18 results on '"Miccoli, Tommaso"'
Search Results
2. Factors Affecting Patency of In Situ Saphenous Vein Bypass: Two Year Results from LIMBSAVE (Treatment of critical Limb Ischaemia with infragenicular Bypass adopting in situ SAphenous VEin technique) Registry
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Troisi, Nicola, primary, Adami, Daniele, additional, Michelagnoli, Stefano, additional, Berchiolli, Raffaella, additional, Accrocca, Federico, additional, Amico, Alessio, additional, Angelini, Andrea, additional, Arnuzzo, Luca, additional, Marchetti, Andrea Ascoli, additional, Attisani, Luca, additional, Bafile, Gennaro, additional, Baldino, Giuseppe, additional, Barbanti, Enrico, additional, Bartoli, Stefano, additional, Bellosta, Raffaello, additional, Benedetto, Filippo, additional, Borioni, Raoul, additional, Briolini, Franco, additional, Busoni, Cristina, additional, Camparini, Stefano, additional, Cappiello, Pierluigi, additional, Carbonari, Luciano, additional, Casella, Francesco, additional, Celoria, Giovanni, additional, Chiama, Andrea, additional, Chisci, Emiliano, additional, Civilini, Efrem, additional, Codispoti, Francesco, additional, Conti, Barbara, additional, Coppi, Giovanni, additional, De Blasis, Giovanni, additional, D’Elia, Marcello, additional, Di Domenico, Rossella, additional, Di Girolamo, Carla, additional, Ercolini, Leonardo, additional, Ferrari, Alessandra, additional, Ferrari, Mauro, additional, Forliti, Enzo, additional, Frigatti, Paolo, additional, Frigerio, Dalmazio, additional, Frosini, Pierfrancesco, additional, Garriboli, Luca, additional, Giordano, Antonio Nicola, additional, Guerrieri, Walter, additional, Jannello, Antonio, additional, Massara, Mafalda, additional, Merlo, Maurizio, additional, Mezzetti, Roberto, additional, Miccoli, Tommaso, additional, Milite, Domenico, additional, Mingazzini, Pietro, additional, Muncinelli, Marina, additional, Nano, Giovanni, additional, Natola, Marco, additional, Novali, Claudio, additional, Palasciano, Giancarlo, additional, Perkmann, Reinhold, additional, Persi, Federica, additional, Petruccelli, David, additional, Pinelli, Mauro, additional, Poletto, Giorgio, additional, Porta, Carla, additional, Pratesi, Carlo, additional, Pruner, Gianguido, additional, Ragazzi, Giovanni, additional, Righini, Paolo, additional, Salvini, Mauro, additional, Scovazzi, Paolo, additional, Setacci, Carlo, additional, Settembrini, Alberto Maria, additional, Siani, Andrea, additional, Silingardi, Roberto, additional, Silvestro, Antonino, additional, Talarico, Francesco, additional, Tolva, Valerio, additional, Trani, Antonio, additional, Trimarchi, Santi, additional, Tshomba, Yamume, additional, Vigliotti, Gennaro, additional, Viola, Daniela, additional, Volpe, Pietro, additional, and Zani, Federico, additional
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- 2022
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3. Comparison of long occlusive femoropopliteal de novo versus previous endovascularly treated lesions managed with in situ saphenous bypass
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Troisi, Nicola, primary, Michelagnoli, Stefano, additional, Adami, Daniele, additional, Berchiolli, Raffaella, additional, Accrocca, Federico, additional, Amico, Alessio, additional, Angelini, Andrea, additional, Arnuzzo, Luca, additional, Marchetti, Andrea Ascoli, additional, Attisani, Luca, additional, Bafile, Gennaro, additional, Baldino, Giuseppe, additional, Barbanti, Enrico, additional, Bartoli, Stefano, additional, Bellosta, Raffaello, additional, Benedetto, Filippo, additional, Borioni, Raoul, additional, Briolini, Franco, additional, Busoni, Cristina, additional, Camparini, Stefano, additional, Cappiello, Pierluigi, additional, Carbonari, Luciano, additional, Casella, Francesco, additional, Celoria, Giovanni, additional, Chiama, Andrea, additional, Chisci, Emiliano, additional, Civilini, Efrem, additional, Codispoti, Francesco, additional, Conti, Barbara, additional, Coppi, Giovanni, additional, De