Angiology最新文献_第2页

Impact of Chronic Inflammatory Diseases on Clinical Outcomes in Patients undergoing Aortic Valve Replacement: A Systematic Review and Meta-analysis. 慢性炎性疾病对主动脉瓣置换术患者临床结果的影响：一项系统综述和荟萃分析

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-02-26 DOI: 10.1177/00033197251322934

Theoni Theodoropoulou, Anastasios Apostolos, Nikolaos Ktenopoulos, Leonidas Koliastasis, Sotirios Tsalamandris, Iordanis Mourouzis, Constantinos Pantos, Konstantinos Tsioufis, Konstantinos Toutouzas

{"title":"Impact of Chronic Inflammatory Diseases on Clinical Outcomes in Patients undergoing Aortic Valve Replacement: A Systematic Review and Meta-analysis.","authors":"Theoni Theodoropoulou, Anastasios Apostolos, Nikolaos Ktenopoulos, Leonidas Koliastasis, Sotirios Tsalamandris, Iordanis Mourouzis, Constantinos Pantos, Konstantinos Tsioufis, Konstantinos Toutouzas","doi":"10.1177/00033197251322934","DOIUrl":"10.1177/00033197251322934","url":null,"abstract":"Patients with autoimmune chronic inflammatory disease (CID) are at an increased risk of valvular heart disease, including aortic valve stenosis, insufficiency, or both. The impact of CID on the prognosis of surgical or transcatheter aortic valve replacement (AVR) remains unclear. This meta-analysis aims to evaluate the impact of CID on major clinical outcomes in this population. A comprehensive literature search of PubMed, Cochrane, and Embase databases was conducted to identify relevant studies. The primary endpoint was 30-day all-cause mortality between patients with CID and controls. Secondary endpoints included, long-term all-cause mortality, stroke and in-hospital infection. Statistical analysis included Risk Ratio (RR) with 95% confidence interval (CI) using the random-effects model. Five studies involving 572,351 patients were included in the meta-analysis. Patients with CID had a greater 30-day mortality (RR = 1.17, 95% CI: 1.09, 1.27; P < .001) and a higher rate of in-hospital infection (RR = 2.13, 95% CI: 1.03, 4.41; P < .001). No differences were observed in the other secondary endpoints. Patients with CID are at an increased risk of short-term all-cause mortality and in-hospital infections after AVR. Further studies are required to validate our results and define the optimal management of these patients.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"545-553"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514574","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: "Structural Abnormalities of the Achilles Tendon are Associated With Coronary Artery Disease Even Without Achilles Tendon Thickening". 信：“即使没有跟腱增厚，跟腱结构异常也与冠状动脉疾病有关”。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-05-28 DOI: 10.1177/00033197251341753

Sibel Ҫatalkaya

引用次数: 0

FGF-23 and Long-term Outcome in Peripheral Artery Disease. FGF-23与外周动脉疾病的长期预后

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-05-20 DOI: 10.1177/00033197251326637

Bernhard Zierfuss, Marija Bojic, Gerit-Holger Schernthaner, Clemens Höbaus

{"title":"FGF-23 and Long-term Outcome in Peripheral Artery Disease.","authors":"Bernhard Zierfuss, Marija Bojic, Gerit-Holger Schernthaner, Clemens Höbaus","doi":"10.1177/00033197251326637","DOIUrl":"10.1177/00033197251326637","url":null,"abstract":"Atherosclerotic peripheral artery disease (PAD) and chronic kidney disease (CKD) are highly interconnected diseases, while causes for excess mortality are not well-defined. Fibroblast growth-factor 23 (FGF-23) is elevated in mineral bone disease of CKD and was shown to be associated with higher mortality. However, it is not known if this association extends to PAD. FGF-23 was measured by ELISA in serum samples of 298 patients with stable PAD (Fontaine stage I-II) with an estimated glomerular filtration rate (eGFR) of 72 (58-85) ml/min. Mortality was assessed after a long-term follow-up of up to 10 years. FGF-23 showed significant associations with markers of metabolic syndrome (triglycerides r = .25, P < .001, high-density lipoprotein cholesterol (HDL-C) r = -.28, P < .001, c-reactive protein (CRP) r = .14, P = .016). Multivariable Cox-regression outcome analyses showed significant associations between FGF-23 and all-cause mortality (hazard ratio 1.35, 95% confidence interval 1.05-1.74) in PAD patients even after adjustment for traditional cardiovascular risk factors and renal excretory function. FGF-23 is associated with higher mortality in patients with PAD. Our findings indicate that FGF-23 has detrimental effects on patients with PAD that are independent of renal excretory function.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"630-636"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109648","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

