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1. Transient hyperthyroidism after surgery for secondary hyperparathyroidism: a common problem

Author

Rudofsky G, Tsioga M, Reismann P, Leowardi C, Kopf S, Grafe IA, Nawroth PP, and Isermann B

Subjects
hyperthyroidism, secondary hyperparathyroidism, palpation thyroiditis, parathyroidectomy, thyroglobulin, Medicine
Abstract

Abstract Background Postoperative hyperthyroidism occurs in approximately one third of patients following parathyroidectomy due to primary hyperparathyroidism (PHP), but has only rarely been described in secondary hyperparathyroidism (SHP). The frequency, course, and laboratory markers of postoperative hyperthyroidism in SHP remain unknown. Our purpose was to evaluate the frequency and the clinical course of postoperative hypcrthyroidism following surgery of SHP and to determine the diagnostic value of thyroglobulin in this setting. Material and Methods A total of 40 patients undergoing parathyroidectomy because of SHP were included in this study. Thyroid stimulating hormone (TSH), free triiodothyronine (fT3), free thyroxine (fl4), and thyroglobulin (Tg) were determined one day before and on day 1, 3, 5, 10, and 40 after surgery. At each of these visits patients were clinically evaluated for signs or symptoms of hyperthyroidism. Results Biochemical evidence of hyperthyroidism was evident in 77% of patients postoperatively despite of preoperatively normal serum levels. TSH dropped from 1.18 ± 0.06mU/L to 0.15 ± 0.07mU/L (p = 0.0015). Free triiodothyronine (fT3) and fT4 levels increased from 2.86 ± 0.02ng/L and 10.32 ± 0.13ng/L, respectively, to their maximum of 4.83 ± 0.17ng/L and 19.35 ± 0.58ng/L, respectively. Thyroglobulin levels rose from 3.8 ± 0.8ng/mL to 111.8 ± 45.3ng/mL (p < 0.001). At day 40 all thyroid related laboratory values were within normal range. Correlation analysis of postoperative values revealed significant correlations for lowest TSH (r = -0.32; p = 0.038), and highest fT3 (r = 0.55; p < 0.001) and fT4 levels (r = 0.67; p < 0.001) with Tg. Conclusion Transient hyperthyroidism is frequent after parathyroidectomy for SHP with Tg being a suitable marker. Awareness of this self-limiting disorder is important to avoid inappropriate and potentially harmful treatment.

Published
2011
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2. Efficacy and safety of oral semaglutide with flexible dose adjustment versus sitagliptin in type 2 diabetes (PIONEER 7): a multicentre, open-label, randomised, phase 3a trial

Author

Akın, S, Aladağ, N, Arif, A A, Aronne, L J, Aronoff, S, Ataoglu, E, Baik, S H, Bays, H, Beckett, P L, Berker, D, Bilz, S, Bode, B, Braun, E W, Buse, J B, Canani, L H S, Cho, Y M, Chung, C H, Colin, I, Condit, J, Cooper, J, Delgado, B, Eagerton, D C, El Ebrashy, I N, El Hefnawy, M H M F, Eliaschewitz, F G, Finneran, M P, Fischli, S, Fließer-Görzer, E, Geohas, J, Godbole, N A, Golay, A, Gorban de Lapertosa, S, Gross, J L, Gulseth, H L, Helland, F, Høivik, H O, Issa, C, Kang, E S, Keller, C, Khalil, S H A, Kim, N H, Kim, I J, Klaff, L J, Laimer, M, LaRocque, J C, Lederman, S N, Lee, K-W, Litchfield, W R, Manning, M B, Mertens, A, Morawski, E J, Murray, A V, Nicol, P R, O'Connor, T M, Oğuz, A, Ong, S, Özdemir, A, Palace, E M, Palchick, B A, Pereles-Ortiz, J, Pieber, T, Prager, R, Preumont, V, Riffer, E, Rista, L, Rudofsky, G, Sarı, R, Scheen, A, Schultes, B, Seo, J A, Shelbaya, S A, Sivalingam, K, Sorli, C H, Stäuble, S, Streja, D A, T'Sjoen, G, Tetiker, T, Van Gaal, L, Vercammen, C, Warren, M L, Weinstein, D L, Weiss, D, White, A, Winnie, M, Wium, C, Yavuz, D, Pieber, Thomas R, Bode, Bruce, Mertens, Ann, Cho, Young Min, Christiansen, Erik, Hertz, Christin L, Wallenstein, Signe O R, and Buse, John B

