Angiology最新文献_第3页

It Is Too Early to Consider Serum Bilirubin as a Definitive Novel Biomarker for Carotid Atherosclerosis. 现在认为血清胆红素是颈动脉粥样硬化的一种确定的新生物标志物还为时过早。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-10-16 DOI: 10.1177/00033197231208747

Lu Qin, Haoyuan Wang, Wanru Zhou, Hebo Wang

引用次数: 0

Immune-Checkpoint Inhibitor-Related Myocarditis: Where We Are and Where We Will Go. 免疫检查点抑制剂相关心肌炎：我们的现状与未来

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-09-12 DOI: 10.1177/00033197231201929

Andrea Vergara, Marco De Felice, Arturo Cesaro, Felice Gragnano, Ivana Pariggiano, Enrica Golia, Antonio De Pasquale, Ettore Blasi, Fabio Fimiani, Emanuele Monda, Giuseppe Limongelli, Paolo Calabrò

{"title":"Immune-Checkpoint Inhibitor-Related Myocarditis: Where We Are and Where We Will Go.","authors":"Andrea Vergara, Marco De Felice, Arturo Cesaro, Felice Gragnano, Ivana Pariggiano, Enrica Golia, Antonio De Pasquale, Ettore Blasi, Fabio Fimiani, Emanuele Monda, Giuseppe Limongelli, Paolo Calabrò","doi":"10.1177/00033197231201929","DOIUrl":"10.1177/00033197231201929","url":null,"abstract":"Immune checkpoint inhibitors (ICIs) are specific monoclonal antibodies directed against inhibitory targets of the immune system, mainly represented by programmed death-1 (PD1) ligand-1 (PD-L1) and cytotoxic T-lymphocyte antigen-4 (CTLA-4), thus enabling an amplified T-cell-mediated immune response against cancer cells. These drugs have significantly improved prognosis in patients with advanced metastatic cancer (e.g., melanoma, non-small cell lung cancer, renal cell carcinoma). However, uncontrolled activation of anti-tumor T-cells could trigger an excessive immune response, possibly responsible for multi-organ damage, including, among others, lymphocytic myocarditis. The incidence of ICIs-induced myocarditis is underestimated and the patients affected are poorly characterized. The diagnosis and management of this condition are mainly based on expert opinion and case reports. EKG and ultrasound are tests that can help identify patients at risk of myocarditis during treatment by red flags, such as QRS complex enlargement and narrowing of global longitudinal strain (GLS). Therapy of ICI-related myocarditis is based on immunosuppressors, monoclonal antibodies and fusion proteins. A future strategy could involve the use of microRNAs. This review considers the current state of the art of immune-related adverse cardiovascular events, focusing on histological and clinical features, diagnosis and management, including current treatments and future pharmacological targets.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"909-920"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10214265","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

Prevalence and clinical significance of deep vein thrombosis in Hispanic patients with acute pulmonary embolism. 西班牙裔急性肺栓塞患者深静脉血栓形成的发病率和临床意义。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-08-04 DOI: 10.1177/00033197231194234

Adrian Rojas Murguia, Swathi Prakash, Fernando Segovia, Fatih Ayvali, Michael Brockman, Sahithi Nadella, Vishwajeet Singh, Alok Kumar Dwivedi, Manu Rajachandran, Debabrata Mukherjee, Nils P Nickel

{"title":"Prevalence and clinical significance of deep vein thrombosis in Hispanic patients with acute pulmonary embolism.","authors":"Adrian Rojas Murguia, Swathi Prakash, Fernando Segovia, Fatih Ayvali, Michael Brockman, Sahithi Nadella, Vishwajeet Singh, Alok Kumar Dwivedi, Manu Rajachandran, Debabrata Mukherjee, Nils P Nickel","doi":"10.1177/00033197231194234","DOIUrl":"10.1177/00033197231194234","url":null,"abstract":"The prevalence of concomitant deep vein thrombosis (DVT) and its impact on 30-day outcomes in Hispanic patients with acute pulmonary embolism (PE) is unknown. We retrospectively studied a cohort of Hispanic patients admitted for acute PE to determine the relationship of concomitant DVT to clot burden on chest computer tomography (CT), right heart strain, and 30-day mortality. We identified 391 patients admitted with acute PE; 168 (42.9%) had concomitant DVTs on admission; 39 patients (9.9%) died during the 30-day follow-up: 12 patients without concomitant DVT and 27 with concomitant DVT, respectively (p < .001). The presence of a proximal DVT independently predicted 30-day mortality even after adjusting for age, gender and admission PE severity index scores (PESI) (hazard ratio [HR] 2.0; 95% confidence interval [CI]: 1.4-3.0, p = .001). Proximal DVTs remained a significant predictor of 30-day mortality in patients with low and intermediate PESI scores (HR 2.5; 95% CI: 1.1-6.0, p = .035). The prevalence of concomitant DVT in Hispanic patients presenting with acute DVT is relatively lower than other ethnic groups. However, a proximal location of a DVT is of significant prognostic relevance. Hispanic patients with acute PE should routinely undergo compression doppler ultrasonography (CDUS) of the lower extremities.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"968-975"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9940374","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

