51
|
Gatto L, Golino M, Russo C, Marco V, La Manna A, Burzotta F, Fineschi M, Amico F, Di Giorgio A, Boi A, Romagnoli E, Albertucci M, Prati F. TCT-295 Role of OCT in identifying sub-optimal stent positioning and predicting MACE in a head to head comparison with angiography. A CLIO-PCI II sub-study. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
52
|
D'Ascenzo F, Iannaccone M, De Filippo O, Leone AM, Niccoli G, Zilio F, Ugo F, Cerrato E, Fineschi M, Mancone M, Rigattieri S, Amabile N, Ferlini M, Sardella G, Cresti A, Barbero U, Motreff P, Colombo F, Colangelo S, Garbo R, Biondi-Zoccai G, Tamburino C, Montefusco A, Omedè P, Moretti C, D'amico M, Souteyrand G, Gaita F, Limbruno U, Picchi A. Optical coherence tomography compared with fractional flow reserve guided approach in acute coronary syndromes: A propensity matched analysis. Int J Cardiol 2017. [PMID: 28629622 DOI: 10.1016/j.ijcard.2017.05.108] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Fabrizio D'Ascenzo
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Mario Iannaccone
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy.
| | - Ovidio De Filippo
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Antonio Maria Leone
- Department of Cardiovascular Medicine, Catholic University of the Sacred Heart, Rome, Italy
| | - Giampaolo Niccoli
- Department of Cardiovascular Medicine, Catholic University of the Sacred Heart, Rome, Italy
| | - Filippo Zilio
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
| | - Fabrizio Ugo
- "S.G. Bosco Hospital", Department of Cardiology, Turin, Italy
| | - Enrico Cerrato
- Interventional Cardiology Unit, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy
| | - Massimo Fineschi
- Department of Interventional Cardiology, Policlinico S., Mariaalle, Scotte, Siena, Italy
| | - Massimo Mancone
- Department of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy
| | | | - Nicolas Amabile
- Cardiology Department, Institut Mutualiste Montsouris, Paris, France
| | - Marco Ferlini
- S.C. Cardiologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Gennaro Sardella
- Department of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Alberto Cresti
- Cardiological Department, Misericordia Hospital, Grosseto, Italy
| | - Umberto Barbero
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Pascal Motreff
- Cardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand 63000, France
| | | | | | - Roberto Garbo
- "S.G. Bosco Hospital", Department of Cardiology, Turin, Italy
| | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy; Department of AngioCardioNeurology, IRCCS Neuromed, Pozzilli, Italy
| | - Corrado Tamburino
- Cardio-thoracic-vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Antonio Montefusco
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Pierlugi Omedè
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Claudio Moretti
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Maurizio D'amico
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Geraud Souteyrand
- Cardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand 63000, France; Cardio Vascular Interventional Therapy and Imaging (CaVITI), UMR CNRS 6284, Auvergne University, Clermont-Ferrand, France
| | - Fiorenzo Gaita
- "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy
| | - Ugo Limbruno
- U.O.C. Cardiologia, Azienda USL Toscana Sudest, Grosseto, Italy
| | - Andrea Picchi
- Cardiological Department, Misericordia Hospital, Grosseto, Italy
| |
Collapse
|
53
|
Cortese B, di Palma G, Blengino S, Fineschi M, Rogacka R, Lettieri C, Pavei A, Silva P. TCT-209 Clinical outcome of a new generation drug-coated balloon for treatment of de novo coronary lesions and in-stent restenosis: an insight from the DCB-RISE registry. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
54
|
Fineschi M, Carrera A, Pierli C. [Hybrid percutaneous coronary intervention with drug-eluting stent in combination with bioresorbable vascular scaffolds for complex coronary lesions]. G Ital Cardiol (Rome) 2017; 18:21S-23S. [PMID: 28845861 DOI: 10.1714/2743.27968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Drug-eluting stents (DES) have significantly improved the outcome of percutaneous coronary intervention (PCI); however, several concerns remain regarding late adverse events associated with the presence of a permanent rigid metallic cage that might impair the natural healing process of the coronary vessel wall. Recently, PCI with bioresorbable vascular scaffolds (BVS) has emerged as an interesting alternative with several potential advantages related to the complete resorption process that occurs within 3-5 years. As a consequence, it reduces the trigger for persistent inflammation, enables restoration of normal vessel reactivity and facilitates positive remodeling. However, current BVS have several limitations, including thicker and wider struts, less radial strength, and limited expansion. A hybrid strategy, combining the use of BVS and DES, is a novel approach that could be useful to avoid the limitations of currently available BVS, particularly in case of PCI for complex coronary lesions.We describe a case of hybrid percutaneous intervention with BVS in combination with DES for managing complex lesions unsuitable for pure scaffolding percutaneous coronary intervention.
Collapse
Affiliation(s)
- Massimo Fineschi
- U.O.C. Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena
| | | | - Carlo Pierli
- U.O.C. Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena
| |
Collapse
|
55
|
Nakamura D, Shimamura K, Capodanno D, Attizzani GF, Fineschi M, Musumeci G, Limbruno U, Sirbu V, Coccato M, De Luca L, Bezerra HG, Saia F, Guagliumi G. Fate of Nonculprit Plaques in Patients With STEMI Undergoing Primary PCI Followed by Statin Therapy. JACC Cardiovasc Imaging 2017; 10:827-829. [DOI: 10.1016/j.jcmg.2016.09.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 09/02/2016] [Accepted: 09/08/2016] [Indexed: 10/20/2022]
|
56
|
Tarantini G, Mojoli M, Masiero G, Cortese B, Loi B, Varricchio A, Gabrielli G, Durante A, Pasquetto G, Calabrò P, Gistri R, Tumminello G, Misuraca L, Pisano F, Ielasi A, Mazzarotto P, Coscarelli S, Lucci V, Moretti L, Nicolino A, Colombo A, Olivari Z, Fineschi M, Piraino D, Piatti L, Canosi U, Tellaroli P, Corrado D, Rovera C, Steffenino G. Clinical outcomes of overlapping versus non-overlapping everolimus-eluting absorb bioresorbable vascular scaffolds: An analysis from the multicentre prospective RAI registry (ClinicalTrials.gov identifier: NCT02298413). Catheter Cardiovasc Interv 2017; 91:E1-E16. [DOI: 10.1002/ccd.27095] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 02/14/2017] [Accepted: 03/29/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Giuseppe Tarantini
- Department of Cardiac; Thoracic and Vascular Sciences, University of Padua Medical School; Padua Italy
| | - Marco Mojoli
- Department of Cardiac; Thoracic and Vascular Sciences, University of Padua Medical School; Padua Italy
| | - Giulia Masiero
- Department of Cardiac; Thoracic and Vascular Sciences, University of Padua Medical School; Padua Italy
| | - Bernardo Cortese
- Department of Interventional Cardiology; A.O. Fatebenefratelli; Milan Italy
| | - Bruno Loi
- Cardiology Division, A.O. Brotzu; Cagliari Italy
| | | | | | | | | | - Paolo Calabrò
- Division of Cardiology; Department of Cardio-Thoracic Sciences, Second University of Naples; Naples Italy
| | - Roberto Gistri
- Department of Interventional Cardiology; S. Andrea Hospital; La Spezia Italy
| | | | - Leonardo Misuraca
- Interventional Cardiology; U.O. Cardiologia-Emodinamica, Ospedale della Misericordia; Grosseto Italy
| | - Francesco Pisano
- Department of Interventional Cardiology; Parini Regional Hospital; Aosta Italy
| | | | - Pietro Mazzarotto
- Department of Interventional Cardiology; Ospedale Maggiore; Lodi Italy
| | - Sebastian Coscarelli
- Interventional Cardiology; U.O. Cardiologia-Emodinamica, San Martino Hospital; Belluno Italy
| | - Valerio Lucci
- Department of Interventional Cardiology; SS. Filippo e Nicola Hospital; Avezzano Italy
| | | | - Annamaria Nicolino
- Interventional Cardiology Unit; Santa Corona General Ospital; Pietra Ligure Italy
| | | | - Zoran Olivari
- Cardiology Division, Ca' Foncello Hospital; Treviso Italy
| | - Massimo Fineschi
- Department of Interventional Cardiology; Policlinico S.; Mariaalle Scotte, Siena Italy
| | - Davide Piraino
- Interventional Cardiology Unit; AOU Policlinico; Palermo Italy
| | - Luigi Piatti
- Cardiology Division, A. Manzoni Hospital; Lecco Italy
| | | | - Paola Tellaroli
- Biostatistics, Epidemiology and Public Health Unit of Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School; Padua Italy
| | - Donatella Corrado
- Epidemiology Department; “Mario Negri” Research Institute; Milano Italy
| | - Chiara Rovera
- Interventional Cardiology; USD Emodinamica, A.S.O. S.Croce e Carle; Cuneo Italy
| | - Giuseppe Steffenino
- Interventional Cardiology; USD Emodinamica, A.S.O. S.Croce e Carle; Cuneo Italy
| | | |
Collapse
|
57
|
Fineschi M, Verna E, Mezzapelle G, Bartolini D, Turiano G, Manari A, Lucarelli K, Uguccioni L, Repetto A, Tarantini G. Assessing MICRO-vascular resistances via IMR to predict outcome in STEMI patients with multivessel disease undergoing primary PCI (AMICRO): Rationale and design of a prospective multicenter clinical trial. Am Heart J 2017; 187:37-44. [PMID: 28454806 DOI: 10.1016/j.ahj.2017.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 02/05/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND In STEMI patients treated with primary percutaneous coronary angioplasty (PPCI) the evaluation of coronary microcirculatory resistance index (IMR) predict the extent of microvascular damage and left ventricular (LV) remodeling. However, the impact of IMR on the clinical outcome after PPCI in patients with multivessel disease (MVD) remains unsettled. AIM We designed a prospective multicenter controlled clinical trial to evaluate the prognostic value of IMR in terms of clinical outcome and left ventricular remodeling in STEMI patients with MVD undergoing PPCI. METHODS AND DESIGN The study will involve 242 patients with MVD defines as the presence of at least a non-culprit lesion of >50% stenosis at index coronary angiography. Both fractional flow reserve (FFR) and IMR will be measured in the infarct-related artery (IRA) after successful PPCI. Measurements of FFR and IMR will be repeated in the IRA and performed in the non-culprit vessels at staged angiography. The non-culprit vessel lesions will be treated only in the presence of a FFR<0.75. A 2D echocardiographic evaluation of the left ventricular (LV) volumes and ejection fraction will be performed before hospital discharge and at 1-year follow-up. The primary end-point of the study will be the composite of cardiovascular death, re-hospitalization for heart failure and resuscitation or appropriate ICD shock during 1-year of follow-up. Secondary end-points will be the impact of IMR in predicting LV remodeling during follow-up and correlations between IMR and ST-segment resolution. Other secondary endpoints will be need for new revascularization, stent thrombosis and re-infarction of the non-culprit vessels territory. IMPLICATIONS If IMR significantly correlates with differences in outcome and LV remodeling, it will emerge as a potential prognostic index after PPCI in patients with MVD.
