Publications by authors named "Marco Panagrosso"

Cerebral arteriovenous malformations (AVMs) are rare vascular anomalies associated with a risk of devastating intracerebral hemorrhage. They are often diagnosed following the appearance of seizures, focal neurological signs, or bleeding. In such cases endovascular embolization, which aims to occlude the AVM nidus and reduce risk of hemorrhage, has become a crucial therapeutic approach.

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Objective: Failure to rescue (FTR), defined as mortality due to failure in responding to in-hospital complications, is an important quality indicator. This study aimed to assess incidence and predictors for FTR among centers performing fenestrated-branched endovascular aortic repair (FB-EVAR) of thoracoabdominal aortic aneurysms (TAAA).

Methods: Consecutive patients treated by FB-EVAR for TAAAs between 2005 and 2022 in 27 centers of the International Multicenter Aortic Research Group were analyzed.

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The main complications of coverage accessory renal artery (ARA) are renal infarction and potentially renal function impairment and type II endoleak if firm apposition to the aortic wall is not achieved. We describe the management of an ARA type II endoleak treated by laser-assisted, transgraft coil embolization (LATE). A 76-year-old patient underwent a computed tomography scan 4 years after endovascular aneurysm repair.

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Article Synopsis
  • The Manta Vascular Closure Device, designed for closing large-bore arterial accesses, was evaluated to see if it performs as well as the ProGlide device in terms of achieving hemostasis after endovascular procedures.
  • A retrospective study was conducted on 524 cases of (T)EVAR procedures between January 2021 and April 2023, comparing outcomes of 355 procedures using Manta versus 169 using ProGlide.
  • Results showed similar complication rates and effectiveness for both devices, although Manta had a statistically larger sheath size, indicating that both are viable options for vascular closure.
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  • AI has evolved since its introduction in 1956 and is now significantly impacting healthcare, especially in patient care and information management.
  • Key AI functions like Machine Learning and Deep Learning, along with Biomimetic Intelligence, are being utilized to analyze medical data and create algorithms for better diagnosis and treatments.
  • The rising incidence of chronic limb-threatening ischemia due to diabetes and aging populations presents a challenge that AI and BI can help address by improving treatment planning and resource integration for peripheral artery disease.
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Endovascular aortic aneurysm repair is widely used for the treatment of abdominal aortic aneurysm (AAA), but has a 10% to 40% incidence of type II endoleak during follow-up. There are various techniques to treat these endoleaks in the case of enlarging of the AAA, but the clinical effectiveness is low. In recent years, preemptive AAA sac embolization has shown some encouraging results with significant AAA shrinkage.

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  • Peyronie's disease, affecting 9% of men, involves inflammation leading to fibrosis and is associated with pain and erectile dysfunction; there's a need for better understanding of its onset and progression.
  • Researchers created a systemic immune-inflammation index (SII) and identified a neutrophil-to-eosinophil ratio (NER) as potential biomarkers to help evaluate the disease's inflammation.
  • A study comparing 49 men with Peyronie's to 50 controls found significant differences in NER and eosinophil counts, with a higher prevalence of hypercholesterolemia, hyperglycemia, and hypertension in patients; the NER was most effective at distinguishing between groups.
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Background: Identifying sex-related differences/variables associated with 30 day/1 year mortality in patients with chronic limb-threatening ischemia (CLTI).

Methods: Multicenter/retrospective/observational study. A database was sent to all the Italian vascular surgeries to collect all the patients operated on for CLTI in 2019.

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Background: To investigate the effects of the COVID-19 lockdowns on the vasculopathic population. Methods: The Divisions of Vascular Surgery of the southern Italian peninsula joined this multicenter retrospective study. Each received a 13-point questionnaire investigating the hospitalization rate of vascular patients in the first 11 months of the COVID-19 pandemic and in the preceding 11 months.

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Background: The surgical management of concomitant occurrence of abdominal aortic aneurysm (AAA) and colorectal cancer (CRC) is still controversial. Conversely, benefits from a minimally invasive approach are well known concerning the treatment of both AAA and CRC. The aim of this study is to assess safety and feasibility of a sequential 2-staged minimally invasive during the same recovery by endovascular aneurysm repair (EVAR) technique and laparoscopic colorectal resection.

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The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded in 2018, with the aim to promote cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic peripheral artery was selected as the very first topic to be investigated by the federation. In this second paper, different experiences from delegates of participating countries were shared to define common strategies to harmonize, standardize, and optimize education and training in the Vascular Surgery specialty.

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Article Synopsis
  • Multilevel peripheral arterial disease (MPAD) leads to critical limb ischemia (CLI) and often requires vascular interventions to improve blood flow and prevent amputations.
  • A case report details a successful hybrid revascularization procedure in a patient with advanced MPAD affecting multiple vascular segments, which included endovascular stenting and surgical bypass in one operation.
  • Hybrid techniques, combining surgical and endovascular approaches, have shown high efficacy and safety, resulting in reduced hospital stays and favorable outcomes for treating both MPAD and renal artery stenosis.
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Introduction: The autologous arteriovenous fistula (AVF) is considered the best vascular access for haemodialysis in patients with chronic kidney disease but in time can lead to several complications.

Presentation Of A Case: Herein we describe a case of a large cephalic vein aneurysm causing heart failure in a renal transplant patient being treated with radio-cephalic AVF for haemodialysis. The patient was judged to be at very high risk for potential catastrophic rupture of the aneurysm and his cardiac function was deteriorating so a surgical resection was offered.

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