Published
2019
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4. Inflammation

Author

Bierhaus, A., Humpert, P. M., Rudofsky, G., Chavakis, T., Wendt, T., Hamann, A., Hawroth, P.P., Meinertz, Thomas, editor, Rösen, Peter, editor, Ziegler, Dan, editor, Schömig, Albert, editor, and Tschöpe, Diethelm, editor

Published
2005
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10. Posterausstellung

Author

Schwab, U., Geyer, G., Suttner, H.-J., Hosemann, W. G., Röckelein, G., Rausch, P. Chr., Rolfs, F., Chieschinger, W., Arglebe, Chr., Munch, E., Gallucci, L., Altissimi, G., von Garrel, Chr., Simoncelli, C., von Garrel, C., Ricci, G., Molini, E., Alunni, N., Giommetti, S., Longari, F., Pennacchi, A., Hauser-Kronberger, C., Hacker, G. W., Muss, W., Albegger, K. W., Löhle, E., Kaiser, D., Blickle, W., Meuser, J., Fiegert, P., Heppt, W. J., Wenig, St., Kirchof, K., Born, I. A., Maier, H., Schwetschke, O., Stork, L., Bergler, W., Schadel, A., Waldner, K., Luckhaupt, H., Bertram, G., Ravens, H.-J., Dost, Ph., Rudofsky, G., Meyer, P., Werner, E., Schmidt, R., Grützmacher, W., Holly, A., Schilling, V., Pitzke, P., Bujía, J., Stammberger, M., Wilmes, E., Hammer, C., Schmidbauer, R., Riederer, A., Zietz, Chr., Vogl, Th., Jolk, A., Berger, H., Jaumann, M. P., Eckrich, W., Schwinger, G., Federspil, P., Kurt, P., Altmeyer, P., Koch, A., Reuter, G., Leysieffer, H., Zenner, H.-P., Linder, K. E., McClatchey, K., Carey, T. E., Roos, U.-M., Plinkert, P. K., Heißenberg, M. C., Ptok, A., Maaßen, M. M., Ptok, M., Arold, R., Weber, B. P., Kempf, H.-G., Mayer, R.-E., Braunschweig, R., Galic, M., Schwab, M. S., Giebel, W., Lenk, R., Berghaus, A., Bornhöft, G., Prapavat, V., Jovanovic, S., Schönfeld, U., Beuthan, J., Wei, N. R., Helms, J., Löffler, G., Scheibe, F., Wilhelm, Th., Krmpotić-Nemanić, J., Vinter, I., Nemanić, G., Nagelschmitz, R., Mösges, R., Lamprecht, J., Kuth, G., Schmelzer, B., Cammaert, T., Ostwald, J., Kramp, B., Jori, J., Kiss, J. G., Székely, L., Czigner, J., Ribári, O., Korbasy, K., Spär, K., Schapowal, A., Schütte, A., Lotz, P., Löbe, L.-P., Feldmann, Harald, and Herberhold, Claus

Published
1993
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24. Autorenverzeichnis

