AngiologyPub Date : 2025-05-01Epub Date: 2024-05-20DOI: 10.1177/00033197241256161
Mesut Engin, Ahmet B Tatlı
{"title":"Letter: Trefoil Factor-3 and Peripheral Artery Disease: Reason or Result?","authors":"Mesut Engin, Ahmet B Tatlı","doi":"10.1177/00033197241256161","DOIUrl":"10.1177/00033197241256161","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"500-501"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070376","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}
AngiologyPub Date : 2025-05-01Epub Date: 2023-12-26DOI: 10.1177/00033197231225281
Jihee Kang, Sejun Kim, Shin-Seok Yang, Young-Wook Kim, Young-Soo Do, Kwang-Bo Park, Yang-Jin Park
{"title":"Clinical Characteristics and Management of Peripancreatic Arterial Aneurysms: A 20-year Experience.","authors":"Jihee Kang, Sejun Kim, Shin-Seok Yang, Young-Wook Kim, Young-Soo Do, Kwang-Bo Park, Yang-Jin Park","doi":"10.1177/00033197231225281","DOIUrl":"10.1177/00033197231225281","url":null,"abstract":"<p><p>Pancreaticoduodenal and gastroduodenal artery aneurysms (PDAAs and GDAAs) are rare visceral aneurysms. Considering the rupture risk regardless of size, treatment should be provided promptly. We reviewed the characteristics and management of peripancreatic aneurysms in a retrospective, single-center review of consecutive patients with PDAAs and GDAAs between 2000 and 2022. Demographics, clinical characteristics, radiologic features, treatment, and outcomes were recorded. Nineteen PDAAs and seven GDAAs were identified in 24 patients. The median sizes of the PDAAs and GDAAs were 21 mm (range: 8-50 mm) and 14 mm (range: 11-32 mm), respectively. There were 4 ruptured cases (15.4%). Ten aneurysms (38.5%) had concomitant visceral aneurysms, and 16 (61.6%) were associated with celiac pathology. Aneurysms were managed using endovascular in 12 (46.2%), surgical in 4 (15.4%), and combined methods in 3 (11.5%) cases; 7 patients (26.9%) were lost to follow-up or refused treatments. During a median 13.8-month follow-up (range: 1-147.6), two complications (7.7%) occurred including pancreatitis and coil migration into the superior mesenteric artery after embolization within 30 days. After 30 days, aorto-common hepatic artery bypass graft stenosis was identified in one PDAA. Depending on the characteristics of peripancreatic aneurysms, endovascular, surgical, and hybrid approaches might all be practical treatment options.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"424-430"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139037352","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}
AngiologyPub Date : 2025-05-01Epub Date: 2023-12-01DOI: 10.1177/00033197231219837
Tarek A Abdelaziz, Randa H Mohamed, Sara F Saadawy
{"title":"Association of Endothelial Nitric Oxide Synthase and Angiotensin-Converting Enzyme Genes Polymorphism With In-Sent Restenosis of Bare Metal Stents vs Drug-Eluting Stents in Egyptians.","authors":"Tarek A Abdelaziz, Randa H Mohamed, Sara F Saadawy","doi":"10.1177/00033197231219837","DOIUrl":"10.1177/00033197231219837","url":null,"abstract":"<p><p>Despite its unequivocal superiority compared with balloon angioplasty, coronary stenting did not abolish restenosis. We aimed to evaluate the associations between a common single nucleotide polymorphism occurring in endothelial nitric oxide synthase (eNOS) and angiotensin-converting enzyme (ACE) genes and the risk of in-stent restenosis (ISR) of bare metal stents vs drug-eluting stents (BMS vs DES) implanted in Egyptian patients. Two hundred patients who had coronary stenting were divided into group I (<i>n</i> = 98) who received a BMS and group II (<i>n</i> = 102) who received a DES. eNOS and ACE genes polymorphism were analyzed by polymerase chain reaction (PCR). We found that the GA and AA genotypes of the eNOS gene were associated with the ISR with both BMS and DES. However, the ACE gene was not associated with ISR. We concluded that eNOS gene polymorphism is associated with ISR. Hypertension, stent length, and AA genotype of the eNOS gene were found to be independent predictors of the occurrence of ISR after both BMS and DES use.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"416-423"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138469805","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}