A Fatal Disaster: Accompanying Aortic Dissection Obscured by Acute Coronary Syndrome. 致命的灾难被急性冠状动脉综合征掩盖的伴发主动脉夹层。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-07-27 DOI: 10.1177/00033197231191167

Attila Ulkucu, Servet Altay

{"title":"A Fatal Disaster: Accompanying Aortic Dissection Obscured by Acute Coronary Syndrome.","authors":"Attila Ulkucu, Servet Altay","doi":"10.1177/00033197231191167","DOIUrl":"10.1177/00033197231191167","url":null,"abstract":"The present study investigated the characteristics of rare but often fatal cases of acute coronary syndrome and aortic dissection and the factors affecting mortality. HEART score, aortic dissection detection risk score, and Global Registry of Acute Coronary Event (GRACE) Score were calculated by evaluating biochemical tests and symptoms/signs of the 20 patients who were admitted to our clinic with a preliminary diagnosis of acute myocardial infarction and subsequently diagnosed with aortic dissection. The assumption of normal distribution was checked with the Shapiro-Wilk test, and independent group comparisons were made with the t test or the Mann-Whitney U test. Relationships between qualitative variables were analyzed with chi-square tests. Relationships between quantitative variables were analyzed with Pearson or Spearman correlation coefficients. Patients with conditions like hypertension and diabetes are at higher risk for aortic dissection. We recommend the use of the GRACE Score with the risk parameters we have determined for the prediction of operative mortality. We suggest that the axillary region and antegrade cerebral perfusion may be preferred as the cannulation area in dissection repair. We emphasize preliminary risk assessment according to the aortic dissection detection risk score and remind physicians that ECG ST-T and troponin changes may be misleading.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"954-967"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241999","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

Fluoroquinolone Use Preceding Visceral Artery Dissection: A Case Series. 氟喹诺酮类药物在内脏动脉切开术前的应用：一个病例系列。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-10-19 DOI: 10.1177/00033197231207945

Louise Z Wang, Boris Oehmichen, Benjamin Pariente, Nassim Mohamedi, Charles Cheng, Grégoire Detriche, Alexandre Galloula, Agnès Lilo Le Louet, Emmanuel Messas, Laurence Amar, Guillaume Goudot, Tristan Mirault

{"title":"Fluoroquinolone Use Preceding Visceral Artery Dissection: A Case Series.","authors":"Louise Z Wang, Boris Oehmichen, Benjamin Pariente, Nassim Mohamedi, Charles Cheng, Grégoire Detriche, Alexandre Galloula, Agnès Lilo Le Louet, Emmanuel Messas, Laurence Amar, Guillaume Goudot, Tristan Mirault","doi":"10.1177/00033197231207945","DOIUrl":"10.1177/00033197231207945","url":null,"abstract":"Fluoroquinolones (FQ), commonly prescribed antibiotics, may trigger aortic and carotid dissections. We report three successive cases of visceral artery dissection: one patient with celiac trunk dissection and two with dissection of the superior mesenteric artery. These events occurred up to 4 months after 7 to 14 days of FQ treatment (2 cases of ofloxacin, 1 of norfloxacin). There was no other apparent cause of dissection. These dissections were isolated, apart from a minimal aortic dissection separate from the visceral arterial dissection in one case. A case series cannot certify the relationship between dissection and FQ, but it can be hypothesized. The association between fluoroquinolone use and higher occurrence of aneurysm and dissection remains discussed in aortic syndrome. The potential link between FQ and visceral artery dissection is even less described but should be reported in the absence of previous cases in the literature. The pathophysiological theory is the induction of overexpression of some matrix metalloproteinases and a decrease of their inhibitors, provoking a dysregulation in collagen synthesis and degradation of the extracellular matrix.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"992-997"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673738","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

