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  1. Book: History of aortic surgery in the world

    Chiesa, Roberto / Melissano, Germano / Setacci, Carlo / Argenteri, Angelo

    2015  

    Author's details R. Chiesa, G. Melissano, C. Setacci, A. Argenteri
    Language English
    Size XVI, 406 Seiten, Illustrationen
    Publisher Edizioni Minerva Medica
    Publishing place Turin
    Publishing country Italy
    Document type Book
    HBZ-ID HT019160976
    ISBN 978-88-7711-824-0 ; 88-7711-824-5
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Metastatic Peri-Aortic Teratoma with Retro-Aortic Left Renal Vein Involvement: Multimodal Surgical Approach.

    Dioni, Pietro / Melissano, Germano

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 66, Issue 3, Page(s) 388

    MeSH term(s) Humans ; Renal Veins/diagnostic imaging ; Renal Veins/surgery ; Aorta ; Teratoma/diagnostic imaging ; Teratoma/surgery
    Language English
    Publishing date 2023-07-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.07.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Surgical Treatment of a Late Post-Coarctation Aortic Aneurysm.

    Annarita, Santoro / Germano, Melissano

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2022  

    Language English
    Publishing date 2022-10-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2022.10.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Commentary on "Outcome of Elective and Emergency Open Thoracoabdominal Aortic Aneurysm Repair in 255 Cases - A Retrospective Single Centre Study".

    Rinaldi, Enrico / Melissano, Germano

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2022  Volume 63, Issue 4, Page(s) 587

    Language English
    Publishing date 2022-03-09
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2022.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Current Artificial Intelligence Based Chatbots May Produce Inaccurate and Potentially Harmful Information for Patients With Aortic Disease.

    Melissano, Germano / Tinelli, Giovanni / Soderlund, Timo

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 67, Issue 4, Page(s) 683–684

    MeSH term(s) Humans ; Artificial Intelligence ; Aortic Diseases ; Patients
    Language English
    Publishing date 2023-11-11
    Publishing country England
    Document type Letter
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.10.042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Power is Nothing Without Control: Are Artificial Intelligence Chatbots in Vascular Diseases Tested and Verified?

    Melissano, Germano / Tinelli, Giovanni / Soderlund, Timo

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 67, Issue 4, Page(s) 691–692

    MeSH term(s) Humans ; Artificial Intelligence ; Vascular Diseases/diagnosis ; Vascular Diseases/therapy
    Language English
    Publishing date 2023-12-01
    Publishing country England
    Document type Letter
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.11.045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Renal perfusion in complex abdominal aortic aneurysm open repair: a scoping review.

    Loschi, Diletta / Santoro, Annarita / Rinaldi, Enrico / Melissano, Germano

    International angiology : a journal of the International Union of Angiology

    2023  Volume 42, Issue 3, Page(s) 223–228

    Abstract: Introduction: To perform a scoping review analyzing the current evidence reporting on acute kidney injury (AKI) after elective open surgery (OS) of complex abdominal aortic aneurysms (c-AAAs) and evaluate the impact of renal perfusion, and the different ...

    Abstract Introduction: To perform a scoping review analyzing the current evidence reporting on acute kidney injury (AKI) after elective open surgery (OS) of complex abdominal aortic aneurysms (c-AAAs) and evaluate the impact of renal perfusion, and the different types of solutions on renal morbidity.
    Evidence acquisition: Research questions were defined, and a literature search was performed following the PRISMA guidelines for scoping reviews. Multicenter, single-center observational studies were considered eligible. No abstracts only and unpublished literature were included.
    Evidence synthesis: Two hundred and fifty studies were screened, 20 studies met screening criteria and were included, reporting 1552 patients treated for c-AAAs. The majority did not receive renal perfusion and the others received different types of renal perfusions. Acute kidney injury is a common complication after c-AAAs OS, with an incidence up to 32.5%. Heterogeneity in AKI classifications reduce the ability to compare outcomes after perfusion and nonperfusion strategies. Pre-existing CKD, ischemic injury due to suprarenal aortic clamping are major determinants of AKI after aortic surgery. Most papers reported chronic kidney disease (CKD) at admission. Another debated topic is the indication for renal perfusion during c-AAAs OS. Controversial results for cold renal perfusion have been found.
    Conclusions: In the context of c-AAAs, this review identified the need to standardize the definition of AKI to reduce reporting bias. Besides this, it showed the need to assess the indication for renal perfusion and the type of perfusion solution to be used.
    MeSH term(s) Humans ; Acute Kidney Injury/etiology ; Aorta, Abdominal ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Multicenter Studies as Topic ; Perfusion/adverse effects ; Renal Insufficiency, Chronic/diagnosis
    Language English
    Publishing date 2023-05-08
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 604910-2
    ISSN 1827-1839 ; 0392-9590
    ISSN (online) 1827-1839
    ISSN 0392-9590
    DOI 10.23736/S0392-9590.23.05021-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Thoracoabdominal aortic aneurysm in connective tissue disorder patients.

