Publications by authors named "F J Mangiacapra"

Contrast-associated acute kidney injury (CA-AKI) remains a serious complication after percutaneous coronary revascularization (PCI), with limited effective preventive strategies especially for diabetic patients. This study aimed to assess the effects of novel antidiabetic agents (NAD), i.e.

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  • The study examines gender differences in the relationship between angiographic findings and fractional flow reserve (FFR) in patients with coronary stenosis.
  • Median FFR values were found to be higher in female patients than in male patients, and a 50% diameter stenosis (DS) is identified as the best threshold for detecting ischemic FFR in both genders.
  • While a higher DS threshold (≥ 59%) improves lesion classification in females, it also results in a higher rate of false negatives.
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  • Aortic valve calcification (AVC) is examined as a predictor for complications in transcatheter aortic valve implantation (TAVI), with a focus on its impact on intra-annular devices.
  • Patients with high AVC have a higher risk of developing mild to severe paravalvular leak (PVL) and conduction disorders requiring pacemaker implantation, indicating AVC's significant role in post-TAVI outcomes.
  • The study found that higher AVC levels predict poor 30-day clinical outcomes after TAVI, highlighting the importance of assessing AVC to improve patient management.
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  • The INCORPORATE trial aimed to determine if an invasive approach (routine coronary angiography and revascularization) is better than conservative treatment for patients with treated critical limb ischemia.
  • Conducted as a randomized study, it compared outcomes between patients receiving optimal medical therapy versus those undergoing invasive procedures, measuring myocardial infarction and mortality over one year.
  • Results showed similar rates of heart attacks and death in both groups, but the conservative approach had a trend toward higher major adverse cardiac events, suggesting potential benefits of the invasive strategy for some patients.
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