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5. Vascular Ultrasound

Author

Martinelli, Ombretta, Irace, Luigi, Gozzo, Paolo, Fioranelli, Massimo, editor, and Frajese, Gaetano, editor

Published
2012
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18. Follow-up after Nellix endovascular aneurysm sealing

Author

Martinelli, Ombretta, Gattuso, Roberto, Picone, Veronica, Faccenna, Federico, Maruca, Debora, DI GIROLAMO, Alessia, Fresilli, Mauro, Belli, Cristina, and Irace, Luigi

Subjects
CTA, AAA, EVAS
Published
2018

21. Carotid body tumors: radioguided surgical approach

Author

Gossetti Bruno, Gattuso Roberto, Giannoni Fabrizia, Savelli Sara, Massa Rita, Irace Luigi, Martinelli Ombretta, Benedetti-Valentini Fabrizio, and Izzo Luciano

Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Abstract Background Carotid body tumours (CBTs) are very rare lesions which should be treated as soon as possible even when benign since small tumour size permits easier removal and lower incidence of perioperative complications and recurrence. Malignant forms are rare and they can be identified by lymph node invasion and metastases in distant locations. The need of reliable and effective diagnostic modalities for both primary CBTs and its metastases or recurrence is evident. The present study reviews our experience and attempt to define the role of colour coded ultrasound (CCU) and Somatostatin receptor scintigraphy (SRS) with Indium-111-DTPA-pentetretide (Octreoscan®) using both planar and single photon emission tomography (SPECT) technique in the diagnosis and follow-up of these uncommon lesions within a multidisciplinary approach. Methods From 1997 to 2008, 12 patients suffering from 16 CBTs (4 bilateral) were investigated by CCU and SRS-SPECT before and after surgery. All tumours were grouped according to Shamblin's classification in order to assess the technical difficulties and morbidity of surgical resection on the ground of their size and relationship with the carotid arteries. Intraoperative radiocaptation by Octreoscan®) was also carried out in all cases to evaluate the radicality of surgery. All perioperative scans were evaluated by the same nuclear medicine physician. Results Preoperatively CCU showed CBTs (four were not palpable) with a sensitivity of 100%. Radioisotope imaging identified the CBTs as chemodectomas in 15 cases while no radioisotopic uptake was detected in 1 vagus nerve neurinoma. No evidence of metastasis or multicentricity were seen by total body radioisotopic scans. Combined data from CCU and SRS-SPECT allowed to determine tumour size in order to select 7 larger tumours which were submitted to selective preoperative embolization. Intraoperatively Octreoscan demonstrated microscopic tumour leftovers promptly removed in 1 case and an unresectable remnant at the base of the skull in another case. During follow-up CCI and radioisotope scans showed no recurrence in 14 cases and a slightly enlargement of the intracranial residual as detected during surgery in 1 patient. Conclusion CCU may allow an early and noninvasive detection of CBTs and hence safer operations. The combined use of CCU and SRS-SPECT provide useful data to identify those tumours and to evaluate their extent and carotid arteries infiltration. Radioisotope imaging is a sensitive modality to detect metastases and lymph node involvement that are markers of CBT malignancy. After surgery CCU and SRS-SPECT can be accurate modalities for surveillance for an early detection of CBTs recurrence.

Published
2009
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24. Localization of lipopolysaccharide from Escherichia Coli into human atherosclerotic plaque

Author

Carnevale, Roberto, primary, Nocella, Cristina, additional, Petrozza, Vincenzo, additional, Cammisotto, Vittoria, additional, Pacini, Luca, additional, Sorrentino, Veronica, additional, Martinelli, Ombretta, additional, Irace, Luigi, additional, Sciarretta, Sebastiano, additional, Frati, Giacomo, additional, Pastori, Daniele, additional, and Violi, Francesco, additional

Published
2018
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29. Therapeutical Options in the Management of Carotid Dissection

Author

Martinelli, Ombretta, primary, Venosi, Salvatore, additional, BenHamida, Jamila, additional, Malaj, Alban, additional, Belli, Cristina, additional, Irace, Francesco Giosue', additional, Gattuso, Roberto, additional, Frati, Giacomo, additional, Gossetti, Bruno, additional, and Irace, Luigi, additional

Published
2017
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32. Les Amplificateurs du signal échopgraphique

Author

Martinelli, Ombretta, Gossetti, Bruno, Gattuso, Roberto, and Irace, Luigi

Subjects
contrast enhanced ultrasound , carotid plaque, EVAR follow up, carotid plaque, contrast enhanced ultrasound, EVAR follow up
Published
2014

36. Aneurismi dell'aorta addominale

Author

Gattuso, Roberto, Jabbour, J., Felli, M. M. G., Castiglione, A., Faccenna, F., Malaj, A., and Irace, Luigi

Subjects
trattamento endovascolare, Aneurismi aorta, trattamento chirurgici
Published
2012

38. Diagnosis of vascular diseases. Ultrasound investigations - Guidelines

Author

Antignani, Pl, Benedetti Valentini, F, Aluigi, L, Baroncelli, Ta, Camporese, G, Failla, G, Martinelli, Ombretta, Palasciano, Gc, Pulli, R, Rispoli, P, Amato, A, Amitrano, M, Dorigo, W, Gossetti, Bruno, Irace, Luigi, Laurito, Antonella, Magnoni, F, Minucci, S, Pedrini, L, Righi, D, and Verlato, F.

Subjects
Vascular diseases Ultrasound investigations Diagnostic guidelines
Published
2012

41. Transcarotideal access for endovascular repair of descending thoracic aortic aneurysm with intentional coverage of celiac artery

Author

Faccenna, F, Gattuso, R, Alunno, A, Felli, Mm, Castiglione, A, Irace, Luigi, Antignani, Pl, and Gossetti, Bruno

Subjects
Male, Aortic Aneurysm, Thoracic, Carotid Artery, Common, Spinal Cord Ischemia, Multiple Organ Failure, thoracic aortic aneurysm, endograft, celiac thrunk, Middle Aged, Aortography, Blood Vessel Prosthesis Implantation, Fatal Outcome, Treatment Outcome, Pancreatitis, Celiac Artery, Acute Disease, Humans, Splenic Infarction, Tomography, X-Ray Computed
Abstract

Endovascular treatment of thoracic and thoraco-abdominal aortic aneurysm with celiac artery ostium coverage, seems to be safe according to the literature. We present a case in which the endograft deployement was achieved through a right common carotid artery access because four years before the patient was submitted to an axillo-bifemoral bypass with aortic graft removal and aortic stump ligature for infection. After endovascular repair the patient suffered from spinal cord ischemia, acute pancreatitis and spleen infarction. Probably, the new pancreatic event has been triggered by temporary visceral ischemia, acting on a pancreas damaged by a previous acute hemorrhagic pancreatitis.

Published
2009

45. INVESTIGATIONS AFTER EVAR

Author

Martinelli, Ombretta, Minucci, S, Irace, Luigi, and BENEDETTI VALENTINI, Fabrizio

Published
2009

48. Role of US enhancement

Author

Giannoni, Maria Fabrizia, Gattuso, Roberto, Martinelli, Ombretta, Venosi, Salvatore, and Irace, Luigi

Published
2009

49. La chirurgia radioguidata dei chemodectomi

Author

Martinelli, Ombretta, Irace, Luigi, Massa, Rita, Laurito, Antonella, Faccenna, Federico, Gossetti, Bruno, and BENEDETTI VALENTINI, Fabrizio

Subjects
Chemodectomi, chirurgia radioguidata, SPECT
Published
2008

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