Blasis, Giovanni, additional, D’Elia, Marcello, additional, Di Domenico, Rossella, additional, Di Girolamo, Carla, additional, Ercolini, Leonardo, additional, Ferrari, Alessandra, additional, Ferrari, Mauro, additional, Forliti, Enzo, additional, Frigatti, Paolo, additional, Frigerio, Dalmazio, additional, Frosini, Pierfrancesco, additional, Garriboli, Luca, additional, Giordano, Antonio Nicola, additional, Guerrieri, Walter, additional, Jannello, Antonio, additional, Massara, Mafalda, additional, Merlo, Maurizio, additional, Mezzetti, Roberto, additional, Miccoli, Tommaso, additional, Milite, Domenico, additional, Mingazzini, Pietro, additional, Muncinelli, Marina, additional, Nano, Giovanni, additional, Natola, Marco, additional, Novali, Claudio, additional, Palasciano, Giancarlo, additional, Perkmann, Reinhold, additional, Persi, Federica, additional, Petruccelli, David, additional, Pinelli, Mauro, additional, Poletto, Giorgio, additional, Porta, Carla, additional, Pratesi, Carlo, additional, Pruner, Gianguido, additional, Ragazzi, Giovanni, additional, Righini, Paolo, additional, Salvini, Mauro, additional, Scovazzi, Paolo, additional, Setacci, Carlo, additional, Settembrini, Alberto Maria, additional, Siani, Andrea, additional, Silingardi, Roberto, additional, Silvestro, Antonino, additional, Talarico, Francesco, additional, Tolva, Valerio, additional, Trani, Antonio, additional, Trimarchi, Santi, additional, Tshomba, Yamume, additional, Vigliotti, Gennaro, additional, Viola, Daniela, additional, Volpe, Pietro, additional, and Zani, Federico, additional
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- 2022
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4. Comparison of long occlusive femoropopliteal de novo versus previous endovascularly treated lesions managed with in situ saphenous bypass
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Troisi, Nicola, Michelagnoli, Stefano, Adami, Daniele, Berchiolli, Raffaella, Accrocca, Federico, Amico, Alessio, Angelini, Andrea, Arnuzzo, Luca, Marchetti, Andrea Ascoli, Attisani, Luca, Bafile, Gennaro, Baldino, Giuseppe, Barbanti, Enrico, Bartoli, Stefano, Bellosta, Raffaello, Benedetto, Filippo, Borioni, Raoul, Briolini, Franco, Busoni, Cristina, Camparini, Stefano, Cappiello, Pierluigi, Carbonari, Luciano, Casella, Francesco, Celoria, Giovanni, Chiama, Andrea, Chisci, Emiliano, Civilini, Efrem, Codispoti, Francesco Alberto, Conti, Barbara, Coppi, Giovanni, De Blasis, Giovanni, D'Elia, Marcello, Di Domenico, Rossella, Di Girolamo, Carla, Ercolini, Leonardo, Ferrari, Alessandra, Ferrari, Mauro, Forliti, Enzo, Frigatti, Paolo, Frigerio, Dalmazio, Frosini, Pierfrancesco, Garriboli, Luca, Giordano, Antonio Nicola, Guerrieri, Walter, Jannello, Antonio, Massara, Mafalda, Merlo, Maurizio, Mezzetti, Roberto, Miccoli, Tommaso, Milite, Domenico, Mingazzini, Pietro, Muncinelli, Marina, Nano, Giovanni, Natola, Marco, Novali, Claudio, Palasciano, Giancarlo, Perkmann, Reinhold, Persi, Federica, Petruccelli, David, Pinelli, Mauro, Poletto, Giorgio, Porta, Carla, Pratesi, Carlo, Pruner, Gianguido, Ragazzi, Giovanni, Righini, Paolo, Salvini, Mauro, Scovazzi, Paolo, Setacci, Carlo, Settembrini, Alberto Maria, Siani, Andrea, Silingardi, Roberto, Silvestro, Antonino, Talarico, Francesco, Tolva, Valerio, Trani, Antonio, Trimarchi, Santi, Tshomba, Yamume, Vigliotti, Gennaro, Viola, Daniela, Volpe, Pietro, Zani, Federico, Codispoti, Francesco, Tshomba, Yamume (ORCID:0000-0001-7304-7553), Troisi, Nicola, Michelagnoli, Stefano, Adami, Daniele, Berchiolli, Raffaella, Accrocca, Federico, Amico, Alessio, Angelini, Andrea, Arnuzzo, Luca, Marchetti, Andrea Ascoli, Attisani, Luca, Bafile, Gennaro, Baldino, Giuseppe, Barbanti, Enrico, Bartoli, Stefano, Bellosta, Raffaello, Benedetto, Filippo, Borioni, Raoul, Briolini, Franco, Busoni, Cristina, Camparini, Stefano, Cappiello, Pierluigi, Carbonari, Luciano, Casella, Francesco, Celoria, Giovanni, Chiama, Andrea, Chisci, Emiliano, Civilini, Efrem, Codispoti, Francesco