Severe Contrast-Induced Nephropathy Leading to Dialysis Occurring in a Patient with Near-Normal Baseline Creatinine Undergoing CT Angiography Using Intravenous Contrast Only
Int J Angiol DOI: 10.1055/s-0041-1741471Contrast-induced nephropathy can be a major health issue in patients undergoing iodinated contrast exposure. Recently a published paper misleadingly suggested that intravenous administration of iodinated contrast is not a significant cause of contrast-induced nephropathy. This contrasts with previous studies and clinical observations of numerous contrast-induced nephropathy cases occurring in the setting of intravenous contrast exposure. A severe cause of contrast-induced nephropathy is presented occurring in a patient with near-normal creatinine receiving intravenous contrast only l...
Source: International Journal of Angiology - January 17, 2022 Category: Cardiology Authors: Movahed, Mohammad Reza Tags: Case Report Source Type: research

Pathophysiology, Diagnosis, and Management of Coronary No-Reflow Phenomenon
Int J Angiol DOI: 10.1055/s-0041-1735949Coronary no-reflow phenomenon is a lethal mechanism of ongoing myocardial injury following successful revascularization of an infarct-related coronary artery. Incidence of this phenomenon is high following percutaneous intervention and is associated with adverse in-hospital and long-term outcomes. Several mechanisms such as ischemia-reperfusion injury and distal microthromboembolism in genetically susceptible patients and those with preexisting endothelial dysfunction have been implicated. However, the exact mechanism in humans is still poorly understood. Several investigative and tr...
Source: International Journal of Angiology - January 13, 2022 Category: Cardiology Authors: Kaur, Gagan Baghdasaryan, Patrick Natarajan, Balaji Sethi, Prabhdeep Mukherjee, Ashis Varadarajan, Padmini Pai, Ramdas G. Tags: Original Article Source Type: research

Erectile Dysfunction in Individuals with Type 1 Diabetes is Associated with Long-term Metabolic Control and Diabetic Complications: A Cross-Sectional Study
Int J Angiol DOI: 10.1055/s-0041-1735209 Background Erectile dysfunction (ED) affects approximately 38% of individuals with type 1 diabetes (T1DM). Skin autofluorescence (AF) reflects skin advanced glycation end product (AGE) deposits and is a marker of long-term glycemia control. Objective The study investigates the relationship between ED and diabetes control in patients with T1DM. Methods Adult patients with T1DM visiting the Diabetology Department were cross-sectionally investigated. Medical history, anthropometric features, and laboratory findings were collected. All individuals filled the Inte...
Source: International Journal of Angiology - January 13, 2022 Category: Cardiology Authors: Kami ński, Mikołaj Kulecki, Micha ł Lachowski, Pawe ł Kasprzak, Dominika Kulczycka, Ania Koz łowska, Maria Klause, Daria Uruska, Aleksandra Michalski, Mateusz Zozuli ńska-Ziółkiewicz, Dorota Tags: Original Article Source Type: research

Ischemic Stroke in Young Adults Caused by Cervical Artery Dissection —A Retrospective Study
Int J Angiol DOI: 10.1055/s-0041-1740318 Background Ischemic stroke is one of the most common causes of death and disability. The most common independent cause is cervical artery dissection, which represents around 20% of all cases of ischemic stroke in young adults. Risk factors for dissection include male gender, migraine (particularly with aura), hyperhomocysteinemia, recent infection, recent history of minor cervical trauma, young age, current smoking status, increased leucocyte count, and shortened activated partial thromboplastin time, whereas hypercholesterolemia and being overweight appear protective. Pa...
Source: International Journal of Angiology - December 31, 2021 Category: Cardiology Authors: Jazbec, Lucija Menih, Marija Arh, Rok Tags: Original Article Source Type: research

Novel Use of Dual Guiding Catheters Technique to Prevent Distal Embolization and Slow Flow during PCI of Coronary Stent Thrombosis
We describe a novel use of dual guide catheter technique, where one guide acts as conduit for thrombus aspiration catheter and the other for distal placement of balloon trap to prevent distal embolization while managing a case of coronary stent thrombosis to improve the angiographic outcome in this scenario. [...] 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 - December 31, 2021 Category: Cardiology Authors: Trehan, Vijay Kumar Jain, Gagan Gupta, Puneet Tags: Case Report Source Type: research

Primary and Secondary Prevention of CAD: A Review
Int J Angiol DOI: 10.1055/s-0041-1729925Coronary artery disease is the leading cause of death in both men and women, yet adequate control of risk factors can largely reduce the incidence and recurrence of cardiac events. In this review, we discuss various life style and pharmacological measures for both the primary and secondary prevention of coronary artery disease. With a clear understanding of management options, health care providers have an excellent opportunity to educate patients and ameliorate a significant burden of morbidity and mortality. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New ...
Source: International Journal of Angiology - December 24, 2021 Category: Cardiology Authors: Short, Lindsay La, Van T. Patel, Mandira Pai, Ramdas G. Tags: Original Article Source Type: research

