|
1
|
Benetos G, Vakka A, Kalogera V, Solomou E, Nikolopoulou L, Katsi V, Drakopoulou M, Tsioufis C, Toutouzas K. Multimodality imaging approach in a case of vascular toxicity caused by cabozantinib. Radiol Case Rep 2024; 19:62-65. [PMID: 37920691 PMCID: PMC10618221 DOI: 10.1016/j.radcr.2023.09.062] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 09/09/2023] [Accepted: 09/20/2023] [Indexed: 11/04/2023] Open
Abstract
Vascular toxicity caused by cancer treatment can present as vasospasm, arterial thrombosis, and accelerated atherosclerosis. We report a case of a 60-year-old man with metastatic renal cell carcinoma under cabozantinib treatment for 3 years who presented to the hospital with relapsing episodes of rest angina. Due to the presence of ST depression in the 12-lead electrocardiogram and elevated troponin, a non-ST-segment elevation myocardial infarction was suspected. The patient underwent invasive coronary angiography, which revealed extended coronary artery spasm, and it subsided totally after nitrate administration. One year later, the patient presented again at the cardio-oncology outpatient clinic, reporting relapsing episodes of angina during the previous month. Coronary computed tomography angiography was performed, and it revealed 2 subsequent 70%-99% stenosis in OM1. To our knowledge, this is the first case of a patient treated with cabozantinib presenting with coronary artery spasm and accelerated atherosclerosis, in which a multimodality imaging approach was followed.
Collapse
Affiliation(s)
- Georgios Benetos
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
- Cardiac CT Department, Lefkos Stavros Clinic, Athens, Greece
| | - Angeliki Vakka
- Third Department of Internal Medicine, General Hospital of Nikaia, Piraeus, Greece
| | - Vasiliki Kalogera
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Eirini Solomou
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Lefki Nikolopoulou
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Vasiliki Katsi
- Cardiology Department, Hippokration Hospital, Athens, Greece
| | - Maria Drakopoulou
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Constantinos Tsioufis
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Konstantinos Toutouzas
- First Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece
| |
Collapse
|
|
2
|
Konstantinidis D, Tsioufis C, Dimitriadis K, Kasiakogias A, Galanakos S, Iliakis P, Nikolopoulou L, Liatakis I, Aragiannis D, Kyriazopoulos K, Andrikou E, Koutra E, Tousoulis D. P4479Isolated systolic hypertension and combined systolic-diastolic hypertension for prediction of new-onset diabetes mellitus: Data from a 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4479] [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)
- D Konstantinidis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Tsioufis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Dimitriadis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - A Kasiakogias
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - S Galanakos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - P Iliakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - L Nikolopoulou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Liatakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Aragiannis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Andrikou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Koutra
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| |
Collapse
|
|
3
|
Dimitriadis K, Tsioufis C, Kasiakogias A, Konstantinidis D, Iliakis P, Michas C, Kyriazopoulos K, Kyriazopoulos I, Liatakis I, Philippou C, Koutra E, Annousis G, Mantzouranis M, Nikolopoulou L, Tousoulis D. P5131Comparison of established risk scores for prediction of coronary artery disease and stroke in essential hypertension: data from a Greek 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5131] [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)
- K Dimitriadis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Tsioufis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - A Kasiakogias
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Konstantinidis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - P Iliakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Michas
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Liatakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Philippou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Koutra
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - G Annousis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - M Mantzouranis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - L Nikolopoulou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| |
Collapse
|
|
4
|
Tsioufis KP, Dimitriadis K, Koutra E, Kalos T, Fragoulis C, Nikolopoulou L, Konstantinidis D, Koumelli A, Konstantinou K, Karapati I, Tousoulis D. EFFECTS OF IVABRADINE ON SYMPATHETIC OVERDRIVE AND ARTERIAL STIFFENING IN HYPERTENSIVE PATIENTS WITH METABOLIC SYNDROME: A 6 MONTH FOLLOW-UP STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32348-9] [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] [Indexed: 11/28/2022]
|
|
5
|
Dimitriadis K, Tsioufis K, Kasiakogias A, Kalos T, Liatakis G, Nikolopoulou L, Koutra E, Konstantinidis D, Andrikou E, Tousoulis D. [PP.08.13] EFFECTS OF MULTIELECTRODE RENAL DENERVATION ON SYMPATHETIC NERVE ACTIVITY AND INSULIN RESISTANCE IN METABOLIC SYNDROME. J Hypertens 2017. [DOI: 10.1097/01.hjh.0000523393.11969.f7] [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: 11/25/2022]
|
|
6
|
Polytarchou K, Varvarousis D, Pantziou C, Psachoulia C, Poulidakis E, Oikonomou D, Feredinos G, Manousiadis K, Nikolopoulou L, Christodoulis N, Stalikas D, Sakellaris N, Kappos K, Ioannidou S, Manolis A. P5303Methylmalonic acid in patients with heart failure. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5303] [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: 11/12/2022] Open
|
|
7
|
Tsioufis KP, Ziakas A, Dimitriadis K, Davlouros P, Marketou M, Kasiakogias A, Kordalis A, Nikolopoulou L, Thomopoulos C, Petroglou D, Tsiachris D, Doumas M, Karvounis C, Alexopoulos D, Vardas P, Kallikazaros I, Stefanadis CI, Papademetriou V, Tousoulis D. BLOOD PRESSURE RESPONSE TO CATHETER-BASED RENAL SYMPATHETIC DENERVATION IN PATIENTS WITH RESISTANT HYPERTENSION: DATA FROM A NATIONAL MULTICENTER 1-YEAR-FOLLOW-UP STUDY. J Am Coll Cardiol 2017. [DOI: 10.1016/s0735-1097(17)35114-8] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
|
8
|
Tsioufis K, Dimitriadis K, Kasiakogias A, Kalos T, Liatakis I, Koutra E, Nikolopoulou L, Ella R, Lau E, Papademetriou V, Tousoulis D. TCT-764 EFFECTS OF MULTIELECTRODE RENAL DENERVATION ON SYMPATHETIC NERVE ACTIVITY AND INSULIN RESISTANCE IN METABOLIC SYNDROME. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.794] [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: 11/17/2022]
|