37 results on '"Beropoulis, Efthymios"'
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2. Outcomes Following Vascular and Endovascular Procedures Performed During the First COVID-19 Pandemic Wave
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Birmpili, Panagiota, Benson, Ruth A., Gwilym, Brenig, Nandhra, Sandip, Al-Saadi, Nina, Ambler, Graeme K., Blair, Robert, Bosanquet, David, Dattani, Nikesh, Hitchman, Louise, Hurndall, Katherine, Machin, Matthew, Onida, Sarah, Saratzis, Athanasios, Shalhoub, Joseph, Lauren, Shelmerdine, Singh, Aminder Anthony, Bosanquet, David C., Forsythe, Rachael O., Dovell, George, Preece, Ryan, Imray, Chris, Kandola, Sonia, Johnson, Adam, Choong, Andrew, Ng, Jun Jie, Aitken, Sarah, Moss, Jana-Lee, Beropoulis, Efthymios, Stavroulakis, Konstantinos, Santiago, Fabrico, Abdelhaliem, Amr, Abuduruk, Aseel, Aherne, Thomas M., Ahmed, Hazem, Aitken, Sarah J., Akhtar, Tasleem, Akkaya, Bekir B., Al Shakarchi, Julien, Algasi, Abdeljawad J., AlHamzah, Musaad, Alhumiad, Ahmed A., Allard, Bernard, Almeshal, Meshal, Alomran, Faris, AlRakaf, Reem N., Altabal, Mohamed, Altaf, Nishath, Altoijry, Abdulmajeed H., Altuwaijri, Talal, Alwehaibi, Nasser, Anderson Baker, Sara J., Angiletta, Domenico, Antoniou, Afroditi, Antoniou, George A., Areias, Libnah L., Ashcroft, James, Atkinson, Noel, Attia, Doaa, Attwell, Lukas, Azab, Mohammed A., Aziz, Omar, Azzam, Ahmed Y., Bakoyiannis, Christos, Barakat, Hashem, Bashar, Khalid, Battersby, Ruth, Benaragama, K.S., BenGhatnsh, Ahmed T.S., Bessias, Nikolaos, Bhakthavalsalan, Resya, Binkhamis, Shagran, Bootun, Roshan, Boyle, Emily, Buga, Ion, Catterson, Martin, Chambers, Jennifer L., Chandarana, Karishma, Charalabopoulos, Alexandros, Charlton, Gabriella, Cheng, Stephen W.K., Chinai, Natasha, Choudhry, Asad J., Clothier, Annie, Cohnert, Tina U., Coleman, Chloe, Costanza, Michael, Coughlin, Patrick A., Coulston, James, Cragg, James, Darvall, Katy, Davies, Emma M., Davies, Huw, Dawkins, Claire, Dawson, Joseph A., Dean, Anastasia, Dhal, Bedanta S., Duncan, Andrew, Edwards, Mark, Egan, Bridget, El Amrani, Mehdi, Elhadi, Ahmed, Elhadi, Muhammed, Eljareh, Mohamed S., Elkady, Ramy, Elkawafi, Mohamed, Elkhafeefi, Fatimah S., Elkwahad, Maysoon, Ellojli, Ibrahim A., ElSanhoury, Kareem, Elsantawy, Hazem, Elsayed, Khaled, Ennab, Raed M., Fisher, Owain, Fitridge, Robert, Flumignan, Ronald L.G., Fowler, Amy L., Galloway, Richard F., Gan, John, Garnham, Andrew, Georgopoulos, Sotirios, Ghatwary Tantawy, Tamer M.H., Goel, Ravi R., Goh, Mingzheng A., Grainger, Tabitha, Gunawansa, Nalaka, Hammond, Eric, Hanna, Joseph, Hardy, Simon C., Hardy, Thomas J., Harrison, Gareth J., Hassanin, Ahmed, Hattam, Andrew T., Hein, Martin, Hmaid, Hytham K.S., Hon, Kay, Iqbal, Kaisor, Iscan, Hakkı Z., Isik, Arda, Joyce, Doireann P., Juszczak, Maciej, Kakavia, Kiriaki, Kakkos, Stavros, Karkos, Christos D., Katsogridakis, Emmanuel, Khalil, Rana, Khallaf, Andrew I., Khan, Aazeb, Khashram, Manar, Khoo, Samantha, Kilby, Joseph, Kuang, Beatrice, Kyrou, Ioanna, Lapolla, Pierfrancesco, Leong, Kai W., Lim, Eunice, Liu, Ju-wei N., Locker, Dafydd, Luo, Xun, Lyons, Oliver T.A., Makar, Ragai R., Maras, Dimitris, Martin, Emmeline A., Mavioglu, Hayrettin L., Mazingi, Dennis, McCaslin, James, McClure, David N., McKevitt, Kevin, Meecham, Lewis, Mehta, Shreya, Minelli, Fabrizio, Mingoli, Andrea, Mitka, Afroditi M., Mohamed, Farag S., Moore, Hayley M., Morley, Rachael L., Moulakakis, Konstantinos G., Mpaili, Eustratia, Msherghi, Ahmed, Muhammad, Kamel, Muller, Juanita, Musicki, Korana, Nakano, Luis C.U., Nesbitt, Craig, Nicholls, Jonathan, Nickinson, Andrew, Nouh, Thamer, Nunag, Jose M.S., Nyamekye, Isaac K., Papanikolas, Michael J., Papas, Theofanis T., Papazoglou, Konstantinos O., Paravastu, Sharath, Parr, Noala, Pasenidou, Ketino, Pineda, Fernando Picazo, Pond, Franklin, Popplewell, Matthew A., Powezka, Katarzyna, Prce, Daniela, Premnath, Sivaram, Pulli, Raffaele, Rabee, Hussein M.M., Rahman, Habibur P., Ravintharan, Nandhini, Valdivia, Andrés Reyes, Richards, Toby, Roditis, Konstantinos, Rolls, Alexander E.S., Roy, Iain N., Saeed, Hani, Saha, Prakash, Saltiel, Alberto, Sapienza, Paolo, Scott, Emma, Selvaraj, Christopher N., Sharif, Atif, Sica, Simona, Silickas, Justinas, Singh, Gurkirat, Sivaharan, Ashwin, Sivakumaran, Yogeesan, Somaiya, Pranav, Stansby, Gerry, Stavert, Bethany M., Sudarsanam, Abhilash, Suthers, Elizabeth, Suttenwood, Helen, Taha, Ahmed, Taha, Mohamed A.H., Tam, Siu C., Tang, Alethea M., Tang, Robert, Taran, Dana, Tarusan, Lawrence, Thet, Myat S., Thomas, Jacqueline, Tierney, Sean, Tigkiropoulos, Konstantinos, Tinelli, Giovanni, Tolba, Mahmoud M.H., Travers, Hannah C., Tsagkos, Ioannis, Tshomba, Yamume, Tsiantoula, Paraskevi, Twine, Christopher P., Ulker, Berkay, Ulusoy, Serap, Unal, Ertekin U., Varley, Vincent C., Vasudevan, Thodur M., Vo, Uyen G., Wagner, Timothy, Walsh, Stewart R., Wang, Judy, Wong, Jackie, Warren, Sarah A., Yih, Chun L.P., Zacà, Sergio, Zafar, Adeel S., Zaki, Shady, Zywicka, Ewa M., Shelmerdine, Lauren, and Singh, Aminder A.