Response to the Letter to the Editor: "An Automated User-Friendly Software for Fast Computation of Blood Flow Velocity From Coronary Angiographic Images". 对致编辑的信的回应：“一种用于从冠状动脉造影图像中快速计算血流速度的自动化用户友好软件”。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-08-22 DOI: 10.1177/00033197251368951

Murat Çap, Nathan Angelo Lecaros Yap, Christos V Bourantas

引用次数: 0

Structural Abnormalities of the Achilles Tendon are Associated With Coronary Artery Disease Even Without Achilles Tendon Thickening. 即使没有跟腱增厚，跟腱结构异常也与冠状动脉疾病有关。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-03-21 DOI: 10.1177/00033197251326624

Atsushi Tanita, Shinichiro Sunamura, Masahiro Suzuki, Tsuyoshi Ogata, Kazuki Noda, Toru Takii, Yoshio Nitta, Seijiro Yoshida, Shigeto Namiuchi

{"title":"Structural Abnormalities of the Achilles Tendon are Associated With Coronary Artery Disease Even Without Achilles Tendon Thickening.","authors":"Atsushi Tanita, Shinichiro Sunamura, Masahiro Suzuki, Tsuyoshi Ogata, Kazuki Noda, Toru Takii, Yoshio Nitta, Seijiro Yoshida, Shigeto Namiuchi","doi":"10.1177/00033197251326624","DOIUrl":"10.1177/00033197251326624","url":null,"abstract":"Achilles tendon ultrasonography is useful in diagnosing familial hypercholesterolemia, as it allows assessment of its thickening and structure. The association between structural abnormalities in the Achilles tendon and the severity of coronary artery disease (CAD) was investigated in a cross-sectional study. We conducted this study on 353 patients who underwent percutaneous coronary intervention (PCI). Ultrasound was used to examine the thickness and structural abnormalities of the Achilles tendon. Their CAD severity was assessed using the SYNTAX score before the first PCI. Abnormal findings on Achilles tendon ultrasonography were observed in 21 patients (5.9%). The SYNTAX score was compared between patients with and without abnormal Achilles tendon structure. The SYNTAX score was significantly higher in patients who had structural abnormalities but without thickening of the Achilles tendon (P = .002). Multivariate analysis revealed that abnormal Achilles tendon structure was one of the independent risk factors for an elevated SYNTAX score. In patients with CAD who underwent PCI, structural abnormalities in the Achilles tendon identified by ultrasonography were independently associated with an increase in the SYNTAX score.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"584-591"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668890","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

Clinical Outcomes of PCI in Hospitals With or Without Surgical Backup: A Meta-analysis. 有或没有手术支持的医院PCI的临床结果：一项荟萃分析。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-03-21 DOI: 10.1177/00033197251326354

Tala A Haddad, Ahmad A Toubasi, Abdallah Fahmawi, Ali Zaid

{"title":"Clinical Outcomes of PCI in Hospitals With or Without Surgical Backup: A Meta-analysis.","authors":"Tala A Haddad, Ahmad A Toubasi, Abdallah Fahmawi, Ali Zaid","doi":"10.1177/00033197251326354","DOIUrl":"10.1177/00033197251326354","url":null,"abstract":"Percutaneous coronary interventions (PCIs) have seen a steady rise. Recent guidelines have established that PCIs conducted at non-surgical on-site (NSOS) facilities have low complication rates and outcomes comparable to surgical on-site (SOS) centers. However, differing perspectives in the growing literature continue to sustain controversy. A thorough literature review was performed across four databases, including PubMed, Cochrane Library, Scopus, and Web of Science, to identify studies comparing outcomes between hospitals. The primary endpoints were: 30-day mortality, myocardial infarction (MI), cerebral vascular accident (CVA), emergency coronary artery bypass surgery (eCABG), rePCI, and target vessel revascularization (TVR). The final search yielded 22 studies, including a total of 2,181,897 patients. The majority of patients (71.9%) underwent PCI in SOS hospitals. There was a significant association of increased eCABG (OR = 1.99; 95% CI: 1.08-3.67) and rePCI (OR = 1.62; 95% CI: 1.37-1.91) rates in SOS hospitals. However, 30-day mortality (OR = 0.91; 95% CI: 0.53-1.54), MI (OR = 1.08; 95% CI: 0.91-1.28), CVA (OR = 1.13; 95% CI: 0.69-1.86), and TVR (OR = 1.06; 95% CI: 0.92-1.21) showed no significant difference between hospitals. Subgroup analyses among clinical trials and ST-segment elevation myocardial infarction (STEMI) patients found no significant associations. Conclusively, this meta-analysis provides updated insight into the impact of SOS on PCI outcomes, having no difference except for eCABG and rePCI rates.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"554-562"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668819","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

