Angiology最新文献_第2页

Severe Left Main Coronary Artery Stenosis as the First Finding in Newly Diagnosed Chronic Coronary Syndrome: Incidence and Clinical Predictors. 重度左主干冠状动脉狭窄是新诊断慢性冠状动脉综合征的首次发现：发病率和临床预测因素。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-17 DOI: 10.1177/00033197241312940

Armin Attar, Mehrab Sayadi, Alireza Hosseinpour, Kasra Assadian, Mahya Beykihosseinabadi, Javad Abtahian, Davar Aldavood, Milad Nasri, Alireza Khosravi, Nizal Sarrafzadegan, Feridoun Noohi, Ahmadreza Assareh, Toba Kazemi, Hossein Farshidi, Arsalan Khaledifar, Maryam Abbaszadeh, Maryam Boshtam, Mansour Jannati

{"title":"Severe Left Main Coronary Artery Stenosis as the First Finding in Newly Diagnosed Chronic Coronary Syndrome: Incidence and Clinical Predictors.","authors":"Armin Attar, Mehrab Sayadi, Alireza Hosseinpour, Kasra Assadian, Mahya Beykihosseinabadi, Javad Abtahian, Davar Aldavood, Milad Nasri, Alireza Khosravi, Nizal Sarrafzadegan, Feridoun Noohi, Ahmadreza Assareh, Toba Kazemi, Hossein Farshidi, Arsalan Khaledifar, Maryam Abbaszadeh, Maryam Boshtam, Mansour Jannati","doi":"10.1177/00033197241312940","DOIUrl":"https://doi.org/10.1177/00033197241312940","url":null,"abstract":"Severe left main coronary artery (LMCA) lesions (≥50% stenosis) portend a poor prognosis and require urgent revascularization. In this study, we identified the incidence and clinical predictors of severe LMCA stenosis in patients with chronic coronary syndrome (CCS) who had undergone coronary angiography for the first time. Using a nationwide database registry, all the patients with CCS who had undergone coronary angiography were included. Patients were classified based on having severe LMCA stenosis and they were compared based on the recommended therapeutic strategy after angiography. A multivariable binary logistic regression model was developed to identify the potential predictors of a severe LMCA lesion. Among 40,161 patients with CCS, a severe LMCA lesion was detected in a total of 1556 participants (3.87% [3.69; 6.07]). The multivariable logistic regression identified age (odds ratio [OR]: 1.04 [1.03;1.04]), male gender (OR:2.56 [2.28; 2.89]), dyslipidemia (OR:1.19 [1.06; 1.34]), and peripheral arterial disease (PAD) (OR:3.68 [1.06;12.83]) as predictors of a severe LMCA stenosis. Approximately 4% of patients with newly diagnosed CCS may suffer from severe LMCA disease. Age, male gender, dyslipidemia, and PAD are among the predicting factors of a severe LMCA stenosis and can be utilized in risk stratification of patients with CCS at greater risk of severe LMCA stenosis.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197241312940"},"PeriodicalIF":2.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999012","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

Artificial Intelligence Techniques for Prognostic and Diagnostic Assessments in Peripheral Artery Disease: A Scoping Review. 外周动脉疾病预后和诊断评估的人工智能技术：范围综述。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-17 DOI: 10.1177/00033197241310572

Sebastien Goffart, Hervé Delingette, Andrea Chierici, Lisa Guzzi, Bahaa Nasr, Fabien Lareyre, Juliette Raffort

{"title":"Artificial Intelligence Techniques for Prognostic and Diagnostic Assessments in Peripheral Artery Disease: A Scoping Review.","authors":"Sebastien Goffart, Hervé Delingette, Andrea Chierici, Lisa Guzzi, Bahaa Nasr, Fabien Lareyre, Juliette Raffort","doi":"10.1177/00033197241310572","DOIUrl":"https://doi.org/10.1177/00033197241310572","url":null,"abstract":"Peripheral artery disease (PAD) is a major public health concern worldwide, associated with high risk of mortality and morbidity related to cardiovascular and adverse limb events. Despite significant advances in both medical and interventional therapies, PAD often remains under-diagnosed, and the prognosis of patients can be difficult to predict. Artificial intelligence (AI) has brought a wide range of opportunities to improve the management of cardiovascular diseases, from advanced imaging analysis to machine-learning (ML)-based predictive models, and medical data management using natural language processing (NLP). The aim of this review is to summarize and discuss current techniques based on AI that have been proposed for the diagnosis and the evaluation of the prognosis in patients with PAD. The review focused on clinical studies that proposed AI-methods for the detection and the classification of PAD as well as studies that used AI-models to predict outcomes of patients. Through evaluation of study design, we discuss model choices including variability in dataset inputs, model complexity, interpretability, and challenges linked to performance metrics used. In the light of the results, we discuss potential interest for clinical decision support and highlight future directions for research and clinical practice.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197241310572"},"PeriodicalIF":2.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998860","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: Replying to the Letter Entitled "Mean Platelet Volume/Platelet Count Ratio and Dipper/Non-Dipper Hypertensive Patients". 回复“平均血小板体积/血小板计数比与斗/不斗高血压患者”信函。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-16 DOI: 10.1177/00033197241306515

Serdar Gökhan Nurkoç, Turab Yakışan

引用次数: 0

Letter: Cardiovascular Events in Chronic Kidney Diseases: Related Factors Besides Naples Prognostic Score. 慢性肾脏疾病的心血管事件：那不勒斯预后评分以外的相关因素。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-16 DOI: 10.1177/00033197241312939

