IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-11-07 DOI: 10.1177/00033197231213192

Jiaxin Zhang, Maoning Shi, Jing Wang, Fei Li, Chenxu Du, Gang Su, Xiaodong Xie, Shiweng Li

引用次数: 0

Patient Selection Is Essential for Explantation of Infected Abdominal Aortic Endografts. 患者选择是感染腹主动脉内移植物移植的关键。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-11-23 DOI: 10.1177/00033197231218622

Theofanis T Papas

引用次数: 0

Clinical Outcomes of Patients With Cholesterol Crystal Embolism Accompanied by Lower Extremity Wound. 胆固醇结晶栓塞并伴有下肢伤口患者的临床疗效。

IF 4.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-08-24 DOI: 10.1177/00033197231195671

Yosuke Hata, Osamu Iida, Shin Okamoto, Takayuki Ishihara, Kiyonori Nanto, Takuya Tsujimura, Naoko Higashino, Taku Toyoshima, Sho Nakao, Masashi Fukunaga, Daizo Kawasaki, Masahiko Fujihara, Mitsuyoshi Takahara, Toshiaki Mano

{"title":"Clinical Outcomes of Patients With Cholesterol Crystal Embolism Accompanied by Lower Extremity Wound.","authors":"Yosuke Hata, Osamu Iida, Shin Okamoto, Takayuki Ishihara, Kiyonori Nanto, Takuya Tsujimura, Naoko Higashino, Taku Toyoshima, Sho Nakao, Masashi Fukunaga, Daizo Kawasaki, Masahiko Fujihara, Mitsuyoshi Takahara, Toshiaki Mano","doi":"10.1177/00033197231195671","DOIUrl":"10.1177/00033197231195671","url":null,"abstract":"Cholesterol crystal embolism (CCE) accompanied by a lower extremity wound is occasionally difficult to differentiate from chronic limb-threatening ischemia (CLTI) and treat. The present multi-center retrospective observational study investigated the clinical characteristics and prognosis of CCE with lower extremity wounds. Consecutive patients (n = 58) clinically diagnosed as CCE with lower extremity wounds between April 2010 and December 2019 were studied. CCE was diagnosed using histological findings, foot condition, renal impairment, and eosinophilia. The primary outcome was 1-year wound healing rate. Patients with CCE were compared with 1309 patients diagnosed with CLTI with tissue loss during the same study period. The CCE group had a significantly more severe Wound, Ischemia, and foot Infection (WIfI) classification compared with the CLTI group. After Kaplan-Meier analysis, the CCE group had a similar 1-year wound healing (55.1 vs 58.3%, P = .096) as the CLTI group. In multivariate stratified Cox regression analysis by WIfI stages, CCE was significantly associated with poor wound healing compared with CLTI [hazard ratio .36 (95% confidence interval .21-.62)]. In conclusion, among the similar WIfI clinical stages, wound healing was significantly worse in the CCE group than in the CLTI group.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"32-39"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10435102","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

Role of Preoperative Embolization in Surgical Management of Carotid Body Tumors: A Systematic Review and Meta-Analysis. 术前栓塞在颈动脉体肿瘤手术治疗中的作用：系统回顾与元分析

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-12-16 DOI: 10.1177/00033197231215240

Merve Gizem Kaya, Silvia Romagnoli, Tim J Mandigers, Daniele Bissacco, Maurizio Domanin, Alberto Settembrini, Santi Trimarchi

