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102. Spinal Cord Ischemia After Thoracoabdominal Aortic Aneurysms Endovascular Repair: From the Italian Multicenter Fenestrated/Branched Endovascular Aneurysm Repair Registry

Author

Enrico Rinaldi, Andrea Melloni, Enrico Gallitto, Aaron Fargion, Giacomo Isernia, Andrea Kahlberg, Luca Bertoglio, Gianluca Faggioli, Massimo Lenti, Carlo Pratesi, Mauro Gargiulo, Germano Melissano, Roberto Chiesa, Baccani Luigi, Bertoglio Luca, Chiesa Roberto, Faggioli Gianluca, Fargion Aaron, Fenelli Cecilia, Gallitto Enrico, Gargiulo Mauro, Isernia Giacomo, Lenti Massimo, Logiacco Antonino, Kahlberg Andrea, Mascoli Chiara, Melissano Germano, Melloni Andrea, Pini Rodolfo, Pratesi Carlo, Rinaldi Enrico, Simonte Gioele, Speziali Sara, Rinaldi, E., Melloni, A., Gallitto, E., Fargion, A., Isernia, G., Kahlberg, A., Bertoglio, L., Faggioli, G., Lenti, M., Pratesi, C., Gargiulo, M., Melissano, G., and Chiesa, R.

Subjects
B-EVAR, branched, endovascular aortic aneurysm repair, F-EVAR, fenestrated, paraplegia, spinal cord ischemia, TAAA, Radiology, Nuclear Medicine and imaging, Surgery, Cardiology and Cardiovascular Medicine
Abstract

Purpose: The aim of this study is to report an Italian multicenter experience analyzing the incidence and the risk factors associated with spinal cord ischemia (SCI) in a large cohort of thoracoabdominal aortic aneurysms (TAAAs) treated by fenestrated-branched endovascular aneurysm repair (F-/B-EVAR). Materials and Methods: All consecutive patients undergoing F-/B-EVAR in 4 Italian university centers between 2008 and 2019 were prospectively recorded and retrospectively analyzed. Spinal cord ischemia, 30 day/in-hospital adverse events, and mortality were assessed as early outcomes. Risk factors for SCI were determined by multivariable analysis. Results: A total of 351 patients received F-/B-EVAR for a TAAA. Twenty-eight (8.0%) patients died within 30 postoperative days or during the hospitalization. Regarding SCI, 47 patients (13.4%) developed neurological symptoms related to spinal cord impaired perfusion. Among them, 17 (4.8%) had a major permanent impairment. The multivariable analysis identified that SCI was associated with Crawford extent I to III (odds ratio [OR]: 20.90, p=0.004, 95% confidence interval [CI]=2.69–162.57), and with endovascular procedures performed for ruptured TAAA (OR: 5.74, p=0.010, 95% CI=1.53–21.57). Spinal cord ischemia was also significantly associated with a grade 3 bleeding during the visceral stage (OR: 4.34, p=0.005, 95% CI=1.55–12.16) and a grade 2 renal insufficiency at 30 days (OR: 7.45, p=0.002, 95% CI=2.12–26.18). Conclusion: The present study indicates that SCI is still an open issue after extent I to III TAAA endovascular repair, while its incidence in extent IV TAAA and pararenal/juxtarenal aneurysms is rare. Thoracoabdominal aortic aneurysms extension, urgent TAAA repair for rupture, severe bleeding, and 30 day renal insufficiency have been identified as significant risk factors for SCI. In the presence of such factors, adjunctive strategies may be considered to reduce SCI rates, while in low-risk patients invasive or potentially-risky maneuvers might not be justified.

Published
2022
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104. sj-docx-1-jet-10.1177_15266028231179868 – Supplemental material for New Preloaded System for Renal and Visceral Arteries in Fenestrated Endografting

Author

Gallitto, Enrico, Faggioli, Gianluca, Spath, Paolo, Feroldi, Francesca M., Pini, Rodolfo, Logiacco, Antonino, Sufali, Gemmi, Caputo, Stefania, and Gargiulo, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028231179868 for New Preloaded System for Renal and Visceral Arteries in Fenestrated Endografting by Enrico Gallitto, Gianluca Faggioli, Paolo Spath, Francesca M. Feroldi, Rodolfo Pini, Antonino Logiacco, Gemmi Sufali, Stefania Caputo and Mauro Gargiulo in Journal of Endovascular Therapy

Published
2023
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105. sj-docx-1-jet-10.1177_15266028231158312 – Supplemental material for Morphological and Clinical Predictors of Early/Follow-up Failure of the Endovascular Infrarenal Abdominal Aneurysm Repair With Currently Available Endografts

