Reliability of the Mangled Extremity Severity Score in the Management of Peripheral Vascular Injuries in Children: A Retrospective Review
This study was aimed to evaluate different management modalities for peripheral vascular trauma in children, with the aid of the Mangled Extremity Severity Score (MESS). A single-center retrospective analysis took place between 2010 and 2017 at University Hospitals, having emergencies and critical care centers. Different types of vascular repair were adopted by skillful vascular experts and highly trained pediatric surgeons. Patients were divided into three different age groups. Group I included those children between 5 and 10 years; group II involved pediatrics between 11 and 15 years; while children between 16 and 21 yea...
Source: International Journal of Angiology - November 26, 2020 Category: Cardiology Authors: Mousa, Ahmed Zakaria, Ossama M. Elkalla, Mai A. Abdelsattar, Lotfy A. Al-Game'a, Hamad Tags: Original Article Source Type: research

Free-Floating Thrombus in the Distal Internal Carotid Artery Causing a Stroke
We report some important treatment strategies that have been used in the literature, emphasizing the anticoagulation as the mainstay of therapy. Immediate surgical and interventional manipulations carry the risk of thrombus dislodgement and embolization and should be considered if there are recurrent symptoms despite medical management. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - November 26, 2020 Category: Cardiology Authors: Papadoulas, Spyros Moulakakis, Konstantinos Kouri, Natasa Zampakis, Petros Kakkos, Stavros K. Tags: Case Report Source Type: research

An Unusual Presentation of Mycotic Popliteal Artery Pseudoaneurysm due to Pasteurella multocida Infection
Int J Angiol DOI: 10.1055/s-0040-1718545 Pasteurella multocida, a zoonotic infectious pathogen, is a rare cause of mycotic aneurysms in human hosts. A 76-year-old man was admitted at our emergency unit for a superinfection of his right limb. The patient was initially treated for a knee arthritis. After a first-line antibiotherapy, the patient was referred to the vascular department for the management of a right acute limb ischemia. The work-up revealed a ruptured pseudoaneurysm of the popliteal artery. The ruptured artery was surgically explanted, and a femoropopliteal bypass was then performed. Pasteurella multocida wa...
Source: International Journal of Angiology - November 26, 2020 Category: Cardiology Authors: Orgiu, Antoni Zanier, Thomas Kashi-Dakhil, Mahine Zaimi, Rym Dakhil, Bassel Longuet, Pascale Bagan, Patrick Tags: Case Report Source Type: research

Acute Embolic Occlusion of Renal Artery after the Bentall Procedure: the Role of Primary Renal Angioplasty
We presented a case of acute thromboembolic renal artery occlusion in patient who had a history of Bentall's surgery. Renal infarction and artery occlusion were clearly visualized by computed tomography angiogram (CTA). The patient was successfully treated with angioplasty and stenting of main renal artery with complete disappearance of symptoms and recovery of his renal function. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - November 26, 2020 Category: Cardiology Authors: Indriani, Suci Adiarto, Suko Andriantoro, Hananto Sunu, Ismoyo Siddiq, Taofan Dakota, Iwan Tags: Case Report Source Type: research

Thomas F. Whayne, Jr., MD, PhD, FICA (1937 –2020)
Int J Angiol 2020; 29: 215-215 DOI: 10.1055/s-0040-1719150 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - November 26, 2020 Category: Cardiology Authors: Saha, Sibu P. Tags: In Memorium Source Type: research

The Half-Century Mark: Explant of Ball and Cage Valve after 50 Years
Int J Angiol DOI: 10.1055/s-0040-1720967This is a case report of a 69-year-old man with chronic hemolysis and worsening diastolic heart failure, secondary to known periprosthetic leak, who underwent a reoperative mitral valve replacement 50 years following initial implantation of a Starr–Edwards ball and cage valve. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - November 5, 2020 Category: Cardiology Authors: Pupovac, Stevan S. Koss, Elana Hartman, Alan R. Manetta, Frank Tags: Case Report Source Type: research

Transplant Renal Artery Stenosis Revascularization: Common Distal External Iliac Bypass
This study was aimed to evaluate a novel surgical approach to renal allograft revascularization, taking into consideration the length of time elapsed since transplantation. We describe an arterial bypass using a polytetrafluoroethylene (PTFE) graft from the common iliac artery (proximal to the renal artery implantation) to the external iliac artery (distal to the renal artery implantation) that allows the adequate revascularization of both the transplant kidney, as well as the lower extremity. This technique provides several advantages when compared with previously described procedures to revascularize a transplanted kidne...
Source: International Journal of Angiology - September 21, 2020 Category: Cardiology Authors: Miyara, Santiago J. Ortiz, Christopher C. Guevara, Sara Molmenti, Alexia Tamayo-Enriquez, Gerardo Cho, Young Min Cagliani, Joaquin A. Molinas, Jorge Hayashida, Kei Shinozaki, Koichiro Takegawa, Ryosuke Krishnasastry, K. V. Becker, Lance B. Molmenti, Ernes Tags: Case Report Source Type: research

