Pulzní pole - elektroporace: nová naděje na zvýšení efektivity a bezpečnosti katetrizačních ablací nejenom fibrilace síní?

Petr Neužil

Interv Akut Kardiol. 2021;20(4):178-180 | DOI: 10.36290/kar.2021.035  

Slovo úvodem

doc. MUDr. Miroslav Bulvas, CSc.

Interv Akut Kardiol. 2021;20(4):190  

Beginning of interventional angiology at the 4^th Medical Department, General University Hospital, Prague

Miroslav Bulvas, Zuzana Sommerová, Renata Urbanová

Interv Akut Kardiol. 2021;20(4):191-198 | DOI: 10.36290/kar.2021.036  

Thirty-four years ago (1987), the angiologists began diagnostic and therapeutic vascular interventions at the 4^th Department of Medicine, General University Hospital and 1^st Medical Faculty of the Charles University, Prague. It represented the important extent in the field of European angiology because at this time, the peripheral vascular interventions were perfomed by radiologists only. The aims of this change were to shorten significantly the time interval between diagnosis of vascular disease and its treatment, to improve therapy and make it more efficient, to reduce the number of doctors involved in the therapeutic process...

Acute aortic syndrome: a current viewpoint of diagnosis and treatment

Petr Vařejka

Interv Akut Kardiol. 2021;20(4):199-209 | DOI: 10.36290/kar.2021.037  

Acute aortic syndrome (AAS) encompasses a group of severe, life-threatening conditions characterized by impaired aortic wall integrity and possible occurrence of fatal aortic haemorrhage. This group of diseases comprises acute aortic dissection (AAD), intramural haematoma (IMH), penetrating aortic ulcer (PAU), and symptomatic thoracic aorta aneurysm (TAA). Although it is a heterogeneous group of diseases, their common, though non-specific, feature is pain in the chest or back which is manifested at the outset as the chief complaint. Timely and correct diagnosis is essential for an appropriate treatment strategy which involves open surgery in the case...

Endovascular mechanical atherothrombectomy

Miroslav Bulvas

Interv Akut Kardiol. 2021;20(4):210-216 | DOI: 10.36290/kar.2021.038  

Mechanical atherothrombectomy (MATH) with the Rotarex® S catheter is efficient and safe modality for recanalization of acute, subacute or chronic occlusions of arteries supplying lower limbs. It can be used as an initial technique in patients with acute limb ischemia where historically, the treatment was based on open surgery and/or thrombolysis. The technique can be effective even in patients with contraindicaton to or failed surgery or thrombolysis.

Endovascular treatment of acute ischemic stroke

Václav Procházka

Interv Akut Kardiol. 2021;20(4):217-226 | DOI: 10.36290/kar.2021.039  

Stroke has been the second to third most common cause of death in both developing and most developed countries, including the Czech Republic, for many years. Globally, stroke affects about 15 million people a year and is responsible for more than 5 million deaths a year, representing about 10 % of all deaths. Another more than 50 % of patients remain non-self-sufficient after stroke. As a result, strokes are among the most common causes of death and are the most common cause of disability in the population. Acute recanalization of the occluded cerebral artery by pharmacological or endovascular recanalization represents a significant advance in the...

Outcomes and Complications of alcohol septal ablation for younger patients with hypertrophic obstructive cardiomyopathy: a single-centre study

Sheerwan Bahaa Assim, Tahsin Al-Kinani, Firas R. AL-Obaidi

Interv Akut Kardiol. 2021;20(4):182-189 | DOI: 10.36290/kar.2021.033  

Backgrounds: Hypertrophic cardiomyopathy (HCM) is a genetic disorder of cardiac muscle with a heterogeneous clinical course. Alcohol septal ablation is a treatment option for severely symptomatic drug-refractory hypertrophic obstructive cardiomyopathy. This study aimed to determine the outcome of alcohol septal ablation in 20 patients from a single center in Iraq. Methods: Twenty patients with age less than 60 years had undergone alcohol septal ablation between May 2013 and February 2019 at Nasiriya Heart Centre. Patients were selected for alcohol septal ablation depending on the clinical and angiographic suitability of septal...

Pulmonary hypertension in childhood

Karel Koubský, Ondřej Materna, Tereza Doušová, Václav Chaloupecký

Interv Akut Kardiol. 2021;20(4):228-232 | DOI: 10.36290/kar.2021.032  

Pediatric pulmonary hypertension (PH) is a serious disease which shares many features with pulmonary hypertension in adults, but also has many differences, especially in terms of the etiology, clinical symptoms, and prognosis. This article is based on the latest guidelines for the diagnosis and treatment of pediatric PH and summarizes the most frequent diseases associated with PH in children.

Cardiovascular magnetic resonance: a state-of-art review

Roman Panovský

Interv Akut Kardiol. 2021;20(4):233-237 | DOI: 10.36290/kar.2021.011  

Cardiovascular Magnetic Resonance (CMR) is a non-invasive imaging method that provides a lot of unique data regarding cardiac anatomy and structure, tissue characterization, myocardial perfusion, and blood flow. CMR has become a robust non-invasive diagnostic tool in cardiology. The review summarizes an up-to-date spectrum of CMR-derived diagnostic information as well as limitations of the method.

Docent MUDr. Jiří Kettner, CSc., FESC šedesátipětiletý

Jan F. Vojáček

Interv Akut Kardiol. 2021;20(4):238