Author

Gallitto, Enrico, Faggioli, Gianluca, Mascoli, Chiara, Goretti, Martina, Pini, Rodolfo, Logiacco, Antonino, Rocchi, Cristina, Feroldi, Francesca, Caputo, Stefania, and Gargiulo, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028231158312 for Morphological and Clinical Predictors of Early/Follow-up Failure of the Endovascular Infrarenal Abdominal Aneurysm Repair With Currently Available Endografts by Enrico Gallitto, Gianluca Faggioli, Chiara Mascoli, Martina Goretti, Rodolfo Pini, Antonino Logiacco, Cristina Rocchi, Francesca Feroldi, Stefania Caputo and Mauro Gargiulo in Journal of Endovascular Therapy

Published
2023
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106. sj-docx-1-jet-10.1177_15266028231162258 – Supplemental material for Renal Benefits of CO2 as a Contrast Media for EVAR Procedures: New Perspectives on 1 Year Outcomes

Author

Busutti, Marco, Sensoni, Alice, Vacirca, Andrea, Abenavoli, Chiara, Donadei, Chiara, Croci Chiocchini, Anna Laura, Righini, Matteo, Comai, Giorgia, Pini, Alessia, Faggioli, Gianluca, Gallitto, Enrico, La Manna, Gaetano, and Gargiulo, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028231162258 for Renal Benefits of CO2 as a Contrast Media for EVAR Procedures: New Perspectives on 1 Year Outcomes by Marco Busutti, Alice Sensoni, Andrea Vacirca, Chiara Abenavoli, Chiara Donadei, Anna Laura Croci Chiocchini, Matteo Righini, Giorgia Comai, Alessia Pini, Gianluca Faggioli, Enrico Gallitto, Gaetano La Manna and Mauro Gargiulo in Journal of Endovascular Therapy

Published
2023
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107. sj-pptx-4-jet-10.1177_15266028231179868 – Supplemental material for New Preloaded System for Renal and Visceral Arteries in Fenestrated Endografting

Author

Gallitto, Enrico, Faggioli, Gianluca, Spath, Paolo, Feroldi, Francesca M., Pini, Rodolfo, Logiacco, Antonino, Sufali, Gemmi, Caputo, Stefania, and Gargiulo, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-pptx-4-jet-10.1177_15266028231179868 for New Preloaded System for Renal and Visceral Arteries in Fenestrated Endografting by Enrico Gallitto, Gianluca Faggioli, Paolo Spath, Francesca M. Feroldi, Rodolfo Pini, Antonino Logiacco, Gemmi Sufali, Stefania Caputo and Mauro Gargiulo in Journal of Endovascular Therapy

Published
2023
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109. Clarifying the rationale supporting selective screening for asymptomatic carotid artery stenosis

Author

Paraskevas, Kosmas I., primary, Nicolaides, Andrew N., additional, Spence, J. David, additional, Mikhailidis, Dimitri P., additional, Lanza, Gaetano, additional, Liapis, Christos D., additional, Goudot, Guillaume, additional, Faggioli, Gianluca, additional, Pini, Rodolfo, additional, Musiałek, Piotr, additional, Suri, Jasjit S., additional, Silvestrini, Mauro, additional, Fernandes e Fernandes, Jose, additional, Eckstein, Hans-Henning, additional, Jawien, Arkadiusz, additional, Spinelli, Francesco, additional, Stilo, Francesco, additional, Myrcha, Piotr, additional, Rundek, Tatjana, additional, Kakkos, Stavros K., additional, Di Lazzaro, Vincenzo, additional, Svetlikov, Alexei, additional, Antignani, Pier Luigi, additional, Poredos, Pavel, additional, Saba, Luca, additional, Jezovnik, Mateja K., additional, Blinc, Aleš, additional, Sultan, Sherif, additional, Knoflach, Michael, additional, Capoccia, Laura, additional, Proczka, Robert M., additional, Fraedrich, Gustav, additional, Zeebregts, Clark J., additional, Davies, Alun H., additional, Geroulakos, George, additional, Ricco, Jean-Baptiste, additional, Mansilha, Armando, additional, Dardik, Alan, additional, and Gloviczki, Peter, additional

Published
2023
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110. Comparison of single and multistage strategies during fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