Collapse
Affiliation(s)
| | - Edoardo Verna
- Ospedale di Circolo e Fondazione Macchi, Università dell'Insubria, Varese (VA).
| | | | | | | | | | - Katia Lucarelli
- Ospedale Generale Regionale F. Miulli, Acquaviva delle Fonti (BA)
| | | | | | | |
Collapse
|
58
|
Picchi A, Leone AM, Zilio F, Cerrato E, D'Ascenzo F, Fineschi M, Rigattieri S, Ferlini M, Cameli M, Calabria P, Cresti A, Limbruno U. Outcome of coronary lesions with deferred revascularization due to negative fractional flow reserve in subjects with acute coronary syndrome. Int J Cardiol 2017; 230:335-338. [DOI: 10.1016/j.ijcard.2016.12.109] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Revised: 11/21/2016] [Accepted: 12/17/2016] [Indexed: 01/25/2023]
|
59
|
Niccoli G, Menozzi A, Capodanno D, Trani C, Sirbu V, Fineschi M, Zara C, Crea F, Trabattoni D, Saia F, Ladich E, Biondi Zoccai G, Attizzani G, Guagliumi G. Relationship between Serum Inflammatory Biomarkers and Thrombus Characteristics in Patients with ST Segment Elevation Myocardial Infarction. Cardiology 2016; 137:27-35. [PMID: 27988513 DOI: 10.1159/000452705] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 10/19/2016] [Indexed: 02/05/2023]
Abstract
Objectives: To compare angiographic and optical coherence tomography (OCT) data pertinent to thrombi, along with the histologic characteristics of aspirated thrombi in patients presenting with ST elevation myocardial infarction (STEMI) with or without inflammation, as assessed by C-reactive protein (CRP) and myeloperoxidase (MPO). Methods: In the OCTAVIA (Optical Coherence Tomography Assessment of Gender Diversity in Primary Angioplasty) study, 140 patients with STEMI referred for primary percutaneous intervention were enrolled. The patients underwent OCT assessment of the culprit vessel, along with blood sampling of CRP and MPO, and histologic analysis of the thrombus. Results: Biomarkers were available for 129 patients, and histology and immunohistochemistry of the thrombi were available for 78 patients. Comparisons were made using the median thresholds of CRP and MPO (2.08 mg/L and 604.124 ng/mL, respectively). There was no correlation between CRP and MPO levels in the whole population (p = 0.685). Patients with high CRP levels had higher thrombus grades and more frequent TIMI flow 0/1 compared with those with low CRP levels (5 [1st quartile 3; 3rd quartile 5] vs. 3.5 mg/L [1; 5], p = 0.007, and 69.3 vs. 48.5%, p = 0.04, respectively). Patients with high MPO levels more commonly had early thrombi than had those with low MPO levels (42.5 vs. 20.0%, p = 0.04). Conclusions: CRP and MPO were not correlated in STEMI patients, possibly reflecting different pathogenic mechanisms, with CRP more related to thrombus burden and MPO to thrombus age.
Collapse
Affiliation(s)
- Giampaolo Niccoli
- Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
60
|
Fineschi M, D’Ascenzi F, Sirbu V, Mondillo S, Pierli C. Spontaneous coronary artery dissection in a middle-age woman. J Cardiovasc Med (Hagerstown) 2016; 17 Suppl 2:e205-e207. [DOI: 10.2459/jcm.0000000000000064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
61
|
Loi B, Cortese B, Sanna F, Tarantini G, Ielasi A, Fineschi M, Calzolari D, Gabrielli G, Durante A, Pisano F, Varricchio A, Moretti L, Corrado D, Steffenino G. TCT-417 Bioresorbable vascular scaffold in chronic total coronary artery occlusions: results from the RAI registry. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
62
|
Ielasi A, Moscarella E, Loi B, Cortese B, Calabro' P, Tarantini G, Gistri R, Pisano F, Mazzarotto P, Gabrielli G, Pasquetto G, Misuraca L, Lucci V, Tumminello G, Moretti L, Ferrario M, Colombo A, Durante A, Fineschi M, Nicolino A, Piraino D, Varricchio A, Tespili M, Corrado D, Steffenino G. TCT-408 Thirty-day Outcome Following Polymeric Bioresorbable Scaffold Implantation in 347 STEMI Patients Enrolled in the Multicenter “Registro Absorb Italiano” (RAI Registry). J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
63
|
Mojoli M, Musumeci G, Berti S, Limbruno U, Marchese A, Mauro C, Tarantino F, Fineschi M, Lettieri C, Menozzi A, My L, Attisano T, Cernetti C, Favero L, Napodano M, Pasquetto G, Pavei A, La Manna A, Parodi G, Santarelli A, Trabattoni D, Varbella F, Signore N, Soriani N, Gregori D, Figliozzi S, Tarantini G. [Current practice and changing trends in the percutaneous treatment of structural heart disease. Results of a multicenter survey promoted by the Italian Society of Interventional Cardiology in six Italian Regions including Tuscany, Lombardy, Veneto, Emilia-Romagna, Campania and Puglia]. G Ital Cardiol (Rome) 2016; 17:13S-20. [PMID: 27384601 DOI: 10.1714/2292.24640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Significant developments have occurred in the field of percutaneous interventions for structural heart disease over the last decade. The introduction of several innovations has expanded significantly the spectrum of therapeutic applications of structural interventional cardiology. However, the translation of the most recent scientific evidence into clinical practice and the adoption of new technologies may be susceptible to large variability, even within the same geographic area. This study aimed at describing current status and changing trends of structural heart interventions within 6 Regions in Italy. METHODS Between July 2015 and October 2015, 6 regional delegations of the Italian Society of Interventional Cardiology (SICI-GISE) promoted a web-based multicenter survey concerning structural heart interventions. An ad hoc questionnaire was administered to head physicians of the cath-labs of 4 Regions of Northern Italy (Tuscany, Lombardy, Veneto and Emilia-Romagna) and 2 Regions of Southern Italy (Puglia and Campania). Also, in this study we considered previous data from a similar survey that involved Tuscany, Lombardy, Veneto and Emilia-Romagna between April 2014 and May 2014. Data from the two surveys were compared, observing the changing trends between 2014 and 2015. RESULTS The 2015 survey was completed in more than two thirds (68%) of the 145 eligible cath-labs. According to the survey, the application of percutaneous structural heart interventions and the availability of devices were wide and homogeneous within the 6 Regions involved. The main factors perceived as limiting the execution of structural heart interventions resulted economic (e.g. cost of procedures and devices) or organizational (e.g. limited diffusion of hybrid operating rooms). CONCLUSIONS In this study, which was based on the results of a recent survey conducted in 6 Italian Regions, structural heart interventions resulted widely growing throughout the investigated area. The indications for treatment and the availability of devices were relatively homogeneous between the regions involved, as well as the limiting factors, which appear to be mainly economic-organizational.
Collapse
Affiliation(s)
- Marco Mojoli
- Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| | | | - Sergio Berti
- U.O. Cardiologia Diagnostica ed Interventistica, Fondazione Toscana "Gabriele Monasterio", Ospedale del Cuore, Massa
| | - Ugo Limbruno
- U.O.C. Cardiologia, Azienda USL Toscana Sudest, Grosseto
| | - Alfredo Marchese
- U.O.C. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari
| | - Ciro Mauro
- Dipartimento Cardiovascolare, Ospedale Cardarelli, Napoli
| | - Fabio Tarantino
- Laboratorio di Emodinamica, U.O. Cardiologia, Ospedale G.B. Morgagni-L. Pierantoni, Forlì
| | - Massimo Fineschi
- Dipartimento Cardiovascolare, Policlinico S. Maria alle Scotte, Siena
| | - Corrado Lettieri
- Dipartimento Cardiotoracovascolare, Azienda Socio-Sanitaria Territoriale di Mantova, Mantova
| | - Alberto Menozzi
- U.O. Cardiologia, Azienda Ospedaliero-Universitaria di Parma, Parma
| | - Luigi My
- Casa di Cura Villa Verde, Taranto
| | - Tiziana Attisano
- Emodinamica, A.O.U. San Giovanni di Dio e Ruggi d'Aragona, Salerno
| | - Carlo Cernetti
- U.O.C. Cardiologia, Ospedale San Giacomo, Castelfranco Veneto (TV)
| | - Luca Favero
- Dipartimento Cardiovascolare, Ospedale Ca' Foncello, Treviso
| | - Massimo Napodano
- Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| | | | - Andrea Pavei
- Laboratorio di Emodinamica, Ospedale S. Maria dei Battuti, Conegliano (TV)
| | - Alessio La Manna
- Divisione di Cardiologia, Ospedale Ferrarotto, A.O.U. Policlinico Vittorio Emanuele, Catania
| | - Guido Parodi
- Cardiologia Invasiva, Azienda Ospedaliero-Universitaria Careggi, Firenze
| | | | - Daniela Trabattoni
- U.O. Cardiologia Invasiva, Dipartimento di Scienze Cardiovascolari, Centro Cardiologico Monzino, IRCCS, Milano
| | | | - Nicola Signore
- Cardiologia Ospedaliera, A.O.U. Policlinico di Bari, Bari
| | - Nicola Soriani
- Unità di Biostatistica, Epidemiologia e Salute Pubblica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| | - Dario Gregori
- Unità di Biostatistica, Epidemiologia e Salute Pubblica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| | - Stefano Figliozzi
- Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| | - Giuseppe Tarantini
- Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova
| |
Collapse
|
64
|
Casini S, Fineschi M, Cameli M, Geyer A, Mandoli GE, Lunghetti S, Mondillo S, Pierli C. [Percutaneous transcatheter closure of an aorta to left atrium fistula with an Amplatzer septal occluder in a patient with a mitral bioprosthesis]. G Ital Cardiol (Rome) 2016; 17:391-2. [PMID: 27310914 DOI: 10.1714/2252.24272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We describe the case of a patient with a mitral bioprosthetic valve undergoing percutaneous closure with fluoroscopy and echocardiographic guidance of a rare left sinus of Valsalva‒left atrial fistula. The original aspect of this case is that the fistula was located at the level of the left sinus of Valsalva next to the mitral valve bioprosthesis with subsequent risk of prosthesis damage and/or occlusion of the left coronary artery at its origin during the procedure.
