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 forms of AF. Tec...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Hesselson, Aaron B. Tags: Invited Papers Source Type: research
Internal Carotid Artery Dissection Treated with C-Guard Stent
Int J Angiol DOI: 10.1055/s-0040-1708839Internal carotid dissection is the most common cause of stroke in the young population. Stroke, the presence of a pseudoaneurysm, and decreased artery lumen with cerebral flow impairment are indications for treatment. Medical therapy with antithrombotic drugs and endovascular therapy with stenting are the main available options. The C-Guard stent is an open cell mesh-covered dual layer stent that has been mainly used in cases of internal carotid artery stenosis with a post-operative reduction in stroke incidence. Thus, we present two cases of internal carotid artery dissections of th...
Source: International Journal of Angiology - April 27, 2020 Category: Cardiology Authors: Saal-Zapata, Giancarlo Durand, Walter Valer, Dante Rodr íguez, Rodolfo Tags: Case Report Source Type: research
Ten Tips and Tricks for Performing Alcohol Septal Ablation in Patients with Hypertrophic Obstructive Cardiomyopathy
Int J Angiol DOI: 10.1055/s-0040-1709463Alcohol septal ablation (ASA) is an effective interventional therapeutic strategy to reduce or eliminate left ventricular outflow tract obstruction in patients with hypertrophic obstructive cardiomyopathy (HOCM). Although ASA was introduced 25 years ago, there are still no available guidelines to follow. Therefore, most interventional cardiologists rely on their own experience, which is often limited by a relatively low number of performed procedures. This paper presents ten tips and tricks to safe and effective ASA for HOCM. [...] Thieme Medical Publishers 333 Seventh Avenue, New Yo...
Source: International Journal of Angiology - April 22, 2020 Category: Cardiology Authors: Veselka, Josef Tags: Review Article Source Type: research
Transpedal Approach in Failed Antegrade Attempt of Lower Limb Peripheral Arterial Disease —A Review with Different Treatment Strategies
Int J Angiol DOI: 10.1055/s-0040-1709504Transpedal access is an evolving technique primarily used in patients after failed femoral antegrade approach to revascularize complex tibiopedal lesions. In patients who are at high risk for surgery the transpedal access may be the only option in failed antegrade femoral access to avoid amputation of the limbs. In recent years transpedal access is used routinely to revascularize supra-popliteal lesions due to more success and less complications over femoral artery approach. Retrograde approach parse will not give success in all cases and importantly success depends on techniques use...
Source: International Journal of Angiology - April 22, 2020 Category: Cardiology Authors: Nath, Ranjit Kumar Subramaniyan, Siva Pandit, Neeraj Vatsa, Deepankar Tags: Review Article Source Type: research
Flaxseed and Its Components in Treatment of Hyperlipidemia and Cardiovascular Disease
In conclusion, flaxseed and pure SDG have significant lipid-lowering effects in animals and humans, while other components of flaxseed have small and variable effects. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - April 13, 2020 Category: Cardiology Authors: Prasad, Kailash Khan, Amal S. Shoker, Muhammad Tags: Review Article Source Type: research
Etiology, Pathology, and Classification of Atrial Fibrillation
Int J Angiol DOI: 10.1055/s-0040-1705153Atrial fibrillation (AF) is a disorganized tachyarrhythmia with significant public health importance due to high morbidity, mortality, and health-care costs. Incidence rate of AF is on the rise and there are several modifiable and nonmodifiable risk factors that are responsible. Exact mechanisms and pathogenesis of AF are still poorly understood, yet they still have great implications in management. The aim of this article is to summarize the epidemiology, major risk factors, and their role in the pathogenesis of AF. Finally, we have reviewed the classification of AF as per professio...
Source: International Journal of Angiology - March 28, 2020 Category: Cardiology Authors: Nayak, Srishti Natarajan, Balaji Pai, Ramdas G. Tags: Review Article Source Type: research
Contemporary Surgical Management of Atrial Fibrillation
Int J Angiol DOI: 10.1055/s-0040-1705111Atrial fibrillation is a common arrhythmia which may cause symptoms that significantly impact quality of life and is associated with increased risk of stroke, heart failure, and sudden death. Over the past three decades many surgical techniques as well as catheter-bases procedures have been developed to treat atrial fibrillation. In this review we describe the indications, treatments, outcomes, surgical techniques, and technical advances reported in the literature. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of conten...
Source: International Journal of Angiology - March 28, 2020 Category: Cardiology Authors: Gunn, Tyler M. London, Tessa E. Saha, Sibu P. Tags: Invited Papers Source Type: research
Double Antithrombotic versus Triple Antithrombotic Therapy in Patients with Atrial Fibrillation and Acute Coronary Syndrome
Int J Angiol DOI: 10.1055/s-0040-1702208In atrial fibrillation (AF), oral anticoagulant (OAC) therapy with either vitamin K antagonist or non–vitamin K antagonist is used to prevent thromboembolic complications. In patients who presented with acute coronary syndrome (ACS) and treated by percutaneous coronary intervention (PCI), dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor reduces major adverse cardiac events (MACEs) and stent thrombosis. Consequently, in patients with AF who presented with ACS and treated by PCI, the combination of OAC and DAPT, the so-called triple antithrombotic therapy (TAT) is ...
