Clinical Profile, Management, and Outcome of Visceral Artery Pseudoaneurysms: 5-Year Experience in a Tertiary Care Hospital
We present our experience of splanchnic visceral artery pseudoaneurysms in a university hospital over a 5-year time interval with emphasis on etiology, clinical presentation, management (endovascular/surgical), and final outcome.This was a retrospective study in which we searched our image database for pseudoaneurysms of visceral arteries over a period of 5 years. The clinical and operative details were retrieved from the medical record section of our hospital. The lesions were analyzed for the vessel of origin, size, etiology, clinical features, mode of treatment, and outcome.Twenty-seven patients with pseudoaneurysms wer...
Source: International Journal of Angiology - February 13, 2023 Category: Cardiology Authors: Shera, Faiz Altaf Shera, Tahleel Altaf Choh, Naseer Ahmad Bhat, Mudasir H. Shah, Omair Ashraf Shaheen, Feroze A. Robbani, Irfan Gojwari, Tariq Tags: Original Article Source Type: research
Acute Limb Ischemia after Cardiovascular Surgery: A Deadly Duo Combination with High Mortality
This study aimed to elucidate the clinical course and identify risk factors contributing to mortality in patients with ALI after cardiovascular surgery.This is a single-center retrospective cohort study. We analyzed data from 52 patients with ALI after cardiovascular surgery between 2016 and 2020. We evaluated the risk factors for 1-year mortality using Cox proportional hazards regression analysis.Most of the patients with ALI were male and the median age was 56 years (23–72 years). Most of the patients with ALI had coronary artery diseases. The 1-year mortality rate was 55.8% (n = 29 patients). Multivariable analysi...
Source: International Journal of Angiology - February 13, 2023 Category: Cardiology Authors: Indriani, Suci Dewangga, Raditya Adiarto, Suko Siddiq, Taofan Dakota, Iwan Andriantoro, Hananto Vuylsteke, Marc Tags: Original Article Source Type: research
Transmitral Thrombectomy via Minithoracotomy in a Patient with Takotsubo Cardiomyopathy
We report the case of a 74-year-old woman who was diagnosed as left ventricular thrombus resulting from transient Takotsubo syndrome. The thrombus was completely removed using video-assisted thoracoscopy through right minithoracotomy. This approach is less invasive and can provide better visualization, thereby avoiding left ventriculotomy. [...] 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 8, 2023 Category: Cardiology Authors: Takahashi, Hiroaki Matsuo, Jiro Gotake, Yasuko Sugimoto, Takaki Tags: Case Report Source Type: research
Ambulatory Care Management in Low Blood Pressure Patient with HFrEF
Int J Angiol DOI: 10.1055/s-0043-1761271Heart failure (HF) affects an estimated 38 million people globally, with most published research estimating a prevalence of 1 to 2% of the adult population. Low blood pressure (BP) is reported in 10 to 15% of patients with HF in clinical trials, although this proportion is much more frequent in routine clinical practice. Low BP in outpatients has a better outcome compared to inpatients. Low BP is often a restricting factor in the use and uptitration of guideline-directed medical therapy (GDMT).A 57-year-old male presented himself to the HF clinic with complaints of bloating, shortnes...
Source: International Journal of Angiology - February 8, 2023 Category: Cardiology Authors: Panjaitan, Fajar H. Hasanah, Dian Yaniarti Yonas, Emir Soerarso, Rarsari Tags: Case Report Source Type: research
Increased Prevalence of Pulmonary Embolism during the COVID-19 Pandemic in the US: An Infodemiological Analysis
Int J Angiol DOI: 10.1055/s-0043-1761291 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 - January 25, 2023 Category: Cardiology Authors: Mattiuzzi, Camilla Lippi, Giuseppe Tags: Letter to the Editor Source Type: research
The Importance of Engaging in Scientific Research during Medical Training
Int J Angiol DOI: 10.1055/s-0042-1759542Many components of required skills and competencies exist, and are felt to contribute to the successful completion of training for independent practice in the medical field as a physician. These requirements are documented and detailed in a temporal fashion during the training period and used for advancement during training as well as documentation of successful completion of that training. While clinical skill development that allows optimal care and treatment of patients is of utmost importance during this training, other components of the training are important and contribute to t...
