keyword
https://read.qxmd.com/read/38335375/total-arch-replacement-via-single-upper-hemisternotomy-approach-for-aortic-aneurysm-in-syphilis-case-report
#21
JOURNAL ARTICLE
Lin Xia, Zhonglu Yang, Yu Liu, Yuguang Ge, Lu Wang, Hui Jiang
RATIONALE: Syphilitic aortic aneurysm is a relatively rare type of cardiovascular syphilis. A small number of patients with syphilitic aortic aneurysms will be accompanied by aortic regurgitation and coronary stenosis. Apart from aortic rupture or dissection, syphilitic aortic aneurysm often causes associated vascular disorders, including left common carotid artery, innominate artery, and celiac artery stenosis or obstruction. PATIENT CONCERNS: In this case, we observed left common carotid artery occlusion based on both ultrasound and intraoperative exploration...
February 9, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38333657/case-report-endovascular-treatment-of-transplant-renal-artery-stenosis-in-patient-with-normal-color-duplex-ultrasound-of-the-renal-artery
#22
Javad Jalili, Hamid Tayebi Khosroshahi, Mehran Malekshoar, Mahshid Dehghan, Aisan Akhgari, Amirhosein Ghafouri Asbagh
KEY CLINICAL MESSAGE: Proper diagnosis and treatment of vascular stenosis which is a possible complication of renal transplant is important in improving patients' quality of life and prognosis. ABSTRACT: One known consequence among recipients of renal transplants is graft renal artery stenosis. Early identification and therapy are crucial to avoid graft malfunction and the serious consequences that might arise due to elevated hypertension in several organs. We report a rare case of transplant renal artery stenosis in a mid-aged woman who presented with edema, hypertension, and increased creatinine 2 months after kidney transplant...
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38332715/sex-difference-and-outcome-trends-following-surgical-aortic-valve-replacement-from-the-national-inpatient-sample-nis-database
#23
JOURNAL ARTICLE
Gabby Elbaz-Greener, Eldad Rahamim, Zahi Abu Ghosh, Naseem Shadafny, Ronny Alcalai, Amit Korach, Shemy Carasso, Harindra C Wijeysundera, Tomas Igor, Offer Amir, Guy Rozen, David Planer
BACKGROUND: Based on worldwide registries, approximately 50% of patients who underwent aortic valve replacement (AVR) via surgical aortic valve replacement are females. Although AVR procedures have improved greatly in recent years, differences in outcome including mortality between sexes remain. We aimed to investigate the trends in SAVR outcomes in females versus males. METHODS: Using the 2011-2017 National Inpatient Sample (NIS) database, we identified hospitalizations for patients with diagnosis of aortic stenosis during which SAVR was performed...
February 9, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38322626/magnetic-resonance-imaging-in-atherosclerotic-renal-artery-stenosis-the-update-and-future-directions-from-interventional-perspective
#24
REVIEW
Jia Fu, Zhiyong Lin, Bihui Zhang, Li Song, Naishan Qin, Jianxing Qiu, Min Yang, Yinghua Zou
BACKGROUND: Atherosclerotic renal artery stenosis (ARAS) is a condition where the renal arteries become narrowed due to atherosclerosis, leading to reduced blood flow to the kidneys and various renal complications. The effectiveness of interventional treatments, such as renal artery angioplasty and stenting, remains debated, making patient selection for these procedures challenging. SUMMARY: This review focuses on the diagnosis and management of ARAS, with a particular emphasis on the potential role of functional magnetic resonance imaging (MRI) in evaluating renal function and mechanisms...
February 2024: Kidney Diseases
https://read.qxmd.com/read/38320869/a-case-report-of-concurrent-transplant-renal-artery-stenosis-renal-cell-carcinoma-and-papillary-thyroid-cancer-after-renal-transplantation-a-literature-review
#25
JOURNAL ARTICLE
Qian Chen, Xinxin Wang, Xiaolong Huang, Mingchen Jiang, Shuping Zhou
BACKGROUND: Kidney transplantation is the preferred treatment option for eligible patients with end-stage renal disease. With advanced transplantation technology and novel immunosuppressive agents, kidney transplant recipients survive significantly longer. However, the chance of developing malignant tumors has increased, posing a serious challenge to the survival of transplanted kidneys and patients. CASE PRESENTATION: We report a male patient (the patient's informed consent has been obtained) who underwent kidney transplantation 23 years ago...