Source: International Journal of Angiology - March 20, 2020 Category: Cardiology Authors: Dharma, Surya Tags: Review Article Source Type: research
Is Catheter Ablation Better Than Antiarrhythmic Drugs for the Treatment of Atrial Fibrillation?
Int J Angiol DOI: 10.1055/s-0039-1700985Long-standing atrial fibrillation is associated with significant morbidity including stroke and development of heart failure. Patients also report poor quality of life as a result of debilitating symptoms or treatment side effects from antiarrhythmic medications. Radio frequency or cryothermal mediated catheter ablation has a central role in the management of symptomatic patients with paroxysmal or persistent atrial fibrillation. Circumferential pulmonary vein isolation is vital to the success of this therapy and other ancillary techniques have been described, especially for persiste...
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Natarajan, Balaji Nayak, Srishti Pai, Ramdas G. Tags: Review Article Source Type: research
Treatment Complications of Atrial Fibrillation and Their Management
This article is a review on AF management from both a surgical and catheter-based perspective. While both treatment approaches to AF have been shown to be successful in the management of AF, they are not without their own inherent complications. This article seeks to review some of these complications and help to guide treatment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Mattia, Allan Newman, Joshua Manetta, Frank Tags: Review Article Source Type: research
Acute Mesenteric Ischemia Remains a Highly Morbid Diagnosis after Initial Hospitalization Survival
Conclusion AMI remains a vascular emergency. Readmissions have a significant rate of morbid invasive procedures and can lead to an in-hospital mortality of 6.7%. The adoption of guidelines similar to the European Society for Trauma and Emergency Surgery should be considered. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - March 4, 2020 Category: Cardiology Authors: Erben, Y. Spaulding, A. C. Oderich, G. S. Da Rocha-Franco, J. A. Farres, H. Cochuyt, J. J. Sorrells, W. S. Oldenburg, A. W. Frey, G. T. Toskich, B. B. Becher, R. Hakaim, A. G. Tags: Original Article Source Type: research
University Professor Emeritus Dr. Otmar M. Pachinger, MD, FESC, FIHA, FICA (1944 –2019)
Int J Angiol 2020; 29: 001-001 DOI: 10.1055/s-0040-1702984 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - March 2, 2020 Category: Cardiology Authors: Prasad, Kailash Tags: In Memoriam Source Type: research
Triglycerides and Cardiovascular Outcomes —Can We REDUCE-IT ?
Int J Angiol DOI: 10.1055/s-0040-1701639The causal linkage between triglycerides and coronary artery disease has been controversial. Most of the trials hitherto have shown marginal or no beneficial effects of reduction of triglycerides (with fibrates) on top of low-density lipoprotein (LDL) reduction. But a significant residual cardiovascular risk remains even after use of high dose of statins. Omega-3 fatty acids have been shown to reduce triglyceride levels and some old trials have shown the benefits of fish oils in reducing cardiovascular events. However, barring a few trials most of the large trials of omega-3 fatty ac...
Source: International Journal of Angiology - February 24, 2020 Category: Cardiology Authors: Pradhan, Akshyaya Bhandari, Monika Vishwakarma, Pravesh Sethi, Rishi Tags: Review Article Source Type: research
Factors Affecting Mortality in Patients with Blood-Culture Negative Infective Endocarditis
Int J Angiol DOI: 10.1055/s-0039-3402744Infective endocarditis retains high morbidity and mortality rates despite recent advances in diagnostics, pharmacotherapy, and surgical intervention. Risk stratification in endocarditis patients, including blood-culture negative endocarditis, is crucial in deciding the optimal management strategy; however, the studies investigating risk stratification in these patients were lacking despite the difference with blood-culture positive endocarditis. The aim of this study is to identify risk factors associated with in-hospital mortality in blood-culture negative infective endocarditis pat...
Source: International Journal of Angiology - February 3, 2020 Category: Cardiology Authors: Firiana, Lira Siswanto, Bambang Budi Yonas, Emir Prakoso, Radityo Pranata, Raymond Tags: Original Article Source Type: research
Whole Blood del Nido versus Cold Blood Microplegia in Adult Cardiac Surgery: A Propensity-Matched Analysis
Conclusions Our novel protocol BDN was comparable with CBC, with similar clinical outcomes and no difference in operative mortality or actuarial survival. Further studies should evaluate the long-term outcomes of this technique. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: International Journal of Angiology)
Source: International Journal of Angiology - December 30, 2019 Category: Cardiology Authors: James, Taylor M. Stamou, Sotiris C. Faber, Cristiano Nores, Marcos A. Tags: Original Article Source Type: research