Collapse
Affiliation(s)
- Stefano Casini
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | - Massimo Fineschi
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | - Matteo Cameli
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | - Alessia Geyer
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | | | - Stefano Lunghetti
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | - Sergio Mondillo
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| | - Carlo Pierli
- Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena
| |
Collapse
|
65
|
Montalescot G, van ’t Hof AW, Bolognese L, Cantor WJ, Cequier A, Chettibi M, Collet JP, Goodman SG, Hammett CJ, Huber K, Janzon M, Lapostolle F, Lassen JF, Licour M, Merkely B, Salhi N, Silvain J, Storey RF, ten Berg JM, Tsatsaris A, Zeymer U, Vicaut E, Hamm CW, Bougherbal R, Bouafia MT, Chettibi M, Nibouche D, Moklati A, Benalia A, Kaid O, Krim M, Hammett C, Garrahy P, Jayasinghe R, Rashford S, Huber K, Neunteufl T, Brussee H, Alber H, Weidinger F, Brunner M, Sipoetz J, Prause G, Baubin M, Sebald D, Cantor W, Vijayaraghavan R, Bata I, Lavoie A, Lassen JF, Ravkilde J, Jensen LO, Christensen AM, Toftegaard M, Köhler D, Montalescot G, Ducrocq G, Danchin N, Henry P, Livarek B, Berthier R, Hovasse T, Garot P, Payot L, Benamer H, Esteve JB, Elhadad S, Teiger E, Bonnet JL, Paganelli F, Cottin Y, Schiele F, Thuaire C, Cayla G, Coste P, Ohlmann P, Cudraz EB, Lantelme P, Perret T, Tron C, De Labriolle A, Aptecar E, Beliard O, Varenne O, El Mahmoud R, Filippi-Codaccioni E, Angoulvant D, Peycher P, Poitrineau O, Tabone X, Ecollan P, Broche C, Lambert Y, Briole N, Beruben A, Porcher N, Auffray JP, Freysz M, Depardieu F, Poubel D, De La Cousaye JE, Bartier JC, Jardel B, Boulanger B, Labourel H, Soulat LC, Lapostolle F, Julie V, Thicoipe M, Capel O, Stibbe O, Carli P, Tazarourte K, Alcouffe F, Aboucaya D, Aubert G, Kierzek G, Cahun-Giraud S, Zeymer U, Hamm C, Dengler T, Prondzinsky R, Biever PM, Schäfer A, Seyfarth M, Lemke B, Werner G, Nef H, Steiger H, Leschke M, Münzel T, Dell Orto MC, Loges C, Schinke M, Koberne F, Reiffen HP, Tiroch K, Wierich D, Kneussel M, Little S, Sauer H, Laufenberg-Feldmann R, Merkely B, Ungi I, Horváth I, Édes I, Mártai I, Bolognese L, Berti S, Chiarella F, Calabria P, Fineschi M, Galvani M, Valgimigli M, Moretti L, Tespili M, Mandó M, Bermano F, Biagioni R, Fabbri A, Ricciardelli A, Petroni MR, Vatteroni UR, Palumbo F, Willems FF, Al Mafragi A, Heestermans TA, Van Eck MJ, Heutz WM, Meppelder H, Jong ARD, Van de Pas H, Fillat ÁC, Tenas MS, Ferrer JM, Peñaranda AS, Ferrer JÁ, Del Blanco BG, Guardiola FM, Ruiz Nodar JM, Romo AÍ, González NV, Nouche RT, De La Llera LD, Hernández García JM, Rivero-Crespo F, Hernández FH, Zamorano Gómez JL, Fárega XJ, Fernández GA, Toboso JL, Carrasco M, Barreiro V, Iglesias Vázquez JA, Montero MDMR, Ortiz FR, Escudero GG, Ingelmo VSB, García AL, Janzon M, Oldgren J, Calais F, Kastberg R, Bergsten PA, Blomberg H, Thörn K, Skoog G, Storey RF, Zaman A, Gerber R, Ryding A, Spence M, Swanson N, Been M, Grosser K, Schofield P, Mackin D, Fell P, Quinn T, Foster T, McManus D, Carson A. Effect of Pre-Hospital Ticagrelor During the First 24 h After Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction. JACC Cardiovasc Interv 2016; 9:646-56. [DOI: 10.1016/j.jcin.2015.12.024] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 11/30/2015] [Accepted: 12/15/2015] [Indexed: 01/20/2023]
|
66
|
Fineschi M, D'Ascenzi F, Mondillo S, Pierli C. Index of microcirculatory resistance to evaluate the efficacy of self-expanding stent and thrombectomy in acute myocardial infarction. J Cardiovasc Med (Hagerstown) 2016; 17 Suppl 2:e159-e160. [PMID: 27028841 DOI: 10.2459/jcm.0000000000000365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Massimo Fineschi
- aDivision of Interventional Cardiology, University Hospital Santa Maria alle Scotte, Siena, Italy bDepartment of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy *Massimo Fineschi and Flavio D'Ascenzi equally contributed to the preparation of the manuscript
| | | | | | | |
Collapse
|
67
|
Tebaldi M, Biscaglia S, Pecoraro A, Fineschi M, Campo G. Fractional flow reserve implementation in daily clinical practice: A European survey. Int J Cardiol 2016; 207:206-7. [DOI: 10.1016/j.ijcard.2016.01.097] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Accepted: 01/03/2016] [Indexed: 11/29/2022]
|
68
|
Biscaglia S, Ugo F, Ielasi A, Secco GG, Durante A, D'Ascenzo F, Cerrato E, Balghith M, Pasquetto G, Penzo C, Fineschi M, Bonechi F, Templin C, Menozzi M, Aquilina M, Rognoni A, Capasso P, Di Mario C, Brugaletta S, Campo G. Bioresorbable Scaffold vs. Second Generation Drug Eluting Stent in Long Coronary Lesions requiring Overlap: A Propensity-Matched Comparison (the UNDERDOGS study). Int J Cardiol 2016; 208:40-5. [PMID: 26826788 DOI: 10.1016/j.ijcard.2016.01.202] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Revised: 01/13/2016] [Accepted: 01/14/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Randomized clinical trials on bioresorbable scaffolds (BRS) enrolled patients with simple coronary lesions. The present study was sought to give preliminary findings about safety of BRS implantation in overlap in long coronary lesions. METHODS From June 2012 to January 2015, we prospectively collected data from 162 consecutive patients receiving overlapping BRS implantation in the 16 participating institutions. We applied a propensity-score to match BRS-treated patients with 162 patients receiving second generation drug eluting stents (DES) in overlap. The primary endpoint was a device-oriented endpoint (DOCE), including cardiac death, target vessel myocardial infarction, and target lesion revascularization. RESULTS DOCE rate did not significantly differ between the two groups (5.6% in BRS group vs. 7.4% in DES group, HR 0.79, 95%CI 0.37-3.55, p=0.6). Also stent/scaffold thrombosis did not differ between groups (1.2% in BRS group vs. 1.9% in DES group, p=0.6). Occurrence of procedural-related myocardial injury was significantly higher in the BRS group (25% vs. 12%, p=0.001), although it was not related to DOCE (HR 1.1, 95%CI 0.97-1.2, p=0.2). Imaging techniques and enhanced stent visualization systems were significantly more employed in the BRS group (p=0.0001 for both). Procedure length, fluoroscopy time and contrast dye amount were significantly higher in the BRS group (p=0.001, p=0.001 and p=0.01, respectively). CONCLUSIONS Overlapping BRS utilization in long coronary lesions showed a comparable DOCE rate at 1year if compared to second generation DES. Further and larger studies are on demand to confirm our findings.
Collapse
Affiliation(s)
- Simone Biscaglia
- Cardiovascular Section, Medical Sciences Department, Azienda Ospedaliera Universitaria S.Anna, Ferrara, Italy.
| | - Fabrizio Ugo
- Interventional Cardiology, San Giovanni Bosco Hospital, Turin, Italy
| | - Alfonso Ielasi
- Cardiology Division, , Bolognini Hospital, Seriate, Italy
| | - Gioel Gabrio Secco
- Interventional Cardiology, Santi Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
| | | | - Fabrizio D'Ascenzo
- Dipartimento di Scienze Mediche, Divisione di Cardiologia, Città della Salute e della Scienza, Turin, Italy
| | | | - Mohammed Balghith
- King Saud Bin Abdulaziz University for Health Sciences, KACC, National Guard, Riyadh, ,Saudi Arabia
| | | | - Carlo Penzo
- Divisione di Cardiologia, Ospedale Civile, Mirano, Italy
| | - Massimo Fineschi
- U.O. Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - Francesco Bonechi
- UOS Emodinamica, Ospedale San Giuseppe, Azienda USL 11, Empoli, Italy
| | - Christian Templin
- Department of Cardiology, University Heart Center, University Hospital Zürich, Zürich, Switzerland
| | - Mila Menozzi
- Department of Cardiovascular Disease, Infermi Hospital, Rimini, Italy
| | - Matteo Aquilina
- U.O. Cardiologia, Ospedale S. Maria delle Croci, Ravenna, Italy
| | - Andrea Rognoni
- Cardiologia 2, A.O.U. Maggiore della Carità, Novara, Italy
| | - Piera Capasso
- Division of Cardiology, San Giovanni Bosco Hospital, Turin, Italy
| | - Carlo Di Mario
- NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
| | - Salvatore Brugaletta
- Cardiology Department; Thorax Institute; IDIBAPS, University of Barcelona, Hospital Clinic, Barcelona, Spain
| | | |
Collapse
|
69
|
Tebaldi M, Biscaglia S, Fineschi M, Manari A, Menozzi M, Secco GG, Di Lorenzo E, D'Ascenzo F, Fabbian F, Tumscitz C, Ferrari R, Campo G. Fractional Flow Reserve Evaluation and Chronic Kidney Disease: Analysis From a Multicenter Italian Registry (the FREAK Study). Catheter Cardiovasc Interv 2015; 88:555-562. [PMID: 26717890 DOI: 10.1002/ccd.26364] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Revised: 11/03/2015] [Accepted: 11/22/2015] [Indexed: 11/11/2022]
Abstract
OBJECTIVES To establish if the presence of chronic kidney disease (CKD) influences fractional flow reserve (FFR) value in patients with intermediate coronary stenosis. BACKGROUND FFR-guided coronary revascularization reduces cardiac adverse events in patients with coronary artery disease. CKD impairs microcirculation and increases cardiovascular risk. Whether CKD presence may limit FFR accuracy is unknown. METHODS We used data from a multicenter prospective registry enrolling 1.004 patients undergoing FFR evaluation for intermediate stenosis. We assessed the relationship between clinical and angiographic variables and FFR measurement. CKD was defined as CrCl value ≤45 ml/min. FFR value was considered potentially flow-limiting, and therefore positive, if ≤0.80. The index of microcirculatory resistance (IMR) was calculated in 20 patients stratified according CrCl value (single-center substudy). RESULTS FFR measurement was positive in 395 (39%) patients. Overall, 131 (13%) patients had CKD. Patients with CrCl ≤45 ml/min showed significantly higher FFR values as compared to the others (0.84 ± 0.07 vs. 0.81 ± 0.08, p < 0.001). Positive FFR occurrence was lower in patients with CrCl ≤45 ml/min (27% vs. 41%, p < 0.01). After multivariable analysis, diabetes (HR 1.07, 95%CI 1.008-1.13, p = 0.03), left anterior descending (HR 1.35, 95%CI 1.27-1.43, p < 0.001) and CrCl ≤45 ml/min (HR 0.92, 95%CI 0.87-0.97, p = 0.005) emerged as independent predictors of FFR measurement. Accordingly, IMR values were higher in patients with CrCl ≤45 ml/min (32 U [28245] vs. 16 U [11220], p < 0.01). CONCLUSIONS FFR and IMR measurements differ between CKD patients and those with normal renal function. Flow-limiting FFR is less frequent in patients with CrCl ≤45 ml/min. © 2015 Wiley Periodicals, Inc.
Collapse
Affiliation(s)
- Matteo Tebaldi
- Cardiovascular Institute, Azienda Ospedaliero-Universitaria Di Ferrara, Cona, Ferrara, Italy.
| | - Simone Biscaglia
- Cardiovascular Institute, Azienda Ospedaliero-Universitaria Di Ferrara, Cona, Ferrara, Italy
| | - Massimo Fineschi
- Department of Cardiology, University Medical Hospital of Siena, Siena, Italy
| | - Antonio Manari
- Department of Cardiology, Santa Maria Nuova Hospital, Reggio-Emilia, Italy
| | - Mila Menozzi
- Department of Cardiology, Ospedale Degli Infermi, Rimini
| | - Gioel Gabrio Secco
- Division of Cardiology, "Santi Antonio E Biagio E Cesare Arrigo" Hospital, Alessandria, Italy
| | - Emilio Di Lorenzo
- Department of Heart and Vessels, S.G. Moscati Hospital, Avellino, Italy
| | - Fabrizio D'Ascenzo
- Division of Cardiology Città Della Salute E Della Scienza, Hospital University of Turin, Turin, Italy
| | - Fabio Fabbian
- Clinica Medica, Departement of Medical Science, University of Ferrara, Cona, Ferrara, Italy
| | - Carlo Tumscitz
- Cardiovascular Institute, Azienda Ospedaliero-Universitaria Di Ferrara, Cona, Ferrara, Italy
| | - Roberto Ferrari
- Cardiovascular Institute, Azienda Ospedaliero-Universitaria Di Ferrara, Cona, Ferrara, Italy.,Maria Cecilia Hospital, GVM Care & Research, E.S. Health Science Foundation, Cotignola, Italy
| | - Gianluca Campo
- Cardiovascular Institute, Azienda Ospedaliero-Universitaria Di Ferrara, Cona, Ferrara, Italy.,Laboratorio per Le Tecnologie Delle Terapie Avanzate (LTTA) Center, Ferrara, Italy
| |
Collapse
|
70
|
Cameli M, Sparla S, Losito M, Righini FM, Menci D, Lisi M, D'Ascenzi F, Focardi M, Favilli R, Pierli C, Fineschi M, Mondillo S. Correlation of Left Atrial Strain and Doppler Measurements with Invasive Measurement of Left Ventricular End-Diastolic Pressure in Patients Stratified for Different Values of Ejection Fraction. Echocardiography 2015; 33:398-405. [DOI: 10.1111/echo.13094] [Citation(s) in RCA: 110] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Matteo Cameli
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Stefania Sparla
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Maurizio Losito
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | | | - Daniele Menci
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Matteo Lisi
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Flavio D'Ascenzi
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Marta Focardi
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Roberto Favilli
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Carlo Pierli
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Massimo Fineschi
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| | - Sergio Mondillo
- Department of Cardiovascular Diseases; University of Siena; Siena Italy
| |
Collapse
|
71
|
Saia F, Komukai K, Capodanno D, Sirbu V, Musumeci G, Boccuzzi G, Tarantini G, Fineschi M, Tumminello G, Bernelli C, Niccoli G, Coccato M, Bordoni B, Bezerra H, Biondi-Zoccai G, Virmani R, Guagliumi G. Eroded Versus Ruptured Plaques at the Culprit Site of STEMI: In Vivo Pathophysiological Features and Response to Primary PCI. JACC Cardiovasc Imaging 2015; 8:566-575. [PMID: 25890582 DOI: 10.1016/j.jcmg.2015.01.018] [Citation(s) in RCA: 81] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 01/12/2015] [Accepted: 01/15/2015] [Indexed: 02/08/2023]
Abstract
OBJECTIVES The aim of this study was to evaluate the pathophysiological features and response to primary percutaneous coronary intervention (PCI) of nonruptured/eroded plaque versus ruptured plaque as a cause of ST-segment elevation myocardial infarction (STEMI). BACKGROUND Autopsy series identified nonruptured/eroded plaque and ruptured plaque as the principal pathological substrates underlying coronary thrombosis in STEMI. The real incidence of different plaque morphologies, associated biological factors, superimposed thrombus, and their interaction with primary PCI remain largely unknown. METHODS In a prospective study, 140 patients with STEMI underwent optical coherence tomography of the infarct-related artery (IRA) before PCI, after everolimus-eluting stent implantation and at 9-month follow-up. Histopathology and immunohistochemistry of thrombus aspirates and serum biomarkers were assessed at baseline. RESULTS Culprit plaque morphology was adjudicated in 97 patients: 32 plaques (33.0%) with an intact fibrous cap (IFC), 63 (64.9%) plaques with a ruptured fibrous cap (RFC), and 2 (2.1%) spontaneous dissections. Patients with an IFC and RFC had similar clinical characteristics, and serum inflammatory and platelets biomarkers. An IFC presented more frequently with a patent IRA (56.2% vs. 34.9%; p = 0.047), and had fewer lipid areas (lipid-rich areas: 75.0% vs. 100.0%; p < 0.001) and less residual thrombus before stenting (white thrombus: 0.41 mm(3) vs. 1.52 mm(3); p = 0.001; red thrombus: 0 mm(3) vs. 0.29 mm(3); p = 0.001) with a lower peak of creatine kinase-myocardial band (66.6 IU/l vs. 149.8 IU/l; p = 0.025). At the 9-month optical coherence tomography, IFC and RFC had similar high rates of stent strut coverage (92.5% vs. 91.2%; p = 0.15) and similar percentage of volume obstruction (12.6% vs. 10.2%; p = 0.27). No significant differences in clinical outcomes were observed up to 2 years. CONCLUSIONS In the present study, an IFC was observed at the culprit lesion site of one-third of STEMIs. IFC, compared with RFC, was associated with higher rates of patent IRA at first angiography, fewer lipid areas, and residual endoluminal thrombus. However, no difference in vascular response to everolimus-eluting stent was observed. (Optical Coherence Tomography Assessment of Gender Diversity in Primary Angioplasty [OCTAVIA]; NCT01377207).