Alberto, Conti, Barbara, Coppi, Giovanni, De Blasis, Giovanni, D'Elia, Marcello, Di Domenico, Rossella, Di Girolamo, Carla, Ercolini, Leonardo, Ferrari, Alessandra, Ferrari, Mauro, Forliti, Enzo, Frigatti, Paolo, Frigerio, Dalmazio, Frosini, Pierfrancesco, Garriboli, Luca, Giordano, Antonio Nicola, Guerrieri, Walter, Jannello, Antonio, Massara, Mafalda, Merlo, Maurizio, Mezzetti, Roberto, Miccoli, Tommaso, Milite, Domenico, Mingazzini, Pietro, Muncinelli, Marina, Nano, Giovanni, Natola, Marco, Novali, Claudio, Palasciano, Giancarlo, Perkmann, Reinhold, Persi, Federica, Petruccelli, David, Pinelli, Mauro, Poletto, Giorgio, Porta, Carla, Pratesi, Carlo, Pruner, Gianguido, Ragazzi, Giovanni, Righini, Paolo, Salvini, Mauro, Scovazzi, Paolo, Setacci, Carlo, Settembrini, Alberto Maria, Siani, Andrea, Silingardi, Roberto, Silvestro, Antonino, Talarico, Francesco, Tolva, Valerio, Trani, Antonio, Trimarchi, Santi, Tshomba, Yamume, Vigliotti, Gennaro, Viola, Daniela, Volpe, Pietro, Zani, Federico, Codispoti, Francesco, and Tshomba, Yamume (ORCID:0000-0001-7304-7553)
- Abstract
Background: The aim of this study was to compare the 2-year outcomes of de novo versus postendovascular lesion treatment of femoropopliteal occlusions included in a national, multicenter, observational, prospective registry based on the treatment of critical Limb-threatening IschaeMia with infragenicular Bypass adopting in situ SAphenous VEin technique (LIMBSAVE) registry.Methods: From January 2018 to December 2019, 541 patients from43 centers have been enrolled in the LIMBSAVE registry. Of these patients, 460 were included in the present study: 341 (74.1%) with de novo lesions (DN group) and 119 (25.9%) with postendovascular treatment lesions (PE group). Initial outcome measures were assessed at 30 days after treatment. Furthermore, at the 2-year follow-up, the estimated outcomes of primary patency, primary-assisted patency, secondary patency, and limb salvage were analyzed with Kaplan-Meier curves and compared between groups with the log-rank test.Results: Both groups were homogeneous in terms of demographic data, preoperative risk factors, and clinical presentation. However, compared with DN group, more patients in PE group had a great saphenous vein diameter of less than 3 mm (11.1% vs 21%; P = .007). Intraoperatively, both groups showed similar distal anastomosis sites: below-the-knee popliteal artery (63% DN group, 66.4% PE group) and tibial vessel (37% DN group, 33.6% PE group) (P = .3). The overall mean duration of follow-up was 11.6 months (range, 1-24 months). At the 2-year follow-up, there were no differences between the two groups in terms of primary patency (66.3% DN group vs 74.1% PE group; P = .9), primary-assisted patency (78.2% DN group vs 79.5% PE group; P = .2), secondary patency (85.1% DN group vs 91.4% PE group; P = .2), and limb salvage (95.2% DN group vs 95.1% PE group; P = .9).Conclusions: The LIMBSAVE registry did not show a worsening of overall patency and limb salvages rates at the 2-year follow-up in patients undergoing in situ saphenous
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- 2022
5. Early and midterm outcomes following open surgical conversion after failed endovascular aneurysm repair from the “Italian North-easT RegIstry of surgical Conversion AfTer Evar” (INTRICATE)
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Xodo, Andrea, primary, D’Oria, Mario, additional, Squizzato, Francesco, additional, Antonello, Michele, additional, Grego, Franco, additional, Bonvini, Stefano, additional, Milite, Domenico, additional, Frigatti, Paolo, additional, Cognolato, Diego, additional, Veraldi, Gian Franco, additional, Perkmann, Reinhold, additional, Garriboli, Luca, additional, Jannello, Antonio Maria, additional, Lepidi, Sandro, additional, Bozza, Riccardo, additional, Ferrari, Alessandra, additional, Furlan, Federico, additional, Gorgatti, Filippo, additional, Mastrorilli, Davide, additional, Mezzetto, Luca, additional, Miccoli, Tommaso, additional, Pipitone, Marco, additional, Trillini, Maila, additional, Wasserman, Valentina, additional, and Zani, Federico, additional
