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Bosch A, Casanova-Batlle E, Constantin I, Rubio C, Ciurana J, Guerra AJ. An Innovative Stereolithography 3D Tubular Method for Ultrathin Polymeric Stent Manufacture: The Effect of Process Parameters. Polymers (Basel) 2023; 15:4298. [PMID: 37959978 PMCID: PMC10650677 DOI: 10.3390/polym15214298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 10/24/2023] [Accepted: 10/30/2023] [Indexed: 11/15/2023] Open
Abstract
In the last decades, researchers have been developing bioresorbable stents (BRS) to overcome the long-term complications of drug-eluting stents (DES). However, BRS technology still presents challenging limitations in terms of manufacturing, materials, or mechanical properties. At this juncture, companies have developed ultrathin DES that may further improve the efficacy and safety profile of traditional DES by reducing the risk of target-lesion and target-vessel failures until BRS are developed. Nonetheless, the metallic platform of ultrathin DES still presents problems related to their cellular response. The use of polymers as a permanent platform in DES has not previously been studied due to the limitations of current manufacturing technologies. In this work, an innovative manufacturing method for polymeric stent production using tubular stereolithography (SLA) technology is proposed both for BRS and for ultrathin polymeric DES. The effects of manufacturing process parameters were studied by modelling the outcomes (stent thickness and strut width) with the key manufacturing variables (exposure, resin volume, and number of layers). Two different laser setups were used to compare the results. Microscopy results proved the merit of this novel tubular SLA process, which was able to obtain stents with 70 μm strut width and thickness in barely 4 min using only 0.2 mL of resin. Differential Scanning Calorimetry (DSC) results showed the stability of the manufacturing method. The results obtained with this innovative technology are promising and overcome the limitations of other previously used and available technologies.
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Affiliation(s)
- Aniol Bosch
- Eurecat, Technology Centre of Catalonia, 08290 Cerdanyola del Vallès, Spain (I.C.); (C.R.)
- Departament of Mechanical Engineering and Industrial Construction, University of Girona, Maria Aurèlia Capmany 61, 17003 Girona, Spain;
| | - Enric Casanova-Batlle
- Departament of Mechanical Engineering and Industrial Construction, University of Girona, Maria Aurèlia Capmany 61, 17003 Girona, Spain;
| | - Iuliana Constantin
- Eurecat, Technology Centre of Catalonia, 08290 Cerdanyola del Vallès, Spain (I.C.); (C.R.)
| | - Carles Rubio
- Eurecat, Technology Centre of Catalonia, 08290 Cerdanyola del Vallès, Spain (I.C.); (C.R.)
| | - Joaquim Ciurana
- Departament of Mechanical Engineering and Industrial Construction, University of Girona, Maria Aurèlia Capmany 61, 17003 Girona, Spain;
| | - Antonio J. Guerra
- Eurecat, Technology Centre of Catalonia, 08290 Cerdanyola del Vallès, Spain (I.C.); (C.R.)
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Carrero M, Constantin I, Masson G, Mezzadra M, Ruano M, Diaz Babio G, Pessio C, De Stefano L, Lopez Rosetti M, San Miguel J, Espinosa E, Stutzbach P. Bicuspid aortic valve: prompt identification of high-risk groups in a heterogeneous disease. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/14/2022] Open
Abstract
Abstract
Background
Bicuspid aortic valve (BAV) is a congenital heart disease that can be associated with aortic and/or valve complications. Although most BAV are predisposed to progressive calcification, little is known on variables related to significant valvular dysfunction. BAV is a heterogeneous disease, therefore it is important to identify high-risk groups for a closer follow- up and timely intervention.
Objective
Identify the main determinants of primary cardiovascular events (aortic valve replacement, aortic surgery and death) in a cohort of adults with BAV.
Methods
We included 325 consecutive patients with non-syndromatic BAV (2010–2019) referred to our hospital (3rd level). Clinical information was prospectively collected. All patients underwent serial echocardiograms and Cardiac CT was available in 125 patients (38%). We performed univariate and multivariate analyses and Kaplan-Meyer survival analysis with log-rank test. A p-value <0.05 was considered significant.
