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  1. Article ; Online: 2022 Update of BCLC Treatment Algorithm of HCC: What's New for Interventional Radiologists?

    Lucatelli, Pierleone / Guiu, Boris

    Cardiovascular and interventional radiology

    2022  Volume 45, Issue 3, Page(s) 275–276

    MeSH term(s) Algorithms ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/pathology ; Carcinoma, Hepatocellular/therapy ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/pathology ; Liver Neoplasms/therapy ; Neoplasm Staging ; Radiologists
    Language English
    Publishing date 2022-01-28
    Publishing country United States
    Document type Editorial
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-021-03047-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Update on Interventional Radiology of the Spine.

    Filippiadis, Dimitrios K / Masala, Salvatore / Lucatelli, Pierleone / Kelekis, Alexis

    Seminars in musculoskeletal radiology

    2022  Volume 26, Issue 4, Page(s) 412–423

    Abstract: Interventional radiologists now perform spinal interventions routinely for diagnostic and therapeutic purposes. New technologies for the management of spine pathologies have emerged with promising results in terms of safety and efficacy. Interventional ... ...

    Abstract Interventional radiologists now perform spinal interventions routinely for diagnostic and therapeutic purposes. New technologies for the management of spine pathologies have emerged with promising results in terms of safety and efficacy. Interventional radiology techniques in the spine include percutaneous biopsy and therapies for intervertebral disk herniation or spinal stenosis, facet and sacroiliac joint pathologies, vertebral and sacral fractures, and metastases. These techniques can also be easily combined one with the other or to further therapeutic approaches including systemic therapies, surgical approaches, and radiotherapy. This review provides a comprehensive overview of current percutaneous imaging-guided interventional radiology techniques in the spine. It will help readers become familiar with the most common indications, learn about different technical considerations during performance, and review the available evidence. Controversies concerning new products and technical approaches are also addressed.
    MeSH term(s) Humans ; Radiology, Interventional ; Spine
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1360919-1
    ISSN 1098-898X ; 1089-7860
    ISSN (online) 1098-898X
    ISSN 1089-7860
    DOI 10.1055/s-0042-1748913
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pseudoaneurysms embolization with glue via percutaneous direct puncture: a multicenter experience on 54 patients.

    Giurazza, Francesco / Ierardi, Annamaria / Marra, Paolo / Lucatelli, Pierleone / Corvino, Fabio / Pane, Francesco / Sironi, Sandro / Carrafiello, Gianpaolo / Loffroy, Romaric / Niola, Raffaella

    CVIR endovascular

    2024  Volume 7, Issue 1, Page(s) 11

    Abstract: Background: This retrospective multicentric study aims to report on technical safety and effectiveness of pseudoaneurysms embolization with glue (N-butyl cyanoacrylate) adopting a percutaneous direct puncture approach.: Results: Fifty-four patients ... ...

    Abstract Background: This retrospective multicentric study aims to report on technical safety and effectiveness of pseudoaneurysms embolization with glue (N-butyl cyanoacrylate) adopting a percutaneous direct puncture approach.
    Results: Fifty-four patients data were collected from five centers. All patients at the time of treatment presented with unruptured PAs and were hemodynamically stable. True aneurysms and lesions treated with embolics other than glue were excluded. Pseudoaneurysms diagnosis was based on CT and anamnestic data; initial investigation with digital-subtracted arteriography was acquired in all cases; then, percutaneous embolizations were performed in the angio-suite (ultrasound, fluoroscopy, ConeBeam CT guidance) or in CT. Technical success was considered as complete pseudoaneurysm embolization at final imaging with sole percutaneous strategy, without need for additional endovascular embolization. Clinical success was intended as pseudoaneurysm resolution within one week follow-up with stabilization or restored clinical conditions. Pseudoaneurysms origins were traumatic (57.4%), inflammatory (24.1%) or spontaneous (18.5%); 39 patients (72.2%) were symptomatic, presenting with pain and/or pulsatile mass. Mean lesions diameter was 19.3 mm (range: 7-30); pseudoaneurysms were located in abdomen (48.1%), limbs (42.6%) and thorax (9.3%). Coagulation function was impaired in 16.6% and 48.1% was under antiplatelets/anticoagulation therapy. In 16.6% the percutaneous approach followed previous treatments failure. The image-guidance modality for percutaneous puncture was most often ultrasound combined with fluoroscopy (38%). Clinical success was obtained in all patients while technical success occurred in 94.4% because 3 patients required an additional endovascular embolization. Complications were registered in 14.8%, all of low grade without clinical sequelae neither prolonged recovery (7 non target embolizations, 1 post-embolization syndrome).
    Conclusions: In this study, pseudoaneurysms embolization with glue via percutaneous direct puncture was safe and effective with a low rate of minor complications.
    Language English
    Publishing date 2024-01-15
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2520-8934
    ISSN (online) 2520-8934
    DOI 10.1186/s42155-024-00426-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The role of post-dilatation in carotid MicroNet-covered stent implantation, evaluated using 3D cone-beam CT angiography.

