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| 1 | Home-made fenestrated amplatzer occluder for atrial septal defect and pulmonary arterial hypertension显示文摘我们报导一个病人的管理与根据氏族的缺点( ASD )和有最近的严重肺的 hypertension.A 65岁的孩子男性诊断了的 atrial atrial serital 缺点被指我们有休息和锻练的患心脏代偿失调的正确的心失败的中心导致了 dispnea ,严重肺的 hypertension.Right 心 catheterization 证实了一个吝啬的肺的压力关于 55 mmHg 和有一个顺从的大汽球的 2.7 .An 吸藏测试的 Qp/Qs | Fabio Dell'Avvocata Gianluca Rigatelli Paolo Cardaioli Massimo Giordan | 2011 | Journal of Geriatric Cardiology2011，8，2： | 3 |
| 2 | Prolonged high-pressure balloon angioplasty of femoropopliteal lesions:Impact on stent implantation rate and mid-term outcome显示文摘ObjectivesTo 在 stent 培植率和回顾地注册的 femoropopliteal lesions.MethodsWe 的延长高压力 angioplasty 的中间的结果上估计影响从 2011 年 1 月的 620 个连续病人到 2011 年 12 月(75.6 ±12.3 年, 355 男性, 76.5% 在卢班 5-6 ) ,为批评手足局部缺血参考了并且提交了到 femoropopliteal 损害的延长高压的 angioplasty。延长高压的 angioplasty 的定义为至少 120 s 包括膨胀到至少 18 atm。程序的数据,和临床、仪器的后续被分析估计比较喜欢的培植率和中间的 outcomes.ResultsThe 接近的 stent 是 ipsilateral 在 433/620 病人(69.7%) 和在 164/620 (26.4%) 的 contralateral 转线路的大腿骨的 antegrade 并且腿弯部后退 +在 23/620 (3.7%)的大腿骨的 antegrade 。技术在 193/620 病人(31.2%) 在 427/620 病人(68.8%) 和 endoluminal angioplasty 包括了 subintimal angioplasty。延长高压力汽球 angioplasty 过程在 86.2% 是成功的(次要的 intra 程序的复杂并发症率 15.7 %) , stent 培植在 74 个病人(11.9%) 被执行,与脚关节臂的索引的重要改进(0.29 ±0.6 对 0.88 ±0.3, P <00.1 ) 并且卢班(5.3 ±0.8 对 0.7 ±1.9, P <0.01 ) , 86.7% 的主要明显率, Doppler 超声和在 18.1 ± 的吝啬的后续的 14.8% 的目标损害 revascularization 上的 18.6 % 的狭窄;6.4 个月(范围 1-24 月) 。第二等的明显率高是 87.7%.ConclusionsProlonged femoropopliteal 损害的压力 angioplasty 看起来安全、有效允许可接受的明显和狭窄在期中考试上评价。 | Gianluca Rigatelli Mariano Palena Paolo Cardaioli Fabio dell'Avvocata Massimo Giordan Dobrin Vassilev Marco Manzi | 2014 | Journal of Geriatric Cardiology2014，11，2： | 2 |
| 3 | Prophylactic endovascular management of peripheral artery disease in elderly candidates prior to cardiac surgery显示文摘Background and objectives Peripheral vascular disease (PVD) is a major risk factor in candidates for cardiac surgery and can impact morbidity and mortality in the perioperative and follow-up period. Elderly patients with PVD may benefit from endovascular treatment prior to cardiac surgery. We sought to assess the common clinical settings requiring prophylactic endovascular treatment before coronary surgery in elderly patients, the results, and the mid-term impact on subsequent revascularization. Methods Between November 2002 and June 2006, 37 patients (25 males, mean age 79.9±8.3 years, mean serum creatinine 1.9±0.6 mg/dl) underwent endovascular repair of PVD before cardiac surgery. For each patient, diagnostic methods, indications for intervention, types of interventions, procedural success, and complications were recorded. Results Four clinical settings were identified: renal artery stenting prior to coronary surgery (7 patients), iliac artery angioplasty and stenting (10 patients) in order to facilitate aortic balloon pump insertion after surgery, subclavian artery angioplasty and stenting prior to utilization of ipsilateral arterial conduits bypass surgery (5patients), and carotid artery stenting before coronary surgery (15 patients). Technical success was achieved in all patients (100%);complications included brachial artery occlusion (1 patient), minor stroke (2 patients), contrast nephropathy (1 patient), and minor bleeding at the puncture site (3 patients). All patients underwent