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  1. Article: A Case of Late Type Ia Endoleak After Endovascular Aneurysm Sealing Using the Nellix System: Proximal Extension with Triple Chimney and Gutter Endoleak Embolization.

    Volpe, Pietro / Alberti, Antonino / Alberti, Vittorio / Massara, Mafalda

    Annals of vascular diseases

    2022  Volume 14, Issue 4, Page(s) 393–395

    Abstract: An 87-year-old man, who submitted to endovascular aneurysm sealing (EVAS) on 2017, presented a type Ia endoleak 2 years later, with enlargement of the aneurysmal sac. We planned an endovascular procedure of correction consisting of a proximal extension ... ...

    Abstract An 87-year-old man, who submitted to endovascular aneurysm sealing (EVAS) on 2017, presented a type Ia endoleak 2 years later, with enlargement of the aneurysmal sac. We planned an endovascular procedure of correction consisting of a proximal extension through two covered stent grafts deployed into the previous Nellix stent grafts, with associated triple chimney. However, 3 months later, he had a further 5 mm aneurysmal sac enlargement. He was submitted to angiography with coil embolization of gutters, obtaining a successfully result. At 1 and 3 months, he is free from endoleak, with a stable aneurysmal diameter.
    Language English
    Publishing date 2022-01-17
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2394256-3
    ISSN 1881-6428 ; 1881-641X
    ISSN (online) 1881-6428
    ISSN 1881-641X
    DOI 10.3400/avd.cr.21-00092
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Stent-Graft Relining Using the Altura Endograft for Type Ia and IIIb Endoleaks after Kissing Iliac Arteries Stent.

    Volpe, Pietro / Alberti, Antonino / Alberti, Vittorio / Massara, Mafalda

    Annals of vascular surgery

    2021  Volume 75, Page(s) 532.e15–532.e19

    Abstract: A 79 years old man, affected by serious comorbidities, occurred to the Emergency Room of our Hospital complaining abdominal pain. He was previously submitted to kissing iliac arteries stent for iliac aneurysms. An urgent CT scan showed a type Ia and a ... ...

    Abstract A 79 years old man, affected by serious comorbidities, occurred to the Emergency Room of our Hospital complaining abdominal pain. He was previously submitted to kissing iliac arteries stent for iliac aneurysms. An urgent CT scan showed a type Ia and a type IIIb endoleaks with left common iliac artery enlargement, occlusion of both hypogastric arteries and inferior mesenteric artery, and a severe stenosis of the right iliac external artery. We opted for a relining with a two-piece D-shaped Altura endograft for the aorta, with bilateral iliac components, landing at the level of the external iliac arteries. Postoperative course was uneventful with no endoleak or endograft migration on CT scan control at 6 months.
    MeSH term(s) Aged ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/instrumentation ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/surgery ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Humans ; Iliac Aneurysm/diagnostic imaging ; Iliac Aneurysm/surgery ; Iliac Artery/diagnostic imaging ; Iliac Artery/surgery ; Male ; Reoperation ; Stents ; Treatment Outcome
    Language English
    Publishing date 2021-04-24
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2021.03.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2882: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Endovascular Treatment of Juxtarenal Abdominal Aortic Aneurysms Recurring to the "Vent Technique".

    Volpe, Pietro / Alberti, Antonino / Massara, Mafalda

    Annals of vascular surgery

    2020  Volume 68, Page(s) 270–274

    Abstract: Background: Juxtarenal abdominal aortic aneurysms represent 15-20% of all abdominal aortic aneurysms (AAAs). The gold standard of treatment is represented by open surgical repair (OSR). Patients judged unfit for OSR could be submitted to fenestrated ... ...

