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Your search keyword '"GOLINO, LUCA"' showing total 3 results
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3 results on '"GOLINO, LUCA"'

1. Vantaggi del trattamento endoprotesico degli aneurismi aortici in categorie ad alto rischio chirurgico

Author

LEOSCO, DARIO, BORGIA, FRANCESCO, GOLINO, LUCA, RENGO, GIUSEPPE, CHIARIELLO, MASSIMO, RENGO, FRANCO, Iannelli, G., Russo, G., Di Serafino, L., De Lisa, G., Leosco, Dario, Iannelli, G., Borgia, Francesco, Golino, Luca, Rengo, Giuseppe, Russo, G., Di Serafino, L., De Lisa, G., Chiariello, Massimo, and Rengo, Franco

Subjects
Aging, Aortic aneurysm, Elderly, Endovascular therapy, Geriatrics and Gerontology
Abstract

Thoracic aortic emergencies (TAE) - fixured thoracic aortic aneurysms (TAA), acute type b dissection - are associated with high risk of mortality and morbility. Endovasular surgery (ES) of TAE has been considered as an alternative procedure. From March 2001 to July 2003, 26 patients with TAE were admitted to our department and submitted to ES: 8 pts (30.7%) for fixured TAA, 18 pts (69.3%) for acute type b dissection evolving to rupture. AngioCT scan was diagnostic in all pts. A stented-graft was placed by femoral arteriotomy. TAA and type B pts were submitted to a multiple stent-graft procedure to cover the entire descending thoracic aorta (2.2 ± 1.2 grafts/pt). There were no perioperative deaths and open surgical conversions. The intraoperative angiography and Ctscan at the discharge showed no significant endoleaks and good seating of the aortic dissection. Average ICU and hospital stay was 1.7 ± 0.8 and 5.9 ± 3.0 days. Follow up ranged between 4 and 23 months, included clinical examination and serial CT scan at 3, 6 and 12 months, and every 6 months successively. An 84 years old TAA pt died of septic shock from pneumonia 78 days after endovascular surgery. Endovascular surgery is a safe technique for treating TAE with encouraging early and mid-term results. This therapeutic approach seem to be particulary efficacious in high risk subsets, as those represented by elderly patients.

Published
2003

2. [Fractional flow reserve: a practical guide for interventional cardiologists and the cardiologist's point of view].

Author

Valente S, Mattesini A, Rossini R, Berti S, Sorini Dini C, Politi A, Golino L, Romeo F, Musumeci G, Gensini GF, and Di Mario C

Subjects
Clinical Protocols, Heart Function Tests methods, Humans, Practice Guidelines as Topic, Coronary Artery Disease physiopathology, Fractional Flow Reserve, Myocardial, Percutaneous Coronary Intervention methods
Abstract

Fractional flow reserve (FFR) is considered the gold standard for functional assessment of coronary stenosis in stable coronary artery disease. The use of FFR enables an ischemia-guided revascularization with improvement of clinical outcomes in a cost-effective fashion. Both clinical and interventional cardiologists should be aware of the advantages and potential pitfalls of this technique. We focus on FFR with the aim to provide the clinical cardiologist with information on indications and technical aspects to confirm a correct execution of FFR in different coronary anatomical settings.

Published
2017
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3. [Epidemiology and risk factors for heart failure in the elderly].

Author

Rengo F, Leosco D, Iacovoni A, Rengo G, Golino L, Borgia F, De Lisa G, Beneduce F, and Senni M

Subjects
Acute Disease, Aged, Hospitalization, Humans, Incidence, Prevalence, Prognosis, Risk Factors, Heart Failure epidemiology
Abstract

Heart failure achieves particular relevance and different characteristics in the elderly population, especially for the clinical complexity related to the presence of comorbidity and chronicity, which are common conditions in these patients. Despite recent advances in clinical approach, diagnosis and therapeutic management of heart failure, the incidence and prevalence of this syndrome are still increasing, owing to the better control of the disease, and, largely, to the aging of the population. Epidemiologic data indicate that heart failure represents a crucial problem in the elderly population in terms of social, economic, and health burden. Despite their importance in the worsening of heart failure and prevention of the progression of this syndrome, the risks of hospital readmission and the causes of exacerbation have not been systematically evaluated in controlled trials. This explains why the precipitating factors of heart failure remain unknown in more than 40% of cases. For these reasons, prospective studies are needed in order to assess and clearly define the risk of hospital readmission and the causes related to heart failure exacerbation in the elderly population.

Published
2004

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