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1.
J Environ Manage ; 351: 119915, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38169256

ABSTRACT

Every year, the olive oil industry generates a substantial amount of pomace, a semi-solid residue made up of skin, pulp, pit, and kernel fragments. Rather than being disposed of, the pomace can be dried and transported to an extraction facility where pomace oil can be extracted. Utilizing its high thermal capacity, the extracted pomace can be used as a supplementary fuel in the drying process, resulting in the production of ashes. In this study, the effect of pomace waste applied to the soil was investigated by testing two mixtures with different proportions of de-oiled pomace flour and kernel ash (50:50 and 70:30, respectively) in powder and pellet form. We used a dual approach, evaluating the effects of the mixtures on both soil communities and plant physiology and productivity, to assess the actual usability of the fertilizer in agriculture. The biomarker approach was valuable in assessing the sublethal effects of the two mixtures in powder form in soil. After 30 days of exposure, the bioindicator organism Eisena fetida showed lipid peroxidation, glutathione S-transferase and lactate dehydrogenase levels similar to the control, while lysozyme activity was reduced in all treatments. The powder mixture was lethal to the tomato plants, while there was no evidence of any damage to the olive trees. During 60 days of monitoring, both mixtures in pellet form showed a slight increase in physiological parameters, suggesting a benefit to the photosynthetic system. The improved carbon assimilation in tomato plants treated with the mixtures results in increased plant productivity, both in terms of number and weight of fruits, while maintaining the antioxidant content. This study paves the way for the use of the pomace mixture as a soil improver, thus increasing the value of this waste product.


Subject(s)
Olea , Oligochaeta , Solanum lycopersicum , Animals , Olea/chemistry , Fertilizers , Powders , Soil/chemistry , Biomarkers
2.
Mar Environ Res ; 92: 279-81, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24157269

ABSTRACT

On June 2013 a workshop at the University of Siena (Italy) was organized to review current knowledge and to clarify what is known, and what remains to be investigated, concerning plastic litter in the sea. The content of the workshop was designed to contribute further to the European Marine Strategy Framework Directive (MSFD) following an inaugural workshop in 2012. Here we report a number of statements relevant to policymakers and scientists that was overwhelming agreement from the participants. Many might view this as already providing sufficient grounds for policy action. At the very least, this early warning of the problems that lie ahead should be taken seriously, and serve as a stimulus for further research.


Subject(s)
Plastics , Water Pollution , Conservation of Natural Resources , Oceans and Seas
3.
Stem Cell Res ; 10(1): 48-56, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23089628

ABSTRACT

Unexpected induction of arrhythmias in the heart is still one of the major risks of new drugs despite recent improvements in cardiac safety assays. Here we address this in a novel emerging assay system. Eleven reference compounds were administrated to spontaneously beating clusters of cardiomyocytes from human pluripotent stem cells (hPSC-CM) and the responses determined using multi-electrode arrays. Nine showed clear dose-dependence effects on field potential (FP) duration. Of these, the Ca(2+) channel blockers caused profound shortening of action potentials, whereas the classical hERG blockers, like dofetilide and d,l-sotalol, induced prolongation, as expected. Unexpectedly, two potent blockers of the slow component of the delayed rectifier potassium current (I(Ks)), HMR1556 and JNJ303, had only minor effects on the extracellular FP of wild-type hPSC-CM despite evidence of functional I(Ks) channels. These compounds were therefore re-evaluated under conditions that mimicked reduced "repolarization reserve," a parameter reflecting the capacity of cardiomyocytes to repolarize and a strong risk factor for the development of ventricular arrhythmias. Strikingly, in both pharmacological and genetic models of diminished repolarization reserve, HMR1556 and JNJ03 strongly increased the FP duration. These profound effects indicate that I(Ks) plays an important role in limiting action potential prolongation when repolarization reserve is attenuated. The findings have important clinical implications and indicate that enhanced sensitization to repolarization-prolonging compounds through pharmacotherapy or genetic predisposition should be taken into account when assessing drug safety.