Results
325 patients (44.4±15.3 years, 73% men), right–left coronary cusp fusion (RL) in 79%,and presence of raphe in 77%. 100 patients (31.2%) had significant aortic valve dysfunction and 103 (31.7%) had aortic dialatation (>40mm) at the onset of the follow-up. Twenty-nine patients required cardiac surgery (8.9%, mainly symptomatic severe aortic stenosis with aortic valve replacement)and 3 died (1%) during a follow-up of 6.3±1.2 years. Patients with at least 2 of the following determinants at baseline: aortic valve prolapse, aortic valve calcification >1, age >50 years and/or aorta >45mm had higher risk of major cardiovascular events during follow-up (Chi2 for log rank test=27,229 p=0,000005).
Conclusions
In this study population of young adults with BAV we observed a high incidence of events related to the BAV. Age>50 years, aortic valve calcification, aortic valve prolapse and aortic dilatation were independently associated with primary cardiac events. Despite significant BAV heterogeneity, the identification of risk factors may help to stratify the risk of valvular dysfunction, aortic dilatation and major cardiovascular events.
BAV: Risk factors for cardiac surgery
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- M.C Carrero
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - I Constantin
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - G Masson
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - M Mezzadra
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - M Ruano
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - G Diaz Babio
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - C Pessio
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - L De Stefano
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - M Lopez Rosetti
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - J San Miguel
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - E Espinosa
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - P Stutzbach
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
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Carrero MC, De Stefano L, Constantin I, Masson G, Mezzadra M, Diaz Babio G, Ruano M, Veron F, Vera Janavel G, Stutzbach P. P811 More than aortic measurements: evaluation with TTE and angioCT in bicuspid aortic valve yields useful information about valvular compromise. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/14/2022] Open
Abstract
Abstract
Background
2D transthoracic echocardiogram (TTE) is the technique of choice in the diagnosis of bicuspid aortic valve (BAV). Computed tomography (CT) is widely used in BAV to measure aortic diameters. However, in some cases CT or magnetic resonance (MRI) can add important information to TTE regarding valvular degeneration and morphotype.
We designed the present prospective study to determine the agreement between TTE and gated CT in the assessment of aortic valve morphology, fibrosis, calcification and measurements of thoracic aorta. We also aimed to analyze the utility of CT in the evaluation of BAV patients, in addition to aortic measurements.
Methods
We included 30 consecutive patients with BAV (mean age 45 ± 15.7 years ; 73.3% men) who underwent both TTE and ECG-gated cardiac and aortic CT for valvular and aortic assessment in a follow-up protocol with a time interval between TTE and CT of 4 ± 2.6 months.
We performed measurements of thoracic aorta at 6 levels (annulus, Valsalva sinus: VS, sinotubular junction, ascendent, arch and isthmus) with both techniques following guideline recommendations blinded to the results of the other technique.
Several measurements of VS were performed in short-axis view (double-oblique method) (maximal diameter perpendicular to the valve opening, sinus to sinus, raphe to sinus, commissure to commissure) at systole and diastole with CT.
Valve phenotype, presence of raphe, calcification scoring, aortic valve prolapse and fibrosis were also determined with both techniques and maximum aortic diameters were compared. An indexed aortic diameter > 21 mm/m2 was considered as aortic dilation and assimetryc root was defined when differences between CT measurements were ≥5mm.
Results
In 7 patients (23.3%) aortic diameter differences at Sinus by TTE and CT were ≥3mm. Concerning ascending aorta measurements, there was better agreement and only 2 cases (6.6%) showed differences ≥ 3mm.
In 2 patients with severe calcification valve morphology was identified only with CT. There was good agreement between TTE and CT in calcium quantification in patients with valvular calcium score over 2000 AU (n = 5) and in those without calcification. However, TTE failed in identification of valvular fibrosis in 5 patients.
10 patients (30%) had aortic dilatation with CT and 7 according to TTE measurements. The 3 patients that were not identified as dilated in TTE had dilatation at the distal tubular portion.
