hemorrhagic Telangiectasia (HHT) also known as Osler-Weber-Rendu syndrome, a rare autosomal dominant disorder [1]. Acquired PAVMs occur in patients with chronic liver disease, history of cardiosurgical procedures or thoracic trauma, metastatic thyroid cancer or Fanconi syndrome [2]. The presenting symptoms including dyspnea, hypoxemia and chest pain result from right-to-left shunt, cardiac volume overload and destruction of lung parenchyma. Establishing the final diagnosis is difficult and requires multi-disciplinary workup. Traditional surgical management of PAVM has been gradually replaced by minimally invasive embolotherapy which became a gold standard of treatment [3]. We hereby present the case of a patient with two PAVMs resulting in worsening dyspnea and cyanosis successfully treated by endovascular embolization. A 32-year-old man with two clinically known PAVMs (one significantly bigger in the left lung and one smaller in the right lung (Figure 1 A)) treated for over 10 years with home oxygen therapy was admitted to the Department of Pulmonology. Because of the congenital character of the disease he was adopted to low oxygen saturation, however, over few weeks he reported increasing weakness and 2 episodes of loss of consciousness. Baseline results: oxygen saturation – 78%, PaO 2 – 42 mm Hg, PaCO2 – 35 mm Hg, pH – 7.45. Due to severe dyspnea and clinical deterioration, he was referred to the Department of Interventional Radiology for an endovascular procedure. In local anesthesia, the femoral vein access was obtained, left pulmonary vein catheterized and PAVM depicted (Figure 1 B). The embolization of the feeding arteries, AVM nidus and AVM-associated aneurysms was consecutively preformed with coils (Nester and MReye, Cook Medical, Bloomington, IN, USA) and 10 mm Amplatzer Vascular Plug (St. Jude Medical, MN, USA). A control contrast injection showed complete elimination of PAVM of the left lung (Figure 1 C). Immediate improvement of the patient’s condition was observed. Oxygen saturation measured directly after the procedure was 95%. Arterial-blood gas values 24 h post-embolization confirmed the improvement of oxygenation – PaO 2 – 77 mm Hg, PaCO2 – 31 mm Hg, pH – 7.40. The patient was discharged from the hospital 2 days after the procedure in good clinical condition. Smaller PAVM of the right lung was successfully treated with coil embolization 3 months after the primary procedure (Figure 1 D). This case report demonstrates that the awareness of possible treatment of rare diseases is insufficient both in the general public and among healthcare professionals. This young individual spent over 10 years from the first CT-angio examination to the final procedure under medical supervision treated only with home oxygen therapy. This ","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"354-355"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/dd/PWKI-16-41863.PMC7863809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endocan expression correlated with total volume of coronary artery dilation in patients with coronary artery ectasia.","authors":"Iwańczyk Sylwia,&nbsp;Aleksander Araszkiewicz,&nbsp;Michał Borger,&nbsp;Mikołaj Kamiński,&nbsp;Michał Wrotyński,&nbsp;Ewa Chmara,&nbsp;Artur Cieślewicz,&nbsp;Artur Radziemski,&nbsp;Maciej Lesiak","doi":"10.5114/aic.2020.99264","DOIUrl":"https://doi.org/10.5114/aic.2020.99264","url":null,"abstract":"<p><strong>Introduction: </strong>Inflammation and angiogenesis disturbances are considered as factors contributing to the development of coronary artery ectasias (CAE). Endocan (endothelial cell-specific molecule-1 - ESM-1) regulates both inflammatory and angiogenetic processes. However, there are no data about the correlation between endocan level and the severity of CAE measured with total volume of coronary artery dilation.</p><p><strong>Aim: </strong>To assess whether the severity of the inflammatory process measured as endocan concentration correlates with the total volume of CAE.</p><p><strong>Material and methods: </strong>We selected prospectively a total of 43 consecutive patients with coronary artery ectasia from 2240 patients who underwent coronary angiography in our center. Determination of endocan was performed by using the Human Endothelial cell-specific Molecule 1 (ECSM1/ENDOCAN) ELISA Kit. 3D QCA (three-dimensional quantitative coronary angiography) was used for coronary lesion and aneurysm quantification. The total volume of dilation was defined as the volume of all aneurysms and ectasias of coronary arteries in 1 patient.</p><p><strong>Results: </strong>The mean volume of all aneurysms in 1 patient was 677 ±878.7 mm³. The total aneurysm volume was positively strongly correlated with endocan concentration (Pearson correlation coefficient: 0.811; 2-tailed <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Endocan is a potential marker of vascular wall damage mainly as a result of inflammation in the course of atherosclerosis, but also vascular remodeling as a result of a disturbance of pro- and anti-angiogenic processes. Endocan level reflects the intensity of the above processes and therefore correlates with the severity of CAE, measured as the total volume of dilation.</p>","PeriodicalId":520756,"journal":{"name":"Postepy w kardiologii interwencyjnej = Advances in interventional cardiology","volume":" ","pages":"294-299"},"PeriodicalIF":1.3,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5a/22/PWKI-16-41850.PMC7863800.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}