    Abstract Background: Juxtarenal abdominal aortic aneurysms represent 15-20% of all abdominal aortic aneurysms (AAAs). The gold standard of treatment is represented by open surgical repair (OSR). Patients judged unfit for OSR could be submitted to fenestrated endovascular aortic repair (FEVAR) or the chimney technique. FEVAR requires 3-4 weeks for endograft production, a minimal length of 4 mm for proximal aortic neck and a large access vessels diameter, with high costs. The traditional chimney technique, feasible also in urgent cases, has a risk of type IA endoleak due to the space created between covered stents introduced into visceral arteries and the endograft.
    Methods: In the present article, we report our experience about juxtarenal AAA (jAAA) treatment in 5 patients, recurring to uncovered bare metal stents associated with the ultralow profile Ovation endograft.
    Results: No intraoperative complications or type IA endoleaks were recorded. Primary clinical success at 1 month was also 100%. During a mean follow-up period of 12.1 ± 3.6 months (range, 9-15 months), no complications related to aneurysm were recorded.
    Conclusions: The technique reported represents a valid endovascular option for jAAA treatment in patients at high risk for OSR. With respect to FEVAR, urgent patients should also be treated. With respect to traditional Ch-EVAR, the risk of type IA endoleak is reduced, with a lower rate of reoperation during follow-up. Preliminary clinical results are promising.
    MeSH term(s) Aged ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Humans ; Metals ; Prosthesis Design ; Risk Factors ; Stents ; Treatment Outcome
    Chemical Substances Metals
    Language English
    Publishing date 2020-04-10
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2020.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2882: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Early and mid-term results of endovascular treatment of thoracic aorta diseases: a single-center experience.

    Massara, Mafalda / Alberti, Antonino / Volpe, Pietro

    Seminars in vascular surgery

    2020  Volume 32, Issue 3-4, Page(s) 111–116

    Abstract: We conducted an analysis to assess early and mid-term outcomes of patients after thoracic endovascular aortic repair (TEVAR) for type B thoracic aorta dissection, descending thoracic aneurysm, or traumatic aortic transection. From January 2016 through ... ...

    Abstract We conducted an analysis to assess early and mid-term outcomes of patients after thoracic endovascular aortic repair (TEVAR) for type B thoracic aorta dissection, descending thoracic aneurysm, or traumatic aortic transection. From January 2016 through December 2018, twenty-seven patients (23 male, 4 female, mean age of 57 years) affected by type B dissection (n = 13 [48.2%]), thoracic aneurysm (n = 9 [33.3%]), and post-traumatic aortic isthmus rupture (n = 5 [18.5%]) were treated using TEVAR with and without left subclavian artery revascularization. All procedures were performed in a hybrid operating room using general (n = 12) or regional (n = 15) anesthesia. A combined brachial artery and bilateral femoral artery access was used in all patients. To achieve adequate proximal thoracic aorta landing zone length, coverage of the left subclavian artery with proximal endovascular plug occlusion was performed in 17 patients (62.9%); including 4 patients undergoing carotid-subclavian artery bypass before TEVAR stent-graft deployment. Primary procedural success rate was 96.3%; 1 patient had a Type Ib endoleak that was treated by distal stent graft extension. Four adverse outcomes occurred in the immediate postoperative period, including 2 cases of left upper arm acute ischemia (7.4%), ischemic stroke (3.7%), and asymptomatic iliac artery dissection (3.7%). During a mean follow-up of 18 months, no graft-related deaths or endoleak occurred. One patient developed symptomatic subclavian steal syndrome 1 month after operation and underwent a left carotid-subclavian artery bypass with symptom resolution. One patient died 6 months after TEVAR due to neoplasm. Our experience indicates TEVAR is a safe and less invasive alternative to open surgery for a spectrum of thoracic aorta diseases, especially for urgent conditions and in patients with high-risk surgical comorbidities.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/injuries ; Aorta, Thoracic/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Databases, Factual ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Female ; Humans ; Italy ; Male ; Middle Aged ; Postoperative Complications/surgery ; Reoperation ; Retrospective Studies ; Risk Factors ; Stents ; Time Factors ; Treatment Outcome ; Vascular System Injuries/diagnostic imaging ; Vascular System Injuries/surgery ; Young Adult
    Language English
    Publishing date 2020-04-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645131-7
    ISSN 1558-4518 ; 0895-7967
    ISSN (online) 1558-4518
    ISSN 0895-7967
    DOI 10.1053/j.semvascsurg.2020.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2503: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator.