Collapse
Affiliation(s)
- Francesco Saia
- Institute of Cardiology, University of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy.
| | - Kenichi Komukai
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | | | - Vasile Sirbu
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - Giuseppe Musumeci
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - Giacomo Boccuzzi
- Cardiology Department, Ospedale San Giovanni Bosco, Torino, Italy
| | - Giuseppe Tarantini
- Department of Cardiac Thoracic and Vascular Sciences, University of Padua, Padua, Italy
| | | | | | - Chiara Bernelli
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - Giampaolo Niccoli
- Institute of Cardiology, Catholic University of the Sacred Heart, Roma, Italy
| | - Micol Coccato
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - Barbara Bordoni
- Institute of Cardiology, University of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
| | | | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy
| | | | - Giulio Guagliumi
- Interventional Cardiology Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | | |
Collapse
|
72
|
Benincasa S, Fineschi M, Ceccherini C, Pierli C. [Interrupted aortic arch in a 68-year-old female with hypertension]. G Ital Cardiol (Rome) 2015; 16:258-259. [PMID: 25959763 DOI: 10.1714/1848.20196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Interrupted aortic arch (IAA) is a rare congenital malformation of the aorta and aortic arch. We report the case of a 68-year-old female with hypertension and poor control of blood pressure levels. She was diagnosed with aortic coarctation by aortography during young age. A double access angiography was performed that showed a type A IAA, a rare condition in adults that may cause hypertension.
Collapse
|
73
|
Mojoli M, Musumeci G, Tarantini G, Limbruno U, Tarantino F, Lettieri C, Napodano M, Fineschi M, Menozzi A, Pavei A, Parodi G, Santarelli A, Trabattoni D, Marchese A, Piccaluga E, Danzi GB, Varbella F, Bedogni F, Sardella G, Berti S. [New Technologies in coronary interventional cardiology: results from the first inter-regional survey promoted by SICI-GISE in four regions of northern Italy ("the GISE TOLOVE" area: Tuscany, Lombardy, Veneto, Emilia-Romagna)]. G Ital Cardiol (Rome) 2015; 16:100-7. [PMID: 25805094 DOI: 10.1714/1798.19584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND The implementation of the latest medical innovations can vary widely within the same geographic area. This study aimed to describe the current status of recent innovations in the field of coronary interventional cardiology in 4 regions of Northern Italy. METHODS From April to May 2014, 4 regional delegations of the Italian Society of Invasive Cardiology (SICI-GISE) have promoted a multicenter survey. By means of a web-based methodology, a focused questionnaire was administered to head physicians of 97 cath-labs in 4 Italian regions within the "GISE TOLOVE" area (Lombardy, Veneto, Tuscany, Emilia-Romagna). RESULTS Pharmacological and technological innovations in coronary interventional cardiology appear to be widely used in the area covered by this survey, with uniformity in application and availability of therapeutic devices and drugs within the 4 regions involved. The main limiting factors to the adoption of new technologies and drugs were economic factors or lack of scientific evidence for some specific devices or drugs. CONCLUSIONS This survey showed widespread and consistent application of the main latest innovations in coronary interventional cardiology across 4 Italian regions of Northern Italy.
Collapse
|
74
|
Zuffada F, Airoldi F, Pappalettera M, Salerno-Uriarte JA, Cameli M, Casini S, Fineschi M, Lunghetti S, Geyer A, D'ascenzi F, Pierli C, Mondillo S, Lee CH, Son JW, Park KH, Choi YJ, Lee SH, Kim U, Park JS, Shin DG, Kim YJ, Kim HJ, Abreu G, Azevedo P, Braga C, Arantes C, Martins J, Vieira C, Salgado A, Correia A, Nabais S, Dingli P, Reichmuth L, Yamagata K, Felice H, Prisecaru R, Riahi L, Bolatti M, Van Den Heuvel P, De Greef Y, Stockman D, Schwagten B. Case-based session Club 35: Friday 5 December 2014, 10:00-11:00 * Location: Agora. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
75
|
Shahgaldi K, Hegner T, Da Silva C, Fukuyama A, Takeuchi M, Uema A, Kado Y, Nagata Y, Hayashi A, Otani K, Fukuda S, Yoshitani H, Otsuji Y, Morhy S, Lianza A, Afonso T, Oliveira W, Tavares G, Rodrigues A, Vieira M, Warth A, Deutsch A, Fischer C, Tezynska-Oniszk I, Turska-Kmiec A, Kawalec W, Dangel J, Maruszewski B, Bokiniec R, Burczynski P, Borszewska-Kornacka K, Ziolkowska L, Zuk M, Troshina A, Dzhalilova D, Poteshkina N, Hamitov F, Warita S, Kawasaki M, Tanaka R, Yagasaki H, Minatoguchi S, Wanatabe T, Ono K, Noda T, Wanatabe S, Minatoguchi S, Angelis A, Ageli K, Vlachopoulos C, Felekos I, Ioakimidis N, Aznaouridis K, Vaina S, Abdelrasoul M, Tsiamis E, Stefanadis C, Cameli M, Sparla S, D'ascenzi F, Fineschi M, Favilli R, Pierli C, Henein M, Mondillo S, Lindqvist P, Tossavainen E, Gonzalez M, Soderberg S, Henein M, Holmgren A, Strachinaru M, Catez E, Jousten I, Pavel O, Janssen C, Morissens M, Chatzistamatiou E, Moustakas G, Memo G, Konstantinidis D, Mpampatzeva Vagena I, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Tsai WC, Sun YT, Lee WH, Yang LT, Liu YW, Lee CH, Li WT, Mizariene V, Bieseviciene M, Karaliute R, Verseckaite R, Vaskelyte J, Lesauskaite V, Chatzistamatiou E, Mpampatseva Vagena I, Manakos K, Moustakas G, Konstantinidis D, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Hristova K, Cornelissen G, Singh R, Shiue I, Coisne D, Madjalian AM, Tchepkou C, Raud Raynier P, Degand B, Christiaens L, Baldenhofer G, Spethmann S, Dreger H, Sanad W, Baumann G, Stangl K, Stangl V, Knebel F, Azzaz S, Kacem S, Ouali S, Risos L, Dedobbeleer C, Unger P, Sinem Cakal S, Elif Eroglu E, Baydar O, Beytullah Cakal B, Mehmet Vefik Yazicioglu M, Mustafa Bulut M, Cihan Dundar C, Kursat Tigen K, Birol Ozkan B, Ali Metin Esen A, Tournoux F, Chequer R, Sroussi M, Hyafil F, Rouzet F, Leguludec D, Baum P, Stoebe S, Pfeiffer D, Hagendorff A, Fang F, Lau M, Zhang Q, Luo X, Wang X, Chen L, Yu C, Zaborska B, Smarz K, Makowska E, Kulakowski P, Budaj A, Bengrid TM, Zhao Y, Henein MY, Caminiti G, D'antoni V, Cardaci V, Conti V, Volterrani M, Warita S, Kawasaki M, Yagasaki H, Minatoguchi S, Nagaya M, Ono K, Noda T, Watanabe S, Houle H, Minatoguchi S, Gillebert TC, Chirinos JA, Claessens TC, Raja MW, De Buyzere ML, Segers P, Rietzschel ER, Kim K, Cha J, Chung H, Kim J, Yoon Y, Lee B, Hong B, Rim S, Kwon H, Choi E, Pyankov V, Aljaroudi W, Matta S, Al-Shaar L, Habib R, Gharzuddin W, Arnaout S, Skouri H, Jaber W, Abchee A, Bouzas Mosquera A, Peteiro J, Broullon F, Constanso Conde I, Bescos Galego H, Martinez Ruiz D, Yanez Wonenburger J, Vazquez Rodriguez J, Alvarez Garcia N, Castro Beiras A, Gunyeli E, Oliveira Da Silva C, Shahgaldi K, Manouras A, Winter R, Meimoun P, Abouth S, Martis S, Boulanger J, Elmkies F, Zemir H, Detienne J, Luycx-Bore A, Clerc J, Rodriguez Palomares JF, Gutierrez L, Maldonado G, Garcia G, Galuppo V, Gruosso D, Teixido G, Gonzalez Alujas M, Evangelista A, Garcia Dorado D, Rechcinski T, Wierzbowska-Drabik K, Wejner-Mik P, Szymanska B, Jerczynska H, Lipiec P, Kasprzak J, El-Touny K, El-Fawal S, Loutfi M, El-Sharkawy E, Ashour S, Boniotti C, Carminati M, Fusini L, Andreini D, Pontone G, Pepi M, Caiani E, Oryshchyn N, Kramer B, Hermann S, Liu D, Hu K, Ertl G, Weidemann F, Ancona F, Miyazaki S, Slavich M, Figini F, Latib A, Chieffo A, Montorfano M, Alfieri O, Colombo A, Agricola E, Nogueira M, Branco L, Rosa S, Portugal G, Galrinho A, Abreu J, Cacela D, Patricio L, Fragata J, Cruz Ferreira R, Igual Munoz B, Erdociain