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1. Lo studio del caso singolo

Author

Tamanza, G, Castellano, R., SANTONA, ALESSANDRA MARIA ROBERTA, Cigoli, V, Tamanza, G, Santona, A, and Castellano, R

Subjects
Caso singolo
Published
2009

2. L’ENDOARTERECTOMIA CAROTIDEA: ESPERIENZA SU 7560 INTERVENTI

Author

Chiesa R, Castellano R, MELISSANO, GERMANO, Marone EM, Civilini E, Catenaccio B, Astore D, Esposito G, Dordoni L., TSHOMBA , YAMUME, Chiesa, R, Castellano, R, Melissano, Germano, Marone, Em, Civilini, E, Tshomba, Yamume, Catenaccio, B, Astore, D, Esposito, G, and Dordoni, L.

Published
2006

3. Trattamento chirurgico ed endovascolare degli aneurismi viscerali

Author

MELISSANO , GERMANO, Baccellieri D, Astore D, TSHOMBA , YAMUME, Castellano R, CHIESA , ROBERTO, Pratesi C, Pulli R, Pratesi C, Pulli R, Melissano, Germano, Baccellieri, D, Astore, D, Tshomba, Yamume, Castellano, R, and Chiesa, Roberto

Published
2006

9. BYPASS FEMORO TIBIALE IN VENA AUTOLOGA

Author

CHIESA , ROBERTO, Astore D, Dordoni L, Catenaccio B, Castellano R., Stella A, Gargiulo M, Chiesa, Roberto, Astore, D, Dordoni, L, Catenaccio, B, and Castellano, R.

Published
2004

11. Ischemia epatica, pancreatica, splenica

Author

Chiesa R, Castellano R, Lucci C, ALDRIGHETTI L, Civilini E, Liberato M, Chiesa, R, Castellano, R, Lucci, C, Aldrighetti, L, Civilini, E, and Liberato, M

Published
2003

13. BLUNT TRAUMA TO THE THORACIC AORTA: MECHANISMS INVOLVED, DIAGNOSIS AND MANAGEMENT

Author

Chiesa R, Liberato de Moura M, Lucci C, Castellano R, Civilini E, MELISSANO, GERMANO, TSHOMBA , YAMUME, Chiesa, R, Liberato de Moura, M, Lucci, C, Castellano, R, Civilini, E, Melissano, Germano, and Tshomba, Yamume

Abstract

A ruptura traumática da aorta torácica é uma situação que expõe o paciente a risco de vida e que pode ser causada por vários mecanismos, principalmente por lesões penetrantes ou iatrogênicas e traumas contusos. Embora os mecanismos penetrantes predominem, o número de pacientes com rotura da aorta devido a trauma contuso tem aumentado. Este artigo apresenta um panorama, enfocando patogênese, diagnóstico, urgência e tipo de tratamento referentes a lesões traumáticas da aorta torácica; o artigo contém, além disso, um relato de experiências de um centro que trata essas lesões. A maior dificuldade na avaliação de dados sobre lesão contusa da aorta é que as revisões retrospectivas freqüentemente classificam em um mesmo grupo os pacientes com todos os tipos de lesões da aorta, comparando resultados de lesões em diferentes localizações, com diferentes métodos de reparo e diferentes cirurgiões e/ou instituições. Traumatic rupture of the thoracic aorta is a life threatening situation, and may be secondary to several mechanisms; mainly penetrating or iatrogenic lesions and blunt trauma. Although penetrating mechanisms predominate, the number of patients with aortic disruption due to blunt trauma has continued to increase. This paper shows an overview focusing on the pathogenesis, diagnosis, timing and type of treatment regarding traumatic injuries of the thoracic aorta; it also reports the experience of one single center that deals with these lesions. The major difficulty in the evaluation data on blunt aortic injury is that retrospective reviews often group together patients with all types of aortic lesions, comparing outcomes for injuries in different locations, with diverse methods of repair and different surgeons and/or institutions.

Published
2003

15. ISCHEMIA EPATICA, PANCREATICA E SPLENICA

Author

CHIESA , ROBERTO, Castellano R, Lucci C, Aldrighetti L, Civilini E., Ruberti U, Chiesa, Roberto, Castellano, R, Lucci, C, Aldrighetti, L, and Civilini, E.

Published
2003

20. Endoarteriectomia carotidea: risultati su 4749 casi

Author

Chiesa R, Astore D, Castellano R, Jannello AM, Civilini E, Pruner G, Liberato de Moura MR, Marone EM, MELISSANO , GERMANO, Pratesi C, Pulli R, Chiesa, R, Astore, D, Castellano, R, Melissano, Germano, Jannello, Am, Civilini, E, Pruner, G, Liberato de Moura, Mr, and Marone, Em

Published
2002

21. Surgical treatment of thoracic and thoracoabdominal aortic aneurysms: Experience with left atriofemoral bypass [Trattamento chirurgico degli aneurismi toracici e toraco-addominali: Esperienza con l'assistenza circolatoria mediante pompa centrifuga]

Author

Chiesa, R., Melissano, G., Jannello, A. M., Civilini, E., Castellano, R., Moura, M. R. L., Magrin, S., Alberto ZANGRILLO, Chiesa, Roberto, Melissano, Germano, Jannello, Am, Civilini, E, Castellano, R, Moura, Mrl, Magrin, S, and Zangrillo, Alberto

