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Cardiovascular Diagnosis and Therapy

journal
https://www.readbyqxmd.com/read/29930897/erratum-to-in-hospital-outcomes-after-switching-from-a-bivalirudin-first-strategy-to-an-unfractionated-heparin-first-strategy-for-percutaneous-coronary-interventions
#1
(no author information available yet)
[This corrects the article DOI: 10.21037/cdt.2017.10.16.].
June 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850434/sculpting-the-future-of-medical-data-visualization
#2
Justus Harris
No abstract text is available yet for this article.
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850433/-18-f-fdg-pet-mri-in-the-diagnosis-of-an-infected-aortic-aneurysm
#3
Anna M Sailer, Frans C Bakers, Jan W Daemen, Stefan Vöö
We report a case where an integrated whole body 18 F-fluorodeoxyglucose (18 F-FDG) positron emission tomography (PET)/magnetic resonance imaging (MRI) is performed in the diagnostic work-up of a saccular aortic aneurysm. The integrated whole body 18 F-FDG PET/MRI study answered all relevant diagnostic questions, clearly marking an infected aortic aneurysm, depicting the extent of the infected area in relation to the aortic branch vessels, and indicating the aortic lesion as the primary site of infection. The patient was successfully treated by open type V TAAA repair and pericardial graft replacement...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850432/imaging-work-up-and-endovascular-treatment-options-for-aorto-enteric-fistula
#4
REVIEW
Sasan Partovi, Thomas Trischman, Rahul A Sheth, Tam T T Huynh, Jon C Davidson, Anand M Prabhakar, Suvranu Ganguli
Aorto-enteric fistula (AEF) is a rare life-threatening condition. Early recognition and diagnosis are of paramount importance to improve outcome. In this article four cases of AEF with relevant pre- and post-procedural images are presented to demonstrate the utility of cross-sectional imaging in the work-up of AEF. The literature is reviewed to describe the typical presentation of AEF, the diagnostic work-up of AEF, and the different methods used to treat AEF. Endovascular repair of AEF is gaining increasing attention due to its decreased short-term mortality compared to open surgical techniques...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850431/current-status-of-the-treatment-of-infrarenal-abdominal-aortic-aneurysms
#5
REVIEW
Linda J Wang, Anand M Prabhakar, Christopher J Kwolek
Aortic aneurysms are the 13th leading cause of death in the United States. While aneurysms can occur along the entire length of the aorta, the infrarenal location is the most common. Targeted ultrasound screening has been found to be an effective and economical means of preventing aortic aneurysm rupture. The indication for repair includes either symptomatic aneurysms or aneurysms with a diameter greater than 5.4 cm. Treatment options for the repair of infrarenal aortic aneurysms are open surgical repair (OSR) and endovascular aneurysm repair (EVAR)...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850430/percutaneous-access-planning-techniques-and-considerations-for-endovascular-aortic-repair-evar
#6
REVIEW
Geogy Vatakencherry, Chris Molloy, Neil Sheth, Millie Liao, Cuong Ken Lam
Percutaneous endovascular aortic repair (EVAR) has transformed the field of aortic repair. As techniques and devices improve, interventionalists continue to expand the boundaries of what is possible, enabling these life-saving procedures to be performed on a wider range of more technically challenging cases. This article discusses endovascular access considerations for EVAR including; ultrasound guidance, preclose technique, access vessel options, innovative devices, and bailout strategies that interventionalists should be familiar with to optimize patient outcomes...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850429/advanced-endografting-techniques-snorkels-chimneys-periscopes-fenestrations-and-branched-endografts
#7
REVIEW
Kartik Kansagra, Joseph Kang, Matthew-Czar Taon, Suvranu Ganguli, Ripal Gandhi, George Vatakencherry, Cuong Lam
The anatomy of aortic aneurysms from the proximal neck to the access vessels may create technical challenges for endovascular repair. Upwards of 30% of patients with abdominal aortic aneurysms (AAA) have unsuitable proximal neck morphology for endovascular repair. Anatomies considered unsuitable for conventional infrarenal stent grafting include short or absent necks, angulated necks, conical necks, or large necks exceeding size availability for current stent grafts. A number of advanced endovascular techniques and devices have been developed to circumvent these challenges, each with unique advantages and disadvantages...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850428/endovascular-management-of-iliac-aneurysmal-disease-with-hypogastric-artery-preservation
#8
REVIEW
Brian J Schiro, Ripal T Gandhi, Constantino S Peña, Adam R Geronemus, Alex Powell, James F Benenati
Common iliac artery aneurysms (CIAAs) pose a challenge in endovascular aneurysm repair. Aneurysm repair of CIAA traditionally requires embolization of the ipsilateral hypogastric artery (HA). Symptoms of buttock claudication and more feared complications of pelvic ischemia make HA preservation an appealing addition to aneurysm repair. In this review, we discuss various methods of CIAA repair with devices specifically designed for aneurysm repair and other custom techniques of HA preservation.