Author

Dias-Neto, Marina, primary, Tenorio, Emanuel R., additional, Huang, Ying, additional, Jakimowicz, Tomasz, additional, Mendes, Bernardo C., additional, Kolbel, Tilo, additional, Sobocinski, Jonathan, additional, Bertoglio, Luca, additional, Mees, Barend, additional, Gargiulo, Mauro, additional, Dias, Nuno, additional, Schanzer, Andres, additional, Gasper, Warren, additional, Beck, Adam W., additional, Farber, Mark A., additional, Mani, Kevin, additional, Timaran, Carlos, additional, Schneider, Darren B., additional, Mendes Pedro, Luis, additional, Tsilimparis, Nikolaos, additional, Haulon, Stéphan, additional, Sweet, Matt, additional, Ferreira, Emília, additional, Eagleton, Matthew, additional, Yeung, Kak Khee, additional, Khashram, Manar, additional, Varcica, Andrea, additional, Lima, Guilherme B., additional, Baghbani-Oskouei, Aidin, additional, Jama, Katarzyna, additional, Panuccio, Giuseppe, additional, Rohlffs, Fiona, additional, Chiesa, Roberto, additional, Schurink, Geert Willem, additional, Lemmens, Charlotte, additional, Gallitto, Enrico, additional, Faggioli, Gianluca, additional, Karelis, Angelos, additional, Parodi, Ezequiel, additional, Gomes, Vivian, additional, Wanhainen, Anders, additional, Dean, Anastasia, additional, Colon, Jesus Porras, additional, Pavarino, Felipe, additional, Gouveia e Melo, Ryan, additional, Crawford, Sean, additional, Garcia, Rita, additional, Ribeiro, Tiago, additional, Kappe, Kaj Olav, additional, van Knippenberg, Samira Elize Mariko, additional, Lan Tran, Bich, additional, Gormley, Sinead, additional, and Oderich, Gustavo S., additional

Published
2023
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111. Fenestrated and Branched Endografts for Post-Dissection Thoraco-Abdominal Aneurysms: Results of a National Multicentre Study and Literature Review

Author

Gallitto, Enrico, primary, Faggioli, Gianluca, additional, Melissano, Germano, additional, Fargion, Aaron, additional, Isernia, Giacomo, additional, Bertoglio, Luca, additional, Simonte, Gioele, additional, Lenti, Massimo, additional, Pratesi, Carlo, additional, Chiesa, Roberto, additional, Gargiulo, Mauro, additional, Luca, Bertoglio, additional, Roberto, Chiesa, additional, Gianluca, Faggioli, additional, Aaron, Fargion, additional, Cecilia, Fenelli, additional, Enrico, Gallitto, additional, Mauro, Gargiulo, additional, Giacomo, Isernia, additional, Massimo, Lenti, additional, Antonino, Logiacco, additional, Chiara, Mascoli, additional, Germano, Melissano, additional, Rodolfo, Pini, additional, Carlo, Pratesi, additional, Andrea, Kahlberg, additional, Gioele, Simonte, additional, Paolo, Spath, additional, and Sara, Speziali, additional

Published
2022
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112. Sex Influence on Fenestrated and Branched Endovascular Aortic Aneurysm Repair: Outcomes From a National Multicenter Registry

Author

Isernia, Giacomo, primary, Simonte, Gioele, additional, Gallitto, Enrico, additional, Bertoglio, Luca, additional, Fargion, Aaron, additional, Melissano, Germano, additional, Chiesa, Roberto, additional, Lenti, Massimo, additional, Pratesi, Carlo, additional, Faggioli, Gianluca, additional, and Gargiulo, Mauro, additional

Published
2022
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115. Anatomical feasibility of the current endovascular solutions for Juxtarenal aortic abdominal aneurysm repair.

Author

Gallitto, Enrico, Faggioli, Gianluca, Logiacco, Antonino, Mascoli, Chiara, Spath, Paolo, Palermo, Sergio, Pini, Rodolfo, and Gargiulo, Mauro

Abstract

Purpose: Endovascular repair of juxta-renal aneurysms (JAAAs) can be achieved by fenestrated endografts (FEVAR), parallel-grafts (CHEVAR) and standard abdominal endografts + endoanchors (ESAR). Aim of this study was to evaluate the incidence of their anatomical feasibility in JAAAs. Materials and Methods: All patients submitted to JAAAs treatment from 2006 to 2019 were retrospectively analyzed, irrelevant of the procedure performed. Juxta-renal aneurysm was defined according with the current ESVS clinical practice guidelines. Preoperative computed tomography angiographies were analyzed to evaluate the anatomical feasibility of: FEVAR (Cook Zenith-platform; CE-marked or custom-made device), CHEVAR (Medtronic Endurant + Atrium Advanta - CE marked combination) and ESAR (Medtronic Endurant + Helifix - CE marked combination) according with the manufactures' instruction for use. The anatomical feasibility of these three endovascular solutions was assessed according with the proximal neck, target visceral vessels (TVVS) and iliac access characteristics. Results: Ninety-nine cases were considered. There were no cases of frank aortic rupture and in all patients at least one arterial access from above was available. Fenestrated endograft, CHEVAR, and ESAR were anatomically feasible in 93 (94%), 37 (37%), and 27 (27%) cases, respectively (p <. 001). Fenestrated endograft requires design with <3, three and >3 fenestrations in 29 (31%), 33 (36%), and 31 (33%) cases, respectively. Parallel graft technique have required 1 or 2 parallel graft configurations in 12 (12%) and 25 (25%) cases, respectively. Among the 14 cases with aneurysm diameter >70 mm, the anatomical feasibility of FEVAR, CHEVAR, and ESAR was 13(93%), 4(29%), and 4 (29%) cases, respectively (p <.001). Conclusion: Fenestrated endograft is more frequently applicable than CHEVAR and ESAR as endovascular treatment of JAAAs. Since this difference is valid also in aneurysms with diameter >70 mm, the issue of a rapid availability is of paramount importance. The 6% of cases have not any endovascular solution and requires open surgery. [ABSTRACT FROM AUTHOR]