CT led to identification of coronary anomalies in 5 patients (16.7%), most of them anomalous high origin above the sinotubular junction.
Conclusions
Although TTE is the gold-standard in the diagnosis and follow-up of patients with BAV, CT was useful to confirm aortic measurements and to identify valvular fibrosis, assimetry, coronary anomalies and dilatation at the tubular portion. CT can add important information to TTE regarding valvular morphotype and aortic measurements, although radiation and cost should be evaluated.
Abstract P811 Figure. Calcification agreement TTE and CT
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Affiliation(s)
- M C Carrero
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - L De Stefano
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - I Constantin
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - G Masson
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - M Mezzadra
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - G Diaz Babio
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - M Ruano
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - F Veron
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - G Vera Janavel
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
| | - P Stutzbach
- Cardiovascular Institute of San Isidro (ICSI), Buenos Aires, Argentina
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Rosinvil T, Bellavance A, Constantin I, Rolland-Dery M, Postuma R, Carrier J, Gagnon JF. The impact of subjective excessive daytime sleepiness on cognition in parkinson disease. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.915] [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: 10/25/2022]
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Carrero C, Constantin I, Benger J, Makhoul S, Baratta S, Cintora F, Lopez MC, Toldo C, Forte E, Recalde L, Ayon M, Schiavone L, Manganiello CF, Asch FM, Bagnati R. P2788First argentine national registry of echocardiograpphic aortic dimensions: body surface area, age and ethnicity are determinants of aortic dimensions. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.1103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/13/2022] Open
Abstract
Abstract
Background
Transthoracic echocardiography (TTE) remains the screening tool of choice for thoracic aorta (TA) dilatation. Differences in TA diameters (TAD) according to gender (G), age (A) and body surface area (BSA) have been previously reported. However, these reports are limited by a small sample size, different measurement sites or heterogeneous cohorts. There is scarce data on the influence of ethnicitiy on TAD. Moreover, surgery indication for TA aneurysms is still based mainly on absolute TAD with no reference to G, A or BSA.
Purpose
We designed a prospective nationwide multicenter registry to determine the normal range of TAD at all TA segments in healthy adults of both G and their correlations with A, ethnicity and BSA.
Methods
Healthy adult individuals without cardiovascular risk factors, TA aneurysm, aortic valve disease, cardiac surgery or genetic aortopathies were recruited from 53 centers in Argentina. TTEs were acquired and measured following standard protocols based on EACVI/ASE Guidelines. TAD were measured at six levels: annulus, sinuses of Valsalva, sinotubular junction, tubular ascending aorta, aortic arch and proximal descending aorta. Annulus was measured at mid-systole (inner to inner edge method) and all other at end-diastole (leading to leading edge).
Multiple linear regression models were conducted to obtain coefficients of determination (R2) and 95% prediction intervals. We defined upper normal limits (95th percentile) for 4 age categories, both G and analyzed differences according to ethnicity.
Results
The MATEAR registry included 905 healthy adult patients (mean age: 38.3±13 years, 508 women, BSA: 1.8±0.2 m2). 529 (58.4%) were caucasian and 332 (36.6%) native-american, representative of the ethnic composition of Argentine population.
Pooled data showed a positive correlation between all TAD and A or BSA (p<0.001), similar in both G. Women had smaller absolute TAD due to their lower BSA. Nomograms were obtained for 4 age categories to predict TAD from BSA with no need of G distinction. Native americans showed significatly lower absolute and indexed TAD than caucasian (p<0.01) from annulus to isthmus.
TAD differences according to ethnicity
Conclusions
While age and BSA were significant determinants of aortic dimensions at six levels, we have also detected differences in TAD according to ethnicity, suggesting normative values should also be defined for each ethnic group. We propose nomograms of indexed TAD for different age and ethnic groups without G distinction.
