Shapour Shirani
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View article: An Anomalous Right Coronary Artery Originating from the Left Anterior Descending Artery, a Case Report of Successful Percutaneous Coronary Intervention
An Anomalous Right Coronary Artery Originating from the Left Anterior Descending Artery, a Case Report of Successful Percutaneous Coronary Intervention Open
Background: An anomalous right coronary artery (RCA) originating from the left anterior descending artery (LAD) is a rare subtype of single coronary artery ostium. Revascularization in such cases is challenging due to the large feeding ter…
View article: Rhabdomyolysis in Patients with Drug or Chemical Poisoning: Clinical Investigation and Implications.
Rhabdomyolysis in Patients with Drug or Chemical Poisoning: Clinical Investigation and Implications. Open
The frequency of rhabdomyolysis was approximately 10%, with a 7% mortality rate among affected patients. Rhabdomyolysis was more frequently associated with drug poisoning than chemical poisoning, with methadone and benzodiazepines being th…
View article: Predictive factors of thoracic aortic calcification in patients candidate for cardiac surgery
Predictive factors of thoracic aortic calcification in patients candidate for cardiac surgery Open
View article: Short and mid-term outcomes of valve-sparing, aortic root reimplantation (David’s procedure)
Short and mid-term outcomes of valve-sparing, aortic root reimplantation (David’s procedure) Open
View article: The Association of Coronary Artery Calcium Score and Osteoporosis in Postmenopausal Women: A Cross-Sectional Study
The Association of Coronary Artery Calcium Score and Osteoporosis in Postmenopausal Women: A Cross-Sectional Study Open
Background: The association between osteoporosis, a common metabolic bone disorder, and atherosclerosis has been reported in different studies. In this study, we aimed to investigate the association between the coronary artery calcium scor…
View article: Comparison of conventional scoring systems to machine learning models for the prediction of major adverse cardiovascular events in patients undergoing coronary computed tomography angiography
Comparison of conventional scoring systems to machine learning models for the prediction of major adverse cardiovascular events in patients undergoing coronary computed tomography angiography Open
Background The study aims to compare the prognostic performance of conventional scoring systems to a machine learning (ML) model on coronary computed tomography angiography (CCTA) to discriminate between the patients with and without major…
View article: Catheter-Directed Thrombolysis vs Anticoagulation in Patients With Acute Intermediate-High–risk Pulmonary Embolism
Catheter-Directed Thrombolysis vs Anticoagulation in Patients With Acute Intermediate-High–risk Pulmonary Embolism Open
Importance The optimal treatment of intermediate-high–risk pulmonary embolism (PE) remains unknown. Objective To assess the effect of conventional catheter-directed thrombolysis (cCDT) plus anticoagulation vs anticoagulation monotherapy in…
View article: Circulating amino acids and acylcarnitines correlated with different CAC score ranges in diabetic postmenopausal women using LC–MS/MS based metabolomics approach
Circulating amino acids and acylcarnitines correlated with different CAC score ranges in diabetic postmenopausal women using LC–MS/MS based metabolomics approach Open
View article: Dual-Source Dual-Energy CT-Scan Confirms the Diagnosis of Ancient Hydatid Cysts Recovered from a Late Roman Burial in Amiens, France
Dual-Source Dual-Energy CT-Scan Confirms the Diagnosis of Ancient Hydatid Cysts Recovered from a Late Roman Burial in Amiens, France Open
Background: Two calcified objects recovered from an adolescent in a burial site in Amiens, France, have been previously identified as hydatid cysts using thin-section petrography. The importance of ancient hydatidosis besides the value of …
View article: Bilateral proximal deep vein thrombosis and <scp>COVID</scp>‐19 in a patient with absence of inferior vena cava: A case report and review of literature
Bilateral proximal deep vein thrombosis and <span>COVID</span>‐19 in a patient with absence of inferior vena cava: A case report and review of literature Open
Bilateral proximal deep vein thrombosis (DVT) in the lower extremities of young patients should raise suspicion over pro‐thrombotic conditions and venous anatomical abnormalities, even in the presence of other precipitating factors, such a…
View article: Pulmonary thromboembolism as presenting feature of COVID-19: Report of four cases
Pulmonary thromboembolism as presenting feature of COVID-19: Report of four cases Open
Coronavirus disease 2019 (COVID-19) infection is associated with a hypercoagulable state. The similarity in clinical presentation between Pulmonary Thromboembolism (PTE) and COVID-19 render the triage of these patients challenging. We pres…
View article: Pulmonary Embolism and Right Heart Thrombi: A Single-Center Experience
Pulmonary Embolism and Right Heart Thrombi: A Single-Center Experience Open
Background: The right heart thrombus (RHT) embolizes from deep venous thrombi and sits in the right atrium or the right ventricle. We aimed to determine the occurrence and prognosis of the RHT in patients with pulmonary embolism. Methods: …
View article: Spontaneous descending colon hematoma due to a rare complication of warfarin therapy: A case report
Spontaneous descending colon hematoma due to a rare complication of warfarin therapy: A case report Open
Intramural hematoma of the colon should be considered as a diagnosis in anticoagulated patients who present with prolonged INR and GI symptoms. In stable cases, conservative medical treatment can be sufficient to avoid unnecessary procedur…
View article: Predicting the outcome in confirmed COVID-19 patients with coronary artery disease: a key role for the first chest computed tomography
Predicting the outcome in confirmed COVID-19 patients with coronary artery disease: a key role for the first chest computed tomography Open
View article: Does Baseline BUN Have an Additive Effect on the Prediction of Mortality in Patients with Acute Pulmonary Embolism?
