IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-03-28 DOI: 10.1177/00033197261435386

Metin Karayakali, Hasan Kadi, Kayıhan Karaman, Ataç Çelik, Kerem Özbek, İbrahim Halil Damar, Çağrı Zorlu, Hasan Atmaca, Sefa Erdi Ömür, Orhan Önalan

引用次数: 0

Letter: The Relationship Between Systemic Atherosclerosis and Renal Functions. 系统性动脉粥样硬化与肾功能的关系。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-02-21 DOI: 10.1177/00033197261427853

Mesut Engin, Hasan Arı, Ufuk Aydın, Yusuf Ata

引用次数: 0

Relationship Between the Severity of Coronary Artery Disease and Renal Function. 冠状动脉疾病严重程度与肾功能的关系。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-01-31 DOI: 10.1177/00033197261416667

Metin Karayakali, Hasan Kadi, Kayıhan Karaman, Ataç Çelik, Kerem Özbek, İbrahim Halil Damar, Çağrı Zorlu, Hasan Atmaca, Sefa Erdi Ömür, Orhan Önalan

{"title":"Relationship Between the Severity of Coronary Artery Disease and Renal Function.","authors":"Metin Karayakali, Hasan Kadi, Kayıhan Karaman, Ataç Çelik, Kerem Özbek, İbrahim Halil Damar, Çağrı Zorlu, Hasan Atmaca, Sefa Erdi Ömür, Orhan Önalan","doi":"10.1177/00033197261416667","DOIUrl":"10.1177/00033197261416667","url":null,"abstract":"The American Heart Association's Predicting Risk of cardiovascular disease EVENTs (PREVENT) equations established estimated glomerular filtration rate (eGFR) as a component of cardiovascular risk assessment. However, the anatomical substrate underlying this risk-coronary atherosclerotic burden-remains inadequately characterized across renal function spectrum. This retrospective study included 1181 patients (mean age: 60.2 ± 8.9 years, 65.7% male) undergoing elective coronary angiography. Patients divided groups using eGFR; eGFR ≥90 (n = 596), 60 to 89 (n = 497), and 30 to 59 mL/min/1.73 m2 (n = 88) were evaluated by stratification. Coronary atherosclerotic burden was determined using Gensini score. eGFR demonstrated a strong correlation with Gensini score (ρ = -0.352, P < .001). Each 10 mL/min/1.73 m2 eGFR decline conferred 40% increased odds of severe coronary atherosclerosis (odds ratio [OR] = 0.960, 95% CI: 0.951-0.970, P < .001). Patients with eGFR 30 to 59 mL/min/1.73 m2 exhibited 6-fold higher odds compared with preserved renal function (OR 6.073, 95% CI: 3.352-11.005, P < .001), independent of traditional risk factors. This study provides an anatomical validation for incorporating eGFR into cardiovascular risk assessment. Our angiographic evidence demonstrates that even mild renal dysfunction is accompanied by increased atherosclerotic burden. These findings bridge the gap between epidemiological risk prediction and pathophysiological reality, reinforcing the cardiovascular-kidney-metabolic health continuum and supporting aggressive risk modification strategies in patients with declining renal function, particularly among diabetic women.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"1316-1330"},"PeriodicalIF":2.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Open Surgical Versus Endovascular Repair for Type B Aortic Dissection: Umbrella Review and Meta-Analysis. 开放手术与血管内修复治疗B型主动脉夹层：综述和荟萃分析。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2025-12-12 DOI: 10.1177/00033197251392660

Hassan Al-Thani, Osamah Alrawi, Eman Elmenyar, Mashhood Naduvilekandy, Shams O Alkhateeb, Waqar Mogassabi, Lama Alkahlout, Ayman El-Menyar

