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 30, 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 27, 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 27, 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 26, 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 16, 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 14, 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 14, 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 14, 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 14, 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 6, 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 28, 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 28, 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 28, 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 23, 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 23, 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 14, 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 29, 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 29, 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 21, 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 5, 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 5, 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 5, 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 3, 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 25, 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 4, 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 31, 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 27, 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 9, 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 9, 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 9, 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 9, 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 - November 1, 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

Erratum to: Combination Therapy in Pulmonary Arterial Hypertension: Gleaning a Practical Approach from the Randomized Trials
Int J Angiol DOI: 10.1055/s-0039-1700561 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 - October 31, 2019 Category: Cardiology Authors: Booth, David C. Tags: Erratum Source Type: research

Measurement of Ejection Fraction by Cardiac Magnetic Resonance Imaging and Echocardiography to Monitor Doxorubicin-Induced Cardiotoxicity
Int J Angiol DOI: 10.1055/s-0039-1697921Doxorubicin is a standard treatment option for breast cancer, lymphoma, and leukemia, but its benefits are limited by its potential for cardiotoxicity. The primary objective of this study was to compare cardiac magnetic resonance imaging (CMRI) versus echocardiography (ECHO) to detect a reduction in left ventricular ejection function, suggestive of doxorubicin cardiotoxicity. We studied eligible patients who were 18 years or older, who had breast cancer or lymphoma, and who were offered treatment with doxorubicin with curative intent dosing of 240 to 300 mg/m2 body surface are...
Source: International Journal of Angiology - October 11, 2019 Category: Cardiology Authors: Tak, Tahir Jaekel, Camilla M. Gharacholou, Shahyar M. Dworak, Marshall W. Marshall, Scott A. Tags: Rapid Communication Source Type: research

Author's Rebuttal
Int J Angiol DOI: 10.1055/s-0039-1695782 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 - September 21, 2019 Category: Cardiology Authors: Radhakrishnan, Nair George, Deepu Jayakrishnan, Radhakrishnan Sumi, Surendran Kartha, Chandrasekharan Cheranellore Tags: Reply to Letter to the Editor Source Type: research

Comment On “Vein Size and Disease Severity in Chronic Venous Disease” by Radhakrishnan et al
Int J Angiol DOI: 10.1055/s-0039-1695781 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 - September 21, 2019 Category: Cardiology Authors: Ozturk, Selcuk Çuğlan, Bilal Turhan, Hasan Yetkin, Ertan Tags: Letter to the Editor Source Type: research

Stroke Complicating Acute ST Elevation Myocardial Infarction —Current Concepts
Int J Angiol DOI: 10.1055/s-0039-1695049Myocardial infarction (MI) is one of the leading causes of mortality today both in developed and developing countries alike. Advancement in the pharmacotherapy and revascularization techniques has resulted in drastic improvement in survival. Most of the complications of MI can be managed adequately resulting in reduced mortality from MI in the recent years. However, mortality from stroke following acute MI remains high even today. Here, we discuss the incidence, risk factors, and management of stroke following acute ST elevation MI. [...] Thieme Medical Publishers 333 Seventh Avenue,...
Source: International Journal of Angiology - September 20, 2019 Category: Cardiology Authors: Bhandari, Monika Vishwakarma, Pravesh Sethi, Rishi Pradhan, Akshyaya Tags: Review Article Source Type: research

Medical Therapy for Eisenmenger Syndrome: A Case Report and Review of Literature
We report a case of a 35-year-old female of ostium secundum atrial septal defect with ES, started on upfront combination therapy of ambrisentan and tadalafil who showed marked improvement after 3 months of medical therapy. [...] 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 20, 2019 Category: Cardiology Authors: Pradhan, Akshyaya Vohra, Shweta Vishwakarma, Pravesh Sethi, Rishi Tags: Case Report Source Type: research

