Online ISSN: 2515-8260

Keywords : angiography

Lower extremity arterial doppler angiography: A prospective comparison to multi-detector computed tomography angiography

Dr. Srinadh Boppana, Dr. Kamineni Shripuja

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 2, Pages 1243-1250

Lower-extremity artery disease is a major contributor to morbidity and mortality in the middle-aged and elderly. Atheromatous narrowing or blockage of a leg artery or arteries is a common cause of this condition. Possible symptoms include claudication episodes, pain during rest, sores, and even gangrene.
Methods: In this prospective study, we will evaluate the precision of Duplex Ultrasound to that of MDCT angiography. Thirty-four patients with unilateral or bilateral lower limb ischemia illness who presented to the radiology division for CT angiography made up the study population. Department of Radiology, Kamineni Academy of Medical Sciences and Research Centre (KAMSRC),Hyderabad,was the location of the study and study between June, 2021 to May, 2022.
Results: Thirty individuals were enrolled in the study. Twenty-six patients were 40 or older, while another six were 60 or older. Two patients needed below-knee amputations. Even though 830 artery segments from 67 limbs were analysed using the two approaches, only 806 were available for comparison.
Conclusion: Therefore, due to its lack of danger, low cost, non-invasiveness, widespread availability, and excellent diagnostic accuracy, Duplex Ultrasound is an essential tool in the study of peripheral vascular disease

Clinical, angiographic profile and follow-up of patients with myocardial bridges at a tertiary hospital

Neha Mukesh Goel, Pranav Shamraj, Amit Bhalerao, Sagar Subhash Nanaware

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 6832-6837

Background: Myocardial bridging can occasionally generate clinically important complications, despite usually being a benign condition. Myocardial bridging can be associated with stable and unstable angina, myocardial infarction, myocardial stunning, atrioventricular nodal block, ventricular tachycardia and sudden death. Present study was aimed to study clinical, angiographic profile and follow-up of patients with myocardial bridges at a tertiary hospital.
Material and Methods: Present study was single-center, prospective, observational study, conducted in patients, >18 years, of both sexes, who underwent diagnostic conventional coronary angiography. Myocardial bridge (MB) was identified based on narrowing of coronary artery in systolic phase resulting in at least 50% reduction of luminal diameter in comparison with the diastolic phase.
Results: During study period, out of 1962 diagnostic conventional coronary angiography procedures satisfying study criteria, myocardial bridge (MB) was noticed in 81 cases, incidence was 4.13 %. Common indications for diagnostic conventional coronary angiography among patients of myocardial bridge (MB) were unstable angina (USA) (19.75 %), STEIWMI (18.52 %), chronic stable angina (CSA) (16.05 %), STEAWMI (13.58 %), atypical chest pain (9.88 %), Others (8.64 %), pre-surgery (8.64 %) & NSTEMI (4.94 %). In patients of myocardial bridge (MB) on follow up symptoms noted were atypical chest pain (38.27 %), dyspnoea on exertion (27.16 %) & chest pain (23.46 %). On follow up, myocardial bridge (MB) was associated with 2 cases of acute myocardial infarction, no major adverse cardiac events, myocardial ischemia or cardiovascular death noted.
Conclusion: Clinical suspicion of Myocardial bridges should be considered in young patients with acute coronary syndrome with typical or atypical chest pain, though casual association needs further studies with larger sample size & longer follow up.