Alexandru Achim
YOU?
Author Swipe
View article: Case Report: Pneumomediastinum and pulmonary embolism in a 19-year-old with focal segmental glomerulosclerosis: a rare double-complication of corticosteroid therapy
Case Report: Pneumomediastinum and pulmonary embolism in a 19-year-old with focal segmental glomerulosclerosis: a rare double-complication of corticosteroid therapy Open
Background Focal Segmental Glomerulosclerosis (FSGS) is a common aetiology of nephrotic syndrome and a leading cause of end-stage renal disease. Corticosteroid therapy is considered the first-line treatment in patients with proteinuria, bu…
View article: Distal versus conventional radial large-bore access for percutaneous coronary intervention of complex coronary lesions: Rationale and design of the DISCO COMPLEX randomized superiority trial
Distal versus conventional radial large-bore access for percutaneous coronary intervention of complex coronary lesions: Rationale and design of the DISCO COMPLEX randomized superiority trial Open
Clinicaltrials.gov: Identifier, NCT05490238.
View article: Transcatheter Aortic Valve Implantation in Young Patients: Challenges and Perspectives—A Narrative Review
Transcatheter Aortic Valve Implantation in Young Patients: Challenges and Perspectives—A Narrative Review Open
Although most commonly diagnosed in the elderly population, aortic stenosis can affect younger patients, being the most frequent valvular disease requiring replacement interventions, either through surgical procedures (SAVR = surgical aort…
View article: Long-Term Prognostic Value of Post-Revascularization Fractional Flow Reserve and Skin Perfusion Toe Pressure in Patients with Chronic Limb-Threatening Ischemia
Long-Term Prognostic Value of Post-Revascularization Fractional Flow Reserve and Skin Perfusion Toe Pressure in Patients with Chronic Limb-Threatening Ischemia Open
Background and Objectives: The impact of peripheral below-the-knee (BTK) fractional flow reserve (FFR) on long-term clinical outcomes remains unknown. Materials and Methods: We enrolled 40 patients with severe BTK lesions (Rutherford 4–6).…
View article: Management of Lost Atherectomy Devices in the Coronary Arteries
Management of Lost Atherectomy Devices in the Coronary Arteries Open
Rotational and orbital atherectomy are important tools to treat calcific coronary disease. Entrapment of an atherectomy device, that is, rotational atherectomy burr or orbital atherectomy crown, is a serious complication during atherectomy…
View article: Long‐Term Follow‐Up After Direct‐Flow Transcatheter Aortic Valve Implantation: A Single Center Experience
Long‐Term Follow‐Up After Direct‐Flow Transcatheter Aortic Valve Implantation: A Single Center Experience Open
Aims Valve degeneration after DirectFlow implantation poses a challenge for valve‐in‐valve procedures due to its fragile polymeric structure and embolization risk. This study analyzes long‐term follow‐up of patients who underwent TAVI with…
View article: Optimizing Revascularization in Ischemic Cardiomyopathy: Comparative Evidence on the Benefits and Indications of CABG and PCI
Optimizing Revascularization in Ischemic Cardiomyopathy: Comparative Evidence on the Benefits and Indications of CABG and PCI Open
Ischemic cardiomyopathy remains a leading cause of heart failure, yet the optimal revascularization approach for patients with reduced left ventricular function remains uncertain. This review synthesizes current evidence on coronary revasc…
View article: Long-Term Prognostic Power of Three-Dimensional Speckle-Tracking Echocardiography-Derived Peak Left Atrial Reservoir Global Longitudinal Strain in Healthy Adults—An Analysis from the MAGYAR-Healthy Study
Long-Term Prognostic Power of Three-Dimensional Speckle-Tracking Echocardiography-Derived Peak Left Atrial Reservoir Global Longitudinal Strain in Healthy Adults—An Analysis from the MAGYAR-Healthy Study Open
Introduction: The contraction–relaxation pattern of the left atrial (LA) walls is opposite to that detected in the left ventricle, which includes thinning in radial, lengthening in longitudinal, and widening in circumferential directions i…
View article: Enhanced Efficiency of Sequential Cutting Balloon Angioplasty in Calcified Coronary Artery Disease: The RODIN‐CUT Technique
Enhanced Efficiency of Sequential Cutting Balloon Angioplasty in Calcified Coronary Artery Disease: The RODIN‐CUT Technique Open
Background Heavily calcified coronary artery disease presents significant challenges in percutaneous coronary intervention (PCI), often requiring advanced techniques to achieve optimal outcomes. Cutting balloons (CB) have shown potential f…
View article: Embolic risk management in infective endocarditis: predicting the ‘embolic roulette’
Embolic risk management in infective endocarditis: predicting the ‘embolic roulette’ Open