{"title":"Role of Preoperative Embolization in Surgical Management of Carotid Body Tumors: A Systematic Review and Meta-Analysis.","authors":"Merve Gizem Kaya, Silvia Romagnoli, Tim J Mandigers, Daniele Bissacco, Maurizio Domanin, Alberto Settembrini, Santi Trimarchi","doi":"10.1177/00033197231215240","DOIUrl":"10.1177/00033197231215240","url":null,"abstract":"The objective of this study is to evaluate the effect of preoperative embolization on carotid body tumor resection. A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. PubMed, Scopus, and Web of Science were screened for studies published between 2010 and 2022. Primary outcomes investigated were intraoperative blood loss, operative time, length of hospital stay, and perioperative complications such as transient ischemic attack (TIA)/stroke, vascular injury, and cranial nerve injury (CNI). A random effects model was used in cases where study heterogeneity was high. Overall, 25 studies were included in the systematic review, involving 1649 patients: 23 studies were eligible for meta-analysis. The incidence of vascular injury was significantly less in the preoperative embolization group (odds ratio (OR) = 0.60; 95% CI: 0.42-0.84; P = .003). There was no statistically significant difference between the two groups regarding intraoperative blood loss, operative time, length of hospital stay, incidence of TIA/stroke, and CNI. Subgroup analyses did not demonstrate significant difference between Shamblin I, II, and III subgroups regarding operative time. This meta-analysis found preoperative embolization to be significantly beneficial in reducing incidence of vascular injury.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"17-31"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138799445","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

Associations Between GGT/ALT Ratio and Carotid Plaque in Inpatients With Coronary Artery Disease: A RCSCD-TCM Study. 冠心病住院患者 GGT/ALT 比率与颈动脉斑块之间的关系：RCSCD-TCM 研究。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-08-25 DOI: 10.1177/00033197231197441

Ziqin Lai, Zhu Li, Mengnan Huang, Yang Wang, Lin Li, Fanfan Liu, Tong Yang, Yijia Liu, Qiang Xu, Shan Gao, Chunquan Yu

{"title":"Associations Between GGT/ALT Ratio and Carotid Plaque in Inpatients With Coronary Artery Disease: A RCSCD-TCM Study.","authors":"Ziqin Lai, Zhu Li, Mengnan Huang, Yang Wang, Lin Li, Fanfan Liu, Tong Yang, Yijia Liu, Qiang Xu, Shan Gao, Chunquan Yu","doi":"10.1177/00033197231197441","DOIUrl":"10.1177/00033197231197441","url":null,"abstract":"This study investigated the relationship between gamma-glutamyltransferase/alanine aminotransferase (GGT/ALT) ratio and carotid plaques in patients with coronary artery disease (CAD). This multicenter retrospective study included 8,255 patients with CAD who were divided according to GGT/ALT quartiles: Q1 (GGT/ALT ≤ 1.00), Q2 (1.00 < GGT/ALT ≤ 1.41), Q3 (1.41 < GGT/ALT ≤ 2.05), and Q4 (GGT/ALT > 2.05). Logistic regression was used to analyze the relationship between GGT/ALT, carotid plaques, and carotid plaque echogenicity. GGT/ALT ratio (odds ratio [OR]: 1.16; 95% confidence interval [CI]: 1.11-1.21; P < .001) was significantly associated with carotid plaque risk. The degree of relevance was higher in men (OR: 1.71; 95% CI: 1.35-2.15; P < .001) than in women (OR: 1.56; 95% CI: 1.28-1.91; P < .001). The ORs value of carotid plaque risk was higher in middle-aged patients (OR: 2.23; 95% CI: 1.78-2.80; P < .001) than in older patients (OR: 1.77; 95% CI: 1.44-2.18; P < .001). The GGT/ALT ratio was significantly associated with different carotid plaque echogenicity, and the highest OR values were for isoechoic plaques (OR: 1.18; 95% CI: 1.12-1.24; P < .001). These findings suggest that the GGT/ALT ratio might be associated with a high risk of developing carotid plaques and different types of plaque echoes and was more significantly associated with isoechoic plaques.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"40-50"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073322","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

Response to the Letter to the Editor: "Patient Selection Is Essential for Explantation of Infected Abdominal Aortic Endografts". 回应致编辑的信："受感染腹主动脉内移植物的剥离必须选择患者"。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2024-01-04 DOI: 10.1177/00033197231226274

Paolo Perini, Antonio Freyrie

引用次数: 0

Atherosclerosis Associated With COVID-19: Acute, Tends to Severely Involve Peripheral Arteries, and May be Reversible. 与 COVID-19 有关的动脉粥样硬化：急性，倾向于严重累及外周动脉，并且可能是可逆的。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-08-23 DOI: 10.1177/00033197231198253