Published
2023
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118. Effect of iliac tortuosity on outcomes after iliac branch procedures

Author

Fenelli, Cecilia, primary, Gargiulo, Mauro, additional, Prendes, Carlota Fernandez, additional, Faggioli, Gianluca, additional, Stavroulakis, Konstantinos, additional, Gallitto, Enrico, additional, Stana, Jan, additional, Spath, Paolo, additional, Rantner, Barbara, additional, and Tsilimparis, Nikolaos, additional

Published
2022
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124. Endovascular Treatment of Abdominal Aortic Aneurysm With Severe Angulation of Infrarenal Aortic Neck by Gore Conformable Endograft.

Author

Mascoli, Chiara, Faggioli, Gianluca, Goretti, Martina, Gallitto, Enrico, Pini, Rodolfo, Logiacco, Antonino Maria, Vacirca, Andrea, and Gargiulo, Prof, Mauro

Abstract

Introduction: The aim of the study is to report a single-center experience with the Gore Excluder conformable endograft with active control system (CEXC Device, W.L. Gore and Associates, Flagstaff, AZ, USA) in abdominal aortic aneurysms (AAAs) with severe infrarenal neck angulation. Methods: All patients underwent EVAR with CEXC Device between September 2018 and 2020, were prospectively enrolled, and retrospectively analyzed. Anatomical details of the proximal aortic neck were evaluated. Early endpoints were the use of repositionability and angulation system, intraoperative unplanned cuff, technical success (TS), 30-day morbidity/mortality, and reintervention. Follow-up endpoints were type-I endoleaks, endograft migration, aortic neck dilatation, aneurismal sac shrinkage, survival (S), and freedom from reintervention (FFR). Results: Twenty-five patients were enrolled (median age: 80 [range = 60-90] years, median AAA diameter: 60 [range = 52-90] mm). All patients had severe infrarenal neck angulation (beta angle ≧ 60°), and 11 (44%) of those had neck beta angle ≧ 90°. Median infrarenal neck angle, length, and diameter were 70° (range = 60°-90°), 22 (range = 13-42) mm and 22 (range = 18-31) mm, respectively. Endograft repositioning system was employed in 15 (60%) cases and the median number of repositioning maneuvers was 1 (range:0-4). Active angulation system was used in 17 (68%) patients. The median proximal diameter of the main-body and oversize were 28 (range = 23-36) mm and 28% (range = 21%-38%), respectively. Proximal cuff was positioned in 1 (4%) patient. Technical success was achieved in all cases. Intraoperative and perioperative morbidity and mortality were 12% and 0%, respectively. Perioperative type-I/III and II endoleaks were observed in 0 and 4 (16%) patients, respectively. The median follow-up was 12 months (range: 3-30). One patient died at 12-month for AAA-unrelated causes. Abdominal aortic aneurysm-sac shrinkage and stability were observed in 9 (36%) and 15 (60%) cases, respectively. No type-I/III endoleak and reintervention occurred during the follow-up. One persistent type-II endoleak was observed. Estimated survival at 24 months was 92%. Conclusion: According to the present data, the CEXC Device allows an excellent rate of TS in severe angulated aortic neck. This preliminary data, could increase the rate of patients eligible for EVAR. [ABSTRACT FROM AUTHOR]

Published
2023
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128. Guideline on carotid surgery for stroke prevention: updates from the Italian Society of Vascular and Endovascular Surgery. A trend towards personalized medicine

