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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
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Article ; Online: Complications Subsequent to Urinary Tract Stent Placement: An Overview Focusing on the Imaging of Cancer Patients.

Corvino, Antonio / Basile, Luigi / Cocco, Giulio / Delli Pizzi, Andrea / Tafuri, Domenico / Corvino, Fabio / Catalano, Orlando

Medicina (Kaunas, Lithuania)

2024 Volume 60, Issue 2

Abstract: Ureteral involvement by a tumor is common, and both partial and complete obstructions can result in symptoms that are distressing and debilitating, especially in cancer patients for whom the resection of the primary tumor is not considered an option. ... ...

Abstract	Ureteral involvement by a tumor is common, and both partial and complete obstructions can result in symptoms that are distressing and debilitating, especially in cancer patients for whom the resection of the primary tumor is not considered an option. Maintaining ureteric patency in these patients is a challenge. In addition, in cases where a patient has undergone nephroureterectomy due to primary transitional cell cancer, it becomes necessary to decompress the urinary tract to preserve the contralateral kidney from irreversible damage. This is possibly due to ureteral stenting, both retrograde and anterograde, and percutaneous nephrostomy (PCN). Since imaging plays an important role in the routine monitoring of stents, their more and more increasing use requires radiologists to be familiar with these devices, their correct position, their potential complications, and their consequences. The aim of this review is to offer a comprehensive review of the imaging features of some urinary stents and to show the complications encountered in cancer patients as a direct consequence of an invasive diagnostic or therapeutic procedure. Specifically, we focus on ureteral stents and PCN.
MeSH term(s)	Humans ; Ureteral Obstruction/diagnostic imaging ; Ureteral Obstruction/etiology ; Ureteral Obstruction/surgery ; Nephrostomy, Percutaneous/adverse effects ; Nephrostomy, Percutaneous/methods ; Ureter/diagnostic imaging ; Ureter/surgery ; Urinary Bladder Neoplasms ; Stents/adverse effects ; Retrospective Studies
Language	English
Publishing date	2024-02-19
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2188113-3
ISSN	1648-9144 ; 1010-660X
ISSN (online)	1648-9144
ISSN	1010-660X
DOI	10.3390/medicina60020338
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Zs.A 6270: Show issues

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Article: Usefulness of dynamic ultrasound in the diagnosis of epigastric herniation of stomach.

Corvino, Antonio / Corvino, Fabio / Tafuri, Domenico / Catalano, Orlando

Ultrasound (Leeds, England)

2021 Volume 30, Issue 2, Page(s) 162–166

Abstract: Introduction: Abdominal wall hernia contents usually consist of omental or mesenteric fat or loops of small or large bowel. Gastric involvement has been only rarely reported.: Case report: We present a case of a 62-year-old woman who was admitted to ... ...

Abstract	Introduction: Abdominal wall hernia contents usually consist of omental or mesenteric fat or loops of small or large bowel. Gastric involvement has been only rarely reported. Case report: We present a case of a 62-year-old woman who was admitted to our hospital due to epigastric pain and vomiting. On physical examination, the only observed abnormality was a soft, painless, epigastric bulge located in the upper midline. Based on the clinical presentation, the patient was diagnosed with a probable epigastric hernia. Dynamic ultrasound evaluation of the palpable bulge confirmed the presence of epigastric hernia demonstrating the movement of abdominal contents through a large wall defect. Surprisingly, the herniated contents were found to contain also the anterior wall of the distal stomach together with omental fat and vessels. The patient opted for surgery, which confirmed the presence of an epigastric hernia containing the distal portion of stomach. Discussion: In this case, dynamic ultrasound provided added value over computed tomography by clearly demonstrating stomach passing from the abdominal cavity to enter into the hernia sac and it is therefore reported for both its rarity and interest. To our knowledge, this is the first such ultrasound-based case report presented in literature and certainly the best sonographically documented. Conclusion: We anticiapte that this case report will promote the use of dynamic ultrasound in current practice as an effective imaging tool to recognise unusual types of hernias.
Language	English
Publishing date	2021-07-16
Publishing country	United States
Document type	Case Reports
ZDB-ID	2298926-2
ISSN	1743-1344 ; 1742-271X
ISSN (online)	1743-1344
ISSN	1742-271X
DOI	10.1177/1742271X211026013
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Zs.A 7025: Show issues

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Article: Damage Control Interventional Radiology in Liver Trauma: A Comprehensive Review.