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- 2022
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6. Preliminary six-month outcomes of LIMBSAVE (treatment of critical Limb IscheMia with infragenicular Bypass adopting in situ SAphenous VEin technique) registry
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Troisi, Nicola, Blasis, Giovanni De, Salvini, Mauro, Michelagnoli, Stefano, Setacci, Carlo, LIMBSAVE registry Collaborative, Group, Accrocca, Federico, Adami, Daniele, Angelini, Andrea, Arnuzzo, Luca, Ascoli Marchetti, Andrea, Attisani, Luca, Bafile, Gennaro, Baldino, Giuseppe, Barbanti, Enrico, Bartoli, Stefano, Bellosta, Raffaello, Benedetto, Filippo, Borioni, Raoul, Briolini, Franco, Busoni, Cristina, Camparini, Stefano, Cappiello, Pierluigi, Carbonari, Luciano, Casella, Francesco, Celoria, Giovanni, Chisci, Emiliano, Civilini, Efrem, Codispoti, Francesco Alberto, Conti, Barbara, Coppi, Giovanni, D’Amico, Alessio, De Blasis, Giovanni, D’Elia, Marcello, Di Domenico, Rossella, Di Girolamo, Carla, Ercolini, Leonardo, Ferrari, Alessandra, Ferrari, Mauro, Forliti, Enzo, Frigatti, Paolo, Frigerio, Dalmazio, Frosini, Pierfrancesco, Garriboli, Luca, Nicola Giordano, Antonio, Guerrieri, Walter, Jannello, Antonio, Massara, Mafalda, Merlo, Maurizio, Mezzetti, Roberto, Miccoli, Tommaso, Milite, Domenico, Mingazzini, Pietro, Muncinelli, Marina, Nano, Giovanni, Natola, Marco, Novali, Claudio, Palasciano, Giancarlo, Perkmann, Reinhold, Persi, Federica, Petruccelli, David, Pinelli, Mauro, Poletto, Giorgio, Porta, Carla, Pratesi, Carlo, Pruner, Gianguido, Ragazzi, Giovanni, Righini, Paolo, Scovazzi, Paolo, Maria Settembrini, Alberto, Siani, Andrea, Silingardi, Roberto, Silvestro, Antonino, Talarico, Francesco, Tolva, Valerio, Trani, Antonio, Trimarchi, Santi, Tshomba, Yamume, Vigliotti, Gennaro, Viola, Daniela, Volpe, Pietro, Zani, Federico, Codispoti, Francesco, Tshomba, Yamume (ORCID:0000-0001-7304-7553), Troisi, Nicola, Blasis, Giovanni De, Salvini, Mauro, Michelagnoli, Stefano, Setacci, Carlo, LIMBSAVE registry Collaborative, Group, Accrocca, Federico, Adami, Daniele, Angelini, Andrea, Arnuzzo, Luca, Ascoli Marchetti, Andrea, Attisani, Luca, Bafile, Gennaro, Baldino, Giuseppe, Barbanti, Enrico, Bartoli, Stefano, Bellosta, Raffaello, Benedetto, Filippo, Borioni, Raoul, Briolini, Franco, Busoni, Cristina, Camparini, Stefano, Cappiello, Pierluigi, Carbonari, Luciano, Casella, Francesco, Celoria, Giovanni, Chisci, Emiliano, Civilini, Efrem, Codispoti, Francesco Alberto, Conti, Barbara, Coppi, Giovanni, D’Amico, Alessio, De Blasis, Giovanni, D’Elia, Marcello, Di Domenico, Rossella, Di Girolamo, Carla, Ercolini, Leonardo, Ferrari, Alessandra, Ferrari, Mauro, Forliti, Enzo, Frigatti, Paolo, Frigerio, Dalmazio, Frosini, Pierfrancesco, Garriboli, Luca, Nicola Giordano, Antonio, Guerrieri, Walter, Jannello, Antonio, Massara, Mafalda, Merlo, Maurizio, Mezzetti, Roberto, Miccoli, Tommaso, Milite, Domenico, Mingazzini, Pietro, Muncinelli, Marina, Nano, Giovanni, Natola, Marco, Novali, Claudio, Palasciano, Giancarlo, Perkmann, Reinhold, Persi, Federica, Petruccelli, David, Pinelli, Mauro, Poletto, Giorgio, Porta, Carla, Pratesi, Carlo, Pruner, Gianguido, Ragazzi, Giovanni, Righini, Paolo, Scovazzi, Paolo, Maria Settembrini, Alberto, Siani, Andrea, Silingardi, Roberto, Silvestro, Antonino, Talarico, Francesco, Tolva, Valerio, Trani, Antonio, Trimarchi, Santi, Tshomba, Yamume, Vigliotti, Gennaro, Viola, Daniela, Volpe, Pietro, Zani, Federico, Codispoti, Francesco, and Tshomba, Yamume (ORCID:0000-0001-7304-7553)
- Abstract