Author

LANZA, Gaetano, primary, ORSO, Massimiliano, additional, ALBA, Giuseppe, additional, BEVILACQUA, Sergio, additional, CAPOCCIA, Laura, additional, CAPPELLI, Alessandro, additional, CARRAFIELLO, Giampaolo, additional, CERNETTI, Carlo, additional, DIOMEDI, Marina, additional, DORIGO, Walter, additional, FAGGIOLI, Gianluca, additional, GIANNACE, Vanni, additional, GIANNANDREA, David, additional, GIANNETTA, Matteo, additional, LANZA, Jessica, additional, LESSIANI, Gianfranco, additional, MARONE, Enrico M., additional, MAZZACCARO, Daniela, additional, MIGLIACCI, Rino, additional, NANO, Giovanni, additional, PAGLIARICCIO, Gabriele, additional, PETRUZZELLIS, Marco, additional, PLUTINO, Andrea, additional, POMATTO, Sara, additional, PULLI, Raffaele, additional, REALE, Nicoletta, additional, SANTALUCIA, Paola, additional, SIRIGNANO, Pasqualino, additional, TICOZZELLI, Giulia, additional, VACIRCA, Andrea, additional, and VISCO, Emanuele, additional

Published
2022
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130. Multicenter comparison between open conversions and semi-conversions for late endoleaks after endovascular aneurysm repair

Author

Perini, Paolo, primary, Gargiulo, Mauro, additional, Silingardi, Roberto, additional, Bonardelli, Stefano, additional, Bellosta, Raffaello, additional, Piffaretti, Gabriele, additional, Michelagnoli, Stefano, additional, Tusini, Nicola, additional, Capelli, Patrizio, additional, Turicchia, Giorgio Ubaldo, additional, Freyrie, Antonio, additional, Mariani, Erica, additional, Faggioli, GianLuca, additional, Gallitto, Enrico, additional, Migliari, Mattia, additional, Gennai, Stefano, additional, Paro, Barbara, additional, Baggi, Paolo, additional, Attisani, Luca, additional, Pegorer, Matteo, additional, Tadiello, Marco, additional, Franchin, Marco, additional, Bonvini, Stefano, additional, Chisci, Emiliano, additional, Troisi, Nicola, additional, Fontana, Antonio, additional, Strozzi, Francesco, additional, Scabini, Matteo, additional, Mosso, Federico, additional, Paciaroni, Elisa, additional, Tarantini, Salvatore, additional, Leone, Michele, additional, and Masi, Giancarlo, additional

Published
2022
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131. The Role of the Vascular Surgeon in Transcatheter Aortic Valve Implantation

Author

Gallitto, Enrico, primary, Faggioli, Gianluca, additional, Saia, Francesco, additional, Palmerini, Tullio, additional, Pini, Rodolfo, additional, Bruno, Antonio, additional, Alaidroos, Moad, additional, Ghetti, Gabriele, additional, Mirandola, Veronica, additional, Taglieri, Nevio, additional, Marrozzini, Cinzia, additional, and Gargiulo, Mauro, additional

Published
2022
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132. Predictors of Early and Late Failure After Contemporary Standard EVAR Procedures

Author

Gallitto, Enrico, primary, Faggioli, Gianluca, additional, Mascoli, Chiara, additional, Goretti, Martina, additional, Pini, Rodolfo, additional, Rocchi, Cristina, additional, Logiacco, Antonino, additional, Vacirca, Andrea, additional, Caputo, Stefania, additional, Feroldi, Francesca, additional, Palermo, Sergio, additional, and Gargiulo, Mauro, additional

Published
2022
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133. The Ultimate Operative Protocol to Accomplish CO2-EVAR: Results From an Interventional Multicentric Study

Author

Vacirca, Andrea, primary, Faggioli, Gianluca, additional, Palermo, Sergio, additional, Mirandola, Veronica, additional, Dias, Nuno, additional, Vaccarino, Roberta, additional, Austermann, Martin, additional, Oberhuber, Alexander, additional, Schäfer, Johannes Frederik, additional, Bisdas, Theodosios, additional, and Gargiulo, Mauro, additional

Published
2022
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136. Role of historical and procedural staging during elective fenestrated and branched endovascular treatment of extensive thoracoabdominal aortic aneurysms

Author

Bertoglio, Luca, primary, Kahlberg, Andrea, additional, Gallitto, Enrico, additional, Fargion, Aaron, additional, Isernia, Giacomo, additional, Faggioli, Gianluca, additional, Melissano, Germano, additional, Lenti, Massimo, additional, Pratesi, Carlo, additional, Gargiulo, Mauro, additional, Chiesa, Roberto, additional, Baccani, Luigi, additional, Bertoglio, Luca, additional, Fenelli, Cecilia, additional, Logiacco, Antonino, additional, Mascoli, Chiara, additional, Melloni, Andrea, additional, Pini, Rodolfo, additional, Rinaldi, Enrico, additional, Simonte, Gioele, additional, and Speziali, Sara, additional

Published
2022
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137. CO2-EVAR: An innovative approach to Automated Carbon Dioxide Angiography during Endovascular Abdominal Aortic Aneurysm repair

Author

Faggioli, Gianluca, Vacirca, Andrea <1988>, Faggioli, Gianluca, and Vacirca, Andrea <1988>