Efficacy of Coronary Computed Tomography Angiography for the De Novo Detection of Chronic Total Occlusion Prior to Coronary Angiography: A Preliminary and Retrospective Study
Int J Angiol DOI: 10.1055/s-0040-1716328Coronary computed tomography angiography (CCTA) offers high-resolution anatomic characterization of the coronary vasculature but may be suboptimal for lesions dependent on real-time visualization of flow including chronic total occlusion (CTO). In CTOs, heavy calcification and distal vessel opacification from collateralization may confound luminal assessment. Several studies have examined the role of CCTA in characterizing known CTOs to guide percutaneous coronary intervention (PCI). However, the efficacy of CCTA in the de novo diagnosis of CTOs prior to coronary angiography (CAG) ha...
Source: International Journal of Angiology - September 19, 2020 Category: Cardiology Authors: Lee, Dae Hyun Kambhampati, S. Mohammed, M. Goli, R. Thiemann, D. Lawson, B. Resar, J. Mohanty, B. Tags: Original Article Source Type: research

Use of a Novel Device in Reconstructive Venous Surgery: Preliminary Results
In conclusion, although our data needs further confirmation, OSES device might represents a new interesting opportunity for reconstructive venous surgery. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - September 19, 2020 Category: Cardiology Authors: Camilli, Daniele Platone, Alessandro Ruggeri, Massimo Furgiuele, Sergio Tags: Original Article Source Type: research

Asymptomatic Females Are at Higher Risk for Perioperative TIA/Stroke and Males Are at Higher Risk for Long-Term Mortality after Carotid Artery Stenting: A Vascular Quality Initiative Analysis
Int J Angiol DOI: 10.1055/s-0040-1712506The study aims to review the sex differences with respect to transient ischemic attack (TIA)/stroke and death in the perioperative period and on long-term follow-up among asymptomatic patients treated with carotid stenting (CAS) in the vascular quality initiative (VQI). All cases reported to VQI of asymptomatic CAS (ACAS) patients were reviewed. The primary end point was risk of TIA/stroke and death in the in-hospital perioperative period and in the long-term follow-up. The secondary end point was to evaluate predictors of in-hospital perioperative TIA/stroke and mortality on long-te...
Source: International Journal of Angiology - September 15, 2020 Category: Cardiology Authors: Erben, Young Li, Yupeng Da Rocha-Franco, Joao A. Tawk, Rabih G. Barrett, Kevin M. Freeman, William D. Lin, Michelle Huang, Josephine F. Miller, David Farres, Houssam Brott, Thomas G. Meschia, James F. Hakaim, Albert G. Tags: Original Article Source Type: research

A New Technique to Puncture and Remove a PTCA Balloon that Fails to Deflate
We present the first clinical report and describe the technique of using a modified Heartrail II guiding catheter to successfully puncture and remove a coronary angioplasty balloon that failed to deflate after stent implantation. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - September 15, 2020 Category: Cardiology Authors: Pasamanickam, Kannan Rajadurai, Jeyamalar Choo, Gim-Hooi Tags: Case Report Source Type: research

Life-Threatening Hematuria as Initial Presentation of a Complicated Transplant Renal Artery Pseudoaneurysm
Int J Angiol DOI: 10.1055/s-0040-1716327In this case report, we describe the clinical course of a complicated transplant renal artery (TRA) pseudoaneurysm, clinically featured by gross and massive hematuria one month after a kidney transplant was performed on a 50 year-old male patient. TRA pseudoaneurysm is a rare but potentially life-threatening complication that may result in bleeding, infection, graft dysfunction/loss, lower limb ischemia/loss, hemorrhagic shock, and death. TRA pseudoaneurysm treatment remains challenging as it needs to be tailored to the patient characteristics including hemodynamic stability, graft f...
Source: International Journal of Angiology - September 15, 2020 Category: Cardiology Authors: Miyara, Santiago J. Becker, Lance B. Guevara, Sara Lau, Lawrence Nair, Vinay V. Jandovitz, Nicholas Fahmy, Ahmed E. Grodstein, Elliot Winnick, Aaron M. Kirsch, Claudia Rolston, Daniel M. Bhaskaran, Madhu C. Hayashida, Kei Shinozaki, Koichiro Takegawa, Ryo Tags: Case Report Source Type: research

New Horizons in Lower Limb Ischemia- Pathophysiology and Management
Int J Angiol 2020; 29: 141-142 DOI: 10.1055/s-0040-1716437 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - August 30, 2020 Category: Cardiology Authors: Prasad, Kailash Elefteriades, John A. Tags: Editorial Source Type: research