ObjectivesGuidelines recommend open bypass surgery for long occlusions of infrainguinal arteries. In situ saphenous vein bypass is a standardized technique. The aim of this study was to report preliminary six-month outcomes of a national, multicenter, observational, prospective registry based on the examination of treatment of critical Limb IscheMia with infragenicular Bypass adopting the in situ SAphenous VEin technique (LIMBSAVE).MethodsFrom January 2018 until October 2019, 428 patients from 41 centers were enrolled in the LIMBSAVE registry. Data were prospectively collected in a dedicated database, including demographics, preoperative risk factors, clinical and diagnostic preoperative assessments, intraoperative measures (including safety and effectiveness of the valvulotome during the surgical procedures), and 30-day follow-up data. Furthermore, estimated six-month outcomes according to Kaplan-Meier curves in terms of primary patency, primary assisted patency, secondary patency, and limb salvage were evaluated.ResultsPatients were predominantly male (n = 332, 77.6%) with a mean age of 73.3 years (range 39-95). Technical success, defined as bypass pulse after use of the valvulotome, was obtained in all cases. The proximal anastomosis could be reached by the valvulotome in all cases. The mean number of valvulotome uses was 2.5 (range 1-5). No vein perforation was reported. In nine cases (2.1%), a vein lesion with intramural hemorrhage occurred. The mean length of hospital stay was 11.1 days (range 1-60). At 30-day follow-up, the overall bypass patency rate was 97.4%, and the rate of open or endo reinterventions for failing bypass was 5.4%. At six-month follow-up, the estimated primary patency, primary assisted patency, secondary patency, and limb salvage were 78.1%, 86.2%, 92.1%, and 94.7%, respectively.ConclusionsPreliminary intraprocedural outcomes of the LIMBSAVE registry show that the in situ technique with the valvulotome is safe and effective in disrupting v
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- 2021
7. Hybrid Laparoscopic and Endovascular Treatment for Median Arcuate Ligament Syndrome: Case Report and Review of Literature
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Garriboli, Luca, primary, Miccoli, Tommaso, additional, Damoli, Isacco, additional, Rossini, Roberto, additional, Sartori, Carlo Alberto, additional, Ruffo, Giacomo, additional, and Jannello, Antonio Maria, additional
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- 2020
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8. Incidence and Predictors of Early Neurological Complications Following Thoracic Endovascular Aneurysm Repair in the Global Registry for Endovascular Aortic Treatment (Great)
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Piazza, Michele, primary, Squizzato, Francesco, additional, Milan, Luca, additional, Miccoli, Tommaso, additional, Grego, Franco, additional, and Antonello, Michele, additional
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- 2019
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9. Evaluation of hemodynamic impact of absorbable sutures in native arteriovenous fistulas: A retrospective study
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Occhionorelli, Savino, primary, Fabbian, Fabio, additional, Battaglia, Yuri, additional, Miccoli, Tommaso, additional, Andreotti, Dario, additional, Di Simone, Emanuele, additional, Gianesini, Sergio, additional, and Malvacini, Enzo, additional
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- 2019
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10. PTA and Stenting of Femoropopliteal Trunk With Cordis Smartflex Stent System: A Single-Center Experience
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Garriboli, Luca, primary, Miccoli, Tommaso, additional, Pruner, Gianguido, additional, and Jannello, Antonio Maria, additional
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- 2019
