Angiology: open access最新文献

Prosthetic Vascular Access Creation: Learning Curve Analysis 人造血管通路创建:学习曲线分析

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.230

M. Franchin, M. Tozzi, G. Mozzetta, Cervarolo Mc, E. Nahal, G. Carcano, G. Piffaretti

{"title":"Prosthetic Vascular Access Creation: Learning Curve Analysis","authors":"M. Franchin, M. Tozzi, G. Mozzetta, Cervarolo Mc, E. Nahal, G. Carcano, G. Piffaretti","doi":"10.35248/2329-9495.19.7.230","DOIUrl":"https://doi.org/10.35248/2329-9495.19.7.230","url":null,"abstract":"Aim: In the present study, we analysed the learning curve of prosthetic vascular access creation. Materials and methods: The first 50 consecutive prosthetic vascular access created by a single experienced vascular surgeon was included in this study. Primary outcomes were operative time, intervention-free access survival and functional access survival. Additional outcomes were complications of the intervention. We used the cumulative sum technique to assess the learning curve. Results: The analysis of the learning curve obtained with cumulative sum technique on operative time, interventionfree survival and functional access survival permitted to define three phases: learning (first 25 patients), expertise (following 15 patients) and post-learning phase. Accordingly, statistical differences were observed in operative time, intervention-free survival, and frequencies of graft thrombosis among the three groups. Conclusion: Prosthetic vascular access creation is a safe and effective intervention when performed by an experienced vascular surgeon. Otherwise, a twenty-five interventions learning curve is mandatory to obtain better results in terms of operative time, circuit survival and frequency of thrombosis. Additional fifteen interventions are required to obtain an expert level of practice, allowing for more challenging procedure.","PeriodicalId":90100,"journal":{"name":"Angiology: open access","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75560163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Submitral Aneurysm Secondary to Infective Endocarditis: Review of Literature and Case Report 继发于感染性心内膜炎的腹下动脉瘤:文献回顾及病例报告

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.229

Chaudappa Shakapur, Maheshwar Honnalli, Sagar Mali

{"title":"Submitral Aneurysm Secondary to Infective Endocarditis: Review of Literature and Case Report","authors":"Chaudappa Shakapur, Maheshwar Honnalli, Sagar Mali","doi":"10.35248/2329-9495.19.7.229","DOIUrl":"https://doi.org/10.35248/2329-9495.19.7.229","url":null,"abstract":"Submitral aneurysm is seldom reported worldwide. It is thought to be caused by weakness in the cardiac musculature due to abnormal embryogenesis. Mostly these aneurysms were reported from Africa in black African population. Apart from congenital cause, many other causes have been put forth as its etiology. Among these endocarditis is a known infective etiology. Submitral aneurysm secondary to left sided infective endocarditis is rare. The definitive diagnostic modality and treatment of submitral aneurysm remains echocardiography and surgical correction of aneurysm respectively. The submitral aneurysms as well as infective endocarditis both are known independent risk factors for thromboembolic events and subsequent stroke increasing both morbidity and mortality. The management of submitral aneurysm includes surgical correction by repair of the aneurysm but it requires careful consideration of surgical resection of diseased paravalvular tissue or diseased mitral valve and correction of mitral regurgitation by preforming mitral valve replacement. The surgical approach reduces the risk of recurrent endocarditis and thromboembolic events, thus reducing the risk of stroke. Prior to surgery, patient should receive prophylactic antibiotics for one to two weeks to control any active infective endocarditis. For us successful treatment of a patient suffering from submitral aneurysm due to infective endocarditis was challenging. We are reporting a case of submitral aneurysm secondary to infective endocarditis along with review of literature on infective endocarditis and submitral aneurysma.","PeriodicalId":90100,"journal":{"name":"Angiology: open access","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81522985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Linking Cancer to Metabolic Syndrome through it’s Individual Contributory Components: Oxidative Stress and Renin-Angiotensin-Aldosterone Axis Dysregulation 将癌症与代谢综合征联系起来:氧化应激和肾素-血管紧张素-醛固酮轴失调

