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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
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Zs.A 469: Show issues

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Article ; Online: Role of Postmortem CT in the Forensic Evaluation of Hemopericardium.

Filograna, Laura / Pugliese, Luca / D'Onofrio, Adolfo / Meucci, Rosaria / Thali, Michael John / Floris, Roberto

Seminars in ultrasound, CT, and MR

2018 Volume 40, Issue 1, Page(s) 79–85

Abstract: Hemopericardium (HP) is defined as the accumulation of blood in the pericardial sack. In a clinical setting, prompt identification of the presence of HP is of huge importance, because HP can result in pericardial tamponade. While echocardiography remains ...

Abstract	Hemopericardium (HP) is defined as the accumulation of blood in the pericardial sack. In a clinical setting, prompt identification of the presence of HP is of huge importance, because HP can result in pericardial tamponade. While echocardiography remains the most appropriate method for the evaluation of pericardial effusions in the clinical setting, postmortem imaging computed tomography (PMCT) is a valuable instrument for detecting the presence of HP and in evaluating its significance in causing mechanical impairment of cardiac activity and finally death. In this article, the actual knowledge on PMCT imaging findings related to HP are reported, with particular attention to the assessment of its significance with relation to the forensic diagnosis of the cause of death. According to the present work, the diagnosis of pericardial tamponade due to HP might be considered one of the critical fields of investigation where classical autopsy may fail and where PMCT imaging may offer its most important aids.
MeSH term(s)	Autopsy ; Forensic Medicine/methods ; Humans ; Pericardial Effusion/diagnostic imaging ; Pericardium/diagnostic imaging ; Tomography, X-Ray Computed/methods
Language	English
Publishing date	2018-10-13
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1353113-x
ISSN	1558-5034 ; 0887-2171
ISSN (online)	1558-5034
ISSN	0887-2171
DOI	10.1053/j.sult.2018.10.005
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Zs.A 1594: Show issues

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Article: Cryotherapy of acetabular osteoid osteoma under fluoroscopic guidance using the XperGuide System.

Fiori, Roberto / Forcina, Marco / Di Donna, Carlo / D'Onofrio, Adolfo / Spiritigliozzi, Luigi / Cavallo, Armando Ugo / Floris, Roberto

Radiology case reports

2019 Volume 14, Issue 8, Page(s) 989–992

Abstract: Osteoid osteoma represents 10%-12% of all benign bone tumors, and is composed by osteoid tissue and reticular and immature bone tissue. Acetabular involvement is very rare (≤1%). In this case report, we describe the treatment of an osteoid osteoma of the ...

Abstract	Osteoid osteoma represents 10%-12% of all benign bone tumors, and is composed by osteoid tissue and reticular and immature bone tissue. Acetabular involvement is very rare (≤1%). In this case report, we describe the treatment of an osteoid osteoma of the acetabulum of a young man using cryotherapy under fluoroscopic guide with the new XperGuide system which is used to reduce X-ray radiation dose and to have a more accurate localization of the lesion compared to computed tomography-guided or surgical ablation.
Language	English
Publishing date	2019-06-06
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2019.05.021
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Article: Colonic angiodysplasia on CT colonography: case report and characteristic imaging findings.

Filograna, Laura / Filograna, Enrica / D'Onofrio, Adolfo / Flor, Nicola / Haddad, Yusef / Floris, Roberto

Radiology case reports

2017 Volume 12, Issue 4, Page(s) 693–696

Abstract: Gastrointestinal angiodysplasia represents the cause of 6% of lower gastrointestinal tract bleeding, particularly in the elderly. Because of the common presentation and age range of affected patients, often patients with occult or massive ... ...

Abstract	Gastrointestinal angiodysplasia represents the cause of 6% of lower gastrointestinal tract bleeding, particularly in the elderly. Because of the common presentation and age range of affected patients, often patients with occult or massive gastrointestinal bleedings are investigated with colonoscopy, in the suspect of colonic cancer. Other methods are capsule enteroscopy, angiography, double-contrast barium enema, computed tomography angiography, and radionuclide scanning. In this contribution, we describe a case of colonic angiodysplasia first suspected during computed tomography colonography performed after an incomplete colonoscopy in a patient with recent anemization. The purpose is to highlight the computed tomography colonography imaging characteristics of this rare finding during such examination performed due to suspected colon carcinoma as a complementary or substitutive method of colonoscopy.
Language	English
Publishing date	2017-08-14
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2017.07.014
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Article: Bilateral renal artery stenosis treated with drug-eluting balloon angioplasty in unique treatment.