{"title":"The Association Between the Albumin-Bilirubin Score and Contrast-Associated Acute Kidney Injury in Patients Undergoing Elective Percutaneous Coronary Intervention.","authors":"Jun-Han Chen, Li-Wei Zhang, Zhi-Jie Lin, Xiao-Fang Chen, Li-Chuan Chen, Chang-Xi Wang, Kai-Yang Lin, Yan-Song Guo","doi":"10.1177/00033197241228051","DOIUrl":"10.1177/00033197241228051","url":null,"abstract":"<p><p>The albumin-bilirubin (ALBI) score is considered an effective and convenient scoring system for assessing liver function. We hypothesized that the ALBI score was predictive of contrast-associated acute kidney injury (CA-AKI) and long-term mortality in patients undergoing elective percutaneous coronary intervention (PCI). We retrospectively observed 5629 patients undergoing elective PCI. Contrast-associated acute kidney injury is defined as a 50% or 0.3 mg/dl increase in baseline serum creatinine levels within 48 h of contrast exposure. The incidence of CA-AKI was 6.2% (n = 350). After adjusting for potential confounding factors, multivariate analysis showed that the ALBI score was an independent predictor of CA-AKI (<i>P</i> = .002). A restricted cubic spline analysis confirmed approximately linear relationships between the ALBI score and risks of CA-AKI. Furthermore, at a median follow-up of 2.8 years, multivariate Cox regression analysis indicated that the ALBI score was an independent risk factor for long-term mortality (<i>P</i> < .001). The ALBI score was closely related to the occurrence of CA-AKI and long-term mortality in patients who underwent elective PCI. This score might be useful for risk stratification in high-risk patient groups to predict CA-AKI.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"487-495"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478185","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}
AngiologyPub Date : 2025-05-01Epub Date: 2024-08-26DOI: 10.1177/00033197241276271
Gerfried Pesau, Bernhard Zierfuss, Clemens Hoebaus, Renate Koppensteiner, Gerit-Holger Schernthaner
{"title":"Letter: Answer to \"Trefoil Factor-3 and Peripheral Artery Disease: Reason or Result\".","authors":"Gerfried Pesau, Bernhard Zierfuss, Clemens Hoebaus, Renate Koppensteiner, Gerit-Holger Schernthaner","doi":"10.1177/00033197241276271","DOIUrl":"10.1177/00033197241276271","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"502"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071879","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}
{"title":"Association Between Remnant Cholesterol and Contrast-Induced Nephropathy in Patients Undergoing Coronary Angiography and/or Percutaneous Coronary Intervention.","authors":"Baolin Luo, Xizhen Huang, Yanchun Peng, Hanbin Luo, Liangwan Chen, Yanjuan Lin","doi":"10.1177/00033197231225862","DOIUrl":"10.1177/00033197231225862","url":null,"abstract":"<p><p>Contrast-induced nephropathy (CIN) is an acute renal complication that can occur after the use of iodinated contrast media. Remnant cholesterol (RC) is one of the markers of atherosclerotic cardiovascular disease risk. We evaluated the impact of RC on CIN and clinical outcomes after coronary angiography (CAG) and/or percutaneous coronary intervention (PCI). Consecutive patients (<i>n</i> = 3332) undergoing CAG and/or PCI were assessed in this retrospective study. Patients were divided into four groups based on baseline RC levels. In the quartile analysis, RC were associated with a higher risk of CIN, especially when RC ≤0.20 or ≥0.38 mmol/L (<i>P</i> < .05). However, after adjustment, the association of RC with CIN was not significant. There was a significant correlation between RC and repeated revascularization in patients undergoing PCI (<i>P</i> < .001) and driven primarily by the highest quartile level. After adjustment, this remained statistically significant (adjusted odds ratio (aOR) 4.06; 95% CI 2.10-7.87; <i>P</i> < .001). This is the first large study to show a possible association between RC and the risk of CIN after CAG and/or PCI; however, this finding was not further confirmed after adjustment. The complex clinical risk profile of patients, rather than RC itself, may contribute to the risk of CIN in this high-risk subgroup.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"466-475"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139377139","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}