Subject(s)
Action Potentials/drug effects , Myocytes, Cardiac/cytology , Pluripotent Stem Cells/cytology , Potassium Channel Blockers/pharmacology , Cell Differentiation/drug effects , Cells, Cultured , Humans , Myocytes, Cardiac/drug effects , Patch-Clamp Techniques , Phenethylamines/pharmacology , Potassium/metabolism , Potassium Channels, Inwardly Rectifying/metabolism , Sotalol/pharmacology , Sulfonamides/pharmacology
4.
Sci Total Environ ; 407(11): 3597-604, 2009 May 15.
Article in English | MEDLINE | ID: mdl-19232674

ABSTRACT

The aim of this study was to develop and to validate a methodology based on biomarker responses and residue analysis on the terrestrial lizard Podarcis sicula to assess the ecotoxicological effects associated with on-shore oil extraction. The oil treatment plant investigated is located in Val d'Agri (southern Italy). Italian wall lizards were sampled on four stations along a transect determined on the basis of prevailing winds downwind of the oil plant. Cytochrome P450 1A1 activities (EROD and BPMO), AChE activity, PAH bile metabolites and contaminant levels (PAHs and trace elements) were measured. Major results in the evaluation of toxicological impact of oil field activity in the Italian wall lizards were obtained for Cd, Hg, total and carcinogenic PAH levels, and PAH metabolites in bile. Results obtained validate, for the first time, P. sicula as a terrestrial bioindicator for the assessment of the toxicological impact of on-shore extraction activity.


Subject(s)
Lizards/metabolism , Mining , Petroleum/analysis , Acetylcholinesterase/metabolism , Animals , Biomarkers/metabolism , Cadmium/analysis , Cytochrome P-450 CYP1A1/metabolism , Egg Proteins/metabolism , Italy , Liver/metabolism , Mercury/analysis , Petroleum/toxicity , Polycyclic Aromatic Hydrocarbons/analysis , Trace Elements/metabolism , Vitellogenins/metabolism , Wind
5.
Environ Res ; 104(1): 174-82, 2007 May.
Article in English | MEDLINE | ID: mdl-16996053

ABSTRACT

Man-made endocrine-disrupting chemicals (EDCs) range across all continents and oceans. Some geographic areas are potentially more threatened than others: one of these is the Mediterranean Sea. Levels of some xenobiotics are much higher here than in other seas and oceans. In this paper we review the final results of a project supported by the Italian Ministry of the Environment, in which the hypothesis that Mediterranean top predator species (such as large pelagic fish and marine mammals) are potentially at risk due to EDCs was investigated. We illustrate the need to develop and apply sensitive methodological tools, such as biomarkers (Vitellogenin, Zona Radiata proteins and CYP1A activities) for evaluation of toxicological risk in large pelagic fish top predators (Swordfish, (Xiphias gladius), Bluefin Tuna (Thunnus thynnus thynnus)) and nondestructive biomarkers (CYP1A activities and fibroblast cell culture in skin biopsy), for the hazard assessment of threatened marine mammals species (Striped Dolphin, (Stenella coeruleoalba), Bottlenose Dolphin (Tursiops truncatus), Common Dolphin (Delphinus delphis) and Fin Whale (Balaenoptera physalus))exposed to EDCs. Differential gender susceptibility to EDCs is also explored both in large pelagic fish and in cetaceans. In cetaceans, male specimens showed higher cytochrome P450 induction (BPMO in skyn biopsies, CYP2B in fibroblasts cell cultures) by xenobiotics with respect to females.


Subject(s)
Biomarkers/metabolism , Cetacea/metabolism , Endocrine Disruptors/toxicity , Food Chain , Hydrocarbons, Chlorinated/toxicity , Perciformes/metabolism , Sex Characteristics , Animals , Cells, Cultured , Chromatography, Gas , Cytochrome P-450 Enzyme System/metabolism , Endocrine Disruptors/analysis , Female , Gene Expression Regulation, Enzymologic/drug effects , Hydrocarbons, Chlorinated/analysis , Italy , Male , Mediterranean Sea , Toxicology/methods
6.
Mar Environ Res ; 62 Suppl: S347-51, 2006 Jul.
Article in English | MEDLINE | ID: mdl-16740305

ABSTRACT

The aim of this study was to develop and apply a multi-biomarker system to assess the toxicological effects of produced water (PW) from a Mediterranean off-shore oil platform. The selected bioindicator organism, mosquitofish (Gambusia affinis), was exposed in the laboratory to high concentrations of different PW: PW before treatment (BT), after conventional treatment (ACT) and after innovative treatment with zeolites in a prototype system (AIT). A set of biomarkers (benzo(alpha)pyrene monooxygenase, ethoxyresorufin-o-deethylase, vitellogenin, porphyrins, PAH bile metabolites, esterases, catalase, micronuclei) and PAH concentrations were measured in the experimental organism. The methodology proved to be appropriate and biomarker responses (CYP 1A1, PAH bile metabolites, micronuclei, esterases, porphyrins) affected by BT were less affected by ACT. PW treated with zeolites (AIT) had the lowest toxicological impact. The results obtained applying this multi-biomarker approach suggest that the system using zeolites is effective for treating produced water.