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Affiliation(s)
- C Carrero
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - I Constantin
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - J Benger
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - S Makhoul
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - S Baratta
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - F Cintora
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - M C Lopez
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - C Toldo
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - E Forte
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - L Recalde
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - M Ayon
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - L Schiavone
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - C F Manganiello
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
| | - F M Asch
- Medstar Research Institute, Washington, United States of America
| | - R Bagnati
- ARGENTINE SOCIETY OF CARDIOLOGY, SAC, BUENOS AIRES, Argentina
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Diaz Babio G, Vera Janavel G, Carrero C, Garcia Botta T, Masson Juarez G, Mezzadra M, Constantin I, Viguie S, Stutzbach P. 6124Aorta and sports. the silent threat. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/12/2022] Open
Abstract
Abstract
Background
Thoracic aorta is the less known component of the athlete's heart and current publications shown that may be larger in athletes. It is known that high static training and body collision sports could increase the risk of sudden death, especially in patients with aortic disease (AD). Large scale traditional screening detects underlying cardiovascular diseases which may cause sudden cardiac death (SCD), however AD might be subdiagnosed.
OBJECTIVE
To describe AD burden on preparticipation screening and to assess diagnostic precision of traditional screening for AD detection in trained athletes.
Methods
Different sports athletes were recruited to follow current European guidelines (clinical history and cardiac examination, including resting 12-lead ECG) for preparticipation screening program (PSP). Bidimensional transthoracic echocardiography (TTE) was performed in all patients to detect AD: bicuspid aortic valve (BAV), thoracic aorta dilatation by Z score (TAD) and BAV plus TAD (BAD). Athletes were excluded from competition following international criteria. Sensitivity (Sn) and specificity (Sp) were calculated with 95% Clopper-Pearson confidence intervals and results are expressed as percentajes. McNemar paired chi-square test for one sample of individuals was used to compare diagnostic precision (Sn, Sp) of PSP vs gold standard: complete assessment (for sport exclusion, SpE) or TTE (for AD or BAD detection). Significance was set at p<0.05
Results
Included population (n=1123) was 22.3±6.2 y-o and 222 (19.8%) female. Five athletes (0.44% of total) were excluded from competition due to different causes. AD was found on 11 athletes (0.98%) and 4 of them had BAD (0.36%), a high risk condition with poor prognosis. Three patients with BAD were competitive cyclists and close follow up was indicated. The remaining patient with BAD was a rugby player and was excluded from competition (one out of 5 excluded patients, 20%). Diagnostic precision of PSP was better for SpE than for AD or BAD diagnosis. PSP tended to have less Sn for AD [36.4 (10.9–69.2)] and BAD [25 (0.6–80.6)] detection, than for SpE [80 (28.4–99.5); p=NS]. PSP had significant less Sp for AD [91.1 (89.3–92.7)] and BAD [90.9 (89–92.5)] diagnosis, than for SpE [97.2 (96.1–98.1); p<0.05].
Conclusions
AD is subdiagnosed by current PSP and its burden may be overlooked. Despite BAD is less frequent, its finding is determinant in a significant proportion of cases to decide exclusion from competitive (high static or body collision) sports. Although PSP has good sensitivity to detect potential pathologies of SCD, AD cannot be ruled out only by normal ECG and clinical examination. Diagnostic precision of PSP for AD and BAD detection could be enhanced by TTE screening, new studies with a larger number of athletes may answer the question.