Single versus Multiple Vessel Endovascular Tibial Artery Revascularization for Critical Limb Ischemia: A Review of the Literature
Int J Angiol DOI: 10.1055/s-0040-1714662Vascular interventionalists have long debated on whether one or multiple patent tibial arteries (run-off) are necessary to treat critical limb ischemia, including ischemic rest pain and tissue loss. This review article seeks to clarify data surrounding this topic by including literature from retrospective studies, prospective studies, meta-analyses, and randomized controlled trials. Our conclusion is that revascularizing a single tibial artery to the foot is adequate for wound healing. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJour...
Source: International Journal of Angiology - August 29, 2020 Category: Cardiology Authors: Anand, Gautam M. Conway, Allan M. Giangola, Gary Tags: Review Article Source Type: research

Endarterectomy for Iliac Occlusive Disease during Kidney Transplantation: A Multicenter Experience
Int J Angiol DOI: 10.1055/s-0040-1714752Little is known about the surgical challenges and outcomes of kidney transplantation (KT) in the face of severe iliac occlusive disease (IOD). We aim to examine our institution's experience and outcomes compared with all KT patients. Retrospective review of our multi-institutional transplant database identified patients with IOD requiring vascular surgery involvement for iliac artery endarterectomy at time of KT from 2000 to 2018. Clinical data, imaging studies, and surgical outcomes of 22 consecutive patients were reviewed. Our primary end-point was allograft survival. Secondary end...
Source: International Journal of Angiology - August 29, 2020 Category: Cardiology Authors: Sorrells, William S. Mao, Shennen A. Taner, Timucin Jadlowiec, Caroline C. Farres, Houssam Davila, Victor Money, Samuel R. Stone, William M. Al-Khasawneh, Mohammad Da Rocha-Franco, Joao A. Da Rocha Oldenburg, Warner A. Oderich, Gustavo S. Taner, C. Burcin Tags: Original Article Source Type: research

Inflammatory Conditions in Acute Coronary Syndrome Patients Treated with Percutaneous Coronary Intervention of Saphenous Vein Graft
Int J Angiol DOI: 10.1055/s-0040-1714751The study aimed to evaluate the inflammatory blood parameters in acute coronary syndrome (ACS) patients with a history of coronary artery bypass graft (CABG) and treated with percutaneous coronary intervention (PCI) of saphenous vein graft (SVG). A total of 347 patients who underwent urgent SVG PCI with the diagnosis of ACS were included in the study. After the application of exclusion criteria, 79 patients were allocated into two groups, namely, successful PCI (n = 59) and unsuccessful PCI (n = 20), and included in the statistical analysis. Neutrophil-to-...
Source: International Journal of Angiology - August 29, 2020 Category: Cardiology Authors: Cankurt, Tayyar Celik, İbrahim E. Ozturk, Selcuk Maden, Orhan Tags: Original Article Source Type: research

Interhospital Transfer versus Direct Admission in Patients with Acute ST-Segment Elevation Myocardial Infarction
Int J Angiol DOI: 10.1055/s-0040-1714686There is concern whether patients with ST-segment elevation myocardial infarction (STEMI) who admitted to a percutaneous coronary intervention (PCI) center from interhospital transfer is associated with longer reperfusion time compared with direct admission. We evaluated the reperfusion delays in patients with STEMI who admitted to a primary PCI center through interhospital transfer or direct admission. We retrospectively analyzed 6,494 consecutive STEMI patients admitted between 2011 and 2019. Compared with direct admission (n = 4,121; 63%), interhospital transferred p...
Source: International Journal of Angiology - July 24, 2020 Category: Cardiology Authors: Dharma, Surya Dakota, Iwan Andriantoro, Hananto Firdaus, Isman Anandira, Citra P. Radi, Basuni Tags: Origianl Article Source Type: research

A Sequential Approach to the Management of Ostial Coronary Lesions via the Modified Flower Petal Technique
In this report, we discuss a patient who underwent PCI with sequential modified flower petal technique, first to the left anterior descending artery ostial lesion, and then to the circumflex artery (CXA) upon the ostium of CXA was affected after the procedure following coronary angiography. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - July 14, 2020 Category: Cardiology Authors: Ermis, Emrah Ucar, Hakan Allahverdiyev, Samir Yildirim, Erkan Tags: Case Report Source Type: research

Coronary Angiography Characteristics as Predictor of Successful Chronic Total Occlusion Recanalization
This study sought to establish a scoring model to predict successful CTO recanalization based on coronary angiography characteristics. We analyze 287 angiography data from patients who underwent elective PCI. Angiography characteristics being measured were lesion location, blunt stump, calcification, ostial lesion, bridging collateral, bending, side branch, tortuosity, previous stent attempt, and lesion length of>20 mm. Data were analyzed using SPSS 25.0. Multivariate analysis shows that side branch lesion (p = 0.000), proximal vessels tortuosity (p = 0.015), calcified lesion (p&thinsp...
Source: International Journal of Angiology - June 29, 2020 Category: Cardiology Authors: Oktaviono, Yudi Her Rizal, Ardian Al-Farabi, Makhyan Jibril Maghfirah, Irma Rachmi, Dita Aulia Tags: Original Article Source Type: research