Subject(s)
Cyprinodontiformes/metabolism , Water Pollutants, Chemical/toxicity , Water Purification/methods , Acetylcholinesterase/metabolism , Animals , Benzopyrene Hydroxylase/metabolism , Bile/chemistry , Biomarkers/analysis , Cytochrome P-450 CYP1A1/metabolism , Female , Male , Mediterranean Sea , Polycyclic Aromatic Hydrocarbons/analysis , Seawater/analysis , Sex Factors , Water Purification/instrumentation , Zeolites/pharmacology
7.
Mar Environ Res ; 54(3-5): 667-71, 2002.
Article in English | MEDLINE | ID: mdl-12408633

ABSTRACT

The hypothesis that Mediterranean top predator species, such as large pelagic fish, are potentially at risk due to endocrine disrupting chemicals (EDCs), is investigated. The potential estrogenic effects of PHAHs in three fish species of commercial interest, the top predators bluefin tuna (Thunnus thynnus thynnus), swordfish (Xiphias gladius), and Mediterranean spearfish (Tetrapturus belone), were investigated using vitellogenin (Vtg), zona radiata proteins (Zrp) and mixed function oxidases (EROD, BPMO) as diagnostic tools. High induction of Vtg and Zrp was detected by western blot and ELISA techniques in adult males of X. gladius and T. thynnus thynnus, suggesting that these species are at high toxicological risk in the Mediterranean sea. Comparison of BPMO and EROD activities in the three species indicated, both in male and female, much higher MFO activity in bluefin tuna. This data suggests high exposure of this species to lipophilic xenobiotic contaminants in the Mediterranean environment.


Subject(s)
Biomarkers/analysis , Endocrine System/drug effects , Mixed Function Oxygenases/pharmacology , Perciformes/physiology , Vitellogenins/biosynthesis , Xenobiotics/adverse effects , Animals , Egg Proteins/analysis , Egg Proteins/biosynthesis , Environmental Exposure , Female , Male , Mixed Function Oxygenases/analysis , Vitellogenins/analysis , Water Pollutants, Chemical/adverse effects
8.
Mar Environ Res ; 54(3-5): 761-7, 2002.
Article in English | MEDLINE | ID: mdl-12408647

ABSTRACT

The aim of this study was to propose a suite of biomarkers (BPMO activity, NADPH-cytocrome c reductase, NADH-ferricyanide reductase. esterases, porphyrins, vitellogenin and zona radiata proteins) and residue levels (organochlorines, PAHs and heavy metals) in the zooplanktonic euphausiid Meganyctiphanes norvegica as a potential multi-disciplinary diagnostic tool for assessment of the health status of the Mediterranean "whale sanctuary". Very little difference in BPMO was detected between sites, with values ranging from 0.75 to 2.68 U.A.F./mg prot/h. On the other hand larger differences between sites were found for reductase activities. Esterases (AChE), porphyrins (Copro-, Uro-, Proto-porphyrins) vitellogenin and zona radiata proteins were also detectable in this zooplanctonic species. Hg showed mean levels of 0.141 ppm d.w., Cd 0.119 ppm d.w. and Pb 0.496 ppm d.w. Total PAHs ranged from 860.7 to 5,037.9 ng/g d.w., carcinogenic PAHs from 40.3 to 141.7 ng/g d.w., HCB from 3.5 to 11.6 ng/g d.w., DDTs from 45.3 to 163.2 ng/g d.w. and the PCBs from 84.6 to 210.2 ng/g d.w.


