Successful Retrieval of Retained Rotablator Burr in the Mid Left Anterior Descending Coronary Artery using a Retrograde Approach: A Case Report
We present a rare complication of Rotablator (Boston Scientific) atherectomy during percutaneous coronary intervention in a 67-year-old patient with a history of coronary artery disease and prior coronary artery bypass graft (CABG) surgery. The fracture of the Rotablator drive shaft and retention of the Rotablator burr in the mid left anterior descending coronary artery posed significant challenges in patient management. This case demonstrates the successful extraction of the retained Rotablator burr using retrograde total occlusion recanalization and highlights the importance of understanding the potential complications a...
Source: International Journal of Angiology - February 8, 2024 Category: Cardiology Authors: Inala, Yoshitha Robken, Jon Shammas, Nicolas W. Tags: Case Report Source Type: research
The Challenge of Managing a Primary Aortic Mural Thrombus: Outcomes and Technical Considerations
Conclusion: Anticoagulation alone as initial therapy could completely resolve PAMT but is associated with high embolization recurrence. Thoracic endovascular aortic repair is feasible and could prevent additional embolization. However, the criteria for its use as a first-line therapy still need to be defined. Our study highlights the importance of closely monitoring these patients. [...] 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 - February 6, 2024 Category: Cardiology Authors: Mendes, Daniel Veiga, Carlos Machado, Rui S á-Pinto, Pedro Almeida, Rui Tags: Original Article Source Type: research
Postoperative Intimal Hyperplasia: Review from My Research
Int J Angiol DOI: 10.1055/s-0044-1779300Postoperative intimal hyperplasia is the major cause of the vein graft occlusion. It is very important to establish an animal model for the start of research. After my vascular surgery residency in Japan, I started my research work on postoperative intimal hyperplasia at the University of Wisconsin-Madison. My research showed that endothelial injury and monocyte infiltration is the key for postoperative intimal hyperplasia, which is very similar to Ross' pathogenesis of atherosclerosis as an inflammatory disease. Focusing on postoperative intimal hyperplasia as an inflammatory diseas...
Source: International Journal of Angiology - February 5, 2024 Category: Cardiology Authors: Yamamura, Mitsuhiro Tags: Review Article Source Type: research
Concurrent Chronic Limb Threatening Ischemia and Deep Vein Thrombosis of a Limb in Patient with Systemic Lupus Erythematosus: A Case Report
Int J Angiol DOI: 10.1055/s-0044-1779491Concurrent thrombus formation in both the arterial and venous systems is rare and present as a diagnostic challenge in these cases; therefore, we must explore various possible etiologies and mechanisms. Herein, we report a case of concurrent chronic limb threatening ischemia (CLTI) and deep vein thrombosis (DVT) of a limb in a patient with systemic lupus erythematosus (SLE) and chronic heart failure who underwent laboratory examinations and multimodality imaging. A 37-year-old male presented with a complaint of pain and swelling of the lower left extremity since 21 days before admiss...
Source: International Journal of Angiology - February 2, 2024 Category: Cardiology Authors: Kartamihardja, Achmad Hafiedz Azis Pranata, Raymond Suriyanto, Margareta Ginanti Ratna Indraswari Tiksnadi, Badai Bhatara Hidayat, Syarief Tags: Case Report Source Type: research
Chronic Limb-Threatening Ischemia does not Enclose a Homogenous Population: Time for a More Detailed Classification
Conclusions Patients with solely rest pain have significantly lower mortality rates in comparison to patients with ischemic ulcers. Rest pain did not affect mortality rates in patients with ulcers. There was a higher amputation rate in patients with combined rest pain and ischemic ulcers because the presence of rest pain CLTI patients had a significant negative effect on amputation risk. A separate subdivision for patients with combined ulcers and rest pain is indicated. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abst...
