221,694 results match your criteria stenosis

Association between pregnancy and long-term cardiac outcomes in women with congenital heart disease.

Am J Obstet Gynecol 2021 Jul 28. Epub 2021 Jul 28.

University of Utah Health, Salt Lake City, UT; Intermountain Healthcare, Salt Lake City, UT.

Background: As early life interventions for congenital heart disease (CHD) improve, more patients are living to adulthood and considering pregnancy. Scoring and classification systems predict maternal cardiovascular risk of pregnancy in the context of congenital heart disease but these scoring systems do not assess the potential subsequent risks following pregnancy. Data on long-term cardiac outcomes after pregnancy are unknown for most lesion types. Read More

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Final 3-year clinical outcomes following transcatheter aortic valve implantation with a supra-annular self-expanding repositionable valve in a real-world setting: Results from the multicenter FORWARD study.

Catheter Cardiovasc Interv 2021 Jul 31. Epub 2021 Jul 31.

Department of Medicine, University of Bonn, Bonn, Germany.

Objectives: The Evolut R FORWARD study confirmed safety and effectivenesss of the Evolut R THV in routine clinical practice out to 1 year. Herein, we report the final 3-year clinical follow up of the FORWARD study.

Background: Transcatheter aortic valve replacement (TAVR) is a proven alternative to surgery in elderly patients with symptomatic severe aortic stenosis. Read More

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Ventral calcification in the common femoral artery: A risk factor for major transcatheter aortic valve intervention access site complications.

Catheter Cardiovasc Interv 2021 Jul 31. Epub 2021 Jul 31.

Department of Cardiology and Angiology I, University Hospital Freiburg and Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Objectives: We aimed to identify risk factors for major transcatheter aortic valve intervention (TAVI) access site complications based on detailed analysis of the preprocedural computed tomography angiogram (CTA).

Background: Transfemoral TAVI has become the treatment of choice for severe aortic stenosis in elderly patients, especially with increased perioperative risk. Frailty, however, favors complications at the vascular access site due to the large bore vascular sheath devices necessary for valve deployment. Read More

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Multiplexed Imaging Mass Spectrometry of Histological Staining, N-Glycan and Extracellular Matrix from One Tissue Section: A Tool for Fibrosis Research.

Methods Mol Biol 2021 ;2350:313-329

Department of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, SC, USA.

We describe a multiplexed imaging mass spectrometry approach especially suitable for fibrosis research. Fibrosis is a process characterized by excessive extracellular matrix (ECM) secretion. Buildup of ECM impairs tissue and organ function to promote further progression of disease. Read More

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January 2021

Endoscopic Evaluation and Management of Late Complications After Bariatric Surgery: a Narrative Review.

Obes Surg 2021 Jul 30. Epub 2021 Jul 30.

The Center for the Treatment of Obesity and Diabetes, Hospital Oswaldo Cruz, Sao Paulo, Brazil.

Despite ongoing evolution in technique and a low mortality rate, clinicians may care for patients who suffer late complications (> 90 days of surgery) after bariatric surgery. Endoscopic techniques are used to identify and manage many of the late complications of the two most commonly performed bariatric surgeries: sleeve gastrectomy and Roux-en-Y gastric bypass. Stenosis at the incisura angularis and gastroesophageal reflux disease may occur in patients who have undergone a sleeve gastrectomy. Read More

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Emergency surgical retrieval of a migrated LAmbre device through the mitral valve.

Eur J Cardiothorac Surg 2021 Jul 31. Epub 2021 Jul 31.

Cardiac Surgery Department, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.

Left atrial appendage occlusion has become an alternative for long-term anticoagulation for patients with non-valvular atrial fibrillation. Although the procedure is safe, life-threatening complications such as embolization of the device or cardiac tamponade might occur. We present a case of a LAmbre device that migrated 4 days after being implanted and remained trapped in the mitral valve. Read More

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Retroperitoneal pneumatosis and subcutaneous emphysema after oblique lateral interbody fusion surgery: a case report.

J Med Case Rep 2021 Jul 31;15(1):381. Epub 2021 Jul 31.