Acute Lower Limb Ischemia —Etiology, Pathology, and Management
Int J Angiol DOI: 10.1055/s-0040-1713769Acute limb ischemia (ALI) is a vascular emergency associated with a high risk for limb loss and death. Most cases result from in situ thrombosis in patients with preexisting peripheral arterial disease or those who have undergone vascular procedures including stenting and bypass grafts. The other common source is cardioembolic. The incidence has decreased in recent times due to better anticoagulation strategies. Patients with suspected ALI should be evaluated promptly by a vascular specialist and consideration should be given for transfer to a higher level of care if such expertise i...
Source: International Journal of Angiology - June 26, 2020 Category: Cardiology Authors: Natarajan, Balaji Patel, Prashant Mukherjee, Ashis Tags: Review Article Source Type: research

Prevalence of Intracranial Aneurysms in Patients with Infrarenal Abdominal Aortic Aneurysms: A Multicenter Experience
Int J Angiol DOI: 10.1055/s-0040-1713139Prior studies suggest high prevalence of intracranial aneurysms (IA) in patients with infrarenal abdominal aortic aneurysms (AAA). We reviewed our multicenter experience in clinical detection/treatment of IAs in AAA patients and estimated the risk of IA in patients with AAA relative to patients without AAA. We reviewed cases of vascular surgery infrarenal AAA repairs at three Mayo Clinic sites from January 1998 to December 2018. Concurrent controls were randomly matched in a 1:1 ratio by age, sex, smoking history, and head imaging characteristics. Conditional logistic regression was ...
Source: International Journal of Angiology - June 26, 2020 Category: Cardiology Authors: Erben, Young Da Rocha-Franco, Joao A. Ball, Colleen T. Barrett, Kevin M. Freeman, William D. Lin, Michelle Tawk, Rabih Huang, Josephine F. Vibhute, Prasana Oderich, Gustavo Miller, David A. Farres, Houssam Davila, Victor Money, Samuel R. Meltzer, Andrew J Tags: Original Article Source Type: research

Pathophysiology and Treatment Modalities for Atrial Fibrillation: Present and Future
Int J Angiol 2020; 29: 63-64 DOI: 10.1055/s-0040-1710497 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - May 25, 2020 Category: Cardiology Authors: Prasad, Kailash Elefteriades, John A. Tags: Editorial Source Type: research

Renal Transplant Artery Inflow Stenosis Treated with Femorofemoral Bypass
We present a femorofemoral bypass graft with ringed polytetrafluoroethylene (PTFE). In this occasion, revascularization was achieved by a backflow mechanism. The approach described achieved its goal of revascularizing the allograft as well as the distal extremity, with both short- and long-term successful outcomes. Benefits of this approach when compared with re-implantation or procedures directly involving the transplant renal artery include minimization of ischemic time, no need to repair the stenosis, anastomoses with vessels of greater diameter, no need to perfuse the kidney, no need to take down the renal artery anast...
Source: International Journal of Angiology - May 15, 2020 Category: Cardiology Authors: Ortiz, Christopher Chiodo Miyara, Santiago J. Cagliani, Joaquin A. Cho, Young Min Guevara, Sara Hayashida, Kei Shinozaki, Koichiro Clement, Damian Becker, Lance B. Wang, Bo Krishnasastry, K.V. Teperman, Lewis W. Molmenti, Ernesto P. Tags: Case Report Source Type: research

AGE-RAGE Axis in the Pathophysiology of Chronic Lower Limb Ischemia and a Novel Strategy for Its Treatment
In conclusion, AGE-RAGE stress defined as a shift in the balance between stressors (AGE, RAGE) and antistressor (sRAGE) in favor of stressors, initiates the development of atherosclerosis resulting in CLLI. Treatment modalities would include reduction of AGE levels and RAGE expression, RAGE blocker, elevation of sRAGE, and antioxidants for prevention, regression, and slowing of progression of CLLI. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - May 13, 2020 Category: Cardiology Authors: Prasad, Kailash Bhanumathy, Kalpana K. Tags: Review Article Source Type: research