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.225

Chirag H. Mandavia

引用次数: 0

Chest Pain in Pediatrics, Local Center Experience 儿科胸痛，地方中心经验

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.224

F. Almesned, Saleh Almesned, Mohammed A Al Mesned, Abdullah Alqwaiee, A. Almesned, Ali A. Al-Akhfash

{"title":"Chest Pain in Pediatrics, Local Center Experience","authors":"F. Almesned, Saleh Almesned, Mohammed A Al Mesned, Abdullah Alqwaiee, A. Almesned, Ali A. Al-Akhfash","doi":"10.35248/2329-9495.19.7.224","DOIUrl":"https://doi.org/10.35248/2329-9495.19.7.224","url":null,"abstract":"Background: Chest pain in children might cause anxiety for the patient and his/her family. It was reported that a follow up of chest pain in pediatrics doesn't increase the risk of sudden cardiac death. Materials and methods: A retrospective review of all pediatric cases referred with a complaint of chest pain to pediatric cardiology-PSCC-Qassim since 2006. Families were contacted to review the child condition and the status of the chest pain complaint and any medical problems the child might have. Results: A total of 242 pediatric cases were referred with a complaint of chest pain since 2006. 135 (56%) were females. The age & weight at referral was 2 to 14 years and 5 to 71 kg. 16 (6.7%) patients reported that there is a relation between chest pain and exercise. The most frequent associated symptom was palpitations. Clinically 50 cases (20.6%) had cardiac murmurs with normal general, cardiac and other organ systems exam. 12 patients had minor ECG abnormalities (PACs, PVCs, borderline long QT). 23 patients (9.5%) had abnormal echo findings in the form of BAV, ASD, PFO, MVP, and PAPVD. By Telephone contact of the families, the current age of those referred is 4 to 22 years (average 12.8 +/- 3.3 years). 195 families (80.6%) reported that their children have no more chest pain. 48 children (19.8%) reported that they are still having nonspecific chest pain which didn't interfere with the child living conditions. 13 children (5.4%) have medical problems (e.g. bronchial asthma, anemia, hyperthyroidism, etc. ). All are alive with no reported cardiac events. Conclusion: Chest pain in pediatrics is a benign condition. A proper assessment will decrease referrals and the use of extensive investigations. It is less likely to affect the child daily activities and doesn’t increase the risk of sudden cardiac death.","PeriodicalId":90100,"journal":{"name":"Angiology: open access","volume":"36 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72390622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kissing Sheath Technique for Permanent Inferior Vena Cava 永久性下腔静脉吻合术

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.228

R. Mor, D. Maharaj, C. Calderas, D. Richards, R. Rampersad

引用次数: 0

Association of Brachial Artery Measures with Estimated GFR>60 mL/min/1.73 m2 in a Cross-Sectional Study of the Community-Based Women 在社区妇女的横断面研究中，肱动脉测量与估计GFR>60 mL/min/1.73 m2的关系

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.231

K. Fujioka, M. Oishi, T. Nakayama, A. Fujioka

{"title":"Association of Brachial Artery Measures with Estimated GFR>60 mL/min/1.73 m2 in a Cross-Sectional Study of the Community-Based Women","authors":"K. Fujioka, M. Oishi, T. Nakayama, A. Fujioka","doi":"10.35248/2329-9495.19.7.231","DOIUrl":"https://doi.org/10.35248/2329-9495.19.7.231","url":null,"abstract":"Objective: The purpose of this study is to estimate whether early decline in kidney disease is correlated with brachial artery measures as surrogate markers of the endothelial function in community-based women. Methods: We studied 36 women with estimated glomerular filtration rate (eGFR)>60 mL/min/1.73 m2 in community-based population women were enrolled in this study. Brachial artery measures including Flow-Mediated Vasodilation (FMD), Nitroglycerin-Mediated Vasodilation (NMD), Brachial Artery Diameter (BAD), FMD/NMD ratio and Post-Nitroglycerin Brachial Artery Diameter (P-NTGD) examinations were measured in all subjects by using brachial artery ultrasonography. The eGFR was calculated using the Japanese GFR inference formula, which was developed by the Japanese Society of Nephrology. Results: There was significantly positive correlation between eGFR and FMD (r=0.348, p=0.041), positive correlation between eGFR and FMD/NMD ratio (r=0.471, p=0.004) and negative correlation between eGFR and P-NTGD (r=-0.405, p=0.016) were recognized. Negative correlation between Serum Uric Acid (SUA) and eGFR (r=-0.335, p=0.049) and negative correlation between FMD and SUA (r=-0.34, p=0.045) were also demonstrated. Conclusion: Mild renal dysfunction with eGFR>60 mL/min/1.73 m2 was associated with endothelial dysfunction in women. The cardio-renal interrelationship may be also suggested under mild renal dysfunction. It can be suggested that mild renal dysfunction might be a cardiovascular risk factor in women. Though it should not be distinctly stated just based on the results of the study. Keywords: Estimated glomerular filtration rate; Flow-mediated vasodilation; Endothelial dysfunction; Cardio-renal interrelationship; Mild renal dysfunction","PeriodicalId":90100,"journal":{"name":"Angiology: open access","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86079851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Successful Thrombolytic Treatment of a Thrombosed Mechanical Mitral Valve in a Post-brain Surgery Patient- A Case Report and Literature Review 成功溶栓治疗脑手术后患者血栓形成的机械二尖瓣- 1例报告和文献复习

