Infrared monitoring-based optimization of interventional lumbar sympathectomy outcomes evaluation in peripheral vascular disease patients: Experimental trial thermovision-guided lumbar sympathectomy DOI Creative Commons
Ladislav Kočan, Viktória Rajťúková, Mária Rašiová

et al.

Medicine, Journal Year: 2025, Volume and Issue: 104(7), P. e41524 - e41524

Published: Feb. 14, 2025

Chronic limb-threatening ischemia (CLTI) is associated with significant mortality and limb loss. The interventional lumbar sympathectomy (LS) one of the supportive treatment options for CLTI patients, reducing pain intensity peripheral arterial resistance. use LS has gradually declined despite its positive effects. contradictory results studies dealing evidence tissue perfusion improvement after are possible explanations. We describe a new approach evaluation efficacy in 2 patients below-the-knee arteries pathology our observational cohort experimental trial. utilized angiosome concept foot. Angiography identified angiosomes occluded source artery. relationship between corresponding surface areas angiosomes-dermatomes was identified. infrared thermography used measurement thermal changes dermatomes before LS. Based on their dermatomes, we estimated procedure. found that clinically relevant increase temperature (>1°C) presented only to hypothesize opens up anastomoses angiosomes, resulting redistribution blood flow an

Language: Английский

2024 ESC Guidelines for the management of elevated blood pressure and hypertension DOI Creative Commons
John W. McEvoy, Cian P. McCarthy, Rosa María Bruno

et al.

European Heart Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

Language: Английский

Citations

278
The Nonsyndromic Ascending Thoracic Aorta in a Population-Based Setting DOI
Lasse M. Obel, Axel Diederichsen, Joachim Sejr Skovbo Kristensen

et al.

Journal of the American College of Cardiology, Journal Year: 2025, Volume and Issue: 85(8), P. 818 - 831

Published: Jan. 8, 2025

Language: Английский

Citations

3
Therapeutic Inertia in Dyslipidemia Management for Secondary Cardiovascular Prevention: Results from the Italian ITACARE-P Network DOI Open Access
Andrea Faggiano,

Anna Gualeni,

Lucia Barbieri

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 493 - 493

Published: Jan. 14, 2025

Background/Objectives: This study assessed the proportion of secondary cardiovascular prevention patients who achieved low-density lipoprotein (LDL) cholesterol targets as per 2019 ESC/EAS Dyslipidemia Guidelines. We also evaluated whether lipid-lowering therapies (LLTs) were adjusted in not meeting and analyzed likelihood these modifications achieving recommended levels. Methods: A multicenter, cross-sectional observational retrospectively reviewed medical records 1909 outpatients 9 Italian cardiac rehabilitation/secondary clinics from January 2023 to June 2024. Inclusion criteria included prior atherosclerotic disease (ASCVD) recent LDL-cholesterol Data demographics, ASCVD presentation, lipid profiles, LLTs. Patients at very high risk had LDL ≤55 mg/dL, or ≤40 mg/dL for recurrent events within 2 years. Clinicians' approaches LLT modification target recorded, with efficacy estimated based on percentage distance targets. Results: Of patients, 41.3% met target. Predictors male gender, rehabilitation, acute coronary syndrome, diabetes, triple therapy (statin + ezetimibe PCSK9 inhibitors). Conversely, a lack therapy, monotherapy negative predictors. Among 1074 target, proposed 48.6%. events, greater while advanced age an However, only 42.3% modified predicted be effective reaching Conclusions: Despite guidelines, significant high-risk did achieve targets, often insufficient. More intensive regimens are needed improve outcomes this population.

Language: Английский

Citations

1
Development and Validation of the Systemic Inflammatory Response Index-Based Nomogram for Predicting Short-Term Adverse Events in Patients With Acute Uncomplicated Type B Aortic Intramural Hematoma DOI Creative Commons
Yasong Wang, Xuan Wu, Yue Wang

et al.