Subject(s)
Biomarkers/analysis , Environmental Monitoring/methods , Esterases/analysis , Euphausiacea/physiology , Water Pollutants, Chemical/adverse effects , Animals , Esterases/biosynthesis , Hydrocarbons, Chlorinated , Insecticides/adverse effects , Insecticides/analysis , Mediterranean Region , Metals, Heavy/adverse effects , Metals, Heavy/analysis , Polycyclic Aromatic Hydrocarbons/adverse effects , Polycyclic Aromatic Hydrocarbons/analysis , Vitellogenins/analysis , Vitellogenins/biosynthesis , Water Pollutants, Chemical/analysis , Whales
10.
Arch Environ Contam Toxicol ; 41(1): 65-72, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11385591

ABSTRACT

In this preliminary study on sea birds we propose the use of porphyrins in excreta as a biomarker of exposure to contaminants. Samples of excreta were obtained from colonies of brown pelicans (Pelecanus occidentalis thagus), neotropic cormorants (Phalacrocorax olivaceus), and kelp gulls (Larus dominicanus) in three areas of the south coast of Chile with different human impact (Tubul, Talcahuano, and Valdivia). They were analyzed for porphyrin content (copro-, uro-, and protoporphyrins and total porphyrins) by a rapid fluorimetric method and by HPLC. The main outcomes of the study were: (a) kelp gulls and neotropic cormorants living in areas with high human impact showed a clear capacity to accumulate and eliminate porphyrins in the excreta; (b) species-related accumulation capacities are likely, as shown by the different levels found in different species living in the same area; (c) the porphyrin profile obtained by fluorimetry and HPLC showed a higher percentage of protoporphyrin than the other porphyrins; (d) although the fluorimetric method of Grandchamp is semiquantitative, it was found to be sensitive enough to detect differences in samples from field studies. The positive results of this preliminary study make it possible to propose this nondestructive method for a variety of field applications.


Subject(s)
Biomarkers/analysis , Birds/physiology , Environmental Pollutants/adverse effects , Porphyrins/analysis , Animals , Chromatography, High Pressure Liquid , Environmental Monitoring/methods , Feces/chemistry , Tissue Distribution
11.
Mar Environ Res ; 52(5): 477-83, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11763150

ABSTRACT

Endocrine Disrupting Chemicals (EDCs) have the potential to alter hormone pathways that regulate reproductive processes in wildlife and fishes. In this research the hypothesis that Mediterranean top predator species (such as large pelagic fish) are potentially at risk due to EDCs is investigated. These marine organisms tend to accumulate high concentrations of EDCs such as polyhalogenated aromatic hydrocarbons (PHAHs). The potential effects of EDCs on a fish species of commercial interest, the top predator Xiphias gladius (swordfish), were investigated using vitellogenin (Vtg) and Zona radiata proteins (Zrp) as diagnostic and prognostic biomarkers. Dramatic induction of typically female proteins (Vtg and Zrp) was detected by ELISA and Western Blot in adult males of the species. These results are the first warning of the potential risk for reproductive function of Mediterranean top predators, and suggest the need for continuous monitoring of this fragile marine environment.


Subject(s)
Egg Proteins/analysis , Fishes/metabolism , Vitellogenins/analysis , Water Pollutants, Chemical/analysis , Animals , Blotting, Western , Endocrine System/drug effects , Environmental Monitoring , Enzyme-Linked Immunosorbent Assay , Female , Male , Mediterranean Sea
12.
Ann N Y Acad Sci ; 948: 67-74, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11795396

ABSTRACT

Man-made endocrine disrupting chemicals (EDCs) range across all continents and oceans; some geographic areas are potentially more threatened than others: one of these is the Mediterranean Sea. This basin has limited exchange of water with the Atlantic Ocean and is surrounded by some of the most heavily populated and industrialized countries in the world. Accordingly, levels of some xenobiotics are much higher here than in other seas and oceans. In this research the unexplored hypothesis that Mediterranean top predator species (such as large pelagic fish and marine mammals) are potentially at risk due to EDCs is investigated. Here we illustrate the development of sensitive biomarkers (Vitellogenin, Zona Radiata proteins) for evaluation of toxicological risk in top marine predators (Xiphias gladius, Thunnus thynnus thynnus), and nonlethal techniques, such as nondestructive biomarkers (BPMO activities in skin biopsy), for the hazard assessment of threatened species exposed to EDCs, such as marine mammals (Stenella coeruleoalba, Tursiops truncatus, Delphinus delphis, and Balaenoptera physalus).


