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Your search keyword '"Evola, Salvatore"' showing total 6 results
Start Over Author "Evola, Salvatore" Topic chest pain
6 results on '"Evola, Salvatore"'

1. Chest pain due to late huge coronary pseudoaneurysm following stent implantation.

Author

Caruso M, Evola S, Fattouch K, Bracale UM, Incalcaterra E, La Franca E, Novo G, Andolina G, and Novo S

Subjects
Aneurysm, False complications, Chest Pain etiology, Coronary Angiography, Humans, Male, Middle Aged, Time Factors, Aneurysm, False diagnostic imaging, Chest Pain diagnostic imaging, Coronary Vessels pathology, Stents adverse effects
Abstract

A 50-year-old man was referred to our hospital because of persistent atypical chest pain. His past medical history was remarkable for a non ST elevation myocardial infarction, treated five months previously with PCI on the right coronary artery. Two months later, for chest pain, he underwent coronary angiography that showed a right coronary artery with slight ectasia near the stent. Five months later for the persistence of atypical chest pain he came to our clinic. Chest CT showed a 31.5 mm hematoma of the right coronary artery. Coronary angiography revealed a giant aneurysm, proximal to the stent. In the light of rapid growth of aneurysm, the risk of rupture and symptoms, we decided to treat the aneurysm with covered stents. The patient underwent successful PCI with regression of symptoms.

Published
2011
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3. Approccio diagnostico non invasivo con tomografia computerizzata multidetettore a 40 strati per lo studio della malattia aterosclerotica coronarica

Author

RUNZA, Giuseppe, RIZZO M, EVOLA, Salvatore, ALAIMO V, NOVO, Giuseppina, CORRADO, Egle, EVOLA G, PALAZZOLO G, TRIOLO, Oreste Fabio, GENNARO, Francesca, HOFFMANN, Enrico, MIDIRI, Massimo, NOVO, Salvatore, RUNZA G, RIZZO M, EVOLA S, ALAIMO V, NOVO G, CORRADO E, EVOLA G, PALAZZOLO G, TRIOLO OF, GENNARO F, HOFFMANN E, MIDIRI M, and NOVO S

Subjects
Chest pain, Coronary angiography, Computed tomography, Coronary artery disease
Abstract

Background. Multidetector computed tomography coronary angiography (MDCT-CA) is a non-invasive technique that clearly shows coronary anatomy and correctly identifies plaque location and morphology. In this study we assessed diagnostic accuracy of MDCT-CA in detectiong significant stenosis in patients with clinically relevant coronary tree disease. Methods. Fifty patients (38 males, 12 females, mean age 60.9 ± 9.2 years) with atypical chest pain, stable or unstable angina pectoris, or non-ST-elevation myocardial infarction underwent MDCT-CA (Brilliance 40, Philips Medical Systems, Cleveland, OH, USA) within 3 days before diagnostic conventional coronary angiography. Inclusion criteria were sinus rhythm, heart rate 2 mg/dl, pregnancy, respiratory insufficiency, unstable clinical conditions, and severe heart failure. Beta-blockers were administered if heart rate was >70 b/min. To synchronize arrival of the contrast bolus (Iomeron 400, Bracco, Milan) in the coronary arteries with the start of the scan the bolus-tracking technique was used. Diagnostic accuracy was evaluated per segment, per vessel, and per patient. Results. Mean heart rate during examination was 61.9 ± 6.2 b/min; 618 segments were evaluated. The assessment was impaired by respiratory artifacts only in 1 patient (2%). MDCT-CA showed good sensitivity, specificity, and positive and negative predictive values in detecting significant coronary artery stenosis (94, 94, 91, and 96% per segment; 91, 97, 95, and 92% per vessel; 100, 100, 100, and 100% per-patient, respectively). Conclusions. Forty-slice MDCT-CA showed a good diagnostic capability in detecting significant coronary artery stenosis in patients referred to our institution for suspected or known significant coronary artery disease.

Published
2007

4. Microvascular angina in diabetic patients with uninjured coronary arteries.

Author

Sucato, Vincenzo, Evola, Salvatore, Triolo, Oreste, Trovato, Rosaria, Pace, Giuliana, Quagliana, Angelo, Magro, Serena, Tona, Giuseppe, Novo, Giuseppina, and Novo, Salvatore

Subjects
MICROVASCULAR angina, PEOPLE with diabetes, CORONARY arteries, CHEST pain, MICROCIRCULATION, ANGIOGRAPHY, MEDICAL statistics
Abstract

Aims: The study aims at the evaluation, of patients with chest pain and uninjured coronary arteries, and the impact of diabetes mellitus on coronary microcirculation. Moreover we want to verify whether a correlation between myocardial scintigraphy results and coronary angiography or not. Methods: The study population included 316 patients (173 males,143 females) with uninjured coronary arteries. Patients with chest pain (208) were divided into two populations: diabetics (72) and non-diabetics (136).We compared 66 patients with a myocardial scintigraphy with results of angiographic indexes. On angiographic images we evaluated, on the three major epicardial, Gibson's indexes (TFC, MBG), the Yusuf's index(TMBS) and a new index: Total Timi Frame Count (TTFC). Results: Patients with positive scintigraphy had a worse TMBS than patients with negative scintigraphy (p=0.003) and a lower TFC of healthy vessels than diseased vessels (p=0.0001). We found a worse coronary microcirculation in diabetic patients with lower values of MBG and TMBS (p=0.02),compared with non- diabetics. New index TTFC is usually higher in diabetics than non-diabetic patients. Conclusion: The study of microcirculation by coronary angiography and myocardial scintigraphy shows a good correlation between two methods. The analysis of diabetic patients and non-diabetic with chest pain and uninjured coronary arteries has led to assess that diabetic population has a major microcirculation disease. [ABSTRACT FROM AUTHOR]

Published
2012
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