successful coronary or valvular surgery; no patients died in the perioperative period. After a mean follow-up of 26.6±3.1 months, all patients are alive and free from anginal symptoms or valvular dysfunction without clinical or Doppler ultrasonography evidence of restenosis of the implanted peripheral vascular stents. Conclusions It is not unusual for elderly patients who are candidates for cardiac surgery to require endovascular intervention for significant PVD prior to coronary bypass or valvular surgery. The results showed a low complication rate. The cardiologists have a fundamental role,not only in the diagnosis of peripheral vascular stenosis, which was seen frequently in patients with significant CAD, but also in the appropriate endovascular management of these high-risk patients. | Gianluca Rigatelli Paolo Cardaioli Massimo Giordan Loris Roncon Emiliano Bedendo Tranquillo Milan Giorgio Rigatelli | 2006 | Journal of Geriatric Cardiology2006，3，2： | 1 |
| 4 | Congenital coronary artery-left ventricle direct micro-fistulas may cause effort angina and positive stress tests in Western adults显示文摘 | Gianluca Rigatelli Fabio Dell'Avvocata Massimo Giordan Paolo Cardaioli | 2016 | Journal of Geriatric Cardiology2016，13，1： | 1 |
| 5 | Impact of Interatrial Septum Anatomic Features on Short‐ and Long‐ T erm Outcomes After Transcatheter Closure of Patent Foramen Ovale: Single Device Type Versus Anatomic‐ D riven Device Selection Strategy显示文摘 | GIANLUCA RIGATELLI FABIO DELL’AVVOCATA RAMESH DAGGUBATI HO THUONG DUNG NGUYEN THUONG NGHIA ARAVINDA NANJIUNDAPPA MASSIMO GIORDAN PAOLO CARDAIOLI | 2013 | J Int Cardiol2013，，4： | 1 |
| 6 | Endovascular management of patients with coronary artery disease and diabetic foot syndrome: A long-term follow-up显示文摘背景将调查糖尿病的脚病人的全球冠、外部的 interventional 治疗的长期的结果。我们回顾地包括了 220 个糖尿病的病人的方法(78.5 +/- 15.8 年, 107 女性,都与 Fontaine III 或 IV 班) 被指我们糖尿病的脚症候群的中心和到 2010 年 12 月的从 2006 年 1 月的严重手足局部缺血。病人们被 interventional 心脏病专家和 diabetologists 的一个队评估以便估计伴随物的存在冠的动脉疾病(CAD ) 和对冠的 revascularization 的最终的需要。压力回响在诊断外部 angiography 前在所有病人被执行。有为冠的 angiography 的指示的病人被提交到联合诊断 angiography 然后到最终的上演外设和冠的干预。Doppler ultrasonography 和在过程前后的 transcutaneous 氧压力(TcPO2 ) 的脚 transcutaneous oximetry 象 stress-echocardiography 一样被执行并且在 1 和 6 个月并且每年联合了 cardiologic 和糖尿病的检查。结果 Stress-echocardiography 在 94/220 病人被执行并且结果在经历了的 56 个病人积极联合了冠、外部的 angiography。在 126 个病人的其余部分,联合了冠、外部的 angiography 在 35 个病人为冠的心疾病的伴随物症状直接被执行。冠的 revascularization 被判定在 85/129 病人必要并且在 13 个病人在 72 个病人并且通过手术在外部干预以后经皮地被执行。为糖尿病的脚干预,比较喜欢的途径是 ipsilateral 在 170/220 病人(77.7%) 和在 40/220 病人(18.8%) 的 contralateral 转线路的大腿骨的 antegrade 并且腿弯部后退 + 在 10/220 病人(4.5%) 的大腿骨的 antegrade。汽球 angioplasty 在 252 条腿被执行(32 个病人有的双边的疾病) :过程与溃疡在 233/252 腿(92.4%) 愈合在 TcPO2 和 ABI 在有 94.8% 的立即的成功率和重要改进的 239/252 腿是成功的。从主要切断的自由在 3.1 汣湩捩污 ? 的吝啬的后续是 82.8%? | Gianluca Rigatelli Paolo Cardaioli Fabio dell'Avvocata Massimo Giordan Giovanna Lisato Francesco Mollo | 2011 | Journal of Geriatric Cardiology2011，8，2： | 1 |
| 7 | An uncommon coronary artery fistula显示文摘 | Massimo Giordan Gianluca Rigatelli Massimo Rinuncini Loris Roncon Gabriele Braggion Stefano Panin Emiliano Bedendo Pietro Zonzin | 2005 | Cardiovascular Revascularization Medicine2005，，3： | 1 |