Author

Domschke, W., primary, Berger, M., additional, Hohenberger, W., additional, Meinertz, T., additional, Vogelmeier, C., additional, Domschke, W., additional, Sauerbruch, T., additional, Kramer, H.J., additional, Müller, S.C., additional, Serve, H., additional, Weber, M.M., additional, Göke, B., additional, Kalden, J.R., additional, Manger, B., additional, Rascher, W., additional, Appenrodt, B., additional, Atta, J., additional, Auernhammer, C., additional, Autenrieth, I.B., additional, Avenhaus, W., additional, Backmund, M., additional, Bausewein, C., additional, Behr, J., additional, Behrens, A., additional, Berner, R., additional, Berr, F., additional, Blank, N., additional, Blind, E., additional, Bockhorn, M., additional, Bokemeyer, D., additional, Böhm, M., additional, Bönner, G., additional, Borasio, G.D., additional, Bork, K., additional, Braun, J., additional, Bruch, H.-P., additional, Brümmendorf, T.H., additional, Brunnberg, U., additional, Brüwer, M., additional, Büchler, M.W., additional, Detter, C., additional, Diederich, S., additional, Diehm, C., additional, Distler, J., additional, Domagk, D., additional, Dörner, T., additional, Dörr, H.-G., additional, Dralle, H., additional, Dreyling, M., additional, Ehlebracht-König, I., additional, Ell, C., additional, Enzensberger, W., additional, Epple, H.-J., additional, Fassnacht, M., additional, Feußner, H., additional, Fiegel, P., additional, Fisang, C., additional, Filipas, D., additional, Fischbach, W., additional, Flamme, C.H., additional, Floege, J., additional, Fölsch, U.R., additional, Fottner, C., additional, Frank, W., additional, Frey, N., additional, Friese, K., additional, Frilling, A., additional, Fröhner, M., additional, Frühmorgen, P., additional, Galle, P.R., additional, Geidel, S., additional, Genth, E., additional, Gingelmaier, A., additional, Goebel, F.-D., additional, Gökbuget, N., additional, Göke, R., additional, Grabitz, K., additional, Grünke, M., additional, Hahner, S., additional, Handrick, W., additional, Hasslacher, C., additional, Heidbreder, E., additional, Heindel, W., additional, Heinemann, V., additional, Heitmann, J., additional, Heiß, H.W., additional, Hof, H., additional, Hering, L., additional, Hiller, E., additional, Hirner, A., additional, Hofmann, W.-K., additional, Holler, E., additional, Hölscher, A.H., additional, Holtmann, G., additional, Hölzen, J., additional, Honegger, J., additional, Hörle, S., additional, Hörmann, K., additional, Hörmann, R., additional, Hornke, I., additional, Huber, R.M., additional, Hübner, J., additional, Hummel, R., additional, Irmscher, S., additional, Jelinek, T., additional, Jonas, S., additional, Jost, E., additional, Jung, H.H., additional, Kahaly, G.J., additional, Karaus, M., additional, Katsoulis, S., additional, Katus, H., additional, Kessler, H.P., additional, Kiehne, K., additional, Kiess, W., additional, Kindermann, M., additional, von Kodolitsch, Y., additional, Köhler, H., additional, Köhler, L., additional, Köhler, M., additional, Kohne, E., additional, Kolb, H.-J., additional, Köninger, J., additional, Koop, K., additional, Köster, R., additional, Kötter, I., additional, Kramer, H.J.J., additional, Kremer, B., additional, Kroll, P., additional, Kuipers, J.G., additional, Lammert, F., additional, Langer, M., additional, Laukötter, M., additional, Lehnert, H., additional, Lembcke, B., additional, Lerch, M.M., additional, Liebe, S., additional, Lieber, A., additional, Loddenkemper, R., additional, Löhr, M., additional, Lorenz, H.-M., additional, Lorenz, J., additional, Löscher, T., additional, Luster, M., additional, Lux, G., additional, Mann, K., additional, Mayerle, J., additional, Merle, U., additional, Meyer, H.-J., additional, Möbius, C., additional, Moehler, M., additional, Mönnikes, H., additional, Mössner, J., additional, Müller, S.A., additional, Musholt, T.J., additional, Nattermann, J., additional, Neubrand, M., additional, Neuhaus, P., additional, Neundörfer, B., additional, Nicolai, T., additional, Nolde, J., additional, Olschewski, H., additional, Ostermeyer, J., additional, Ott, C., additional, Pahernik, S., additional, Pankratius, U., additional, Parhofer, K.G., additional, Passlick, B., additional, Pech, O., additional, Pfaffenbach, B., additional, Pfeiffer, T., additional, Pilatz, A., additional, Pohle, T., additional, Pohl-Koppe, A., additional, Ponto, Katharina A., additional, Prange, H., additional, Pruß, A., additional, Rädle, J., additional, Rauch, B., additional, Raue, F., additional, Reichel, C., additional, Reindl, C., additional, Reißfelder, C., additional, Rendl, Dipl.-Phys. J., additional, Rietschel, E., additional, Rijcken, E., additional, Roos, R., additional, Rudofsky†, G., additional, Samtleben, W., additional, Sandmann, W., additional, Sauter, G., additional, Schaal, K.P., additional, Schaefer, J.R., additional, Schäfer-Graf, U., additional, Schepp, W., additional, Schlemmer, M., additional, Schliep, S., additional, Schmidt, H., additional, Schmied, B., additional, Schmiegel, W., additional, Schießl, A., additional, Schmid, A., additional, Schneider, A., additional, Schneider, T., additional, Schölmerich, J., additional, Scholz, H., additional, Schönermarck, U., additional, Schopohl, J., additional, Schrezenmeier, H., additional, Schulze-Koops, H., additional, Schuppan, D., additional, Schuster, V., additional, Schüßler, G., additional, Schwandner, O., additional, Schwarz, T.F., additional, Secknus, R., additional, Senninger, N., additional, Sezer, O., additional, Simmen, B.R., additional, Spengler, U., additional, Stabenow-Lohbauer, U., additional, Stebler, R., additional, Steven, D., additional, Sticherling, M., additional, Strauch, U., additional, Stremmel, C., additional, Stremmel, W., additional, Stuck, B.A., additional, Stürz, H., additional, Taube, C., additional, Thulesius, O., additional, Thurau, K., additional, Thüroff, J.W., additional, Tomiak, C., additional, Uhl, W., additional, Vallböhmer, D., additional, Vogel, T., additional, von den Driesch, P., additional, Wagenlehner, F.M.E., additional, Wagner, A., additional, Wagner, U., additional, Weber, K., additional, Weidner, W., additional, Weinke, T., additional, Weis-Müller, B.T., additional, Weiß, M., additional, Willems, S., additional, Wintergerst, U., additional, Wirth, M., additional, Wolkersdörfer, G.W., additional, and Zeitz, M., additional