February 5, 2024: Transplantation Proceedings
https://read.qxmd.com/read/38300423/correction-outcomes-after-stenting-of-renal-artery-stenosis-in-patients-with-high-risk-clinical-features
#26
Calin Homorodean, Mihai Claudiu Ober, Mihail Spinu, Maria Olinic, Dan-Alexandru Tataru, Horea Laurentiu Onea, Alexandru Achim, Leontin Florin Lazar, Romana Homorodean, Balasz Deak, Dan Mircea Olinic
No abstract text is available yet for this article.
February 1, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38296038/treatment-of-nutcracker-syndrome-with-left-renal-vein-transposition-and-endovascular-stenting
#27
JOURNAL ARTICLE
Sabit Sarikaya, Ozge Altas, Mustafa Mert Ozgur, Hakan Hancer, Fatih Yılmaz, Ali Karagoz, Tanıl Ozer, Mehmet Aksut, Yucel Ozen, Kaan Kirali
OBJECTIVE: Nutcracker syndrome is a rare condition that occurs as a result of the entrapment of the left renal vein between the aorta and the superior mesenteric artery. It is typically associated with symptoms such as left flank pain, hematuria, proteinuria, and pelvic congestion. The current treatment approach may be conservative in the presence of tolerable symptoms, and surgical or hybrid and stenting procedures in the order of priority in the presence of intolerable symptoms. The aim of this study is to review our experiences to evaluate the results of both methods in this series in which we have a greater tendency towards surgery instead of stenting...
January 29, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38259706/one-stop-transcatheter-aortic-valve-replacement-and-fenestrated-endovascular-aortic-aneurysm-repair-a-case-report
#28
Abderrahim Sanoussi, Adel Aminian, Jâd Abi-Khalil
The management of patients with severe aortic valve stenosis and an abdominal aortic aneurysm is a real therapeutic challenge. Minimally invasive treatment is more beneficial than open surgery for treating both aortic valve stenosis and abdominal aortic aneurysm. We present a case of a 77-year-old male initially treated with a 26 mm Sapien 3 transcatheter aortic valve replacement. Subsequently, using the same femoral access points, a custom fenestrated endoprosthesis and stents in digestive trunks and renal arteries were implanted...
March 2024: Radiology Case Reports
https://read.qxmd.com/read/38243321/hypertension-as-a-prominent-manifestation-secondary-to-renal-artery-lesions-in-pediatric-behcet-s-disease
#29
JOURNAL ARTICLE
Xinning Wang, Zhixuan Zhou, Jianguo Li, Gaixiu Su, Xiaohui Li
OBJECTIVE: Hypertension caused by vascular Behcet's disease (BD) is an important prognostic factor of paediatric BD. However, much less is known about its clinical features. The objective of this study was to investigate the clinical characteristics of paediatric vascular BD complicated by hypertension. METHODS: A retrospective study was carried out in paediatric BD patients complicated by hypertension treated in the Children's Hospital Capital Institute of Paediatrics from Jan 2009 to Dec 2022...
January 19, 2024: Pediatric Rheumatology Online Journal
https://read.qxmd.com/read/38236490/outcomes-after-stenting-of-renal-artery-stenosis-in-patients-with-high-risk-clinical-features
#30
JOURNAL ARTICLE
Calin Homorodean, Mihai Claudiu Ober, Mihail Spinu, Maria Olinic, Dan-Alexandru Tataru, Horea Lauretiu Onea, Alexandru Achim, Leontin Florin Lazar, Romana Homorodean, Balasz Deak, Dan Mircea Olinic
BACKGROUND: In patients with renal artery stenosis, revascularization was seen as a mean to improve outcomes, but large studies failed to show significant benefit in general population. However, data on benefits of renal artery stenting in patients with high-risk features, such as rapidly declining renal function and cardiac destabilization syndromes, are limited, as they were excluded from trials. In this descriptive study, we aimed to evaluate short- and long-term outcomes in high-risk patients with renal artery stenosis, treated by angioplasty and stenting...