The Association Between the Fibrinogen-to-Albumin Ratio and Intracranial Arterial Stenosis in Patients With Acute Ischemic Stroke. 急性缺血性脑卒中患者纤维蛋白原白蛋白比值与颅内动脉狭窄之间的关系

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-07-21 DOI: 10.1177/00033197231190514

Xiaoyu Wang, Yuesong Pan, Runhua Zhang, Mengxing Wang, Haiqiang Qin, Xia Meng, Zixiao Li, Hao Li, Yilong Wang, Xingquan Zhao, Yongjun Wang, Gaifen Liu

{"title":"The Association Between the Fibrinogen-to-Albumin Ratio and Intracranial Arterial Stenosis in Patients With Acute Ischemic Stroke.","authors":"Xiaoyu Wang, Yuesong Pan, Runhua Zhang, Mengxing Wang, Haiqiang Qin, Xia Meng, Zixiao Li, Hao Li, Yilong Wang, Xingquan Zhao, Yongjun Wang, Gaifen Liu","doi":"10.1177/00033197231190514","DOIUrl":"10.1177/00033197231190514","url":null,"abstract":"The association between the fibrinogen-to-albumin ratio (FAR) and intracranial arterial stenosis (ICAS) in patients with acute ischemic stroke (AIS) has not yet been reported. In this large-scale investigation, 7894 AIS patients with ICAS-evaluation imaging data from the Third China National Stroke Registry were included. ICAS was defined as >50% stenosis of the intracranial arteries. We dichotomized the degree of ICAS into stenosis and occlusion. The number of ICAS lesions was the total number of intracranial stenotic arteries. Fibrinogen and albumin levels were assessed in the central laboratory of Beijing Tiantan Hospital. Univariate and multivariate analyses with logistic regression were used to determine the association between the FAR quartiles and ICAS. A total of 3900 (49.66%) patients had ICAS. Compared with those of the lowest FAR quartile, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of the highest FAR quartile were 1.26 (1.10-1.44), 1.15 (.99-1.33), and 1.19 (1.01-1.39) for ICAS, symptomatic ICAS, and asymptomatic ICAS, respectively. An elevated FAR was also associated with occlusion (adjusted OR: 1.28, 95% CI: 1.10-1.49) and lesion number ≥2 (adjusted OR: 1.25, 95% CI: 1.07-1.45).","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"937-944"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9901222","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

Inferior Vena Cava Filters: Adherence to Clinical Practice Guidelines Recommendations, Retrieval Rates, and Filter Complications in a Tertiary Hospital. 下腔静脉滤器：一家三级医院对临床实践指南建议的遵守情况、取回率和滤器并发症。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-07-20 DOI: 10.1177/00033197231190184

Cristina Gabara, Marc Montoya-Rodes, Néstor López, Carles Zamora-Martínez, María Ortiz, Alma Morancho, Jorge Moisés, Jeisson Osorio, Emmanuel Coloma, Carme Font, Sonia Jiménez, Federico Zarco, Marta Burrel, Patricia Bermúdez, Marta Barrufet, Jesús Aibar

{"title":"Inferior Vena Cava Filters: Adherence to Clinical Practice Guidelines Recommendations, Retrieval Rates, and Filter Complications in a Tertiary Hospital.","authors":"Cristina Gabara, Marc Montoya-Rodes, Néstor López, Carles Zamora-Martínez, María Ortiz, Alma Morancho, Jorge Moisés, Jeisson Osorio, Emmanuel Coloma, Carme Font, Sonia Jiménez, Federico Zarco, Marta Burrel, Patricia Bermúdez, Marta Barrufet, Jesús Aibar","doi":"10.1177/00033197231190184","DOIUrl":"10.1177/00033197231190184","url":null,"abstract":"The present study evaluated the adherence to guideline recommendations regarding the indication for inferior vena cava filter (IVCF) placement, retrieval rates, complications, thrombotic recurrences, and mortality. Patients in whom an IVCF was placed between 2015 and 2020 in a tertiary hospital were retrospectively included. We considered absolute indication of IVCF placement if all the guidelines evaluated agreed on the indication, relative indication if only some guidelines recommended it and without indication if none of the evaluated guidelines recommended it. From the 185 patients included; 47% had an absolute indication, 15% a relative indication, and 38% had no indication. Filter-associated complications and non-removal rates were 12.4% and 41%, respectively. Venous thromboembolism recurrence rate was 17.8%, being filter-associated complications (24.2 vs 9.8%, P = .02) and thrombosis of the inferior cava or iliac veins (12.1 vs 2.6%, P = .03) more frequent in this group. The mortality rate was 40%, with higher mortality risk in patients with co-existing cancer. Previous major bleeding, filter-associated complications, and mortality were associated with a major risk of non-removal. In conclusion, the adherence to guidelines regarding the indication of IVCF placement is still low and IVCF complications are not negligible. This fact is of special concern in the elderly, comorbid, and cancer patients.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"928-936"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195864","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

