Annales de cardiologie et d'angeiologie最新文献

{"title":"[Percutaneous left atrial appendage closure: Towards enlargement of implantations in centres without on-site cardiac surgery].","authors":"W Amara, M Amrani, C Moini, A Salhi, P Socie, J Taieb","doi":"10.1016/j.ancard.2026.102099","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102099","url":null,"abstract":"<p><p>Percutaneous left atrial appendage closure is now an established strategy for thromboembolic prevention in atrial fibrillation. However, the organizational requirements governing its performance remain heterogeneous across regulations and healthcare systems, particularly in France. In this context, it is relevant to assess whether, in experienced centers, an organizational model based on specific expertise and a rapid surgical referral pathway could provide a safe alternative to the presence of on-site cardiac surgery. This article is in favor of extension in France of percutaneous left atrial appendage closure in centres without on-site cardiac surgery.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190667","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}

{"title":"[Interventional cardiology in 2035: Towards a precision medicine].","authors":"G Range, G Cayla, J Monsegu","doi":"10.1016/j.ancard.2026.102091","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102091","url":null,"abstract":"<p><p>Interventional cardiology has continued to progress over the years. Once limited to coronary procedures, it's now evolving toward structural cardiology. Along technological challenges that will gradually being overcome, multimodal imaging is increasingly being integrated to guide procedures, together with artificial intelligence and data analysis, enabling personalized patient care through a global cardiovascular interventional medicine approach.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163675","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}

{"title":"Treatment of calcified coronary lesions with intravascular lithotripsy: experience of a regional French centre.","authors":"H Chraibi, S M'barki, A Ramoum, B Ahmad, M Chidiac, R Ghenim, P Laury, A Ziani, T Hassani","doi":"10.1016/j.ancard.2026.102095","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102095","url":null,"abstract":"<p><strong>Introduction: </strong>Coronary intravascular lithotripsy (CIVL) has emerged as a promising technique for modifying severe coronary calcification before stent deployment, yet real-world data are still limited. The present study aimed to evaluate the indications, procedural modalities, and clinical outcomes of CIVL in consecutive real-world patients.</p><p><strong>Patients and methods: </strong>We conducted a retrospective analysis of all patients in whom CIVL was attempted between April 2022 and December 2023 at our centre, representing our initial experience with this technique. Demographic, clinical, and procedural data were extracted from electronic medical records. Follow-up data were obtained via telephone contact in patients who survived the index hospitalization without major complications.</p><p><strong>Results: </strong>Seventy patients (mean age 76.9±9.3 years, 78.6% male) with one lesion per patient were included. The most frequent cardiovascular risk factor was hypertension (65.7%). 52.9% of patients presented with acute coronary syndromes; and 25% with chronic coronary syndromes. The mean procedural time was 65.6±28.1minutes, fluoroscopy time 25.7±13.6minutes, and contrast volume 170.3±71.6mL. The left anterior descending artery (44.3%) and right coronary artery (34.3%) were most commonly treated. Proximal lesions constituted 42.9% of the cohort. The mean lithotripsy balloon diameter was 3.3±0.5mm; mean stent diameter 3.4±0.5mm; average number of stents per lesion 1.5±0.7; and total stent length 34.6±18.6mm. In 8.3% of cases, CIVL was used as a bailout strategy for stent underexpansion. Angiographic success was achieved in 92.9% of procedures; one case (1.4%) resulted in coronary perforation. In 5.7% of lesions, the operator could not cross the lesion with the balloon; 2.9% required adjunctive rotational atherectomy. Over follow-up, cardiovascular death occurred in 7.1%, with no documented myocardial infarction, stroke, or target vessel revascularization.</p><p><strong>Conclusion: </strong>In an older, comorbid population, CIVL appears to be an effective and safe strategy for treating heavily calcified coronary lesions, with a high angiographic success rate and acceptable complications. Our findings demonstrate that CIVL can be rapidly and safely integrated into the routine clinical workflow of a regional center, even in patients presenting with acute coronary syndrome.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164036","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}