    Diletta, Loschi / Enrico, Rinaldi / Germano, Melissano

    Indian journal of thoracic and cardiovascular surgery

    2022  Volume 38, Issue Suppl 1, Page(s) 146–156

    Abstract: Connective tissue disorders (CTDs) are a group of genetically triggered diseases in which the primary defect involves collagen and elastin protein assembly with potential vascular degenerations such as thoracoabdominal aortic aneurysm (TAAA) and ... ...

    Abstract Connective tissue disorders (CTDs) are a group of genetically triggered diseases in which the primary defect involves collagen and elastin protein assembly with potential vascular degenerations such as thoracoabdominal aortic aneurysm (TAAA) and dissection. These most commonly include Marfan syndrome, Ehlers-Danlos syndrome, Loeys-Dietz syndrome, and familial thoracic aortic aneurysm and dissection. Open surgical repair represents the standard approach in this specific group of patients. Extensive aortic replacements are generally performed in order to reduce long-term complications caused by the progressive dilatation of the remnant aortic segments. In the last decades, endovascular interventions have emerged as a valid alternative in patients affected by degenerative TAAA. However, in patients with CTD, this approach presents higher rates of reinterventions and postoperative complications with a disputable long-term durability, and it is nowadays performed for very selective indications such as severe comorbidities and urgent/emergent settings. Despite a deeper knowledge of the pathophysiological mechanisms involved in CTD, improvements in medical therapy, and a multidisciplinary approach fully involved in the management of these usually frailer patients, this specific group still represents a challenge. Further dedicated studies addressing mid-term and long-term outcomes in this selected population are needed.
    Language English
    Publishing date 2022-02-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 2164386-6
    ISSN 0973-7723 ; 0970-9134
    ISSN (online) 0973-7723
    ISSN 0970-9134
    DOI 10.1007/s12055-021-01324-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Contained rupture of an aortic arch aneurysm in a patient with syphilitic aortitis. A case report.

    Bilman, Victor / Bertoglio, Luca / Melissano, Germano / Chiesa, Roberto

    Jornal vascular brasileiro

    2022  Volume 20, Page(s) e20210160

    Abstract: Syphilitic aortitis is a rare complication of tertiary syphilis, which can lead to aortic aneurysm formation, aortic valvular insufficiency, and ostial coronary stenosis. Syphilis has re-emerged worldwide over recent decades and vascular surgeons should ... ...

    Abstract Syphilitic aortitis is a rare complication of tertiary syphilis, which can lead to aortic aneurysm formation, aortic valvular insufficiency, and ostial coronary stenosis. Syphilis has re-emerged worldwide over recent decades and vascular surgeons should be aware of its cardiovascular manifestations. Atypical clinical presentation, such as hemoptysis and a computed tomography angiography pattern of a thicker aneurysmal wall with ulcer-like aneurysm projections, should raise suspicion of syphilitic aortic aneurysm. An early diagnosis and appropriate surgical and medical therapies significantly contribute to successful treatment and favorable prognosis. Herein is reported the case of an 82-year-old male patient, positive for syphilis infection, with impending aortic arch aneurysm rupture treated with a hybrid arch repair. After 7 months, the patient was brought to the emergency room in cardiac arrest. Unsuccessful cardiopulmonary resuscitation maneuvers were performed, and an autopsy showed cardiac tamponade due to rupture of the ascending aorta.
    Language English
    Publishing date 2022-01-07
    Publishing country Brazil
    Document type Case Reports
    ZDB-ID 2571403-X
    ISSN 1677-7301 ; 1677-7301
    ISSN (online) 1677-7301
    ISSN 1677-7301
    DOI 10.1590/1677-5449.210160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Outcomes following Management of Complex Thoracoabdominal Aneurysm by an Open Approach.

    Chiesa, Roberto / Rinaldi, Enrico / Kahlberg, Andrea / Tinaglia, Sarah / Santoro, Annarita / Colacchio, Giovanni / Melissano, Germano

    Journal of clinical medicine

    2023  Volume 12, Issue 9

    Abstract: Background: In the last decade, advances in surgical techniques, and the introduction of adjuncts for organ protection, have modified the approach for thoracoabdominal aortic aneurysm (TAAA) surgical repair. The aim of this study is to determine whether ...

    Abstract Background: In the last decade, advances in surgical techniques, and the introduction of adjuncts for organ protection, have modified the approach for thoracoabdominal aortic aneurysm (TAAA) surgical repair. The aim of this study is to determine whether the contemporary approach influenced the outcomes.
    Methods: From 1989 to 2022, patients who had received elective open surgical repair (OSR) for TAAA at our institution were retrospectively analyzed. This series has been divided in two groups: Group 1 (1989-2009), and Group 2 (2010-2022). Patients included in Group 1 were those treated with a selective use of adjuncts, and Group 2 included patients treated with the systematic use of adjuncts.
    Results: A total of 1107 patients were treated (Group 1: 455; Group 2: 652). The surgical management was significantly different between the two groups. The in-hospital mortality was significantly different between the two groups (Group 1: 13.4%, Group 2: 8.1%;
    Conclusions: The use of the adjuncts enabled the achievement of improvement in mortality and SCI prevention in TAAA OSR. Although a refined surgical technique, mortality and morbidity are still noteworthy in this complex aortic field.
    Language English
    Publishing date 2023-04-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12093193
    Database MEDical Literature Analysis and Retrieval System OnLINE

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