Perales M, Maceira Gonzalez A, Estornell Erill Jordi J, Donate Bertolin L, Vazquez Sanchez Alejandro A, Miro Palau Vicente V, Cervera Zamora A, Piquer Gil M, Montero Argudo A, Girgis HYA, Illatopa V, Cordova F, Espinoza D, Ortega J, Khan U, Islam A, Majumder A, Girgis HYA, Bayat F, Naghshbandi E, Naghshbandi E, Samiei N, Samiei N, Malev E, Omelchenko M, Vasina L, Zemtsovsky E, Piatkowski R, Kochanowski J, Budnik M, Scislo P, Opolski G, Kochanowski J, Piatkowski R, Scislo P, Budnik M, Marchel M, Opolski G, Abid L, Ben Kahla S, Abid D, Charfeddine S, Maaloul I, Ben Jmaa M, Kammoun S, Hashimoto G, Suzuki M, Yoshikawa H, Otsuka T, Isekame Y, Yamashita H, Kawase I, Ozaki S, Nakamura M, Sugi K, Benvenuto E, Leggio S, Buccheri S, Bonura S, Deste W, Tamburino C, Monte IP, Gripari P, Fusini L, Muratori M, Tamborini G, Ghulam Ali S, Bottari V, Cefalu' C, Bartorelli A, Agrifoglio M, Pepi M, Zambon E, Iorio A, Di Nora C, Abate E, Lo Giudice F, Di Lenarda A, Agostoni P, Sinagra G, Timoteo AT, Galrinho A, Moura Branco L, Rio P, Aguiar Rosa S, Oliveira M, Silva Cunha P, Leal A, Cruz Ferreira R, Zemanek D, Tomasov P, Belehrad M, Kostalova J, Kara T, Veselka J, Hassanein M, El Tahan S, El Sharkawy E, Shehata H, Yoon Y, Choi H, Seo H, Lee S, Kim H, Youn T, Kim Y, Sohn D, Choi G, Mielczarek M, Huttin O, Voilliot D, Sellal J, Manenti V, Carillo S, Olivier A, Venner C, Juilliere Y, Selton-Suty C, Butz T, Faber L, Brand M, Piper C, Wiemer M, Noelke J, Sasko B, Langer C, Horstkotte D, Trappe H, Maysou L, Tessonnier L, Jacquier A, Serratrice J, Copel C, Stoppa A, Seguier J, Saby L, Verschueren A, Habib G, Petroni R, Bencivenga S, Di Mauro M, Acitelli A, Cicconetti M, Romano S, Petroni A, Penco M, Maceira Gonzalez AM, Cosin-Sales J, Igual B, Sancho-Tello R, Ruvira J, Mayans J, Choi J, Kim S, Almeida A, Azevedo O, Amado J, Picarra B, Lima R, Cruz I, Pereira V, Marques N, Chatzistamatiou E, Konstantinidis D, Manakos K, Mpampatseva Vagena I, Moustakas G, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Cho E, Kim J, Hwang B, Kim D, Jang S, Jeon H, Cho J, Chatzistamatiou E, Konstantinidis D, Memo G, Mpapatzeva Vagena I, Moustakas G, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Jedrzejewska I, Konopka M, Krol W, Swiatowiec A, Dluzniewski M, Braksator W, Sefri Noventi S, Sugiri S, Uddin I, Herminingsih S, Arif Nugroho M, Boedijitno S, Caro Codon J, Blazquez Bermejo Z, Valbuena Lopez SC, Lopez Fernandez T, Rodriguez Fraga O, Torrente Regidor M, Pena Conde L, Moreno Yanguela M, Buno Soto A, Lopez-Sendon JL, Stevanovic A, Dekleva M, Kim M, Kim S, Kim Y, Shim J, Park S, Park S, Kim Y, Shim W, Kozakova M, Muscelli E, Morizzo C, Casolaro A, Paterni M, Palombo C, Bayat F, Nazmdeh M, Naghshbandi E, Nateghi S, Tomaszewski A, Kutarski A, Brzozowski W, Tomaszewski M, Nakano E, Harada T, Takagi Y, Yamada M, Takano M, Furukawa T, Akashi Y, Lindqvist G, Henein M, Backman C, Gustafsson S, Morner S, Marinov R, Hristova K, Geirgiev S, Pechilkov D, Kaneva A, Katova T, Pilosoff V, Pena Pena M, Mesa Rubio D, Ruiz Ortin M, Delgado Ortega M, Romo Penas E, Pardo Gonzalez L, Rodriguez Diego S, Hidalgo Lesmes F, Pan Alvarez-Ossorio M, Suarez De Lezo Cruz-Conde J, Gospodinova M, Sarafov S, Guergelcheva V, Vladimirova L, Tournev I, Denchev S, Mozenska O, Segiet A, Rabczenko D, Kosior D, Gao S, Eliasson M, Polte C, Lagerstrand K, Bech-Hanssen O, Morosin M, Piazza R, Leonelli V, Leiballi E, Pecoraro R, Cinello M, Dell' Angela L, Cassin M, Sinagra G, Nicolosi G, Savu O, Carstea N, Stoica E, Macarie C, Moldovan H, Iliescu V, Chioncel O, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Jansen Klomp WW, Peelen L, Spanjersberg A, Brandon Bravo Bruinsma G, Van 'T Hof A, Laveau F, Hammoudi N, Helft G, Barthelemy O, Michel P, Petroni T, Djebbar M, Boubrit L, Le Feuvre C, Isnard R, Bandera F, Generati G, Pellegrino M, Alfonzetti E, Labate V, Villani S, Gaeta M, Guazzi M, Gabriels C, Lancellotti P, Van De Bruaene A, Voilliot D, De Meester P, Buys R, Delcroix M, Budts W, Cruz I, Stuart B, Caldeira D, Morgado G, Almeida A, Lopes L, Fazendas P, Joao I, Cotrim C, Pereira H, Weissler Snir A, Greenberg G, Shapira Y, Weisenberg D, Monakier D, Nevzorov R, Sagie A, Vaturi M, Bando M, Yamada H, Saijo Y, Takagawa Y, Sawada N, Hotchi J, Hayashi S, Hirata Y, Nishio S, Sata M, Jackson T, Sammut E, Siarkos M, Lee L, Carr-White G, Rajani R, Kapetanakis S, Ciobotaru V, Yagasaki H, Kawasaki M, Tanaka R, Minatoguchi S, Sato N, Amano K, Warita S, Ono K, Noda T, Minatoguchi S, Breithardt OA, Razavi H, Nabutovsky Y, Ryu K, Gaspar T, Kosiuk J, John S, Prinzen F, Hindricks G, Piorkowski C, Nemchyna O, Tovstukha V, Chikovani A, Golikova I, Lutai M, Nemes A, Kalapos A, Domsik P, Lengyel C, Orosz A, Forster T, Nordenfur T, Babic A, Giesecke A, Bulatovic I, Ripsweden J, Samset E, Winter R, Larsson M, Blazquez Bermejo Z, Lopez Fernandez T, Caro Codon J, Valbuena S, Caro Codon J, Mori Junco R, Moreno Yanguela M, Lopez-Sendon J, Pinto-Teixeira P, Branco L, Galrinho A, Oliveira M, Cunha P, Silva T, Rio P, Feliciano J, Nogueira-Silva M, Ferreira R, Shkolnik E, Vasyuk Y, Nesvetov V, Shkolnik L, Varlan G, Bajraktari G, Ronn F, Ibrahimi P, Jashari F, Jensen S, Henein M, Kang MK, Mun HS, Choi S, Cho JR, Han S, Lee N, Cho IJ, Heo R, Chang H, Shin S, Shim C, Hong G, Chung N. Poster session 3: Thursday 4 December 2014, 14:00-18:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
76
|
Guagliumi G, Capodanno D, Saia F, Musumeci G, Tarantini G, Garbo R, Tumminello G, Sirbu V, Coccato M, Fineschi M, Trani C, De Benedictis M, Limbruno U, De Luca L, Niccoli G, Bezerra H, Ladich E, Costa M, Biondi Zoccai G, Virmani R. Mechanisms of Atherothrombosis and Vascular Response to Primary Percutaneous Coronary Intervention in Women Versus Men With Acute Myocardial Infarction. JACC Cardiovasc Interv 2014; 7:958-68. [PMID: 25129664 DOI: 10.1016/j.jcin.2014.05.011] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2014] [Accepted: 05/08/2014] [Indexed: 02/08/2023]
|
77
|
Fineschi M, Guerrieri G, Orphal D, Palmerini E, Münzel T, Warnholtz A, Pierli C, Gori T. The impact of gender on fractional flow reserve measurements. EUROINTERVENTION 2014; 9:360-6. [PMID: 23392525 DOI: 10.4244/eijv9i3a58] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIMS Fractional flow reserve (FFR) allows accurate investigation of the functional significance of intermediate coronary stenoses. The present study set out to study the impact of gender on FFR measurements. METHODS AND RESULTS Three hundred and seventeen intermediate (40-70% at angiography) stenoses were assessed with FFR in 270 patients (mean age 65.8 ± 10.3 years, 84 females). Resting Pd/Pa (the ratio of mean blood pressure measured distal to the stenosis to mean aortic blood pressure in resting conditions), FFR (Pd/Pa during adenosine-induced hyperaemia) and the ΔPd/Pa (calculated as the change in Pd/Pa during hyperaemia) were measured. There was no difference in the location and degree of stenoses between genders (p>0.5). Similarly, there was no difference in age and in the prevalence of cardiovascular risk factors (all p>0.2). Resting Pd/Pa also did not differ between genders (0.92 ± 0.08 vs. 0.93 ± 0.05, p=0.23). In response to adenosine, however, a significantly larger ΔPd/Pa (0.14 ± 0.07 vs. 0.11 ± 0.07, p=0.001) and a significantly lower FFR (0.79 ± 0.12 vs. 0.82 ± 0.10, p=0.008) were observed in males. This difference was maintained in a multivariate regression analysis. CONCLUSIONS We observed gender-based differences in FFR data in daily routine. Further studies are necessary to test the mechanism of this observation and how these differences impact on the assessment of haemodynamically relevant stenoses.