    Massara, Mafalda / Alberti, Antonino / Cutrupi, Andrea / Alberti, Vittorio / Franco, Gaetana / Volpe, Pietro

    Annals of vascular diseases

    2021  Volume 14, Issue 3, Page(s) 264–266

    Abstract: A recent systematic review and meta-analysis shows that synchronous and metachronous thoracic and abdominal aortic aneurysms are present in 19.2% of cases. The management remains controversial: elective simultaneous TEVAR and EVAR could increase ... ...

    Abstract A recent systematic review and meta-analysis shows that synchronous and metachronous thoracic and abdominal aortic aneurysms are present in 19.2% of cases. The management remains controversial: elective simultaneous TEVAR and EVAR could increase morbidity due to increased aortic coverage during a single procedure, longer operative times, increased blood loss, and greater contrast exposure. Conversely, simultaneous thoracic endovascular aortic repair (TEVAR) and endovascular aneurysms repair (EVAR) prevent the need for two interventions, reduces future access site complications, and obviates interval aortic complications. We present a case of a multilevel aortic disease treated in three stages: EVAR, TEVAR, and exclusion of an increasing aortic visceral penetrating aortic ulcer through a multilayer flow modulator endograft with an optimal result.
    Language English
    Publishing date 2021-08-18
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2394256-3
    ISSN 1881-6428 ; 1881-641X
    ISSN (online) 1881-6428
    ISSN 1881-641X
    DOI 10.3400/avd.cr.21-00031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The role of cord blood platelet gel in the management of a diabetic foot with tendon exposure.

    Massara, Mafalda / Pucci, Giulia / Stilo, Giuseppe / Alberti, Antonino / Surace, Rosangela / Foti, Giovanni / Volpe, Pietro

    Regenerative medicine

    2021  Volume 16, Issue 12, Page(s) 1051–1056

    Abstract: Diabetic foot infection is frequent in diabetic patients and is due to neuropathy, trauma or peripheral arterial disease. The presence of an abscess requires urgent drainage and specific antibiotic therapy. Patients with critical limb ischemia need ... ...

    Abstract Diabetic foot infection is frequent in diabetic patients and is due to neuropathy, trauma or peripheral arterial disease. The presence of an abscess requires urgent drainage and specific antibiotic therapy. Patients with critical limb ischemia need revascularization and, subsequently the intervention of a plastic surgeon is often required in cases of exposure of tendons and ligaments. During the COVID-19 pandemic, a patient was refered to our department with an abscess on the dorsum of the left foot. After urgent drainage with tendon exposure, he started specific antibiotic therapy and underwent tibial vessels angioplasty. After infection healing cord blood platelet gel was applied, accelerating the healing process, with injection of its liquid part into the exposed tendons, thus retaining the vital functions of the tendons.
    MeSH term(s) Amputation ; Blood Platelets ; COVID-19 ; Chronic Limb-Threatening Ischemia ; Diabetes Mellitus ; Diabetic Foot/therapy ; Humans ; Ischemia ; Male ; Pandemics ; SARS-CoV-2 ; Tendons ; Treatment Outcome
    Language English
    Publishing date 2021-09-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2274500-2
    ISSN 1746-076X ; 1746-0751
    ISSN (online) 1746-076X
    ISSN 1746-0751
    DOI 10.2217/rme-2021-0044
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6627: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 629: Show issues

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  7. Article ; Online: Use of cord blood platelet gel to enhance healing of deep surgical site dehiscences after peripheral bypass.

    Volpe, Pietro / Pucci, Giulia / Stilo, Giuseppe / Alberti, Antonino / Foti, Giovanni / Surace, Rosangela / Massara, Mafalda

    Regenerative medicine

    2020  Volume 15, Issue 8, Page(s) 1951–1956

    Abstract: Surgical site dehiscence after lower limb revascularization through bypass represents a serious postoperative complication, especially in diabetic and obese patients, with subsequent risk of early graft failure, infection, sepsis, hemorrhage, major ... ...