    Ginanni Corradini, Luca / Maresca, Luciano / Lucatelli, Pierleone / Balocco, Simone / D'Onofrio, Adolfo / Stefanini, Matteo

    The Journal of cardiovascular surgery

    2023  Volume 64, Issue 6, Page(s) 608–614

    Abstract: Background: This study aims to assess the role and safety of post-dilatation in protected carotid artery stenting (PCAS) using the new MicroNet-covered 2nd-generation stent assessed by cone beam CT scans.: Methods: From March 2020 to March 2022, ... ...

    Abstract Background: This study aims to assess the role and safety of post-dilatation in protected carotid artery stenting (PCAS) using the new MicroNet-covered 2nd-generation stent assessed by cone beam CT scans.
    Methods: From March 2020 to March 2022, patients were enrolled in the study according to CT angiography results based on the following criteria: Evidence of 70% to 99% carotid stenosis in asymptomatic patients and 50% to 99% in symptomatic patients, per the NASCET index. Using a FilterWire EZ™ (Boston Scientific, Natick, MA, USA) embolic protection system (EPS), MicroNet-covered stent PCAS was performed by two interventional radiologists with at least 8 years of experience in endovascular intervention. Each patient underwent post-dilatation following stent placement. Finally, a third radiologist (not participating in the interventional procedures) evaluated the cone beam CT scans and calculated residual stenosis. Major and minor complications were recorded in the 30 days following the procedure.
    Results: A total of 192 patients (121 male, mean age 73±10 years) were included in the study, and all patients received post-dilatation following stent implantation. Technical successes were achieved in all procedures. Adverse events noted in this study were limited to periprocedural transient ischemic attacks that occurred in three out of 192 patients (1.6%) and showed a swift complete recovery. The post-dilatation balloon diameters used in the study were: 5.0 mm (30.3%), 5.5 mm (39.3%) and 6 mm (30.3%). Optimized postdilatation resulted in a significant increase in the final luminal area. Similar improvements were observed in all subtypes of plaque.
    Conclusions: Post-dilatation in protected CAS is safe and induces a significant improvement in the cross-sectional area regardless of the stenotic plaque.
    MeSH term(s) Humans ; Male ; Middle Aged ; Aged ; Aged, 80 and over ; Carotid Stenosis/diagnostic imaging ; Carotid Stenosis/therapy ; Carotid Stenosis/complications ; Dilatation/adverse effects ; Stents/adverse effects ; Stroke/etiology ; Computed Tomography Angiography/adverse effects ; Treatment Outcome ; Carotid Arteries ; Cone-Beam Computed Tomography
    Language English
    Publishing date 2023-11-28
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 80143-4
    ISSN 1827-191X ; 0021-9509
    ISSN (online) 1827-191X
    ISSN 0021-9509
    DOI 10.23736/S0021-9509.23.12756-X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Bleeding in COVID Patients: What We Have Understood So Far.

    Lucatelli, Pierleone / Rocco, Bianca / Nardis, Pier Giorgio / Cannavale, Alessandro / Bezzi, Mario / Catalano, Carlo / Corona, Mario

    Cardiovascular and interventional radiology

    2021  Volume 44, Issue 4, Page(s) 666–668

    Language English
    Publishing date 2021-01-28
    Publishing country United States
    Document type Letter
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-021-02775-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Chinese expert consensus on technical recommendations for the standard operation of drug-eluting beads for transvascular embolization.

    Shao, Guoliang / Zou, Yinghua / Lucatelli, Pierleone / Tsilimigras, Diamantis I / Shimise, Shigeo / Kawaguchi, Takumi

    Annals of translational medicine

    2021  Volume 9, Issue 8, Page(s) 714

    Abstract: Liver cancer is among the 10 most common tumors globally. In China, liver cancer ranks ... ...

    Abstract Liver cancer is among the 10 most common tumors globally. In China, liver cancer ranks 4
    Language English
    Publishing date 2021-04-27
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-21-1678
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Two-dimensional perfusion angiography permits direct visualization of redistribution of flow in hepatocellular carcinoma during b-TACE.

    Lucatelli, Pierleone / Ciaglia, Simone / Rocco, Bianca / De Rubeis, Gianluca / Bolognesi, Guido / Damato, Elio / Corona, Mario / Nardis, Pier Giorgio / Cannavale, Alessandro / Ricci, Paolo / Catalano, Carlo

    La Radiologia medica

    2024  

    Abstract: Objectives: To demonstrate in vivo redistribution of the blood flow towards HCC's lesions by utilizing two-dimensional perfusion angiography in b-TACE procedures.: Material and methods: In total, 30 patients with 35 HCC nodules treated in the period ... ...