SARS-CoV-2 Virus Infection-Related Arterial Thromboembolism Leading to Critical Limb Ischemia and Amputation
We report a dramatic case of a 55-year-old male with confirmed COVID-19 infection who presented with acute left critical limb ischemia leading to amputation as a result of thromboembolism from a distal abdominal aortic thrombus. Our case report contributes to the limited body of literature on COVID-19-related arterial thromboembolism. The patient consented to publish this case. [...] 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 - December 24, 2021 Category: Cardiology Authors: Smith, Jenna Mirza, Aleem Manunga, Jesse Skeik, Nedaa Tags: Case Report Source Type: research

Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus
We describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detect...
Source: International Journal of Angiology - December 24, 2021 Category: Cardiology Authors: Panfilov, Dmitri S. Kozlov, Boris N. Tags: Case Report Source Type: research

Left Atrial Myxoma and Antiphospholipid Syndrome —A Case Report
We report an unusual case of the left atrial myxoma and concomitant APS in a female patient who presented with right-sided hemiplegia. Although rare, we must think about the CM in patients with a newly diagnosed APS and left atrial mass. Nevertheless, we must make a distinction from other possible cardiac structures, especially atrial thrombus. Transthoracic echocardiography is the most frequently used initial imaging modality to detect CM. The aim of this case report was to emphasize that additional imaging modalities and multidisciplinary approach are mandatory in making a proper diagnosis and to choose a further treatme...
Source: International Journal of Angiology - December 11, 2021 Category: Cardiology Authors: Meter, Mijo Meter, Diana Ceprnja, Toni Perkovic, Dijana Tags: Case Report Source Type: research

Intracaval Leiomyoma with Intracardiac Extension
The objective of this study was to explain step by step how to achieve a complete resection of an intravascular leiomyoma. A 48-year-old woman was referred to our institution with progressive dyspnea on exertion, lightheadedness, and previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy for a uterine leiomyoma echocardiography, computed tomography, and magnetic resonance imaging of the heart and abdomen/pelvis were performed and an intracaval mass with extension into the right heart and pulmonary artery was identified. After multidisciplinary review, a single-stage sternotomy–laparotomy...
Source: International Journal of Angiology - December 5, 2021 Category: Cardiology Authors: Iacona, Gabriele M. Harb, Serge Krishnamurthi, Venkatesh Yun, James J. Tags: Case Report Source Type: research

Hybrid Repair with Reversed Sequence Supra-aortic Debranching in Ruptured Arch Aneurysm
This report describes a “reversed sequence” extra-anatomical supra-aortic debranching procedure as a salvage technique performed to enable HAR. An 83-year-old woman with a history of ascending aortic replacement for type A aortic dissection, mediastinitis complicated by sternal osteomyelitis, and a chest wall reconstructed with a rectus abdominis myocutaneous flap presented with chest pain because of a contained dissecting arch aneurysm rupture. The patient underwent supra-aortic debranching from the bilateral common femoral arteries and thoracic endovascular aortic repair to the ascending aorta under cerebral ...
Source: International Journal of Angiology - December 1, 2021 Category: Cardiology Authors: Marumoto, Akira Yoneda, Kazuhiro Tanaka, Kenji Kitabayashi, Katsukiyo Tags: Case Report Source Type: research

Percutaneous Transluminal Angioplasty in Chronic Total Subclavian Venous Stenosis Using Coronary Guidewire: A Case Report
We describe our experience in performing PTA and stent deployment using coronary wire to penetrate total occlusion in subclavian venous stenosis after vein cannulation. We hope that we can give an alternative technique to avoid surgery in such cases. [...] 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 22, 2021 Category: Cardiology Authors: Silalahi, Todung D. A. Suwita, Christopher S. Tags: Case Report Source Type: research

A “20/20” Match: ACC/AHA 2017 versus ESC/ESH 2018 Guidelines for Management of Hypertension
Int J Angiol 2021; 30: 243-248 DOI: 10.1055/s-0041-1732433Hypertension, the commonest noncommunicable disease globally, is an important risk factor for cardiovascular disease and renal failure. Theoretically, while it is easy to diagnose and manage by simple measures, practically it has been observed that not only treatment but also diagnosis and its preventive measures are inadequate in developing as well as developed nations. Several guidelines by various international organizations are available to guide clinicians for hypertension management. Though the basic principles of hypertension management are similar in all the...
Source: International Journal of Angiology - November 22, 2021 Category: Cardiology Authors: Pradhan, Akshyaya Vohra, Shweta Sethi, Rishi Tags: Review Article Source Type: research