Eman O Mahmoud, Yumn A Elsabagh, Nagwa Abd El Ghaffar, Mary Wadie Fawzy, Mohamed A Hussein

{"title":"Atherosclerosis Associated With COVID-19: Acute, Tends to Severely Involve Peripheral Arteries, and May be Reversible.","authors":"Eman O Mahmoud, Yumn A Elsabagh, Nagwa Abd El Ghaffar, Mary Wadie Fawzy, Mohamed A Hussein","doi":"10.1177/00033197231198253","DOIUrl":"10.1177/00033197231198253","url":null,"abstract":"Arterial stiffness was reported with corona virus disease 2019 (COVID-19). We studied atherosclerosis in COVID-19 directly through duplex ultrasound measurements and their relation to co-morbidities, clinical and laboratory severity markers, and serum interleukin (IL) 6 and 17. Serum IL 6 and 17, average carotid intima-media thickness (cIMT), diameter and peak systolic velocities (PSV) of tibial, ulnar, radial arteries, and ankle brachial index (ABI) were measured in 44 COVID-19 patients and 44 healthy controls. Serum IL6, IL17, PSV, and cIMT were higher while diameter was lower (P ≤ .01) in cases. Clinical severity index correlated positively with age, co-morbidities, ferritin, IL6, IL17, cIMT, and PSV (P ≤ .04) and negatively with diameter and ABI (P = .04). Patients with severe lymphopenia had higher PSV, IL6, and IL17 and lower diameter (P < .00001). Ferritin positively correlated with PSV and negatively with diameter and ABI (P ≤ .01). Those who received an IL6 inhibitor (tocilizumab) showed lower PSV and higher diameter (P ≤ .01). In multiple regression analysis, IL17 and (age, co-morbidities) were related to (PSV, diameter) and cIMT (P ≤ .001, ≤0.02), respectively. COVID-19 may be associated with subclinical acute and may be reversible atherosclerosis severely involving peripheral arteries.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"77-84"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414894","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

Managing Congenital Heart Defects in Elderly: The Platypnea-Orthodeoxia Syndrome in Underestimated Patent Foramen Ovale. 老年人先天性心脏缺陷的处理:低估卵圆孔未闭的肺动脉-正氧综合征。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-08-31 DOI: 10.1177/00033197231199229

Monica Verdoia, Orazio Viola, Biondino Marenna, Federica Marrara, Benedetta Bertola, Marta Francesca Brancati, Rocco Gioscia, Pier Luigi Soldà, Andrea Rognoni

引用次数: 0

Twenty-Five Year Multicentre Experience of Explantation of Infected Abdominal Aortic Endografts. 受感染的腹主动脉内膜移植物移植的25年多中心经验。

IF 4.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-10-11 DOI: 10.1177/00033197231206430

Paolo Perini, Mauro Gargiulo, Roberto Silingardi, Stefano Bonardelli, Raffaello Bellosta, Gabriele Piffaretti, Stefano Michelagnoli, Mauro Ferrari, Giorgio Ubaldo Turicchia, Antonio Freyrie, Anna Fornasari, Erica Mariani, GianLuca Faggioli, Paolo Spath, Mattia Migliari, Stefano Gennai, Barbara Paro, Paolo Baggi, Luca Attisani, Matteo Pegorer, Marco Franchin, Francesca Mauri, Emiliano Chisci, Nicola Troisi, Elisa Paciaroni, Mara Fanelli

