Pub Date : 2024-06-01Epub Date: 2024-05-31DOI: 10.5114/aic.2024.140183
Paweł Latacz, Dorota Studzinska, Marian Simka
{"title":"Crush technique for percutaneous management of bifurcation of renal artery aneurysms.","authors":"Paweł Latacz, Dorota Studzinska, Marian Simka","doi":"10.5114/aic.2024.140183","DOIUrl":"10.5114/aic.2024.140183","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"217-220"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-06-17DOI: 10.5114/aic.2024.139716
Haşim Tuner, Yüksel Kaya, Gülsüm Bingol, Özge Özden, Serkan Ünlü, Emre Özmen, Medeni Karaduman, Rabia Çoldur, Enes Alıç, Fatih Öztürk
Introduction: Radial artery (RA) spasm is demonstrated to be one of the most common complications of transradial approach (TRA).
Aim: We hypothesised that radial flow-mediated dilation (FMD) can be used as a preprocedural method to assess the likelihood of arterial spasm.
Material and methods: The patients were divided into 2 groups: those with and without flow-mediated RA dilatation. A blood pressure cuff was placed on the upper part of the antecubital region of the patients in the FMD group and inflated for 10 min, allowing the pressure to rise to 30 mm Hg above the systolic blood pressure. RA diameters of the patients in both groups were measured via quantitive coronary angiography method before transradial coronary angiography.
Results: A total of 165 patients were included in the study, of whom 64 (38.8%) were women. The median age of the patients was 56 years (48-63). The mean RA diameter was significantly larger in the FMD group (3.44 ±0.48 vs. 2.96 ±0.46 mm, p < 0.001), and the number of punctures required for successful transradial cannulation was found to be significantly higher in the group without FMD (1.55 ±0.7 vs. 1.20 ±0.64; p < 0.001). Linear regression analysis revealed diabetes and FMD as independent predictors of RA diameter. In the diabetic subgroup, RA diameter remained larger in the FMD group (3.00 ±0.35 vs. 2.78 ±0.26, p = 0.036). Radial puncture attempts were significantly higher in the control group compared to the FMD group (1.55 ±0.7 vs. 1.20 ±0.64; p < 0.001).
Conclusions: In our study, we demonstrated that FMD created by pressure application significantly increased RA diameter and reduced puncture attempt during TRA.
导言：桡动脉（RA）痉挛被证实是经桡动脉入路（TRA）最常见的并发症之一。目的：我们假设桡动脉血流介导扩张（FMD）可作为一种术前方法来评估动脉痉挛的可能性：将患者分为两组：有血流介导 RA 扩张和无血流介导 RA 扩张。将血压袖带置于 FMD 组患者的肘前区上部，充气 10 分钟，使压力升至高于收缩压 30 毫米汞柱。经桡动脉冠状动脉造影术前，通过定量冠状动脉造影法测量两组患者的 RA 直径：研究共纳入 165 例患者，其中 64 例（38.8%）为女性。患者的中位年龄为 56 岁（48-63 岁）。FMD 组患者的平均 RA 直径明显更大（3.44 ±0.48 mm 对 2.96 ±0.46 mm，P < 0.001），并且发现无 FMD 组患者成功经桡动脉插管所需的穿刺次数明显更高（1.55 ±0.7 对 1.20 ±0.64; P < 0.001）。线性回归分析显示，糖尿病和 FMD 是 RA 直径的独立预测因素。在糖尿病亚组中，FMD 组的 RA 直径仍然较大（3.00 ±0.35 vs. 2.78 ±0.26，p = 0.036）。与 FMD 组相比，对照组的桡动脉穿刺尝试次数明显增加（1.55 ±0.7 vs. 1.20 ±0.64；p < 0.001）：在我们的研究中，我们证明了通过加压产生的 FMD 能明显增加 RA 直径并减少 TRA 期间的穿刺尝试。