Corvino, Fabio / Giurazza, Francesco / Marra, Paolo / Ierardi, Anna Maria / Corvino, Antonio / Basile, Antonio / Galia, Massimo / Inzerillo, Agostino / Niola, Raffaella

Journal of personalized medicine

2024 Volume 14, Issue 4

Abstract: The liver is the second most common solid organ injured in blunt and penetrating abdominal trauma. Non-operative management (NOM) has become the standard of care for liver injuries in stable patients, where transarterial embolization (TAE) represents the ...

Abstract	The liver is the second most common solid organ injured in blunt and penetrating abdominal trauma. Non-operative management (NOM) has become the standard of care for liver injuries in stable patients, where transarterial embolization (TAE) represents the main treatment, increasing success rates and avoiding invasive surgical procedures. In hemodynamically (HD) unstable patients, operative management (OM) is the standard of care. To date, there are no consensus guidelines about the endovascular treatment of patients with HD instability or in ones that responded to initial infusion therapy. A review of the literature was performed for published papers addressing the outcome of using TAE as the primary treatment for HD unstable/transient responder trauma liver patients with hemorrhagic vascular lesions, both as a single treatment and in combination with surgical treatment, focusing additionally on the different definitions used in the literature of unstable and transient responder patients. Our review demonstrated a good outcome in HD unstable/transient responder liver trauma patients treated with TAE but there still remains much debate about the definition of unstable and transient responder patients.
Language	English
Publishing date	2024-03-29
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm14040365
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Article ; Online: Combined DSA- and US-guided management of acute bleeding: effectiveness of percutaneous glue embolization in six cases.

Giurazza, Francesco / Corvino, Fabio / Pane, Francesco / Di Serafino, Marco / Niola, Raffaella

Journal of ultrasound

2023 Volume 27, Issue 1, Page(s) 179–184

Abstract: Aims: This study aims to report on safety and effectiveness of glue embolization of acute hemorrhages performed by US-guided percutaneous direct puncture, in patients where the standard endovascular approach is technically unfavourable.: Methods: In ... ...

Abstract	Aims: This study aims to report on safety and effectiveness of glue embolization of acute hemorrhages performed by US-guided percutaneous direct puncture, in patients where the standard endovascular approach is technically unfavourable. Methods: In this single center retrospective analysis, patients affected by traumatic or non traumatic acute hemorrhages were treated with glue embolization technically performed by US-guided direct puncture. Patients suffered from active bleeding detected at contrast-enhanced Computer Tomography and confirmed at Digital Subtracted Arteriography, with concomitant hemoglobin drop and blood pressure reduction. Six patients were reviewed; hemorrhages occurred in liver parenchima (1), gallbladder (1) and lower limbs (4). Bleedings etiologies were post-traumatic (5) and inflammatory (1); four had extraluminal blushes while 2 were pseudoaneurysms. In five cases (4 limbs and 1 hepatic bleedings) the direct-puncture approach was adopted because of technically unfavourable vascular anatomy for superselective embolization; in one case (cystic artery pseudoaneurysm), an endovascular embolization would entail a high risk of gallbladder ischemia because of its terminal arterial supply. Technical success was defined disappearance of bleeding signs at last arteriography; clinical success was considered stabilization and/or improvement of hemoglobin values and arterial pressure without additional interventions. Results: Both technical and clinical successes were obtained in 100% of the cases without major complications. No needle occlusion occurred during glue injection. Conclusions: In this study percutaneous US-guided embolization by direct puncture was a safe and effective approach to manage acute bleedings; it could be considered as an alternative in patients with unfavourable vascular anatomy for the standard catheter-directed endovascular embolization.
MeSH term(s)	Humans ; Retrospective Studies ; Hemorrhage/diagnostic imaging ; Hemorrhage/etiology ; Hemorrhage/therapy ; Embolization, Therapeutic ; Arteries ; Hemoglobins
Chemical Substances	Hemoglobins
Language	English
Publishing date	2023-05-10
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2365426-0
ISSN	1876-7931 ; 1971-3495
ISSN (online)	1876-7931
ISSN	1971-3495
DOI	10.1007/s40477-023-00785-5
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Article ; Online: Percutaneous Embolization of Biliary Leaks: Initial Experience with Extravascular Application of a PTFE-Covered Microplug.

Giurazza, Francesco / Ierardi, Annamaria / Spinazzola, Angelo / Corvino, Fabio / Pane, Francesco / Carrafiello, Giampaolo / Niola, Raffaella

Cardiovascular and interventional radiology

2023 Volume 46, Issue 3, Page(s) 400–405

Abstract: Purpose: This paper describes the initial experience with a PTFE-covered microplug to perform extravascular embolizations in patients with iatrogenic biliary leaks.: Materials and methods: A retrospective multicenter analysis has been conducted on ... ...