De Ritis Ratio is Associated with Contrast-Associated Acute Kidney Injury Prediction and Long-Term Clinical Outcomes in Patients Undergoing Emergency Percutaneous Coronary Intervention. De Ritis Ratio 与接受急诊经皮冠状动脉介入治疗患者的对比度相关急性肾损伤预测和长期临床结果有关。

IF 2.6 3区医学

Angiology Pub Date : 2024-11-01 Epub Date: 2023-07-20 DOI: 10.1177/00033197231190421

Wenkang Zhang, Mingkang Li, Xu Huang, Minhao Zhang, Gaoliang Yan, Chengchun Tang

{"title":"De Ritis Ratio is Associated with Contrast-Associated Acute Kidney Injury Prediction and Long-Term Clinical Outcomes in Patients Undergoing Emergency Percutaneous Coronary Intervention.","authors":"Wenkang Zhang, Mingkang Li, Xu Huang, Minhao Zhang, Gaoliang Yan, Chengchun Tang","doi":"10.1177/00033197231190421","DOIUrl":"10.1177/00033197231190421","url":null,"abstract":"Contrast-associated acute kidney injury (CA-AKI) is a familiar complication following percutaneous coronary intervention (PCI). The present study evaluated the predictive value of the De Ritis ratio for CA-AKI and its association with long-term clinical outcomes in patients undergoing emergency PCI. Overall, 546 patients were included in this study. The De Ritis ratio was calculated by aspartate aminotransferase/alanine aminotransferase activity. The De Ritis ratios in the CA-AKI patients were significantly higher than the non-CA-AKI patients [3.74 (2.32, 4.90) vs 1.61 (1.02, 2.53); P < .001]. The De Ritis ratio was an independent risk factor for CA-AKI [odds ratio, 2.243; 95% confidence interval (CI), 1.823-2.759; P < .001]. The area under the ROC curve was .813 (95% CI, .763-.862; P < .001), and the sensitivity and specificity were 67.0% and 82.4%, respectively, when the optimum cut-off value was 2.97. Furthermore, patients in the high De Ritis ratio group (≥1.76) had a significantly greater incidence of primary endpoints [26.7% (73/273) vs 13.2% (36/273); P < .001], and the high De Ritis ratio was an independent predictor for primary endpoints (hazard ratio, 1.888, 95% CI, 1.235-2.887; P = .003). In conclusion, the De Ritis Ratio is associated with CA-AKI prediction and long-term clinical outcomes in patients undergoing emergency PCI.","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"945-953"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10214606","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: Ankle-Brachial Index and Peripheral Arterial Disease in Patients With Endocrine Disorders. 信：内分泌失调患者的踝肱指数和外周动脉疾病

IF 2.6 3区医学

Angiology Pub Date : 2024-10-28 DOI: 10.1177/00033197241296473

Vasileios Papaioannou, Paraskevi Tsiantoula, Theofanis T Papas

引用次数: 0

Letter: Stress Hyperglycemia Ratio Is Associated With High Thrombus Burden in Patients With Acute Coronary Syndrome. 信应激性高血糖比率与急性冠状动脉综合征患者的高血栓负担有关。

IF 2.6 3区医学

Angiology Pub Date : 2024-10-27 DOI: 10.1177/00033197241296554

Engin Algül, Nail B Özbeyaz, Haluk F Şahan, Faruk Aydınyılmaz, Hamza Sunman

引用次数: 0