Perioperative Acute Pulmonary Embolism: A Concise Review with Emphasis on Multidisciplinary Approach
Int J Angiol DOI: 10.1055/s-0040-1709501Perioperative acute pulmonary embolism represents a relatively rare complication; however, it could be very serious and devastating in some cases. Its diagnosis could be particularly challenging, especially in the intraoperative period. Herein, we emphasize some key concepts with the aim to perform an early and appropriate risk stratification, diagnostic and therapeutic approach in a multidisciplinary fashion, a brief overview on thromboprophylaxis, with the main objective to improve outcomes and survival in these challenging patients. [...] Thieme Medical Publishers 333 Seventh Aven...
Source: International Journal of Angiology - May 13, 2020 Category: Cardiology Authors: Porres-Aguilar, Mateo Rivera-Lebron, Belinda N. Anaya-Ayala, Javier E. Le ón, María Cristina Guerrero de Mukherjee, Debabrata Tags: Review Article Source Type: research

The Role of Lower Extremity Amputation in Chronic Limb-Threatening Ischemia
This article highlights the role of amputations in the management of CLTI, and describes the patients who should be offered primary amputation. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - May 13, 2020 Category: Cardiology Authors: Kim, Tanner I. Mena, Carlos Sumpio, Bauer E. Tags: Review Article Source Type: research

Gender-Related Differences in Clinical Presentation and Angiographic Findings in Patients with Ischemia and No Obstructive Coronary Artery Disease (INOCA): A Single-Center Observational Registry
Int J Angiol DOI: 10.1055/s-0040-1709500Ischemia and no obstructive coronary arteries (INOCA) is a common clinical presentation, with a variety of causes that are often not fully investigated in routine clinical practice. The goal of our study was to characterize a real-world population of patients with INOCA, with a deeper focus on symptoms and stress test findings. The study population consisted of 435 patients who underwent diagnostic coronary angiography for anginal symptoms and/or evidence of myocardial ischemia at non-invasive imaging. In all patients angiography demonstrated nonobstructive coronary artery disease (C...
Source: International Journal of Angiology - May 13, 2020 Category: Cardiology Authors: Gitto, Mauro Gentile, Francesco Nowbar, Alexandra N. Chieffo, Alaide Al-Lamee, Rasha Tags: Rapid Communication Source Type: research

Combination of Oral Anticoagulants and Single Antiplatelets versus Triple Therapy in Nonvalvular Atrial Fibrillation and Acute Coronary Syndrome: Stroke Prevention among Asians
Int J Angiol DOI: 10.1055/s-0040-1708477Atrial fibrillation (AF), the most prevalent arrhythmic disease, tends to foster thrombus formation due to hemodynamic disturbances, leading to severe disabling and even fatal thromboembolic diseases. Meanwhile, patients with AF may also present with acute coronary syndrome (ACS) and coronary artery disease (CAD) requiring stenting, which creates a clinical dilemma considering that majority of such patients will likely receive oral anticoagulants (OACs) for stroke prevention and require additional double antiplatelet treatment (DAPT) to reduce recurrent cardiac events and in-stent th...
Source: International Journal of Angiology - May 5, 2020 Category: Cardiology Authors: Santoso, Anwar Raharjo, Sunu B. Tags: Invited Papers Source Type: research

Nonpharmacological Treatment of Atrial Fibrillation: What Is the Role of Device Therapy?
Int J Angiol DOI: 10.1055/s-0040-1708529Atrial fibrillation is the most common arrhythmia in the adult population, and its incidence and prevalence are still rising. Cardiac devices are widely used in clinical practice in the management of various rhythm disturbances and heart failure treatment. Many patients who receive a pacemaker, implantable cardioverter-defibrillator, or cardiac resynchronization therapy also experience atrial fibrillation in the course of their life. Therefore, this review aims to describe the role of these devices in the treatment and prevention of atrial fibrillation in the device recipients. In ad...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Riedlbauchov á, Lucie Durdil, V áclav Hon ěk, Jakub Veselka, Josef Tags: Review Article Source Type: research

Catheter Ablation in the Treatment of Atrial Fibrillation
Int J Angiol DOI: 10.1055/s-0040-1708476Catheter ablation (CA) of the pulmonary veins for atrial fibrillation (AF) is growing exponentially and is the most commonly performed electrophysiologic procedure. Initial descriptions focused on CA for paroxysmal AF, and now more recently expanded in application to persistent AF and those with comorbid heart failure. Efforts to improve success have and continue to address issues such as pulmonary vein “reconnection” following ablation through different ablative energy modalities, and the use of a “hybrid” surgical/endocardial combined approach in persistent ...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Hesselson, Aaron B. Tags: Invited Papers Source Type: research

Internal Carotid Artery Dissection Treated with C-Guard Stent
Int J Angiol DOI: 10.1055/s-0040-1708839Internal carotid dissection is the most common cause of stroke in the young population. Stroke, the presence of a pseudoaneurysm, and decreased artery lumen with cerebral flow impairment are indications for treatment. Medical therapy with antithrombotic drugs and endovascular therapy with stenting are the main available options. The C-Guard stent is an open cell mesh-covered dual layer stent that has been mainly used in cases of internal carotid artery stenosis with a post-operative reduction in stroke incidence. Thus, we present two cases of internal carotid artery dissections of th...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Saal-Zapata, Giancarlo Durand, Walter Valer, Dante Rodr íguez, Rodolfo Tags: Case Report Source Type: research