Coronary Artery Fistulae in Adult: Two Decades of Experience in Clinical Presentation, Angiographic Feature, and Management
Int J Angiol DOI: 10.1055/s-0041-1727134Coronary artery fistula (CAF) in adults is a rare but significant coronary artery anomaly. Main data on that rare disease were mostly obtained from case reports and small studies. In presented study, we share our two-decade experience on the clinical and angiographic characteristics of CAF.The data were collected retrospectively by analyzing the angiographic data between January 1, 2000 and December 31, 2019. Demographic data, clinical data, laboratory, and cardiac catheterization reports were reviewed.CAFs were found in 40 patients (0.06%). There were 22 male (55%) patients. The mea...
Source: International Journal of Angiology - November 10, 2021 Category: Cardiology Authors: Taskesen, Tuncay Osei, Kofi Hamilton, Russell Ugwu, Justin Shivapour, Daniel Tannenbaum, Mark Ghali, Magdi Tags: Original Article Source Type: research

The Current State of Coronary Revascularization: Percutaneous Coronary Intervention versus Coronary Artery Bypass Graft Surgery
The objective of this review is to briefly discuss these key early trials, as well as explore contemporary studies, to provide insight on the current state of coronary revascularization. Evidence suggests that in ULMD and MVD, there are similar mortality rates for CABG and PCI but PCI is associated with fewer “early” strokes, whereas CABG is associated with fewer “late” strokes, myocardial infarctions, and lower need for repeat revascularization. Additionally, studies suggest that CABG remains superior to PCI in patients with intermediate/high SYNTAX scores and in MVD with concomitant proximal left ...
Source: International Journal of Angiology - November 10, 2021 Category: Cardiology Authors: Brown, Matthew A. Klusewitz, Seth Elefteriades, John Prescher, Lindsey Tags: Review Article Source Type: research

CABG versus PCI in the Treatment of Unprotected Left Main Disease in Diabetics: A Literature Review
Int J Angiol 2021; 30: 187-193 DOI: 10.1055/s-0041-1735517The approach to left main coronary artery disease (CAD) in diabetic patients has been extensively debated. Diabetic patients have an elevated risk of left main disease in addition to multivessel disease. Previous trials have shown increased revascularization rates in percutaneous coronary intervention compared with coronary artery bypass grafting (CABG) but overall comparable outcomes, although many of these studies were not using the latest stent technology or CABG with arterial revascularization. Our aim is to review the most recent trials that have recently publi...
Source: International Journal of Angiology - November 10, 2021 Category: Cardiology Authors: Lambert, Daniel Mattia, Allan Hsu, Angel Manetta, Frank Tags: Review Article Source Type: research

Current and Future Options in the Prevention and Treatment of Coronary Artery Disease with Special Reference to Surgical Aspect: Part II
Int J Angiol 2021; 30: 175-176 DOI: 10.1055/s-0041-1735610 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 10, 2021 Category: Cardiology Authors: Prasad, Kailash Elefteriades, John A. Tags: Editorial Source Type: research

Understanding Pacemaker-Induced Cardiomyopathy Incidence and Predictors in Patients with Right Ventricular Pacing: A Systematic Review
This study aimed to figure out the incidence and predictors of pacemaker-induced cardiomyopathy (PICM) in patients with right ventricular (RV) pacing. We systematically searched in PubMed on March 18, 2020, for English language abstract and full-article journals, using the following criteria: pacemaker induced cardiomyopathy AND right ventricular AND pacemaker AND patients AND human NOT implantable cardioverter defibrillator NOT ICD NOT animal. Four studies were included in this review after filtering 35 studies through year of publication and abstract selection. The average PICM incidence from 1,365 patients included from...
Source: International Journal of Angiology - October 1, 2021 Category: Cardiology Authors: Laksono, Sidhi Setianto, Budhi Iqbal, Mohammad Prawara, Ananta Siddhi Tags: Review Article Source Type: research

The Retrospective Analysis of Google Queries Related to Cardiovascular Diseases Symptoms in the Years 2004 –2019
Int J Angiol DOI: 10.1055/s-0041-1735203The Internet enables immediate access to health-related information. We aimed to rank the complaints related to cardiovascular diseases among Google users globally and locally as well as investigate secular and seasonal trends in the years 2004 to 2019. We used Google Trends (GT) to identify and analyze course over time and regional interest of seven topics: “Chest pain,” “Cyanosis,” “Edema,” “Orthopnea,” “Palpitation,” “Shortness of breath,” and “Syncope.” We analyzed secular trends using the seasona...
Source: International Journal of Angiology - October 1, 2021 Category: Cardiology Authors: Kami ński, Mikołaj Borger, Micha ł Bogda ński, Paweł Tags: Original Article Source Type: research