{"title":"Open Surgical Versus Endovascular Repair for Type B Aortic Dissection: Umbrella Review and Meta-Analysis.","authors":"Hassan Al-Thani, Osamah Alrawi, Eman Elmenyar, Mashhood Naduvilekandy, Shams O Alkhateeb, Waqar Mogassabi, Lama Alkahlout, Ayman El-Menyar","doi":"10.1177/00033197251392660","DOIUrl":"10.1177/00033197251392660","url":null,"abstract":"This umbrella review (UR) synthesizes the current evidence comparing thoracic endovascular aortic repair (TEVAR) with open surgical repair (OSR) for the management of type B aortic dissection (TBAD), with a focus on both early and long-term outcomes. A systematic literature search was performed using PubMed, Embase, Cochrane Library, and Web of Science (2014-2025). Eleven systematic reviews met the inclusion criteria. Short-term mortality was lower with TEVAR, ranging from 2% to13.4%, while it was 4.5% to 19% with OSR. The meta-analysis showed a risk ratio (RR) of 0.51 (95% CI: 0.43-0.59; I2 = 64.6%) in favor of TEVAR. Long-term survival was comparable. TEVAR was associated with fewer complications, including cardiac events (odds ratio [OR]: 0.42-0.79), pulmonary events (OR: 0.51-0.57), renal failure (OR: 0.53-0.63), and bleeding (OR: 0.24 and RR: 0.44). For stroke, the UR showed mixed results (OR: 0.23-1.11), but the meta-analysis showed a lower risk with TEVAR (RR: 0.67; 95% CI: 0.54-0.82; I2 = 8.7%). Paraplegia rates were comparable (RR: 0.88; 95% CI: 0.53-1.47; I2 = 22.7%). Despite the observed moderate to high heterogeneity among most studies (I2 = 30%-64.6%), the overall trend favored TEVAR in terms of early outcomes. There was a need for further high-quality, longitudinal studies and randomized controlled trials.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"1235-1254"},"PeriodicalIF":2.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic Value of HALP Score in Predicting Contrast-Induced Acute Kidney Injury in Elderly STEMI Patients. HALP评分预测老年STEMI患者造影剂性急性肾损伤的预后价值。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2025-12-12 DOI: 10.1177/00033197251395839

Macit Kalçık, Emrah Bayam, Regayip Zehir

{"title":"Prognostic Value of HALP Score in Predicting Contrast-Induced Acute Kidney Injury in Elderly STEMI Patients.","authors":"Macit Kalçık, Emrah Bayam, Regayip Zehir","doi":"10.1177/00033197251395839","DOIUrl":"10.1177/00033197251395839","url":null,"abstract":"Contrast-induced acute kidney injury (CI-AKI) is a common complication in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI), particularly in the elderly who are more vulnerable due to renal impairment, comorbidities, malnutrition, and chronic inflammation. The hemoglobin, albumin, lymphocyte, and platelet (HALP) score has been proposed as a biomarker reflecting nutritional and inflammatory status, but its role in predicting CI-AKI in elderly STEMI patients is unclear. This retrospective study included 588 elderly (≥65 years) STEMI patients treated with pPCI between August 2019 and December 2024. CI-AKI occurred in 70 patients (11.9%), who were older and had higher rates of diabetes mellitus (DM), hypertension, and chronic kidney disease, along with lower glomerular filtration rate (GFR), left ventricular ejection fraction (LVEF), and HALP score. The mean HALP score was significantly lower in patients with CI-AKI (2.68 [2.33-3.32] vs 3.85 [2.68-5.37], P < .001). In multivariate analysis, older age, DM, lower LVEF, higher contrast volume, and lower HALP score independently predicted CI-AKI. A HALP score <2.7 predicted CI-AKI with 75% sensitivity and 55% specificity (Area Under the Curve: 0.698). The HALP score provides an accessible, independent predictor of CI-AKI in elderly STEMI patients, enabling improved early risk stratification.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"1268-1275"},"PeriodicalIF":2.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter: Prognostic Value of HALP Score in Predicting Contrast-Induced Acute Kidney Injury in Elderly STEMI Patients. 信：HALP评分在预测老年STEMI患者造影剂诱导的急性肾损伤中的预后价值。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-04-07 DOI: 10.1177/00033197261441123

Xiongji Gong

引用次数: 0

Comment on: Prognostic Value of HALP Score in Predicting Contrast-Induced Acute Kidney Injury in Elderly ST-Elevation Myocardial Infarction. 评价：HALP评分在预测老年st段抬高型心肌梗死造影剂所致急性肾损伤中的预后价值。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-01-29 DOI: 10.1177/00033197261416009

Cihan Aydın, Aykut Demirkıran, Hüseyin Orta, Nadir Emlek

引用次数: 0

Letter: Multiple Mechanisms of HALP Score in Predicting Contrast-Induced Acute Kidney Injury: Hypoxia, Oxidative Stress, Immune Dysregulation, and Microthrombosis. HALP评分预测造影剂诱导的急性肾损伤的多种机制：缺氧、氧化应激、免疫失调和微血栓形成。