Ten Tips and Tricks for Performing Alcohol Septal Ablation in Patients with Hypertrophic Obstructive Cardiomyopathy
Int J Angiol DOI: 10.1055/s-0040-1709463Alcohol septal ablation (ASA) is an effective interventional therapeutic strategy to reduce or eliminate left ventricular outflow tract obstruction in patients with hypertrophic obstructive cardiomyopathy (HOCM). Although ASA was introduced 25 years ago, there are still no available guidelines to follow. Therefore, most interventional cardiologists rely on their own experience, which is often limited by a relatively low number of performed procedures. This paper presents ten tips and tricks to safe and effective ASA for HOCM. [...] Thieme Medical Publishers 333 Seventh Avenue, New Yo...
Source: International Journal of Angiology - April 22, 2020 Category: Cardiology Authors: Veselka, Josef Tags: Review Article Source Type: research

Transpedal Approach in Failed Antegrade Attempt of Lower Limb Peripheral Arterial Disease —A Review with Different Treatment Strategies
Int J Angiol DOI: 10.1055/s-0040-1709504Transpedal access is an evolving technique primarily used in patients after failed femoral antegrade approach to revascularize complex tibiopedal lesions. In patients who are at high risk for surgery the transpedal access may be the only option in failed antegrade femoral access to avoid amputation of the limbs. In recent years transpedal access is used routinely to revascularize supra-popliteal lesions due to more success and less complications over femoral artery approach. Retrograde approach parse will not give success in all cases and importantly success depends on techniques use...
Source: International Journal of Angiology - April 22, 2020 Category: Cardiology Authors: Nath, Ranjit Kumar Subramaniyan, Siva Pandit, Neeraj Vatsa, Deepankar Tags: Review Article Source Type: research

Flaxseed and Its Components in Treatment of Hyperlipidemia and Cardiovascular Disease
In conclusion, flaxseed and pure SDG have significant lipid-lowering effects in animals and humans, while other components of flaxseed have small and variable effects. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - April 13, 2020 Category: Cardiology Authors: Prasad, Kailash Khan, Amal S. Shoker, Muhammad Tags: Review Article Source Type: research

Etiology, Pathology, and Classification of Atrial Fibrillation
Int J Angiol DOI: 10.1055/s-0040-1705153Atrial fibrillation (AF) is a disorganized tachyarrhythmia with significant public health importance due to high morbidity, mortality, and health-care costs. Incidence rate of AF is on the rise and there are several modifiable and nonmodifiable risk factors that are responsible. Exact mechanisms and pathogenesis of AF are still poorly understood, yet they still have great implications in management. The aim of this article is to summarize the epidemiology, major risk factors, and their role in the pathogenesis of AF. Finally, we have reviewed the classification of AF as per professio...
Source: International Journal of Angiology - March 28, 2020 Category: Cardiology Authors: Nayak, Srishti Natarajan, Balaji Pai, Ramdas G. Tags: Review Article Source Type: research

Contemporary Surgical Management of Atrial Fibrillation
Int J Angiol DOI: 10.1055/s-0040-1705111Atrial fibrillation is a common arrhythmia which may cause symptoms that significantly impact quality of life and is associated with increased risk of stroke, heart failure, and sudden death. Over the past three decades many surgical techniques as well as catheter-bases procedures have been developed to treat atrial fibrillation. In this review we describe the indications, treatments, outcomes, surgical techniques, and technical advances reported in the literature. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of conten...
Source: International Journal of Angiology - March 28, 2020 Category: Cardiology Authors: Gunn, Tyler M. London, Tessa E. Saha, Sibu P. Tags: Invited Papers Source Type: research

Double Antithrombotic versus Triple Antithrombotic Therapy in Patients with Atrial Fibrillation and Acute Coronary Syndrome
Int J Angiol DOI: 10.1055/s-0040-1702208In atrial fibrillation (AF), oral anticoagulant (OAC) therapy with either vitamin K antagonist or non–vitamin K antagonist is used to prevent thromboembolic complications. In patients who presented with acute coronary syndrome (ACS) and treated by percutaneous coronary intervention (PCI), dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor reduces major adverse cardiac events (MACEs) and stent thrombosis. Consequently, in patients with AF who presented with ACS and treated by PCI, the combination of OAC and DAPT, the so-called triple antithrombotic therapy (TAT)...
Source: International Journal of Angiology - March 20, 2020 Category: Cardiology Authors: Dharma, Surya Tags: Review Article Source Type: research