Subject(s)
Endocrine Glands/drug effects , Food Chain , Water Pollutants, Chemical/toxicity , Animals , Blotting, Western , Dolphins/metabolism , Enzyme-Linked Immunosorbent Assay , Fishes/metabolism , Male , Mediterranean Sea , Vitellogenins/metabolism , Whales/metabolism
13.
Chemosphere ; 40(8): 861-74, 2000 Apr.
Article in English | MEDLINE | ID: mdl-10718580

ABSTRACT

The aim of this study was to validate a multi-trial biomarker approach for the evaluation of toxicological risk due to benzo(alpha)pyrene. Carcinus aestuarii, exposed to increasing concentrations of B(alpha)P in the water, was used as the bioindicator organism. A set of biomarkers were tested in order to: identify biological materials for biomarker and residue analysis; determine a group of sensitive techniques for the assessment of PAH contamination; investigate correlation between responses at different levels of biological organisation. The results underlined that BPMO activities in hepatopancreas and gills were a good biomarker of exposure to PAH-type compounds. B esterases activities in hemolymph and porphyrin patterns in excreta could be proposed as a non-destructive approach for evaluating chemical exposure in this species.


Subject(s)
Benzo(a)pyrene/toxicity , Biomarkers/analysis , Brachyura/physiology , Mutagens/toxicity , Water Pollutants, Chemical/toxicity , Animals , Environmental Monitoring/methods , Sensitivity and Specificity
14.
Mar Environ Res ; 50(1-5): 517-21, 2000.
Article in English | MEDLINE | ID: mdl-11460743

ABSTRACT

Various studies on Mediterranean cetaceans have revealed bioaccumulation of contaminants such as organochlorines (OCs) and heavy metals. The susceptibility of these animals to organic pollutants and the relationship between bioaccumulation and population decline (as in the case of Delphinus delphis) are unexplored fields. In this study, we used a non-destructive approach (skin biopsy) to explore OC bioaccumulation processes and mixed-function oxidase activity (BPMO) in four species of cetaceans: striped dolphin (Stenella coeruleoalba), bottlenose dolphin (Tursiops truncatus), common dolphin (D. delphis) and fin whale (Balaenoptera physalus). Significant differences in BPMO induction and OC levels were found between odontocetes and mysticetes, the former having mixed-function oxidase activities four times higher than the latter, binding with levels of OCs one order of magnitude higher in odontocetes. A significant correlation (P < 0.05) between BPMO activities and OC levels was found in B. physalus. In an ongoing project, fibroblast cultures have been used as an alternative in vitro method of evaluating interspecies susceptibility to contaminants such as OCs and polycyclic aromatic hydrocarbons (PAHs). These results suggest that cetacean skin biopsies are a powerful non-invasive tool for assessing ecotoxicological risk to Mediterranean marine mammals species.


Subject(s)
Dolphins/metabolism , Environmental Monitoring/methods , Skin/pathology , Water Pollutants, Chemical/toxicity , Animals , Biopsy , Cells, Cultured , Hydrocarbons, Chlorinated , Insecticides/pharmacokinetics , Mediterranean Region , Metals/pharmacokinetics , Water Pollutants, Chemical/pharmacokinetics
15.
Mar Environ Res ; 50(1-5): 523-6, 2000.
Article in English | MEDLINE | ID: mdl-11460744

ABSTRACT

The aim of this study was to develop a useful method for obtaining viable tissue samples for establishing cell cultures from skin biopsies of free-ranging cetaceans. The skin biopsies were performed by two methods: dart from an air gun and dart from a crossbow. The dart tip was modified to collect tissue. The tissue was kept in tissue culture medium at ambient temperature, then processed within 24 h. Many modifications in culture technique, with respect to conventional culture methods for human fibroblasts, were made. The cultures thus obtained can be used for many purposes, including genetic and toxicological studies. In toxicology they are an alternative in vitro system for studying threatened animals such as marine mammals. In particular, fibroblasts can be used to test the vulnerability of cetaceans and pinnipeds to different environmental contaminants such as organochlorine compounds, heavy metals and polycyclic aromatic hydrocarbons.


