Vessel plus最新文献_第4页

Crack the rock: the role of coronary lithotripsy for heavy calcified lesions 岩石破裂：冠状动脉碎石术在严重钙化病变中的作用

Vessel plus Pub Date : 2023-09-07 DOI: 10.20517/2574-1209.2023.22

A. Sciahbasi, S. Minardi

引用次数: 0

Strategies of cerebral protection and neurologic dysfunctions after circulatory arrest: back to the future? 循环停止后脑保护和神经功能障碍的策略:回到未来?

Vessel plus Pub Date : 2023-08-24 DOI: 10.20517/2574-1209.2023.42

A. Calafiore, S. Prapas, Stefano Guarracini, M. Di Marco, R. Lorusso, D. Paparella, Kostas Katsavrias, A. Totaro, M. di Mauro

{"title":"Strategies of cerebral protection and neurologic dysfunctions after circulatory arrest: back to the future?","authors":"A. Calafiore, S. Prapas, Stefano Guarracini, M. Di Marco, R. Lorusso, D. Paparella, Kostas Katsavrias, A. Totaro, M. di Mauro","doi":"10.20517/2574-1209.2023.42","DOIUrl":"https://doi.org/10.20517/2574-1209.2023.42","url":null,"abstract":"The introduction of deep hypothermic circulatory arrest (CA) was the factor that contributed to the diffusion of aortic arch surgery in the surgical world. The progressive quest to improve the outcome of such a complex surgery included the introduction of different tools to better protect the brain, such as retrograde or antegrade cerebral perfusion. The increased experience not only resulted in a continuous improvement of the results, but also facilitated the widespread adoption of arch surgery across most of the cardiac Centers. The trend moved towards a gradual rise in the temperature (from ≤ 20 to 30 °C), coupled with a preference for selective/unilateral antegrade cerebral perfusion for brain protection. Nevertheless, results are not perfect and neurologic dysfunctions, temporary or permanent, remain a frequent complication. The spinal cord is not completely protected by cerebral perfusion and ischemia of the lower body can cause organ malfunctions with severe consequences. After decades, the field is still open for new strategies to minimize the damages intrinsic to the procedure. This review will briefly describe the energetics of the brain, the mechanisms of neurologic dysfunctions, and the advantages and disadvantages of the strategies of cerebral protection commonly used during CA for aortic arch surgery.","PeriodicalId":75299,"journal":{"name":"Vessel plus","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42193430","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

Applications of nanotechnology in the treatment of pulmonary diseases 纳米技术在肺部疾病治疗中的应用

Vessel plus Pub Date : 2023-07-31 DOI: 10.20517/2574-1209.2023.06

Rahit Kumar Dey, Bachaspati Jana, Debabrata Ghosh Dastidar

引用次数: 0

Optimization of the proximal sealing in thoracic endovascular aortic repair (TEVAR) 胸主动脉腔内修复术（TEVAR）中近端密封的优化

Vessel plus Pub Date : 2023-07-28 DOI: 10.20517/2574-1209.2023.05

F. Squizzato, A. Spertino, F. Grego, M. Antonello, M. Piazza

引用次数: 0

Severely calcified coronary artery lesions: focus on interventional management 严重钙化的冠状动脉病变：介入治疗的重点

Vessel plus Pub Date : 2023-07-26 DOI: 10.20517/2574-1209.2023.26

G. Andò, Giulia Alagna, S. De Rosa, F. Pelliccia, F. Gragnano, G. Niccoli, R. Piccolo, E. Moscarella, E. Fabris, R. Montone, S. Muscoli, C. Spaccarotella, G. Sinagra, C. Indolfi, I. Porto, P. Perrone Filardi, P. Calabrò

{"title":"Severely calcified coronary artery lesions: focus on interventional management","authors":"G. Andò, Giulia Alagna, S. De Rosa, F. Pelliccia, F. Gragnano, G. Niccoli, R. Piccolo, E. Moscarella, E. Fabris, R. Montone, S. Muscoli, C. Spaccarotella, G. Sinagra, C. Indolfi, I. Porto, P. Perrone Filardi, P. Calabrò","doi":"10.20517/2574-1209.2023.26","DOIUrl":"https://doi.org/10.20517/2574-1209.2023.26","url":null,"abstract":"Severe coronary artery calcifications remain a challenge for the contemporary interventional cardiologist in the light of the growing demand for diagnostic procedures and interventions in elderly patients; in addition, the general prognostic improvement after percutaneous coronary intervention (PCI) is expanding the indications to PCI to increasingly complex anatomies. In the last decade, a renewed interest in the treatment of calcific lesions has been observed, with the aim to optimize the mechanic effects of balloon angioplasty and the expansion and apposition of DES to the vessel wall. However, patients with calcific coronary artery disease represent a subset with a high risk of adverse outcomes, both intra-procedural and in the long-term. The need to guarantee a targeted and tailored treatment based on the coronary anatomy of any individual patient is a current priority of the interventional community. The efficacy of rotational atherectomy in improving procedural success for the treatment of calcified lesions has been widely demonstrated. The advent of new technologies -especially of intravascular lithotripsy (IVL)-, the application of techniques and materials initially developed for as complex procedures as chronic total occlusions (CTO), the increasing experience of contemporary operators and the introduction of latest generation drug-eluting stents (DES) with excellent technical and structural properties, are further contributing to improving outcomes of current PCI for calcific lesions.","PeriodicalId":75299,"journal":{"name":"Vessel plus","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43740799","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

