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JOURNAL ARTICLE
Anas Ismail, Yusuf Lawal, Ibrahim D Gezawa, Mansur Aliyu Ramalan, Andrew E Uloko, Mustapha Ibrahim Usman
BACKGROUND: Diabetes foot syndrome is one of the common complications of diabetes. Detailed information on the clinical and vascular characteristics of patients with diabetic foot disease in relation to the outcome of the care provided to these patients will be useful to policymakers and clinicians in early detection and timely interventions for the prevention of disabling complications. MATERIALS AND METHODS: This is a review of patients with diabetic foot managed in Aminu Kano Teaching Hospital over 5 years (January 2017-May 2022)...
2024: Journal of the West African College of Surgeons
#2
JOURNAL ARTICLE
Ana Carolina Buso Faccinetto, Gustavo Rocha Feitosa Santos, Juliana Cristina Taguchi, Henry Campos Orellana, Attílio Galhardo, Gabriel Kanhouche, Manoela Linhares Machado Barteczko, Hélio Tedesco Júnior, Nathalie Jeanne Magioli Bravo-Valenzuela, Valdir Ambrósio Moises, José Osmar Medina Pestana, Célia Maria Camelo Silva, Adriano Henrique Pereira Barbosa
BACKGROUND: This study evaluated the long-term effects of percutaneous intervention in children and adolescents with transplant renal artery stenosis (TRAS). METHODS: Twenty patients had significant stenosis (>50%) and underwent percutaneous transluminal angioplasty (PTA/stenting) (TRAS group-intervention); 14 TNS (non-significant group -control) patients did not have significant stenosis (≤50%) and were treated clinically. The combined primary endpoints were death from all causes and late graft failure...
2024: PloS One
#3
JOURNAL ARTICLE
Lina P Montaña-Jiménez, Ana M Aristizabal, Walter Mosquera-Álvarez, Jaiber Gutiérrez-Gil, Luis E Ponce-Bravo, Estefanía Beltrán, Valentina Mejía-Quiñones, José L Zunzunegui
BACKGROUND: Congenital heart disease poses a therapeutic challenge, specifically pulmonary valve stenosis. This has been treated for many years with invasive procedures and bioprostheses, which over time, become dysfunctional due to the accumulation of fibrous tissue and calcification. OBJECTIVE: The aim of this study is to describe the use of endovascular management in the right ventricular outflow tract, as the beginning of an ongoing effot to improve pediatric outcomes in developing countries...
2024: Archivos de Cardiología de México
#4
JOURNAL ARTICLE
Silvia Souza da Costa, Veniamin Fishman, Mara Pinheiro, Andre Rodrigueiro, Maria Teresa Sanseverino, Paulo Zielinsky, Claudia M B Carvalho, Carla Rosenberg, Ana Cristina Victorino Krepischi
Structural variants (SVs) pose a challenge to detect and interpret, but their study provides novel biological insights and molecular diagnosis underlying rare diseases. The aim of this study was to resolve a 9p24 rearrangement segregating in a family through five generations with a congenital heart defect (congenital pulmonary and aortic valvular stenosis and pulmonary artery stenosis), by applying a combined genomic analysis. The analysis involved multiple techniques, including karyotype, chromosomal microarray analysis (CMA), FISH, genome sequencing (GS), RNA-seq, and optical genome mapping (OGM)...
March 19, 2024: Chromosome Research
#5
JOURNAL ARTICLE
Hiroyuki Saisho, Ioana Geisler, Michael Scharfschwerdt, Najla Sadat, Xiling Zhang, Thomas Puehler, Stephan Ensminger, Buntaro Fujita, Anas Aboud
OBJECTIVES: The Ross procedure represents an excellent treatment option in younger patients with aortic stenosis but is limited by poor availability of homografts. In this study, we investigated the hydrodynamic performance of three different types of right ventricular outflow tract replacement with pericardium or synthetic material. METHODS: Three different types of valved conduits were constructed using pericardium and/or synthetic material (Group PEPE: pericardial cusps and pericardial conduit, Group PEPR: pericardial cusps and Dacron conduit, Group PRPR: expanded polytetrafluoroethylene cusps and Dacron conduit)...