Yusuf Ziya Şener, Arzu Yazar

引用次数: 0

Author's Reply: Atherogenic Index of Plasma in Elderly with Acute Coronary Syndrome. 老年人急性冠脉综合征血浆致动脉粥样硬化指数。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-16 DOI: 10.1177/00033197241310643

Özgür Selim Ser, Kudret Keskin, Gökhan Çetinkal, Betül Balaban Kocaş, Hakan Kilci, Erol Kalender, Furkan Dolap, Tümay Celbiş Geçit, Cüneyt Kocas, Kadriye Kılıçkesmez

引用次数: 0

Percutaneous Balloon Pericardiotomy: A Safe and Effective Approach for Managing Recurrent Massive Pericardial Effusion. 经皮球囊心包切开术：治疗复发性大量心包积液安全有效的方法。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-16 DOI: 10.1177/00033197241311949

Ahmet Kıvrak, Samuray Zekeriyayev, Uğur Canpolat, Fedan Hajizade, Çiğdem Deniz, Cem Çöteli, Ahmet Hakan Ateş, Kudret Aytemir

{"title":"Percutaneous Balloon Pericardiotomy: A Safe and Effective Approach for Managing Recurrent Massive Pericardial Effusion.","authors":"Ahmet Kıvrak, Samuray Zekeriyayev, Uğur Canpolat, Fedan Hajizade, Çiğdem Deniz, Cem Çöteli, Ahmet Hakan Ateş, Kudret Aytemir","doi":"10.1177/00033197241311949","DOIUrl":"https://doi.org/10.1177/00033197241311949","url":null,"abstract":"Percutaneous balloon pericardiotomy (PBP) has emerged as a less invasive alternative to surgical interventions for recurrent severe pericardial effusion (PE), particularly in patients with malignancies. This study evaluates the safety and efficacy of PBP in patients with recurrent severe PE. A total of 42 patients with recurrent severe PE underwent PBP between March 2008 and July 2024. PBP was performed under conscious sedation with fluoroscopic guidance using a 20-mm by 60-mm balloon. Data were collected on patient demographics, echocardiographic findings, procedural details, and follow-up outcomes. The study population had a mean age of 58.4 ± 11.2 years, with 54.8% being female. Most patients (76.2%) had malignant PEs. The procedure was technically successful in all cases, with no immediate complications. The median hospital stay was 4 days. Post-procedural transthoracic echocardiography showed no residual effusion in 40.5% of patients and minimal effusion in 50%. Over a median follow-up of 353 days, 54.8% of patients died due to the progression of underlying malignancies, and four patients experienced recurrent effusions requiring additional intervention. PBP is a safe and effective treatment for recurrent severe PE, particularly in patients with malignancies. The procedure's high success rate and favorable safety profile suggest it might be considered a first-line treatment option in appropriate clinical settings.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197241311949"},"PeriodicalIF":2.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999007","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

Comparisons of Risk Scores for Infective Endocarditis Surgery: A Meta-Analysis. 感染性心内膜炎手术风险评分的比较：荟萃分析。

IF 2.6 3区医学

Angiology Pub Date : 2025-01-16 DOI: 10.1177/00033197241310571

Ankit Agrawal, Aro Daniela Arockiam, Joseph El Dahdah, Bianca Honnekeri, Mary Schleicher, Shashank Shekhar, Elio Haroun, James Witten, Muhammad Majid, Gosta Pettersson, Brian Griffin, Shinya Unai, Tom Kai Ming Wang

{"title":"Comparisons of Risk Scores for Infective Endocarditis Surgery: A Meta-Analysis.","authors":"Ankit Agrawal, Aro Daniela Arockiam, Joseph El Dahdah, Bianca Honnekeri, Mary Schleicher, Shashank Shekhar, Elio Haroun, James Witten, Muhammad Majid, Gosta Pettersson, Brian Griffin, Shinya Unai, Tom Kai Ming Wang","doi":"10.1177/00033197241310571","DOIUrl":"https://doi.org/10.1177/00033197241310571","url":null,"abstract":"While multiple scoring systems exist to predict mortality in cardiac surgery, their utility in infective endocarditis (IE) remains uncertain, prompting this study to compare their prognostic accuracy. We conducted a comprehensive review using Ovid Medline, Embase, and Cochrane Central Register of Controlled Trials. Data were pooled using Open-Meta[Analyst] software, and calibration analysis was performed with Review Manager 5.4. Among 620 articles identified, 570 were screened, leading to 15 included studies. Twelve risk scores were analyzed for operative mortality discrimination in IE surgery, with the area under the curve (AUC) ranging from 0.64 to 0.83. Among the IE-specific risk scores, AUCs (95% confidence interval) were highest for ANCLA (Anemia, NYHA class IV, critical state, large intracardiac destruction, surgery on thoracic aorta) 0.838 (0.803-0.873), AEPEI (Association pour l'Etude et la Prevention de l'Endocadite Infectieuse) 0.764 (0.726-0.802), RISK-E (Risk Endocarditis) (0.752 (0.662-0.842) and APORTEI (Análisis de los factores PROnósticos en el Tratamiento quirúrgico de la Endocarditis Infecciosa) 0.750 (0.726-0.774) scores. Regarding traditional risk scores, EuroSCORE II performed at 0.750 (0.725-0.775) but underestimated mortality compared with EuroSCORE I in calibration analysis. In conclusion, EuroSCORE II and several endocarditis-specific scores had moderate discrimination (AUC > 0.75) in predicting mortality after IE surgery.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197241310571"},"PeriodicalIF":2.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998917","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

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

Novel Strategies for Angiogenesis in Tissue Injury: Therapeutic Effects of iPSCs-Derived Exosomes. 组织损伤中血管生成的新策略：iPSCs衍生的外泌体的治疗效果。

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

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