Published
2011
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26. Efficacy and safety of oral semaglutide with flexible dose adjustment versus sitagliptin in type 2 diabetes (PIONEER 7): a multicentre, open-label, randomised, phase 3a trial

Author

LaRocque, J.C., Gross, J.L., Wallenstein, S.O.R., Bilz, S., Oğuz, A., Christiansen, E., El Hefnawy, M.H.M.F., Özdemir, A., Finneran, M.P., Rista, L., Akın, S., O'Connor, T.M., Gulseth, H.L., Kim, N.H., Lederman, S.N., Mertens, A., Arif, A.A., Nicol, P.R., Ong, S., Aronne, L.J., Sorli, C.H., Winnie, M., Fließer-Görzer, E., Tetiker, T., Pieber, T., Condit, J., Eagerton, D.C., Murray, A.V., Weiss, D., Aladağ, N., Litchfield, W.R., Cooper, J., Riffer, E., Colin, I., Prager, R., Beckett, P.L., Baik, S.H., Scheen, A., Godbole, N.A., Bays, H., Cho, Y.M., White, A., Fischli, S., Kang, E.S., Lee, K.-W., Weinstein, D.L., Shelbaya, S.A., Chung, C.H., Rudofsky, G., Laimer, M., Sivalingam, K., Wium, C., Pereles-Ortiz, J., PIONEER 7 investigators, Seo, J.A., Buse, J.B., Warren, M.L., Palchick, B.A., Delgado, B., Ataoglu, E., Khalil, S.H.A., Streja, D.A., Eliaschewitz, F.G., Golay, A., Høivik, H.O., Helland, F., Gorban de Lapertosa, S., Sarı, R., T'Sjoen, G., Van Gaal, L., Vercammen, C., Pieber, T.R., Hertz, C.L., Morawski, E.J., Kim, I.J., Stäuble, S., Issa, C., Geohas, J., Canani, L.H.S., Klaff, L.J., Manning, M.B., Bode, B., Yavuz, D., Preumont, V., Schultes, B., Aronoff, S., Palace, E.M., El Ebrashy, I.N., Keller, C., Berker, D., and Braun, E.W.

