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45-year-old female smoker presented to the emergency department with a ''Blue toe syndrome’’. Detailed imaging using CTA was performed to precisely assess anatomy of the lesion. Soft eccentric plaque was located in infrarenal aorta, narrowing the aorta by 80% and partially blocking origins of CIA. ABI on both legs were significantly reduced to 0.58 left and 0.54 right. Lesion was predilated and then treated with DCB, using kissing-balloon inflation. Immediate post-procedure angiography of infrarenal aorta and iliacs showed no residual significant stenosis. After two-month follow up, CTA revealed a thin soft plaque with no hemody-namic repercuss- ions, confirmed by value of ABI of 0.94 on left and 0.96 on right. Here we report the first attempt of endovascular treatment of isolated infrarenal stenosis by kissing-dilatation with DCB. Careful patient selection considering her age, comorbidities and distribution of stenosis, together with experienced operator lead to successful early outcome with no adverse effects, as well as two-month follow-up with no complications or signs of recurrence of the disease.

Uvod: U kliničkoj obradi bolesnika s plućnom embolijom (PE), osim točne dijagnoze, presudno je i stupnjevanje bolesnika prema stupnju rizika za nepovoljan ishod na one s visokim, intermedijarnim i niskim rizikom. Cilj: Odrediti može li se neki od rutinskih laboratorijskih parametara koristiti u stratifikaciji bolesnika s PE prema riziku. Metode: Prospektivna, longitudinalna, kohortna, neintervencijska studija 104 bolesnika s PE dokazanom MSCT-om u razdoblju od 12 mjeseci te analiza kliničkih, laboratorijskih i elektrokardiografskih nalaza između rizičnih skupina i s obzirom na ishod bolesti. Rezultati: Prema ehokardiografskom nalazu, 104 uključena bolesnika podijeljena su u skupinu s visokim (n=33; 31,7%), intermedijarnim (n=51, 49%) te niskim rizikom (n=20, 19,2%). Kod hemodinamski stabilnih bolesnika, učestalost dispneje (p=0,021), boli u prsima (p=0,028) i tahikardije (p=0,001) statistički je značajno korelirala s PE intermedijarnog rizika. Uobičajena laboratorijska obrada nije se pokazala pouzdanom u stratifikaciji, KKS (p=0.318), CRP (p=0.080), AST (p=0.179), ALT (p=0.074), CPK (p=0.889), LDH (p=0.094) iako su postojale značajne korelacije za kreatinin (p=0.016), GUK (p=0.002), Na+ (p=0.002) i pH (p=0.016). Vrijednosti su bile unutar referentnih. cTnT je jasno diferencirao skupine hemodinamski stabilnih bolesnika (p=0.037.) EKG analiza pokazala je korelaciju za sinusnu tahikardiju (p,p*, Introduction: Clinical approach in patients with pulmonary embolism (PE), in addition to accurate diagnosis, requires a risk stratification depending on the probability of adverse outcome in groups with high-risk, intermediate-risk and low-risk PE. Aim: To determine which of the routine laboratory test can be used in the risk stratification of patients with PE. Methods: Prospective, longitudinal, non-intervention, cohort study of 104 patients with MSCT proven PE, in period of 12 months and analysis of clinical, laboratory and electrocardiographic signs between risk groups and patient outcome. Results: According to echocardiography, the patients were divided in high-risk group (n=33, 31,7%), intermediate-risk group (n=51, 49%) and low-risk group (n=20, 19.2%). In hemodynamically stable patients, frequency of dyspnoea (p=0.021), chest pain (p=0.028) and tachycardia (p=0.001) were significantly correlated with intermediate-risk PE. Routine laboratory tests were not reliable in risk stratification, FBC (p=0.318), CRP (p=0.080), AST (p=0.179), ALT (p=0.074), CPK (p=0.889), LDH (p=0.094), although significant correlation was found for creatinine (p=0.016), glucose (p=0.002), sodium (p=0.002) and pH (p=0.016), values were within reference range. cTnT clearly distinguishes groups of hemodynamically stable patients (p=0.037). Analysis of electrocardiography shows significant correlation for sinus tachycardia (p,p*