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11. Carotid Artery Stenting Without Embolic Protection Device: A Single-Center Experience
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Garriboli, Luca, primary, Pruner, Gianguido, additional, Miccoli, Tommaso, additional, Recchia, Andrea, additional, Tamellini, Paolo, additional, and Jannello, Antonio Maria, additional
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- 2018
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12. PTA and Stenting of Femoropopliteal Trunk With Cordis Smartflex Stent System: A Single-Center Experience.
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Garriboli, Luca, Miccoli, Tommaso, Pruner, Gianguido, and Jannello, Antonio Maria
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AMPUTATION , *BLOOD vessels , *CHRONIC diseases , *CORONARY disease , *FEMORAL artery , *HEMORRHAGE , *PATIENT aftercare , *ISCHEMIA , *KNEE , *VASCULAR resistance , *MEDICAL equipment , *REOPERATION , *RISK assessment , *SURGICAL stents , *SURGICAL complications , *TRANSLUMINAL angioplasty , *VASCULAR grafts , *DISEASE relapse , *PRODUCT design , *TREATMENT effectiveness , *DISEASE incidence , *ACUTE diseases , *MEDICAL equipment reliability , *PREOPERATIVE period , *REVASCULARIZATION (Surgery) , *POPLITEAL artery , *CALCINOSIS , *ULTRASONIC imaging ,SURGICAL complication risk factors - Abstract
Introduction: The aim of this study is to describe our experience in the treatment of femoropopliteal occlusive disease with percutaneous transluminal angioplasty (PTA) followed by stenting with S.M.A.R.T. Flex vascular stent system. Materials and Methods: From June 2014 to October 2018, 80 patients were treated at our Institution for intermittent claudication, critical, or acute limb ischemia due to total occlusion or long diffused lesions of the femoropopliteal segment. Main study end points are primary patency, target lesion revascularization, and stent fractures; secondary end points are major amputation rate, procedure-related bleeding, incidence of intrastent restenosis, and primary assisted patency after reintervention. Results: Mean follow-up time was 21 months (range 2-48 months). Primary patency rate was 80% (64 patients of 80), with mean covered lesion length of 8.2 cm. The deployment of a single stent was obtained for 57 (89%) patients, with a mean stent length of 9.86 cm. Of 80 patients, 2 (2.5%) had early stent occlusion within first 48 hours after the procedure, while 4 (5%) of 80 patients experienced stent occlusion within first 6 months. Of 80 patients, 6 (7.5%) had an intrastent restenosis detected at duplex ultrasound with a primary-assisted patency after simple re-PTA procedures of 83.3% at 12 months. Discussion: In the literature, primary patency after PTA and stenting of the femoropopliteal trunk seems to be related to several variables, such as number of stents used, specific stent length, diameters, type and length of lesions, type of pathology (if acute or chronic), and number of preoperatory patent below-the-knee vessels. In this study, we try to analyze each single factor in order to understand their role in predisposing specific stent restenosis. Conclusions: S.M.A.R.T. Flex vascular stent system has shown good results in terms of primary patency in the treatment of calcified lesions both at SFA and at popliteal level. However, in our experience, stent patency seems to be significantly poorer in patients presenting with acute limb ischemia associated with chronic atherosclerotic disease as well as for lesions located in the mid-distal part of the popliteal artery and both when number of stents increases or number of runoff vessel decreases. [ABSTRACT FROM AUTHOR]
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- 2020
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13. Evaluation of hemodynamic impact of absorbable sutures in native arteriovenous fistulas: A retrospective study.