Source: International Journal of Angiology - January 17, 2023 Category: Cardiology Authors: Bhuiya, Tanzim Makaryus, Amgad N. Tags: Review Article Source Type: research
Single-Center Study Evaluating Long-Term Major Adverse Outcomes with the Use of Paclitaxel-Coated Balloons in Treating Infrainguinal Arterial Disease
Int J Angiol DOI: 10.1055/s-0042-1759818Paclitaxel drug-coated balloons (DCB) have been shown to reduce target lesion revascularization (TLR) rate, but recently an association between paclitaxel and an increase in mortality at 5-year was reported. We reviewed the 5-year mortality and freedom from TLR rates from a single center among patients that received DCB.Consecutive patients that received DCB from July 8, 2015 to November 27, 2019 with follow-up obtained from medical records and review of official death certificates were reviewed. The primary objective was total mortality and TLR rates with cumulative exposure to pacl...
Source: International Journal of Angiology - January 13, 2023 Category: Cardiology Authors: Shammas, Nicolas W. Sharis, Elizabeth Shammas, Gail A Jones-Miller, Susan Tags: Original Article Source Type: research
D-Dimer and Fibrinogen Values according to the Localization of Deep Venous Thrombosis
Int J Angiol DOI: 10.1055/s-0042-1759819D-dimer and fibrinogen are nonspecific diagnostic biomarkers for venous thromboembolism (VTE). The aim of this article was to present the values of D-dimer and fibrinogen in relation to the anatomical localization of deep vein thrombosis (DVT). This was an observational study, which included 1,142 patients hospitalized from 2010 to 2019 at the Department of Angiology, Clinical Center University of Sarajevo. Data on gender, age, and thrombosis location were collected of all patients. Fibrinogen and D-dimer values were available for 983 and 500 patients, respectively. Thrombosis locati...
Source: International Journal of Angiology - January 13, 2023 Category: Cardiology Authors: Mla čo, Akif Mla čo, Nejra Begi ć, Edin Meki ć, Mevludin D žubur, Alen Tags: Original Article Source Type: research
Role of Vascular Receptors in the Development of Hypertension in the Elderly Population
Int J Angiol 2022; 31: 260-266 DOI: 10.1055/s-0042-1759650Hypertension is a disease common in adults, with many risk factors and potentially life-threatening outcomes. Blood pressure is controlled by receptors that inform the brain about the amount of pressure inside the arteries, and the amount of oxygen and carbon dioxide in the blood, respectively. Research has revealed that baroreflex sensitivity (BRS) decreases with increasing age and that there is a high correlation between hypertension and low BRS. However, various studies with differing results have indicated that high blood pressure is what causes BRS to decline, ...
Source: International Journal of Angiology - December 30, 2022 Category: Cardiology Authors: Shaulian, Shlomo Yosef Makaryus, Amgad N. Zeltser, Roman Tags: Invited Article Source Type: research
Invasive Coronary Physiology Study in Multivessel Coronary Artery Disease
We present a case of multivessel coronary artery disease (MVCAD) patient who was treated with iFR-guided percutaneous coronary intervention (PCI) and emphasize the importance of physiological assessment in PCI.A 63-year-old male with multiple cardiovascular risk factors came to our center with chief complaint of stable angina since 1 year. He underwent MPI-SPECT and the result showed 2.5% of ischemia burden. Coronary angiography showed MVCAD. Surgical conference decided to do PCI. iFR-guided PCI was performed in this case.Our case highlights the importance of iFR as an important cardiology–physiology-based tool as a guid...