Spine Research Center of Wannan Medical College, No. 2 Zheshan West Road, Wuhu, 241001, Anhui, China.

Background: The oblique lateral interbody fusion technique has received increasing attention for the treatment of degenerative disc disease in recent years. A series of complications have been reported, such as vascular injury, sympathetic chain injury, and transient psoas weakness, although it is regarded as a relatively safe technique.

Case Presentation: A 55-year-old male patient of Han nationality was diagnosed with lumbar spinal stenosis and underwent standalone oblique lateral interbody fusion surgery under general anethesia. Read More

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Associations of Circulating microRNA-221 and 222 With the Severity of Coronary Artery Lesions in Acute Coronary Syndrome Patients.

Angiology 2021 Jul 30:33197211034286. Epub 2021 Jul 30.

Key Laboratory of Cardiovascular Proteomics of Shandong Province, Department of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan, China.

Circulating levels of microRNA-221 and 222 (miR-221/222) in patients with coronary artery disease (CAD) are elevated, yet the relationship between circulating miR-221/222 and the severity of coronary lesions in patients with acute coronary syndrome (ACS) remains unknown. In this study, the relative expression levels of circulating miR-221/222 in patients with ACS (n = 267) and controls (n = 71) were compared by real-time fluorescence quantitative-polymerase chain reaction (RT-qPCR). The ACS group was further divided into unstable angina pectoris (UA) group (n = 191) and acute myocardial infarction (AMI) group (n = 76). Read More

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Idiopathic pyometra in a postmenopausal patient.

Clin Imaging 2021 Jul 26;80:145-147. Epub 2021 Jul 26.

Department of Radiology, St. Joseph Mercy Oakland Hospital, Pontiac, MI, United States; Huron Valley Radiology, Ypsilanti, MI, United States.

Pyometra is a rare gynecological condition most commonly seen in elderly, postmenopausal women. Malignancy should always be considered as the primary etiology until proven otherwise in the investigation of an intrauterine infection. Clinical signs and symptoms can be vague or nonexistent, and thorough investigation with ultrasound and cross-sectional imaging may be necessary to understand the extent of the disease and best course of treatment. Read More

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Angiography-based estimation of coronary physiology: A frame is worth a thousand words.

Trends Cardiovasc Med 2021 Jul 27. Epub 2021 Jul 27.

First Department of Cardiology, National and Kapodistrian University of Athens, Medical School, Hippokration Hospital, Athens, Greece.

Cumulative evidence has shown that coronary revascularization should be guided by functional significance of coronary lesions. Fractional flow reserve (FFR) is the gold standard for assessment of hemodynamic significance of coronary stenosis and FFR-guided percutaneous coronary intervention has improved clinical outcomes in patients with coronary artery disease. However, limitations of FFR such as increased operational time and cost, requirement of pressure wire and adenosine and technical difficulties have led to significant underutilization of the method in clinical practice. Read More

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Spinal Stenosis Caused by Calcinosis in a Patient With Systemic Sclerosis.

J Rheumatol 2021 Jun 15. Epub 2021 Jun 15.

Rheumatology Unit, Carmel Medical Center, Haifa; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel. The authors declare no conflicts of interest. Ethics board approval was not required by the authors' institution because this is a single anonymous case report and no intervention had been made for research. The patient's written informed consent to publish the material was obtained. Address correspondence to Dr. T. Gazitt, Rheumatology Unit, Carmel Medical Center, Michal 7 St., Haifa, Israel 3436212. Email:

Calcinosis or dystrophic soft-tissue calcification occurs in damaged/devitalized tissues in the presence of normal calcium/ phosphorus metabolism. It is a known complication of connective tissues diseases, especially juvenile dermatomyositis and systemic sclerosis (SSc), and may be localized or widespread.. Read More

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The Renal Vasculature: What the Radiologist Needs to Know.

Radiographics 2021 Jul 30:200174. Epub 2021 Jul 30.