Journal of Inflammation Research, Journal Year: 2025, Volume and Issue: Volume 18, P. 1303 - 1316

Published: Jan. 1, 2025

This study aims to develop and validate a nomogram based on the Systemic Inflammatory Response Index (SIRI) predict short-term aortic-related adverse events (ARAEs) in patients with acute uncomplicated Type B intramural hematoma (IMH). We retrospectively analyzed 332 diagnosed IMH between April 2018 2024. Patients were categorized into stable group (N=225) exacerbation (N=107) occurrence of ARAEs within 30-day observation period. SIRI was calculated using neutrophil, monocyte, lymphocyte counts. defined as death related aortic disease, progression dissection or penetrating ulcer. The developed incorporating other significant clinical variables. model's performance evaluated area under curve (AUC), calibration curves, decision analysis (DCA), net reclassification index (NRI). Among patients, 217 male (65.4%), mean age 64.3±9.4 years. Multivariate logistic regression LASSO analyses identified SIRI, anemia, diabetes, maximum diameter (MDAD), ulcer like projection (ULP) independent predictors ARAEs. Two models developed: Clinical model, including MDAD, ULP; Clinical-SIRI model. model demonstrated higher predictive accuracy, an AUC 0.788 (95% CI: 0.740-0.831), compared 0.742 0.691-0.788, P = 0.012). improved shown by continuous NRI 0.521 0.301-0.743). Calibration curves DCA further supported utility SIRI-based is valuable prognostic tool for predicting IMH.

Language: Английский

Citations

1
Prevent peripheral arterial disease and remain alive! DOI Creative Commons
Christine Espinola‐Klein

European Heart Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 10, 2025

Graphical AbstractLifetime risk of peripheral arterial disease (PAD) between factors and prevention.Open in new tabDownload slide

Language: Английский

Citations

1
Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE): a phase 3b, double-blind, randomised, placebo-controlled trial DOI
Marc P. Bonaca, Andrei‐Mircea Catarig, Kim Houlind

et al.

The Lancet, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

1
Pseudoaneurysm of the descending aorta two decades after aortic coarctation repair: a case report DOI Creative Commons

Ruofan Zhou,

Yabo Wang, Qi An

et al.

Journal of Cardiothoracic Surgery, Journal Year: 2025, Volume and Issue: 20(1)

Published: Jan. 3, 2025

Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication. Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at site. A 35-year-old male presented with recurrent episodes epistaxis dizziness was admitted to emergency department. He had history CoA ventricular septal defect closure 17 years ago. Physical examination revealed elevated pressure. Initially, dissection suspected, actual diagnosis pseudoaneurysm just distal left subclavian artery. Surgical intervention involved excision replacement new vascular graft via dual approach median sternotomy thoracotomy. Postoperative recovery uneventful, follow-up imaging one month showed satisfactory morphology. This case underscores critical role precise in differentiating pseudoaneurysms from other lesions post-CoA patients. Pseudoaneurysms can present subtly yet carry substantial risks, making regular essential for early detection improved outcomes.

Language: Английский

Citations

0
Takayasu Arteritis Beyond the Young: What to consider? DOI Creative Commons
Suci Indriani, Averina Geffanie Suwana, Suko Adiarto

et al.

Annals of Vascular Surgery - Brief Reports and Innovations, Journal Year: 2025, Volume and Issue: 5(1), P. 100361 - 100361

Published: Jan. 7, 2025

Language: Английский

Citations

0
All-in-One Integrated Device for Carotid Stenting DOI
Bernardo Cortese, Marco Frazzetto, Mehdi H. Shishehbor

et al.

КАРДИОЛОГИЯ УЗБЕКИСТАНА, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0
Aortic lumen repair with glue-felt technique before proximal anastomosis in acute type a aortic dissection surgery DOI Creative Commons
Muhammed Varol, Berk Arapi, Cigdem Tel

et al.

Journal of Cardiothoracic Surgery, Journal Year: 2025, Volume and Issue: 20(1)

Published: Jan. 8, 2025

Abstract Objectives Despite the advances in medicine, aortic dissection remains a cardiac surgery emergency with high mortality and morbidity rates. This study examined effects of Glue + Felt technique, which uses biological glue felt to repair proximal anastomotic site, on outcomes patients acute type A dissection. Methods total 108 who underwent for at our clinic between 2007 2020 were included study. The divided into two groups: "Glue Technique" "Bentall-De Bono" groups, based surgical technique used root. these techniques development intraoperative postoperative complications survival rates statistically analyzed. Results was 76 patients, while Bentall-De Bono 32 patients. Kaplan–Meier analysis revealed significant differences groups over entire follow-up period, both without propensity score matching ( p < 0.001 = 0.02, respectively). However, no observed comparisons beyond first 30 days follow-up, either or 0.573 0.561, main factors contributing this difference duration cardiopulmonary bypass cross-clamp time 0.05). During average period 46.2 ± 31.6 months, re-intervention required from Glue-Felt group. Conclusions rate is higher more extensive intervention as increases. Repairing lumen reducing operation suitable using site positively impacts improves in-hospital 30-day rates, increasing long-term

Language: Английский

Citations

0