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Whole-body blood pool scintigraphy (WBBPS): Special role for management of venous malformations?
Published in Byung-Boong Lee, Peter Gloviczki, Francine Blei, Jovan N. Markovic, Vascular Malformations, 2019
WBBPS is a safe, less-invasive, and useful diagnostic and post-treatment follow-up tool for the management of VM.1, 2, 4 However, this method has been used only rarely, mainly due to a limited knowledge of the procedure. Other diagnostic methods, like Duplex ultrasonography and computed tomography (CT)/magnetic resonance imaging (MRI) are preferred, are better known, and are much more frequently used in angiology. However, WBBPS remains an effective diagnostic tool, including the follow-up assessment of the natural untreated lesions, and should be considered as an effective alternative test to duplex scanning and MRI in VM management.
Malignant Tumors and the Microcirculation
Published in John H. Barker, Gary L. Anderson, Michael D. Menger, Clinically Applied Microcirculation Research, 2019
Bernhard Endrich, Peter Vaupel
The clinical significance of this phenomenon becomes apparent in one example from angiology. The periodic activity of vasomotion shows pronounced alterations when arterial stenosis of the lower extremity associated with ischemic disease is treated by transluminal angioplasty. Using laser Doppler flowmetry in a clinical situation, it was shown that normal microcirculatory function is highly nonlinear. Tissue perfusion, exchange of materials, fluid balance, and peripheral vascular resistance are fundamentally different if the diameter of the vessel is oscillatory instead of steady, even though the mean diameter might be the same.63
On the Importance of Monitoring Blood Sugar and Other “Vital Signs”
Published in Robert Fried, Richard M. Carlton, Type 2 Diabetes, 2018
Robert Fried, Richard M. Carlton
Another study in the journal Angiology aimed to determine the link between high ABI and cardiovascular disease, and PAD in Chinese patients with Type 2 diabetes. The ABI was measured, and foot inspection was performed in these outpatients.
Clinical practice guidelines on management of infantile hemangioma: a systematic quality appraisal using the AGREE II instrument
Published in Pediatric Hematology and Oncology, 2022
Emma De Ravin, Louis-Xavier Barrette, Joseph Lu, Katherine Xu, Neeraj Suresh, Dominic Romeo, Alvaro Moreira, Karthik Rajasekaran
After this comprehensive review, eight total guidelines met our established criteria for inclusion and subsequent appraisal: Diagnosis and Management of Infantile Hemangioma from the American Academy of Pediatrics (AAP),20Management of infantile hemangiomas during the COVID pandemic from the Hemangioma Investigator Group (HIG),21Japanese clinical practice guidelines for vascular anomalies 2017 (JCPGVA),22ACR Appropriateness Criteria Clinically Suspected Vascular Malformation of the Extremities by the American College of Radiology (ACR),23Initiation and Use of Propranolol for Infantile Hemangioma: Report of a Consensus Conference,24Diagnosis and Treatment of Venous Malformations: Consensus Document of the International Union of Phlebology (IUP),25Current concepts on the management of arterio-venous malformations from the International Union of Angiology (IUA),26and Diagnostic Guidelines of Vascular Anomalies: Vascular Malformations and Hemangiomas from the Italian Society for Vascular Investigation (ISVI) and IUA.27Figure 1 demonstrates the literature review process utilized in this study.
Measuring Anxiety in Older Adults: Development, Diagnostic Accuracy, and Preliminary Validation of a Short-Form of the German Geriatric Anxiety Scale (GAS-G-SF)
Published in Journal of Personality Assessment, 2020
Juliana Gottschling, Jan Dörendahl, Tino Prell, Julia Karbach, Maxie Bunz, Ingrid Kindermann, Juliane Moussaoui, Frank M. Spinath, Sonja Wedegärtner, Otto W. Witte, Samuel Greiff, Daniel L. Segal
The data for the further validation analysis of the GAS-G-SF was collected in two German hospitals. Participants in the heart disease (HD) sample (N = 62) were recruited at the outpatient clinic at Saarland University Hospital (Clinic for Internal Medicine III, Cardiology, Angiology, & Intensive Care Medicine) and consisted of patients with various heart diseases [coronary heart disease (27%), acute coronary syndrome (15%), heart failure (16%), heart valve disease (16%), cardiac arrhythmia (15%), and cardiomyopathy (7%)]. Also, patients coming in for routine checkups and scheduled interventions or for acute inpatient treatment were invited to participate in the study. For the second sample, 94 patients with Parkinson's disease (PD) were recruited from the wards of the Department of Neurology at the Jena University Hospital. PD was diagnosed according to the Movement Disorder Society diagnosis criteria. All patients were assessed during the medication ON phase and were stable under dopaminergic treatment. Both samples were comparable in age (ranging from 60-89, Mage = 72.65 (SD = 6.61) in the heart disease sample; ranging from 60-87, Mage = 73.29 (SD = 5.87) in the PD sample). The HD sample consisted of 67.7% men whereas the PD sample consisted of 55.3% men. Data of both samples were combined for the evaluation of the model fit and for investigating the diagnostic accuracy in order to increase statistical power, resulting in a final sample of 156.
Neurotrophins in carotid atherosclerosis and stenting
Published in Annals of Medicine, 2023
Teodora Yaneva-Sirakova, Latchezar Traykov, Kiril Karamfiloff, Ivo Petrov, Julieta Hristova, Dobrin Vassilev
Carotid angiography was done in the patients referred for stenting. All stenoses were assessed in at least two orthogonal planes. The quantitative analysis was done with software for angiographic analysis Dicom Works version 3.1.5.b, after proper calibration of the catheters in every case. Significant carotid stenos were those, which according to the NASCET method were at least 70%. We used carotid stenting as a method of treatment after a multidisciplinary discussion (‘Brain team’) between neurologist, cardiologist, angiologist and the leading interventionalist in carotid stenting in our center. The procedure was standard of treatment for the given patient, based entirely on medical grounds. The decision was based on the neurological symptoms, significance of the stenosis, atherosclerotic burden of the aortic arch, individual surgical risk. Those of the patients, who were not suitable for stenting, were referred for endarterectomy and were not included in this study. All the stenting procedures were done by a team of 2 interventionalists with cardiologic and angiology specialization, experience of more than 10 years in carotid stenting. Four (13%) of the patients were stented without distal protection, as it was impossible to introduce the spider through the tight stenosis. Carotid stenting was done on the basis of current guidelines and was preferred to endarterectomy in the cases that were suitable for stenting, as far as this procedure is gaining speed. There is also quite a lot of data on the endarterectomy, but the full potential of carotid stenting is still under investigation, especially when predictors of success are concerned.