Life-threatening complications of infective endocarditis (IE,) are heart failure, uncontrolled infection and embolic events (EE), which pose significant morbidity and mortality risks. EE from vegetation rupture are frequent, occurring in m…
View article: Review of the arm alternative arterial access sites for percutaneous interventions
Review of the arm alternative arterial access sites for percutaneous interventions Open
Percutaneous coronary interventions (PCI) traditionally rely on transradial access (TRA), but alternative arm vascular access sites are gaining importance due to the need to preserve radial arteries for future procedures and to overcome ch…
View article: Comprehensive Overview of Retrograde‐Antegrade Connection Techniques Without Externalization in Chronic Total Occlusion PCI: The Portal Techniques
Comprehensive Overview of Retrograde‐Antegrade Connection Techniques Without Externalization in Chronic Total Occlusion PCI: The Portal Techniques Open
Background Advancing the retrograde microcatheter (MC) into the antegrade guide catheter during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) can be challenging or impossible, preventing guidewire extern…
View article: Three-dimensional speckle-tracking echocardiography-derived deformation analysis of the morphologic left ventricle in adults with corrected dextro-transposition of the great arteries—insights from the CSONGRAD Registry and MAGYAR-Path Study
Three-dimensional speckle-tracking echocardiography-derived deformation analysis of the morphologic left ventricle in adults with corrected dextro-transposition of the great arteries—insights from the CSONGRAD Registry and MAGYAR-Path Study Open
Significant mLV strain abnormalities are present in dTGA late after atrial switch procedures. These differences are more pronounced in the Mustard-operated group.
View article: The Value of Biomarkers in Major Cardiovascular Surgery Necessitating Cardiopulmonary Bypass
The Value of Biomarkers in Major Cardiovascular Surgery Necessitating Cardiopulmonary Bypass Open
The use of biomarkers in cardiovascular surgery is an evolving field with promising potential; however, current research remains largely limited, requiring further validation for routine clinical application. This review explores the appli…
View article: Long-Term Prognostic Significance of Three-Dimensional Speckle-Tracking Echocardiography-Derived Left Ventricular Twist in Healthy Adults—Results from the MAGYAR-Healthy Study
Long-Term Prognostic Significance of Three-Dimensional Speckle-Tracking Echocardiography-Derived Left Ventricular Twist in Healthy Adults—Results from the MAGYAR-Healthy Study Open
Background: The left ventricular (LV) rotational mechanics are of particular importance in the function of the LV. The rotational movement is the consequence of the arrangement of the subepicardial and subendocardial muscle fibers. These m…
View article: Perioperative Modulation of Left Ventricular Systolic Performance: A Retrospective Study on Ionized Calcium and Vitamin D in Cardiac Surgery Patients
Perioperative Modulation of Left Ventricular Systolic Performance: A Retrospective Study on Ionized Calcium and Vitamin D in Cardiac Surgery Patients Open
Background: The perioperative impact of calcium and vitamin D on left ventricular (LV) performance during major cardiac surgery remains unexplored. We aimed to assess the relation of calcium and vitamin D measured at different time points …
View article: Ultrasonography for the optimal selection of patients suitable for single session arteriography and endovascular revascularization in severe peripheral artery disease
Ultrasonography for the optimal selection of patients suitable for single session arteriography and endovascular revascularization in severe peripheral artery disease Open
Aims: Peripheral artery disease (PAD) represents a high burden on the healthcare and social assistance systems. Revascularization reduces symptoms, amputation rate and increases the chances of social reintegration. Our aim was to evaluate …
View article: Long-Term Prognostic Impact of Three-Dimensional Speckle-Tracking Echocardiography-Derived Left Ventricular Global Longitudinal Strain in Healthy Adults—Insights from the MAGYAR-Healthy Study
Long-Term Prognostic Impact of Three-Dimensional Speckle-Tracking Echocardiography-Derived Left Ventricular Global Longitudinal Strain in Healthy Adults—Insights from the MAGYAR-Healthy Study Open
Introduction. Three-dimensional (3D) speckle-tracking echocardiography (STE) combines the advantages of STE and volumetric 3D echocardiography, which shows the left ventricle (LV) in 3D during the cardiac cycle and is also suitable for acc…
View article: A Review Paper on Optical Coherence Tomography Evaluation of Coronary Calcification Pattern: Is It Relevant Today?