    Abstract Objectives: To demonstrate in vivo redistribution of the blood flow towards HCC's lesions by utilizing two-dimensional perfusion angiography in b-TACE procedures.
    Material and methods: In total, 30 patients with 35 HCC nodules treated in the period between January 2019 and November 2021. For each patient, a post-processing software leading to a two-dimensional perfusion angiography was applied on each angiography performed via balloon microcatheter, before and after inflation. On the colour map obtained, reflecting the evolution of contrast intensity change over time, five regions of interests (ROIs) were assessed: one on the tumour (ROI-t), two in the immediate peritumoural healthy liver parenchyma (ROI-ihl) and two in the peripheral healthy liver parenchyma (ROI-phl). The results have been interpreted with a novel in silico model that simulates the hemodynamics of the hepatic arterial system.
    Results: Among the ROIs drawn inside the same segment of target lesion, the time-to-peak of the ROI-t and of the ROI-ihl have a significantly higher mean value when the balloon was inflated compared with the ROIs obtained with deflated balloon (10.33 ± 3.66 s vs 8.87 ± 2.60 s (p = 0.015) for ROI-t; 10.50 ± 3.65 s vs 9.23 ± 2.70 s (p = 0.047) for ROI-ihl). The in silico model prediction time-to-peak delays when balloon was inflated, match with those observed in vivo. The numerical flow analysis shows how time-to-peak delays are caused by the obstruction of the balloon-occluded artery and the opening of intra-hepatic collateral.
    Conclusion: The measurements identify predictively the flow redistribution in the hepatic arteries during b-TACE, supporting a proper positioning of the balloon microcatheter.
    Language English
    Publishing date 2024-04-18
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 205751-7
    ISSN 1826-6983 ; 0033-8362
    ISSN (online) 1826-6983
    ISSN 0033-8362
    DOI 10.1007/s11547-024-01816-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Microballoon Interventions for Liver Tumors: Review of Literature and Future Perspectives.

    Lucatelli, Pierleone / Rocco, Bianca / Ciaglia, Simone / Damato, Elio / Mosconi, Cristina / Argirò, Renato / Catalano, Carlo

    Journal of clinical medicine

    2022  Volume 11, Issue 18

    Abstract: Background: Microballoon interventions (MBIs) have been proposed as useful tools to improve the efficacy of locoregional liver treatments. The aim of this systematic review was to summarize the existing evidence on procedural characteristics, safety, ... ...

    Abstract Background: Microballoon interventions (MBIs) have been proposed as useful tools to improve the efficacy of locoregional liver treatments. The aim of this systematic review was to summarize the existing evidence on procedural characteristics, safety, and efficacy of MBIs.
    Methods: PubMed and Cochrane Central Register of Controlled Trials were queried for original research articles evaluating MBIs in patients with liver malignancies from 2012 to August 2022. Search terms employed were liver malignancies, hepatocellular carcinoma, cholangiocarcinoma, liver metastases, microballoon transarterial chemoembolization, balloon-occluded trans-arterial chemoembolization, balloon-occluded selective internal radiation therapies, balloon-occluded TACE and ablation, and safety or oncological results or efficacy. Merely technical studies and animal studies were excluded.
    Results: Thirty-four original research studies and one abstract involving 744 patients treated with MBIs were included; 76% of the studies were retrospective, with low risk of bias and moderate-to-poor levels of evidence. Heterogeneity precluded meta-analysis. All studies proved MBI safety, which was not inferior to non-occlusive procedures. Balloon employment ameliorates oncological results, improving time to recurrence, objective response rate, and lowers need for retreatment.
    Conclusions: MBIs appear to be potential game changers in the treatment of liver malignancies. Multicentric, prospective and randomized studies are necessary to confirm these findings.
    Language English
    Publishing date 2022-09-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11185334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Jaundice Constrain or Indication?

    Lucatelli, Pierleone / Ricci, Carmelo / Levi Sandri, Giovanni Battista

    Radiology

    2017  Volume 283, Issue 1, Page(s) 308–309

    MeSH term(s) Humans ; Jaundice
    Language English
    Publishing date 2017-03-19
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2017162667
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Are Radiopaque Beads a Real Advantage?

    Lucatelli, Pierleone / De Rubeis, Gianluca / Rocco, Bianca / Bezzi, Mario

    Radiology

    2019  Volume 290, Issue 3, Page(s) 852–853

    MeSH term(s) Animals ; Carcinoma, Hepatocellular ; Chemoembolization, Therapeutic ; Doxorubicin ; Liver Neoplasms ; Rabbits ; Tomography, X-Ray Computed
    Chemical Substances Doxorubicin (80168379AG)
    Language English
    Publishing date 2019-02-05
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2019182655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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