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- 2024
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3. Use of Secondary Iliac Branch Devices after Previous Endovascular Abdominal and Thoraco-Abdominal Aortic Aneurysm Repair
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Spath, Paolo, Cardona-Gloria, Yamel, Torsello, Giovanni, Gallitto, Enrico, Öz, Tugce, Beropoulis, Efthymios, Stana, Jan, Gargiulo, Mauro, and Tsilimparis, Nikolaos
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- 2023
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4. Documenting the Recovery of Vascular Services in European Centres Following the Initial COVID-19 Pandemic Peak: Results from a Multicentre Collaborative Study
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Ruffino, Maria Antonella, Chan, Sharon, Coughlin, Patrick, Awopetu, Ayoola, Stather, Philip, Lane, Tristan, Theodosiou, Dimitrios, Ahmed, Mohamed Abozeid, Vasudevan, Thodur, Ibrahim, Mohammed, Al Maadany, Faraj, Eljareh, Mohamed, Alkhafeefi, Fatimah Saad, Coscas, Raphael, Ünal, Ertekin Utku, Pulli, Raffaele, Zacà, Sergio, Angiletta, Domenico, Kotsis, Thomas, Moawad, Magdy, Tozzi, Matteo, Patelis, Nikolaos, Lazaris, Andreas M., Chuen, Jason, Croo, Alexander, Tsolaki, Elpiniki, Zenunaj, Gladiol, Kamal, Dhafer, Tolba, Mahmoud MH., Maresch, Martin, Khetarpaul, Vipul, Mills, Joseph, Gangwani, Gaurav, Elahwal, Mohamed, Khalil, Rana, Azab, Mohammed A., Mahomed, Anver, Whiston, Richard, Contractor, Ummul, Esposito, Davide, Pratesi, Carlo, Giacomelli, Elena, Troncoso, Martín Veras, Elkouri, Stephane, Johansson, Flavia Gentile, Dodos, Ilias, Benezit, Marie, Vidoedo, José, Rocha-Neves, João, Pereira-Neves, António Henrique, Dias-Neto, Marina Felicidade, Campos Jácome, Ana Filipa, Loureiro, Luis, Silva, Ivone, Garza-Herrera, Rodrigo, Canata, Victor, Bezard, Charlotte, Bowser, Kathryn, Tobar, Jorge Felipe, Vera, Carlos Gomez, Parra, Carolina Salinas, Lopez, Eugenia, Serra, Yvis Gadelha, Varela, Juan, Rubio, Vanessa, Victoria, Gerardo, Johnson, Adam, O’Banion, Leigh Ann, Makar, Ragai, Tantawy, Tamer Ghatwary, Storck, Martin, Jongkind, Vincent, falah, Orwa, McBride, Olivia, Isik, Arda, Papaioannou, Athanasios, Ocke Reis, Paulo Eduardo, Bracale, Umberto Marcello, Atkins, Ellie, Tinelli, Giovanni, Scott, Emma, Wales, Lucy, Sivaharan, Ashwin, Priona, Georgia, Nesbitt, Craig, Grainger, Tabitha, Shelmerdine, Lauren, Chong, Patrick, Bajwa, Adnan, Arwynck, Luke, Hadjievangelou, Nancy, Elbasty, Ahmed, Rubio, Oscar, Ricardo, Michael, Ulloa, Jorge H., Tarazona, Marcos, Pabon, Manuel, Pitoulias, Georgios, Corless, Kevin, Ioannidis, Orestis, Friedrich, Oliver, Van Herzeele, Isabelle, Vijaynagar, Badri, Cohnert, Tina, Bell, Rachel, Moore, Hayley, Saha, Prakash, Gifford, Edward, Laine, Matti, Barkat, Adel, Karkos, Christos, Binti Safri, Lenny Suryani, Buitron, Gabriel, Del Castillo, Javier, Carrera, Paul, Salinas, Nilson, Biagioni, Rodrigo Bruno, Benites, Sergio, Mafla, César Andrés, Pian, Putera Mas, Albino, Pereira, Serrano, Ernesto, Marin, Andres, González, Marco, Foreroga, Marsha, Russo, Alejandro, Reyes, Andrés, Guglielmone, Daniel, Grillo, Lorena, Flumignan, Ronald, Palones, Francisco Gomez, Silveira, Pierre Galvagni, Ramely, Rosnelifaizur Bin, Edeiken, Sara, Chetter, Ian, Green, Lucy, Sudarsanam, Abhilash, Lyons, Oliver, Lemmon, Gary, Neville, Richard, Castelli, Mariano, Hinojosa, Carlos A., Carvajal, Rubén Rodríguez, Rivera, Aksim, Wong, Peng, Drudi, Laura, Perkins, Jeremy, Sieunarine, Kishore, Attia, Doaa, Atef, Mahmoud, Eftychios, Lostoridis, Weaver, Fred, Ren, Leong Chuo, Alomari, Mohannad, Jamjoom, Reda, Aljarrah, Qusai, Abbas, Ayman, Alomran, Faris, Kumar, Ambrish, Altoijri, Abdulmajeed, ElSanhoury, Kareem T., Alhumaid, Ahmed, Fekry, Tamer, Sekhar, Raghuram, Theodoridis, Panagiotis, Panagiotis, Theodoridis, Roditis, Konstantinos, Tsiantoula, Paraskevi, Antoniou, Afroditi, Soler, Raphael, Hasemaki, Natasha, Baili, Efstratia, Mpaili, Eustratia, Huasen, Bella, Wallace, Tom, Duncan, Andrew, Metcalfe, Matthew, Mannoia, Kristyn, Bechara, Carlos F., Tsilimparis, Nikolaos, Aranson, Nathan, Riding, David, Palena, Mariano, McDonnell, Ciarán, Mouawad, Nicolas J., Banegas, Shonda, Rossi, Peter, Oshodi, Taohid, Diaz, Rodney, Afifi, Rana, Dindyal, Shiva, Thapar, Ankur, Kordzadeh, Ali, Pullas, Gonzalo, Lin, Stephanie, Davies, Chris, Darvall, Katy, Kodama, Akio, Gooneratne, Thushan, Gunawansa, Nalaka, Munoz, Alberto, Jie, Ng Jun, Bradley, Nicholas, Al-Jundi, Wissam, Meyer, Felicity, Lee, Cheong, Malina, Martin, Renton, Sophie, Lui, Dennis, Batchelder, Andrew, Oszkinis, Grzegorz, Freyrie, Antonio, Giordano, Jacopo, Saratzis, Nikolaos, Tigkiropoulos, Konstantinos, Kyriakos, Stavridis, Popov, Guriy, Cheema, Muhammad Usman, Lapolla, Pierfrancesco, Ling Patricia, Yih Chun, Ennab, Raed, Ullery, Brant W., Pasenidou, Ketino, Tam, Jacky, Sidel, Gabriel, Jayaprakash, Vivek Vardhan, Bennett, Lisa, Hardy, Simon, Davies, Emma, Baker, Sara, Wijesinghe, Lasantha, Tam, Adam, McCune, Ken, Chana, Manik, Lowe, Chris, Goh, Aaron, Powezka, Katarzyna, Kyrou, Ioanna, Altaf, Nishath, Harkin, Denis, Travers, Hannah, Cragg, James, sharif, Atif, Akhtar, Tasleem, Chávez, José Antonio, Ordonez, Claudia, Mazzurco, Martin, Choke, Edward, Asghar, Imran, Summerour, Virginia, Dunlop, Paul, Morley, Rachel, Hardy, Thomas, Bevis, Paul, Cuff, Robert, Stavroulakis, Konstantinos, Beropoulis, Efthymios, Argyriou, Angeliki, Loftus, Ian, Azhar, Bilal, Sheth, Sharvil, Usai, Marco Virgilio, Choudhry, Asad, Nicole, Kira, Boyle, Emily, Joyce, Doireann, Abdelaty Hassan, Mohammed Hassan, Saltiel, Alberto, Frahm-Jensen, Gert, Antoniou, George, Elhadi, Muhammed, Kimyaghalam, Ali, Malgor, Rafael, O'Banion, Leigh Ann, Telve, Diego, Isaak, Andrej, Schmidli, Jürg, McKevitt, Kevin, Siddiqui, Tam, Asciutto, Giuseppe, Floros, Nikolaos, Papadopoulos, George, Kafetzakis, Alexandros, Koutsias, Stylianos G., Nana, Petroula, Giannoukas, Athanasios, Kakkos, Stavros, Moulakakis, Konstantinos G., Shafique, Natasha, Jawien, Arkadiusz, Popplewell, Matthew, Imray, Chris, Abayasekara, Kumar, Rowlands, Timothy, Kuhan, Ganesh, Rajagopalan, Sriram, Jaipersad, Anthony, Sadia, Uzma, Kobe, Isaac, Mittapalli, Devender, Enemosah, Ibrahim, Behrendt, Christian-Alexander, Beck, Adam, Almudhafer, Muayyad, Ancetti, Stefano, Jacobs, Donald, Jayakumar, Priya, Malekpour, Fatemeh, Shalhub, Sherene, Keldiyorov, Boboyor, Simon, Meryl, Khashram, Manar, Rich, Nicole, Shepherd, Amanda, Meecham, Lewis, Doherty, Daniel, and Benson, Ruth A.