From the Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, and Women's College Hospital, University of Toronto, 200 Elizabeth St, Toronto, ON, Canada M5G 2C4 (A.L., M.J.T., K.K., S.K.); Department of Radiology, University of Iowa, Iowa City, Iowa (S.N.); and Department of Medical Imaging, Ottawa Hospital, University of Ottawa, Ottawa, Ont, Canada (N.S.).

The physiologic role of the kidneys is dependent on the normal structure and functioning of the renal vasculature. Knowledge and understanding of the embryologic basis of the renal vasculature are necessary for the radiologist. Common anatomic variants involving the renal artery (supernumerary arteries and prehilar branching) and renal vein (supernumerary veins, delayed venous confluence, retroaortic or circumaortic vein) may affect procedures like renal transplantation, percutaneous biopsy, and aortic aneurysm repair. Read More

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Value of non-apical echocardiographic views in the up-grading of patients with aortic stenosis.

Scand Cardiovasc J 2021 Jul 30:1-8. Epub 2021 Jul 30.

Department of Cardiology, Hospital Álvaro Cunquero, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.

. Echocardiography assessment from apical five-chamber view (A5CV) is the standard technique for aortic stenosis (AS) grading. Data on non-apical views, such as right parasternal (RPV), subcostal (SCV) and suprasternal notch (SSNV), is scarce and constitutes the aim of our study. Read More

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Long Term Follow-Up after Repeated Percutaneous Transluminal Coronary Rotational Ablations for a Severe Calcified Coronary Artery Stenosis Associated with Kawasaki Disease.

Korean Circ J 2021 Aug;51(8):712-715

Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

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Routine histopathology of septal myectomy for hypertrophic obstructive cardiomyopathy in a greek cohort.

Histol Histopathol 2021 Jul 30:18369. Epub 2021 Jul 30.

Laboratory of Histology and Embryology, Department of Medicine, School of Life Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Hypertrophic cardiomyopathy (HCM) is a diverse inherited disease affecting 1 in 500 individuals irrespective of gender and ethnicity. A fraction of HCM patients will eventually develop drug refractory dynamic obstruction of the left ventricular outflow tract. For such patients, septal myectomy is the procedure of choice to alleviate their symptoms and improve their quality of life. Read More

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Clinical and radiological outcomes of endoscopic foraminoplasty and decompression assisted with preoperative planning software for lumbar foraminal stenosis.

Int J Comput Assist Radiol Surg 2021 Jul 29. Epub 2021 Jul 29.

Department of Spine Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, People's Republic of China.

Purpose: To assess the clinical and radiological outcomes of using endoscopic foraminoplasty and decompression assisted with a preoperative planning software in the treatment of lumbar foraminal stenosis.

Methods: This retrospective study included 43 patients with lumbar foraminal stenosis (Jan 2018 and June 2019). These patients were divided into two groups. Read More

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Case of rheumatic mitral stenosis with bilateral coronary artery fistula to pulmonary artery: A rare entity.

J Cardiovasc Thorac Res 2021 30;13(2):176-178. Epub 2021 Jan 30.

Department of Cardiovascular and Thoracic Surgery, Gujarat, India.

Coronary to pulmonary artery fistula is a rare form of congenital coronary artery anomaly. Majority of coronary arteriovenous fistula detected incidentally on coronary angiography. Although, most of these patients are asymptomatic, larger fistulae can produce symptoms of heart failure. Read More

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January 2021

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic.

J Cardiovasc Thorac Res 2021 20;13(2):156-161. Epub 2021 May 20.

Rajaie Cardiovascular Medical and Research Center, Iran University of medical sciences, Tehran, Iran.

Pulmonary stenosis with an intact ventricular septum (PS-IVS) is one of the common causes of cyanotic heart disease in neonates with diverse morphologies as well as management and treatment protocols. The aim of this study was to evaluate short and midterm results of balloon pulmonary valvuloplasty (BPV) for this disorder. Between 2012 and 2016, Totally 45 neonates and infants under 6 months old were evaluated. Read More

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Effects of Xuefu Zhuyu Granules on Patients with Stable Coronary Heart Disease: A Double-Blind, Randomized, and Placebo-Controlled Study.

