Subject(s)
Amyloidosis/complications , Defibrillators, Implantable , Heart/physiopathology , Amyloidosis/diagnosis , Arrhythmias, Cardiac/etiology , Arrhythmias, Cardiac/prevention & control , Death, Sudden, Cardiac/etiology , Death, Sudden, Cardiac/prevention & control , Heart Conduction System/abnormalities , Humans , Male , Middle AgedSubject(s)
Catheterization, Swan-Ganz , Hemorrhage , Pulmonary Embolism , Thrombectomy , Thrombolytic Therapy , Catheterization, Swan-Ganz/adverse effects , Catheterization, Swan-Ganz/instrumentation , Catheterization, Swan-Ganz/methods , Clinical Decision-Making , Comparative Effectiveness Research , Hemorrhage/chemically induced , Hemorrhage/prevention & control , Humans , Patient Selection , Pulmonary Embolism/diagnosis , Pulmonary Embolism/drug therapy , Pulmonary Embolism/surgery , Risk Adjustment/methods , Severity of Illness Index , Thrombectomy/adverse effects , Thrombectomy/methods , Thrombolytic Therapy/adverse effects , Thrombolytic Therapy/methods , Treatment OutcomeSubject(s)
Absorbable Implants , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/surgery , Tomography, Optical Coherence/methods , Absorbable Implants/statistics & numerical data , Chronic Disease , Coronary Angiography/methods , Follow-Up Studies , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
UNLABELLED: The evaluation of coronary lesions in patients with asymptomatic carotid plaque represents a very promising line of research to assess cardiovascular risk and the possible implementation of a more aggressive prevention therapy. METHODS: In this study we enrolled 102 patients with intermediate to high cardiovascular risk but no history of coronary artery disease. The first group, consisting of 51 patients, underwent a Coronary CT scan (CCT-group) as well as carotid ultrasonography. The second group, also consisting of 51 patients, underwent coronary angiography (CA) and carotid ultrasonography. RESULTS: The absence of a statistically significant difference between the involvement of both coronary and carotid sites, assessed by CCT and CA, confirms the role of coronary CT as a useful method in the preclinical evaluation of cardiovascular risk. In the CCT group, the correlation between atherosclerosis of carotid artery and coronary disease, as well as between the mean carotid intimal medial thickness and the number of involved coronary vessels, and between the maximum values of carotid plaque and the presence of coronary artery stenosis > 50%, were statistically significant. The Agatson calcium score was also statistically associated with carotid plaque size. CONCLUSION: The imaging biomarkers have a key role in the evaluation of subclinical atherosclerotic disease. Moreover, carotid ultrasound examination and a CT-scan of coronary arteries, in a particular sub-group of patients with intermediate to high cardiovascular risk, can play a crucial role to assess the preventive therapeutic strategies.
ABSTRACT
The association between carotid artery stenosis and brain meningioma is rather rare. Indeed, data in literature about this association are scarce and potential risks of carotid artery stenting using different protection devices are not known. We describe the endovascular treatment of severe carotid stenosis in two patients with intracranial meningioma.
