Annales de cardiologie et d'angeiologie最新文献

{"title":"[Percutaneous treatment of severe tricuspid regurgitation: indications and therapeutic options through two clinical cases].","authors":"Andrei Georgian Florescu, Enrique Alonso, Emilie Fougères, Morad Djebbar, Imane Bagdadi, Antoinette Neylon, Mariama Akodad","doi":"10.1016/j.ancard.2025.101917","DOIUrl":"10.1016/j.ancard.2025.101917","url":null,"abstract":"<p><p>Severe tricuspid regurgitation, considered a benign condition for decades, is now recognized for its significant impact on morbidity, mortality and quality of life. Despite this awareness, management often remains limited to symptomatic treatment with diuretics while surgery is rarely proposed due to a high operative risk approaching 10%. In this context transcatheter therapies have gained considerable momentum and represent a credible therapeutic alternative for high-risk patients. Among the emerging strategies, two techniques are predominant: edge-to-edge repair, the most extensively studied to date and now well established and transcatheter tricuspid valve replacement whose clinical data and visibility are steadily increasing owing to promising results. Therapeutic decision-making relies on a multidisciplinary evaluation incorporating clinical parameters, multimodality imaging and detailed valvular morphology. Two clinical cases are presented to illustrate the key factors guiding indication and procedural strategy for each approach.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101917"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811528","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":"[Coronary Angioplasty among Women in Morocco].","authors":"El Mostafa Aziouaz, Sara Jourani, Zakariae Laraichi, Hakim Benamer","doi":"10.1016/j.ancard.2025.101921","DOIUrl":"10.1016/j.ancard.2025.101921","url":null,"abstract":"<p><strong>Introduction: </strong>Data on coronary artery disease in women in the Maghreb remain scarce, particularly regarding the angiographic profile and procedural success of percutaneous coronary interventions (PCI). This study aimed to characterize the clinical and angiographic features of female patients undergoing PCI in a Moroccan center and to identify factors associated with incomplete revascularization.</p><p><strong>Methods: </strong>This was a prospective observational study conducted between January and April 2025 in a cardiology center in Nador, Morocco. All female patients who underwent PCI during the study period were included. Clinical, angiographic, and procedural data were collected prospectively. Logistic regression analyses were performed to assess factors associated with incomplete revascularization.</p><p><strong>Results: </strong>A total of 50 female patients were included (mean age: 69.9 ± 8.7 years). The prevalence of cardiovascular risk factors was high: 72% had diabetes, 74% had hypertension, and all were physically inactive. The most frequent indication for PCI was acute coronary syndrome (36%), followed by stable angina (32%). The median SYNTAX score was 7 [IQR: 4-16.25]. Complete revascularization was achieved in 72% of cases. In univariate analysis, incomplete revascularization was significantly associated with age >75 years (p = 0.03), higher SYNTAX score (median 12 vs. 6; p < 0.001), multivessel intervention (p = 0.001), severe coronary calcification (p < 0.001), and longer total stent length (p = 0.002). In multivariate analysis, only SYNTAX score (OR = 1.27; p < 0.05) and severe calcification (OR = 32.2; p < 0.05) remained independent predictors of incomplete revascularization.</p><p><strong>Conclusion: </strong>This study highlights the distinctive clinical and angiographic profile of Moroccan women undergoing PCI, characterized by advanced age, a high burden of diabetes, and frequent calcified lesions. SYNTAX score and severe calcification emerged as the main predictors of incomplete revascularization in this cohort.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101921"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811525","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":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00085-X","DOIUrl":"10.1016/S0003-3928(25)00085-X","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101946"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988107","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":"[Coronary revascularization in diabetic patient: which approach to choose?]","authors":"Mehdi Benamer, Patrick Henry, Jean Guillaume Dillinger, Antoine Lequipar, Théo Pezel, Alexandre Lafont, Emmanuel Gall","doi":"10.1016/j.ancard.2025.101918","DOIUrl":"10.1016/j.ancard.2025.101918","url":null,"abstract":"<p><p>Diabetes constitutes a major risk factor for coronary artery disease, with often diffuse, calcified, and complex lesions, making the revascularization strategy particularly challenging. We report two clinical cases illustrating contrasting approaches in diabetic patients presenting with multivessel coronary disease. The first case involves a complex coronary angioplasty in the setting of acute coronary syndrome, guided by intracoronary imaging, highlighting the value of this modality in ostial left main lesions. The second case describes surgical revascularization in a stable patient with extensive coronary artery disease and left ventricular dysfunction, demonstrating the superiority of coronary artery bypass grafting in this context. These observations illustrate the importance of a personalized and multidisciplinary approach, based on current guidelines and the patient's anatomical and clinical characteristics. The advent of modern revascularization techniques and the anticipated results of the ANDAMAN study could soon redefine the standards of care for these high-risk patients.</p>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101918"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811526","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":"[Medicine for all, special attention for everyone].","authors":"Orianne Weizman, Mehdi Benamer, Hakim Benamer","doi":"10.1016/j.ancard.2025.101923","DOIUrl":"10.1016/j.ancard.2025.101923","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"101923"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815594","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":"Imagerie intracoronaire : quelle place dans la pathologie cardiovasculaire de la femme ?","authors":"Serigne C.T. Ndao,&nbsp;Nicolas Amabile","doi":"10.1016/j.ancard.2025.101916","DOIUrl":"10.1016/j.ancard.2025.101916","url":null,"abstract":"<div><h3>Background</h3><div>Coronary artery disease remains the leading cause of mortality among women, despite a persistent underestimation of its clinical impact. Intracoronary imaging techniques (ICI), such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT), have emerged as valuable tools to complement angiography, especially in women, whose pathophysiological mechanisms are often atypical.