Source: International Journal of Angiology - December 15, 2023 Category: Cardiology Authors: C édric, Schraepen Lijckle, van der Laan Nick, Smet Anne, Meulenbroek Inge, Fourneau Tags: Original Article Source Type: research
An Atypical Presentation of Decubitis Angina in a Patient with Coronary Artery Disease and Aortic Regurgitation: Case Report
Int J Angiol DOI: 10.1055/s-0043-1777343Decubitis angina briefly refers to a pain occurring during the night or in recumbent position. Herewith, we present a case of decubitis angina occurring immediately after lying down in a patient with coronary artery disease and aortic regurgitation. The patient was successfully treated by percutaneous coronary intervention. It should be kept in mind that early-onset chest pain immediately after lying down might be a sign of myocardial ischemia or acute coronary syndrome especially in the presence of coronary artery disease and aortic regurgitation. [...] Thieme Medical Publishers, In...
Source: International Journal of Angiology - December 12, 2023 Category: Cardiology Authors: Yetkin, Ertan Atmaca, Hasan Yalta, Kenan Tags: Case Report Source Type: research
A Simple, Low-Cost and Effective Technique for Percutaneous Closure of a Coronary Artery Fistula: A Closed-Loop Balloon –Stent System
In conclusion, percutaneous closure with the closed-loop balloon–stent technique presents a viable approach for managing symptomatic CAFs, offering an attractive option for patients with limited surgical options. This method's practicality and affordability render it an appealing alternative in appropriate cases, highlighting its potential to improve patient outcomes and enhance overall management strategies. [...] 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 11, 2023 Category: Cardiology Authors: Şengör, Büşra G. Y ılmaz, Cemalettin Zehir, Regayip Tags: Case Report Source Type: research
Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease
This article investigates the effects of SET on traditional measures of postural control and on stabilogram-diffusion analysis (SDA) parameters in patients with symptomatic PAD. Patients with symptomatic chronic lower limb claudication were investigated. All subjects who completed the 3-month multimodal SET program and postural control assessment before and after SET were included. Center of pressure trajectory analysis and SDA parameters were investigated using a posturographic platform. Patients were instructed to stand on the platform and maintain balance to their best ability. Treadmill pain-free (PFWD) and maximal (MW...
Source: International Journal of Angiology - November 27, 2023 Category: Cardiology Authors: Degache, Francis Mak, Willy Calanca, Luca Mazzolai, Lucia Lanzi, Stefano Tags: Rapid Communication Source Type: research
Successful Endovascular Treatment of Postbiopsy AVF in Transplanted Kidneys: Lessons Learned from Two Cases in Multiorgan Transplant Recipients
We present here a report of two cases of postbiopsy AVFs treated endovascularly. Selective embolization is a safe and effective method of treatment of postbiopsy AVFs in renal allografts. [...] 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 27, 2023 Category: Cardiology Authors: Želalić, Sven Šimunov, Bojana Maksimovi ć, Bojana Mu žar, Rea Laganovi ć, Mario Vidjak, Vinko Tags: Case Report Source Type: research
Current Evidence and Future Directions of Omega-3 Supplementation and Cardiovascular Disease Risk
Int J Angiol DOI: 10.1055/s-0043-1777258Omega-3 supplementation has a controversial role in the secondary prevention of cardiovascular diseases. Despite large clinical trials published over the years, the evidence of omega-3 in preventing cardiovascular diseases, especially coronary heart disease, is still inconclusive. However, recent clinical trials using higher dose of omega-3 or highly purified esters of omega-3 shows promising result, with reduction in cardiovascular death and incidence of cardiovascular disease. This review aims to summarize the possible mechanism of omega-3 in preventing cardiovascular disease and f...
Source: International Journal of Angiology - November 24, 2023 Category: Cardiology Authors: Dwiputra, Bambang Santoso, Anwar Purwowiyoto, Budhi Setianto Radi, Basuni Pandhita, Bashar Adi Wahyu Fatrin, Serlie Ambari, Ade Meidian Tags: Review Article Source Type: research
A Lethal Late Complication: Aortoesophageal Fistula after TEVAR
Int J Angiol DOI: 10.1055/s-0043-1776144Thoracic endovascular aortic repair (TEVAR) has been performed in the treatment of thoracic aortic disease since the mid-1990s. Complications associated with TEVAR are increasing rapidly due to its widespread use. One of these complications is late lethal aortoesophageal fistula (AEF). The aim of this study was to describe the diagnosis of AEF in a 64-year-old woman 8 months after TEVAR. The AEF was diagnosed on a computed tomography angiography with oral and intravenous contrast. The patient underwent open surgical repair and died of sepsis 12 days after surgery. [...] Thieme Medica...