Relevant Nomenclature Considerations during Coronary Artery Contrast Injection
Int J Angiol DOI: 10.1055/s-0041-1735202 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 - October 1, 2021 Category: Cardiology Authors: Snodgrass, Brett Thomas Tags: Letter to the Editor Source Type: research

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient
This report highlights the occurrence of concomitant arterial and venous thrombosis in ambulatory setting and that this phenomenon resulted in catastrophic clinical consequences. [...] 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 - October 1, 2021 Category: Cardiology Authors: Nugraha, Raka A. Muliawan, Hary S. Nugroho, Nyityasmono T. Ikhsan, Muhammad Adiarto, Suko Tags: Case Report Source Type: research

Successful Primary PCI in Stanford Type A Aortic Dissection Complicated by Inferior ST-Elevation Myocardial Infarction: A Case in a Facility with No Surgical Backup
We report a case of TAAD complicated by coronary malperfusion successfully treated with PPCI followed by elective corrective surgery. A 48-year-old man was referred to emergency department with acute inferior ST-elevation myocardial infarction (STEMI) and underwent PPCI. During the procedure, we realized that the cause of STEMI was TAAD. We decided to continue because the patient experienced seizures and bradycardia. Subsequently, echocardiography and computed tomography confirmed the dissection. The patient was discharged and referred to the National Cardiovascular Center where he underwent successful elective surgery. In...
Source: International Journal of Angiology - October 1, 2021 Category: Cardiology Authors: Adiarto, Suko Kurnianingsih, Novi Prasetya, Indra Nugroho, Faris W. Uberoi, Raman Tags: Case Report Source Type: research

Laser Doppler Measurements of Systolic Blood Pressure on the First and Second Toe in Patients with Peripheral Arterial Disease
Int J Angiol DOI: 10.1055/s-0041-1735237Laser Doppler was used to measure toe blood pressure (TBP) in 40 consecutive patients with various degree of peripheral arterial disease. The aim of this methodological study was to increase the usefulness of TBP by exploring the interchangeability between TBP from the first and second toe and by investigating daily routine reproducibility and measurement variability. According to our study design pressure values were based on three measurements that were averaged. At simultaneous measurements, TBP of the first toe was 71 mm Hg (standard deviation [SD] 25) compared with 70&thi...
Source: International Journal of Angiology - September 21, 2021 Category: Cardiology Authors: Rosfors, Stefan Modin, Agnes Petrini, Johan Tags: Review Article Source Type: research

Magnetic Resonance Imaging in Cardiac Amyloidosis: Unraveling the Stealth Entity
Int J Angiol DOI: 10.1055/s-0041-1735948Amyloidosis is a systemic disease involving many organs. Cardiac involvement is a significant cause of morbidity and mortality in these patients. Diagnosis of cardiac amyloidosis is based on endomyocardial biopsy which however is invasive and associated with complications. Noninvasive methods of diagnosis include magnetic resonance imaging (MRI) with various methods and sequences involved. Our study aims at describing MRI features of cardiac amyloidosis including new imaging sequences and to prognosticate the patients based on imaging features. We included 35 patients with suspected ...
Source: International Journal of Angiology - September 21, 2021 Category: Cardiology Authors: Shah, Omair Choh, Naseer Shera, Tahleel Shera, Faiz Gojwari, Tariq Shaheen, Feroze Robbani, Irfan Tags: Original Article Source Type: research

Sinus Node Dysfunction and Pulmonary Hypertension —“Double Trouble” with Lithium Therapy
We present the case of a 56-year-old woman with no history of cardiac illness presenting with tachycardia-bradycardia syndrome along with moderate pulmonary hypertension. Patient reverted to sinus rhythm after withholding lithium therapy for 1 week while her mean pulmonary artery pressure remained the same at day 10 of drug withdrawal. [...] 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 - September 21, 2021 Category: Cardiology Authors: Vohra, Shweta Pradhan, Akshyaya Sethi, Rishi Bhandari, Monika Tags: Case Report Source Type: research

Successful Ovarian Vein Embolization of a Multiparous Woman with Pelvic Congestion Syndrome
Int J Angiol DOI: 10.1055/s-0041-1731272Pelvic congestion syndrome (PCS) is a clinical syndrome supported by specific findings, such as ovarian vein's dilatation, that cause pelvic vein congestion. Although many theories are explaining the pathophysiologies of this condition, the underlying cause remains unknown. The clinical manifestations of PCS are various including chronic pelvic pain (CPP), voiding disturbances, or ureteral obstruction. Imaging modality, such as ultrasonography, computed tomography (CT scan), magnetic resonance imaging (MRI), and venography, are needed to confirm and exclude the differential diagnosis...
Source: International Journal of Angiology - September 21, 2021 Category: Cardiology Authors: Setiani, Rissa U. Batubara, Edwin A. D. Adiarto, Suko Siddiq, Taofan Indriani, Suci Siahaan, Irwan H. Tags: Case Report Source Type: research