</div></div><div><h3>Aims</h3><div>To analyse current data on the use of ICI in women and highlight its benefits, limitations, and sex-specific considerations.</div></div><div><h3>Methods</h3><div>Narrative review of recent literature, including observational studies, post-hoc analyses of randomized trials, and registries focusing on IVUS and OCT use in women.</div></div><div><h3>Results</h3><div>Women tend to have smaller coronary arteries, less extensive atherosclerotic disease, and distinct plaque composition, with a predominance of erosions over ruptures. These characteristics are poorly assessed by angiography alone, reinforcing the value of ICI, particularly in cases of MINOCA and spontaneous coronary artery dissection (SCAD). Despite demonstrated clinical benefits, ICI remains underused in women, with lower penetration into routine practice and underrepresentation in clinical trials. Complications related to intracoronary imaging are rare and comparable between genders, if precautions specific to female anatomy are observed.</div></div><div><h3>Conclusion</h3><div>ICI represents a significant yet underutilized opportunity to improve cardiovascular outcomes in women. Better integration of this technology into diagnostic and therapeutic strategies, combined with more gender-specific research, is essential to reduce persistent disparities in care.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101916"},"PeriodicalIF":0.3,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889088","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":"Angor réfractaire et place du réducteur de sinus coronaire","authors":"Pierre Bourbon ,&nbsp;Matthieu Périer ,&nbsp;Benamer Hakim","doi":"10.1016/j.ancard.2025.101928","DOIUrl":"10.1016/j.ancard.2025.101928","url":null,"abstract":"<div><div>Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101928"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864197","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":"Faisabilité et sécurité de l’abord radial droit pour l’angiographie des pontages mammaires internes gauches","authors":"Taha Ettachfini ,&nbsp;Karim Badaoui ,&nbsp;Jose Castro Rodriguez","doi":"10.1016/j.ancard.2025.101927","DOIUrl":"10.1016/j.ancard.2025.101927","url":null,"abstract":"<div><h3>Background</h3><div>The right radial approach has become the preferred access route for coronary angiography and percutaneous coronary intervention. However, its use for left internal mammary artery graft (LIMA) angiography in patients with prior coronary artery bypass grafting (CABG) remains controversial. This study aimed to assess the feasibility and safety of the right radial approach compared with the left radial and femoral approaches for LIMA graft angiography.</div></div><div><h3>Methods</h3><div>We compared feasibility criteria (LIMA visualization and selective engagement, procedure duration, contrast volume, and fluoroscopy time) and safety parameters during LIMA graft angiography, across right radial, left radial, and femoral access in 760 post-CABG patients.</div></div><div><h3>Results</h3><div>LIMA visualization was successful in 92% of cases via the right radial access, compared to 96% for both the left radial and femoral access (<em>p</em> = 0.158). Selective LIMA engagement was significantly lower with the right radial access (61%) than with the left radial (86%) and femoral (78%) access (<em>p</em> &lt; 0.0001). No significant differences were observed in procedure duration, fluoroscopy time, or contrast volume. Haemorrhagic complications were significantly less frequent with the right radial approach (0%) compared to the femoral approach (6%, <em>p</em> = 0.0001). The rates of radial artery spasm and occlusion were similar between the two radial access groups.</div></div><div><h3>Conclusion</h3><div>The right radial access is a safe and effective alternative for LIMA graft angiography in post-CABG patients. It represents a valuable option when the left radial artery is unavailable, allowing to avoid the femoral access and its associated complications.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101927"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879755","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":"Revascularisation du patient ponté : revue de la littérature des stratégies thérapeutiques","authors":"Sara Jourani ,&nbsp;Zakariae Laraichi ,&nbsp;Hakim Benamer","doi":"10.1016/j.ancard.2025.101922","DOIUrl":"10.1016/j.ancard.2025.101922","url":null,"abstract":"<div><div>Myocardial ischemia occurring in patients with history of coronary artery bypass grafting (CABG) presents a significant therapeutic challenge. Vein graft degeneration, particularly of saphenous vein grafts, is a common complication with a time-dependent increase in incidence. Although arterial grafts offer greater long-term durability, they are not exempt from complications and may also require percutaneous interventions, which are often technically complex. Through this literature review, we examine the various revascularization strategies and reassess current guidelines, with the aim of optimizing therapeutic management in this high-risk patient population.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101922"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864199","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":"TAVI en centres non chirurgicaux : entre pragmatisme clinique et mirage réglementaire","authors":"Radwan Hakim,&nbsp;Franck Albert","doi":"10.1016/j.ancard.2025.101915","DOIUrl":"10.1016/j.ancard.2025.101915","url":null,"abstract":"<div><div>TAVI has emerged as a safe and effective alternative to surgical aortic valve replacement, including in low-risk patients. However, French regulations still require the procedure to be performed exclusively in centers with on-site cardiac surgery. While historically justified, this requirement now appears outdated in light of technical advancements, reduced complication rates, and reassuring registry data. Several countries have already demonstrated the feasibility and safety of TAVI in experienced non-surgical centers. The current restriction generates inequalities in access, longer waiting times, and loss of patient opportunity. A structured evolution of the model, based on experience, quality criteria, and organized collaborations, could broaden access to TAVI without compromising safety. It is time to reconcile safety, pragmatism, and equitable access.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101915"},"PeriodicalIF":0.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863950","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}