Subject(s)
Biopsy/veterinary , Dolphins , Skin/pathology , Animals , Biopsy/methods , Cells, Cultured , Fibroblasts/cytology , Mediterranean Region
18.
Chemosphere ; 39(8): 1273-85, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10467722

ABSTRACT

This paper explores the problem of endocrine disrupting chemicals (EDCs) from the ecotoxicological point of view, focusing on nondestructive biomarkers of exposure to EDCs for risk assessment of endangered species of wildlife. Several EDCs, such as polyhalogenated aromatic hydrocarbons and toxic metals, tend to be biomagnified in the terrestrial and particularly the marine food chains. Top predators tend to accumulate high concentrations of these contaminants which places them in a situation of high toxicological risk. Hence, there is a need to develop nondestructive techniques, such as nondestructive biomarkers, for hazard assessment, protection, and conservation of endangered species exposed to EDCs. The biological materials proposed for this approach (for example blood, faeces, fur, skin biopsy specimens) are easily obtained with minimal stress for individuals and populations. Some validation data are reported on porphyrins in sea bird excreta (Larus dominicanus, Phalacrocorax olivaceus, Pelecanus occidentalis thagus), as nondestructive biomarkers of exposure to organochlorines, and on benzopyrene monooxygenase activities in marine mammal skin biopsy specimens (Stenella coeruleoalba, Balaenoptera physalus), as early indicators of exposure to p,p'-DDE and other endocrine disrupting organochlorines.


Subject(s)
Animals, Wild/physiology , Biomarkers , Endocrine System Diseases/chemically induced , Environmental Monitoring/methods , Environmental Pollutants/toxicity , Animals , Animals, Wild/metabolism , Risk Assessment
19.
Atherosclerosis ; 145(1): 81-5, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10428298

ABSTRACT

Recent reports suggest an association between Chlamydia pneumoniae and chronic coronary heart disease. This case-control study investigates the relationship between the presence of immunoglobin G (IgG) and immunoglobin A (IgA) when measured by means of microimmunofluorescence (MIF) and angiographically diagnosed coronary disease. Cases (n = 150) were angiography patients with at least one coronary artery lesion occupying at least 50% of the luminal diameter. Controls (n = 49) were angiography patients with no detectable signs of coronary artery disease and patients (n = 56) without signs or symptoms of coronary disease and with normal ECG results. No significant differences were revealed between the seroprevalence of IgG and IaA and geometric mean titers (GMT) as measured in cases and controls. When cases were compared with controls whose angiographic results were normal, after adjusting for established risk factors (cholesterol, smoking, hypertension, diabetes, age, gender and family history), the estimated risk of coronary artery disease was 0.79 (95% confidence interval (C.I.), 0.31-1.99) for the presence of IgG and was 0.94 (95 C.I., 0.37-2.39) for IgA. When cases were compared with controls with normal ECG results, the adjusted odds ratio (O.R.) for coronary artery disease was 1.17 (95%, C.I., 0.52-2.62) for the presence of IgG and 0.82 195% C.I., 0.36-1.86) for the presence of IgA. These results do not support an association between C. pneumoniae infection and coronary disease.


Subject(s)
Antibodies, Bacterial/analysis , Chlamydophila pneumoniae/isolation & purification , Coronary Angiography , Coronary Disease/microbiology , Case-Control Studies , Chronic Disease , Coronary Disease/diagnostic imaging , Female , Humans , Immunoglobulin A/blood , Immunoglobulin G/blood , Italy/epidemiology , Male , Middle Aged , Seroepidemiologic Studies
20.
G Ital Cardiol ; 28(9): 1025-7, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9788043

ABSTRACT

We report a case of acute left main coronary artery subocclusion treated by stenting. The patient had a severe ostial left main coronary artery stenosis and after diagnostic coronary angiography developed subocclusion of the left main coronary artery, with TIMI 1 flow and life-threatening hemodynamic consequences. After two balloon dilatations had failed, a half Palmaz-Schatz stent (7 mm) was successfully deployed at the site of the lesion with immediate improvement of the angiographic and clinical picture. We claim that the placement of a half Palmaz-Schatz stent, hand-crimped on a high-pressure and non-compliance balloon, could provide a means for restoring adequate blood flow in patients who develop an important ischemia after diagnostic coronary angiography of a short, calcified left main coronary artery with severe ostial stenosis. Despite the satisfactory angiographic and clinical findings in these patients, the risk of restenosis and the presence of other multivessel diseases press us towards a more definitive surgical treatment.


Subject(s)
Coronary Disease/surgery , Coronary Vessels/surgery , Stents , Aged , Coronary Angiography , Coronary Disease/diagnostic imaging , Coronary Vessels/diagnostic imaging , Emergency Treatment , Female , Humans , Treatment Outcome , Ultrasonography
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