Abstract

Objectives CO2-EVAR was proposed for treatment of AAA especially in patients with CKD. Issues regarding standardization, such as visualization of lowest renal artery (LoRA) and quality image in angiographies performed from pigtail or introducer-sheath, are still unsolved. Aim of the study was to analyze different steps of CO2-EVAR to create an operative protocol to standardize the procedure. Methods Patients undergoing CO2-EVAR were prospectively enrolled in 5 European centers (2018-2021). CO2-EVAR was performed using an automated injector. LoRA visualization and image quality (1-4) were analyzed and compared at different procedure steps: preoperative CO2-angiography from Pigtail/Introducer-sheath (1st Step), angiographies from Pigtail at 0%,50%,100% main body (MB) deployment (2nd Step), contralateral hypogastric artery (CHA) visualization with CO2 injection from femoral Introducer-sheath (3rd Step) and completion angiogram from Pigtail/Introducer-sheath (4th Step). Intra-/postoperative adverse events were evaluated. Results Sixty-five patients undergoing CO2-EVAR were enrolled, 55/65(84.5%) male, median age 75(11.5) years. Median ICM was 20(54)cc; 19/65(29.2%) procedures were performed with 0-iodine. 1st Step: median image quality was significantly higher with CO2 injected from femoral introducer [Pigtail2(3)vs.3(3)Introducer,p=.008]. 2nd Step: LoRA was more frequently detected at 50% (93%vs.73.2%, p=.002) and 100% (94.1%vs.78.4%, p=.01) of MB deployment compared with first angiography from Pigtail; image quality was significantly higher at 50% [3(3)vs.2(3),p=<.001] and 100% [4(3) vs.2(3),p=.001] of MB deployment. CHA was detected in 93% cases (3rd Step). Mean image quality was significantly higher when final angiogram (4th Step) was performed from introducer (Pigtail2.6±1.1vs.3.1±0.9Introducer,p=<.001). Rates of intra-/postoperative adverse events (pain,vomit,diarrhea) were 7.7% and 12.5%. Conclusions Preimplant CO2-angiography should be performed from Introducer

Published
2022

140. Comparison of Recent Practice Guidelines for the Management of Patients With Asymptomatic Carotid Stenosis

Author

Paraskevas, Kosmas I., primary, Mikhailidis, Dimitri P., additional, Antignani, Pier Luigi, additional, Ascher, Enrico, additional, Baradaran, Hediyeh, additional, Bokkers, Reinoud P.H., additional, Cambria, Richard P., additional, Comerota, Anthony J., additional, Dardik, Alan, additional, Davies, Alun H., additional, Eckstein, Hans-Henning, additional, Faggioli, Gianluca, additional, Fernandes e Fernandes, Jose, additional, Fraedrich, Gustav, additional, Geroulakos, George, additional, Gloviczki, Peter, additional, Golledge, Jonathan, additional, Gupta, Ajay, additional, Jezovnik, Mateja K., additional, Kakkos, Stavros K., additional, Katsiki, Niki, additional, Knoflach, Michael, additional, Eline Kooi, M., additional, Lanza, Gaetano, additional, Lavenson, George S., additional, Liapis, Christos D., additional, Loftus, Ian M., additional, Mansilha, Armando, additional, Millon, Antoine, additional, Nicolaides, Andrew N., additional, Pini, Rodolfo, additional, Poredos, Pavel, additional, Proczka, Robert M., additional, Ricco, Jean-Baptiste, additional, Riles, Thomas S., additional, Ringleb, Peter Arthur, additional, Rundek, Tatjana, additional, Saba, Luca, additional, Schlachetzki, Felix, additional, Silvestrini, Mauro, additional, Spinelli, Francesco, additional, Stilo, Francesco, additional, Sultan, Sherif, additional, Suri, Jasjit S., additional, Svetlikov, Alexei V., additional, Zeebregts, Clark J., additional, and Chaturvedi, Seemant, additional

Published
2022
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142. Optimal management of asymptomatic carotid stenosis in 2021: the jury is still out. An international, multispecialty, expert review and position statement