Is Catheter Ablation Better Than Antiarrhythmic Drugs for the Treatment of Atrial Fibrillation?
Int J Angiol DOI: 10.1055/s-0039-1700985Long-standing atrial fibrillation is associated with significant morbidity including stroke and development of heart failure. Patients also report poor quality of life as a result of debilitating symptoms or treatment side effects from antiarrhythmic medications. Radio frequency or cryothermal mediated catheter ablation has a central role in the management of symptomatic patients with paroxysmal or persistent atrial fibrillation. Circumferential pulmonary vein isolation is vital to the success of this therapy and other ancillary techniques have been described, especially for persiste...
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Natarajan, Balaji Nayak, Srishti Pai, Ramdas G. Tags: Review Article Source Type: research

Treatment Complications of Atrial Fibrillation and Their Management
This article is a review on AF management from both a surgical and catheter-based perspective. While both treatment approaches to AF have been shown to be successful in the management of AF, they are not without their own inherent complications. This article seeks to review some of these complications and help to guide treatment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Mattia, Allan Newman, Joshua Manetta, Frank Tags: Review Article Source Type: research

Acute Mesenteric Ischemia Remains a Highly Morbid Diagnosis after Initial Hospitalization Survival
Int J Angiol DOI: 10.1055/s-0039-1700984Acute mesenteric ischemia (AMI) remains a vascular emergency. Our aim was to explore readmission for AMI. We identified all patients admitted for AMI from the state of California through the Healthcare and Utilization Project from 2005 to 2011. Our primary end point was the rate and etiology for readmission. Our secondary end points were the length of hospitalization and in-hospital mortality. Cox proportional hazard regression was utilized to assess risk of 30-day readmission. There were 534 (9.9%) readmissions at 30 days. The mean age was 67 ± 17 years and 209 ...
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Erben, Y. Spaulding, A. C. Oderich, G. S. Da Rocha-Franco, J. A. Farres, H. Cochuyt, J. J. Sorrells, W. S. Oldenburg, A. W. Frey, G. T. Toskich, B. B. Becher, R. Hakaim, A. G. Tags: Original Article Source Type: research

University Professor Emeritus Dr. Otmar M. Pachinger, MD, FESC, FIHA, FICA (1944 –2019)
Int J Angiol 2020; 29: 001-001 DOI: 10.1055/s-0040-1702984 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - March 2, 2020 Category: Cardiology Authors: Prasad, Kailash Tags: In Memoriam Source Type: research

Triglycerides and Cardiovascular Outcomes —Can We REDUCE-IT ?
Int J Angiol DOI: 10.1055/s-0040-1701639The causal linkage between triglycerides and coronary artery disease has been controversial. Most of the trials hitherto have shown marginal or no beneficial effects of reduction of triglycerides (with fibrates) on top of low-density lipoprotein (LDL) reduction. But a significant residual cardiovascular risk remains even after use of high dose of statins. Omega-3 fatty acids have been shown to reduce triglyceride levels and some old trials have shown the benefits of fish oils in reducing cardiovascular events. However, barring a few trials most of the large trials of omega-3 fatty ac...
Source: International Journal of Angiology - February 24, 2020 Category: Cardiology Authors: Pradhan, Akshyaya Bhandari, Monika Vishwakarma, Pravesh Sethi, Rishi Tags: Review Article Source Type: research

Factors Affecting Mortality in Patients with Blood-Culture Negative Infective Endocarditis
Int J Angiol DOI: 10.1055/s-0039-3402744Infective endocarditis retains high morbidity and mortality rates despite recent advances in diagnostics, pharmacotherapy, and surgical intervention. Risk stratification in endocarditis patients, including blood-culture negative endocarditis, is crucial in deciding the optimal management strategy; however, the studies investigating risk stratification in these patients were lacking despite the difference with blood-culture positive endocarditis. The aim of this study is to identify risk factors associated with in-hospital mortality in blood-culture negative infective endocarditis pat...
Source: International Journal of Angiology - February 3, 2020 Category: Cardiology Authors: Firiana, Lira Siswanto, Bambang Budi Yonas, Emir Prakoso, Radityo Pranata, Raymond Tags: Original Article Source Type: research

Whole Blood del Nido versus Cold Blood Microplegia in Adult Cardiac Surgery: A Propensity-Matched Analysis
Conclusions Our novel protocol BDN was comparable with CBC, with similar clinical outcomes and no difference in operative mortality or actuarial survival. Further studies should evaluate the long-term outcomes of this technique. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - December 30, 2019 Category: Cardiology Authors: James, Taylor M. Stamou, Sotiris C. Faber, Cristiano Nores, Marcos A. Tags: Original Article Source Type: research