Collapse
Affiliation(s)
- Massimo Fineschi
- Department of Cardiology, University Medical Hospital of Siena, Siena, Italy
| | | | | | | | | | | | | | | |
Collapse
|
78
|
Caiani E, Pellegrini A, Carminati M, Lang R, Auricchio A, Vaida P, Obase K, Sakakura T, Komeda M, Okura H, Yoshida K, Zeppellini R, Noni M, Rigo T, Erente G, Carasi M, Costa A, Ramondo B, Thorell L, Akesson-Lindow T, Shahgaldi K, Germanakis I, Fotaki A, Peppes S, Sifakis S, Parthenakis F, Makrigiannakis A, Richter U, Sveric K, Forkmann M, Wunderlich C, Strasser R, Djikic D, Potpara T, Polovina M, Marcetic Z, Peric V, Ostenfeld E, Werther-Evaldsson A, Engblom H, Ingvarsson A, Roijer A, Meurling C, Holm J, Radegran G, Carlsson M, Tabuchi H, Yamanaka T, Katahira Y, Tanaka M, Kurokawa T, Nakajima H, Ohtsuki S, Saijo Y, Yambe T, D'alto M, Romeo E, Argiento P, D'andrea A, Vanderpool R, Correra A, Sarubbi B, Calabro' R, Russo M, Naeije R, Saha SK, Warsame TA, Caelian AG, Malicse M, Kiotsekoglou A, Omran AS, Sharif D, Sharif-Rasslan A, Shahla C, Khalil A, Rosenschein U, Erturk M, Oner E, Kalkan A, Pusuroglu H, Ozyilmaz S, Akgul O, Aksu H, Akturk F, Celik O, Uslu N, Bandera F, Pellegrino M, Generati G, Donghi V, Alfonzetti E, Guazzi M, Rangel I, Goncalves A, Sousa C, Correia A, Martins E, Silva-Cardoso J, Macedo F, Maciel M, Lee S, Kim W, Yun H, Jung L, Kim E, Ko J, Enescu O, Florescu M, Rimbas R, Cinteza M, Vinereanu D, Kosmala W, Rojek A, Cielecka-Prynda M, Laczmanski L, Mysiak A, Przewlocka-Kosmala M, Liu D, Hu K, Niemann M, Herrmann S, Cikes M, Gaudron P, Knop S, Ertl G, Bijnens B, Weidemann F, Saravi M, Tamadoni A, Jalalian R, Hojati M, Ramezani S, Yildiz A, Inci U, Bilik M, Yuksel M, Oyumlu M, Kayan F, Ozaydogdu N, Aydin M, Akil M, Tekbas E, Shang Q, Zhang Q, Fang F, Wang S, Li R, Lee AP, Yu C, Mornos C, Ionac A, Cozma D, Popescu I, Ionescu G, Dan R, Petrescu L, Sawant A, Srivatsa S, Adhikari P, Mills P, Srivatsa S, Boshchenko A, Vrublevsky A, Karpov R, Trifunovic D, Stankovic S, Vujisic-Tesic B, Petrovic M, Nedeljkovic I, Banovic M, Tesic M, Petrovic M, Dragovic M, Ostojic M, Zencirci E, Esen Zencirci A, Degirmencioglu A, Karakus G, Ekmekci A, Erdem A, Ozden K, Erer H, Akyol A, Eren M, Zamfir D, Tautu O, Onciul S, Marinescu C, Onut R, Comanescu I, Oprescu N, Iancovici S, Dorobantu M, Melao F, Pereira M, Ribeiro V, Oliveira S, Araujo C, Subirana I, Marrugat J, Dias P, Azevedo A, Grillo MT, Piamonti B, Abate E, Porto A, Dell'angela L, Gatti G, Poletti A, Pappalardo A, Sinagra G, Pinto-Teixeira P, Galrinho A, Branco L, Fiarresga A, Sousa L, Cacela D, Portugal G, Rio P, Abreu J, Ferreira R, Fadel B, Abdullah N, Al-Admawi M, Pergola V, Bech-Hanssen O, Di Salvo G, Tigen MK, Pala S, Karaahmet T, Dundar C, Bulut M, Izgi A, Esen AM, Kirma C, Boerlage-Van Dijk K, Yamawaki M, Wiegerinck E, Meregalli P, Bindraban N, Vis M, Koch K, Piek J, Bouma B, Baan J, Mizia M, Sikora-Puz A, Gieszczyk-Strozik K, Lasota B, Chmiel A, Chudek J, Jasinski M, Deja M, Mizia-Stec K, Silva Fazendas Adame PR, Caldeira D, Stuart B, Almeida S, Cruz I, Ferreira A, Lopes L, Joao I, Cotrim C, Pereira H, Unger P, Dedobbeleer C, Stoupel E, Preumont N, Argacha J, Berkenboom G, Van Camp G, Malev E, Reeva S, Vasina L, Pshepiy A, Korshunova A, Timofeev E, Zemtsovsky E, Jorgensen PG, Jensen J, Fritz-Hansen T, Biering-Sorensen T, Jons C, Olsen N, Henri C, Magne J, Dulgheru R, Laaraibi S, Voilliot D, Kou S, Pierard L, Lancellotti P, Tayyareci Y, Dworakowski R, Kogoj P, Reiken J, Kenny C, Maccarthy P, Wendler O, Monaghan M, Song J, Ha T, Jung Y, Seo M, Choi S, Kim Y, Sun B, Kim D, Kang D, Song J, Le Tourneau T, Topilsky Y, Inamo J, Mahoney D, Suri R, Schaff H, Enriquez-Sarano M, Bonaque Gonzalez J, Sanchez Espino A, Merchan Ortega G, Bolivar Herrera N, Ikuta I, Macancela Quinonez J, Munoz Troyano S, Ferrer Lopez R, Gomez Recio M, Dreyfus J, Cimadevilla C, Brochet E, Himbert D, Iung B, Vahanian A, Messika-Zeitoun D, Izumo M, Takeuchi M, Seo Y, Yamashita E, Suzuki K, Ishizu T, Sato K, Aonuma K, Otsuji Y, Akashi Y, Muraru D, Addetia K, Veronesi F, Corsi C, Mor-Avi V, Yamat M, Weinert L, Lang R, Badano L, Minamisawa M, Koyama J, Kozuka A, Motoki H, Izawa A, Tomita T, Miyashita Y, Ikeda U, Florescu C, Niemann M, Liu D, Hu K, Herrmann S, Gaudron P, Scholz F, Stoerk S, Ertl G, Weidemann F, Marchel M, Serafin A, Kochanowski J, Piatkowski R, Madej-Pilarczyk A, Filipiak K, Hausmanowa-Petrusewicz I, Opolski G, Meimoun P, M'barek D, Clerc J, Neikova A, Elmkies F, Tzvetkov B, Luycx-Bore A, Cardoso C, Zemir H, Mansencal N, Arslan M, El Mahmoud R, Pilliere R, Dubourg O, Ikonomidis I, Lambadiari V, Pavlidis G, Koukoulis C, Kousathana F, Varoudi M, Tritakis V, Triantafyllidi H, Dimitriadis G, Lekakis I, Kovacs A, Kosztin A, Solymossy K, Celeng C, Apor A, Faludi M, Berta K, Szeplaki G, Foldes G, Merkely B, Kimura K, Daimon M, Nakajima T, Motoyoshi Y, Komori T, Nakao T, Kawata T, Uno K, Takenaka K, Komuro I, Gabric ID, Vazdar L, Pintaric H, Planinc D, Vinter O, Trbusic M, Bulj N, Nobre Menezes M, Silva Marques J, Magalhaes R, Carvalho V, Costa P, Brito D, Almeida A, Nunes-Diogo A, Davidsen ES, Bergerot C, Ernande L, Barthelet M, Thivolet S, Decker-Bellaton A, Altman M, Thibault H, Moulin P, Derumeaux G, Huttin O, Voilliot D, Frikha Z, Aliot E, Venner C, Juilliere Y, Selton-Suty C, Yamada T, Ooshima M, Hayashi H, Okabe S, Johno H, Murata H, Charalampopoulos A, Tzoulaki I, Howard L, Davies R, Gin-Sing W, Grapsa J, Wilkins M, Gibbs J, Castillo J, Bandeira A, Albuquerque E, Silveira C, Pyankov V, Chuyasova Y, Lichodziejewska B, Goliszek S, Kurnicka K, Dzikowska Diduch O, Kostrubiec M, Krupa M, Grudzka K, Ciurzynski M, Palczewski P, Pruszczyk P, Arana X, Oria G, Onaindia J, Rodriguez I, Velasco S, Cacicedo A, Palomar S, Subinas A, Zumalde J, Laraudogoitia E, Saeed S, Kokorina M, Fromm A, Oeygarden H, Waje-Andreassen U, Gerdts E, Gomez E, Vallejo N, Pedro-Botet L, Mateu L, Nunyez R, Llobera L, Bayes A, Sabria M, Antonini-Canterin F, Mateescu A, La Carrubba S, Vriz O, Di Bello V, Carerj S, Zito C, Ginghina C, Popescu B, Nicolosi G, Mateescu A, La Carrubba S, Vriz O, Di Bello V, Carerj S, Zito C, Ginghina C, Popescu B, Nicolosi G, Antonini-Canterin F, Pudil R, Praus R, Vasatova M, Vojacek J, Palicka V, Hulek P, Pradel S, Mohty D, Damy T, Echahidi N, Lavergne D, Virot P, Aboyans V, Jaccard A, Mateescu A, La Carrubba S, Vriz O, Di Bello V, Carerj S, Zito C, Ginghina C, Popescu B, Nicolosi G, Antonini-Canterin F, Doulaptsis C, Symons R, Matos A, Florian A, Masci P, Dymarkowski S, Janssens S, Bogaert J, Lestuzzi C, Moreo A, Celik S, Lafaras C, Dequanter D, Tomkowski W, De Biasio M, Cervesato E, Massa L, Imazio M, Watanabe N, Kijima Y, Akagi T, Toh N, Oe H, Nakagawa K, Tanabe Y, Ikeda M, Okada K, Ito H, Milanesi O, Biffanti R, Varotto E, Cerutti A, Reffo E, Castaldi B, Maschietto N, Vida V, Padalino M, Stellin G, Bejiqi R, Retkoceri R, Bejiqi H, Retkoceri A, Surdulli S, Massoure P, Cautela J, Roche N, Chenilleau M, Gil J, Fourcade L, Akhundova A, Cincin A, Sunbul M, Sari I, Tigen M, Basaran Y, Suermeci G, Butz T, Schilling I, Sasko B, Liebeton J, Van Bracht M, Tzikas S, Prull M, Wennemann R, Trappe H, Attenhofer Jost CH, Pfyffer M, Scharf C, Seifert B, Faeh-Gunz A, Naegeli B, Candinas R, Medeiros-Domingo A, Wierzbowska-Drabik K, Roszczyk N, Sobczak M, Plewka M, Krecki R, Kasprzak J, Ikonomidis I, Varoudi M, Papadavid E, Theodoropoulos K, Papadakis I, Pavlidis G, Triantafyllidi H, Anastasiou - Nana M, Rigopoulos D, Lekakis J, Tereshina O, Surkova E, Vachev A, Merchan Ortega G, Bonaque Gonzalez J, Sanchez Espino A, Bolivar Herrera N, Bravo Bustos D, Ikuta I, Aguado Martin M, Navarro Garcia F, Ruiz Lopez F, Gomez Recio M, Merchan Ortega G, Bonaque Gonzalez J, Bravo Bustos D, Sanchez Espino A, Bolivar Herrera N, Bonaque Gonzalez J, Navarro Garcia F, Aguado Martin M, Ruiz Lopez M, Gomez Recio M, Eguchi H, Maruo T, Endo K, Nakamura K, Yokota K, Fuku Y, Yamamoto H, Komiya T, Kadota K, Mitsudo K, Nagy AI, Manouras A, Gunyeli E, Shahgaldi K, Winter R, Hoffmann R, Barletta G, Von Bardeleben S, Kasprzak J, Greis C, Vanoverschelde J, Becher H, Hu K, Liu D, Niemann M, Herrmann S, Cikes M, Gaudron P, Knop S, Ertl G, Bijnens B, Weidemann F, Di Salvo G, Al Bulbul Z, Issa Z, Khan A, Faiz A, Rahmatullah S, Fadel B, Siblini G, Al Fayyadh M, Menting ME, Van Den Bosch A, Mcghie J, Cuypers J, Witsenburg M, Van Dalen B, Geleijnse M, Roos-Hesselink J, Olsen F, Jorgensen P, Mogelvang R, Jensen J, Fritz-Hansen T, Bech J, Biering-Sorensen T, Agoston G, Pap R, Saghy L, Forster T, Varga A, Scandura S, Capodanno D, Dipasqua F, Mangiafico S, Caggegi AM, Grasso C, Pistritto AM, Imme' S, Ministeri M, Tamburino C, Cameli M, Lisi M, D'ascenzi F, Cameli P, Losito M, Sparla S, Lunghetti S, Favilli R, Fineschi M, Mondillo S, Ojaghihaghighi Z, Javani B, Haghjoo M, Moladoust H, Shahrzad S, Ghadrdoust B, Altman M, Aussoleil A, Bergerot C, Bonnefoy-Cudraz E, Derumeaux GA, Thibault H, Shkolnik E, Vasyuk Y, Nesvetov V, Shkolnik L, Varlan G, Gronkova N, Kinova E, Borizanova A, Goudev A, Saracoglu E, Ural D, Sahin T, Al N, Cakmak H, Akbulut T, Akay K, Ural E, Mushtaq S, Andreini D, Pontone G, Bertella E, Conte E, Baggiano A, Annoni A, Formenti A, Fiorentini C, Pepi M, Cosgrove C, Carr L, Chao C, Dahiya A, Prasad S, Younger J, Biering-Sorensen T, Christensen L, Krieger D, Mogelvang R, Jensen J, Hojberg S, Host N, Karlsen F, Christensen H, Medressova A, Abikeyeva L, Dzhetybayeva S, Andossova S, Kuatbayev Y, Bekbossynova M, Bekbossynov S, Pya Y, Farsalinos K, Tsiapras D, Kyrzopoulos S, Spyrou A, Stefopoulos C, Romagna G, Tsimopoulou K, Tsakalou M, Voudris V, Cacicedo A, Velasco Del Castillo S, Anton Ladislao A, Aguirre Larracoechea U, Onaindia Gandarias J, Romero Pereiro A, Arana Achaga X, Zugazabeitia Irazabal G, Laraudogoitia Zaldumbide E, Lekuona Goya I, Varela A, Kotsovilis S, Salagianni M, Andreakos V, Davos C, Merchan Ortega G, Bonaque Gonzalez J, Sanchez Espino A, Bolivar Herrera N, Macancela Quinones J, Ikuta I, Ferrer Lopez R, Munoz Troyano S, Bravo Bustos D, Gomez Recio M. Poster session Friday 13 December - PM: 13/12/2013, 14:00-18:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
79
|
Parodi G, La Manna A, Di Vito L, Valgimigli M, Fineschi M, Bellandi B, Niccoli G, Giusti B, Valenti R, Cremonesi A, Biondi-Zoccai G, Prati F. Stent-related defects in patients presenting with stent thrombosis: differences at optical coherence tomography between subacute and late/very late thrombosis in the Mechanism Of Stent Thrombosis (MOST) study. EUROINTERVENTION 2013; 9:936-44. [PMID: 24384290 DOI: 10.4244/eijv9i8a157] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Guido Parodi
- Department of Cardiology, Careggi Hospital, Florence, Italy
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
80
|
Fineschi M, Marzilli M, Huqi A. [The FAME 2 study]. G Ital Cardiol (Rome) 2013; 14:636-40. [PMID: 24121886 DOI: 10.1714/1335.14828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
81
|
Gori T, Damaske A, Muxel S, Radmacher MC, Fasola F, Schaefer S, Fineschi M, Forconi S, Jung F, Münzel T, Parker JD. Endothelial function and hemorheological parameters modulate coronary blood flow in patients without significant coronary artery disease. Clin Hemorheol Microcirc 2013; 52:255-66. [PMID: 22975942 DOI: 10.3233/ch-2012-1603] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Coronary (micro)vascular resistance is regulated by the complex interplay of several factors. Two potentially important determinants include endothelial function and the rheological properties of blood. However, their impact on the control of the coronary resistance vasculature is poorly understood. METHODS The corrected Thrombolysis In Myocardial Infarction frame count (TIMIfc, an index of coronary flow velocity), conduit artery endothelial function, intima-media thickness of the common carotid artery and complete blood counts were measured in 145 patients undergoing elective coronary angiography. Patients with obstructive coronary artery disease or systemic conditions thought to be associated with microvascular disease were excluded from the analysis. RESULTS There was a strong correlation between the TIMIfc measured in the three main coronary artery distributions (R values between 0.71 and 0.85, P < 0.00001). The TIMIfc was higher in males (P < 0.05), but there was no association with traditional risk factors for coronary artery disease (all P > 0.1). There was a correlation between TIMIfc and L-FMC, a parameter of resting endothelial function (R = 0.33, P < 0.0005). TIMIfc also correlated with mean platelet volume (a marker of platelet activation, R = 0.33, P < 0.001), and hematocrit (R = 0.33, P = 0.0002). There was no correlation between TIMIfc and carotid intima-media thickness and the degree of coronary atherosclerosis. Logistic regression analysis showed that L-FMC and hemorheological variables may explain as much as 19% of the variability in TIMIfc. CONCLUSIONS Resting peripheral endothelial function, as well as parameters of platelet function, correlate with coronary TIMIfc. These data emphasize the existence of an association between endothelial function, hemorheological variables and coronary blood flow velocity.