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Occhionorelli, Savino, Fabbian, Fabio, Battaglia, Yuri, Miccoli, Tommaso, Andreotti, Dario, Di Simone, Emanuele, Gianesini, Sergio, and Malvacini, Enzo
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- 2020
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14. Definition of Type II Endoleak Risk Based on Preoperative Anatomical Characteristics
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Piazza, Michele, primary, Squizzato, Francesco, additional, Miccoli, Tommaso, additional, Lepidi, Sandro, additional, Menegolo, Mirko, additional, Grego, Franco, additional, and Antonello, Michele, additional
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- 2017
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15. Carotid Artery Stenting Without Embolic Protection Device: A Single-Center Experience.
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Garriboli, Luca, Pruner, Gianguido, Miccoli, Tommaso, Recchia, Andrea, Tamellini, Paolo, and Jannello, Antonio Maria
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Purpose: To evaluate the safety and efficacy of carotid artery stenting (CAS) performed without an embolic protection device (EPD) in a selected group of asymptomatic patients with primary internal carotid artery (ICA) stenosis or restenosis after carotid endarterectomy (CEA).Materials and Methods: Between May 2015 and May 2018, 77 patients (mean age 77 years; 60 men) underwent CAS without any embolic protection device. Forty-seven (61%) patients had primary ICA stenosis and were excluded from CEA because of high surgical risk; the other 30 (39%) patients had post-CEA restenosis (n=26) or a distal ICA flap after eversion CEA (n=4). The mean ICA stenosis was 82%. All procedures were performed from a femoral artery access. Pre- and/or postdilation were used in 64 patients. The primary outcome was the incidence of major complications (death, stroke, or myocardial infarction) during the procedure and within 30 days; the secondary outcome was the incidence of restenosis in follow-up.Results: No relevant bradycardia was encountered during CAS. The combined rate of stroke, death, or myocardial infarction at 30 days was 1.3%. The single stroke patient recovered fully after 2 months. Over a follow-up that ranged to 3 years (mean 24±18 months), no further neurological events were recorded. One (1.3%) patient had a >70% restenosis after 6 months; the lesion was dilated, successfully restoring the lumen contour.Conclusion: In our series, endovascular treatment of carotid stenosis without the use of protection devices in patients with primary stenosis or postsurgical restenosis can achieve satisfactory safety and efficacy outcomes. The choice of performing CAS without using EPDs should follow a tailored approach based on the appropriate patient anatomy and specific clinical parameters to minimize neurological complications. [ABSTRACT FROM AUTHOR]- Published
- 2019
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16. PC052. Validation of a Method to Identify Patients at Risk for Endoleak Type II, Based on Preoperative Anatomic Characteristics
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Piazza, Michele, primary, Squizzato, Francesco, additional, Lepidi, Sandro, additional, Miccoli, Tommaso, additional, Menegolo, Mirko, additional, Ricotta, Joseph J., additional, Grego, Franco, additional, and Antonello, Michele, additional
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- 2016
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17. Acute mesenteric ischemia as late complication of previous endovascular treatment in young woman. Case report and review of the literature.