Sequential Use of Romiplostim after Eltrombopag for Refractory Thrombocytopenia in Hydrocarbon-Induced Myelodysplasia
We describe the clinical course of a 65-year-old male patient who suffered from hydrocarbon-induced myelodysplasia and was successfully treated with the thrombopoietin receptor agonist (TPO-RA), romiplostim. Myelodysplastic syndromes (MDS) are characterized by ineffective hematopoiesis, cytopenias, and increased risk of leukemic transformation. Here, we present a clinical vignette of MDS-associated thrombocytopenia refractory to first-line drugs as well as the TPO-RA, eltrombopag. To date, romiplostim is an U.S. Food and Drug Administration (FDA)-approved drug for idiopathic thrombocytopenic purpura and thrombocytopenia se...
Source: International Journal of Angiology - September 3, 2021 Category: Cardiology Authors: Morales, Luis F. Miyara, Santiago J. Guevara, Sara Metz, Christine N. Shoaib, Muhammad Watt, Stacey Zafeiropoulos, Stefanos McCann-Molmenti, Alexia Hayashida, Kei Takegawa, Ryosuke Shinozaki, Koichiro Choudhary, Rishabh C. Brindley, Elena C. Nishikimi, Mi Tags: Rapid Communication Source Type: research

Clinical Efficacy and Safety of Long-Term Compression in Patients with Mixed Arterial and Venous Etiology Ulcers in the Leg
The objective of this study was to evaluate the variation in transcutaneous oxygen pressure (TcPO2) in patients with ulcers of mixed arterial or venous etiology treated with 1 month of compression. This prospective cohort study was conducted at a university hospital in France. Patient eligibility was for those attending a consultation of a work-up of a leg ulcer of mixed arterial-venous etiology lasting at least 4 to 6 weeks. Compressions were prescribed according to the hemodynamic status and were evaluated by the ankle-brachial index and toe-brachial index using a decision-making algorithm based on French national guidel...
Source: International Journal of Angiology - August 31, 2021 Category: Cardiology Authors: Elhomsy, Sophie Chrusciel, Jan Sanchez, St éphane Elhomsy, Paul Guillaumat, J érôme Tags: Original Article Source Type: research

Venous Thromboembolism Risk Assessment and Thromboprophylaxis Practice in General Medical Patients Requiring Admissions to General Wards: A Singapore's Perspective, Part 2
Int J Angiol DOI: 10.1055/s-0041-1730448 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 - August 31, 2021 Category: Cardiology Authors: Er, Chaozer Kuthiah, Navin Adamjee, Thofique Tay, Jam Chin Tags: Letter to the Editor Source Type: research

Percutaneous Coronary Intervention with Stenting versus Coronary Artery Bypass Grafting in Stable Coronary Artery Disease
Int J Angiol DOI: 10.1055/s-0041-1735238The debate over coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) with stent placement for the treatment of stable multivessel coronary artery disease (CAD) continues in spite of numerous studies investigating the issue. This paper reviews the most recent randomized control trials (RCT) and meta-analyses of pooled RCT data to help address this issue. General trends demonstrated that CABG was superior in all-cause mortality and fulfilling the need for repeat revascularization. These advantages tended to be more pronounced in multivessel CAD and diabete...
Source: International Journal of Angiology - August 31, 2021 Category: Cardiology Authors: Glenn, Ian C. Iacona, Gabriele M. Mangi, Abeel A. Tags: Invited Papers Source Type: research

Left Main Coronary Artery Disease in Diabetics: Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting?
Int J Angiol DOI: 10.1055/s-0041-1730446The choice between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for myocardial revascularization in patients with left main disease (LMD) is controversial. There is general agreement that CABG is appropriate for all patients, and PCI is acceptable for those with low-to-intermediate anatomic complexity. However, there is uncertainty about the relative safety and efficacy of PCI in patients with more complex LMD and with comorbidities such as diabetes. No direct comparison trial has focused on revascularization in diabetic patients with LMD, and t...
Source: International Journal of Angiology - August 31, 2021 Category: Cardiology Authors: Disney, Logan Ramaiah, Chandrashekhar Ramaiah, Meghna Keshavamurthy, Suresh Tags: Invited Article Source Type: research