| 8 | Brachial access technique for aortoiliac stenting revisited显示文摘We report a modified technique to perform iliac artery stenting through the brachial artery access. A 6F Brite tip sheath (Cordis, Jonhson & Jonhson Medical, Miami Lakes, FL, USA) is inserted into either brachial artery and a standard 4F Judkins Right diagnostic catheter was inserted over a 260 cm 0.038” Terumo Stiff wire (Terumo Corp, Tokyo, Japan) through the sheath. The catheter is navigated down to the aortic bifurcation, and after selecting the common iliac artery ostium, the wire is navigated through the lesion and advanced to the ipsilateral superficial femoral arteries. The catheter should be then moved forward over the wires beyond the lesion and the Terumo guidewire is replaced by two 0.038” 260 cm Supracor wires (Boston Scientific Corporation, San Jose, CA, USA). In order to facilitate advancement of the stent without risk of dislodgement as well as to check the position with low contrast dose injection, a 6 F (or 7F if large stent is selected) 90cm Shuttle Flexor introducer long sheath (Cook Group, Bloomington, IN, USA) should be advanced over the Supracor wire until it reaches the common iliac artery ostium. A road-map technique can be used to check the ostium position in order to properly deploy the selected stent. This technique promises to be safe and effective offering more support than guiding catheter technique; moreover it reduces the stress on the arterial vessel at the subclavian site and enables a stiff balloon or stent catheter to be advanced even through a very elongated and calcified aorta without the risk of stent dislodgement. | Gianluca Rigatelli Paolo Cardaioli Fabio dell'Avvocata Massimo Giordan | 2007 | Journal of Geriatric Cardiology2007，4，2： | 1 |
| 9 | Peripheral vascular bifurcation: features and techniques显示文摘The systemic nature of vascular atherosclerosis involves all vascular territories.As interventional cardiologists,we are familiar with coronary artery bifurcation treatment.In other parts of the human body,the vascular tree develops similar bifurcation in the carotid,renal,aortoiliac and tibio-peroneal segments.Even with some differences depending on specific vascular wall composition,the atherosclerotic process affects all such bifurcations in a similar way. | Gianluca Rigatelli Paolo Cardaioli Dell Avvocata Dan Le Hung Phan Katrina Nguyen Quoc Nguyen James Nguyen Thach Nguyen Massimo Giordan | 2012 | Chinese Medical Journal2012，，19： | 0 |
| 10 | Local drug-delivery balloon for proliferative occlusive in-stent restenosis after drug-eluting stent显示文摘药涂的汽球为 in-stent 狭窄作为 drug-eluting stents 的一种选择被开发了,但是在如此的背景的药注入汽球的表演以前没被描述。我们在场在与药注入汽球的一种新类型对待的药 eluting stent 培植以后的特别地好攻击的 in-stent 狭窄的一个盒子发展了以便克服不可能为几膨胀使常规药涂的汽球膨胀。 | Gianluca Rigatelli Paolo Cardaioli Fabio Dell'Avvocata Massimo Giordan | 2011 | Journal of Geriatric Cardiology2011，8，1： | 0 |
| 11 | Patent foramen ovale closure in over-60-years old patients with diastolic dysfunction显示文摘Background Patent foramen ovale (PFO)-related stroke is a possible and not easily manageable occurrence in ≤60-years-old patients due to the presence of different comorbidities and in particular of diastolic dysfunction which is considered as a contraindication to PFO closure.The grade of diastolic dysfunction for which PFO closure is contraindicated and whether there are changes in diastolic dysfunction class after closure have not been investigated in deep yet.Methods We prospectively enrolled patients who were referred to our centre over a 12 months period for PFO transcatheter closure having echocardiographic