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850427/repair-of-abdominal-aortic-aneurysms-preoperative-imaging-and-evaluation
#9
REVIEW
David K Hu, George T Pisimisis, Rahul A Sheth
Imaging is a critical component of the pre-procedure evaluation and planning of endovascular aneurysm repair (EVAR). Imaging is the mainstay for proper assessment of procedural candidacy, relevant vascular anatomy, device selection, and surgical approach. Computed tomography angiography (CTA) has long been considered the preferred modality for pre-operative imaging and evaluation prior to EVAR. Recently, advances in image quality and software technology have further enhanced the proceduralist's ability to plan and perform EVAR...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850426/complications-of-endovascular-aneurysm-repair-of-the-thoracic-and-abdominal-aorta-evaluation-and-management
#10
REVIEW
Dania Daye, T Gregory Walker
In recent decades, endovascular aneurysm repair or endovascular aortic repair (EVAR) has become an acceptable alternative to open surgery for the treatment of thoracic and abdominal aortic aneurysms and other aortic pathologies such as the acute aortic syndromes (e.g., penetrating aortic ulcer, intramural hematoma, dissection). Available data suggest that endovascular repair is associated with lower perioperative 30-day all-cause mortality as well as a significant reduction in perioperative morbidity when compared to open surgery...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850425/type-ii-endoleaks-diagnosis-and-treatment-algorithm
#11
REVIEW
Yolanda Bryce, Brian Schiro, Kyle Cooper, Suvranu Ganguli, Mamdouh Khayat, Cuong Ken Lam, Rahmi Oklu, Geogy Vatakencherry, Ripal T Gandhi
Elective abdominal aortic aneurysm (AAA) repair is recommended for aneurysms greater than 5.5 cm, symptomatic, or rapidly expanding more than 0.5 cm in 6 months. Seventy-five percent of AAAs today are treated with endovascular aneurysm repair (EVAR) rather than open repair. This is fostered by the lower periprocedural mortality, complications, and length of hospital stay associated with EVAR. However, some studies have demonstrated EVAR to result in higher reintervention rates than with open repair, largely due to endoleaks...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850424/evolving-clinical-applications-of-contrast-enhanced-ultrasound-ceus-in-the-abdominal-aorta
#12
REVIEW
Vasileios Rafailidis, Sasan Partovi, Alexander Dikkes, Dean A Nakamoto, Nami Azar, Daniel Staub
Ultrasound (US) represents the initial modality in the workup of abdominal aortic pathology based on the plethora of advantages including widespread availability, low cost, safety profile and repeatability. However, US has inherent limitations including limited spatial information of pathologic processes to neighboring structures, lower sensitivity to slow blood flow and aortic luminal irregularities. For evaluation of aortic pathology angiography has long been considered the gold standard. Non-invasive cross-sectional imaging techniques like computed tomography angiography (CTA) and magnetic resonance angiography (MRA) have gradually replaced interventional angiography for the evaluation of aorta, currently being regarded as the diagnostic imaging modalities of choice for diagnosis of virtually every aortic disease...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850423/abdominal-aortic-aneurysm-screening-concepts-and-controversies
#13
REVIEW
Evan J Zucker, Anand M Prabhakar
Abdominal aortic aneurysms (AAAs) are a leading cause mortality and morbidity but often go undiagnosed until late stages unless imaging is performed. In 2005, the United States Preventive Services Task Force (USPSTF) for the first time recommended one-time ultrasound screening for elderly male smokers and selective screening in other populations. These guidelines were reaffirmed and updated in 2014; a proposal for potential further revisions is now in early planning stages. In this article, we review the past and current USPSTF AAA screening recommendations and techniques for performing optimal screening...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850422/endovascular-management-of-acute-aortic-dissection
#14
REVIEW
Mamdouh Khayat, Kyle J Cooper, Minhaj S Khaja, Ripal Gandhi, Yolanda C Bryce, David M Williams
Acute dissection of the thoracic aorta is a potentially life-threatening condition which requires collaborative treatment from multiple specialties for optimal patient outcomes. Dissections involving the ascending aorta and aortic arch have traditionally been managed entirely by surgery, while dissections beyond the arch vessels have most commonly been relegated to medical management. This algorithm has been undergoing a paradigm shift over the past two decades due to improvements in stent graft technology, better understanding of the hemodynamic interactions of the true and false lumen and their influence on organ and limb perfusion, and improvements in medical management and long term surveillance for dissection-related complications...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850421/acute-aortic-syndromes-and-aortic-emergencies