{"title":"Twenty-Five Year Multicentre Experience of Explantation of Infected Abdominal Aortic Endografts.","authors":"Paolo Perini, Mauro Gargiulo, Roberto Silingardi, Stefano Bonardelli, Raffaello Bellosta, Gabriele Piffaretti, Stefano Michelagnoli, Mauro Ferrari, Giorgio Ubaldo Turicchia, Antonio Freyrie, Anna Fornasari, Erica Mariani, GianLuca Faggioli, Paolo Spath, Mattia Migliari, Stefano Gennai, Barbara Paro, Paolo Baggi, Luca Attisani, Matteo Pegorer, Marco Franchin, Francesca Mauri, Emiliano Chisci, Nicola Troisi, Elisa Paciaroni, Mara Fanelli","doi":"10.1177/00033197231206430","DOIUrl":"10.1177/00033197231206430","url":null,"abstract":"We report a multicenter experience of open conversions (OC) for aortic endograft infections (AEI). We retrospectively analyzed all patients who underwent OC for AEI after endovascular aneurysm repair (EVAR), from 1997 to 2021 in 12 Italian centers. The endpoints were as follows: mortality (30-days, in-hospital), major postoperative complications. Follow-up data included: survival, aortic-related complications, infection persistence or reoccurrence. Fifty-eight patients (mean age: 73.8 ± 6.6 years) were included. Median time from EVAR to OC was 14 months (interquartile range 7-45). Thirty-five patients (60.3%) were symptomatic at presentation. Aortic reconstruction was anatomic in 32 patients (55.2%), extra-anatomic in 26 (44.8%). Thirty-day mortality was 31% (18/58). Six additional patients died after 30 days during the same hospitalization (in-hospital mortality: 41.4%). Most common post-operative complications included respiratory failure (38.6%) and renal insufficiency (35.1%). During 28.1 ± 4 months follow-up, 4 aneurysm-related deaths were recorded. Infection re-occurred in 29.4% of the patients. Estimated survival was 50% at 1 year, and 30% at 5 years, and was significantly lower for patients who underwent extra-anatomic reconstructions (37 vs 61% at 1 year, 16 vs 45% at 5 years; log-rank P = .021). OC for AEI is associated with high early mortality. The poor mid-term survival is influenced by aortic complications and infection re-occurrence.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"85-93"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41189501","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

Clinical Outcomes of Comparison Between Type III Coronary Artery Perforation (CAP) and non-CAP Acute Coronary Syndrome Patients During 3-Year Follow-up. 比较 III 型冠状动脉穿孔 (CAP) 和非 CAP 急性冠状动脉综合征患者在 3 年随访期间的临床疗效。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-01 Epub Date: 2023-09-11 DOI: 10.1177/00033197231200029

Bekir S Yildiz, Ramazan Gunduz, Su Ozgur, Ahmet Y Cizgici, Ibrahim H Ozdemir

{"title":"Clinical Outcomes of Comparison Between Type III Coronary Artery Perforation (CAP) and non-CAP Acute Coronary Syndrome Patients During 3-Year Follow-up.","authors":"Bekir S Yildiz, Ramazan Gunduz, Su Ozgur, Ahmet Y Cizgici, Ibrahim H Ozdemir","doi":"10.1177/00033197231200029","DOIUrl":"10.1177/00033197231200029","url":null,"abstract":"Coronary artery perforation (CAP) is a potentially fatal complication of percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS). This study aimed to investigate in-hospital, 1-year, and 3-year clinical outcomes of type III CAP during PCI in patients with ACS. The study retrospectively evaluated 118 patients with CAP and 43,226 case-control patients. Clinical, angiographic, and procedural characteristics, management, and outcomes were analyzed retrospectively at 1-year and 3-year follow-ups. The mean age of the patients was 66.5 ± 11.9 years (61.8% males). There was no significant difference in hospital mortality between the type III CAP and non-CAP groups. The all-cause mortality was 33.3% in the CAP group vs 1.8% in the non-CAP group at 1 year, and 28.3% in CAP group vs 6.9% in non-CAP group at 3 years (p = .001 for both comparisons). The procedural, clinical, and 1 and 3-year outcomes of type III CAP showed a relatively high risk of myocardial infarction, coronary artery bypass graft, cerebrovascular event, stent thrombosis, and major bleeding at the 1 and 3-year follow-ups. In addition, non-CAP ACS patients had better survival (log-rank: p < .001, 34.29 months 95% Confidence Interval [33.58-35.00]) than type III CAP ACS patients (29.53 months 95% Confidence Interval [27.28-31.78]) at the 3-year follow-up visit.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"58-68"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570840","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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