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- 2022
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5. Preliminary Clinical and Radiologic Outcome of Matched Patients with Thoracoabdominal Aortic Aneurysms Treated by Low-Profile vs Standard Profile Branched Aortic Endografts
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Puta, Besjona, Fazzini, Stefano, Torsello, Giovanni, Pipitone, Marco Damiano, Austermann, Martin, Beropoulis, Efthymios, and Torsello, Giovanni Federico
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- 2021
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6. Sex-Specific Analysis of Mid-Term Outcomes of Atherectomy-Assisted Endovascular Treatment in Severe Peripheral Arterial Disease.
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Avranas, Konstantinos, Pitoulias, Apostolos G., Taneva, Gergana T., Beropoulis, Efthymios, and Donas, Konstantinos P.
- Subjects
ENDOVASCULAR surgery ,PERIPHERAL vascular diseases ,ANKLE brachial index ,ATHERECTOMY ,POPLITEAL artery ,PROGNOSIS - Abstract
Background: Endovascular treatment of lower-extremity peripheral disease (PAD) is associated with higher complication rates and suboptimal outcomes in women. Atherectomy has shown favourable outcomes in calcified lesions, minimising the incidence of stent placement caused by recoil or flow-limiting dissection. To date, there are no published mid-term outcomes evaluating the performance of atherectomy differentiated by sex. This study aims to evaluate sex-specific outcomes and prognostic factors affecting the results of atherectomy-assisted endovascular treatment in severe PAD. Methods: A retrospective analysis was conducted at a single centre in Germany, initiated by physicians and not sponsored by industry, on patients presenting with Rutherford categories ranging from III to V and featuring de novo occlusive or stenotic lesions of the superficial femoral (SFA) and/or popliteal arteries. The intervention involved rotational atherectomy-assisted angioplasty utilising the Jetstream (Boston, US
® ) device. The point of interest of this study was postinterventional clinical improvement as well as mid-term outcomes, including primary patency, over a targeted 2-year follow-up period. Statistical analysis utilised Cox regression (survival analysis) to calculate hazard ratios according to sex category. Comparative survival analysis was performed using the log-rank test and visually represented through Kaplan–Meier curves. Risk factors associated with absence of clinical improvement were examined across both sex groups utilising the chi-square or Fisher exact test, as appropriate. Results: A total of 98 patients (103 limbs) were initially included, with >75% having moderate-to-severe lesion calcification (>50%). A total of 84 patients (97 limbs, 62 male and 35 female) proceeded to a 2-year follow-up (mean 16.4 months for males and 16.1 for females) after a successful index procedure. Age distribution, Rutherford class, diabetes, chronic kidney disease (CKD), target vessel, lesion type, and length were balanced among both groups. Similar primary patency rates, of 89% among female and 91% among male limbs, were observed (p = 0.471). Female patients exhibited a lower rate of clinical improvement based on the Rutherford scale in comparison to males (80.6% vs. 94.5%, p = 0.048). CDK was the only significant prognostic factor across pooled data (odds ratio for CKD: 15.15, p < 0.001). Conclusions: Rotational atherectomy showed comparably high rates of mid-term primary patency, with low rates of bailout stent placement. These findings highlight the beneficial use of atherectomy in female patients who are per se at risk for higher rates of complications during and after endovascular interventions. [ABSTRACT FROM AUTHOR]- Published
- 2024
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7. Outcomes of bridging stent grafts in fenestrated and branched endovascular aortic repair
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Torsello, Giovanni Federico, Beropoulis, Efthymios, Munaò, Roberta, Trimarchi, Santi, Torsello, Giovanni B., and Austermann, Martin
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- 2020
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8. Multicenter Registry about the Use of EndoAnchors in the Endovascular Repair of Abdominal Aortic Aneurysms with Hostile Neck Showed Successful but Delayed Endograft Sealing within Intraoperative Type Ia Endoleak Cases
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Reyes Valdivia, Andrés, Beropoulis, Efthymios, Pitoulias, Georgios, Pratesi, Giovanni, Alvarez Marcos, Francisco, Barbante, Matteo, Gandarias, Claudio, Torsello, Giovanni, Bisdas, Theodosios, and Donas, Konstantinos
- Published
- 2019
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9. Efficacy analysis following polymer coated drug eluting stent and bare metal stent deployment for femoropopliteal arterial disease.
