Publications by authors named "REVILLA A"
Article Synopsis
- - The study investigates the effectiveness of BeGraft and Solaris stent grafts during a specific endovascular treatment called BS-CERAB, aimed at patients with aortoiliac occlusive disease from January 2020 to December 2023.
- - A total of 42 patients (mostly men, average age 72) participated, with symptoms mainly including intermittent claudication and critical limb ischemia, and all procedures were successful with an average follow-up of 14 months.
- - Results showed improvement in blood flow (ABI increase) and promising patency rates at 3, 6, and 12 months post-surgery, although active cancer was identified as a risk factor for restenosis.
Article Synopsis
- The study aimed to analyze how symptoms evolve in patients with symptomatic severe aortic stenosis (sSAS) after undergoing valve replacement and the factors that predict whether these symptoms persist.
- Out of 451 patients studied, approximately 57% continued to experience symptoms after the procedure, mainly dyspnea and heart failure, highlighting the complexity of post-operative recovery.
- Factors such as age, body mass index, and previous heart failures were linked to persistent symptoms, which in turn were associated with higher overall mortality rates over a follow-up period of about 56 months.
Due to their immunocompromised state, recipients of hematopoietic stem cell transplants (HSCTs) are at a higher risk of opportunistic infections, such as that of toxoplasmosis. Toxoplasmosis is a rare but mortal infection that can cause severe neurological symptoms, including confusion. In immunosuppressed individuals, such as those with acquired immunodeficiency syndrome (AIDS), toxoplasmosis can cause movement disorders, including hemichorea-hemiballismus.
View Article and Find Full Text PDFThere are known pathophysiologic and clinical differences according to sex in patients with aortic stenosis (AS). To evaluate if these differences persist after valve replacement, we conducted an observational study including 451 patients with symptomatic AS who survived aortic valve intervention (AVI) in two centers. Clinical data and mortality were evaluated at a mean follow-up of 5 years.
View Article and Find Full Text PDFPurpose: This study examines the use and impact of directional atherectomy with antirestenotic therapy (DAART) versus angioplasty plus Supera stent implantation on the outcomes during endovascular treatment of popliteal lesions in clinical practice.
Methods: Overall 143 consecutive patients (mean age 75.0±12.
Background: Aortic aneurysms represent a chronic degenerative disease with life-threatening implications. In order for patients to comprehend health related information, it must be written at a level that can be readily understood.
Study Design: In January 2023, we searched "aneurisma aorta" and "endoprótesis aorta" terms on Google, Yahoo and Microsoft/Bing.
Article Synopsis
- The study investigates the occurrence of syncope (fainting) in patients with severe aortic stenosis (SAS) undergoing valve replacement surgery, specifically looking at differences between exertion-related and rest-related syncope.
- Out of 320 patients observed, none experienced exertion-related syncope after surgery, while a significant percentage (38%) of those who had syncope at rest experienced it again post-intervention.
- Recurrence of syncope at rest is linked to a higher risk of cardiovascular mortality, indicating that patients with rest-related syncope should be carefully evaluated prior to surgery.
Article Synopsis
- The study aims to compare left ventricular remodeling in patients with bicuspid aortic valve (BAV) versus those with trileaflet aortic valve (TAV) suffering from chronic aortic regurgitation (AR).
- Researchers analyzed 210 patients and found that BAV patients were generally younger and had milder AR compared to TAV patients, even though both groups had similar heart function overall.
- Key findings indicated that at mild AR levels, BAV patients showed larger left ventricular volumes, but this difference diminished at higher AR levels, revealing that demographic factors like age and weight are more significant than valve type in relation to heart size.
Article Synopsis
- The study examines the accuracy of measuring vegetation size in patients with left-sided infective endocarditis, questioning its role in surgical decisions.
- Two echocardiographers measured vegetation size independently, revealing significant variability in their measurements, indicated by a moderate interobserver correlation coefficient.
- Findings suggest that the current guidelines on surgical criteria based on vegetation size may need to be reevaluated, as discrepancies in measurements could alter surgical recommendations for nearly half of the patients studied.
Article Synopsis
- The study investigated the effects of long-term use of RAAS inhibitors on hypertensive patients hospitalized with COVID-19, finding that nearly 74% of these patients were using such medications prior to hospitalization.
- Results showed that hypertensive patients had a higher mortality rate; however, those on RAAS inhibitors had a lower risk of death, and the use of these medications appeared to provide a protective benefit.
- The overall conclusion is that RAAS inhibitors may be beneficial for hypertensive COVID-19 patients, and continued use during hospitalization likely does not worsen outcomes, supported by a separate meta-analysis.
Background: In order for patients to comprehend health related information, it must be written at a level that can be readily understood by the intended population. During 2021 the European Society for Vascular Surgery (ESVS) published a sub-section about information for patients into its Guidelines on the Management of Venous Thrombosis.
Methods: Nine readability measures were used to evaluate the patient educational material regarding venous thrombosis published by seven medical societies: ESVS, Society for Vascular Medicine (SVM), Society for Vascular Surgery (SVS), Vascular Society for Great Britain and Ireland (VS), Australia and New Zealand Society for Vascular Surgery (ANZSVS), Canadian Society for Vascular Surgery (CSVS) and American Heart Association (AHA).
