Management of Chronic Total Occlusion of Coronary Artery
Int J Angiol DOI: 10.1055/s-0040-1721478Chronic total occlusion (CTO) of a coronary artery is typically defined as a completely occluded artery without any antegrade flow and a duration of at least 3 months. We reviewed the current literature describing the optimal management of CTO including the role of revascularization and choice of modality, i.e., percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery. Databases (PubMed, the Cochrane Library, Embase, EBSCO, Web of Science, and CINAHL) were searched and relevant studies of patients with CTO were selected for review. The prevalence of coronary a...
Source: International Journal of Angiology - December 3, 2020 Category: Cardiology Authors: Mares, Adriana Mukherjee, Debabrata Tags: Invited Paper Source Type: research
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 ...
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