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Shehada, Yousef, Bisdas, Theodosios, Argyriou, Angeliki, Torsello, Giovanni, Tsilimparis, Nikolaos, Beropoulis, Efthymios, and Stavroulakis, Konstantinos
- Abstract
Objectives: The objective is to assess the performance of the Eluvia polymer coated drug eluting stent (DES) compared to a bare metal stent (BMS) platform in patients with femoropopliteal arterial disease. Methods: This is a retrospective, single-center analysis. Patients treated with the Eluvia DES (group Eluvia) or the EverFlex BMS (group BMS) for femoropopliteal disease between January 2013 and December 2019 were included. Primary measure outcome of this analysis was the overall mortality. The PTX specific mortality, the primary patency, the amputation free survival (AFS), and the target lesion revascularization (TLR) rates were additionally evaluated. Results: A total of 124 patients were treated by BMS deployment, while the Eluvia platform was preferred in 75 subjects. In both groups the majority presented with lifestyle limiting claudication (BMS: 84% vs Eluvia: 73%, p = 0.73). Chronic total occlusions were more frequent in patients treated by BMS (BMS: 71% vs Eluvia: 84%, p = 0.027), whereas the calcification burden (BMS: 81% vs Eluvia: 76%, p = 0.43) and the median lesion length (in mm, IQR) (BMS: 160 (100 to 240) vs Eluvia: 140 (80 to 229), p = 0.17) were comparable. At 24 months, the overall survival (BMS: 93% vs Eluvia: 89%, hazard ratio (HR): 1.20, 95% confidence interval (CI): 0.55 to 2.64, p = 0.64) and the PTX specific survival (BMS: 95% vs Eluvia: 95%, HR: 1.28, 95% CI: 0.41 to 4.02, p = 0.67) did not differ significantly between the two platforms. No significant difference was observed regarding the 24 months primary patency rate (BMS: 66% vs Eluvia: 78%, HR: 0.65, 95% CI: 0.37 to 1.15, p = 0.18), the freedom from TLR (BMS: 83% vs Eluvia: 89%, HR: 0.81, 95% CI: 0.39 to 1.68, p = 0.572), and the AFS (BMS: 93 vs Eluvia: 89%, HR: 1.20, 95% CI: 0.55 to 2.64). The Cox regression analysis revealed a higher mortality risk among patients with chronic limb-threatening ischemia (CLTI) (HR: 3.14, 95% CI: 1.61 to 6.14, p = 0.008), chronic obstructive pulmonary disease (COPD) (HR: 4.65, 95% CI: 2.14 to 10.09, p = 0.001), in octagenerians (HR: 4.40, 95% CI: 1.92 to 10.44, p = 0.005), and in patients not on statins at baseline (HR: 2.44, 95% CI: 1.19 to 4.99, p =0.014). Conclusions: In this cohort, the use of the Eluvia DES did not increase the risk for mortality compared to BMS deployment. CLTI, COPD, advanced age, and the lack of statin therapy at baseline were associated with a higher risk for death. [ABSTRACT FROM AUTHOR]
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- 2024
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10. 1-Year All-Comers Analysis of the Eluvia Drug-Eluting Stent for Long Femoropopliteal Lesions After Suboptimal Angioplasty
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Bisdas, Theodosios, Beropoulis, Efthymios, Argyriou, Angeliki, Torsello, Giovanni, and Stavroulakis, Konstantinos
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- 2018
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11. List of Contributors
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Donas, Konstantinos P., primary, Torsello, Giovanni, additional, Ouriel, Kenneth, additional, Austermann, Martin, additional, Beropoulis, Efthymios, additional, Bisdas, Theodosios, additional, Bosiers, Michel, additional, Chisci, Emiliano, additional, Criado, Frank J., additional, Donas, Konstantinos P., additional, Eisenack, Markus, additional, Fazzini, Stefano, additional, Lachat, Mario, additional, Marques de Azevedo, Francisco, additional, Michelagnoli, Stefano, additional, Panuccio, Giuseppe, additional, Schäfers, Johannes, additional, Schwindt, Arne, additional, Torsello, Giovanni Federico, additional, and Troisi, Nicola, additional
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- 2018
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12. Use of EndoAnchors in Endovascular Treatment of Aneurysms with Short Neck
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Troisi, Nicola, primary, Chisci, Emiliano, additional, Michelagnoli, Stefano, additional, and Beropoulis, Efthymios, additional
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- 2018
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13. Efficacy analysis following polymer coated drug eluting stent and bare metal stent deployment for femoropopliteal arterial disease
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Shehada, Yousef, primary, Bisdas, Theodosios, additional, Argyriou, Angeliki, additional, Torsello, Giovanni, additional, Tsilimparis, Nikolaos, additional, Beropoulis, Efthymios, additional, and Stavroulakis, Konstantinos, additional
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- 2022
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14. Directional Atherectomy With Antirestenotic Therapy vs Drug-Coated Balloon Angioplasty Alone for Common Femoral Artery Atherosclerotic Disease
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Stavroulakis, Konstantinos, Schwindt, Arne, Torsello, Giovanni, Beropoulis, Efthymios, Stachmann, Arne, Hericks, Christiane, Bollenberg, Leonie, and Bisdas, Theodosios
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- 2018
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15. Long-term Results of Angulated Versus Hyperangulated Neck in Endovascular Aneurysm Repair With Endurant Endoprosthesis.
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Özdemir-van Brunschot, Denise M. D., Torsello, Giovanni Battista, Bernardini, Giulia, Litterscheid, Sarah, Torsello, Giovanni Frederico, and Beropoulis, Efthymios
- Abstract
Purpose: Patients with a hyperangulated (>60°) proximal aortic neck and at high risk of open surgery have been treated with endovascular aortic repair (EVAR). However, long-term outcomes are not well reported. The aim of this study is to compare the technical and clinical success of EVAR in angulated (45°-60°) and hyperangulated (>60°) proximal neck angulation. Materials and Methods: The data of all consecutive patients undergoing EVAR treated between November 2007 and February 2020 were collected. A retrospective analysis of this prospective database was performed. The primary measure outcome was technical and clinical success. In addition, we evaluated sack evolution, type IA endoleak, secondary procedures, aneurysm rupture, mortality, aneurysm-related mortality, and migration. Results: In all, 246 of 1353 EVAR patients presented with an angulation of the proximal neck >45°, 130 patients presented with an infrarenal angulation >60°, while 116 patients had an angulation between 45° and 60°. Patients with a hyperangulated infrarenal aortic neck were significantly more often women (8.6% vs 26.9%), older (73.9 vs 76.7 years), and had less often diabetes mellitus (20.7% vs 10.8%). Suprarenal neck angulation and reversed tapered neck were significantly more frequent in the hyperangulated group so that propensity scores were generated using these anatomical parameters to create a matched cohort group. No significant differences in technical (87.9% vs 94.8%) and clinical success (66.4% vs 69.8%) were observed. After a mean clinical follow-up of 58.9 months significantly more secondary procedures were performed in the hyperangulated group (23.3% vs 12.9% p=0.04); however, neck-related secondary procedures were comparable (1.7% vs 6.0%; p=0.09). Also, all-cause and aneurysm-related mortality, sack evolution, type IA endoleak, aneurysm rupture, and migration were comparable for both groups. Conclusion: Compared with less angulated proximal aortic neck, hyperangulated neck anatomy did not reduce the technical and clinical success of EVAR but increased the risk of secondary procedures. In patients who are not good candidates for open surgery, EVAR is a reasonable alternative. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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16. A meta-analysis of safety and efficacy of endovascular aneurysm repair in aneurysm patients with severe angulated infrarenal neck