{"title":"Fully Automated Agatston Score Calculation From Electrocardiography-Gated Cardiac Computed Tomography Using Deep Learning and Multi-Organ Segmentation: A Validation Study.","authors":"Ashish Gautam, Prashant Raghav, Vijay Subramaniam, Sunil Kumar, Sudeep Kumar, Dharmendra Jain, Ashish Verma, Parminder Singh, Manphoul Singhal, Vikash Gupta, Samir Rathore, Srikanth Iyengar, Sudhir Rathore","doi":"10.1177/00033197231225286","DOIUrl":"10.1177/00033197231225286","url":null,"abstract":"<p><p>To evaluate deep learning-based calcium segmentation and quantification on ECG-gated cardiac CT scans compared with manual evaluation. Automated calcium quantification was performed using a neural network based on mask regions with convolutional neural networks (R-CNNs) for multi-organ segmentation. Manual evaluation of calcium was carried out using proprietary software. This is a retrospective study of archived data. This study used 40 patients to train the segmentation model and 110 patients were used for the validation of the algorithm. The Pearson correlation coefficient between the reference actual and the computed predictive scores shows high level of correlation (0.84; <i>P</i> < .001) and high limits of agreement (±1.96 SD; -2000, 2000) in Bland-Altman plot analysis. The proposed method correctly classifies the risk group in 75.2% and classifies the subjects in the same group. In total, 81% of the predictive scores lie in the same categories and only seven patients out of 110 were more than one category off. For the presence/absence of coronary artery calcifications, the deep learning model achieved a sensitivity of 90% and a specificity of 94%. Fully automated model shows good correlation compared with reference standards. Automating process reduces evaluation time and optimizes clinical calcium scoring without additional resources.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"431-440"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080459","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}
AngiologyPub Date : 2025-05-01Epub Date: 2024-06-19DOI: 10.1177/00033197241263899
Ahmet Kivrak, Veysel Ozan Tanik
{"title":"Letter: Reevaluating Serum Albumin as a Mortality Predictor in Acute Pulmonary Embolism: The Critical Role of Nutritional Status and Comorbidities.","authors":"Ahmet Kivrak, Veysel Ozan Tanik","doi":"10.1177/00033197241263899","DOIUrl":"10.1177/00033197241263899","url":null,"abstract":"","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"498"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426204","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}
{"title":"Impact of Hospital Volume on Procedural Failure of Endovascular Treatment for Acute Limb Ischemia: The Japanese Nationwide Endovascular Therapy Registry.","authors":"Takuya Haraguchi, Mitsuyoshi Takahara, Osamu Iida, Shun Kohsaka, Hideki Ishii, Masato Nakamura, Tetsuya Amano, Tsutomu Fujita, Ken Kozuma","doi":"10.1177/00033197251333872","DOIUrl":"https://doi.org/10.1177/00033197251333872","url":null,"abstract":"<p><p>Endovascular therapy (EVT) is increasingly used to treat acute limb ischemia (ALI), a condition with high risks of limb loss and mortality. While high hospital volumes are linked with better outcomes in chronic lower extremity arterial disease (LEAD), the impact of hospital volume on ALI outcomes remains unclear. This study evaluated the relationship between hospital volume and procedure failure in ALI. Data from 3437 ALI patients undergoing EVT at 464 hospitals, sourced from the Japanese Endovascular Therapy (J-EVT) registry (2017-2022), were analyzed. Hospital volume was defined as the number of EVTs performed for LEAD at each hospital in the prior year. Propensity score matching (1:1) adjusted the baseline characteristics between low-volume (<53 cases/year) and non-low-volume hospitals. The primary outcome was procedural failure, defined as residual stenosis >30%. Secondary outcomes were perioperative complications. Low-volume hospitals had a significantly higher rate of procedural failure (11.7% vs 8.0%, <i>P</i> = .008), but perioperative complication rates were similar (6.6% vs 5.4%, <i>P</i> = .35). Generalized propensity score analysis confirmed a strong inverse correlation between hospital volume and procedural failure. Higher hospital volumes were associated with better EVT procedural outcomes for ALI, highlighting the importance of centralized care in non-low-volume hospitals.</p>","PeriodicalId":8264,"journal":{"name":"Angiology","volume":" ","pages":"33197251333872"},"PeriodicalIF":2.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964837","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}