“Door-In to Door-Out” Delay in Patients with Acute ST-Segment Elevation Myocardial Infarction Transferred for Primary Percutaneous Coronary Intervention in a Metropolitan STEMI Network of a Developing Country
Conclusion The DI–DO time reported in this study has not reached the guideline recommendation. To improve the overall performance of primary PCI in the region, interventions aimed at improving the DI–DO time at the initial hospitals and specific threat for women patients with STEMI are possibly the best efforts in improving the total ischemia time. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - December 26, 2019 Category: Cardiology Authors: Dakota, Iwan Dharma, Surya Andriantoro, Hananto Firdaus, Isman Danny, Siska Suridanda Zamroni, Dian Radi, Basuni Tags: Original Article Source Type: research

AGE –RAGE Stress in the Pathophysiology of Atrial Fibrillation and Its Treatment
In conclusion, AGE–RAGE axis is involved in the development of AF through atrial structural and electrical remodeling. The treatment modalities for AF should include lowering of AGE, suppression of RAGE, elevation of sRAGE, and use of antioxidants. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - December 8, 2019 Category: Cardiology Authors: Prasad, Kailash Tags: Review Article Source Type: research

Left Atrial to Femoral Artery Full Cardiopulmonary Bypass: A Novel Technique for Descending and Thoracoabdominal Aortic Surgery
We present our initial experience performing DTAA replacement under LA-FA (left-to-left) cardiopulmonary bypass (CPB) with an oxygenator. DTAA replacement under LA-FA bypass with an oxygenator was performed in 14 consecutive patients (CPB group). The pulmonary vein and femoral artery (or distal aorta) were cannulated and the full CPB machine were used, including oxygenator, roller pump, pump suckers, and kinetically enhanced drainage. The CPB group was compared with 50 consecutive patients who underwent DTAA replacement utilizing traditional LA-FA bypass without an oxygenator (LA-FA group). Perioperative data were collecte...
Source: International Journal of Angiology - December 8, 2019 Category: Cardiology Authors: Papanikolaou, Dimitra Savio, Chris Zafar, Mohammad A. Freudzon, Leon Wu, Jinlin Abdelbaky, Mohamed Pelletier, Keith J. Buntin, Joelle Faggion Vinholo, Thais Ziganshin, Bulat A. Schwartz, Brian Elefteriades, John A. Tags: Original Article Source Type: research

Carotid Body Baroreceptor Preservation and Control of Arterial Pressure in Eversion Carotid Endarterectomy
Int J Angiol DOI: 10.1055/s-0039-3400478The technique of the eversion carotid endarterectomy (ECEA), as an alternative to the conventional endarterectomy with primary or patch angioplasty, is an established technique for managing internal carotid artery stenoses and recently its application has been upgraded through the European Society for Vascular Surgery guidelines (Recommendation 55: Class 1, Level A). However, the typical eversion method has been associated with postoperative hypertension due to loss of the baroreceptor reflex; the standard oblique transection at the bulb performed in the eversion endarterectomy inter...
Source: International Journal of Angiology - December 8, 2019 Category: Cardiology Authors: Kotsis, Thomas Christoforou, Panagitsa Nastos, Konstantinos Tags: Original Article Source Type: research

Does Heart Valve Team Risk Assessment Predict Outcomes after Transcatheter Aortic Valve Replacement?
This article aims to compare the utility of the integrated risk assessment to that of the Society of Thoracic Surgeons Predicted Risk of Mortality (STS-PROM) score for predicting patient outcomes after TAVR. A total of 274 patients who underwent TAVR from January 2016 to August 2017 were included in this study. Patients were deemed intermediate or high risk by two surgeons on the Heart Valve Team based on an integrated risk assessment that incorporates the STS-PROM score, fragility measures, end-organ dysfunction, and surgeon evaluation. Patients were also deemed low, intermediate, or high risk based solely on their STS-PROM scores of
Source: International Journal of Angiology - December 8, 2019 Category: Cardiology Authors: Catalano, Michael A. Rutkin, Bruce Kohn, Nina Hartman, Alan Yu, Pey-Jen Tags: Original Article Source Type: research

Time-Effect of Donor and Recipient Characteristics on Graft Survival after Kidney Transplantation
Int J Angiol DOI: 10.1055/s-0039-1700500The kidney allocation system (KAS) is based on quality-based “longevity matching” strategies that provide only a momentary snapshot of expected outcomes at the time of transplantation. The purpose of our study was to define on a continuous timeline the relative and mutual interactions of donor and recipient characteristics on graft survival.Total 39,108 subjects who underwent kidney transplant between October 25, 1999 and January 1, 2007 were identified in the United Network for Organ Sharing dataset. Our primary outcome was graft survival. Time-dependent receiver operati...
Source: International Journal of Angiology - October 31, 2019 Category: Cardiology Authors: Yang, Jingyan Sardo Molmenti, Christine L. Cagliani, Joaquin Datta, Harish Grodstein, Elliot Rasul, Rehana Rilo, Horacio Teperman, Lewis W. Molmenti, Ernesto P. Tags: Original Article Source Type: research