keyword
https://read.qxmd.com/read/38497203/pulmonary-edema-in-a-young-male-with-severe-uncontrolled-cardiovascular-risk-factors-and-pan-vascular-atherosclerosis-a-case-report
#1
JOURNAL ARTICLE
Andrea Palomba, Francesco Pelizzo, Mattia Canevari, Olga Vriz
Cardiovascular risk factors are the cause of atherosclerotic disease, which can involve all the elastic and muscolo-elastic arteries. The etiopathogenesis of atherosclerosis is multifactorial since genetics, lifestyle, and comorbidities can be simultaneously involved. Clinical manifestations can be heterogeneous and include myocardial infarction, stroke, aortic aneurysms, renal artery stenosis, renal insufficiency, peripheral artery disease, etc. Currently, 70% of clinical events cannot be prevented with available drug therapy, statins included, and at least 10% of coronary events occur in apparently healthy individuals in the absence of major traditional risk factors...
March 12, 2024: Monaldi Archives for Chest Disease
https://read.qxmd.com/read/38496196/preoperative-evaluation-for-carotid-endarterectomy-using-ct-and-mri-fusion-images-without-contrast-media
#2
JOURNAL ARTICLE
Akihito Hashiguchi, Takeshi Tonegawa, Kozo Tashima, Koichi Moroki, Hajime Tokuda
The usefulness of carotid endarterectomy (CEA) for carotid artery stenosis has been established even in the era of endovascular treatment. Digital subtraction angiography (DSA) and three-dimensional computed tomography angiography (3D-CTA) are used for preoperative evaluation of CEA; however, contrast agents cannot be used in patients with renal dysfunction or contrast agent allergy. Since the introduction of a three-dimensional image analysis software, SYNAPSE VINCENT (Fujifilm, Tokyo, Japan) in February 2016, we initially fused cervical CT, carotid three-dimensional time-of-flight magnetic resonance angiography, and carotid plaque imaging using 1...
February 2024: Curēus
https://read.qxmd.com/read/38494324/successful-treatment-of-focal-renal-artery-fibromuscular-dysplasia-by-balloon-dilatation-demonstrated-via-fractional-flow-reserve
#3
Xuhe Gong, Jixuan Liu, Daokuo Yao, Rongchong Huang
We present a rare case of fibromuscular dysplasia (FMD) manifesting in the mid segment of right renal artery, which led to the development of refractory hypertension. The patient received balloon angioplasty to a severe lesion on the middle of right renal artery and subsequently had normalisation of blood pressures. Fractional flow reserve (FFR) detection of the renal artery before and after balloon dilatation was 0.71 and 0.98, respectively. The patient showed renal artery stenosis (RAS) with distal tumour-like dilatation, and multiple tortuosity and stenosis in carotid artery and coronary artery...
November 2023: Clinical Medicine: Journal of the Royal College of Physicians of London
https://read.qxmd.com/read/38493318/transplant-renal-artery-stenosis-a-case-report-and-literature-review
#4
JOURNAL ARTICLE
Nasser Simforoosh, Amirhossein Nayebzade, Meisam Ghaedi
Transplant renal artery stenosis is the most common vascular complication that turns out following kidney transplantation and can lead to graft dysfunction and even its loss. The present report, describes A patient with end-stage renal disease who underwent living related renal transplantation. He had oliguria and creatinine rise in the post-operative course but all doppler ultrasonography (DUS) during the 2 months post-operation for the renal graft showed a normal mean resistive index in the graft renal artery...
March 17, 2024: Urology Journal
https://read.qxmd.com/read/38485070/role-of-intravascular-ultrasound-for-the-technical-assessment-of-endovascular-reconstruction-of-the-aortic-bifurcation
#5
JOURNAL ARTICLE
Michele Antonello, Michele Piazza, Sabrina Menara, Chiara Colacchio, Franco Grego, Mirko Menegolo, Francesco Squizzato
OBJECTIVES: to evaluate the role of intravascular ultrasound (IVUS) for the technical assessment of kissing stents (KS) and covered endovascular reconstruction of the aortic bifurcation (CERAB) in the treatment of aortoiliac obstructive disease involving the aortic bifurcation. METHODS: We conducted a single-center retrospective review of patients undergoing endovascular treatment of severe aorto-iliac obstructive disease (2019-2023). IVUS was performed in patients treated by KS or CERAB according to preoperative indications, in cases of moderate/severe calcifications, mural thrombus, total occlusions, and lesion extension towards the proximity of renal or hypogastric arteries...