Abstract

Background: Oral semaglutide is the first oral formulation of a glucagon-like peptide-1 (GLP-1) receptor agonist developed for the treatment of type 2 diabetes. We aimed to compare the efficacy and safety of flexible dose adjustments of oral semaglutide with sitagliptin 100 mg. Methods: In this 52-week, multicentre, randomised, open-label, phase 3a trial, we recruited patients with type 2 diabetes from 81 sites in ten countries. Patients were eligible if they were aged 18 years or older (19 years or older in South Korea), had type 2 diabetes (diagnosed ≥90 days before screening), HbA1c of 7·5–9·5% (58–80 mmol/mol), and were inadequately controlled on stable daily doses of one or two oral glucose-lowering drugs (for 90 days or more before screening). Participants were randomly assigned (1:1) by use of an interactive web-response system, stratified by background glucose-lowering medication at screening, to oral semaglutide with flexible dose adjustments to 3, 7, or 14 mg once daily or sitagliptin 100 mg once daily. To approximate treatment individualisation in clinical practice, oral semaglutide dose could be adjusted on the basis of prespecified HbA1c and tolerability criteria. Two efficacy-related estimands were prespecified: treatment policy (regardless of treatment discontinuation or use of rescue medication) and trial product (on treatment and without use of rescue medication) for participants randomly assigned to treatment. The primary endpoint was achievement of HbA1c of less than 7% (53 mmol/mol) at week 52 and the confirmatory secondary efficacy endpoint was change in bodyweight from baseline to week 52. Safety was assessed in all participants who received at least one dose of study drug. This trial is registered with ClinicalTrials.gov, number NCT02849080, and European Clinical Trials Database, EudraCT number 2015-005593-38, and an open-label extension is ongoing. Findings: Between Sept 20, 2016, and Feb 7, 2017, of 804 patients assessed for eligibility, 504 were eligible and randomly assigned to oral semaglutide (n=253) or sitagliptin (n=251). Most participants were male (285 [57%] of 504) with a mean age of 57·4 years (SD 9·9). All participants were given at least one dose of their allocated study drug except for one participant in the sitagliptin group. From a mean baseline HbA1c of 8·3% (SD 0·6%; 67 mmol/mol [SD 6·4]), a greater proportion of participants achieved an HbA1c of less than 7% with oral semaglutide than did with sitagliptin (treatment policy estimand: 58% [134 of 230] vs 25% [60 of 238]; and trial product estimand: 63% [123 of 196] vs 28% [52 of 184]). The odds of achieving an HbA1c of less than 7% was significantly better with oral semaglutide than sitagliptin (treatment policy estimand: odds ratio [OR] 4·40, 95% CI 2·89–6·70, p

Published
2019
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34. Innovation

Author

Chylarecki, C., primary, Hierholzer, G., additional, and Rudofsky, G., additional

Published
1996
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39. Efficacy and safety of oral semaglutide with flexible dose adjustment versus sitagliptin in type 2 diabetes (PIONEER 7): a multicentre, open-label, randomised, phase 3a trial