January 18, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38234331/assessment-of-angiography-based-renal-quantitative-flow-ratio-measurement-in-patients-with-atherosclerotic-renal-artery-stenosis
#31
JOURNAL ARTICLE
Xiang Huang, Xiao-Lan Li, Heng Zhou, Xiao-Mei Li
BACKGROUND: Quantitative flow ratio (QFR) is an angiography-based fractional flow reserve measurement without pressure wire or induction of hyperemia. A recent innovation that uses combined geometrical data and hemodynamic boundary conditions to measure QFR from a single angiographic view has shown the potential to measure QFR of the renal artery-renal QFR (rQFR). OBJECTIVE: The aim of this pilot study was to assess the feasibility of rQFR measurement and the contribution of rQFR in selecting patients with atherosclerotic renal artery stenosis (ARAS) undergoing revascularization...
2024: Cardiovascular Therapeutics
https://read.qxmd.com/read/38227602/comparative-analysis-of-radar-vs-conventional-techniques-for-avf-maturation-in-patients-with-blood-viscosity-and-vessel-elasticity-related-diseases-through-fluid-structure-interaction-modeling-anemia-hypertension-and-diabetes
#32
JOURNAL ARTICLE
Patcharaporn Wongchadakul, Suphalerk Lohasammakul, Phadungsak Rattanadecho
PURPOSE: This study aims to compare two surgical techniques, the standard Vein-to-Artery and the newer Artery-to-Vein (Radial Artery Deviation And Reimplantation; RADAR), for enhancing the success of Arterio-Venous Fistula maturation in end-stage renal disease patients. The impact of diseases like anemia, diabetes, hypertension, and chronic kidney disease were considered. The goals are to advance Arterio-Venous Fistula (AVF) surgery, improve patient outcomes, and contribute to evidence-based surgical guidelines...
2024: PloS One
https://read.qxmd.com/read/38218433/patterns-of-cortical-oxygenation-may-predict-the-response-to-stenting-in-subjects-with-renal-artery-stenosis-a-radiomics-based-model
#33
JOURNAL ARTICLE
Behzad Ebrahimi, Deep Gandhi, Mina H Alsaeedi, Lilach O Lerman
BACKGROUND: Percutaneous-transluminal renal angioplasty (PTRA) and stenting aim to halt the progression of kidney disease in patients with renal artery stenosis (RAS), but its outcome is often suboptimal. We hypothesized that a model incorporating markers of renal function and oxygenation extracted using radiomics analysis of blood oxygenation-level dependent (BOLD)-MRI images may predict renal response to PTRA in swine RAS. MATERIALS AND METHODS: Twenty domestic pigs with RAS were scanned with CT and BOLD MRI before and 4 weeks after PTRA...
January 11, 2024: Journal of Cardiovascular Magnetic Resonance
https://read.qxmd.com/read/38213346/a-case-report-on-fibromuscular-dysplasia-with-extrarenal-involvement
#34
Hussain A Al Mubarak, Shalan M Alshalan, Natheer B Alkhunaizi, Abdullah H Alorabi, Ahmad M Abdulfatah
Fibromuscular dysplasia is a vascular disorder characterized by nonatherosclerotic, noninflammatory arterial abnormalities, primarily affecting renal arteries. While extrarenal involvement is rare, it poses diagnostic challenges due to diverse clinical presentations. We present the case of a middle-aged female who presented with sudden-onset severe abdominal pain and hypertension. Physical examination revealed tenderness, guarding, and hypertensive urgency. Diagnostic workup, including laboratory investigations and computed tomography, identified multifocal arterial stenosis in both renal and mesenteric arteries, consistent with fibromuscular dysplasia...
December 2023: Curēus
https://read.qxmd.com/read/38213337/an-unusual-case-of-severe-hypertension-presenting-with-leg-weakness-hypokalemia-and-hyperreninemic-aldosteronism
#35
Martina Antonello, Sabrina Dalla Mora, Leonardo A Sechi, Andrea Da Porto
Takayasu's arteritis is a rare vasculitis characterized by granulomatous inflammation of the large vessels, typically occurring in the second or third decade of life and preferentially affecting females. It commonly involves large vessels such as the aorta and its major branches (carotid and iliac arteries). Visceral arterial involvement is uncommon and reported in only a minority of patients. Clinical manifestations of Takayasu arteritis are heterogeneous and could include nonspecific symptoms such as fever of unknown origin, asthenia, myalgias, intermittent claudication, angina, and mild arterial hypertension...