{"title":"Flow-mediated dilatation facilitates transradial coronary angiography: a comparative study.","authors":"Haşim Tuner, Yüksel Kaya, Gülsüm Bingol, Özge Özden, Serkan Ünlü, Emre Özmen, Medeni Karaduman, Rabia Çoldur, Enes Alıç, Fatih Öztürk","doi":"10.5114/aic.2024.139716","DOIUrl":"10.5114/aic.2024.139716","url":null,"abstract":"<p><strong>Introduction: </strong>Radial artery (RA) spasm is demonstrated to be one of the most common complications of transradial approach (TRA).</p><p><strong>Aim: </strong>We hypothesised that radial flow-mediated dilation (FMD) can be used as a preprocedural method to assess the likelihood of arterial spasm.</p><p><strong>Material and methods: </strong>The patients were divided into 2 groups: those with and without flow-mediated RA dilatation. A blood pressure cuff was placed on the upper part of the antecubital region of the patients in the FMD group and inflated for 10 min, allowing the pressure to rise to 30 mm Hg above the systolic blood pressure. RA diameters of the patients in both groups were measured via quantitive coronary angiography method before transradial coronary angiography.</p><p><strong>Results: </strong>A total of 165 patients were included in the study, of whom 64 (38.8%) were women. The median age of the patients was 56 years (48-63). The mean RA diameter was significantly larger in the FMD group (3.44 ±0.48 vs. 2.96 ±0.46 mm, <i>p</i> < 0.001), and the number of punctures required for successful transradial cannulation was found to be significantly higher in the group without FMD (1.55 ±0.7 vs. 1.20 ±0.64; <i>p</i> < 0.001). Linear regression analysis revealed diabetes and FMD as independent predictors of RA diameter. In the diabetic subgroup, RA diameter remained larger in the FMD group (3.00 ±0.35 vs. 2.78 ±0.26, <i>p</i> = 0.036). Radial puncture attempts were significantly higher in the control group compared to the FMD group (1.55 ±0.7 vs. 1.20 ±0.64; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>In our study, we demonstrated that FMD created by pressure application significantly increased RA diameter and reduced puncture attempt during TRA.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"133-138"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-06-17DOI: 10.5114/aic.2024.140903
Łukasz Szymański, Natalia Gołąbek, Jakub Piórek, Witold Gerber, Piotr P Buszman, Krzysztof Sanetra
Hybrid coronary revascularisation (HCR), being a treatment path combining both coronary artery bypass grafting and percutaneous coronary intervention (PCI) approaches, offers the advantages of both methods in patients with multi-vessel coronary artery disease. Since available literature provides few studies comparing the need for repeat revascularisation (RR) after HCR in comparison to PCI, our review aimed at summarising the latest data on this topic from the last 5 years (2018-2023). The search was conducted within the PubMed and Embase databases, followed by application of inclusion and exclusion criteria and providing a summary of data and characteristics of eligible studies. On the basis of 7 records included in the final analysis, RR and/or follow-up target vessel revascularisation (TVR) were significantly less frequently required in the case of HCR than in PCI in 3 out of 7 records, whereas the remaining four provided no significant differences in analysed rates between the 2 therapeutic pathways. When it comes to lowering the necessity for follow-up TVR and/or RR in a fraction of instances, HCR demonstrates a significant advantage over PCI. The complexity of outcomes associated with these therapies is emphasised by the fact that no statistically significant differences were observed between the 2 methods in the remaining 4 records.