March 12, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38479828/unusual-overlap-of-systemic-sclerosis-with-takayasu-arteritis
#6
JOURNAL ARTICLE
Anoop Chithrabhanu, Arul Rajamurugan Ponniah Subramanian, Ramesh Ramamoorthy, Mythili Seetharaman Varadhan
Overlap syndromes are diseases that meet the criteria of two or more rheumatic diseases. In this case report, a woman in her 20s presented with a constellation of symptoms, including skin thickening, Raynaud's phenomenon, hypertension, absent pulse in both lower limbs with bilateral renal artery bruit. The antinuclear antibody profile revealed Scl-70 positivity. CT thorax identified early interstitial lung disease, and nailfold capillaroscopy showed severe capillary loss. CT angiogram features were suggestive of Takayasu arteritis...
March 13, 2024: BMJ Case Reports
https://read.qxmd.com/read/38469821/cardiovascular-manifestations-of-erdheim-chester-disease-a-narrative-review-with-two-cases
#7
REVIEW
Alan Wong, Aditya Sharma, Randy Ramcharitar
Erdheim-Chester disease (ECD) is a rare 'L' (Langerhans) group histiocytic neoplasm that affects a multitude of organ systems, causing osteosclerotic bone lesions, periaortic encasement ('coated' aorta), retroperitoneal fibrosis involving kidneys and ureters ('hairy kidney'), and infiltration of the central nervous system. Cardiovascular involvement can occur in up to 70% of patients and is usually found during computed tomography/magnetic resonance imaging evaluation. When present, cardiovascular symptoms can have wide variability in presentation from asymptomatic to pericarditis, fatal cardiac tamponade, myocardial infarction, conduction abnormalities, heart failure, renal artery stenosis, and claudication...
March 12, 2024: Vascular Medicine
https://read.qxmd.com/read/38465111/early-onset-takayasu-arteritis-in-childhood-a-case-report
#8
Mridu Bahal, Gaurav Kumar, Shailaja Mane, Sanjay Chavan, Aryan Gupta
Takayasu arteritis is a chronic, idiopathic, inflammatory disease mainly affecting medium and large vessels with a significant rate of morbidity and mortality. The vessels most frequently affected are the aorta and its branches; branches originating from the aortic arch include right brachiocephalic trunk and its branches, left common carotid artery, left subclavian artery, coronary arteries from the ascending aorta, celiac trunk, right and left renal arteries, superior and inferior mesenteric arteries from the descending aorta, and right and left iliofemoral arteries...
February 2024: Curēus
https://read.qxmd.com/read/38451559/immediate-vs-multistage-revascularization-of-non-infarct-coronary-artery-ies-in-patients-with-hemodynamically-stable-multivessel-disease-acute-myocardial-infarction-a-systematic-review-and-meta-analysis
#9
JOURNAL ARTICLE
Prakash Raj Oli, Dhan Bahadur Shrestha, Sagun Dawadi, Jurgen Shtembari, Laxmi Regmi, Kailash Pant, Bishesh Shrestha, Jishanth Mattumpuram, Daniel H Katz
BACKGROUND: Untreated multivessel disease (MVD) in acute myocardial infarction (AMI) has been linked to a higher risk of recurrent ischemia and death within one year . Current guidelines recommend percutaneous coronary intervention (PCI) for significant non-infarct artery (-ies) (non-IRA) stenosis in hemodynamically stable AMI patients with MVD, either during or after successful primary PCI, within 45-days. However, deciding the timing of revascularization for non-IRA in cases of MVD is uncertain...
March 8, 2024: Coronary Artery Disease
https://read.qxmd.com/read/38451261/ultra-long-term-efficacy-and-safety-of-catheter-based-renal-denervation-in-resistant-hypertension-10-year-follow-up-outcomes
#10
JOURNAL ARTICLE
Hussam Al Ghorani, Saarraaken Kulenthiran, Lucas Lauder, Michael Johannes Maria Recktenwald, Juliane Dederer, Michael Kunz, Felix Götzinger, Sebastian Ewen, Christian Ukena, Michael Böhm, Felix Mahfoud
BACKGROUND: Randomized sham-controlled trials have confirmed the efficacy and safety of catheter-based renal denervation in hypertension. Data on the very long-term effects of renal denervation are scarce. AIMS: This study evaluates the 10-year safety and efficacy of renal denervation in resistant hypertension. METHODS: This prospective single-center study included patients with resistant hypertension undergoing radio-frequency renal denervation between 2010 and 2012...