{"title":"Prevalence of cardiovascular risk factors among Nepalese adults who work at higher altitudes.","authors":"B Rauniyar, A Kadel, S Adhikari, K Karki, D C Bajracharya, D D Wang, W O'Neill","doi":"10.1016/j.ancard.2026.102098","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102098","url":null,"abstract":"<p><strong>Introduction: </strong>Non-communicable diseases such as diabetes mellitus, obesity, and hypertension are major global health concerns, with 80% occurring in low-middle income countries. High-altitude exposure can influence cardiovascular health, affecting disease prevalence and life expectancy. In Nepal, a significant portion of the population lives and works at high altitudes, facing unique environmental and physiological stresses. This study aimed to determine the prevalence of cardiovascular disease risk factors among adults working at high altitudes in Nepal.</p><p><strong>Methods: </strong>A descriptive medical camp-based study was conducted in Kathmandu in February and May 2023. The sample included 239 participants, predominantly Sherpa trekking guides, porters, and trekkers working above 4000 m. Data collection involved a structured questionnaire covering socio-demographic variables, health profiles, and lifestyle habits. Blood pressure and echocardiogram were performed, and data were analyzed using SPSS version 25.</p><p><strong>Results: </strong>Among the participants, 75% were male, with 35.6% aged 31-40. Diabetes was reported by 19.1%, followed by hypertension in 9.2%. Additionally, 53.8% engaged in regular physical activity, 67% were non-smokers, and 59.1% consumed alcohol. Echocardiogram results showed normal left ventricular ejection fraction for all participants. Notably, 32.5% experienced acute mountain sickness, and 3.8% reported syncope.</p><p><strong>Conclusion: </strong>The prevalence of diabetes, hypertension, dyslipidemia are there among the participants who work in high altitudes. Addressing cardiovascular risk factors among high-altitude workers in Nepal is urgent. So, further research on cardiovascular diseases should be carried out at high altitudes.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134892","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}

{"title":"[Interventional cardiology by 2035: from a hands-on medicine to a decision-based medicine].","authors":"H Benamer","doi":"10.1016/j.ancard.2026.102092","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102092","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126490","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}

{"title":"[Phenotypic stratification of acute coronary syndrome patients based on metabolic and renal profiles: Prognostic insights from a hospital study].","authors":"M Fissah, S Bennouar, F Menzou, C Benbouzid, H Melloul, M Rabhia, S Lehachi, S Abdi, A Chibane","doi":"10.1016/j.ancard.2026.102096","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102096","url":null,"abstract":"<p><strong>Background: </strong>Acute coronary syndromes are characterized by substantial heterogeneity in clinical presentation and outcomes. Conventional prognostic scores are useful but may not fully capture the biological complexity of patient profiles.</p><p><strong>Objective: </strong>To assess whether stratifying patients admitted for acute coronary syndrome according to metabolic, renal and inflammatory phenotypes provides additional prognostic information for in-hospital complications.</p><p><strong>Patients and methods: </strong>We conducted a hospital-based observational study including 134 patients admitted for acute coronary syndrome, 56% with non-ST-segment elevation myocardial infarction and 44% with ST-segment elevation myocardial infarction. Patients were classified into three phenotypic groups based on admission characteristics using latent class analysis: cardiorenal, metabolic and inflammatory. Associations with severity indices and in-hospital complications were analyzed.</p><p><strong>Results: </strong>The metabolic phenotype was more often associated with non-ST-segment elevation presentation and a higher frequency of arrhythmic complications (P=0.024). The cardiorenal phenotype was associated with high mortality-risk score and in-hospital mortality (P=0.006). The inflammatory phenotype was associated with bleeding risk and hemodynamic instability (P<0.05). In multivariate analysis, adding phenotypes to conventional scores improved prognostic discrimination (incremental C-statistic improvement of 0.07; P=0.031).</p><p><strong>Conclusion: </strong>Phenotypic stratification of patients with acute coronary syndrome refines risk assessment and identifies high-risk subgroups not fully captured by conventional scores. This approach may support more personalized in-hospital monitoring.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126514","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}

{"title":"[Intraplaque hemorrhage: An underrecognized mechanism of coronary artery disease instability].","authors":"B Duband, G Souteyrand, P Motreff","doi":"10.1016/j.ancard.2026.102087","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102087","url":null,"abstract":"<p><p>We report the case of a 49-year-old woman presenting with acute coronary syndrome caused by thrombotic occlusion of the left anterior descending artery, initially managed with thrombectomy and antithrombotic therapy without stent implantation. At one month, optical coherence tomography (OCT) showed healed plaque erosion without significant residual stenosis. Five months later, recurrent angina revealed rapid progression to severe stenosis, with OCT findings consistent with intraplaque hemorrhage, requiring stent implantation. This case highlights that a plaque with apparent surface healing may remain vulnerable and that intraplaque hemorrhage may represent an underrecognized mechanism of rapid plaque progression and coronary instability.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126484","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}