Association Between Anemia and Prognosis in Patients With Acute Coronary Syndrome and Atrial Fibrillation. 急性冠脉综合征和心房颤动患者贫血与预后的关系

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-04-12 DOI: 10.1177/00033197251333224

Yuyuan Shu, Lulu Wang, Yimeng Wang, Jiangshan Tan, Han Zhang, Yanmin Yang

{"title":"Association Between Anemia and Prognosis in Patients With Acute Coronary Syndrome and Atrial Fibrillation.","authors":"Yuyuan Shu, Lulu Wang, Yimeng Wang, Jiangshan Tan, Han Zhang, Yanmin Yang","doi":"10.1177/00033197251333224","DOIUrl":"10.1177/00033197251333224","url":null,"abstract":"Patients with acute coronary syndromes (ACS) and atrial fibrillation (AF) have more complex conditions, making risk stratification crucial. The added discriminatory power of including anemia in the CHA2DS2-VASc ([congestive heart failure, hypertension, age [>65 = 1 point, >75 = 2 points], diabetes, previous stroke/systemic embolism/transient ischemic attack [2 points], vascular disease, age 65-74 years, and sex category]) score for poor prognosis in this population remains unclear. This study investigates the impact of anemia on 1166 patients with ACS and AF from 2017 to 2019. Multivariate Cox regression analysis showed anemia significantly increased the risk of all-cause mortality (Hazard ratio [HR] = 1.935, 95% CI: 1.106-3.384, P = .021) and major adverse cardiovascular events (MACE; HR = 1.857, 95% CI: 1.171-2.945, P = .009), but not thromboembolic events (HR = 0.651, 95% CI: 0.210-2.022, P = .458). Receiver operating characteristic (ROC) curves showed that hemoglobin's area under the curve (AUC) for mortality and MACE was 0.722 and 0.710, respectively, improving to 0.770 and 0.772 when combined with the CHA2DS2-VASc score. Integrated discrimination improvement (IDI) and net reclassification improvement (NRI) metrics showed significant improvement in predicting mortality (NRI = 0.258, P = .004; IDI = 0.037, P < .001) and MACE (NRI = 0.232, P = .002; IDI = 0.026, P = .004). Adding hemoglobin to the CHA2DS2-VASc score enhances its predictive performance.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"592-601"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962106","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

An Automated User-friendly Software for Fast Computation of Blood Flow Velocity From Coronary Angiographic Images. 从冠状动脉造影图像中快速计算血流速度的自动用户友好软件。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-05-15 DOI: 10.1177/00033197251338474

Murat Çap, Medeni Karaduman, Tingquan Zhou, Emrah Erdoğan, İbrahim H Tanboğa, Vincenzo Tufaro, Xingwei He, Retesh Bajaj, Nathan Angelo Lecaros Yap, Ameer H Khan, Bon-Kwon Koo, Roby Rakhit, Grigoris V Karamasis, Zaid Ali Abdulelah, Alun Hughes, Patrick W Serruys, Anthony Mathur, Andreas Baumbach, Ryo Torii, Jean-Paul Aben, Christos V Bourantas

