Respiratory-gated PET/CT technique is a valuable clinical tool in diagnosing liver lesions, reducing 3D undetermined findings, improving diagnostic accuracy, and confidence in reporting. 4D-PET/CT also improved the quantification of SUVmax of liver lesions.

Hypotension, anemia requiring blood transfusion, and administration of CM exceeding 150 ml poses higher risk of AKI development, which leads to longer hospital stay and need of dialysis. The Mehran score may be used as predictor of AKI occurrence. Up to one third of the kidney was embolized with no AKI linked to the procedure. The concern of AKI occurrence should not be a cause of delay of endovascular treatment.

An asymptomatic Caucasian male patient underwent coronary artery disease diagnostics. Standard exercise treadmill test was inconclusive, and Holter ECG study didn't show any significant abnormalities. Considering the high risk of ischemic heart disease nuclear exercise stress test was performed,which revealed ST-segment elevation in the recovery phase of the treadmill exercise test. Single photon emission computed tomography (SPECT/CT) showed myocardial perfusion abnormalities in the inferior and lateral walls of the left ventricle. Furthermore,speckle tracking imaging showed subtle left ventricle dysfunction. Finally critical stenosis in the second segment of right coronary artery was diagnosed in coronary angiography.

111cm/s, .45 cm/s). In pts of that group PVF profile remained same in sinus rythrn.All pts of group I underwent DDD reprogramming. Subjective improvement of feeling was observed in all pts. Only in that group follow-up TEE was performed about 7 days after reprogramming to the DDD mode. Registered PVF profile was similar to pts of group II. VmaxZ in pts of group I was significantly lower in DDD mode (12.9 -4-6.5 cm/s) than in VVI pacing (89.2 4-7.4 cm/s).Conclusions: 1) Assessment of PVF by TEE may be a simple and relatively non-invasive technique to diagnose pts with pacemaker syndrome symptoms, in particular in pts with severe LV dysfunction. 2) Significantly higher atrial reverse flow velocity of pulmonary vein seems to be peculiar parameter to pacemaker syndrome in pts with VVI pacing. (LVDd) and in systole (LVDs), and no increase in E-wave deceleration time (E decT), were all predictive of events. Multivariate analysis (Cox model) indicated as independent prognostic variables new or worsened TR (RR = 5.8), VOEP < 14 ml/kg/min, (RR = 5.7), increase of LVDd (RR = 2.2) and E decT increase _< 15% (RR = 1.6). IP108In conclusions, our data confirm the prognostic value of ergometric and echocardiographic data in pts with HF considered for HT, and suggest that serial echocardiographic examinations have independent prognostic value. Heart failure progression is associated with ventricular remodeling and ongoing myofibrillar degradation in several ways. Myofibrillar degradation can be identified through cardiospecific T-troponin (TnT). I P109/10296 [Objectives: Evaluate the incidence, clinical and echocardiographic features, and in-hospital course of minimal myocardial injury (MMD)(TnT >= 0.2 ng/ml) in-patients with decompensated heart failure. Methods: A total of 159 patients with diagnosed decompensated heart failure were included between October 1997 and July 1999, based on Framingham modified criteria. Those with acute coronary syndrome (unstable angina or myocardial infarction within 30 days) were excluded from the study. A T-troponin (TnT) value of >---0.2 ng/ml in samples taken 6, 12 or 24 hours after admission was considered abnormal.Results: High levels of TnT were identified in 24 patients (15%)(MMD group) with a mean value of 0.33, 0.29 and 0.32 ng/ml for each sample. Mean age for MMD group was 65.9 as compared with 63.7 years in patients with normal TnT (NoMMD group) (p = ns), and there was a 75% and 58% (p = ns) of men, respectively. There were no significant differences between the two groups in relation to history, clinical findings and functional class. Bidimensional echocardiograms in MMD and NoMMD patients revealed the following: left ventricular (LV) diastolic diameter 61.7 4-10.2 vs. 57.6 4-10.8 mm (p = 0.09); LV systolic diameter 52.7 4-13.5 vs. 42.4 4-12.0 mm (p = 0.003); LV end-diastolic volume 246.2 4-134 vs. 182.6 4-84.3 ml (p = 0.014); LV end-systolic volume 182.16 -4-119.0 vs. 118.39 4-84.9 ml (p = 0.008) and ejection fraction 31.4 vs. 38.4% (p = 0.06), respectively. Heart failure etiolog...

PurposeInterventional cardiology and interventional radiology are separate medical disciplines in which intra-arterial contrast media are used. Interventional cardiology has resigned from many types of treatment techniques that are now used and developed in the field of interventional radiology. In the event of iatrogenic bleeding during coronary interventions, there is an urgent need to use safe and efficient rescue procedures that are as efficient as cardiosurgery but use simpler treatment options. Serious perforations require immediate endovascular interventions. Medical history may reveal risk factors for artery perforation. Medicines, location of artery perforation, and extent of bleeding are directly associated with the prognosis. Most often, arterial perforations are due to inappropriate wire manipulation or use of oversized balloons or cutting balloons. Prolonged, artery-occluding balloon inflation, covered stent implantation, and embolisation with different agents are among the available treatment options for artery ruptures.Material and methodsA retrospective analysis was carried out among selected patients with iatrogenic vascular complications during procedures involving either coronary or non-coronary arteries.ResultsOnly representative cases were selected and presented in the patient subsection.ConclusionsArtery perforation during cardiac catheterisation can lead to dire consequences. To manage this complication, clinicians need pre-established procedures, adequate resources, and knowledge. Interventional radiology can be used as a salvage therapy in such cases.