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-01-31 DOI: 10.1177/00033197261418469

Yu-Qing Sun, Jing-Xian Bai

引用次数: 0

Predictive Power of Lipoprotein (a) and LDL Subfractions for Major Adverse Cardiovascular Events Among ACS Patients. 脂蛋白(a)和LDL亚组分对ACS患者主要不良心血管事件的预测能力

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2026-02-04 DOI: 10.1177/00033197251415207

Tingting Li, Lin Wang, Wenyu Li, Le Wang, Hua Yang, Hongliang Cong

{"title":"Predictive Power of Lipoprotein (a) and LDL Subfractions for Major Adverse Cardiovascular Events Among ACS Patients.","authors":"Tingting Li, Lin Wang, Wenyu Li, Le Wang, Hua Yang, Hongliang Cong","doi":"10.1177/00033197251415207","DOIUrl":"10.1177/00033197251415207","url":null,"abstract":"The present study aimed to investigate the combined impact of lipoprotein (a) [Lp(a)] and low-density lipoprotein (LDL) subfractions on cardiovascular outcomes in patients with acute coronary syndrome (ACS). The study enrolled 2061 ACS patients from Tianjin Chest Hospital. Participants were categorized into 4 groups based on their Lp(a) and the concentration of the sixth component particles of LDL(LDL-P6). The primary endpoint was the occurrence of major adverse cardiovascular events (MACE). The relationship between LDL-P6, Lp(a), and MACE was evaluated. Over a mean follow-up period of 5.4 years, 456 (22.1%) patients experienced MACE. Multivariate analysis identified both LDL-P6 and Lp(a) as significant independent predictors of MACE in ACS patients. Those in the highest-risk group had a substantially higher incidence of MACE compared with the lowest-risk group (HR 5.718; 95% CI 3.703-8.829; P < .001). The area under the curve (AUC) for MACE prediction was 0.735 for Lp(a) and 0.727 for LDL-P6. Adding either biomarker to baseline models significantly improved the C-statistic and integrated discrimination improvement (all P < .001). In ACS patients, both Lp(a) and LDL-P6 independently and synergistically predicted MACE, underscoring the value of incorporating these markers into risk stratification models for more accurate patient assessment.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"1307-1315"},"PeriodicalIF":2.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic Value of the Systemic Immune-Inflammation Index in Patients With Acute Myocardial Infarction: A Systematic Review and Meta-Analysis. 急性心肌梗死患者全身免疫炎症指数的预后价值：系统回顾和荟萃分析

IF 2.7 3区医学

Angiology Pub Date : 2026-11-01 Epub Date: 2025-12-12 DOI: 10.1177/00033197251392661

Yangmei Du, Xing Deng, Yanping Song, Jinhua Yan

{"title":"Prognostic Value of the Systemic Immune-Inflammation Index in Patients With Acute Myocardial Infarction: A Systematic Review and Meta-Analysis.","authors":"Yangmei Du, Xing Deng, Yanping Song, Jinhua Yan","doi":"10.1177/00033197251392661","DOIUrl":"10.1177/00033197251392661","url":null,"abstract":"The present review and meta-analysis evaluated the prognostic value of the Systemic Immune-Inflammation Index (SII) for patients with acute myocardial infarction (AMI) based on a search of PubMed, Embase, Cochrane Library, and Web of Science up to May 2024. Predefined inclusion and exclusion criteria were applied, with sensitivity and subgroup analyses performed to evaluate heterogeneity and assess the robustness of the findings. A total of 21 studies, including 13 771 patients with either ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI), were analyzed. Higher SII levels were consistently associated with an increased risk of major adverse cardiovascular events (MACE) in AMI patients (odds ratio [OR]: 1.09; 95% confidence interval [CI]: 1.04-1.13; P < .0001) across various study designs, regions, and sample sizes. Elevated SII was significantly linked to MACE in STEMI patients, though not in NSTEMI patients. Additionally, high SII levels correlated AMI is divided into high SII group and low SII group. There is a significant correlation between the incidence of no-reflow in the high SII group with increased risks of no-reflow post-percutaneous coronary intervention (PCI), left ventricular adverse remodeling, and all-cause mortality, regardless of study factors (ie, research type, population characteristics, region, and sample size). Elevated SII is a significant predictor of adverse outcomes in AMI patients, especially for forecasting MACE in STEMI cases.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"1219-1234"},"PeriodicalIF":2.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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