Management of Giant Pulmonary Artery Aneurysm with Quadricuspid Valve Stenosis
In this report, we describe a successful case of surgical repair, using a Bioconduit with a pericardial patch to recreate the pulmonary artery bifurcation in a 72-year-old male with aneurysm of the pulmonary artery (max diameter: 72 mm), associated with quadricuspid pulmonary valve stenosis and pulmonary hypertension. The procedure was uncomplicated and the follow-up computed tomography scan at 4 months showed correct positioning of the graft with no sign of contrast leakage. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents&nb...
Source: International Journal of Angiology - August 31, 2021 Category: Cardiology Authors: Lorenz, Veronica Gambacciani, Andrea Guerrini, Susanna Giuseppe, Mazzei Francesco Gianfranco, Montesi Mattesini, Alessio Tags: Case Report Source Type: research

Current Status of Primary, Secondary, and Tertiary Prevention of Coronary Artery Disease
Int J Angiol DOI: 10.1055/s-0041-1731273Fifty percent of all death from cardiovascular diseases is due to coronary artery disease (CAD). This is avoidable if early identification is made. Preventive health care has a major role in the fight against CAD. Atherosclerosis and atherosclerotic plaque rupture are involved in the development of CAD. Modifiable risk factors for CAD are dyslipidemia, diabetes, hypertension, cigarette smoking, obesity, chronic renal disease, chronic infection, high C-reactive protein, and hyperhomocysteinemia. CAD can be prevented by modification of risk factors. This paper defines the primary, seco...
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Prasad, Kailash Tags: Review Article Source Type: research

Does Age Affect the Short- and Long-Term Outcomes of Coronary Bypass Grafting?
This article reviews age-related outcomes of CABG and offers direction for further studies in the field to create comprehensive, evidence-based guidelines for the treatment of CAD. Ninety-two primary sources were analyzed for relevance to the subject matter, of which 17 were selected for further analysis: 14 retrospective cohort studies, 2 randomized clinical trials, and 1 meta-analysis. Our review revealed four broad age ranges into which patients can be grouped: those with CAD (1) below the age of 40 years, (2) between the ages of 40 and 60 years, (3) between the ages of 60 and 80 years, and (4) at or above 80 years. Pat...
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Anand, Pavan Ashwini Keshavamurthy, Suresh Shelley, Ellis M. Saha, Sibu Tags: Review Article Source Type: research

Low Incidence of Prosthesis-Patient Mismatch Following Extremely Small Transcatheter Aortic Valve Replacement with 20-mm Sapien 3
We examined data for all patients who received third-generation SP3 THV at a single hospital. Complications and clinical outcomes were defined based on the VARC-2 criteria. Postoperative prosthesis-patient mismatch (PPM) was defined as indexed effective orifice area (EOA) 
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Okajima, Kazue Komatsu, Ikki Seto, Todd B. Tags: Original Article Source Type: research

Association and Implications of Blood and Plaque n-3 Polyunsaturated Fatty Acid Composition in Patients Treated with Oral Eicosapentaenoic Acid before Carotid Endarterectomy
In this study, we evaluate whether the serum EPA/AA ratio would be a useful biomarker for determining the efficacy of orally administered EPA in preventing stroke by investigating tissue and serum EPA/AA ratios, serum inflammatory markers, and carotid artery intimamedia thickness (IMT). Patients with dyslipidemia, as the primary illness scheduled for carotid endarterectomy (CEA), were included and randomly assigned to the EPA group (EPA: 1,800 mg/day plus statin; 10 patients) or non-EPA group (statin only; 15 patients). PUFA fraction was evaluated in the tissue (post-CEA) and serum (pre-CEA and 6 months thereafter)....
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Ishikawa, Tatsuya Yamaguchi, Koji Funatsu, Takayuki Okada, Yoshikazu Kawamata, Takakazu Tags: Original Article Source Type: research

Correlation between Restless Leg Syndrome and Superficial Venous Reflux
Int J Angiol DOI: 10.1055/s-0041-1730447Restless leg syndrome (RLS) is a common cause of lower extremity discomfort. We hypothesized that patients with RLS symptoms have higher rates of deep and superficial venous reflux (SVR). Retrospective review of patients ≥18 years of age evaluated in a venous center from December 2018 to February 2019. Differences in rates of RLS symptoms, demographics, comorbidities, and clinical and radiologic presence of venous disease were analyzed. Overall, 207 patients were analyzed; 140 (67.6%) reported RLS symptoms (n = 25 with prior RLS diagnosis). RLS symptoms were more com...
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Dezube, Aaron R. Rauh, Jake Dezube, Michael Iafrati, Mark Rigo, JoAnn Muto, Paula Tags: Original Article Source Type: research