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Tamellini P, Miccoli T, Recchia A, Pruner G, Garriboli L, and Jannello AM
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- Adult, Chronic Disease, Female, Humans, Ischemia etiology, Mesenteric Artery, Superior diagnostic imaging, Mesenteric Artery, Superior surgery, Retrospective Studies, Stents adverse effects, Time Factors, Treatment Outcome, Mesenteric Ischemia diagnostic imaging, Mesenteric Ischemia etiology, Mesenteric Ischemia surgery, Mesenteric Vascular Occlusion diagnostic imaging, Mesenteric Vascular Occlusion etiology, Mesenteric Vascular Occlusion surgery
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Background: Acute mesenteric ischemia (AMI) represents a severe complication of chronic mesenteric ischemia (CMI) which is a disorder caused by severe stenosis or occlusion of mesenteric arterial supply. If untreated, patients could face mesenteric infarction and death., Case Report: A 41-year-old female smoker and drug abuser, previously treated with angioplasty and stenting of the superior mesenteric artery (SMA) for CMI four years before, was admitted to our institution suffering from acute abdominal pain due to complete occlusion of the stent. After a few hours of thrombolytic therapy, she experienced sudden worsening of clinical conditions, including AMI, due to complete rethrombosis of the SMA. Thereafter, she underwent urgent thrombectomy and a subsequent retrograde 6 mm prosthetic aorto-mesenteric bypass graft. The patient reported complete relief of symptoms afterwards. A CT scan at 1-month follow-up showed primary patency of the bypass in the absence of clinical recurrence., Discussion: In cases of CMI, treatment options include surgical, endovascular or hybrid approaches. Endovascular therapy, based on percutaneous angioplasty with or without stenting, seems to be effective, although it can have worse midterm and long-term results., Conclusion: In patients already treated with an endovascular revascularization of the SMA or celiac trunk (CT), open surgical repair through a single retrograde aorto-mesenteric prosthetic bypass in cases of acute mesenteric ischemia, seems to offer a valid and safe approach in order to prevent bowel infarction., Key Words: Acute mesenteric ischemia Angioplasty, Bypass, stent,Thrombolysis.
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- 2021
18. Non-anastomotic aneurysmal degeneration of great saphenous vein graft A case report and review of the literature.
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Tamellini P, Recchia A, Garriboli L, Miccoli T, Pruner G, and Jannello AM
- Subjects
- Acute Disease, Aged, Humans, Male, Aneurysm diagnosis, Aneurysm surgery, Ischemia diagnosis, Ischemia surgery, Leg blood supply, Postoperative Complications diagnosis, Postoperative Complications surgery, Saphenous Vein transplantation
- Abstract
Introduction: True aneurysmal degeneration of autogenous vein grafts is unusual, despite their widespread use as arterial substitutes. We report a case of acute lower leg ischemia due to thrombosis of a non-anastomotic venous aneurysm., Case Report: A 71-year old man presented at Emergency Unit at our Institution with left lower limb acute ischemia. The patient had 9 years before undergone left below the knee femoro-popliteal bypass with in situ autologous great saphenous vein (GSV) graft. Doppler ultrasound exam revealed patency of the entire conduit, and subtotal acute thrombosis of a saccular aneurysm of the vein 2 cm before the distal anastomosis of the graft. Aneurysmectomy and distal thrombo- embolectomy with Fogarty catheter of below the knee popliteal artery and tibio-peroneal trunk was performed. Vein graft continuity was restored by a termino-terminal anastomosis., Discussion: Arterialized autologous veins are at risk of degenerative changes because of histological differences with arteries, but the cause of true aneurysmal degeneration of these grafts is still unknown. The mean time from graft implantation to clinical manifestation of the aneurysm is 7 years and the management of venous graft aneurysms should be subjected to the same criteria as other aneurysms. The first choice in detecting vein graft aneurysms is Duplex ultrasonography and the type of surgical intervention depends on the cause, type and extension of aneurysmal dilatation., Conclusions: Aneurysmal degeneration of deep lower extremity vein conduits implanted for vascular reconstruction has been rarely reported, but when detected they can lead to graft thrombosis, distal embolization, acute rupture, or skin ulceration. Therefore, Doppler ultrasound guided surveillance of GSV grafts should be mandatory and long time from vein graft creation to onset of aneurysms makes long-term graft surveillance even more imperative., Key Words: Acute Leg Ischemia, Great Saphenous Vein, Graft; Aneurysm, Thrombosis.
- Published
- 2019
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