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Affiliation(s)
- G Diaz Babio
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Vera Janavel
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - C Carrero
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - T Garcia Botta
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Masson Juarez
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - M Mezzadra
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - I Constantin
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - S Viguie
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - P Stutzbach
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
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Carrero C, Masson Juarez G, Diaz Babio GR, Ruano M, Constantin I, Altamirano C, San Miguel J, De Stefano L, Vera Janavel G, Stutzbach P. P721Bicuspid aortic valve and aorthopathy: two sides of the same coin? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p721] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- C Carrero
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Masson Juarez
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G R Diaz Babio
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - M Ruano
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - I Constantin
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - C Altamirano
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - J San Miguel
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - L De Stefano
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Vera Janavel
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
| | - P Stutzbach
- Cardiovascular Institute of San Isidro (ICSI). Sanatorio Las Lomas, Buenos Aires, Argentina
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Diaz Babio G, Constantin I, Masson Juarez G, Carrero C, Garcia Botta T, Mezzadra M, Vera Janavel G, Stutzbach P. P662Great training, greater left atrium. when does the risk begin? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p662] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Diaz Babio
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - I Constantin
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Masson Juarez
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - C Carrero
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - T Garcia Botta
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - M Mezzadra
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - G Vera Janavel
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
| | - P Stutzbach
- Cardiovascular Institute of San Isidro-Sanatorio Las Lomas, Buenos Aires, Argentina
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Brand M, Stefanidis A, Morbach C, Fan YT, Elremisy DRA, Kuznetsov VA, Carrero C, Almodares Q, Abdulrahim H, Galli E, Galli E, Moreno J, Lerena Saenz P, Ikonomidis I, Galuszka OM, Bonapace S, Clerc OF, Kuznetsov VA, Tadic S, Kataoka A, Abdul Rahman E, Calin A, Antonini-Canterin F, Schwartzenberg SS, Christ M, Roeing J, Amirie S, Grett M, Beko M, Breker I, Wennemann R, Trappe HJ, Lagoudakou S, Vintzilaios K, Mokadem N, Vlachou J, Komatanou E, Korlou P, Kakkavas A, Komninos K, Kranidis A, Gelbrich G, Simon J, Cramer M, Knobeloch F, Tiffe T, Wagner M, Heuschmann PU, Stoerk S, Yang D, Wang X, Chan AK, Cheung SH, Lee AP, Salim FF, Bakhoum SW, Ashour ZA, Soldatova AM, Krinochkin DV, Enina TN, Altamirano C, Pipkin M, Constantin I, Fava A, Diaz Babio G, Masson Juarez G, San Miguel J, Vera Janavel G, Stutzbach P, Wallentin Guron C, Thurin A, Fu M, Kontogeorgos S, Thunstrom E, Johansson MC, Da Silva C, Venkateshvaran A, Nagy AI, Lund LH, Manouras A, Leclercq C, Fournet M, Bernard A, Mabo P, Samset E, Hernandez A, Donal E, Leclercq C, Fournet M, Bernard A, Mabo P, Samset E, Hernandez A, Donal E, Martinez Lugo CML, Zuniga Sedano JZD, Alexanderson EAR, Camilletti JC, Ahmed Abdelrahman M, Raslan H, Ruisanchez Villar C, Cuesta Cosgalla JM, Zarauza Navarro J, Veiga Fernandez G, Rifaie O, Omar AMS, Vlastos D, Frogoudaki A, Vrettou AR, Vlachos S, Varoudi M, Triantafyllidi H, Parissis J, Tsivgoulis G, Lekakis J, Steffens D, Friebel J, Rauch-Krohnert U, Landmesser U, Kasner M, Adamo E, Valbusa F, Ciccio' C, Rossi A, Lanzoni L, Chiampan A, Cecchetto A, Canali G, Barbieri E, Fuchs TA, Stehli J, Benz DC, Graeni C, Buechel RR, Kaufmann PA, Gaemperli O, Yaroslavskaya EI, Krinochkin DV, Kolunin GV, Gorbatenko EA, Dyachkov SM, Jung R, Ilic A, Stojsic-Milosavljevic A, Dejanovic J, Stefanovic M, Stojsic S, Sladojevic M, Watanabe Y, Kozuma K, Yamamoto M, Takagi K, Araki M, Tada N, Shirai S, Tamanaka F, Hayashida K, Ewe SH, Fadzil MA, Najme Khir R, Ismail JR, Lim CW, Chua N, Ibrahim ZO, Kasim SS, Ding ZP, Mateescu AD, Beladan CC, Rosca M, Enache R, Calin C, Cosei I, Botezatu S, Simion M, Ginghina C, Popescu BA, Di Nora C, Poli S, Vriz O, Zito C, Carerj S, Pavan D, Vaturi M, Kazum S, Monakier D, Sagie A, Kornowski R, Shapira Y. Poster Session 2The imaging examination and quality assessmentP520Benefit of early basic transthoracic echocardiography (TTE) in emergency patients performed by physicians with low to intermediate TTE experienceP521Appropriateness criteria in echocardiography. A