March 7, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38451176/prevalence-and-associated-factors-of-atherosclerotic-plaque-and-stenosis-in-renal-arteries-a-community-based-study
#11
JOURNAL ARTICLE
Dongxue Wang, Yuesong Pan, Xueli Cai, Jing Jing, Hongyi Yan, Suying Wang, Xia Meng, Lerong Mei, Yanli Zhang, Shan Li, Tiemin Wei, Yilun Zhou, Yongjun Wang
The epidemiology of renal artery atherosclerosis in community populations is poorly documented. This study aimed to determine the prevalence of renal artery plaque (RAP) and atherosclerotic renal artery stenosis (ARAS), and the association of plaque and stenosis with vascular risk factors and kidney disease markers among community-dwelling adults. We conducted a cross-sectional analysis of the Polyvascular Evaluation for Cognitive Impairment and Vascular Events (PRECISE) study. RAP and ARAS were evaluated by thoracoabdominal computed tomography angiography...
March 7, 2024: Angiology
https://read.qxmd.com/read/38446029/intravascular-ultrasound-guided-lithotrispy-facilitated-angioplasty-for-treating-a-heavily-calcified-renal-artery-stenosis
#12
JOURNAL ARTICLE
Konstantinos Aznaouridis, Kyriakos Dimitriadis, Stergios Soulaidopoulos, Charalambos Vlachopoulos, Konstantinos Tsioufis
A 63-year-old woman with uncontrolled hypertension despite taking 5 antihypertensive medications was referred for percutaneous renal artery intervention.
February 28, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38436368/early-outcomes-of-transapical-mitral-valve-implantation-versus-surgical-replacement-in-matched-elderly-patients-at-intermediate-surgical-risk
#13
JOURNAL ARTICLE
Johannes A Ziegelmueller, Melchior Burri, Andreas Stein, Peter Tassani-Prell, Markus Krane, Rüdiger Lange, Hendrik Ruge
BACKGROUND: Data comparing transcatheter mitral valve implantation (TMVI) with surgical mitral valve replacement (SMVR) are lacking. AIMS: This study sought to compare the 30-day Valve Academic Research Consortium (VARC)-3 device success of TMVI with that of SMVR. METHODS: Matching protocol combined exact matching (sex, atrial fibrillation, previous surgical aortic valve replacement [SAVR] or coronary artery bypass grafting [CABG]), coarsened exact matching (age) and propensity score matching (body mass index, mitral valve pathology and concomitant tricuspid regurgitation)...
March 4, 2024: EuroIntervention
https://read.qxmd.com/read/38415729/-kidney-disease-in-antiphospholipid-antibody-syndrome
#14
JOURNAL ARTICLE
Marc Scheen, Laura Cordes, Fadi Haidar, Sophie De Seigneux
Antiphospholipid syndrome (APS) is a rare autoimmune disease characterized by recurrent arterial and venous thromboembolic events. Renal complications occur in 3 % of patients. Renal artery stenosis is the most common, and APS-related nephropathy is the predominant microvascular complication. APS nephropathy has heterogeneous manifestations ranging from hematuria and non-nephrotic range proteinuria to hypertension and multi-organ failure caused by catastrophic antiphospholipid antibody syndrome. Anticoagulation and thromboprophylaxis are key to management...
February 28, 2024: Revue Médicale Suisse
https://read.qxmd.com/read/38411154/the-clinical-evaluation-of-the-triglyceride-glucose-index-as-a-risk-factor-for-coronary-artery-disease-and-severity-of-coronary-artery-stenosis-in-patients-with-chronic-kidney-disease
#15
JOURNAL ARTICLE
Dan Liu, Xiaoyang Guan, Ruoxin Chen, Ci Song, Shanhu Qiu, Shengchun Xu, Jingyuan Cao, Hong Liu
INTRODUCTION: Insulin resistance (IR) plays an important role in the occurrence and development of cardiovascular disease (CVD) in patients with chronic kidney disease (CKD). The triglyceride-glucose (TyG) index is a simple and effective tool to evaluate IR. This study aimed to evaluate the association of the TyG index with coronary artery disease (CAD) and the severity of coronary artery stenosis (CAS) in nondialysis patients with stages 3-5 CKD. METHODS: Nondialysis patients with stages 3-5 CKD who underwent the first coronary angiography at Zhongda Hospital affiliated with Southeast University from August 2015 to January 2017 were retrospectively analyzed...