Source: International Journal of Angiology - October 19, 2023 Category: Cardiology Authors: Karaca, Sedat Yalic, İslam Bulut, Bark ın Engin, Yaprak Posac ıoğlu, Hakan Tags: Case Report Source Type: research
ASVAL with Phlebectomy/Sclerofoam Technique: Preliminary Results
Int J Angiol DOI: 10.1055/s-0043-1776145The ambulatory selective varicose vein ablation under local anesthesia (ASVAL) method recommends preserving the great saphenous vein (GSV), unless there is a serious terminal valve insufficiency, and suggests phlebectomy of superficial varicose reservoir as a primary treatment. To increase patient comfort, foam safety and cosmetic results, we used ASVAL with a mixed phlebectomy/foam technique on local anesthesia. Thirty consecutive patients treated with ASVAL phlebectomy-sclerofoam technique were reviewed retrospectively between December 2022 and April 2023. All patients were evaluat...
Source: International Journal of Angiology - October 18, 2023 Category: Cardiology Authors: Garavello, Alberto Fiamma, Paola Oliva, Enrico Tags: Short Communication Source Type: research
Three-Dimensional Morphometric Analysis of Anterior Cerebral Circulation Aneurysms
This article assesses the association between anterior circulation morphometry and the presence of intracranial aneurysm using three-dimensional rotational angiography (3DRA). A retrospective analysis at a Peruvian academic medical center between December 2018 and February 2020 identified 206 patients with unruptured intracranial aneurysms and matched controls who underwent 3DRA. Angiographic images were obtained per standard of care, and measurements of the vasculature were performed using 3DRA vascular automated software. A total of 163 aneurysms and 43 control angiograms were evaluated. Women represented 82.5% of the ca...
Source: International Journal of Angiology - September 14, 2023 Category: Cardiology Authors: Saal-Zapata, Giancarlo Walker, Melanie Cervantes-Medina, Rosa Rodr íguez-Varela, Rodolfo Tags: Original Article Source Type: research
Rare Case of Chronic Limb-Threatening Ischemia in a 32-Year-Old Patient with Nephrotic Syndrome: A Case Report
Int J Angiol DOI: 10.1055/s-0043-1774739Chronic limb-threatening ischemia represents the end stage of peripheral artery disease (PAD), primarily affecting individuals over 60 years old. While quite rare, nephrotic syndrome (NS) is recognized for increasing the susceptibility to arterial thromboembolism (ATE). A 32-year-old male complained of resting pain in his left leg and pain after walking 50 meters with his right leg. He had a 9-year history of NS confirmed through biopsy and was on a daily regimen of 2 × 360 mg mycophenolic acid and 1 × 8 mg methylprednisolone. He had no history of hypertension, diabetes...
Source: International Journal of Angiology - September 14, 2023 Category: Cardiology Authors: Afandy, Jonathan Edbert Taofan, Taofan Indriani, Suci Batubara, Edwin Adhi Darmawan Adiarto, Suko Tags: Case Report Source Type: research
Acute Limb Ischemia in COVID-19: A Systematic Review
The objective of this study was to analyze the clinical features, treatment strategies, and outcomes in COVID-19 patients who developed ALI. A systematic search was performed in PubMed, ScienceDirect, and Cochrane to identify relevant articles. Variables of interest included ALI location, ALI and COVID-19 severity, concomitant thrombosis, comorbidities/risk factors, coagulation and inflammatory parameters, therapy, outcome, and cause of death. Data extraction and pooling were conducted by two reviewers. Fifty-six articles with a total of 191 subjects were included in the analysis; 78.5% of the subjects were male; mean age ...
Source: International Journal of Angiology - August 14, 2023 Category: Cardiology Authors: Indriani, Suci Amshar, Mohamed Nugraha, Raka Aldy Siddiq, Taofan Adiarto, Suko Tags: Review Article Source Type: research