Collapse
Affiliation(s)
- Tommaso Gori
- Department of Cardiology, University Medical Center Mainz, Mainz, Germany.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
82
|
Cannarile P, Padeletti M, Fineschi M, Mondillo S, Pierli C. Platypnoea-orthodeoxia syndrome after an acute ischemic stroke. J Cardiovasc Med (Hagerstown) 2013; 14:603-4. [DOI: 10.2459/jcm.0b013e3283626398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
83
|
Fineschi M, D'Ascenzi F, Sirbu V, Mondillo S, Pierli C. Reply. Echocardiography 2013; 30:738. [DOI: 10.1111/echo.12195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Massimo Fineschi
- Department of Cardiovascular Diseases; Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| | - Flavio D'Ascenzi
- Department of Cardiovascular Diseases; Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| | - Vasile Sirbu
- Department of Cardiovascular Diseases; Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| | - Sergio Mondillo
- Department of Cardiovascular Diseases; Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| | - Carlo Pierli
- Department of Cardiovascular Diseases; Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| |
Collapse
|
84
|
Jabs A, Hink U, Fineschi M, Münzel T, Gori T, Koo BK, Petraco R, Sen S, Nijjer S, Davies JE. How should I treat a patient with typical angina, typical angiography, negative FFR? EUROINTERVENTION 2013; 9:157-61. [PMID: 23685304 DOI: 10.4244/eijv9i1a22] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND A 63-year-old man was referred for cardiac catheterisation for typical angina. At angiography, high-grade stenosis of the first diagonal branch, of the proximal circumflex and of an intermediate branch was found. After treatment of the diagonal branch, fractional flow reserve of the circumflex and intermediate branch was negative, but symptoms persisted. INVESTIGATION Physical examination, laboratory test, stress echocardiography, fractional flow reserve, coronary flow reserve. DIAGNOSIS Complex interaction between epicardial stenosis and microvascular hyporeactivity. MANAGEMENT Stenting.
Collapse
Affiliation(s)
- Alexander Jabs
- Department of Cardiology and Angiology, University Medical Center, Mainz, Germany
| | | | | | | | | | | | | | | | | | | |
Collapse
|
85
|
Fineschi M, Sirbu V, D'Ascenzi F, Carrera A, Barbati R, Mondillo S, Pierli C. Optical coherence tomography evidence of endothelial erosion as a cause of ST-segment elevation myocardial infarction. J Cardiovasc Med (Hagerstown) 2013; 14:393-4. [PMID: 23426423 DOI: 10.2459/jcm.0b013e32835f4e85] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
High-resolution intracoronary imaging provided relevant insights into the field of pathophysiology of acute coronary syndromes (ACS). Human autopsy studies have shown that endothelial erosion may lead to intravascular thrombosis and acute myocardial infarction. We report the case of a 51-year-old woman presenting with ST-segment elevation ACS. In this patient, frequency domain optical coherence tomography (FD-OCT) was performed into the infarct-related artery, showing in-vivo findings suggestive of endothelial erosion, associated with no flow-obstructing luminal thrombus. In this rare case, endothelial erosion, and subsequent thrombosis, in the proximal third of the artery has probably caused embolization and thrombotic occlusion in the mid third. FD-OCT allowed us to obtain a rare in-vivo image of endothelial erosion, providing relevant insights into the setting of ACS.
Collapse
Affiliation(s)
- Massimo Fineschi
- Department of Cardiovascular Diseases, Division of Interventional Cardiology, University Hospital Santa Maria alle Scotte, Siena, Italy
| | | | | | | | | | | | | |
Collapse
|
86
|
Fineschi M, D'Ascenzi F, Sirbu V, Mondillo S, Pierli C. The Role of Optical Coherence Tomography in Clarifying the Mechanisms for Dobutamine Stress Echocardiography-Induced Takotsubo Cardiomyopathy. Echocardiography 2013; 30:E121-4. [DOI: 10.1111/echo.12107] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Massimo Fineschi
- Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| | - Flavio D'Ascenzi
- Department of Cardiovascular Diseases; University of Siena, Siena; Italy
| | - Vasile Sirbu
- Department of Cardiovascular Diseases; University of Siena, Siena; Italy
| | - Sergio Mondillo
- Department of Cardiovascular Diseases; University of Siena, Siena; Italy
| | - Carlo Pierli
- Division of Interventional Cardiology; Santa Maria alle Scotte Hospital; Siena; Italy
| |
Collapse
|
87
|
Faustino A, Paiva L, Providencia R, Barra S, Trigo J, Botelho A, Costa G, Costa M, Leitao-Marques A, Haavisto M, Tarkia M, Stark C, Vahasilta T, Savunen T, Strandberg M, Lepomaki V, Saukko P, Saraste A, Knuuti J, Dieden A, Bech-Hanssen O, Cameli M, Lisi M, D'ascenzi F, Losito M, Sparla S, Righini F, Menci D, Favilli R, Fineschi M, Mondillo S, Eindhoven J, Van Den Bosch A, Cuypers J, Witsenburg M, Boersma E, Roos-Hesselink J, Jalanko M, Jaaskelainen P, Laine M, Nieminen M, Laakso M, Helio T, Kuusisto J, Marchel M, Kochanowski J, Piatkowski R, Serafin A, Madej A, Filipiak K, Hausmanowa-Petrusewicz I, Opolski G, Dipietro E, Di Panzillo EA, Crispo S, Spinelli L, Buccheri S, Leggio S, Monte I, Bottari V, Blundo A, Licciardi S, Tamburino C, Cameli M, Righini F, Lisi M, Galderisi M, Mondillo S, Maksuti E, Widman E, Larsson M, Bjallmark A, Caidahl K, D'hooge J, Michalski B, Szymczyk E, Westfal B, Simiera M, Lipiec P, Kasprzak J, Simova I, Katova T, Haralanov L, Hong S, Lee Y, Lee J, Ryu J, Choi J, Chang S, Kim K, Montoro Lopez M, Gemma D, Lopez Fernandez T, De Celix MGR, Ramirez U, Mesa J, De Torres Alba F, Iniesta Manjavacas A, Moreno Yanguela M, Lopez Sendon J, Acosta Velez J, Rodriguez Palomares J, Gisela Teixido G, Gutierrez L, Gonzalez-Alujas T, Carro A, Moral S, Evangelista A, Garcia-Dorado D, Piazzese C, Sotaquira M, Kronzon I, Lang R, Caiani E. Club 35 Poster Session Thursday 6 December: Intracardiac flows and pressures. Eur Heart J Cardiovasc Imaging 2012. [DOI: 10.1093/ehjci/jes253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
88
|
Bellandi B, Salvadori C, Parodi G, Ebert AG, Petix N, Del Pace S, Boni A, Pestelli F, Fineschi M, Giomi A, Cresti A, Giuliani G, Venditti F, Querceto L, Gensini GF, Bolognese L, Bovenzi F. [Epidemiology of Tako-tsubo cardiomyopathy: the Tuscany Registry for Tako-tsubo Cardiomyopathy ]. G Ital Cardiol (Rome) 2012; 13:59-66. [PMID: 22322473 DOI: 10.1714/1015.11057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Tako-tsubo (stress) cardiomyopathy (TTC) is a recently described acute cardiac syndrome that mimics ST-segment elevation myocardial infarction. The TTC Tuscany Registry is an observational prospective multicenter registry established to define the prevalence, epidemiology and prognosis of TTC in the Tuscany area. METHODS From January 1 to December 31, 2009, 105 consecutive patients hospitalized in the 14 Cardiology Units of the Tuscany Region with a diagnosis of TTC, were enrolled in the registry. TTC diagnosis was made using the Mayo Clinic modified criteria. Clinical, instrumental, laboratory and 6-month follow-up data were collected. Results. TTC represented 1.2% of all myocardial infarctions in the Tuscany Region during 2009, and it was diagnosed in 0.6% of the angiographic exams performed during the same year. The data collected showed that TTC affects mainly the female gender (91%) in the post-menopausal period (70 ± 11 years), though 5% of patients were ≤50 years old. An antecedent stressful event was frequently detected (74%). The main clinical presentation was chest pain (86%), associated with ST-segment elevation (59%). Mean left ventricular ejection fraction on admission was 40 ± 9%, and was associated with apical (37%), midapical (49%) or midventricular (5%) wall motion abnormalities. Left ventricular ejection fraction recovered to 51 ± 9% in 7 ± 9 days. Heart failure was the most common complication in the acute phase (14%), and 4 patients presented with cardiogenic shock. No patient died during the index hospitalization. At 6-month follow-up, no patient had TTC recurrence, 9 patients were rehospitalized (7 for noncardiac disease) and 2 patients died of noncardiac causes. CONCLUSIONS Our data, which represent the largest prospective series of patients with a diagnosis of TTC, show that the prevalence of TTC in Tuscany is similar that described in other national and international studies. Moreover, the data highlight that TTC may occur also in male patients and in patients aged <50 years. The mid-term prognosis is good, but the risk of acute complications related to heart failure cannot be neglected.