Oxid Med Cell Longev 2021 16;2021:8877296. Epub 2021 Jul 16.

Department of Pathophysiology, Graduate School, PLA General Hospital, 100853 Beijing, China.

Despite advances in the drug treatment strategy for stable coronary heart disease (CHD), the mortality of CHD continues to rise. New or adjuvant treatments would be desirable for CHD. Xuefu Zhuyu granules are derived from the formula of traditional Chinese medicine. Read More

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Optical Coherence Tomography Angiography as a Noninvasive Assessment of Cerebral Microcirculatory Disorders Caused by Carotid Artery Stenosis.

Dis Markers 2021 5;2021:2662031. Epub 2021 Jul 5.

Department of Neurosurgery, First Affiliated Hospital of Harbin Medical University, China.

Purpose: Using retinal optical coherence tomography angiography (OCTA), we aimed to investigate the changes in important indicators of cerebral microcirculatory disorders, such as the properties of the radial peripapillary capillaries, vascular complexes, and the retinal nerve fiber layer, caused by carotid stenosis and postoperative reperfusion.

Methods: In this prospective longitudinal cohort study, we recruited 40 carotid stenosis patients and 89 healthy volunteers in the First Affiliated Hospital of Harbin Medical University (Harbin, China). Eyes with ipsilateral carotid stenosis constituted the experimental group, while the fellow eyes constituted the contralateral eye group. Read More

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Multiple Strokes in a Latin American Patient.

Case Rep Neurol 2021 May-Aug;13(2):441-445. Epub 2021 Jul 8.

Cardiology Department, Medstar Washington Hospital Center, Medstar Heart and Vascular Institute, Washington, District of Columbia, USA.

We present a case of a recent immigrant from El Salvador without past medical history who presented to our hospital with symptoms concerning for acute stroke. Brain magnetic resonance imaging (MRI) with gadolinium confirmed an acute stroke along with multiple prior infarcts involving different vascular beds. Head magnetic resonance arteriogram did not reveal any occlusions/stenosis or aneurysmal changes. Read More

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Recurrent prosthetic valve endocarditis.

BMJ Case Rep 2021 Jul 29;14(7). Epub 2021 Jul 29.

Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

A 29-year-old man with a history of congenital aortic stenosis and mechanical aortic valve replacement with previous prosthetic valve endocarditis (PVE) presented with a 2-week history of fevers and night sweats. Transoesophageal echocardiogram revealed a 0.6 cm×0. Read More

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Elderly woman presenting with multivessel coronary artery disease and Takotsubo syndrome.

BMJ Case Rep 2021 Jul 29;14(7). Epub 2021 Jul 29.

Department of Cardiology, HFR Fribourg Hôpital cantonal, Fribourg, Switzerland.

Takotsubo syndrome is an acute and often reversible condition, with initial presentation mimicking acute coronary syndrome. Typically, patients present with left ventricular regional wall motion abnormalities, without a corresponding coronary artery obstruction on angiography. Coexistence of a coronary artery disease is possible and may render the distinction between the two entities particularly challenging. Read More

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Roadmap Consensus on Carotid Artery Plaque Imaging and Impact on Therapy Strategies and Guidelines: An International, Multispecialty, Expert Review and Position Statement.

AJNR Am J Neuroradiol 2021 Jul 29. Epub 2021 Jul 29.

Surgery (T.H.), University of Washington, Seattle, Washington.

Current guidelines for primary and secondary prevention of stroke in patients with carotid atherosclerosis are based on the quantification of the degree of stenosis and symptom status. Recent publications have demonstrated that plaque morphology and composition, independent of the degree of stenosis, are important in the risk stratification of carotid atherosclerotic disease. This finding raises the question as to whether current guidelines are adequate or if they should be updated with new evidence, including imaging for plaque phenotyping, risk stratification, and clinical decision-making in addition to the degree of stenosis. Read More

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Impact of aspirin use on clinical outcomes in patients with vasospastic angina: a systematic review and meta-analysis.