A Review Paper on Optical Coherence Tomography Evaluation of Coronary Calcification Pattern: Is It Relevant Today? Open
The process of coronary calcification represents one of the numerous pathophysiological mechanisms involved in the atherosclerosis continuum. Optical coherence tomography (OCT) represents an ideal imaging modality to assess plaque componen…
View article: The occlusion rates after distal radial access: how to multiply your bullets
The occlusion rates after distal radial access: how to multiply your bullets Open
View article: Subintimal intravascular lithotripsy to optimize external crush stenting
Subintimal intravascular lithotripsy to optimize external crush stenting Open
View article: Cardiovascular health of patients with cancer: Challenges abound
Cardiovascular health of patients with cancer: Challenges abound Open
Patients with cancer have elevated cardiovascular risks compared to those without cancer. As cancer incidence increases and cancer-related mortality decreases, cardiovascular diseases in patients with a history of cancer will become increa…
View article: Investigating Potential Correlations between Calcium Metabolism Biomarkers and Periprocedural Clinical Events in Major Cardiovascular Surgeries: An Exploratory Study
Investigating Potential Correlations between Calcium Metabolism Biomarkers and Periprocedural Clinical Events in Major Cardiovascular Surgeries: An Exploratory Study Open
Background: There is emerging but conflicting evidence regarding the association between calcium biomarkers, more specifically ionized calcium and the prognosis of intensive care unit (ICU) postoperative cardiac patients. Methods: Our stud…
View article: Peripheral Artery Disease Ultrasound Assessment in Predicting the Severity of Coronary Artery Disease
Peripheral Artery Disease Ultrasound Assessment in Predicting the Severity of Coronary Artery Disease Open
Atherosclerosis in a progressive disease that is systemic in nature, and hence the simultaneous presentation of coronary artery disease (CAD) and peripheral artery disease (PAD) is not uncommon. As clinically manifested PAD is associated w…
View article: Peripheral Arterial Disease in the Context of Acute Coronary Syndrome: A Comprehensive Analysis of Its Influence on Ejection Fraction Deterioration and the Onset of Acute Heart Failure
Peripheral Arterial Disease in the Context of Acute Coronary Syndrome: A Comprehensive Analysis of Its Influence on Ejection Fraction Deterioration and the Onset of Acute Heart Failure Open
Background: Peripheral artery disease is a condition that causes narrowing of the arteries, impairing circulation to the extremities. Globally, it affects millions of people and is more prevalent in older adults and those with diabetes, hi…
View article: Coronary branch steal due to an anomalous single and diseased vessel
Coronary branch steal due to an anomalous single and diseased vessel Open
PET images in this case use the HeartSee
View article: Right Ventricular Longitudinal Shortening is not Associated with Left Ventricular Rotational Mechanics in Healthy Adults - Insights from the Three-dimensional Speckle-tracking Echocardiographic MAGYAR-Healthy Study
Right Ventricular Longitudinal Shortening is not Associated with Left Ventricular Rotational Mechanics in Healthy Adults - Insights from the Three-dimensional Speckle-tracking Echocardiographic MAGYAR-Healthy Study Open
Introduction: The left ventricle (LV) not only contracts, but its rotational mechanics have a significant role in systolic ejection, whereas the right ventricle (RV) is substantially different in shape and function, and its contractility i…
View article: Correction: Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features
Correction: Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features Open
View article: Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features
Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features Open
Background In patients with renal artery stenosis, revascularization was seen as a mean to improve outcomes, but large studies failed to show significant benefit in general population. However, data on benefits of renal artery stenting in …
View article: Anthracycline’s Effects on Heart Rate Variability in Children with Acute Lymphoblastic Leukemia: Early Toxicity Signs—Pilot Study
Anthracycline’s Effects on Heart Rate Variability in Children with Acute Lymphoblastic Leukemia: Early Toxicity Signs—Pilot Study Open
Anthracycline treatments are known to cause cardiotoxic long-term side effects in cancer survivors. Recently, a decrease in heart rate variability (HRV) has been identified in these patients, signaling autonomic dysfunction and altered car…