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Bernardini, Giulia, primary, Litterscheid, Sarah, additional, Torsello, Giovanni Battista, additional, Torsello, Giovanni Federico, additional, Beropoulis, Efthymios, additional, and Özdemir-van Brunschot, Denise, additional
- Published
- 2022
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17. Long-term Results of Angulated Versus Hyperangulated Neck in Endovascular Aneurysm Repair With Endurant Endoprosthesis
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Özdemir-van Brunschot, Denise M. D., primary, Torsello, Giovanni Battista, additional, Bernardini, Giulia, additional, Litterscheid, Sarah, additional, Torsello, Giovanni Frederico, additional, and Beropoulis, Efthymios, additional
- Published
- 2022
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18. Documenting the Recovery of Vascular Services in European Centres Following the Initial COVID-19 Pandemic Peak: Results from a Multicentre Collaborative Study
- Author
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Benson, Ruth A., primary, Ruffino, Maria Antonella, additional, Chan, Sharon, additional, Coughlin, Patrick, additional, Awopetu, Ayoola, additional, Stather, Philip, additional, Lane, Tristan, additional, Theodosiou, Dimitrios, additional, Ahmed, Mohamed Abozeid, additional, Vasudevan, Thodur, additional, Ibrahim, Mohammed, additional, Al Maadany, Faraj, additional, Eljareh, Mohamed, additional, Alkhafeefi, Fatimah Saad, additional, Coscas, Raphael, additional, Ünal, Ertekin Utku, additional, Pulli, Raffaele, additional, Zacà, Sergio, additional, Angiletta, Domenico, additional, Kotsis, Thomas, additional, Moawad, Magdy, additional, Tozzi, Matteo, additional, Patelis, Nikolaos, additional, Lazaris, Andreas M., additional, Chuen, Jason, additional, Croo, Alexander, additional, Tsolaki, Elpiniki, additional, Zenunaj, Gladiol, additional, Kamal, Dhafer, additional, Tolba, Mahmoud MH., additional, Maresch, Martin, additional, Khetarpaul, Vipul, additional, Mills, Joseph, additional, Gangwani, Gaurav, additional, Elahwal, Mohamed, additional, Khalil, Rana, additional, Azab, Mohammed A., additional, Mahomed, Anver, additional, Whiston, Richard, additional, Contractor, Ummul, additional, Esposito, Davide, additional, Pratesi, Carlo, additional, Giacomelli, Elena, additional, Troncoso, Martín Veras, additional, Elkouri, Stephane, additional, Johansson, Flavia Gentile, additional, Dodos, Ilias, additional, Benezit, Marie, additional, Vidoedo, José, additional, Rocha-Neves, João, additional, Pereira-Neves, António Henrique, additional, Dias-Neto, Marina Felicidade, additional, Campos Jácome, Ana Filipa, additional, Loureiro, Luis, additional, Silva, Ivone, additional, Garza-Herrera, Rodrigo, additional, Canata, Victor, additional, Bezard, Charlotte, additional, Bowser, Kathryn, additional, Tobar, Jorge Felipe, additional, Vera, Carlos Gomez, additional, Parra, Carolina Salinas, additional, Lopez, Eugenia, additional, Serra, Yvis Gadelha, additional, Varela, Juan, additional, Rubio, Vanessa, additional, Victoria, Gerardo, additional, Johnson, Adam, additional, O’Banion, Leigh Ann, additional, Makar, Ragai, additional, Tantawy, Tamer Ghatwary, additional, Storck, Martin, additional, Jongkind, Vincent, additional, falah, Orwa, additional, McBride, Olivia, additional, Isik, Arda, additional, Papaioannou, Athanasios, additional, Ocke Reis, Paulo Eduardo, additional, Bracale, Umberto Marcello, additional, Atkins, Ellie, additional, Tinelli, Giovanni, additional, Scott, Emma, additional, Wales, Lucy, additional, Sivaharan, Ashwin, additional, Priona, Georgia, additional, Nesbitt, Craig, additional, Grainger, Tabitha, additional, Shelmerdine, Lauren, additional, Chong, Patrick, additional, Bajwa, Adnan, additional, Arwynck, Luke, additional, Hadjievangelou, Nancy, additional, Elbasty, Ahmed, additional, Rubio, Oscar, additional, Ricardo, Michael, additional, Ulloa, Jorge H., additional, Tarazona, Marcos, additional, Pabon, Manuel, additional, Pitoulias, Georgios, additional, Corless, Kevin, additional, Ioannidis, Orestis, additional, Friedrich, Oliver, additional, Van Herzeele, Isabelle, additional, Vijaynagar, Badri, additional, Cohnert, Tina, additional, Bell, Rachel, additional, Moore, Hayley, additional, Saha, Prakash, additional, Gifford, Edward, additional, Laine, Matti, additional, Barkat, Adel, additional, Karkos, Christos, additional, Binti Safri, Lenny Suryani, additional, Buitron, Gabriel, additional, Del Castillo, Javier, additional, Carrera, Paul, additional, Salinas, Nilson, additional, Biagioni, Rodrigo Bruno, additional, Benites, Sergio, additional, Mafla, César Andrés, additional, Pian, Putera Mas, additional, Albino, Pereira, additional, Serrano, Ernesto, additional, Marin, Andres, additional, González, Marco, additional, Foreroga, Marsha, additional, Russo, Alejandro, additional, Reyes, Andrés, additional, Guglielmone, Daniel, additional, Grillo, Lorena, additional, Flumignan, Ronald, additional, Palones, Francisco Gomez, additional, Silveira, Pierre Galvagni, additional, Ramely, Rosnelifaizur Bin, additional, Edeiken, Sara, additional, Chetter, Ian, additional, Green, Lucy, additional, Sudarsanam, Abhilash, additional, Lyons, Oliver, additional, Lemmon, Gary, additional, Neville, Richard, additional, Castelli, Mariano, additional, Hinojosa, Carlos A., additional, Carvajal, Rubén Rodríguez, additional, Rivera, Aksim, additional, Wong, Peng, additional, Drudi, Laura, additional, Perkins, Jeremy, additional, Sieunarine, Kishore, additional, Attia, Doaa, additional, Atef, Mahmoud, additional, Eftychios, Lostoridis, additional, Weaver, Fred, additional, Ren, Leong Chuo, additional, Alomari, Mohannad, additional, Jamjoom, Reda, additional, Aljarrah, Qusai, additional, Abbas, Ayman, additional, Alomran, Faris, additional, Kumar, Ambrish, additional, Altoijri, Abdulmajeed, additional, ElSanhoury, Kareem T., additional, Alhumaid, Ahmed, additional, Fekry, Tamer, additional, Sekhar, Raghuram, additional, Theodoridis, Panagiotis, additional, Panagiotis, Theodoridis, additional, Roditis, Konstantinos, additional, Tsiantoula, Paraskevi, additional, Antoniou, Afroditi, additional, Soler, Raphael, additional, Hasemaki, Natasha, additional, Baili, Efstratia, additional, Mpaili, Eustratia, additional, Huasen, Bella, additional, Wallace, Tom, additional, Duncan, Andrew, additional, Metcalfe, Matthew, additional, Mannoia, Kristyn, additional, Bechara, Carlos F., additional, Tsilimparis, Nikolaos, additional, Aranson, Nathan, additional, Riding, David, additional, Palena, Mariano, additional, McDonnell, Ciarán, additional, Mouawad, Nicolas J., additional, Banegas, Shonda, additional, Rossi, Peter, additional, Oshodi, Taohid, additional, Diaz, Rodney, additional, Afifi, Rana, additional, Dindyal, Shiva, additional, Thapar, Ankur, additional, Kordzadeh, Ali, additional, Pullas, Gonzalo, additional, Lin, Stephanie, additional, Davies, Chris, additional, Darvall, Katy, additional, Kodama, Akio, additional, Gooneratne, Thushan, additional, Gunawansa, Nalaka, additional, Munoz, Alberto, additional, Jie, Ng Jun, additional, Bradley, Nicholas, additional, Al-Jundi, Wissam, additional, Meyer, Felicity, additional, Lee, Cheong, additional, Malina, Martin, additional, Renton, Sophie, additional, Lui, Dennis, additional, Batchelder, Andrew, additional, Oszkinis, Grzegorz, additional, Freyrie, Antonio, additional, Giordano, Jacopo, additional, Saratzis, Nikolaos, additional, Tigkiropoulos, Konstantinos, additional, Kyriakos, Stavridis, additional, Popov, Guriy, additional, Cheema, Muhammad Usman, additional, Lapolla, Pierfrancesco, additional, Ling Patricia, Yih Chun, additional, Ennab, Raed, additional, Ullery, Brant W., additional, Pasenidou, Ketino, additional, Tam, Jacky, additional, Sidel, Gabriel, additional, Jayaprakash, Vivek