BMJ Open 2021 Jul 29;11(7):e048719. Epub 2021 Jul 29.

Department of Pharmacy, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, First affiliated Hospital of South University of Science and Technology, Shenzhen, China

Objectives: The use of aspirin to prevent cardiovascular disease in vasospastic angina (VSA) patients without significant stenosis has yet to be investigated. This study aimed to investigate the efficacy of aspirin use among VSA patients.

Design: Systematic review and meta-analysis. Read More

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Arterial abnormalities in the hands of workers with vibration white fingers - a magnetic resonance angiography case series.

J Occup Med Toxicol 2021 Jul 29;16(1):27. Epub 2021 Jul 29.

National Institute of Occupational Health (STAMI), Oslo, Norway.

Vibration white finger (VWF) is a complication from exposure to hand-arm vibrations. Poor knowledge of the pathophysiology of VWF means that making an accurate prognosis is difficult. Thus, a better understanding of VWF's pathophysiology is of importance. Read More

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Clinical application of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops.

J Int Med Res 2021 Jul;49(7):3000605211034542

Department of Hepato-Pancreato-Biliary Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, China.

Objective: Bilioenteric anastomotic stricture is a serious complication following choledochojejunostomy. Some patients develop intrahepatic lithiasis and biliary tract infection without dilation of the intrahepatic bile duct. The present study was performed to investigate the safety and efficacy of laparoscopy combined with choledochoscopy in patients with bilioenteric anastomotic stricture with access via the jejunal loops. Read More

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Is fetuin-A a biomarker of dialysis access dysfunction?

J Vasc Access 2021 Jul 29:11297298211035846. Epub 2021 Jul 29.

Department of Nephrology, Hospital de Mollet, Fundació Sanitària Mollet, Mollet del Vallès, Barcelona, Spain.

Background: The arteriovenous (AV) access function of hemodialysis (HD) patients can be impaired by afferent artery stiffness due to preexisting microcalcification and by venous stenosis secondary to neointimal hyperplasia in whose development participates an upregulated local inflammatory process. Fetuin-A is a circulating potent inhibitor of vascular calcification and plays an important anti-inflammatory role. The aims of this prospective study were to investigate the relationship between baseline serum fetuin-A levels and: blood flow (Q) values at baseline, AV access failure (thrombosis or intervention for stenosis) during follow-up and primary unassisted AV access patency. Read More

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Carotid Atherosclerosis and Longitudinal Changes of MRI Visual Rating Measures in Stroke Survivors: A Seven-Year Follow-Up Study.

J Stroke Cerebrovasc Dis 2021 Jul 26;30(10):106010. Epub 2021 Jul 26.

Bærum Hospital- Vestre Viken Hospital Trust, Department of Medicine, Drammen, Norway; Oslo Stroke Unit, Department of Neurology, Oslo University Hospital, Ullevål, Norway.

Objectives: We aimed to assess longitudinal changes in MRI measures of brain atrophy and white matter lesions in stroke and transient ischemic attack (TIA) survivors, and explore whether carotid stenosis predicts progression of these changes, assessed by visual rating scales.

Materials And Methods: All patients with a first-ever stroke or TIA admitted to Bærum Hospital, Norway, in 2007/2008, were invited in the acute phase and followed for seven years. Carotid ultrasound was performed during the hospital stay. Read More

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Expedited and Comprehensive Management of Low-Risk TIA Patients in the Emergency Department is Safe and Less Costly.

J Stroke Cerebrovasc Dis 2021 Jul 26;30(10):106016. Epub 2021 Jul 26.

Department of Neurology, Yale School of Medicine, 15 York St., LLCI 1003C, New Haven, New Haven, CT 06511, USA. Electronic address:

Objectives: Transient ischemic attack (TIA) can be a warning sign of an impending stroke. The objective of our study is to assess the feasibility, safety, and cost savings of a comprehensive TIA protocol in the emergency room for low-risk TIA patients.

Materials And Methods: This is a retrospective, single-center cohort study performed at an academic comprehensive stroke center. Read More

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