    Abstract Surgical site dehiscence after lower limb revascularization through bypass represents a serious postoperative complication, especially in diabetic and obese patients, with subsequent risk of early graft failure, infection, sepsis, hemorrhage, major amputation and sometimes death. To prevent bypass exposure and subsequent complications, physicians recur to reoperation, antibiotic therapy, advanced dressing and vacuum-assisted closure therapy. To improve the process of wound healing, cord blood platelet gel can be used to fill deep and large wounds. Growth factors released from platelets in the cord blood platelet gel stimulate the process of healing and allow patients to be followed up in Outpatient Surgery, thus reducing hospital stay and costs, while providing excellent results.
    MeSH term(s) Bandages ; Blood Platelets ; Humans ; Negative-Pressure Wound Therapy ; Vascular Surgical Procedures ; Wound Healing
    Language English
    Publishing date 2020-10-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2274500-2
    ISSN 1746-076X ; 1746-0751
    ISSN (online) 1746-076X
    ISSN 1746-0751
    DOI 10.2217/rme-2020-0034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6627: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  8. Article: Access instruments for video assisted surgery: combination of mini-invasivity and universality.

    De Caridi, Giovanni / Massara, Mafalda / Serra, Raffaele / Monaco, Francesco / Benedetto, Filippo

    Journal of thoracic disease

    2018  Volume 11, Issue Suppl 9, Page(s) S1375–S1376

    Language English
    Publishing date 2018-05-23
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2019.03.70
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Unstable atherosclerotic plaque in the common carotid artery: Diagnosis and treatment strategy.

    Massara, Mafalda / Notarstefano, Stefano / Gerardi, Pasquale / Prunella, Roberto / Impedovo, Giovanni

    Seminars in vascular surgery

    2018  Volume 31, Issue 2-4, Page(s) 88–90

    Abstract: The indication for carotid artery stenosis treatment is based primarily on the severity of internal carotid stenosis. There is increasing evidence that unstable plaques in the extracranial carotid artery can be responsible for ischemic stroke or ... ...

    Abstract The indication for carotid artery stenosis treatment is based primarily on the severity of internal carotid stenosis. There is increasing evidence that unstable plaques in the extracranial carotid artery can be responsible for ischemic stroke or transient ischemic attacks as the source of emboli, even if in the presence of a moderate stenosis. Physicians should be aware that morphological characteristics of the carotid plaques that indicate recent intra-plaque hemorrhage might require intervention in the absence of severe stenosis. This report details a patient with an unstable plaque in the common carotid artery who met clinical criteria for intervention because of the risk for future stroke.
    MeSH term(s) Aged ; Carotid Artery, Common/diagnostic imaging ; Carotid Artery, Common/pathology ; Carotid Artery, Common/surgery ; Carotid Stenosis/diagnostic imaging ; Carotid Stenosis/pathology ; Carotid Stenosis/surgery ; Clinical Decision-Making ; Computed Tomography Angiography ; Endarterectomy, Carotid ; Humans ; Male ; Plaque, Atherosclerotic ; Predictive Value of Tests ; Rupture, Spontaneous ; Severity of Illness Index ; Treatment Outcome ; Ultrasonography, Doppler, Duplex
    Language English
    Publishing date 2018-12-21
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 645131-7
    ISSN 1558-4518 ; 0895-7967
    ISSN (online) 1558-4518
    ISSN 0895-7967
    DOI 10.1053/j.semvascsurg.2018.12.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2503: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Uncommon case of symptomatic left renal vein compression caused by neurofibroma.

    De Caridi, Giovanni / Massara, Mafalda / Spinelli, Francesco

    Asian cardiovascular & thoracic annals

    2016  Volume 24, Issue 5, Page(s) 492

    MeSH term(s) Abdominal Neoplasms/complications ; Abdominal Neoplasms/diagnostic imaging ; Abdominal Neoplasms/surgery ; Adult ; Constriction, Pathologic ; Female ; Humans ; Neurofibromatosis 1/complications ; Neurofibromatosis 1/diagnostic imaging ; Neurofibromatosis 1/surgery ; Renal Veins/diagnostic imaging ; Tomography, X-Ray Computed ; Treatment Outcome ; Tumor Burden ; Vascular Diseases/diagnostic imaging ; Vascular Diseases/etiology
    Language English
    Publishing date 2016-06
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1400468-9
    ISSN 1816-5370 ; 0218-4923
    ISSN (online) 1816-5370
    ISSN 0218-4923
    DOI 10.1177/0218492315573675
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5193: Show issues Location:
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