Vardhan, additional, Bennett, Lisa, additional, Hardy, Simon, additional, Davies, Emma, additional, Baker, Sara, additional, Wijesinghe, Lasantha, additional, Tam, Adam, additional, McCune, Ken, additional, Chana, Manik, additional, Lowe, Chris, additional, Goh, Aaron, additional, Powezka, Katarzyna, additional, Kyrou, Ioanna, additional, Altaf, Nishath, additional, Harkin, Denis, additional, Travers, Hannah, additional, Cragg, James, additional, sharif, Atif, additional, Akhtar, Tasleem, additional, Chávez, José Antonio, additional, Ordonez, Claudia, additional, Mazzurco, Martin, additional, Choke, Edward, additional, Asghar, Imran, additional, Summerour, Virginia, additional, Dunlop, Paul, additional, Morley, Rachel, additional, Hardy, Thomas, additional, Bevis, Paul, additional, Cuff, Robert, additional, Stavroulakis, Konstantinos, additional, Beropoulis, Efthymios, additional, Argyriou, Angeliki, additional, Loftus, Ian, additional, Azhar, Bilal, additional, Sheth, Sharvil, additional, Usai, Marco Virgilio, additional, Choudhry, Asad, additional, Nicole, Kira, additional, Boyle, Emily, additional, Joyce, Doireann, additional, Abdelaty Hassan, Mohammed Hassan, additional, Saltiel, Alberto, additional, Frahm-Jensen, Gert, additional, Antoniou, George, additional, Elhadi, Muhammed, additional, Kimyaghalam, Ali, additional, Malgor, Rafael, additional, O'Banion, Leigh Ann, additional, Telve, Diego, additional, Isaak, Andrej, additional, Schmidli, Jürg, additional, McKevitt, Kevin, additional, Siddiqui, Tam, additional, Asciutto, Giuseppe, additional, Floros, Nikolaos, additional, Papadopoulos, George, additional, Kafetzakis, Alexandros, additional, Koutsias, Stylianos G., additional, Nana, Petroula, additional, Giannoukas, Athanasios, additional, Kakkos, Stavros, additional, Moulakakis, Konstantinos G., additional, Shafique, Natasha, additional, Jawien, Arkadiusz, additional, Popplewell, Matthew, additional, Imray, Chris, additional, Abayasekara, Kumar, additional, Rowlands, Timothy, additional, Kuhan, Ganesh, additional, Rajagopalan, Sriram, additional, Jaipersad, Anthony, additional, Sadia, Uzma, additional, Kobe, Isaac, additional, Mittapalli, Devender, additional, Enemosah, Ibrahim, additional, Behrendt, Christian-Alexander, additional, Beck, Adam, additional, Almudhafer, Muayyad, additional, Ancetti, Stefano, additional, Jacobs, Donald, additional, Jayakumar, Priya, additional, Malekpour, Fatemeh, additional, Shalhub, Sherene, additional, Keldiyorov, Boboyor, additional, Simon, Meryl, additional, Khashram, Manar, additional, Rich, Nicole, additional, Shepherd, Amanda, additional, Meecham, Lewis, additional, and Doherty, Daniel, additional
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- 2022
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19. Use of Chimney Technique Does Not Improve the Outcome of Endovascular Aneurysm Repair in Patients With a Hyperangulated and Short Proximal Aortic Neck
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Özdemir-van Brunschot, Denise Michelle Daniëlle, primary, Torsello, Giovanni Battista, additional, Bernardini, Giulia, additional, Litterscheid, Sarah, additional, Torsello, Giovanni Federico, additional, and Beropoulis, Efthymios, additional
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- 2021
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20. The role of surgical and total endovascular techniques in the treatment of ruptured juxtarenal aortic aneurysms
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Keschenau, Paula R., primary, Beropoulis, Efthymios, additional, Gombert, Alexander, additional, Jacobs, Michael J., additional, Torsello, Giovanni, additional, Austermann, Martin, additional, Kotelis, Drosos, additional, and Donas, Konstantinos P., additional
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- 2021
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21. Use of Chimney Technique Does Not Improve the Outcome of Endovascular Aneurysm Repair in Patients With a Hyperangulated and Short Proximal Aortic Neck.
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Özdemir-van Brunschot, Denise Michelle Daniëlle, Torsello, Giovanni Battista, Bernardini, Giulia, Litterscheid, Sarah, Torsello, Giovanni Federico, and Beropoulis, Efthymios
- Abstract
Purpose: We hypothesized that extending the proximal landing zone with the chimney technique could be beneficial in patients with a hyperangulated proximal aortic neck, defined as more > 60 degrees. Material and Methods: We retrospectively analyzed the outcome of prospectively collected data of patients treated by endovascular aneurysm repair (EVAR) for infrarenal aortic aneurysm with a hyperangulated proximal aortic neck. In all, 104 out of 130 patients were treated without (Group A) and 24 with the chimney endovascular aortic repair (ChEVAR, Group B). Primary outcome was technical and clinical success according to the reporting standards of the Society of Vascular Surgery. Results: The use of the chimney technique was associated with a significantly longer operation duration (167 vs. 93 min, p <.001), longer fluoroscopy time (44 vs.30 min, p = <.001), and larger amount of contrast medium used (149 vs. 127 ml, p =.03) but did not significantly improve technical (79.2% vs. 87.7%) and clinical success (54.2% vs. 68.9%). Aneurysm-related mortality was higher in group B (8.3% vs. = 0%, p <.001). Type IA endoleak was high in both groups at completion angiography (11.3% in Group A vs. 12.5% in Group B) and at follow-up (10.4% in Group A vs. 4.5% in Group B) without significant difference between the groups. Conclusions: Our data did not show a benefit of the primary use of the chimney technique in patients with a hyperangulated and short neck, although more studies are required to support this conclusion. Other strategies or new technologies are required for improving EVAR results in aneurysm patients with severe angulated proximal and short neck. [ABSTRACT FROM AUTHOR]
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- 2022
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22. Aortic endograft and bridging stent-graft remodeling after branched endovascular aortic repair
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Fazzini, Stefano, primary, Torsello, Giovanni, additional, Austermann, Martin, additional, Beropoulis, Efthymios, additional, Munaò, Roberta, additional, and Torsello, Giovanni F, additional
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- 2020
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23. Long-term Results of Thoracic Endovascular Aortic Repair Using a Low-Profile Stent-Graft
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Beropoulis, Efthymios, primary, Fazzini, Stefano, additional, Austermann, Martin, additional, Torsello, Giovanni B., additional, Damerau, Sarah, additional, and Torsello, Giovanni Federico, additional
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- 2020
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24. Treatment of iliac atherosclerotic lesions using the balloon-expandable dynamic bare metal stent: One-year outcomes of the BIODYNAMIC single-center retrospective analysis
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Torsello, Giovanni F, primary, Doerr, Beatrix, additional, Donas, Konstantinos, additional, Berekoven, Bärbel, additional, Torsello, Giovanni B, additional, and Beropoulis, Efthymios, additional
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- 2020
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25. Outcomes of endosutured aneurysm repair with the Heli-FX EndoAnchor implants
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Karaolanis, Georgios, primary, Antonopoulos, Constantine N, additional, Koutsias, Stylianos, additional, Antoniou, George A, additional, Beropoulis, Efthymios, additional, Torsello, Giovanni, additional, Taneva, Gergana T, additional, and Donas, Konstantinos P, additional
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- 2020
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26. Aortic endograft and bridging stent-graft remodeling after branched endovascular aortic repair.