December 2024: Renal Failure
https://read.qxmd.com/read/38409775/results-of-the-italian-collaborators-for-evar-registry-on-acute-kidney-injury-after-elective-endovascular-aortic-repair-of-infrarenal-abdominal-aortic-aneurysm
#16
JOURNAL ARTICLE
Federico Villa, Gaddiel Mozzetta, Davide Esposito, Lucia Di Stefano, Giovanni Pratesi, Raffaele Pulli, Domenico Angiletta, Gabriele Piffaretti
OBJECTIVES: To analyze the incidence and predictive factors of postoperative acute kidney injury (AKI) after elective standard endovascular aortic repair (EVAR) in a large recent, multicenter cohort. MATERIALS AND METHODS: This is a multicenter, retrospective, financially unsupported physician-initiated observational cohort study. Between January 2018 and March 2021, only patients treated with elective standard EVAR for infrarenal non-infected abdominal aortic aneurysm were analyzed...
February 26, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38385856/early-endovascular-approaches-for-treating-acute-mesenteric-arterial-occlusive-disease-in-hemodialysis-patients
#17
Siyuan Qu, Rui Wen, Mingming Yan, Jiao Qin, Jiali Li
BACKGROUND: Among hemodialysis patients, acute superior mesenteric artery (SMA) thrombosis a condition with a high mortality rate. Very few larger case series have been reported. METHOD: We reviewed eight hemodialysis patients with diabetes mellitus and SMA thrombosis managed with endovascular therapy in our institution. Demographic, clinical, and radiological data were described. The patency of the SMA was assessed by computed tomography angiography (CTA) at one month after the endovascular procedure...
February 22, 2024: Hemodialysis International
https://read.qxmd.com/read/38373294/deep-learning-based-renal-artery-stenosis-diagnosis-via-multimodal-fusion
#18
JOURNAL ARTICLE
Xin Wang, Sheng Cai, Hongyan Wang, Jianchu Li, Yuqing Yang
PURPOSE: Diagnosing Renal artery stenosis (RAS) presents challenges. This research aimed to develop a deep learning model for the computer-aided diagnosis of RAS, utilizing multimodal fusion technology based on ultrasound scanning images, spectral waveforms, and clinical information. METHODS: A total of 1485 patients received renal artery ultrasonography from Peking Union Medical College Hospital were included and their color doppler sonography (CDS) images were classified according to anatomical site and left-right orientation...
February 19, 2024: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38365947/a-european-renal-association-era-synopsis-for-nephrology-practice-of-the-2023-european-society-of-hypertension-esh-guidelines-for-the-management-of-arterial-hypertension
#19
JOURNAL ARTICLE
Pantelis Sarafidis, Roland Schmieder, Michel Burnier, Alexandre Persu, Andrzej Januszewicz, Jean-Michel Halimi, Mustafa Arici, Alberto Ortiz, Christoph Wanner, Giuseppe Mancia, Reinhold Kreutz
In June 2023, the European Society of Hypertension (ESH) presented and published the new 2023 ESH Guidelines for the Management of Arterial Hypertension, a document that was endorsed by the European Renal Association (ERA). Following the evolution of evidence in recent years, several novel recommendations relevant to the management of hypertension in patients with chronic kidney disease (CKD) appeared in these Guidelines. These include recommendations for target office BP < 130/80 mmHg in most and against target office BP < 120/70 mmHg in all patients with CKD; recommendations for use of spironolactone or chlortalidone for patients with resistant hypertension with eGFR higher or lower than 30 ml/min/1...
February 14, 2024: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/38363321/poor-obstetric-outcomes-in-women-with-takayasu-arteritis-a-retrospective-cohort-study
#20
JOURNAL ARTICLE
Erdal Bodakçi, Döndü Üsküdar Cansu, Cengiz Korkmaz
The objective of this study was to assess the pregnancy outcomes in a cohort of patients who experienced pregnancies before and/or after being diagnosed with Takayasu's arteritis (TA). The present investigation encompassed a total of 88 pregnancies seen in a cohort of 35 patients who met the criteria outlined by the American College of Rheumatology in 1990 for the classification of Takayasu arteritis (TA). Pregnancies were classified into two categories. 1. Pregnancies that occurred before the diagnosis (pre-d or pre-TA) 2...
February 16, 2024: Rheumatology International
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