Three Technologies That Will Guide Revascularization of Chronic Coronary Syndrome Patients into the 21st Century: A Review
We present a review that identifies the three diagnostic technologies most important to guiding the decision to revascularize patients with CCS: (1) cardiac computed tomography, (2) intracoronary imaging, and (3) lesion-specific physiological guidance. [...] 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 - August 25, 2021 Category: Cardiology Authors: Winkler, Michael A. Patel, Ripa Fu, Weibo Arora, Vishal Weintraub, Neal L. Tags: Invited Papers Source Type: research

Undiagnosed Beh çet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection
We report the case of a 54-year-old man who presented with a 2-week history of symptoms attributable to infrarenal aortic and left tibioperoneal trunk pseudoaneurysms, defined by CT angiography which also revealed right lower lobe pulmonary artery (PA) and right anterior tibial arterial aneurysms. A prior history of recurrent oral ulceration, periodic fever, cerebral venous sinus thrombosis, and aseptic endocarditis with pulmonary emboli invoked a diagnosis of BD. Immunosuppression was commenced immediately, following synchronous endovascular and open arterial intervention, except the PA aneurysm.He developed a fever and c...
Source: International Journal of Angiology - August 25, 2021 Category: Cardiology Authors: Mehta, Aanchal Shakarchi, Julien Al Meecham, Lewis Vijay, Santhosh Downing, Richard Tags: Case Report Source Type: research

Vena Cava Atresia and Deep Vein Thrombosis: A Case Report and Systematic Review
We report the case of a young woman with deep vein thrombosis associated with vena cava atresia.We conducted a search of the PubMed/Medline database. The search identified 17 articles, of which 5 were selected for extraction and data analysis. Twelve studies were excluded because they failed to match the main criteria.We identified six new cases of deep vein thrombosis associated with vena cava abnormalities, with a mean age of 42.5 years; 83.3% were male. Regarding clinical manifestations, all patients presented as deep vein thrombosis, one case of recurrence, and another case associated with the kidney and inferior vena ...
Source: International Journal of Angiology - July 30, 2021 Category: Cardiology Authors: Castro, V. Alende D íaz-Peromingo, Jose Antonio Tags: Review Article Source Type: research

Transfusion in Elective Proximal Aortic Reconstruction: Where Do We Currently Stand?
Conclusions Elective proximal aortic reconstruction can be performed without the need for excessive utilization of blood products. Composite root replacement is associated with a greater need for transfusion than either VSARR or isolated replacement of the ascending aorta. [...] 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 - July 30, 2021 Category: Cardiology Authors: Pupovac, Stevan S. Hemli, Jonathan M. Scheinerman, S Jacob Hartman, Alan R. Brinster, Derek R. Tags: Original Article Source Type: research

Klippel –Trénaunay Syndrome and Developmental Coxa Vara in the Same Limb: A Case Report with a Review of the Literature
We present a case of a 14-year-old girl who was first treated when she was 4 years old. She had progressive limping of the left lower limb from the age of 3 years. She was diagnosed to have developmental coxa vara of the left hip and treated by a subtrochanteric valgus osteotomy of the left femur. Later, she developed hypertrophy of the left upper and lower limbs. There were port-wine stains over the left lower limbs with multiple superficial varicosities. Her diagnosis was Klippel–Trénaunay syndrome (KTS). She is asymptomatic at the final follow-up. Both developmental coxa vara and KTS are rare conditions. We...
Source: International Journal of Angiology - July 30, 2021 Category: Cardiology Authors: Zacharia, Balaji Alex, Jittu Rajmohan, Ashwin Tags: Case Report Source Type: research

Right Ventricle Embolization of IVC Filter Fragments: An Incidental Finding
Int J Angiol DOI: 10.1055/s-0041-1730451This case report describes a 52-year-old male patient, with the incidental finding of inferior vena cava filter (IVCF) fragments impacted into the right ventricle, secondary to IVCF fragmentation and subsequent embolization. While IVCFs are prescribed to prevent pulmonary embolizations when anticoagulation is either contraindicated, or has failed, IVCF embolizations to the heart represent an extremely rare, but potentially life-threatening complication. Of note, at the time of writing, the utility and effectiveness of IVCF are not fully established. Intracardiac embolizations of IVCF...
Source: International Journal of Angiology - July 30, 2021 Category: Cardiology Authors: Miyara, Santiago J. Guevara, Sara Shore-Lesserson, Linda Shoaib, Muhammad Kirsch, Claudia Metz, Christine N. Nair, Vinay Lau, Lawrence Choudhary, Rishabh C. McCann-Molmenti, Alexia Baez, Anthony M. Hayashida, Kei Takegawa, Ryosuke Shinozaki, Koichiro Aoki Tags: Case Report Source Type: research