Source: International Journal of Angiology - December 4, 2022 Category: Cardiology Authors: Zahidin, Agita Maryalda Alkatiri, Amir Aziz Mangkuanom, Arwin Saleh Iryuza, Nanda Firman, Doni Tags: Invited Article Source Type: research
Low-Dose Alteplase versus Conventional Anticoagulation to treat Submassive Pulmonary Embolism in Hispanic Patients
Int J Angiol DOI: 10.1055/s-0042-1758386The use of low-dose tissue plasminogen activator (tPA) in Hispanic patients with submassive pulmonary embolism (PE) is understudied.The purpose of this study is to explore the use of low-dose tPA in Hispanic patients with submissive PE compared with counterparts that received heparin alone.We retrospectively analyzed a single-center registry of patients with acute PE between 2016 and 2022. Out of 72 patients admitted for acute PE and cor pulmonale, we identified six patients that were treated with conventional anticoagulation (heparin alone) and six patients who received low-dose tPA...
Source: International Journal of Angiology - December 3, 2022 Category: Cardiology Authors: Zientek, Emily Talkington, Kelsey Gardner, Joshua Guo, Yi Mukherjee, Debabrata Rajachandran, Manu Siddiqui, Tariq S. Nickel, Nils P. Tags: Rapid Communication Source Type: research
Diagnosis and Management of Aortic Valvular Disease in the Elderly
Int J Angiol DOI: 10.1055/s-0042-1759527Aortic valvular disease, including aortic stenosis and aortic regurgitation, is increasingly common with age. Due to the aging population, more elderly patients are presenting with aortic valve pathology and expectations for prompt diagnosis and efficacious treatment. The current paradigm for aortic valve disease is based on surgical or interventional therapy. In this review, we discuss the approach to diagnosing aortic valvular disease and the different options for treatment based on the most recent evidence. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New ...
Source: International Journal of Angiology - November 29, 2022 Category: Cardiology Authors: Gorton, Andrew J. Keshavamurthy, Suresh Saha, Sibu P. Tags: Review Article Source Type: research
Pathophysiology, Diagnosis, and Management of Hypertension in the Elderly
Int J Angiol DOI: 10.1055/s-0042-1759486There is a high prevalence of systemic arterial hypertension in the elderly; 70% of adults >65 years have this disease. A key mechanism in the development of hypertension in the elderly is increased arterial stiffness. This accounts for the increase in systolic blood pressure and pulse pressure and fall in diastolic blood pressure (isolated systolic hypertension) that are commonly seen in the elderly, compared with younger persons. The diagnosis of hypertension is made on the basis of in-office blood pressure measurements together with ambulatory and home blood pressure recordings...
Source: International Journal of Angiology - November 29, 2022 Category: Cardiology Authors: Glazier, James J. Tags: Review Article Source Type: research
Pathophysiology and Management of Heart Failure in the Elderly
Int J Angiol DOI: 10.1055/s-0042-1758357The population of elderly adults is increasing globally. It has been projected that the population of adults aged 65 years will increase by approximately 80% by 2050 in the United States. Similarly, the elderly population is rising in other countries; a notable example being Japan where approximately 30% of the population are aged above 65 years. The pathophysiology and management of heart failure (HF) in this age group tend to have more intricacies than in younger age groups owing to the presence of multiple comorbidities. The normal aging biology includes progressive disruption at ...
Source: International Journal of Angiology - November 11, 2022 Category: Cardiology Authors: Dewaswala, Nakeya Mishra, Vinayak Bhopalwala, Huzefa Minhas, Abdul Khan Keshavamurthy, Suresh Tags: Review Article Source Type: research
Impact of Ultrasound-Guided Foam Sclerotherapy for Pain Control in Patients with Chronic Venous Disease and Great Saphenous Vein Reflux
Conclusions GSV-UGFS was effective for pain control. However, this improvement does not appear to be related to the pattern of occlusion, indicating that in the short term, the outcomes of total and partial occlusion suggest successful management of symptoms. Other aspects such as gender, age, pretreatment pain intensity, and CEAP classes seem to play a role in the clinical outcome. [...] 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 11, 2022 Category: Cardiology Authors: Poschinger-Figueiredo, Douglas Virgini-Magalh ães, Carlos Eduardo Amorim, Claudia Salvador Poschinger, Alessandra Krykhtine Peres Chequer, Fernanda Pires Tags: Original Article Source Type: research