March 13, 2024: European Journal of Cardio-thoracic Surgery
#6
JOURNAL ARTICLE
Raquel R Mendes, Pedro Barreiro, André Mascarenhas, Ana Rita Franco, Liliana Carvalho, Cristina Chagas
BACKGROUND: Endoscopic submucosal dissection (ESD) is a minimally invasive technique for en bloc resection of superficial neoplastic lesions, independent of their size. However, for giant gastrointestinal superficial neoplasia, the risk of invasive cancer is higher, and ESD is typically challenging. Despite the increasing literature on giant resections, data on their efficacy and safety are still lacking. OBJECTIVE: The aim of this study was to describe ESD outcomes from a Portuguese center, compare them with other international studies, and analyze the possible risk factors influencing outcomes...
February 2024: GE Portuguese Journal of Gastroenterology
#7
JOURNAL ARTICLE
Ana Filipa Amador, Catarina Costa, Ricardo Pinto, Miguel Carvalho, Tânia Proença, João Calvão, Sandra Amorim, Mariana Paiva, João Carlos Silva, Rui Rodrigues
Percutaneous mitral valve commissurotomy (PMC) is a viable alternative to mitral valve (MV) surgery in the treatment of patients with rheumatic mitral stenosis (RMS). In this single-center retrospective study of consecutive patients with RMS submitted to PMC from 1991 to 2008, we analyzed clinical, echocardiographic, and hemodynamic data and events during follow-up (FUP) until December 2021. Major adverse cardiovascular events (MACE) were a combined endpoint of all-cause death, cardiovascular hospitalization, and MV re-intervention...
March 11, 2024: Monaldi Archives for Chest Disease
#8
César Jiménez-Méndez, Ana Pérez-Asensio, Livia Gheorghe, William Delgado Nava, Rafael Vázquez-García
A 70-year-old woman consulted us for dyspnea. Echocardiography revealed moderate aortic regurgitation secondary to ascending aorta dilatation. Study was completed with aortic angiography computed tomography, showing stenosis and dissection of several visceral arteries. There were no abnormal inflammatory or autoimmune markers, nor fluorine-18-fluorodeoxyglucose positron emission tomography uptake. Segmental arterial mediolysis was diagnosed.
March 6, 2024: JACC. Case reports
#9
JOURNAL ARTICLE
Ana Órfão, Carolina Saca, Inês Alexandre, Ana Maria Oliveira, João Fernandes Serôdio, João Barreira, Teresa Mesquita
UNLABELLED: Giant cell arteritis (GCA) may manifest with aggressive intracranial stenosis resistant to medical therapy, and patients may develop refractory neurologic deficits and cerebral infarcts, making GCA a life-threatening condition. We report the case of a 68-year-old woman recently diagnosed with GCA, medicated with prednisolone 60 mg daily. Two weeks later, the patient was admitted to our Stroke Unit after a sudden episode of global aphasia. Magnetic resonance angiography showed two recent ischaemic lesions, besides an erythrocyte sedimentation rate of 17 mm/hour...
2024: European Journal of Case Reports in Internal Medicine
#10
JOURNAL ARTICLE
J Alberto San Román, Cristina Ybarra-Falcón, Mario García-Gómez, Noemí Ramos, Luis Nombela, Manuel Carnero, Ignacio J Amat-Santos, Teresa Sevilla, Ana Revilla, Manuel Carrasco, Javier López-Díaz, Isidre Vilacosta
OBJECTIVE: To describe the evolution of symptoms in patients with symptomatic severe aortic stenosis (sSAS) undergoing valve replacement, the predictors of the persistence of these symptoms, and their prognostic significance. The evolution of symptoms after intervention in sSAS and their association with outcome are unknown. PATIENTS AND METHODS: Data from patients with sSAS who underwent intervention were collected. All-cause mortality and cardiovascular mortality were considered events...