Author

PARASKEVAS, Kosmas I., primary, MIKHAILIDIS, Dimitri P., additional, ANTIGNANI, Pier L., additional, BARADARAN, Hediyeh, additional, BOKKERS, Reinoud P.H., additional, CAMBRIA, Richard P., additional, DARDIK, Alan, additional, DAVIES, Alun H., additional, ECKSTEIN, Hans-Henning, additional, FAGGIOLI, Gianluca, additional, FERNANDES E FERNANDES, José, additional, FRAEDRICH, Gustav, additional, GEROULAKOS, George, additional, GLOVICZKI, Peter, additional, GOLLEDGE, Jonathan, additional, GUPTA, Ajay, additional, JEZOVNIK, Mateja K., additional, KAKKOS, Stavros K., additional, KATSIKI, Niki, additional, KNOFLACH, Michael, additional, KOOI, M. Eline, additional, LANZA, Gaetano, additional, LIAPIS, Christos D., additional, LOFTUS, Ian M., additional, MANSILHA, Armando, additional, MILLON, Antoine, additional, NICOLAIDES, Andrew N., additional, PINI, Rodolfo, additional, POREDOS, Pavel, additional, RICCO, Jean-Baptiste, additional, RILES, Thomas S., additional, RINGLEB, Peter Arthur, additional, RUNDEK, Tatjana, additional, SABA, Luca, additional, SCHLACHETZKI, Felix, additional, SILVESTRINI, Mauro, additional, SPINELLI, Francesco, additional, STILO, Francesco, additional, SULTAN, Sherif, additional, SURI, Jasjit S., additional, ZEEBREGTS, Clark J., additional, and CHATURVEDI, Seemant, additional

Published
2022
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144. Spinal Cord Ischemia After Thoracoabdominal Aortic Aneurysms Endovascular Repair: From the Italian Multicenter Fenestrated/Branched Endovascular Aneurysm Repair Registry

Author

Rinaldi, Enrico, primary, Melloni, Andrea, additional, Gallitto, Enrico, additional, Fargion, Aaron, additional, Isernia, Giacomo, additional, Kahlberg, Andrea, additional, Bertoglio, Luca, additional, Faggioli, Gianluca, additional, Lenti, Massimo, additional, Pratesi, Carlo, additional, Gargiulo, Mauro, additional, Melissano, Germano, additional, Chiesa, Roberto, additional, Luigi, Baccani, additional, Luca, Bertoglio, additional, Roberto, Chiesa, additional, Gianluca, Faggioli, additional, Aaron, Fargion, additional, Cecilia, Fenelli, additional, Enrico, Gallitto, additional, Mauro, Gargiulo, additional, Giacomo, Isernia, additional, Massimo, Lenti, additional, Antonino, Logiacco, additional, Andrea, Kahlberg, additional, Chiara, Mascoli, additional, Germano, Melissano, additional, Andrea, Melloni, additional, Rodolfo, Pini, additional, Carlo, Pratesi, additional, Enrico, Rinaldi, additional, Gioele, Simonte, additional, and Sara, Speziali, additional

Published
2022
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146. The burden of carotid-related strokes

Author

Paraskevas, Kosmas I., primary, Mikhailidis, Dimitri P., additional, Baradaran, Hediyeh, additional, Bokkers, Reinoud P. H., additional, Davies, Alun H., additional, Eckstein, Hans-Henning, additional, Faggioli, Gianluca, additional, Fernandes, Jose Fernandes E, additional, Gargiulo, Mauro, additional, Jawien, Arkadiusz, additional, Jezovnik, Mateja K., additional, Kakkos, Stavros K., additional, Knoflach, Michael, additional, Kooi, M. Eline, additional, Lanza, Gaetano, additional, Liapis, Christos D., additional, Loftus, Ian M., additional, Mansilha, Armando, additional, Mechtouff, Laura, additional, Millon, Antoine, additional, Myrcha, Piotr, additional, Nicolaides, Andrew N., additional, Pini, Rodolfo, additional, Poredos, Pavel, additional, Ricco, Jean-Baptiste, additional, Rundek, Tatjana, additional, Saba, Luca, additional, Silvestrini, Mauro, additional, Spinelli, Francesco, additional, Stilo, Francesco, additional, Sultan, Sherif, additional, Suri, Jasjit S., additional, Svetlikov, Alexei V., additional, Wijeratne, Tissa, additional, Zeebregts, Clark J., additional, and Gloviczki, Peter, additional

Published
2022
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147. sj-doc-1-jet-10.1177_15266028221083461 ��� Supplemental material for Endovascular Treatment of Abdominal Aortic Aneurysm With Severe Angulation of Infrarenal Aortic Neck by Gore Conformable Endograft

Author

Mascoli, Chiara, Faggioli, Gianluca, Goretti, Martina, Gallitto, Enrico, Pini, Rodolfo, Logiacco, Antonino Maria, Vacirca, Andrea, and Gargiulo, Prof, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-doc-1-jet-10.1177_15266028221083461 for Endovascular Treatment of Abdominal Aortic Aneurysm With Severe Angulation of Infrarenal Aortic Neck by Gore Conformable Endograft by Chiara Mascoli, Gianluca Faggioli, Martina Goretti, Enrico Gallitto, Rodolfo Pini, Antonino Maria Logiacco, Andrea Vacirca and Mauro Gargiulo, Prof in Journal of Endovascular Therapy