Uncommon Coronary Abnormalities in a Patient with Discoid Lupus Erythematosus
Int J Angiol DOI: 10.1055/s-0039-1696978A 43-year-old male presented with shortness of breath and palpitations. Physical examination was significant for skin lichenification, an erythematous maculopapular rash with annular plaques, a fissured tongue, and digital clubbing. Electrocardiogram captured a supraventricular tachycardia and right bundle branch block. Left heart catheterization found several proximal left coronary artery branch aneurysms, a right coronary–pulmonary artery fistula, venous–luminal vessels between the right heart chambers and cardiac veins, and thebesian venous lakes. Functional cardiac ca...
Source: International Journal of Angiology - September 12, 2019 Category: Cardiology Authors: Valencia, Damian Linares, Juan Das, Sulagna Valencia, Victor Yatsynovich, Yan Tags: Case Report Source Type: research

Fragmented QRS and QRS Duration As a Marker of Myocardial Reperfusion Measured by Myocardial Blush Grade in Reperfusion Therapy: Systematic Review and Meta-Analysis
Int J Angiol DOI: 10.1055/s-0039-1694790Myocardial blush grade (MBG) is an indicator of microvascular perfusion and patency and an independent predictor of cardiac outcomes. QRS duration and fragmented QRS (fQRS) before reperfusion and its changes after reperfusion are shown to be associated with MBG. We aimed to assess the latest evidence on the association between fQRS and QRS duration with MBG in reperfusion therapy.We performed a comprehensive search on the association between fQRS and QRS duration in successful/impaired reperfusion measured by MBG.There were a total of 1,311 patients from six studies. A shorter QRS du...
Source: International Journal of Angiology - August 21, 2019 Category: Cardiology Authors: Pranata, Raymond Yonas, Emir Chintya, Veresa Alkatiri, Amir Aziz Tags: Original Article Source Type: research

Successful Treatment of Recurrent Thrombosis Associated with Malignancy with Apixaban and Follow-up for 1 Year
Int J Angiol DOI: 10.1055/s-0039-1694780This case report aims to highlight a successful example of using novel oral anticoagulants (NOACs), such as apixaban, to prevent recurrent venous thromboembolism (VTE) in patients with solid-organ malignancy, as an alternative to low-molecular weight heparin (LMWH). Discussed is the case of a 67-year-old woman diagnosed with recurrent thrombosis in the upper-right limb and malignancy of right breast with metastasis to the axillary lymph nodes. Over a follow-up period of more than 1 year, there was no recurrence of VTE and D-dimer decreased, illuminating the possibility of apix...
Source: International Journal of Angiology - August 7, 2019 Category: Cardiology Authors: Boey, Timothy Sule, Ashita Ashish Sule, Ashish Anil Tags: Case Report Source Type: research

Prognostic Value of Late Gadolinium Enhancement in Postoperative Morbidity following Mitral Valve Surgery in Rheumatic Mitral Stenosis
Conclusion More extensive myocardial fibrosis is associated with postoperative morbiditiy after mitral valve surgery in patients with rheumatic MS. [...] 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 - August 6, 2019 Category: Cardiology Authors: Putra, Teuku Muhammad Haykal Sukmawan, Renan Elen, Elen Atmadikoesoemah, Celly A. Desandri, Dwita Rian Kasim, Manoefris Tags: Original Article Source Type: research

Glomuvenous Malformation of the Neck
Conclusions Despite absence of previous reports, GVM can occur in neck. Surgical excision can lead to complete resolution of symptoms. [...] 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 - August 6, 2019 Category: Cardiology Authors: Khan, Muhammad Salman Sohail, Amir Humza Hilal, Kiran Maan, Muhammad Hassaan Arif Tags: Case Report Source Type: research