March 2024: Mayo Clinic Proceedings
#11
JOURNAL ARTICLE
Anas Hashem, Andrew M Goldsweig
No abstract text is available yet for this article.
February 26, 2024: Catheterization and Cardiovascular Interventions
#12
JOURNAL ARTICLE
Joana Ferreira, Adhemar Longatto-Filho, Ana Dionísio, Margarida Correia-Neves, Pedro Cunha, Armando Mansilha
Vulnerable carotid plaques are responsible for 20% of the ischemic strokes. The identification of these asymptomatic carotid plaques that will become symptomatic is essential but remains unclear. Our main goal was to investigate whether the amount of the peri-carotid adipose tissue, estimated by the extra-media thickness (EMT), is associated with the atherosclerotic characteristics at the carotid bifurcation in patients with PAD. An observational, prospective, single-center, longitudinal study was conducted...
February 11, 2024: Journal of Cardiovascular Development and Disease
#13
JOURNAL ARTICLE
Oriol Rodriguez-Leor, Ana Belen Cid-Alvarez, Maria Lopez-Benito, Nieves Gonzalo, Victoria Vilalta, Jose Antonio Diarte de Miguel, Leticia Fernandez López, Alfonso Jurado-Roman, Alejandro Diego, Juan Francisco Oteo, Carlos Cuellas, Ramiro Trillo, Alejandro Travieso, Fernando Alfonso, Xavier Carrillo, José Miguel Vegas-Valle, Carlos Cortes-Villar, Isaac Pascual, Juan Francisco Muñoz Camacho, Xacobe Flores, Silvio Vera-Vera, Jose Moreu, Gilles Barreira de Sousa, David Martí, Jesus Jimenez-Mazuecos, Monica Fuertes, Raymundo Ocaranza, Jose Maria de la Torre Hernandez, Fernando Lozano, Santiago G Solana Martinez, Josep Gómez-Lara, Armando Perez de Prado
BACKGROUND: Intravascular lithotripsy (IVL) has demonstrated effectiveness in the treatment of calcified lesions in selected patients with stable coronary disease. OBJECTIVES: The authors sought to assess the performance of coronary IVL in calcified coronary lesions in a real-life, all comers, setting. METHODS: The REPLICA-EPIC18 study prospectively enrolled consecutive patients treated with IVL in 26 centers in Spain. An independent core laboratory performed the angiographic analysis and event adjudication...
February 15, 2024: JACC. Cardiovascular Interventions
#14
JOURNAL ARTICLE
Alejandro Hueso Mor, Ana Soto Sánchez, María de Armas-Conde, Ricardo Hernández-Alonso, Eduardo Pérez Sánchez, Moisés Hernández Barroso, Julio César Jordán-Balanzá
Lymphogranuloma Venereum (LGV) is a notifiable disease linked to high-risk sexual practices such as cruising, chemsex, or orgies. The anorectal manifestation is associated with receptive anal sex and presents with characteristic symptoms such as proctitis, tenesmus, suppuration, and in advanced cases, anorectal fistulas or stenosis. The case of a 57-year-old man engaging in high-risk sexual practices is presented, showing symptoms such as discharge, fistulizations, rectal stenosis, and a weight loss of 15 kg...
February 12, 2024: Revista Española de Enfermedades Digestivas
#15
JOURNAL ARTICLE
Manuel Sánchez Cánovas, Javier López Robles, Marina Lozano Ros, Ana Chicano Ros, Enrique Pérez-Cuadrado Martínez
Cyanacrylate is not free of complications and a more commonly used alternative in clinical practice are prostheses that have the disadvantage of migrating in these cases where there is no stenosis; however, with their fixation using a specific device, migrations are greatly reduced. A good alternative to cyanacrylate, especially in cases of orifices or large tracts in which complications may appear, are the prostheses, which are also easier to handle in clinical practice. Sometimes cancer patients have upper gastrointestinal complications no subsidiary to surgical treatment, like a tumor fistula, that contraindicate chemotherapy...