contemporary necessity in clinical practiceP522Interobserver variability in 2d transthoracic echocardiography impact of scanning and reading on total variability results from the STAAB cohort study quality controlP5233D printing for personalised planning of catheter-based left atrial appendage occlusionP524Central obesity: an independent role or synergistic effect to metabolic syndrome on right atrial structure?P525Dynamics of left ventricular volumes and mortality in patients with early and late effect of cardiac resynchronization therapyP526Variability of thoracic aortic diameters according to gender, age and body surface area. Time to forget absolute cut-off values?P527The association of left ventricular outflow tract velocity time integral to all-cause mortality in elderly patients with heart failureP528Left ventricular myocardial performance and atrioventricular coupling in patients with primary arterial hypertensionP529Interest of a combinatory approach based on traditional left ventricular dyssynchrony parameters and cardiac work estimated by pressure-strain loop curves for the prediction of cardiac resynchronizatP530The evaluation of cardiac performance by pressure-strain loops: a useful tool for the identification of cardiac resynchronization therapy respondersP531Left ventricle cardiac function by 2D-speckle tracking echocardiography in diabetes mellitus population: sub-clinical systolic disfunction studyP532Biphasic tissue doppler mitral annular isovolumic contraction velocities are associated with left ventricular function, isovolumic relaxation, and pulmonary wedge pressure in heart failure patientsP533Abnormal left atrial volumes and strains are associated with increased arterial stiffnes in patients with cryptogenic stroke: a novel pathophysiological pathP534Detection of coronary microvascular disease using two-dimensional speckle-tracking echocardiographyP535Predictive value of a bi-dimensional transthoracic echocardiographic sign of " binary image" to identify the anomalous origin of the left circumflex coronary artery from the right coronary sinusP536Systematic review and meta-analysis of screening for coronary artery disease in asymptomatic diabetic patientsP537Noninvasive screening test for diagnosis of nonobstructive coronary artery disease using echocardiographic criteriaP538Early echocardiography after primary angioplasty, important role in predicting left ventricular remodelingP539Prognostic impact of low-flow severe aortic stenosis in Japanese patients undergoing transcatheter aortic valve implantation: the ocean-tavi registryP540Left ventricular outflow tract geometry and its impact on aortic valve area calculations in aortic stenosis using 3D transoesophageal echocardiography and 2D transthoracic echocardiographyP541Impaired left atrial myocardial deformation predicts postoperative atrial fibrillation after aortic valve replacement in patients with aortic stenosisP542Ejection fraction-velocity ratio in predicting symptoms in severe aortic stenosisP543Incremental value of transesophageal echocardiography in conjunction with transthoracic echocardiography in the assessment of aortic stenosis severity. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew248] [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: 11/12/2022] Open
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Eniu D, Nistor-Ciurba C, Rancea A, Ciuce C, Gheorghiu D, Hica I, Constantin I, Hopulele I, Achimas P, Lazar L. 178 POSTER Reconstruction with flaps in the cancer patient; 12 Years Experience in the “Ion Kiricuta” Oncologic Institute, Romania. Eur J Surg Oncol 2006. [DOI: 10.1016/s0748-7983(06)70613-8] [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: 10/23/2022] Open
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Eniu D, Nistor-Ciurba C, Rancea A, Martin A, Hica I, Constantin I, Blag D, Hogea G. 326 POSTER Total breast reconstruction with myo-cutaneous flaps in the “Ion Kiricuta” Oncologic Institute, Romania. Eur J Surg Oncol 2006. [DOI: 10.1016/s0748-7983(06)70761-2] [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: 10/23/2022] Open
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Bârleanu L, Constantin I, Jalobceastăi D, Lungeanu V. [The health status and bucco-dental pathology in the elderly]. Rev Med Chir Soc Med Nat Iasi 1990; 94:375-8. [PMID: 2100854] [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: 12/30/2022]
Abstract
By analysing in 2,769 patients the relation between bucco-dental pathology and age, it was noticed that the frequency of odontic affections decreases and that of chronic marginal periodontopathies increases with age. In the elderly, a tendency towards delaying the treatment of pulp inflammations and a very high percentage of extractions performed in the chronic marginal periodontopathies (81.8%) were noticed. The bucco-dental state of health was determined in 75 old-aged over 60 years, the ICORA and CPITN indices being used. Of these individuals, 93.3% presented various edentate forms, half without prosthetic appliance. Various degrees of pathological changes in the marginal periodontium were recorded in 92.3%, being more severe in women and individuals from rural areas.