Erratum to: Venous Malformation of the Parotid Gland
Int J Angiol DOI: 10.1055/s-0039-1694758 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 - July 30, 2019 Category: Cardiology Authors: Zareena, Shifa Dinesh, K.B. Narayanasami, Bharath Marunraj, G. Rekha, Arcot Tags: Erratum Source Type: research

Challenges in Treating Extensive Deep Vein Thrombosis with Severe Thrombocytopenia in Patients with Antiphospholipid Syndrome —A Follow-up of 2 Years
We describe a patient with APS and moderate-to-severe thrombocytopenia and the challenges of balancing anticoagulation with thrombocytopenia. A 19-year-old male patient presented with right lower limb swelling to the emergency department with a history of gradually worsening right leg swelling for 1 week and was diagnosed with right leg proximal deep vein thrombosis. Ultrasound Doppler of the right lower limb revealed complete venous thrombosis from the level of the popliteal vein to the distal superficial femoral vein. Subsequently, he was found to have triple-positive APS and moderate-to-severe immune thrombocytop...
Source: International Journal of Angiology - July 30, 2019 Category: Cardiology Authors: Wei, Lee Kai Sule, Ashish Anil Tags: Case Report Source Type: research

Pulmonary Arterial Hypertension and Novel Therapeutic Interventions-Present and Future
Int J Angiol DOI: 10.1055/s-0039-1693430 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 - July 15, 2019 Category: Cardiology Authors: Prasad, Kailash Elefteriades, John A. Tags: Editorial Source Type: research

Venous Malformation of the Parotid Gland
Int J Angiol DOI: 10.1055/s-0039-1694296Vascular malformations of the parotid gland are extremely rare. A 23-year-old female presented with tender parotid swelling with mild compressibility. Diagnosis was made by ultrasonogram and confirmed by magnetic resonance imaging. Facial nerve preserving surgical excision of the superficial parotid gland with infiltration of foam sclerosant was done. [...] 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 15, 2019 Category: Cardiology Authors: Zareenan, Shifa Dinesh, K.B. Narayanasami, Bharath Marunraj, G. Rekha, Arcot Tags: Case Report Source Type: research

Novel Therapeutic Approaches of Pulmonary Arterial Hypertension
Int J Angiol DOI: 10.1055/s-0039-1692140Pulmonary arterial hypertension (PAH) is an uncommon disease characterized progressive remodeling of pulmonary vasculature. Although treatment for PAH have improved in last two decades but the outcome remains fatal. Currently, the therapies for PAH target three well-established pathways the nitric oxide (NO) pathway, endothelin receptors, and prostanoids. There are multiple potential targets for development of newer drugs in PAH which requires meticulous research and clinical trials. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJourna...
Source: International Journal of Angiology - July 12, 2019 Category: Cardiology Authors: Tyagi, Sanjay Batra, Vishal Tags: Review Article Source Type: research

Micro-Lightguide Spectrophotometry (O2C) for Lower Limb Perfusion: Effects of Exercise Walking in Claudicants
Conclusion The findings suggest that O2C may be used to study microcirculatory changes. However, it is best suited for the study of phenomena resulting in major changes as it eliminates some inherent variability. [...] 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 12, 2019 Category: Cardiology Authors: Gyldenl øve, Thomas J ørgensen, Lise P. Schroeder, Torben V. Tags: Original Article Source Type: research

Temporal Vascular Changes in Leg with Ulcer Due to Autonomic Neuropathy
Conclusions We suggest that reduced sympathetic activity due to small fiber neuropathy causes temporal variations in leg blood flow. There was a nonlinear relationship between vascular functional changes and stages of disease with increased, intermediate, and decreased blood flow, respectively. DUS assessment of pedal arteries contributed to differentiation of clinical stages and permitted vascular evaluation in the course of peripheral autonomic neuropathy. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract &...
Source: International Journal of Angiology - July 12, 2019 Category: Cardiology Authors: Ener, Beh çet K. U çankale, Handan S ürmeli, Reyhan Tags: Original Article Source Type: research