{"title":"[Percutaneous coronary intervention in Burkina Faso: About the first cases performed in Ouagadougou].","authors":"Y Kambiré, I G D Etongo, N H Somé, S Tiemtoré, L K S Sia, L Konaté, I Diallo, L K F Compaoré, E Diessongo, K J Kologo, A Tall-Thiam, G R C Millogo, N V Yameogo, A K Samadoulougou, P Zabsonre","doi":"10.1016/j.ancard.2026.102094","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102094","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is a relatively new technique in Burkina Faso. Our objective was to describe the indications, and outcome of the first cases performed at the Tengandogo University Hospital in Ouagadougou.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional study involving retrospective collection of available data and prospective follow-up of patients who underwent coronary angiography in order to benefit a PCI from March 22, 2022, to August 31, 2024, in the interventional cardiology unit of the Tengandogo University Hospital.</p><p><strong>Results: </strong>Sixty-three patients, with a mean age of 58.86±10.59 years, were included in the study, showing a male predominance (83%). The main cardiovascular risk factors among patients were hypertension (92.1%), age correlated with sex (79.4%), and a sedentary lifestyle (55.6%). ST-segment Elevation Myocardial Infarction was the primary indication (55.6%). Lesions were multivessel in 66.7% of cases. PCI by stenting was performed in 59 (93.7%) of patients. The PCI procedure was successful in 59 patients (93.7%). The in-hospital course was marked by four deaths, including one on the operating table due to critical ostial stenosis of the left main coronary artery.</p><p><strong>Conclusion: </strong>Percutaneous coronary intervention is feasible in Burkina Faso despite numerous challenges. It improves the management of coronary artery disease.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126477","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}

{"title":"Impact de la prise en charge préhospitalière sur le pronostic des arrêts cardiaques extrahospitaliers","authors":"A. Outahayou,&nbsp;I. Fellat,&nbsp;S. Bensaleh,&nbsp;N. El karroumi,&nbsp;W. Amara,&nbsp;M. Monchi,&nbsp;C. Moini","doi":"10.1016/j.ancard.2026.102055","DOIUrl":"10.1016/j.ancard.2026.102055","url":null,"abstract":"<div><h3>Background</h3><div>Out-of-hospital cardiac arrest is a major public health challenge in France, with approximately 46,000 cases per year and survival rates ranging from 4 to 10%. Early prehospital management is a key determinant of vital and neurological prognosis.</div></div><div><h3>Methods</h3><div>Single-center, retrospective, observational study including 100 patients managed by the mobile intensive care unit of Melun General Hospital between January 2021 and September 2025. Neurological outcome was assessed using the Cerebral Performance Category score. Bivariate analysis and multivariate logistic regression were performed to identify factors associated with in-hospital survival. Numerical variables are reported as median [quartile1–quartile 3].</div></div><div><h3>Results</h3><div>Median age was 66 years [54.5–73], with 59% male patients. Cardiac arrest occurred at home in 78% of cases. Bystander cardiopulmonary resuscitation was initiated in 80% of cases; public automated external defibrillator use remained marginal (9%). Median no-flow duration was 3<!--> <!-->minutes [1–8.5] and median low-flow duration was 20<!--> <!-->minutes [13–30]. Asystole was the initial rhythm in 76% of cases. In-hospital survival was 20%. Multivariate analysis showed that shorter no-flow and low-flow intervals were independently associated with survival. Bystander intervention was not significant after adjustment.</div></div><div><h3>Conclusion</h3><div>Prehospital time intervals, especially no-flow duration, are the primary determinants of survival after out-of-hospital cardiac arrest. Strengthening public training in basic life support and improving automated external defibrillator accessibility are priority targets to improve outcomes.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"75 4","pages":"Article 102055"},"PeriodicalIF":0.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700613","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}

{"title":"[Complex femoral access in TAVI: From risk identification to alternative approaches].","authors":"I Skalidis, G Liccardo, T Hovasse, T Unterseeh, S Champagne, Y Lounes, A Neylon, M Akodad","doi":"10.1016/j.ancard.2026.102090","DOIUrl":"https://doi.org/10.1016/j.ancard.2026.102090","url":null,"abstract":"<p><p>Transcatheter aortic valve implantation (TAVI) has become the reference treatment for severe aortic stenosis across all surgical risk categories. Transfemoral access remains the default approach, but vascular complications, especially in patients with peripheral artery disease (PAD), can limit its feasibility. This review follows a three-step structure. First, when to suspect complex femoral access? The concept of \"hostile\" access (small calibre, severe calcification, tortuosity) and the Hostile and Passage-Puncture scores allow this risk to be stratified from preoperative imaging. Second, how to manage a complex femoral access? Intravascular lithotripsy (IVL) and orbital atherectomy expand eligibility for transfemoral access in severe calcified PAD, dedicated techniques (buddy wire, snare) address aortic and iliofemoral tortuosity, and careful puncture-site planning limits local complications. Third, when and which alternative access to consider when transfemoral access remains unfeasible? Transaxillary/subclavian, transcarotid, transcaval or, more rarely, transapical/transaortic, are associated with different risks and selection criteria. As TAVI expands to lower-risk populations, a structured vascular access strategy remains essential to procedural success and to decrease vascular complications.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103149","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}