Published
2022
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148. Multicentre comparison between open conversions and semi-conversions for late endoleaks after EVAR

Author

Perini, Paolo, Gargiulo, Mauro, Silingardi, Roberto, Bonardelli, Stefano, Bellosta, Raffaello, Piffaretti, Gabriele, Michelagnoli, Stefano, Tusini, Nicola, Capelli, Patrizio, Turicchia, Giorgio Ubaldo, Freyrie, Antonio, Mariani, Erica, Faggioli, Gianluca, Gallitto, Enrico, Migliari, Mattia, Gennai, Stefano, Paro, Barbara, Baggi, Paolo, Attisani, Luca, Pegorer, Matteo, Tadiello, Marco, Franchin, Marco, Bonvini, Stefano, Chisci, Emiliano, Troisi, Nicola, Fontana, Antonio, Strozzi, Francesco, Scabini, Matteo, Mosso, Federico, Paciaroni, Elisa, Tarantini, Salvatore, Leone, Michele, and Masi, Giancarlo

Subjects
Abdominal aortic aneurysm, EVAR explantation, Failed EVAR, Open surgical conversion, Type I endoleak, Type II endoleak
Published
2022

149. sj-docx-1-jet-10.1177_15266028221126940 – Supplemental material for Carotid Artery Stenting With Double-Layer Stent: A Systematic Review and Meta-Analysis

Author

Pini, Rodolfo, Faggioli, Gianluca, Paraskevas, Kosmas I., Campana, Federica, Sufali, Gemmi, Rocchi, Cristina, Palermo, Sergio, Gallitto, Enrico, and Gargiulo, Mauro

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028221126940 for Carotid Artery Stenting With Double-Layer Stent: A Systematic Review and Meta-Analysis by Rodolfo Pini, Gianluca Faggioli, Kosmas I. Paraskevas, Federica Campana, Gemmi Sufali, Cristina Rocchi, Sergio Palermo, Enrico Gallitto and Mauro Gargiulo in Journal of Endovascular Therapy

Published
2022
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150. Optimal Management of Asymptomatic Carotid Stenosis in 2021: The Jury is Still Out. An International, Multispecialty, Expert Review and Position Statement

Author

Paraskevas, Kosmas I. Mikhailidis, Dimitri P. Antignani, Pier Luigi Baradaran, Hediyeh Bokkers, Reinoud P. Cambria, Richard P. Dardik, Alan Davies, Alun H. Eckstein, Hans-Henning Faggioli, Gianluca Fernandes E Fernandes, Jose Fraedrich, Gustav Geroulakos, George Gloviczki, Peter Golledge, Jonathan Gupta, Ajay Jezovnik, Mateja K. Kakkos, Stavros K. Katsiki, Niki Knoflach, Michael Kooi, M. Eline Lanza, Gaetano Liapis, Christos D. Loftus, Ian M. Mansilha, Armando Millon, Antoine Nicolaides, Andrew N. Pini, Rodolfo Poredos, Pavel Ricco, Jean-Baptiste Riles, Thomas S. Ringleb, Peter Arthur Rundek, Tatjana Saba, Luca Schlachetzki, Felix Silvestrini, Mauro Spinelli, Francesco Stilo, Francesco Sultan, Sherif Suri, Jasjit S. Zeebregts, Clark J. Chaturvedi, Seemant

Abstract

Objectives: The recommendations of international guidelines for the management of asymptomatic carotid stenosis (ACS) often vary considerably and extend from a conservative approach with risk factor modification and best medical treatment (BMT) alone, to a more aggressive approach with a carotid intervention plus BMT. The aim of the current multispecialty position statement is to reconcile the conflicting views on the topic. Materials and methods: A literature review was performed with a focus on data from recent studies. Results: Several clinical and imaging high-risk features have been identified that are associated with an increased long-term ipsilateral ischemic stroke risk in patients with ACS. Such high-risk clinical/imaging features include intraplaque hemorrhage, impaired cerebrovascular reserve, carotid plaque echolucency/ulceration/ neovascularization, a lipid-rich necrotic core, a thin or ruptured fibrous cap, silent brain infarction, a contralateral transient ischemic attack/stroke episode, male patients < 75 years and microembolic signals on transcranial Doppler. There is growing evidence that 80-99% ACS indicate a higher stroke risk than 50-79% stenoses. Conclusions: Although aggressive risk factor control and BMT should be implemented in all ACS patients, several high-risk features that may increase the risk of a future cerebrovascular event are now documented. Consequently, some guidelines recommend a prophylactic carotid intervention in high-risk patients to prevent future cerebrovascular events. Until the results of the much-anticipated randomized controlled trials emerge, the jury is still out regarding the optimal management of ACS patients. (c) 2021 Elsevier Inc. All rights reserved.

Published
2022

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