FJVIS 26. Combined Carotid and Coronary Atherosclerosis: Complex Diagnosis and Endovascular Treatment
The objective of this study was to establish the incidence of coronary atherosclerosis in patients with severe carotid stenosis. Complete endovascular therapy has been reported. A total of 150 patients (63 ± 7 years of age; 96 men and 54 women) with critical carotid stenosis were studied and treated for 1 year. Carotid disease was screened with Doppler echocardiography and confirmed by carotid angiography.
CONCLUSIONS: Pooled coronary physiology measurements before and after TAVR are similar, but data on variation within individual lesions are limited. PMID: 31724534 [PubMed - as supplied by publisher]
Authors: Infante T, Viscovo LD, Rimini ML, Padula S, Caso P, Napoli C Abstract Early identification of coronary atherosclerotic pathogenic mechanisms is useful for predicting the risk of coronary heart disease (CHD) and future cardiac events. Epigenome changes may clarify a significant fraction of this "missing hereditability", thus offering novel potential biomarkers for prevention and care of CHD. The rapidly growing disciplines of systems biology and network science are now poised to meet the fields of precision medicine and personalized therapy. Network medicine integrates standard clinical recording ...
ConclusionsTortuosity of pelvic arteries was more frequent in older patients and predicted worse technical outcomes of PAE. PA origin from obturator artery was associated with lower DAP and fluoroscopy time, especially compared with PA origin from superior vesical artery. Interventionalist experience showed significant influence on technical outcome.
Publication date: Available online 14 November 2019Source: Autoimmunity ReviewsAuthor(s): Thibaud Chazal, Mathieu Kerneis, Paul Guedeney, Julien Haroche, Alexis Mathian, Pierre Rufat, Fleur Cohen Aubart, Gilles Montalescot, Zahir Amoura
ConclusionIn dogs, CTA is effective for diagnosis of coronary artery anomalies. Printed 3D models of ECG-gated studies were of excellent quality and allowed direct visualization of abnormal coronary artery anatomy. The usefulness of these models to improve the understanding of anomalous coronary artery anatomy could be evaluated in future studies.
CONCLUSION: Patients with RAO had a higher prevalence of subclinical obstructive CAD with a more extensive and heavier burden of coronary artery plaques than did age- and gender-matched controls. Physicians should understand the potential risk of CAD in RAO patients. PMID: 31726494 [PubMed - in process]
Study Design. Retrospective cohort study. Objective. Compare a novel two-step algorithm for indicating a computed tomography angiography (CTA) in the setting of a cervical spine fracture with established gold standard criteria. Summary of Background Data. As CTA permits the rapid detection of blunt cerebrovascular injuries (BCVI), screening criteria for its use have broadened. However, more recent work warns of the potential for the overdiagnosis of BCVI, which must be considered with the adoption of broad criteria. Methods. A novel two-step metric for indicating CTA screening was compared with the American Coll...
CONCLUSIONS: LCx dominance, number of branches, vessel size, and dominance among diagonal branches determined the myocardial territory of diagonal branches. Clinical application of prediction models based on these anatomical attributes can help determine the clinically relevant diagonal branches in the cardiac catheterization laboratory. PMID: 31719001 [PubMed - as supplied by publisher]
AbstractWe studied whether previously developed cardiac risk scores —including history, ECG, age, risk factors, and troponin (HEART); Thrombolysis in Myocardial Infarction (TIMI); Global Registry of Acute Coronary Events (GRACE); and Emergency Department Assessment of Chest Pain (EDACS)—could be applied to predict major adverse cardiac events (MACE) in patients with possible coronary artery disease, including anginal equivalents. Patients with chest pain or anginal equivalents who underwent coronary computed tomographic angiography were included. The primary outcome was 30-day MACE. We compared the cardiac risk...
Despite the widespread use of computed tomography pulmonary angiography with contrast media for the diagnosis of acute pulmonary embolism, high-quality evidence on risk factors for postcontrast acute kidney injury related to its use is lacking.