{"title":"Need for repeat revascularisation in hybrid coronary revascularisation vs. percutaneous coronary intervention.","authors":"Łukasz Szymański, Natalia Gołąbek, Jakub Piórek, Witold Gerber, Piotr P Buszman, Krzysztof Sanetra","doi":"10.5114/aic.2024.140903","DOIUrl":"10.5114/aic.2024.140903","url":null,"abstract":"<p><p>Hybrid coronary revascularisation (HCR), being a treatment path combining both coronary artery bypass grafting and percutaneous coronary intervention (PCI) approaches, offers the advantages of both methods in patients with multi-vessel coronary artery disease. Since available literature provides few studies comparing the need for repeat revascularisation (RR) after HCR in comparison to PCI, our review aimed at summarising the latest data on this topic from the last 5 years (2018-2023). The search was conducted within the PubMed and Embase databases, followed by application of inclusion and exclusion criteria and providing a summary of data and characteristics of eligible studies. On the basis of 7 records included in the final analysis, RR and/or follow-up target vessel revascularisation (TVR) were significantly less frequently required in the case of HCR than in PCI in 3 out of 7 records, whereas the remaining four provided no significant differences in analysed rates between the 2 therapeutic pathways. When it comes to lowering the necessity for follow-up TVR and/or RR in a fraction of instances, HCR demonstrates a significant advantage over PCI. The complexity of outcomes associated with these therapies is emphasised by the fact that no statistically significant differences were observed between the 2 methods in the remaining 4 records.</p>","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"124-132"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-22DOI: 10.5114/aic.2024.139812
Maciej Tomasz Wybraniec
{"title":"Response to commentary on 'Dynamic Thebesian veins anomaly in a patient with recurrent tako-tsubo-like syndrome'.","authors":"Maciej Tomasz Wybraniec","doi":"10.5114/aic.2024.139812","DOIUrl":"10.5114/aic.2024.139812","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"240"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-22DOI: 10.5114/aic.2024.139813
Octavio Jiménez Melo, Guillermo Sánchez Elvira, Raúl Ramallal Martínez, Valeriano Ruíz Quevedo, Pablo Bazal Chacón, David Conty Cardona
{"title":"Accurate evaluation of the TricValve System: the importance of double access.","authors":"Octavio Jiménez Melo, Guillermo Sánchez Elvira, Raúl Ramallal Martínez, Valeriano Ruíz Quevedo, Pablo Bazal Chacón, David Conty Cardona","doi":"10.5114/aic.2024.139813","DOIUrl":"10.5114/aic.2024.139813","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"237-238"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-14DOI: 10.5114/aic.2024.139635
Velimir Pivac, Ivan Jukic, Josip Andelo Borovac
{"title":"Could spontaneous coronary artery dissection be a consequence of Takotsubo syndrome? A \"mechanical stress\" hypothesis.","authors":"Velimir Pivac, Ivan Jukic, Josip Andelo Borovac","doi":"10.5114/aic.2024.139635","DOIUrl":"10.5114/aic.2024.139635","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"234-236"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-14DOI: 10.5114/aic.2024.139633
Jan Roczniak, Łukasz Rzeszutko, Stanisław Bartuś, Marek Rajzer, Łukasz Klima
{"title":"Severe peripheral calcifications precluding radial access in a patient without significant narrowings in the coronary arteries.","authors":"Jan Roczniak, Łukasz Rzeszutko, Stanisław Bartuś, Marek Rajzer, Łukasz Klima","doi":"10.5114/aic.2024.139633","DOIUrl":"10.5114/aic.2024.139633","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"221-223"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stent fracture due to myocardial bridging causes cockboat deformity with large ischaemic myocardium.","authors":"Kaan Hanci, Burak Acar, Ozgur Cakir, Ozgur Baris, Oguz Omay, Ertan Ural","doi":"10.5114/aic.2024.139970","DOIUrl":"10.5114/aic.2024.139970","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"227-231"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-05-14DOI: 10.5114/aic.2024.139631
Michał Kuzemczak, Sławomir Gołębiewski, Charalampos Kavvouras, Peter Seidelin
{"title":"Multiple type IV stent fractures resulting in an in-stent restenosis and coronary aneurysm formation - a dark side of \"full-metal jacket\" stenting.","authors":"Michał Kuzemczak, Sławomir Gołębiewski, Charalampos Kavvouras, Peter Seidelin","doi":"10.5114/aic.2024.139631","DOIUrl":"10.5114/aic.2024.139631","url":null,"abstract":"","PeriodicalId":49678,"journal":{"name":"Postepy W Kardiologii Interwencyjnej","volume":"20 2","pages":"224-226"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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