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Fazzini, Stefano, Torsello, Giovanni, Austermann, Martin, Beropoulis, Efthymios, Munaò, Roberta, and Torsello, Giovanni F
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Objectives: The results of branched endovascular repair of thoracoabdominal aneurysms are mainly dependent on durability of the graft used. The purpose of this study was to evaluate postoperative aortic main body and bridging stent-graft remodeling, and their impact on bridging stent-graft instability at one year. Methods: Computed tomoangiographies of 43 patients (43 aortic main body mated with 171 bridging stent-grafts) were analyzed before and after branched endovascular repair as well as after a follow-up of 12 months. Primary endpoint was aortic main body remodeling (migration >5 mm, shortening >5 mm, scoliosis >5° or lordosis >5°). Shortening was defined as a reduced length in the long axis, scoliosis as left-right curvature, and lordosis as antero-posterior curvature. Aortic main body remodeling, aneurysm sac changes, and bridging stent-graft tortuosity were evaluated to study their correlations and the impact on the bridging stent-graft instability. Results: At 12 months, aortic main body remodeling was observed in 72% of the cases, migration in 39.5% (mean 5.21 mm), shortening in 41.9% (mean 5.79 mm), scoliosis in 58.1%, (mean 10.10°), lordosis in 44.2% (mean 5.78°). Migration, shortening, and scoliosis were more frequent in patients with larger aneurysms (p =.005), while scoliosis was significantly more frequent in type II thoracoabdominal aneurysm (p =.019). Aortic main body remodeling was significantly associated to bridging stent-graft remodeling (r: 0.3–0.48). The bridging stent-graft instability rate was 9.3%. Despite a trend toward significance (p =.07), none of the evaluated aortic main body and bridging stent-graft changes were associated with bridging stent-graft instability at 12 months. Conclusions: Aortic main body remodeling is frequent especially in large and extended thoracoabdominal aneurysm aneurysms. Aortic main body and bridging stent-graft remodeling was significantly correlated. While these geometric changes had no significant impact on bridging stent-graft instability at one year, a close long-term follow-up after branched endovascular repair could predict bridging stent-graft failures. [ABSTRACT FROM AUTHOR]
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- 2021
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27. Chapter 3 - Use of EndoAnchors in Endovascular Treatment of Aneurysms with Short Neck
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Troisi, Nicola, Chisci, Emiliano, Michelagnoli, Stefano, and Beropoulis, Efthymios
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- 2018
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28. Treatment of iliac atherosclerotic lesions using the balloon-expandable dynamic bare metal stent: One-year outcomes of the BIODYNAMIC single-center retrospective analysis.
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Torsello, Giovanni F, Doerr, Beatrix, Donas, Konstantinos, Berekoven, Bärbel, Torsello, Giovanni B, and Beropoulis, Efthymios
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Objectives: Endovascular therapy using balloon expandable stents has become the treatment standard for most iliac atherosclerotic lesions. We aimed to assess the safety and performance of the Dynamic stainless-steel balloon-expanding stent system in this location.Methods: BIODYNAMIC is a retrospective single center study including consecutive patients with iliac lesions treated with the Dynamic stent system. Not included were implantations inside an endograft. The primary endpoint was freedom from major adverse limb events (MALE) at 12 months, defined as index limb amputation or target lesion revascularization (TLR). Secondary endpoints were procedure success, ankle brachial index (ABI) and Rutherford class change, mortality and freedom from TLR after 12 months.Results: Within two years, 182 patients with 234 lesions in the common iliac artery were enrolled. Rutherford class 5 and 6 were present in 11.5% of patients, average stent diameter was 8.0 ± 0.5 mm and stented length 40.0 ± 15.3 mm. The primary endpoint was reached in 96.2% (225/234) of the cases, with six TLR (2.6%) and three target limb amputations (1.3%). Procedure success was obtained in all but three patients (98.4%). In paired analysis, ABI improved by 0.25 ± 0.21 from baseline to 0.90 ± 0.16 post-procedure and Rutherford class improved by -1.75 ± 1.53. There were four non-device-related deaths (2.2%). Freedom from TLR was 97%, 95.3%, 94% and 92.7% at 24, 36, 48 and 60 months, respectively.Conclusion: The Dynamic balloon-expandable stent system proved to be safe and effective in a population with common iliac artery lesions. [ABSTRACT FROM AUTHOR]- Published
- 2021
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29. Long-term Results of Thoracic Endovascular Aortic Repair Using a Low-Profile Stent-Graft.
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Beropoulis, Efthymios, Fazzini, Stefano, Austermann, Martin, Torsello, Giovanni B., Damerau, Sarah, and Torsello, Giovanni Federico
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Purpose: To evaluate the long-term results associated with the Zenith Alpha thoracic stent-graft, which was designed to address challenging access vessel anatomy. Materials and Methods: A retrospective analysis was conducted of 44 consecutive patients (mean age 72.5±8.3 years; 25 men) treated in a single center between August 2010 and October 2014 with a minimum follow-up of 5 years in survivors. The Zenith Alpha thoracic stent-graft was used to treat thoracic aortic aneurysms (n=37), thoracoabdominal aortic aneurysm (n=5), or penetrating aortic ulcer (n=2). Ten patients (23%) were American Society of Anesthesiologists class IV, and 9 (20%) had nonelective procedures. Access vessel anatomy was demanding (mean minimum diameter 5.4 mm, tortuosity index 1.3). The primary endpoint at 5 years was ongoing clinical success (freedom from aneurysm-/procedure-related death, secondary intervention, type I or III endoleak, infection, thrombosis, aneurysm expansion, rupture, or conversion). Secondary endpoints were freedom from all-cause mortality, device migration, stent fractures, fabric erosions, endoleaks, neurological events, and access vessel complications. Results: The ongoing clinical success was 84% (37 of 44 patients) owing to 4 aneurysm-related deaths (9%), 3 type I or III endoleaks (1 in a deceased patient), and 1 aneurysm expansion without detectable endoleak. There were 3 access vessel complications (7%), and no postoperative neurological events. Migration was observed in 2 cases (5%). There were no stent fractures or fabric tears. Conclusion: Despite the alterations in stent-graft design and material to reduce profile, the Zenith Alpha thoracic stent-graft showed favorable long-term results even in multimorbid patients with demanding iliac anatomy. [ABSTRACT FROM AUTHOR]
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- 2021
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30. In vitro study for the evaluation of transluminal aspiration as a novel treatment option for thrombosis in the HeartWare HVAD
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Gärtner, Theresa, primary, Beropoulis, Efthymios, additional, Wendl, Regina, additional, Hanke, Jasmin S, additional, Dogan, Günes, additional, Chatterjee, Anamika, additional, Haverich, Axel, additional, Torsello, Giovanni, additional, Schmitto, Jan D, additional, Bisdas, Theodosios, additional, and Feldmann, Christina, additional
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- 2018
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31. Directional Atherectomy With Antirestenotic Therapy vs Drug-Coated Balloon Angioplasty Alone for Isolated Popliteal Artery Lesions
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Stavroulakis, Konstantinos, primary, Schwindt, Arne, additional, Torsello, Giovanni, additional, Stachmann, Arne, additional, Hericks, Christiane, additional, Bosiers, Michel J., additional, Beropoulis, Efthymios, additional, Stahlhoff, Stefan, additional, and Bisdas, Theodosios, additional
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- 2016
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32. Validation of the Wound, Ischemia, foot Infection (WIfI) classification system in nondiabetic patients treated by endovascular means for critical limb ischemia
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Beropoulis, Efthymios, primary, Stavroulakis, Konstantinos, additional, Schwindt, Arne, additional, Stachmann, Arne, additional, Torsello, Giovanni, additional, and Bisdas, Theodosios, additional
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- 2016
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33. Efficacy and Safety of Transbrachial Access for Iliac Endovascular Interventions
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Stavroulakis, Konstantinos, primary, Usai, Marco V., additional, Torsello, Giovanni, additional, Schwindt, Arne, additional, Stachmann, Arne, additional, Beropoulis, Efthymios, additional, and Bisdas, Theodosios, additional
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- 2016
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34. Studying the Interaction of Stent-Grafts and Treated Abdominal Aortic Aneurysms
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Georgakarakos, Efstratios, primary, Raptis, Anastasios, additional, Schoretsanitis, Nikolaos, additional, Bisdas, Theodosios, additional, Beropoulis, Efthymios, additional, Georgiadis, George S., additional, Matsagkas, Miltiadis, additional, and Xenos, Michalis, additional
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- 2015
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35. Directional Atherectomy With Antirestenotic Therapy vs Drug-Coated Balloon Angioplasty Alone for Isolated Popliteal Artery Lesions.