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Affiliation(s)
- L Bârleanu
- Disciplina policlinică stomatologică, Institutul de Medicină şi Farmacie Iaşi
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Bârlcanu L, Ichim I, Adam C, Constantin I, Airinei P. [Aspects of professional hygiene in dental technical laboratories]. Stomatologie 1990; 37:53-60. [PMID: 2101266] [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: 12/30/2022]
Abstract
Investigations on hygiene and sanitary conditions in a laboratory for dental techniques consisted in physico-chemical determinations on microclimate (temperature, humidity, air currents), determination of dust particles (suspended and sedimented), determination of gases (CO, CO2, NO2, NH3, SO4(2-), chloride ions), and determination of microelements (Fe, Cu, Zn, Ni, Cd). In certain conditions the concentrations for dust, NO2, NH3, SO2(4-), chlorine and Cu were above the maximal accepted levels. Measures should be taken for the prevention and for the elimination of these noxious factors by implementing optimal hygienic conditions (heat, humidity, ventilation), by reducing gas emanations, by using protections equipment (mask, eyeglasses, gloves), and by periodic controls of the health status of dental technicians.
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Constantin I, Serban F, Cringu A, Constantin LV. [Adjuvant therapy for support of an endodontic therapy. 1: Experimental bases]. Stomatol DDR 1988; 38:510-3. [PMID: 3267198] [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: 01/05/2023]
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Bârleanu L, Neagoe G, Constantin I, Ilarion A, Gumeni N. [Buccodental lesions in patients with diabetes mellitus]. Rev Med Chir Soc Med Nat Iasi 1988; 92:351-4. [PMID: 3187244] [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: 01/04/2023]
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Constantin I, Stratone A. [Cerebral bioelectric effects of pulpitis. 2. Clinical course]. Stomatol DDR 1988; 38:14-8. [PMID: 3164926] [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: 01/04/2023]
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Avram G, Bârleanu L, Pavlov E, Cura E, Constantin I, Zavate O. [Investigations of certain affections of the buccal mucosa, of enteroviral origin]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Stomatol 1987; 34:115-20. [PMID: 2854902] [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: 01/02/2023]
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Bârleanu L, Constantin I, Ivan A. [Incidence of tooth extractions within the framework of ambulatory emergency care]. Rev Med Chir Soc Med Nat Iasi 1986; 90:711-4. [PMID: 3602732] [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: 01/06/2023]
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Constantin I, Stratone A, Hietsch E. [Cerebral bioelectric effects in dental pulp disease. 1: Experimental basis]. Stomatol DDR 1986; 36:485-90. [PMID: 3467484] [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: 01/05/2023]
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Constantin I. [Elephantiasis of the lower lip caused by chronic granulating periapical osteitis. An interesting case]. Stomatol DDR 1985; 35:719-21. [PMID: 3870067] [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: 01/07/2023]
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Constantin I, Ivan A, Neagoe G, Dănilă I, Panfil A. [The incidence of dental pulp diseases in relation to influenza epidemics]. Rev Med Chir Soc Med Nat Iasi 1983; 87:269-72. [PMID: 6675136] [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: 01/21/2023]
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Ungureanu A, Bârleanu L, Constantin I, Gumeni N, Hurjui E, Ivan A. [Risk of viral hepatitis in the medical and health personnel in the field of dentistry]. Rev Med Chir Soc Med Nat Iasi 1982; 86:467-9. [PMID: 7170496] [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: 01/23/2023]
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Severineanu V, Hary M, Buna G, Lungu M, Constantin I. [Stomatological problems in the Christ-Siemens syndrome]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Stomatol 1978; 25:249-56. [PMID: 154131] [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: 12/13/2022]
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Constantin I. [Bilateral synalgias]. Stomatol DDR 1978; 28:631-4. [PMID: 282699] [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: 12/14/2022]
Abstract
Total pulpitis leads in most cases to unilateral synalgia. Bilateral synalgiae are considerably rarer, but theoretically possible, in which pain radiates to the non-affected half of the jaw or face. Case reports illustrate the symptomatology, cause and therapy.