demonstration of diastolic dysfunction (≤Ⅲ class diastolic dysfunction).Echocardiography was scheduled at 1,6 and 12 months in order to assess changes in haemodynamic parameters of left ventricle function.Results Thirteen out of 80 patients referred to our centre (16.2%,mean age 65 + 6.4 years) over a 24-month period were enrolled in the study (Table 1).Eighteen Amplatzer PFO Occluder 25 mm and one 35 mm,two Amplatzer 25/25 mm Cribriform Occluder and two 25 nun Premere Occlusion System were successfully implanted with no intraoperative complications.As collateral findings on ICE 8/12 patients (66.7 %) had hypertrophy of the interatrial septum (thickness of the rims > 1.2 mm) probably imputable to hypertensive cardiomyopathy.Four patients developed atrial fibrillation during the first month post-implantation,all successfully treated with antiarrhythmic drugs.After a mean follow-up of 40±4.3 months left ventricle performance indices (ejection fraction and end-diastolic volume) and diastolic dysfunction parameters (E/A,deceleration time,diastolic dysfunction class) did not change significantly.Conclusion The present study suggests that PFO transcatheter closure may be safely performed in aged patients with diastolic dysfunction class 1-2.(J Geriatr Cardio12008;5:3-6.) | Gianluca Rigatelli Fabio Dell'Avvocata Paolo Cardaioli Massimo Giordan Gabriele Braggion Loris Roncon | 2008 | Journal of Geriatric Cardiology2008，5，1： | 0 |
| 12 | Left atrial dysfunction in elderly patients with patent foramen ovale and atrial septal aneurysm显示文摘客观最近,这被建议了,在有大专利孔 ovale ( PFO )和 atrial 的病人氏族的动脉瘤( ASA ),机能障碍可以是的左 atrial ( LA )的某个数量象支持动脉的栓塞的交替的机制活跃--跟随这个假设,老病人,更产生 atrial 房间僵硬,应该介绍寻求在提交到 transcatheter PFO closure.Methods 的老病人评估 LA 机能障碍的等级的更严重的 LA 机能障碍 profile. | Gianluca Rigatelli Fabio Dell'Avvocata Federico Ronco Massimo Giordan Paolo Cardaioli | 2009 | Journal of Geriatric Cardiology2009，6，4： | 0 |
| 13 | Subclavian artery angioplasty in elderly patients with coronary-subclavian steal syndrome: preliminary comparison between a modified brachial technique and the standard femoral approach显示文摘Background and Objective Elderly patients who have been submitted to coronary bypass grafting with the left internal mammary artery (LIMA) may develop a coronary-subclavian steal syndrome because of a left subclavian artery (LSA) stenosis. Usually stenting of LSA is performed by the standard femoral route with guiding catheter technique, but this technique can be particularly difficult in elderly patients who often have iliac-femoral kinking and aortic tortuosity. We compared a new “ad hoc” brachial artery approach technique with the standard guiding catheter technique through the femoral access. Methods Between January 2005 and September 2006, four patients underwent LSA stenting using the left brachial artery access obtained with a 6F or 7F 45-cm-long valved anti-kinking sheath as the Super Arrow Flex sheath (Arrow International, PA, USA). The sheath was positioned just before the LIMA graft ostium and a 0.035 inch 260-cm-long Storq guidewire (Cordis Inc., Johnson & Johnson, Warren, NJ) was advanced across the lesion to the descending aorta. A balloon-expandable Genesis (Cordis Inc., Johnson & Johnson, Warren, NJ) endovascular stent was easily deployed, and the correct position was checked by direct contrast injection through the long sheath. This small group of patients has