Descending thoracic and thoracoabdominal aortic aneurysm repair using deep hypothermic circulatory arrest 深低温停循环下行胸腹主动脉瘤修复术

Vessel plus Pub Date : 2023-07-18 DOI: 10.20517/2574-1209.2023.08

M. Troncone, Jonathan C. Hong

引用次数: 0

Diffuse coronary artery disease management with drug-coated balloons 药物涂层球囊治疗弥漫性冠状动脉疾病

Vessel plus Pub Date : 2023-07-12 DOI: 10.20517/2574-1209.2023.11

H. Onea, Florin L Lazăr, D. Olinic, B. Cortese

{"title":"Diffuse coronary artery disease management with drug-coated balloons","authors":"H. Onea, Florin L Lazăr, D. Olinic, B. Cortese","doi":"10.20517/2574-1209.2023.11","DOIUrl":"https://doi.org/10.20517/2574-1209.2023.11","url":null,"abstract":"Drug-coated balloons (DCB) have emerged as a valid alternative for drug-eluting stents in the treatment of in-stent restenosis and de-novo lesions in small vessels. In the past years, a significant effort has been made to investigate the role of this strategy in larger vessel disease, with promising preliminary results being reported for several clinical scenarios, including complex lesions, such as bifurcations, chronic total occlusions and diffuse, long lesions. A DCB strategy appears to be of significant interest in diffuse coronary disease, as the total stent length represents an independent predictor for target-vessel failure and a surgical approach does not seem to improve mid- and long-term results compared to optimal medical treatment. Several studies have investigated the safety and efficacy of a non-stent-based approach in this complex setting, and as promising results have been reported, it is fair to assume that reducing the amount of implanted metal in diffusely affected vessels could become the standard of care for these patients if a full or blended therapy with DCB is adopted. However, long-term results from large-scale studies are awaited to confirm these preliminary and intriguing results.","PeriodicalId":75299,"journal":{"name":"Vessel plus","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48662799","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

Complex pathogens in infective endocarditis 感染性心内膜炎的复杂病原体

Vessel plus Pub Date : 2023-01-01 DOI: 10.20517/2574-1209.2022.51

L. Escolà-Vergé, A. Roque, M. N. Pizzi, J. González-López, B. Almirante, N. Fernández-hidalgo

{"title":"Complex pathogens in infective endocarditis","authors":"L. Escolà-Vergé, A. Roque, M. N. Pizzi, J. González-López, B. Almirante, N. Fernández-hidalgo","doi":"10.20517/2574-1209.2022.51","DOIUrl":"https://doi.org/10.20517/2574-1209.2022.51","url":null,"abstract":"Infective endocarditis (IE) is a complex disease whose prognosis depends on the causative microorganism, among other factors. The latter can be difficult to identify and/or treat. In this narrative review, we identify knowledge gaps in the diagnosis and antimicrobial treatment of IE, and attempt to shed light on current questions. Specifically, we: (1) analyze the factors that may hinder the microbiological diagnosis of blood culture-negative IE, as well as the role of new imaging techniques, such as 18F-fluorodeoxyglucose ([18F]FDG PET/CT), in the diagnostic capacity of this disease, understanding their advantages and assuming their limitations; (2) discuss the therapeutic approach to various difficult-to-treat microorganisms. In particular, we focus on the treatment of staphylococcal IE since, at present, staphylococci are the most frequent cause of IE in developed countries and staphylococcal IE is one of those with the highest short- and long-term mortality. We critically evaluate the current evidence on combination therapy and address the occurrence of serious side effects, an aspect that is often overlooked owing to the severity of the infection; and (3) emphasize the need for home antimicrobial treatment of patients with IE, as these are fragile people who benefit from an early return to their environment. This poses undoubted logistical challenges and requires robust evidence to ensure the best short- and long-term outcomes.","PeriodicalId":75299,"journal":{"name":"Vessel plus","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67655699","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

The “Y”-configuration of double Neuroform Atlas assisted coil embolization for treatment of cerebral bifurcation wide-neck aneurysms: very long-term follow-up of a multicentric experience 双神经形态阿特拉斯辅助线圈栓塞治疗脑分叉宽颈动脉瘤的“Y”型配置:多中心经验的长期随访

Vessel plus Pub Date : 2023-01-01 DOI: 10.20517/2574-1209.2022.62

引用次数: 0

Total endovascular aortic arch repair: is it for everyone and where is its evidence? 全血管内主动脉弓修复:适合每个人吗?证据在哪里?

Vessel plus Pub Date : 2023-01-01 DOI: 10.20517/2574-1209.2022.49

引用次数: 1