Cor Triatriatum Dexter with Noncompaction of Right Ventricle and Complete Heart Block: An Unholy Trinity
Int J Angiol DOI: 10.1055/s-0041-1727136Cor triatriatum (CT) or a triatrial heart is a rare congenital anomaly in which one of the atrial chambers is divided by a fibromuscular membrane. Of the two variants, CT dexter (right-sided CT) is still further rare than CT sinister (left-sided CT). Although CT sinister presents with features of left heart obstructive disease mimicking mitral stenosis, CT dexter is usually asymptomatic and is found incidentally on imaging. Here, we present a patient with an unusual case of complete heart block who was found to have CT dexter along with right ventricular noncompaction on imaging. [.....
Source: International Journal of Angiology - July 30, 2021 Category: Cardiology Authors: Bhandari, Monika Pradhan, Akshyaya Vishwakarma, Pravesh Sethi, Rishi Tags: Case Report Source Type: research

Cancer-Associated Atherothrombosis: The Challenge
Int J Angiol DOI: 10.1055/s-0041-1729920The association between venous thrombosis and malignancy, having typical features of a paraneoplastic syndrome, has been established for a century. Currently, it is recognized that arterial thromboembolism (ATE) may also behave as a paraneoplastic syndrome. Recent matched cohort studies, systematic reviews, and observational studies concur in showing an increased incidence of acute coronary events, ischemic stroke, accelerated peripheral arterial disease, and in-stent thrombosis during the 6-month period before cancer diagnosis, peaking for 30 days immediately before cancer diagnosis...
Source: International Journal of Angiology - July 19, 2021 Category: Cardiology Authors: Naschitz, Jochanan E. Tags: Review Article Source Type: research

Sudden Cardiac Death in the General Population: Can We Improve Risk Stratification and Prevention?
Int J Angiol DOI: 10.1055/s-0041-1729629A total of 15 to 20% of deaths worldwide are sudden (within 1 hour of symptom onset). Our ability to predict and prevent sudden cardiac death (SCD) in the general population, in which 85% have no known organic heart disease (OHD) or stable OHD with left ventricular ejection fraction>40%, is limited to poor. The purpose of this commentary is to suggest a new approach to SCD in this population. Oxidative stress is a common thread in development and progression of the major cardiac diseases associated with SCD. It has a profound adverse effect upon heart rate variability (HRV)...
Source: International Journal of Angiology - July 19, 2021 Category: Cardiology Authors: Murray, Gary L. Colombo, Joseph Tags: Original Article Source Type: research

External Stenting (Exostenting) to Correct Vascular Torsion and Angulation
In this report, we describe the use of an external stent, also called exostenting, to correct a severe torsion/angulation of the external iliac artery in a kidney transplant recipient where all other measures were unsuccessful. [...] 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 - May 23, 2021 Category: Cardiology Authors: Silva, Michael B. Shoaib, Muhammad Miyara, Santiago J. Guevara, Sara McCann-Molmenti, Alexia Silva, H. Colleen Watt, Stacey Zafeiropoulos, Stefanos Hayashida, Kei Takegawa, Ryosuke Shinozaki, Koichiro Choudhary, Rishabh C. Cho, Young Min Kressel, Adam M. Tags: Rapid Communication Source Type: research

The Potential of AFX Iliac Extension in Abdominal Aortic Aneurysms with High Iliac Tortuosity
Conclusion The AFX iliac extension can reduce iliac limb complications in cases of high iliac tortuosity. [...] 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 - May 23, 2021 Category: Cardiology Authors: Kikuchi, Yuta Ohtani, Norifumi Kamiya, Hiroyuki Tags: Original Article Source Type: research

Coronary Artery Disease: Part I-Medical
Int J Angiol 2021; 30: 001-003 DOI: 10.1055/s-0041-1723943 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 - May 17, 2021 Category: Cardiology Authors: Prasad, Kailash Elefteriades, John A. Tags: Editorial Source Type: research

Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients
Int J Angiol DOI: 10.1055/s-0041-1727137As graft and patient survival rates improve, transplant recipients are likely to undergo colorectal surgery in their lifetime. Current literature on the surgical outcomes of colorectal resection in kidney and pancreas transplant recipients is sparse.This investigation identifies areas of surgical risk for kidney, pancreas, and pancreas–kidney transplant recipients undergoing colorectal resection at transplant and teaching centers.Multivariate logistic regression and linear regression tests computed odds ratios (OR) and coefficients of the linear regression using National Inpati...
Source: International Journal of Angiology - May 13, 2021 Category: Cardiology Authors: Weaver, Lauren Parsikia, Afshin Ortiz, Jorge Tags: Original Article Source Type: research