January 29, 2024: Revista Española de Enfermedades Digestivas
#16
JOURNAL ARTICLE
Imré Van Herreweghe, Olivier De Fré, Fréderic Polus, Jirka Cops, Ana M López, Catherine Vandepitte, Sam Van Boxstael, Sven Van Poucke, Dieter Mesotten, Admir Hadzic
No abstract text is available yet for this article.
January 24, 2024: Regional Anesthesia and Pain Medicine
#17
JOURNAL ARTICLE
João Abecasis, Pedro Lopes, Sergio Maltes, Rita Reis Santos, António Ferreira, Regina Ribeiras, Maria João Andrade, Miguel Sousa Uva, Victor Gil, Ana Félix, Sancia Ramos, Nuno Cardim
UNLABELLED: Myocardial fibrosis (MF) takes part in left ventricular (LV) remodeling in patients with aortic stenosis (AS), driving the transition from hypertrophy to heart failure. The structural changes that occur in this transition are not fully enlightened. AIM: to describe histopathology changes at endomyocardial biopsy (EMB) in patients with severe AS referred to surgical aortic valve replacement (AVR); to correlate them with LV tissue characterization from pre-operative cardiac magnetic resonance (CMR)...
January 21, 2024: European Heart Journal Cardiovascular Imaging
#18
JOURNAL ARTICLE
Anas H Alzahrani, Sundos Alabbadi, Shinobu Itagaki, Natalia Egorova
BACKGROUND: Current guidelines recommend revascularization in patients with ischemic cardiomyopathy (ICM). However, there is limited information about the trends and outcomes of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in ischemic cardiomyopathy patients with multivessel coronary artery disease. METHODS AND RESULTS: Using New Jersey state mandatory registries, 8083 patients with ischemic cardiomyopathy with CABG or PCI revascularization for multivessel coronary artery disease from 2007 to 2018 were included in the analysis...
February 6, 2024: Journal of the American Heart Association
#19
Silvia Souza Costa, Veniamin Fishman, Mara Pinheiro, Andre Rodrigueiro, Maria Teresa Sanseverino, Paulo Zielinsky, Claudia M B Carvalho, Carla Rosenberg, Ana Cristina Victorino Krepischi
Structural variants (SVs) pose a challenge to detect and interpret, but their study provides novel biological insights and molecular diagnosis underlying rare diseases. The aim of this study was to resolve a 9p24 rearrangement segregating in a family through five generations with a congenital heart defect (congenital pulmonary and aortic valvular stenosis, and pulmonary artery stenosis), by applying a combined genomic analysis. The analysis involved multiple techniques, including karyotype, chromosomal microarray analysis (CMA), FISH, whole-genome sequencing (WGS), RNA-seq and optical genome mapping (OGM)...
December 13, 2023: Research Square
#20
JOURNAL ARTICLE
Ana-Maria Singeap, Catalin Sfarti, Irina Girleanu, Laura Huiban, Cristina Muzica, Sergiu Timofeiov, Carol Stanciu, Anca Trifan
Background and Objectives : Ulcerative colitis (UC) and Crohn's disease (CD) are idiopathic inflammatory bowel diseases (IBDs) without a unique, gold standard diagnostic test. UC and Crohn's colitis are impossible to distinguish in approximately 10% of cases. The term IBD type unclassified (IBD-U) is recommended for cases of chronic colitis showing overlapping endoscopic, radiological, and biopsy histological features between UC and CD, while indetermined colitis is reserved for colectomy specimens. Our aim was to assess the role of small-bowel capsule endoscopy (SBCE) in the diagnostic work-up of IBD-U...
November 23, 2023: Medicina
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