Author

Pieber, Thomas R, primary, Bode, Bruce, additional, Mertens, Ann, additional, Cho, Young Min, additional, Christiansen, Erik, additional, Hertz, Christin L, additional, Wallenstein, Signe O R, additional, Buse, John B, additional, Akın, S, additional, Aladağ, N, additional, Arif, A A, additional, Aronne, L J, additional, Aronoff, S, additional, Ataoglu, E, additional, Baik, S H, additional, Bays, H, additional, Beckett, P L, additional, Berker, D, additional, Bilz, S, additional, Bode, B, additional, Braun, E W, additional, Buse, J B, additional, Canani, L H S, additional, Cho, Y M, additional, Chung, C H, additional, Colin, I, additional, Condit, J, additional, Cooper, J, additional, Delgado, B, additional, Eagerton, D C, additional, El Ebrashy, I N, additional, El Hefnawy, M H M F, additional, Eliaschewitz, F G, additional, Finneran, M P, additional, Fischli, S, additional, Fließer-Görzer, E, additional, Geohas, J, additional, Godbole, N A, additional, Golay, A, additional, Gorban de Lapertosa, S, additional, Gross, J L, additional, Gulseth, H L, additional, Helland, F, additional, Høivik, H O, additional, Issa, C, additional, Kang, E S, additional, Keller, C, additional, Khalil, S H A, additional, Kim, N H, additional, Kim, I J, additional, Klaff, L J, additional, Laimer, M, additional, LaRocque, J C, additional, Lederman, S N, additional, Lee, K-W, additional, Litchfield, W R, additional, Manning, M B, additional, Mertens, A, additional, Morawski, E J, additional, Murray, A V, additional, Nicol, P R, additional, O'Connor, T M, additional, Oğuz, A, additional, Ong, S, additional, Özdemir, A, additional, Palace, E M, additional, Palchick, B A, additional, Pereles-Ortiz, J, additional, Pieber, T, additional, Prager, R, additional, Preumont, V, additional, Riffer, E, additional, Rista, L, additional, Rudofsky, G, additional, Sarı, R, additional, Scheen, A, additional, Schultes, B, additional, Seo, J A, additional, Shelbaya, S A, additional, Sivalingam, K, additional, Sorli, C H, additional, Stäuble, S, additional, Streja, D A, additional, T'Sjoen, G, additional, Tetiker, T, additional, Van Gaal, L, additional, Vercammen, C, additional, Warren, M L, additional, Weinstein, D L, additional, Weiss, D, additional, White, A, additional, Winnie, M, additional, Wium, C, additional, and Yavuz, D, additional

Published
2019
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43. Tissue inhibitor of matrix metalloproteinase 1 (TIMP1) controls adipogenesis in obesity in mice and in humans

Author

Meissburger, B., Stachorski, L., Röder, E., Rudofsky, G., Wolfrum, C., Meissburger, B., Stachorski, L., Röder, E., Rudofsky, G., and Wolfrum, C.

Abstract

Aims/hypothesis: Extracellular matrix reorganisation is a crucial step of adipocyte differentiation and is controlled by the matrix metalloproteinase-tissue inhibitor of matrix metalloproteinase (TIMP) enzyme system. We therefore sought to define the role of TIMP1 in adipogenesis and to elucidate whether upregulation of TIMP1 in obesity has direct effects on adipocyte formation. Methods: TIMP1 protein levels and mRNA were measured in lean and obese mice with a focus on levels in adipose tissue. We also analysed the effect of recombinant murine TIMP1 on adipogenesis, adipocyte size and metabolic control in vitro and in vivo. Results: TIMP1 levels were increased in the serum and adipose tissue of obese mouse models. Recombinant murine TIMP1 inhibited adipocyte differentiation in 3T3-L1 as well as in subcutaneous primary pre-adipocytes. Conversely, neutralising TIMP1 with a specific antibody enhanced adipocyte differentiation. In vivo, injection of recombinant TIMP1 in mice challenged with a high-fat diet led to enlarged adipocytes. TIMP1-treated mice developed an impaired metabolic profile with increased circulating NEFA levels, hepatic triacylglycerol accumulation and accelerated insulin resistance. Altered glucose clearance in TIMP1-injected mice was due to changes in adipose tissue glucose uptake, whereas muscle glucose clearance remained unaffected. Conclusions/interpretation: TIMP1 is a negative regulator of adipogenesis. In vivo, TIMP1 leads to enlarged adipocytes in the state of overnutrition. This might contribute to the detrimental metabolic consequences seen in TIMP1-injected mice, such as systemic fatty acid overload, hepatic lipid accumulation and insulin resistance