{"title":"An Automated User-friendly Software for Fast Computation of Blood Flow Velocity From Coronary Angiographic Images.","authors":"Murat Çap, Medeni Karaduman, Tingquan Zhou, Emrah Erdoğan, İbrahim H Tanboğa, Vincenzo Tufaro, Xingwei He, Retesh Bajaj, Nathan Angelo Lecaros Yap, Ameer H Khan, Bon-Kwon Koo, Roby Rakhit, Grigoris V Karamasis, Zaid Ali Abdulelah, Alun Hughes, Patrick W Serruys, Anthony Mathur, Andreas Baumbach, Ryo Torii, Jean-Paul Aben, Christos V Bourantas","doi":"10.1177/00033197251338474","DOIUrl":"10.1177/00033197251338474","url":null,"abstract":"Thrombolysis in myocardial infarction frame count enables assessment of coronary flow but cannot measure coronary flow velocity (CFV), which is needed to examine microvascular function. To overcome this limitation, we introduce a semi-automated software for fast CFV computation using contrast bolus tracking techniques in angiography and compare its performance against experts. The study included patients undergoing coronary angiography. Two experts measured the CFV using the number of frames, segment length, and frame rate. Measurements were repeated for shorter segments and different projections, and their estimations were compared with the software. In total, 123 patients (152 vessels) were included. The software had excellent reproducibility in measuring CFV (intraclass correlation coefficient (ICC) = .995), which was superior to experts (ICC = .946) and provided similar estimations irrespective of the segment length (ICC = .992); conversely, the experts overestimated CFV in short segments. The reproducibility of the experts and the software was moderate when comparing CFV measurements in different projections (first expert vs software ICC = .807, second expert vs software ICC = .790, first expert vs second expert ICC = .885). The software provides reproducible CFV estimations that are close to experts' estimations. Further validation against wire-based functional techniques is needed to examine its potential in assessing microvascular function.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"637-647"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075619","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: Reply to "The Effect of Admission Blood Glucose on Long-Term Prognosis After Coronary Artery Bypass Grafting". 回复“入院血糖对冠状动脉搭桥术远期预后的影响”。

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-08-13 DOI: 10.1177/00033197251366697

Yingying Xie, Hao Chen, Zhe Wang, Haoming He, Ling Liu, Jingang Zheng

引用次数: 0

R2CHADS2 Score: An Effective Risk Stratification Tool for Contrast-Induced Nephropathy and Cardiovascular Outcomes in STEMI Patients Undergoing PCI. R2CHADS2评分：对行PCI的STEMI患者造影剂肾病和心血管结局的有效风险分层工具

IF 2.2 3区医学

Angiology Pub Date : 2026-05-01 Epub Date: 2025-10-24 DOI: 10.1177/00033197251383333

Yusuf Bozkurt Şahin, Emrullah Kızıltunç, Mustafa Candemir

{"title":"R2CHADS2 Score: An Effective Risk Stratification Tool for Contrast-Induced Nephropathy and Cardiovascular Outcomes in STEMI Patients Undergoing PCI.","authors":"Yusuf Bozkurt Şahin, Emrullah Kızıltunç, Mustafa Candemir","doi":"10.1177/00033197251383333","DOIUrl":"10.1177/00033197251383333","url":null,"abstract":"Contrast-induced nephropathy (CIN) is a serious complication following percutaneous coronary intervention (PCI). The Renal dysfunction, Congestive heart failure, Hypertension, Age ≥75 years, Diabetes mellitus and prior Stroke R2CHADS2 score, originally developed for thromboembolic risk assessment, has recently been proposed as a predictor of CIN and major adverse cardiovascular events (MACE). The present study aimed to evaluate the predictive value of the R2CHADS2 score for CIN and long-term MACE in STEMI patients undergoing primary PCI (pPCI). A total of 1204 STEMI patients were included in this retrospective study. Patients were categorized into 3 risk groups based on their R2CHADS2 scores. CIN incidence was significantly higher in the high-risk group (37.1%) compared with the moderate (13.6%) and low-risk groups (5.5%; P < .001). Hemodialysis was required in 14.3% of high-risk patients (P < .001). MACE occurred in 49.3% of the high-risk group, 22.1% of the moderate-risk group, and 12.9% of the low-risk group (P < .001). These findings suggest that the R2CHADS2 score can predict CIN and adverse cardiovascular outcomes in STEMI patients undergoing pPCI.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"576-583"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367372","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