Background: Intima media thickness (IMT), vascular calcifications and ankle-brachial pressure index (ABPI) were shown to be independent predictors of mortality in end-stage renal disease (ESRD) patients.
Methods: Between January 2018 and March 2019, a physician-initiated, nonrandomized, prospective study was conducted. Carotid IMT, vascular calcifications analysis values and measurements of the ABPI, were made at baseline and after 1-year of follow-up.
Introduction And Objective: the SARS-CoV-2 infection ranges from asymptomatic to critical forms and several prognostic factors have been described. Atrial fibrillation (AF) is common in acute situations where it is linked with more complications and mortality. We aimed to evaluate the prognostic information of AF in this population.
View Article and Find Full Text PDFArticle Synopsis
- * Out of 849 patients, nearly half were hypertensive; those on RAAS inhibitors before and during hospitalization had lower mortality rates than those not on these medications.
- * The analysis suggests that RAAS inhibitors may provide protective benefits for hypertensive COVID-19 patients, indicating that continuing these medications during treatment may not worsen outcomes.
Article Synopsis
- - The study evaluated the impact of heart disease (HD) and cardiovascular medications on COVID-19 hospitalized patients, revealing that those with HD had higher mortality rates compared to those without (35.4% vs. 18.2%).
- - Among 859 patients, diabetes was particularly linked to increased risk of death, while common cardiovascular medications did not worsen patient outcomes; however, statins were associated with lower mortality rates.
- - The occurrence of cardiovascular events during hospitalization was linked to worse overall outcomes, with a mortality rate of 31.8% in patients who experienced such events compared to 19.3% in those who did not.
Article Synopsis
- * Researchers analyzed the relationship between native and neo-commissures in patients and developed an in silico model to predict TAVI commissural positions.
- * The results showed that a new modified implantation technique (accurate commissural alignment) achieved better alignment and avoided coronary overlap compared to conventional methods, indicating its potential application for various TAVI devices.
Article Synopsis
- The study investigates the link between atrial fibrillation (AF) and outcomes in patients hospitalized due to SARS-CoV-2 infection, finding that 10% of patients developed AF.
- Patients with AF were older, had more pre-existing health issues, and faced a higher risk of acute respiratory failure and in-hospital mortality compared to those without AF.
- However, while AF is associated with higher mortality rates, it is not considered an independent predictor of in-hospital mortality; other factors like age and kidney function play a more significant role.
Vascular calcification represents a group of several pathological states of differing aetiologies. Mönckeberg medial sclerosis is considered to be more widespread in the lower abdominal region and lower limbs. We present a 59-years-old male patient presented right foot gangrene.
View Article and Find Full Text PDFA comparison of the clinical efficacy of echocardiography and magnetic resonance for chronic aortic regurgitation.
Eur Heart J Cardiovasc Imaging
February 2022
Article Synopsis
- Echocardiography is commonly used to time surgery in patients with chronic aortic regurgitation (AR), but cardiac magnetic resonance (CMR) may provide more precise measurements of regurgitation severity and left ventricular (LV) remodeling.
- A study of 263 patients compared the outcomes of these imaging methods, finding that CMR better predicted AR-related events and improved statistical models for assessing patient risk.
- CMR demonstrated superior reliability and accuracy over echocardiography in evaluating AR severity and its effects on the LV, with specific measurements like regurgitant fraction and LV volumes being strong predictors of patient outcomes.
Patients on dialysis may have an elevated risk of severe coronavirus disease 2019 (COVID-19) and its complications due to their high prevalence of comorbidities. Here we describe the case of an 80-year-old male undergoing peritoneal dialysis with a moderate SARS-CoV-2 infection who developed a purpuric dermatitis and ischemic stroke after successful recovery from his bilateral pneumonia. Erythemato-papular lesions affecting trunk and lower limbs appeared 17 days after the onset of SARS-CoV-2 symptoms.
View Article and Find Full Text PDFArticle Synopsis
- * A study reviewed 11 prior studies, comparing outcomes between ASO and FSO in nearly 1,800 patients, noting similar success rates and peri-procedural complications but finding that FSO procedures were quicker and involved less radiation exposure.
- * The study concluded that both devices are effective for ASD closure, with FSO linked to shorter procedures and fewer arrhythmias compared to ASO, while serious long-term complications were rare.
Nonanastomotic pseudoaneurysm formation after vascular reconstruction is a rarely encountered problem. Covered stent graft constitutes a minimal approach. To our knowledge, the present study constitutes the first case of implantation of Solaris stent graft in Europe.
View Article and Find Full Text PDFObjective: The objective of this study was to determine the influence of hemodynamic force on the development of type III endoleak and branch thrombosis after complex endovascular thoracoabdominal aortic aneurysm repair.
Methods: Patients with thoracoabdominal aortic aneurysm, within surgical range, treated with a fenestrated or branched endovascular aneurysm repair from 2014 to 2018 and with 3-month control computed tomography angiography were selected. Demographic variables, aneurysm anatomy, and endograft conformation were analyzed retrospectively from a prospective registry.