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Constantin I. [Clinical value of results on pulp microcirculation using radioactive isotopes]. Rev Odontostomatol (Paris) 1977; 6:197-9. [PMID: 269469] [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: 12/14/2022]
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Constantin I, Severineanu V, Constantin LV. [Pulpal-periodontal diseases, endodontic therapy and influenza epidemics]. Stomatol DDR 1977; 27:21-5. [PMID: 266299] [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: 12/14/2022]
Abstract
Due to the lowered resistance of the organism, acute pulpitic manifestations without discoverable external cause or exacerbation of chronic periapical processes may occur in the cours of influenza infections. Suggestions for therapy are given on the basic of some case resports.
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Constantin I, Severineanu V, Tudose N. [Preservation of pulp vitality by means of biological therapy]. Rev Odontostomatol (Paris) 1975; 4:409-14. [PMID: 1061972] [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: 12/25/2022]
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Severineanu V, Constantin I, Răfan D. [Thermometric studies of the dental pulp in pulp diseases]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Stomatol 1975; 22:91-6. [PMID: 127323] [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: 12/13/2022]
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Constantin I. [Study of dental pulp microcirculation in man, using radioisotopes]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Stomatol 1975; 22:97-104. [PMID: 127324] [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: 12/13/2022]
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Constantin I, Tudose N, Deutsch G. [A new method of studying pulp microcirculation in man using radioactive isotopes]. Rev Odontostomatol (Paris) 1974; 3:485-90. [PMID: 4533544] [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: 01/11/2023]
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Constantin I, Severineanu V, Nicolaevici M. [Hematological studies in dental pulp diseases]. Stomatologia (Bucur) 1974; 21:247-54. [PMID: 4525109] [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: 01/11/2023]
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Constantin I, Severineanu V, Frăsinel N, Nussbaum R, Colesnic A. [Bacteriological studies in diseases of the vital dental pulp]. Stomatologia (Bucur) 1973; 20:503-9. [PMID: 4520672] [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: 01/11/2023]
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Severineanu V, Frăsinel N, Marcu V, Colesnic A, Constantin I. [Bacteriologcal study of the dental plaque and gingival pouches]. Stomatologia (Bucur) 1971; 18:503-11. [PMID: 5290210] [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: 01/14/2023]
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Haimovici A, Patraş E, Vătăman R, Constantin I, Hremiuc M, Marin G, Năstase A, Lăcătuşu S. [Dental and periodontal lesions and pregnancy]. Rev Med Chir Soc Med Nat Iasi 1971; 75:643-8. [PMID: 5315507] [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: 01/14/2023]
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Haimovici A, Hremiuc M, Vătăman R, Constantin I, Năstase A, Marin G, Costan R. [Dental and periodontal changes under the influence of lead]. Rev Med Chir Soc Med Nat Iasi 1970; 74:371-6. [PMID: 5447564] [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: 01/15/2023]
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Haimovici A, Constantin I, Feodorov D. [Considerations on 2 cases of buccal zona]. Rev Med Chir Soc Med Nat Iasi 1969; 73:459-62. [PMID: 5306557] [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: 01/14/2023]
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Gavrilescu N, Teculescu D, Stănescu D, Constantin I. Pulmonary mechanics in young healthy men normal values for some less frequently used parameters. Int Z Angew Physiol 1967; 24:194-207. [PMID: 5593531 DOI: 10.1007/bf00693907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Haimovici A, Constantin I, Năstase A, Vătăman R. [Aspects of pain after radicular treatment]. Stomatologia (Bucur) 1967; 14:361-6. [PMID: 5244535] [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: 01/14/2023]
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