Morosetti, Daniele / Chiocchi, Marcello / De Crescenzo, Federica / D'Onofrio, Adolfo / Di Martino, Arezia / Raso, Armando / Floris, Roberto / Gandini, Roberto

Radiology case reports

2018 Volume 14, Issue 2, Page(s) 242–245

Abstract: Renal artery stenosis commonly manifests with hypertension refractory to medical treatment. We report a case of renal artery stenosis occurring in a 19-year-old female patient who presented with extremely high blood pressure and bilateral renal stenosis ... ...

Abstract	Renal artery stenosis commonly manifests with hypertension refractory to medical treatment. We report a case of renal artery stenosis occurring in a 19-year-old female patient who presented with extremely high blood pressure and bilateral renal stenosis at the duplex ultrasound. Renal angiography confirmed the bilateral and irregular stenosis due to fibromuscular dysplasia, associated to extent collaterals suppling the poststenotic right renal artery. Therefore, angioplasty with drug-eluting balloon was performed in order to obtain a good vessel patency and to improve patency in the long term follow-up. After the endovascular treatment the blood pressure improved markedly, maintaining this result at 12 months follow-up at clinical examination and duplex ultrasound.
Language	English
Publishing date	2018-11-20
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2018.10.033
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Article ; Online: Endovascular Treatment of Critical Hand Ischemia: A Single-Center Experience.

Morosetti, Daniele / D'Onofrio, Adolfo / Argirò, Renato / Di Martino, Arezia / Vidali, Sofia / Nezzo, Marco / Wlderk, Andrea / Da Ros, Valerio / Gandini, Roberto

Cardiovascular revascularization medicine : including molecular interventions

2020 Volume 21, Issue 11, Page(s) 1438–1443

Abstract: Purpose: To clarify the role of endovascular treatment in patients with Critical Hand Ischemia of the distal upper extremity.: Methods: From January 2012 to January 2017, 18 dialyzed patients presented chronic critical hand ischemia; 6 patients had a ...

Abstract	Purpose: To clarify the role of endovascular treatment in patients with Critical Hand Ischemia of the distal upper extremity. Methods: From January 2012 to January 2017, 18 dialyzed patients presented chronic critical hand ischemia; 6 patients had a chronic occlusion of the ulnar artery and radial artery stenosis, 5 patients had a chronic occlusion of the radial artery and ulnar artery stenosis, 4 patients presented multiple stenosis of the ulnar, radial and interosseous arteries, 2 patients had only ulnar artery occlusion while one patient presented only radial artery occlusion. All patients underwent duplex ultrasound and a subsequent brachial angiography, in order to evaluate the distal run-off circulation. Revascularization was achieved via antegrade brachial puncture in all patients, with retrograde approach in 4 patients, with distal retrograde puncture in 3 patients and in one patient with loop technique. Results: No complications were observed during the periprocedural follow-up. One patient was not successfully revascularized (technical success rate: 94.4%). The patient had no direct flow after ulnar artery angioplasty. The procedure was clinical effective in 15 patients (clinical success rate: 83.3%). Clinical evaluation and Duplex-US were performed in the follow up period. TcpO2 evaluated in the perilesional skin surface increased from 20.2 ± 6.5 mmHg to 53.8 ± 13.1 mmHg in the follow up period (P < .01). We observed an improvement of pain, ulcers and infection healing in all treated remaining patients during the postoperative period. Conclusion: Percutaneous intervention prevents hand loss and functional impairment in patients with Critical Hand Ischemia and multiple comorbidities.
MeSH term(s)	Arterial Occlusive Diseases ; Endovascular Procedures ; Hand ; Humans ; Ischemia ; Peripheral Vascular Diseases ; Retrospective Studies ; Treatment Outcome ; Ulnar Artery
Language	English
Publishing date	2020-04-14
Publishing country	United States
Document type	Case Reports
ZDB-ID	2212113-4
ISSN	1878-0938 ; 1553-8389
ISSN (online)	1878-0938
ISSN	1553-8389
DOI	10.1016/j.carrev.2020.04.017
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Zs.A 5562: Show issues

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Article ; Online: Bailout alternative use of re-entry device to achieve a chronically occluded superficial artery recanalization without detectable origin.