Collapse
Affiliation(s)
- Benedetta Bellandi
- Dipartimento di Cardiologia, Azienda Ospedaliera Universitaria Careggi, Firenze.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
89
|
Fineschi M, Gaspardone A. [The Saturn study]. G Ital Cardiol (Rome) 2012; 13:469-473. [PMID: 22781373 DOI: 10.1714/1114.12242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Massimo Fineschi
- U.O.C. di Emodinamica, Azienda Ospedaliera Universitaria Senese, Viale Bracci, 53100 Siena.
| | | |
Collapse
|
90
|
Voltolini L, Rapicetta C, Luzzi L, Paladini P, Ghiribelli C, Scolletta S, Fineschi M, Gotti G. Lung resection for non-small cell lung cancer after prophylactic coronary angioplasty and stenting: short- and long-term results. MINERVA CHIR 2012; 67:77-85. [PMID: 22361679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM Recent studies have reported a high incidence of perioperative in-stent trombosis with myocardial infarction (MI), in patients undergoing non-cardiac surgery, early after coronary angioplasty and stenting. The short and long-term results of surgery for non-small cell lung cancer (NSCLC) after prophylatic coronary angioplasty and stenting were analyzed. METHODS Prospective collected data were examined for postoperative complications and long-term survival in 16 consecutive patients who underwent mayor lung resection for NSCLC after prophylactic coronary angioplasty and stenting for significant coronary artery disease , from 2001 to 2008. One and two non-drug-eluting stents were placed in 75% or (25% of the patient, respectively. All patients had four weeks of dual antiplatelet therapy, that was discontinued 5 days prior to surgery and replaced by low molecular weight heparin. Patients were keep sedated and intubated overnight, according to our protocol. RESULTS There were no postoperative deaths nor MI. A patient experienced pulmonary embolism with moderate troponin release and underwent coronary angiography that showed patency of the stent. Two patients developed postoperative bleeding complications haemothorax requiring a re-thoracotomy in 1, gastric bleeding requiring blood transfusion in 1. At the mean follow-up of 30 months (range 3-95), none of the patients showed evidence of myocardial ischemia, while 5 (31%) patients died, mostly (N.=4) due to distant metastasis. The five-year survival rate was 53%. CONCLUSION In contrast to previous reports, lung resection after prophylactic coronary angioplasty and stenting is a safe and effective treatment for NSCLC and myocardial ischemia. The application of a refined protocol could be the key factor for improved results.
Collapse
|
91
|
Fineschi M, Gori T, Pierli C. “Atypical” assessment of fractional flow reserve for an “atypical” lesion. Int J Cardiol 2011; 151:e96-7. [DOI: 10.1016/j.ijcard.2010.08.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2010] [Accepted: 08/19/2010] [Indexed: 10/19/2022]
|
92
|
Fineschi M, Gori T. Evidence of impaired coronary flow reserve and elevated microvascular resistances in a case of recurrent left apical ballooning. Int J Cardiol 2011; 149:e66-e68. [DOI: 10.1016/j.ijcard.2009.03.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2009] [Accepted: 03/24/2009] [Indexed: 10/20/2022]
|
93
|
Fineschi M, Zacà V, Padeletti M, Gori T, Aitiani P. Transmural myocardial ischaemia complicating recovery after dobutamine-atropine stress echocardiography in patients with non-significant coronary artery disease: insights from invasive assessment of coronary physiology. Eur J Echocardiogr 2011; 12:E34. [PMID: 21606045 DOI: 10.1093/ejechocard/jer061] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
In the proposed selection of cases, traditional imaging is integrated with contemporary diagnostic tools available in the cath-lab to navigate the potential mechanisms underlying a very rare complication occurring in the recovery phase of dobutamine-atropine stress echocardiography. The data, collected in a time frame of nearly 15 years, provide interesting elements to possibly evolve from speculative considerations to plausible confirmation of the candidate pathophysiological mechanism mediating the occurrence of transmural myocardial ischaemia after beta-blockers administration.
Collapse
Affiliation(s)
- Massimo Fineschi
- Division of Cardiology, Cardiovascular and Thoracic Department, Santa Maria alle Scotte Hospital, Siena, Italy.
| | | | | | | | | |
Collapse
|
94
|
Palazzuoli A, Caputo M, Fineschi M, Navarri R, Calabrò A, Cameli M, Campagna MS, Franci B, Pierli C, Nuti R, Maisel A. B-type natriuretic peptide as an independent predictor of coronary disease extension in non-ST elevation coronary syndromes with preserved systolic function. Eur J Prev Cardiol 2011; 19:366-73. [DOI: 10.1177/1741826711406608] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: B-type natriuretic peptide (BNP) has been employed as a risk marker in patients with coronary artery disease (CAD) with ST elevation and non-ST elevation. It is not yet established if early BNP measurements provide additional information to troponin and electrocardiographic analysis in patients without ventricular enlargement and systolic dysfunction. Design: This study compared BNP levels in patients with stable angina (SA) and acute coronary syndromes with non-ST elevation in relation to angiographic lesions (NSTEMI-ACS). Moreover, the diagnostic utility of BNP was determined using the receiver operating characteristic curve. Patients: 280 patients with CAD without ST elevation and preserved systolic function were studied. BNP samples were measured in all recruited patients within 24 hours of hospitalization. Results: BNP values increased progressively with the severity of diagnosis: SA ( n = 85; 50.4 ± 50 pg/ml) NSTEMI-ACS ( n = 195; 283 ± 269 pg/ml; p < 0.0001). The analysis of BNP in relation to the number of involved vessels demonstrated significantly increased levels in patients with multivessel disease compared to patients with 1- or 2-vessel disease ( p < 0.001 and p < 0.003). Values of BNP >80 pg/ml were shown to be able to predict CAD severity and coronary vessel involvement (AUC = 0.80; p = 0.0001) with a sensitivity of 78% and a specificity of 72%. In multivariate analysis, BNP levels >80 pg/ml, CAD history, and ST deviation >2 mm were confirmed as independent predictors of CAD severity. Conclusions: Circulating BNP levels appear elevated in NSTEMI-ACS, without left ventricular systolic dysfunction. A BNP cut-off value of 80 pg/ml is a good predictor of CAD extension.
Collapse
Affiliation(s)
- Alberto Palazzuoli
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Maria Caputo
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | | | - Romina Navarri
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Anna Calabrò
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Matteo Cameli
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Maria Stella Campagna
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Beatrice Franci
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Carlo Pierli
- UO Invasive Cardiology Le Scotte Hospital Siena, Italy
| | - Ranuccio Nuti
- Department of Internal Medicine and Metabolic Disease Cardiology Section, University of Siena, Italy
| | - Alan Maisel
- Cardiac Care Unit and Heart Failure Program, San Diego Veterans Affairs Medical Center, San Diego, California, USA
| |
Collapse
|
95
|
Palazzuoli A, Maisel A, Caputo M, Fineschi M, Quatrini I, Calabrò A, Campagna MS, Franci B, Grothgar S, Pierli C, Nuti R. B-type natriuretic peptide levels predict extent and severity of coronary disease in non-ST elevation coronary syndromes and normal left ventricular systolic function. ACTA ACUST UNITED AC 2011; 167:129-33. [DOI: 10.1016/j.regpep.2010.12.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2010] [Revised: 12/08/2010] [Accepted: 12/27/2010] [Indexed: 11/26/2022]
|
96
|
Muxel S, Fineschi M, Hauser ER, Gori T. Renal dysfunction in syndrome Y. Int J Cardiol 2011; 146:440. [DOI: 10.1016/j.ijcard.2010.10.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2010] [Accepted: 10/23/2010] [Indexed: 10/18/2022]
|
97
|
Damaske A, Muxel S, Fasola F, Radmacher MC, Schaefer S, Jabs A, Orphal D, Wild P, Parker JD, Fineschi M, Munzel T, Forconi S, Gori T. Peripheral hemorheological and vascular correlates of coronary blood flow. Clin Hemorheol Microcirc 2011; 49:261-9. [DOI: 10.3233/ch-2011-1476] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Ana Damaske
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Selina Muxel
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Federica Fasola
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | | | - Sarina Schaefer
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Alexander Jabs
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Dörte Orphal
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Philipp Wild
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - John D. Parker
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Massimo Fineschi
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | - Thomas Munzel
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| | | | - Tommaso Gori
- 2. Medical Clinic and Policlinic, University Medical Center Mainz, Mainz, Germany
| |
Collapse
|
98
|
Guagliumi G, Musumeci G, Pierli C, Fineschi M, Musuraca AC. [Imaging of vulnerable plaque]. G Ital Cardiol (Rome) 2010; 11:16S-21S. [PMID: 21491735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Atherosclerosis is a dynamic degenerative disease, which can suddenly switch from a chronic condition to clinical instability, following a process of plaque rupture and thrombotic formation. Lesions at instability risk are described as "vulnerable plaque", i.e., lesions with a future high probability of becoming an acute event. Present diagnostic and screening methods are inadequate to identify these lesions. Recent ongoing research addresses two modalities: the development of non-invasive imaging techniques for a rapid diagnostic screening of middle-low risk coronary disease, and the implementation of invasive imaging microscopic techniques--involving the coronary wall--which are associated with coronarography. Some techniques (intravascular ultrasound-optical coherence tomography)--recently introduced in the clinical setting--allow in vivo monitoring of the sequence of changes in the plaque. For the first time we have now the possibility of measuring the thickness of the fibrous cap, the presence of neo-vessels and probably the density of macrophages, identifying high-risk plaques. The imaging techniques allow to track the evolution of the atherosclerotic disease (plaque volume, thickness of cap, number of thin cap plaques) assessing its progression and regression and the efficacy of treatments.
Collapse
Affiliation(s)
- Giulio Guagliumi
- Dipartimento Cardiovascolare, Ospedali Riuniti di Bergamo, Bergamo.
| | | | | | | | | |
Collapse
|
99
|
Fineschi M, Zacà V, Gori T, Casini S, Sinicropi G, Pierli C. Long-term outcome after drug-eluting stents implantation: target lesion versus nontarget lesion repeated intervention. Int J Cardiol 2010; 145:322-324. [PMID: 20051300 DOI: 10.1016/j.ijcard.2009.11.049] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2009] [Accepted: 11/29/2009] [Indexed: 11/26/2022]
Abstract
We sought to investigate the relative clinical significance of target and nontarget lesions repeated percutaneous coronary intervention (re-PCI) in patients implanted with drug-eluting stents (DES). Out of 2626 consecutive DES patients, we retrospectively selected 166 (6.3%; 123 males, aged 65±10 years) who had a clinically-driven re-PCI over a mean follow-up of 15 months. Seventy-five patients (45%) underwent the second procedure for disease progression in nontarget lesions (nontarget lesion re-PCI group) while 91 (55%) showed target lesion in-stent restenosis or thrombosis (target lesion re-PCI group), with no significant intergroup difference in the temporal trends of re-PCI. The prevalence of stable coronary artery disease and acute coronary syndromes (ACS) was 22% and 78% in the target lesion re-PCI vs. 81% and 19% in the nontarget lesion re-PCI group (overall p<0.001), respectively. In-stent restenosis accounted for 75% of second procedures in the target lesion re-PCI group and presented as an ACS in 72% of cases. The need for a new PCI in DES patients is relatively low in a real world setting. Stent-related events in the target lesion and progression of disease in nontarget lesions account to a similar extent for re-PCI, although their clinical presentation is strikingly different. The most common presentation of events related to previously treated lesions is an unstable syndrome, which provides support to the concept that also restenosis in a DES should not be considered a clinically benign entity.
Collapse
Affiliation(s)
- Massimo Fineschi
- UOC Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
| | - Valerio Zacà
- UOC Cardiologia Ospedaliera, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - Tommaso Gori
- UOC Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena, Italy; Medizinische Klinik, University of Mainz, Mainz, Germany
| | - Stefano Casini
- UOC Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | | | - Carlo Pierli
- UOC Emodinamica, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| |
Collapse
|
100
|
Abstract
We set out to describe the clinical characteristics of patients presenting with acute or stable coronary syndromes and no stenosis in epicardial coronaries. Although the existence of patients who experience typical angina and who have intact epicardial coronaries is well accepted, the pathophysiology of cardiac ischemia in this setting remains poorly understood. In typical coronary syndrome X, it is believed that at least two components play a role: the first is the incapacity of coronary resistance vessels to adapt to situations of increased blood demand, resulting in demand ischemia; the second is an inappropriate transduction or generation or pain stimuli within the central nervous system. These two mechanisms concur to determine episodes of precordial pain and electrocardiogram (ECG) evidence of ischemia during exercise. In contrast, the coronary slow-flow phenomenon, or syndrome Y, is an angiographic finding that is characterized by delayed progression of the contrast medium during coronary angiography. Although the mechanism of this phenomenon remains largely unknown, it has been proposed that it might depend on the presence of inappropriately high resting coronary resistances, causing reduced blood flow and therefore low-flow ischemia and unstable angina. Importantly, the prognosis of many of the patients presenting with coronary slow-flow does not appear to be favorable, with recurrence of acute coronary syndromes and life-threatening arrhythmias. In the present article, we revise the current evidence regarding these two phenomena, and propose that syndrome Y should be considered a separate clinical entity.
Collapse
Affiliation(s)
- Tommaso Gori
- Department of Cardiology, University Hospital of Mainz, Mainz, Germany.
| | | |
Collapse
|