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.226

M. Al-Shamiri

引用次数: 0

Relation of Coronary Artery Lumen with Baseline, Post-angioplasty Coronary Circulating Pro-Inflammatory Cytokines in Patients with Coronary Artery Disease 冠心病患者冠状动脉腔与基线、血管成形术后冠状动脉循环促炎性细胞因子的关系

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.227

Suarez-Cuenca Ja, Eduardo Vera-Gómez, Hern, A ez-Patricio, J. A. Gutiérrez-Buendía, G. Dominguez-Perez, Rogelio Robledo-Nolasco, Alcantara-Melendez Ma, P. Mondragón‐Terán

{"title":"Relation of Coronary Artery Lumen with Baseline, Post-angioplasty Coronary Circulating Pro-Inflammatory Cytokines in Patients with Coronary Artery Disease","authors":"Suarez-Cuenca Ja, Eduardo Vera-Gómez, Hern, A ez-Patricio, J. A. Gutiérrez-Buendía, G. Dominguez-Perez, Rogelio Robledo-Nolasco, Alcantara-Melendez Ma, P. Mondragón‐Terán","doi":"10.35248/2329-9495.19.7.227","DOIUrl":"https://doi.org/10.35248/2329-9495.19.7.227","url":null,"abstract":"Background: Atherogenic progression in Coronary Artery Disease (CAD) involves a chronic inflammatory process, where local production or release of pro-inflammatory mediators into coronary circulation has a main role. Proinflammatory cytokines IL-6, TNFα and IL1β have been particularly related with the atheroma plaque and CAD severity. Aim: To explore whether characteristics of the coronary artery affected by atheroma plaque were related with coronary circulating pro-inflammatory cytokines and their modifications after angioplasty. Methods: Patients with CAD and stable coronary plaque, submitted to coronary angiography and stenting. Coronary artery lumen diameter at the site of the main atherogenic lesion was measured by intravascular ultrasound, whereas IL-6, TNFα and IL1β concentration in coronary and peripheral blood samples, either before or after angioplasty were determined by multiplexing assay. Baseline distribution of coronary cytokines, or its modification after angioplasty, was evaluated according to the diameter of the lumen of coronary artery (subgroups divided by cutoff value 3.5 mm). Results: Coronary lumen diameter <3.5 mm was related to higher baseline coronary concentrations of IL-1β; as well as to the significant increase in coronary concentrations of TNF-α and IL-6, after angioplasty. Baseline cytokines at peripheral blood did were not modified by coronary lumen diameter; however, coronary lumen <3.5 mm was associated to a peripheral increase in IL-1β, after angioplasty. Conclusion: Coronary lumen diameter, possibly implying plaque characteristics, affects baseline and post-angioplasty coronary concentrations of pro-inflammatory cytokines in patients with CAD.","PeriodicalId":90100,"journal":{"name":"Angiology: open access","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78052536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Risk of Major Bleeding in Very Elderly Patients with Atrial Fibrillation- A Continuous Dilemma in the Real World Clinics. Evidence and Perspectives 高龄心房颤动患者大出血的风险-现实世界诊所的持续困境。证据和观点

Angiology: open access Pub Date : 2019-01-01 DOI: 10.35248/2329-9495.19.7.E119

Rami Riziq-Yousef Abumuaileq

引用次数: 1

Aberrations in Angiogenic Signaling and MYC Amplifications are Distinguishing Features of Angiosarcoma. 血管生成信号异常和MYC扩增是血管肉瘤的显著特征。

Angiology: open access Pub Date : 2013-04-08 DOI: 10.4172/2329-9495.1000102

Vittal Kurisetty, Brad A Bryan

引用次数: 8