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

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

Interhospital Transfer versus Direct Admission in Patients with Acute ST-Segment Elevation Myocardial Infarction
This study suggests that although interhospital transferred patients received more primary PCI with shorter DTD time, interhospital transfer creates longer total ischemic time that associates with the delay in DI-DO time at the first hospital that should be improved. [...] 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 24, 2020 Category: Cardiology Authors: Dharma, Surya Dakota, Iwan Andriantoro, Hananto Firdaus, Isman Anandira, Citra P. Radi, Basuni Tags: Origianl Article Source Type: research

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

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

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

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

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

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

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

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

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

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

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

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