Abstract	Purpose: This paper describes the initial experience with a PTFE-covered microplug to perform extravascular embolizations in patients with iatrogenic biliary leaks. Materials and methods: A retrospective multicenter analysis has been conducted on seven patients. All were symptomatic for abdominal pain and had an abdominal drainage adjacent to the supposed site of leakage. The biliary output of the drainage was monitored daily. Biliary leak etiology was iatrogenic: four after laparoscopic cholecistectomy for gallstones, one after explorative laparotomy for pancreas head adenocarcinoma with concomitant cholecistectomy for gallstones, and two after long-standing internal-external right biliary drainage for cholangiocarcinoma. In four cases leakage sourced from cystic duct stump, in one from an aberrant bile duct and in two from bilio-cutaneous fistula. Technical success was considered leak resolution at the last cholangiography. Clinical success was defined improvement in the clinical conditions together with progressive resolution of the biliary output from the abdominal drainage until removal. Results: Technical and clinical successes were 100%. A 5 mm microplug was adopted in five cases of post-cholecistectomy leaks. A 3 mm microplug and a 9 mm microplug were deployed in the two cases of peripheral leaks related to bilio-cutaneous fistulas. In three patients additional embolics (coils in two cases; spongel slurry in one case) were required. Minor complications occurred in three patients. Conclusion: This initial experience on seven patients with iatrogenic biliary leaks demonstrated that percutaneous transhepatic PTFE-covered microplug embolization is technically feasible and clinically effective to achieve leak resolution. Future researches with larger samples are needed to confirm these findings.
MeSH term(s)	Humans ; Gallstones/complications ; Biliary Tract Diseases/etiology ; Bile Ducts/surgery ; Polytetrafluoroethylene ; Iatrogenic Disease ; Retrospective Studies ; Drainage ; Postoperative Complications/surgery
Chemical Substances	Polytetrafluoroethylene (9002-84-0)
Language	English
Publishing date	2023-02-06
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	603082-8
ISSN	1432-086X ; 0342-7196 ; 0174-1551
ISSN (online)	1432-086X
ISSN	0342-7196 ; 0174-1551
DOI	10.1007/s00270-023-03368-3
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Zs.A 1378: Show issues

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Article ; Online: "Daddy wrist": A high-resolution ultrasound diagnosis of de Quervain tenosynovitis.

Corvino, Antonio / Lonardo, Valeria / Corvino, Fabio / Tafuri, Domenico / Pizzi, Andrea Delli / Cocco, Giulio

Journal of clinical ultrasound : JCU

2023 Volume 51, Issue 5, Page(s) 845–847

Abstract: De Quervain's tenosynovitis involves the first of the six dorsal compartments of the wrist, which contains the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. It seems to be associated with female sex (F:M = 10:1), middle age ( ... ...

Abstract	De Quervain's tenosynovitis involves the first of the six dorsal compartments of the wrist, which contains the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. It seems to be associated with female sex (F:M = 10:1), middle age (30-50 years) and activities involving repetitive hand and wrist motions such as typing, piano playing or repetitively lifting children head, such as in postpartum females (hence the term "baby wrist" or "mommy wrist"). Aim of this paper was to illustrate high-resolution ultrasound (US) features of the DQD by describing a well-documented case that occurred in a "new dad" taking care of his babe. Hence, firstly in literature we could refer to this condition with the term of "daddy wrist".
MeSH term(s)	Middle Aged ; Child ; Humans ; Female ; Adult ; Wrist/diagnostic imaging ; Tenosynovitis/diagnostic imaging ; Wrist Joint/diagnostic imaging ; Tendons/diagnostic imaging ; Forearm
Language	English
Publishing date	2023-02-08
Publishing country	United States
Document type	Case Reports
ZDB-ID	189393-2
ISSN	1097-0096 ; 0091-2751
ISSN (online)	1097-0096
ISSN	0091-2751
DOI	10.1002/jcu.23440
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Zs.A 1186: Show issues

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Article ; Online: Scrubbing needles: a simple and costless technique to improve needle tip visibility during US-guided liver interventions.

Giurazza, Francesco / Contegiacomo, Andrea / Corvino, Fabio / Basile, Antonello / Niola, Raffaella

Journal of ultrasound

2021 Volume 25, Issue 1, Page(s) 73–78

Abstract: Aims: To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage.: Methods: In this retrospective analysis 16 percutaneous transhepatic biliary ...