been compared to a group of 5 age-matched patients with coronary steal syndrome in whom the procedure has been performed with standard technique including femoral approach and guide catheter. Results The procedure was successful in all patients; vertebral and LIMA ostia remained patent in all cases. In the control group, cannulation of the subclavian artery was difficult in two cases, while one patient developed a groin hematoma. Mean pretreatment gradient was 32 mm Hg with a range of 25 to 40 mm Hg (34 mmHg, range 26- 43, in the control group, P=0.87) and fell to 2 mm Hg with a range of 0 to 4 mm Hg (3.1 mmHg, range 0 to 5, P=0.89) posttreatment. Mean contrast dose was 60±16 ml (138±26 ml in the control group, P>0.01), whereas mean fluoroscopy and procedural time were 5.7±1.6 minutes (10.8±1.0 minutes in the control group, P>0.01) and 15.7±6.3 minutes (28±7.1 minutes in the control group, P>0.01). At a mean follow-up of 10±3.2 months all patients are alive and free from angina and residual induced ischemia. Conclusions Our brief study suggested that brachial artery access be considered the optimal route to treat coronary-subclavian steal syndrome in elderly patients because of clear advantages; these included no manipulation of catheter to cannulate the artery, perfect coaxial position of the catheter at the site of LSA stenosis, clear visualization of the LIMA and vertebral ostia, and easy access to these vessels in case of plaque shifting or embolic protection device deployment. | Gianluca Rigatelli Paolo Cardaioli Massimo Giordan Stefano Panin Laura Oliva Tranquillo Milan Loris Roncon | 2007 | Journal of Geriatric Cardiology2007，4，2： | 0 |
| 14 | Endovascular interventions of the femoro-popliteal disease in the elderly显示文摘In the last few years the treatment of superficial femoral artery (SFA) occlusive disease has undergone greater changes in management including more aggressive endoluminal therapy, especially in the elderly patients who are at high risk for extra-vascular comorbidities from the surgical approach. While acute and chronic arterial limb ischemia is the conditions which the interventional cardiologists frequently encounter, the elderly population represents special problematic clinical and anatomical setting due to heavy calcification and poor distal run-off. Arterial thrombolysis, rheolytic thrombectomy, mechanical thrombectomy, laser angioplasty, cryoplasty, and new flexible long stents are some of the promising techniques to improve the technical and clinical outcomes in these elderly patients. | Gianluca Rigatelli Paolo Cardaioli Fabio dell'Avvocata Massimo Giordan Luca Zattoni | 2007 | Journal of Geriatric Cardiology2007，4，2： | 0 |
| 15 | Carotid artery angioplasty and stenting in elderly patients: the advantage of being an interventional cardiologist显示文摘客观颈动脉 angioplasty 和 stenting (CAS ) 被建议了是在有高风险的病人的选择的过程心血管的侧面。不幸地,如此的病人与几 comorbidities 经常是年老的,例如复杂化 CAS 表演的冠的动脉疾病,外部动脉疾病和敌对解剖的高流行。我们寻求了在老病人评估 CAS 的结果,构画出遇到的挑战和最终的建议全球心血管的管理。我们回顾地在数据库找了病人的方法 > 被指的 65 岁的孩子心血管的诊断和 Endoluminal 干预, Rovigo 医院将军,在为 CAS 的 24 月的经期(12 月 2007-November 日 2009 ) 上。冠的 angiography 并且外部屏蔽在所有病人被执行。所有最终的挑战和相关答案被分析。完全结果, 160 个病人被注册。在哪个之中, 50 个病人(31.2% ,意味着年龄 80 搠癥? | Gianluca Rigatelli Paolo Cardaioli Federico Ronco Fabio DelrAvvocata Massimo Giordan | 2010 | Journal of Geriatric Cardiology2010，7，1： | 0 |
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