Published
2018

44. Severity of Asymptomatic Carotid Stenosis and Risk of Ipsilateral Hemispheric Ischaemic Events: Results from the ACSRS Study

Author

Nicolaides, A, Kakkos, S, Griffin, M, Sabetai, M, Dhanjil, S, Tegos, T, Thomas, D, Giannoukas, A, Geroulakos, G, Georgiou, N, Francis, S, Ioannidou, E, Doré, C, Adovasio, R, Ziani, B, Aló, E, Cicilioni, C, Ambrosio, G, Andreev, A, Andreozzi, G, Verlato, F, Camporese, G, Arosio, E, Barkauskas, E, Barros D'Sa, A, Brannigan, P, Batchvarova, V, Dramov, A, Belardi, P, Novelli, G, Simoni, G, Bell, P, Bornstein, N, Bouchier Hayes, D, Fitzgerald, P, Cairols, M, Cao, P, DeRango, P, Carboni, G, Geoffredo, C, Catalano, M, Chambers, B, Goetzmann, M, Dickinson, A, Clement, D, Bobelyn, M, Coccheri, S, Conti, E, Diamantopolous, E, Andreadis, E, Middleton, L, Pantziaris, M, Tyllis, T, Minar, E, Willfort, A, Moggi, L, Nenci, G, Radicchia, S, Norgren, L, Ribbie, E, Novo, S, Tantillo, R, Olinic, D, Paaske, W, Pagnan, A, Pauletto, P, Pagliara, V, Pettina, G, Pratesi, C, Matticari, S, Polivka, J, Sevcik, P, Poredos, P, Blinc, A, Videcnik, V, Pujia, A, Raso, A, Rispoli, P, Conforti, M, Robinson, T, Dennis, M, Rosfors, S, Rudofsky, G, Schroeder, T, Gronholdt, M, Finocchi, C, Rodriguez, G, Dimakakos, P, Kotsis, T, Eikelboom, B, Entz, L, Ferrari Bardilleas, n, Aloi, T, Salerno, M, Fernandes, J., BIASI, GIORGIO MARIA, MINGAZZINI, PAOLO, Nicolaides, A, Kakkos, S, Griffin, M, Sabetai, M, Dhanjil, S, Tegos, T, Thomas, D, Giannoukas, A, Geroulakos, G, Georgiou, N, Francis, S, Ioannidou, E, Doré, C, Adovasio, R, Ziani, B, Aló, E, Cicilioni, C, Ambrosio, G, Andreev, A, Andreozzi, G, Verlato, F, Camporese, G, Arosio, E, Barkauskas, E, Barros D'Sa, A, Brannigan, P, Batchvarova, V, Dramov, A, Belardi, P, Novelli, G, Simoni, G, Bell, P, Biasi, G, Mingazzini, P, Bornstein, N, Bouchier Hayes, D, Fitzgerald, P, Cairols, M, Cao, P, Derango, P, Carboni, G, Geoffredo, C, Catalano, M, Chambers, B, Goetzmann, M, Dickinson, A, Clement, D, Bobelyn, M, Coccheri, S, Conti, E, Diamantopolous, E, Andreadis, E, Middleton, L, Pantziaris, M, Tyllis, T, Minar, E, Willfort, A, Moggi, L, Nenci, G, Radicchia, S, Norgren, L, Ribbie, E, Novo, S, Tantillo, R, Olinic, D, Paaske, W, Pagnan, A, Pauletto, P, Pagliara, V, Pettina, G, Pratesi, C, Matticari, S, Polivka, J, Sevcik, P, Poredos, P, Blinc, A, Videcnik, V, Pujia, A, Raso, A, Rispoli, P, Conforti, M, Robinson, T, Dennis, M, Rosfors, S, Rudofsky, G, Schroeder, T, Gronholdt, M, Finocchi, C, Rodriguez, G, Dimakakos, P, Kotsis, T, Eikelboom, B, Entz, L, Ferrari Bardilleas, N, Aloi, T, Salerno, M, Fernandes, J, NICOLAIDES A N, KAKKOS S K, GRIFFIN M, SABETAI M, DHANJIL S, TEGOS T, THOMAS D J, GIANNOUKAS A, GEROULAKOS G, GEORGIOU N, FRANCIS S, IOANNIDOU E, and NOVO S