Gandini, Roberto / Del Giudice, Costantino / Merolla, Stefano / D'Onofrio, Adolfo / Pampana, Enrico / Simonetti, Giovanni

Cardiovascular and interventional radiology

2015 Volume 38, Issue 2, Page(s) 503–506

MeSH term(s)	Aged ; Aged, 80 and over ; Arterial Occlusive Diseases/diagnostic imaging ; Arterial Occlusive Diseases/therapy ; Catheters ; Female ; Femoral Artery/diagnostic imaging ; Foot/blood supply ; Foot/diagnostic imaging ; Humans ; Prosthesis Failure ; Radiography ; Stents
Keywords	covid19
Language	English
Publishing date	2015-04
Publishing country	United States
Document type	Case Reports ; Letter
ZDB-ID	603082-8
ISSN	1432-086X ; 0342-7196 ; 0174-1551
ISSN (online)	1432-086X
ISSN	0342-7196 ; 0174-1551
DOI	10.1007/s00270-014-0882-5
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Zs.A 1378: Show issues

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Article: Anatomical variation: T1 spina bifida occulta. Radiological findings.

Manenti, Guglielmo / Iundusi, Riccardo / Picchi, Eliseo / Marsico, Salvatore / D'Onofrio, Adolfo / Rossi, Giorgia / Tarantino, Umberto / Floris, Roberto

Radiology case reports

2016 Volume 12, Issue 1, Page(s) 207–209

Abstract: We report a 26-year-old male patient who was admitted to our emergency department after a traffic accident and who suffered from neck pain. We have found accidentally a dorsal spinous process schisis, a very rare vertebral abnormality, that we recognized ...

Abstract	We report a 26-year-old male patient who was admitted to our emergency department after a traffic accident and who suffered from neck pain. We have found accidentally a dorsal spinous process schisis, a very rare vertebral abnormality, that we recognized in the X-rays imaging performed for the study of the lung parenchyma.
Language	English
Publishing date	2016-12-27
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2016.11.003
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Article ; Online: Long-term results of drug-eluting balloon angioplasty for treatment of refractory recurrent carotid in-stent restenosis.

Gandini, Roberto / Del Giudice, Costantino / Da Ros, Valerio / Sallustio, Fabrizio / Altobelli, Simone / D'Onofrio, Adolfo / Abrignani, Sergio / Vasili, Erald / Stanzione, Paolo / Simonetti, Giovanni

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

2014 Volume 21, Issue 5, Page(s) 671–677

Abstract: Purpose: To evaluate the potential role, safety, and efficacy of paclitaxel-eluting balloon angioplasty for treatment of recurrent carotid in-stent restenosis (ISR).: Methods: Among 856 consecutive patients who underwent carotid artery stenting from ... ...

Abstract	Purpose: To evaluate the potential role, safety, and efficacy of paclitaxel-eluting balloon angioplasty for treatment of recurrent carotid in-stent restenosis (ISR). Methods: Among 856 consecutive patients who underwent carotid artery stenting from May 2002 to January 2008, 41 patients had a significant ISR (>80% stenosis). Of these, 9 patients (7 women; mean age 78.1±5.6 years) had recurrent ISR despite multiple endovascular treatments (3.4±0.9 interventions) within a short period of time (2-5 months). These patients were treated with drug-eluting balloon (DEB) angioplasty for neointimal hyperplasia. Imaging (ultrasound or computed tomographic angiography) was performed at 1, 3, and 6 months and yearly thereafter. Results: Technical success was obtained in 100% of cases, with angiographic stenosis decreasing from 87%±4% to 6%±4% post treatment. Peak systolic velocity decreased significantly from 4.7±1.5 m/s to 0.6.±0.3 m/s after the procedure. Over a mean follow-up of 36.6±2.7 months, ultrasound imaging indicated recurrent ISR in only 3 patients at 18, 25, and 32 months after DEB angioplasty, respectively. The target vessel revascularization rate was 33.3% at 36 months. No neurological or myocardial events were recorded during follow-up. One patient died at 3 months. Conclusion: DEB may have a potential role improving outcomes of those patients treated for early recurrent carotid ISR.
MeSH term(s)	Aged ; Angioplasty, Balloon/adverse effects ; Angioplasty, Balloon/instrumentation ; Blood Flow Velocity ; Cardiovascular Agents/administration & dosage ; Carotid Stenosis/diagnosis ; Carotid Stenosis/physiopathology ; Carotid Stenosis/therapy ; Drug-Eluting Stents ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Female ; Humans ; Hyperplasia ; Male ; Middle Aged ; Neointima ; Paclitaxel/administration & dosage ; Prosthesis Design ; Recurrence ; Regional Blood Flow ; Retreatment ; Risk Factors ; Stents ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Doppler ; Vascular Patency
Chemical Substances	Cardiovascular Agents ; Paclitaxel (P88XT4IS4D)
Keywords	covid19
Language	English
Publishing date	2014-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2006618-1
ISSN	1545-1550 ; 1526-6028
ISSN (online)	1545-1550
ISSN	1526-6028
DOI	10.1583/14-4715MR.1
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Zs.A 4547: Show issues

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