Does Baseline BUN Have an Additive Effect on the Prediction of Mortality in Patients with Acute Pulmonary Embolism? Open
Background: In patients with heart failure, elevated levels of blood urea nitrogen (BUN) is a prognostic factor. In this study, we investigated the prognostic value of elevated baseline BUN in short-term mortality among patients with acute…
View article: Occurrence of acute coronary syndrome, pulmonary thromboembolism, and cerebrovascular event in COVID‐19
Occurrence of acute coronary syndrome, pulmonary thromboembolism, and cerebrovascular event in COVID‐19 Open
COVID‐19 causes significant hypoxia along with an exacerbated inflammatory milieu, which may be a trigger for atherosclerotic plaque rupture and/or thromboembolic events. Herein, we presented a case of COVID‐19 presented with acute coronar…
View article: Tubular Thrombus in Transit Detected Initially on Computed Tomography Scan
Tubular Thrombus in Transit Detected Initially on Computed Tomography Scan Open
View article: Association between elevated red blood cell distribution width and long-term mortality in acute pulmonary embolism
Association between elevated red blood cell distribution width and long-term mortality in acute pulmonary embolism Open
Background/aim: The prognostic value of the red cell distribution width (RDW) as a cost-effective and noninvasive test in acute pulmonary embolism (PE) is still unknown. We aimed to investigate the prognostic value of the admission RDW lev…
View article: P3501Association between elevated baseline blood urea nitrogen and mortality in patients with acute pulmonary embolism
P3501Association between elevated baseline blood urea nitrogen and mortality in patients with acute pulmonary embolism Open
version (PESI, sPESI) was performed in all pts.Qanadli score (QS) was used as the MDCT measure of thrombotic burden in the pulmonary arteries (PA).Results: The IHR and HR status were noted in 75 and 17 pts of UFT group, and in 22 and 4 pts…
View article: Comparing the effect of cardiac biomarkers on the outcome of normotensive patients with acute pulmonary embolism
Comparing the effect of cardiac biomarkers on the outcome of normotensive patients with acute pulmonary embolism Open
Acute pulmonary embolism (PE) is a cardiovascular challenge with potentially fatal consequences. This study was designed to observe the association of novel cardiac biomarkers with outcome in this setting. In this prospective study, from 8…
View article: Coronary Artery Calcium Score and Bone Metabolism: A Pilot Study in Postmenopausal Women
Coronary Artery Calcium Score and Bone Metabolism: A Pilot Study in Postmenopausal Women Open
In conclusion, this pilot study with small sample size showed the potential association between CACS and osteocalcin, femoral bone density and T-score. However, the relationship between CACS and osteoprotegerin, receptor activator of nucle…
View article: Assessment of Pneumatic Balloon Dilation in Patients with Symptomatic Relapse after Failed Heller Myotomy: A Single Center Experience
Assessment of Pneumatic Balloon Dilation in Patients with Symptomatic Relapse after Failed Heller Myotomy: A Single Center Experience Open
To evaluate the safety and efficacy of pneumatic balloon dilation (PBD) in patients with symptom relapse after Heller myotomy. METHODS Thirty six post-myotomy patients were evaluated from 1993 to 2013. Six patients were excluded from the a…
View article: Endovascular Aortic Aneurysm and Dissection Repair (EVAR) in Iran: Descriptive Midterm Follow-up Results
Endovascular Aortic Aneurysm and Dissection Repair (EVAR) in Iran: Descriptive Midterm Follow-up Results Open
The endovascular stent-graft repair of the abdominal and thoracic aortic aneurysm and aortic dissection had high technical success rates in tandem with low-rate early mortality and morbidity, short hospital stay, and acceptable mid-term fr…