Subjects
Risk, medicine.medical_specialty, medicine.medical_treatment, Carotid Stenosi, Predictive Value of Test, Carotid endarterectomy, Severity of Illness Index, Asymptomatic, Brain Ischemia, chemistry.chemical_compound, Cerebrovascular Accident, medicine.artery, Internal medicine, Severity of illness, NASCET, MED/22 - CHIRURGIA VASCOLARE, medicine, Carotid, Stenosis, Medicine(all), Ultrasonography, Doppler, Duplex, Creatinine, business.industry, Risk Factor, Incidence (epidemiology), medicine.disease, major clinical study, Ultrasonography, Duplex, Doppler, chemistry, Predictive value of tests, Cardiology, Surgery, ECST, Radiology, Internal carotid artery, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Human
Abstract

Objectives. This study determines the risk of ipsilateral ischaemic neurological events in relation to the degree of asymptomatic carotid stenosis and other risk factors. Methods. Patients (n = 1115) with asymptomatic internal carotid artery (ICA) stenosis greater than 50% in relation to the bulb diameter were followed up for a period of 6-84 (mean 37.1) months. Stenosis was graded using duplex, and clinical and biochemical risk factors were recorded. Results. The relationship between ICA stenosis and event rate is linear when stenosis is expressed by the ECST method, but S-shaped if expressed by the NASCET method. In addition to the ECST grade of stenosis (RR 1.6; 95% CI 1.21-2.15), history of contralateral TIAs (RR 3.0; 95% CI 1.90-4.73) and creatinine in excess of 85 μmol/L (RR 2.1; 95% CI 1.23-3.65) were independent risk predictors. The combination of these three risk factors can identify a high-risk group (7.3% annual event rate and 4.3% annual stroke rate) and a low risk group (2.3% annual event rate and 0.7% annual stroke rate). Conclusions. Linearity between ECST percent stenosis and risk makes this method for grading stenosis more amenable to risk prediction without any transformation not only in clinical practice but also when multivariable analysis is to be used. Identification of additional risk factors provides a new approach to risk stratification and should help refine the indications for carotid endarterectomy. © 2005 Elsevier Ltd. All rights reserved.

Published
2005

45. Kontroversen in der Chirurgie

Author

Siewert, J. R., Troidl, H., Grill, W., Bengmark, S., Bruch, H.-P., Dämmrich, J., Roscher, R., Kleine, H.-O., Beger, H. G., Gotzen, L., Pfister, U., Rüedi, Th., Frutiger, A., Leutenegger, A., Regensburger, D., Rudofsky, G., Schumpelick, V., Deltz, E., Hamelmann, H., and Ungeheuer, E., editor

Published
1989
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47. Der Notfallpatient mit akutem Gefäßverschluß

Author

Rudofsky, G., Ahnefeld, F. W., editor, Bergmann, H., editor, Burri, C., editor, Dick, W., editor, Halmágyi, M., editor, Hossli, G., editor, Rügheimer, E., editor, Kilian, J., editor, Schuster, H.-P., editor, and Altemeyer, K.-H., editor

Published
1986
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