Abstract

Background. The aim of this study was to analyse perioperative morbidity and mortality in patients undergoing thoracic (TAA) and thoracoabdominal aortic aneurysm (TAAA) surgery at the Department of Vascular Surgery of IRCCS San Raffaele, Milan. Methods. The study included 258 patients (199 males and 59 females) with a mean age of 66 (range: 41-82 years) undergoing 259 operations for aneurysmectomy of TAA or TAAA between January 1988 and April 2000. Cerebral spinal fluid drainage (CSFD) was used in 166 cases (75% of TAAA, 53% of TAA; 183 patients (98 TAAA and 85 TAA) were operated on with the use of left atriofemoral bypass using a Biomedicus pump. Results. The overall mortality rate at 30 days was 33/259 (13%); a total of 26 deaths (11%) were recorded during elective surgery and 7 (32%) in patients undergoing emergency repairs. The following perioperative complications were reported: paraplegia/paraparesis in 20 cases (8%), respiratory failure requiring prolonged intubation in 62 cases (24%), cardiac complications (major arrhythmia, myocardial infarction) in 26 cases (10%), renal failure in 18 cases (7%), postoperative bleeding requiring redo surgery in 12 cases (5%), graft infection in 5 cases (2%). Conclusions. Morbidity and mortality consequent to TAAA and TAA surgery are still high. However, based on our experience, the use of atriodistal bypass, sequential cross-clamping and CFSD enables acceptable results to be achieved and reduces complications secondary to spinal cord and visceral ischemia without the need for expeditious clamping times. Background. The aim of this study was to analyse perioperative morbidity and mortality in patients undergoing thoracic (TAA) and thoracoabdominal aortic aneurysm (TAAA) surgery at the Department of Vascular Surgery of IRCCS San Raffaele, Milan. Methods. The study included 258 patients (199 males and 59 females) with a mean age of 66 (range: 41-82 years) undergoing 259 operations for aneurysmectomy of TAA or TAAA between January 1988 and April 2000. Cerebral spinal fluid drainage (CSFD) was used in 166 cases (75% of TAAA, 53% of TAA; 183 patients (98 TAAA and 85 TAA) were operated on with the use of left atriofemoral bypass using a Biomedicus pump. Results. The overall mortality rate at 30 days was 33/259 (13%); a total of 26 deaths (11%) were recorded during elective surgery and 7 (32%) in patients undergoing emergency repairs. The following perioperative complications were reported: paraplegia/paraparesis in 20 cases (8%), respiratory failure requiring prolonged intubation in 62 cases (24%), cardiac complications (major arrhythmia, myocardial infarction) in 26 cases (10%), renal failure in 18 cases (7%), postoperative bleeding requiring redo surgery in 12 cases (5%), graft infection in 5 cases (2%). Conclusions. Morbidity and mortality consequent to TAAA and TAA surgery are still high. However, based on our experience, the use of atriodistal bypass, sequential cross-clamping and CFSD enables acceptable results to be achieved and reduces complications secondary to spinal cord and visceral ischemia without the need for expeditious clamping times

Published
2002

23. ENDOARTERECTOMIA CAROTIDEA: RISULTATI SU 4749 CASI

Author

CHIESA , ROBERTO, Astore D, Castellano R, MELISSANO, GERMANO, Jannello A. M, Civilini E, Pruner G, Liberato de Moura M. R, Marone E. M., Pratesi C, Pulli R, Chiesa, Roberto, Astore, D, Castellano, R, Melissano, Germano, Jannello A., M, Civilini, E, Pruner, G, Liberato de Moura M., R, and Marone, E. M.

Published
2002

25. L'endoarteriectomia carotidea: risultati su 4094 casi

Author

Chiesa R, Jannello A. M, Castellano R, Astore D, Civilini E, Pruner G, Liberato De Moura M., MELISSANO , GERMANO, Chiesa, R, Melissano, Germano, Jannello A., M, Castellano, R, Astore, D, Civilini, E, Pruner, G, and Liberato De Moura, M.

Published
2001

33. Aneurismi delle arterie splancniche

Author

Chiesa R, Astore D, Castellano R, Jannello A., MELISSANO , GERMANO, Chiesa, R, Astore, D, Castellano, R, Melissano, Germano, and Jannello, A.

Published
2000

34. Aneurismi periferici post-traumatici

Author

Chiesa R, Marone E. M, Castellano R, Jannello A., MELISSANO , GERMANO, Chiesa, R, Marone E., M, Castellano, R, Melissano, Germano, and Jannello, A.

Published
2000

35. Aneurismi difficili dell'aorta addominale

Author

Marone E. M, Jannello A, Castellano R, Zucca R, Chiesa R., MELISSANO , GERMANO, Marone E., M, Melissano, Germano, Jannello, A, Castellano, R, Zucca, R, and Chiesa, R.

Published
2000

36. Ruolo del polimorfismo del gene dell'ACE e dell'APOE nella genesi della malattia renovascolare in pazienti vasculopatici periferici

Author

Quartagno R, Fattori S, DE COBELLI, FRANCESCO, Venturini M, Salvioni M, Angeli E, Barlassina C, Ruotolo G, Cusi D, DEL MASCHIO, ALESSANDRO, Castellano R, Chiesa R, Bianchi G, MANUNTA , PAOLO, Quartagno, R, Fattori, S, DE COBELLI, Francesco, Venturini, M, Salvioni, M, Angeli, E, Barlassina, C, Ruotolo, G, Cusi, D, DEL MASCHIO, Alessandro, Castellano, R, Chiesa, R, Bianchi, G, and Manunta, Paolo

Published
2000

39. TRAUMI VASCOLARI DEGLI ARTI

Author

Chiesa R, Castellano R, Astore D, Jannello AM, MELISSANO , GERMANO, Chiesa, R, Castellano, R, Astore, D, Melissano, Germano, and Jannello, Am

Published
1999

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