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Stavroulakis, Konstantinos, Schwindt, Arne, Torsello, Giovanni, Stachmann, Arne, Hericks, Christiane, Bosiers, Michel J., Beropoulis, Efthymios, Stahlhoff, Stefan, and Bisdas, Theodosios
- Abstract
Purpose: To report a single-center study comparing drug-coated balloon (DCB) angioplasty vs directional atherectomy with antirestenotic therapy (DAART) for isolated lesions of the popliteal artery.Methods: Seventy-two patients were treated with either DCB angioplasty alone (n=31) or with DAART (n=41) for isolated popliteal artery stenotic disease between October 2009 and December 2015. The majority of patients presented with lifestyle-limiting claudication (74% vs 86%, respectively). Vessel calcification (29% vs 29%, respectively), mean lesion length (47 vs 42 mm, respectively), and number of runoff vessels were comparable between the groups. The primary outcome measure was primary patency; secondary outcomes were technical success (<30% residual stenosis or bailout stenting), secondary patency, and freedom from clinically driven target lesion revascularization (TLR).Results: The technical success rate following DCB was 84% vs 93% (p=0.24) after DAART. The 12-month primary patency rate was significantly higher in the DAART group (65% vs 82%; hazard ratio 2.64, 95% confidence interval 1.09 to 6.37, p=0.021), while freedom from TLR did not differ between the 2 treatment strategies (82% vs 94%, p=0.072). Secondary patency at 12 months was identical for both groups (96% vs 96%). Although not statistically significant, bailout stenting was more common after DCB angioplasty (16% vs 5% for DAART, p=0.13) and aneurysmal degeneration of the popliteal artery was seen more often after DAART (7% vs 0% for DCB alone, p=0.25). Popliteal artery injury was observed in 2 patients treated using DAART (5% vs 0% for DCB alone, p=0.5), whereas distal embolization rates were comparable between the groups (3% for DCB alone vs 5% for DAART, p=0.99).Conclusion: In this study, the use of DAART was associated with a higher primary patency rate compared with DCB angioplasty for isolated popliteal lesions. Nonetheless, both treatment options were associated with excellent 12-month secondary patency. Aneurysmal degeneration of the popliteal artery and increased bailout stenting could compromise the outcomes of DAART and DCB, respectively. [ABSTRACT FROM AUTHOR]- Published
- 2017
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36. Initial Experience With the 6-F and 8-F Indigo Thrombectomy System for Acute Renovisceral Occlusive Events
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Bisdas, Theodosios, Stavroulakis, Konstantinos, Beropoulis, Efthymios, Schwindt, Arne, Stachmann, Arne, Austermann, Martin, and Torsello, Giovanni
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Purpose:To examine the safety and effectiveness of the new large-bore Indigo thrombectomy catheters to treat patients with acute renovisceral occlusion without the need of thrombolytic agents. Methods:Between November 2015 and 2016, 7 consecutive patients (mean age 65±5 years; 5 men) with acute renovisceral artery occlusion were treated with the new large-bore (6-F and 8-F) vacuum-assisted thrombectomy catheters. The occluded vessels were 6 renal arteries and 3 superior mesenteric arteries (SMAs); 5 of the 9 thromboses were in bridging stent-grafts associated with branched endografts. Mean lesion length was 63±36 mm. For the SMA and all bridging stent-grafts, 8-F catheters are routinely used through a brachial access, whereas 6-F aspiration catheters were used in native renal arteries. Technical success was defined as restoration of antegrade blood flow without the need of lysis or alternative thrombectomy/revascularization strategies. Safety endpoints were any in-hospital major adverse events. Pre- and postoperative hemoglobin and hematocrit levels were compared. Results:Technical success was 100% with no major adverse events or fatal bleeding. The mean amount of aspirated blood was 219±97 mL. The mean hemoglobin and hematocrit values were 13.1±2.1 g/dL and 39%±6% prior to and 11.6±2.2 g/dL (p=0.001) and 34%±6% (p<0.0001) directly after the intervention, respectively. Conclusion:The first assessment of the new large-bore Indigo thrombectomy catheters showed them to be an effective and safe lysis-free frontline therapy for acute renovisceral artery occlusion in a small cohort of patients. New users should be fully aware of the potential blood loss during aspiration.
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- 2017
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37. Early multicentric outcomes of the on-label and CE-marked combination of the Endurant with the Radiant chimney graft for the chimney endovascular aortic repair (EnChEVAR): The LaMuR Registry.
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Usai MV, Beropoulis E, Fazzini S, Avranas K, Khatatba Y, Pitoulias A, Taneva GT, Austermann MJ, and Donas KP
- Subjects
- Aged, Aged, 80 and over, Female, Humans, Male, Endovascular Aneurysm Repair adverse effects, Endovascular Aneurysm Repair instrumentation, Product Labeling, Registries, Retrospective Studies, Risk Factors, Stents, Time Factors, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal mortality, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation instrumentation, Blood Vessel Prosthesis Implantation mortality, Endoleak etiology, Prosthesis Design
- Abstract
Background: The aim of this study was to evaluate the early results of the CE-marked standardized device combination consisting of Endurant and the Radiant chimney graft (En-ChEVAR) for the treatment of juxtarenal aortic aneurysms., Methods: We analyzed multicentric non-industry sponsored case series evaluating the EnChEVAR technique for patients treated between December 2022 and February 2024. Clinical, perioperative procedure-related and radiological data were collected. The primary outcome measure was the freedom of a type Ia gutter-related endoleak at postoperative computed tomography angiography (CTA). Secondary outcome measures included early type Ia endoleak-related reinterventions, target vessel complications including dissection or loss of target vessel, major adverse events, and mortality. Continuous variables were presented as median (interquartile range [IQR]) and categorical variables as count and percentage., Results: Ten patients were included in the present study. Eight (80%) were males, in nine cases a single chimney was implanted, and the other one was a double chimney graft placement. The treated aneurysms had an infrarenal neck length of 3.4 (1.2) mm. The rate of main body oversizing was 30%. The new neck length after chimney graft placement was 18 (3) mm. The median procedural time was 130 (17) mm, contrast medium use was 109 (26) mL, radiation time was 45 (12) min. The technical success was 100%. No type Ia endoleak was detected at the postoperative CTA. There were no target vessel issues. No major adverse events or death were observed., Conclusions: First reported cohort of patients treated with EnChEVAR demonstrated reproducible clinical and procedural outcomes within the 3 vascular centers with total exclusion of the aneurysms, patent renal arteries, and no evidence of gutter-related type IA endoleak. Further evidence with larger sample size of treated patients and longer follow-up are needed.
- Published
- 2024
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