Abstract	Aims: To evaluate the echogenicity of a commercially available needle, modified on the tip, by comparing two groups of patients undergoing to percutaneous biliary drainage. Methods: In this retrospective analysis 16 percutaneous transhepatic biliary drainage (PTBD) procedures performed on 16 oncologic patients were evaluated. Patients were randomly divided into two groups of eight subjects each; in the first group, a standard needle was adopted (group A); in the second group, the needle was manually modified to create a rough surface (group B), by scrubbing the tip with an 11 scalpel blade for 150 s all around its surface. To objectively quantify US needle tip visibility, the contrast-to-noise ratio (CNR) was calculated analyzing B-mode images by positioning region of interests in correspondence of needle tip and liver parenchyma. Results: Needle tip echogenicity was significantly higher in group B where the needle tip was modified compared to control group A (p value = 0.014). CNR, considered to objectively evaluate differences among needle tip echogenicity, was significantly higher in group B with respect to control group A (p value = 0.018). Conclusions: The proposed method, scrubbing a 22 gauge commercially available needle tip with a scalpel blade, represents an effective technique to improve needle visibility during US-guided punctures of the liver.
MeSH term(s)	Humans ; Liver/diagnostic imaging ; Liver/surgery ; Needles ; Phantoms, Imaging ; Retrospective Studies ; Ultrasonography, Interventional/methods
Language	English
Publishing date	2021-02-10
Publishing country	Italy
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2365426-0
ISSN	1876-7931 ; 1971-3495
ISSN (online)	1876-7931
ISSN	1971-3495
DOI	10.1007/s40477-021-00561-3
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Article ; Online: Seeing the unseen with superb microvascular imaging: Ultrasound depiction of normal dermis vessels.

Corvino, Antonio / Varelli, Carlo / Cocco, Giulio / Corvino, Fabio / Catalano, Orlando

Journal of clinical ultrasound : JCU

2021 Volume 50, Issue 1, Page(s) 121–127

Abstract: Purpose: Current color- and power-Doppler techniques cannot demonstrate vascularization of the dermis. Aim of this prospective study was to investigate whether the new superb vascular imaging (SMI) technique improves the ultrasound (US) depiction of ... ...

Abstract	Purpose: Current color- and power-Doppler techniques cannot demonstrate vascularization of the dermis. Aim of this prospective study was to investigate whether the new superb vascular imaging (SMI) technique improves the ultrasound (US) depiction of dermis vessels in healthy volunteers. SMI was compared side-by-side to conventional power-Doppler (PD) imaging. Methods: Thirty adult subjects (18 men and 12 women, mean age 45 years old) were evaluated with US at level of five body areas: forehead, forearm, palm, buttock, and thigh. The vascular index (VI) was employed to objectively quantify the difference between SMI and PD imaging in terms of dermis flow amount. Results: Forehead VI was higher for SMI than for PD in 93% of cases, forearm VI was higher for SMI than for PD in 97% of cases, palm VI was higher for SMI than for PD in 87% of cases, buttock VI was higher for SMI than for PD in 100% of cases, thigh VI was higher for SMI than for PD in 100% of cases. SMI-detected vascular signals in 100% of the body areas. PD failed to show any flow signals from the forehead in 23% of cases, forearm in 37% of cases, palm in 33% of cases, buttock in 47% of cases, and thigh in 50% of cases. Conclusion: SMI can demonstrate normal dermis vascularization whereas conventional PD cannot. SMI is a sensitive and promising technique in the study of dermis abnormalities, particularly when quantifying the disease activity is important.
MeSH term(s)	Adult ; Dermis/diagnostic imaging ; Female ; Humans ; Male ; Microvessels/diagnostic imaging ; Middle Aged ; Prospective Studies ; Ultrasonography ; Ultrasonography, Doppler
Language	English
Publishing date	2021-11-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	189393-2
ISSN	1097-0096 ; 0091-2751
ISSN (online)	1097-0096
ISSN	0091-2751
DOI	10.1002/jcu.23068
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Zs.A 1186: Show issues

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Article ; Online: Aortic Retrieval of an Atrial Occluder Device.

Corvino, Fabio / Giurazza, Francesco / Cavaglià, Enrico / Corvino, Antonio / Niola, Raffaella

Journal of vascular and interventional radiology : JVIR

2021 Volume 33, Issue 1, Page(s) 90

MeSH term(s)	Aorta ; Cardiac Catheterization/adverse effects ; Device Removal ; Echocardiography, Transesophageal ; Heart Atria ; Heart Septal Defects, Atrial ; Humans ; Septal Occluder Device ; Treatment Outcome
Language	English
Publishing date	2021-11-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2021.09.002
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