#15
REVIEW
Vinit Baliyan, Anushri Parakh, Anand M Prabhakar, Sandeep Hedgire
Acute aortic syndrome (AAS) and emergencies are relatively uncommon but are considered as life threatening, potentially fatal conditions. Different forms of aortic emergencies/AAS are often clinically indiscernible. Prompt and accurate diagnosis of these entities significantly influences prognosis and guides therapy. We aim to elucidate the pertinent role that radiology plays in the management of acute aortic diseases, with contrast-enhanced computed tomography angiography (CTA) being the most rapid and robust imaging technique...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850420/syndromes-with-aortic-involvement-pictorial-review
#16
REVIEW
Evan J Zucker
A variety of syndromes are associated with thoracoabdominal aortic pathologies. While these diseases are collectively rare, the presence of advanced or unusual aortic disease at a young age should raise suspicion of an underlying syndrome. Similarly, patients with a known syndrome require close monitoring in anticipation of future aortic disease. In this article, the syndromes most commonly encountered in clinical practice are reviewed, including Marfan syndrome (MFS) and other connective tissue disorders, Turner syndrome (TS), autosomal dominant polycystic kidney disease (ADPKD), neurofibromatosis (NF), Williams syndrome (WS), Alagille syndrome (AGS), and DiGeorge syndrome (DGS)...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850419/inflammatory-and-infectious-aortic-diseases
#17
REVIEW
Amy R Deipolyi, Christopher D Czaplicki, Rahmi Oklu
Aortitis is aortic inflammation, which can be due to inflammatory or infectious diseases. Left undiagnosed, aortitis can lead to aneurysm formation and rupture, in addition to ischemic compromise of major organs. Infectious aortic diseases include mycotic aneurysm and graft infection; the most common inflammatory diseases are Takayasu's and giant cell arteritis. We review the epidemiology, etiology, presentation and diagnosis, and treatment of these entities.
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850418/postoperative-imaging-of-the-aorta
#18
REVIEW
Weier Li, Sasiprapa Rongthong, Anand M Prabhakar, Sandeep Hedgire
Considerable progress has been made in the management of diseases of the thoracic and abdominal aorta over the past decades, ranging from advances in open repair to the advent of minimally invasive endovascular techniques. Along with this comes an equivalent rise in imaging necessity for these patients, both in preoperative planning and postoperative surveillance. With the growing complexity and diversity of vascular procedures and techniques, it is essential to have a solid understanding of the imaging features and postoperative complications of these procedures to avoid imaging pitfalls...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850417/congenital-anomalies-of-the-aortic-arch
#19
REVIEW
Sarv Priya, Richard Thomas, Prashant Nagpal, Arun Sharma, Michael Steigner
Congenital anomalies of the aortic arch include diverse subgroups of malformations that may be clinically silent or may present with severe respiratory or esophageal symptoms especially when associated with complete vascular rings. These anomalies may be isolated or may be associated with other congenital heart diseases. Volume rendered computed tomography (CT) and magnetic resonance angiography (MRA) help in preoperative surgical planning by providing information about the complex relationship of aortic arch and its branches to the trachea and esophagus...
April 2018: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/29850416/three-dimensional-3d-printing-and-its-applications-for-aortic-diseases
#20
REVIEW
Patrick Hangge, Yash Pershad, Avery A Witting, Hassan Albadawi, Rahmi Oklu
Three-dimensional (3D) printing is a process which generates prototypes from virtual objects in computer-aided design (CAD) software. Since 3D printing enables the creation of customized objects, it is a rapidly expanding field in an age of personalized medicine. We discuss the use of 3D printing in surgical planning, training, and creation of devices for the treatment of aortic diseases. 3D printing can provide operators with a hands-on model to interact with complex anatomy, enable prototyping of devices for implantation based upon anatomy, or even provide pre-procedural simulation...
April 2018: Cardiovascular Diagnosis and Therapy
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