December 2023: Curēus
https://read.qxmd.com/read/38212451/ct-based-radiomics-predicting-early-outcomes-after-percutaneous-transluminal-renal-angioplasty-in-patients-with-severe-atherosclerotic-renal-artery-stenosis
#36
JOURNAL ARTICLE
Jia Fu, Mengjie Fang, Zhiyong Lin, Jianxing Qiu, Min Yang, Jie Tian, Di Dong, Yinghua Zou
This study aimed to comprehensively evaluate non-contrast computed tomography (CT)-based radiomics for predicting early outcomes in patients with severe atherosclerotic renal artery stenosis (ARAS) after percutaneous transluminal renal angioplasty (PTRA). A total of 52 patients were retrospectively recruited, and their clinical characteristics and pretreatment CT images were collected. During a median follow-up period of 3.7 mo, 18 patients were confirmed to have benefited from the treatment, defined as a 20% improvement from baseline in the estimated glomerular filtration rate...
January 12, 2024: Visual computing for industry, biomedicine and art
https://read.qxmd.com/read/38205610/distal-avf-creation-with-marginal-calcified-radial-artery-multicentric-experience-of-intraoperative-intravascular-lithotripsy
#37
JOURNAL ARTICLE
Napoli Marcello, Taurisano Marco, Covella Patrizia, Ria Paolo, Barbarini Silvia, Cuna Simona, De Pascalis Antonio
INTRODUCTION: The first-choice vascular access to starting dialysis in patients with End Stage Renal Disease (ESRD) is autogenous distal arteriovenous-fistula (AVF) to spare vascular district avoiding proximal fistula complications. One of most significant exclusion criteria to create distal AVF is still now the presence of huge calcification of the feeding artery due to large numbers of early failure (EF) and failure in maturation (FTM). In recent years the possibility to use new devices able to deliver intravascular lithotripsy (IVL) to treat high calcified stenosis could be a possibility to recruit these marginal arteries to create distal AVF...
January 11, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38194865/percutaneous-transluminal-angioplasty-with-stenting-for-transplant-renal-artery-stenosis-at-the-anastomosis-site-in-a-young-female-patient-a-case-report
#38
Iraj Nazari, Mohammad Amin Zargar, Seyed Mohammad Amin Alavi
INTRODUCTION: Transplant renal artery stenosis (TRAS) is one of the major vascular complications and is mostly reported within six months following kidney transplant. CASE PRESENTATION: The present case was a 16-year-old female whose blood urea nitrogen (BUN) and creatinine rose seven days after a kidney transplant. Ultrasound investigation revealed well-prefusion with a 90-degree angle anastomosis, apparent narrowing, and peak systolic velocity of 300 cm/s...
January 3, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38186351/comparison-of-ultrasound-features-and-lesion-sites-in-dysfunctional-arteriovenous-fistula
#39
JOURNAL ARTICLE
Yin Wang, Xiao-Mei Huang, Yi Zhang, Jingjing Li, Jun Li, Zheng Ye, Yu Peng, Xian-Jin Zhang, Na Tang, Wen-Wen Qiu, Li Xu
This study aimed to investigate ultrasound features of arteriovenous fistula stenosis and their relationship with primary patency after percutaneous transluminal angioplasty (post-intervention primary patency) and compare this classification with that using lesion location. Hemodialysis patients who underwent ultrasound-guided percutaneous transluminal angioplasty for arteriovenous fistula stenosis from July 2020 to December 2021 were retrospectively evaluated. Lesions (excluding inflow arteries) were categorized into five groups based on ultrasound features, and the clinical characteristics and risk factors affecting the post-intervention primary patency of the arteriovenous fistula were analyzed...
December 2024: Renal Failure
https://read.qxmd.com/read/38185884/the-effect-of-gender-on-triple-heart-valve-surgery-outcomes-reinforcing-women-s-health
#40
JOURNAL ARTICLE
Fatimah A Alhijab, Huda Ismail, Monirah Albabtain, Juan Alfonso, Khaled D Algarni, Claudio Pragliola, Adam I Adam, Amr A Arafat
Female gender is a risk factor in several cardiac surgery risk stratification systems. This study explored the differences in the outcomes following triple heart valve surgery in men vs women. The study included 250 patients (males n = 101; females n = 149) who underwent triple valve surgery from 2009 to 2020. BMI (body mass index) was higher in females (29.6 vs 26.5 kg/m2 , P < .001), and diabetes was more common in males (44 vs 42%, P = .012). The ejection fraction was higher in females (55 vs 50%, P < ...
January 7, 2024: Angiology
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