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Article ; Online: New Routes for Continuous Endovascular Advancement.

Faggioli, Gianluca / Pini, Rodolfo

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

2021 Volume 62, Issue 4, Page(s) 629

MeSH term(s)	Endovascular Procedures/adverse effects ; Humans
Language	English
Publishing date	2021-06-06
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.2021.04.026
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Zs.A 2283: 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)
Zs.MO 381: Show issues

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Article ; Online: Medical and interventional outcome of dissection of the cervical arteries. Systematic review and meta-analysis.

Pini, Rodolfo / Faggioli, Gianluca / Lodato, Marcello / Campana, Federica / Vacirca, Andrea / Gallitto, Enrico / Gargiulo, Mauro

Journal of vascular surgery

2024

Abstract: Introduction: The management of cervical artery dissections (CAD) is poorly standardized given the scarce number of prospective studies comparing medical and interventional approach to CAD. The aim of the present study is to perform a systematic review ... ...

Abstract	Introduction: The management of cervical artery dissections (CAD) is poorly standardized given the scarce number of prospective studies comparing medical and interventional approach to CAD. The aim of the present study is to perform a systematic review and meta-analysis of studies on the treatments of CAD. Methods: Systematic review and meta-analysis - pre-registered on PROSPERO (CRD42022297512) and performed according to the PRISMA guidelines searching in three different databases (PubMed, Embase and Cochrane Database) - of studies on medical or interventional approach to the CAD. Only prospective studies were selected in order to reduce the risk of bias for the primary meta-analysis. Secondarily retrospective studies were also included. The aim was to assess the rate of stroke and of stroke/death/bleeding (major or intracranial) by Der Simonian-Laird weights of random effects model. Results: After screening 456 articles, 6 prospective and 22 retrospective studies were identified. Two randomized controlled trials and 5 retrospective studies comparing antiplatelet (APT) vs. oral anticoagulant therapy (OAC) for CAD were identified, as well as 4 prospective and 17 retrospective single-arm studies evaluating stenting for CAD. In the meta-analysis of RCTs comparing APT vs OAC, 444 patients were considered and a borderline significant association was identified in terms of stroke/death in APT vs OAC groups (OR 5.6; 95% CI: 0.94-33.38, P=.06, I
Language	English
Publishing date	2024-04-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2024.04.036
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Article ; Online: The efficacy of CO2 angiography in the endovascular treatment of an acute iliac pseudoaneurysm.

Vacirca, Andrea / Mirandola, Veronica / Faggioli, Gianluca / Pini, Rodolfo / Gargiulo, Mauro

The Journal of cardiovascular surgery

2023 Volume 64, Issue 6, Page(s) 653–656

Abstract: ... CO ... 2 ... angiography has been used extensively for the endovascular treatment of aorto-iliac and femoral-popliteal-tibial pathologies, specifically in patients with chronic kidney disease or allergy to iodinated contrast medium (ICM). However, its ... ...

Abstract	CO<inf>2</inf> angiography has been used extensively for the endovascular treatment of aorto-iliac and femoral-popliteal-tibial pathologies, specifically in patients with chronic kidney disease or allergy to iodinated contrast medium (ICM). However, its use in urgent treatment of an acute pseudoaneurysm has never been described before. We report a case of a 39-year-old woman, allergic to iodine, with a recent kidney transplant, who presented in the emergency room with severe pain in the left iliac fossa. Angio CT-scan showed an acute pseudoaneurysm of the left common iliac artery. She was emergently treated with a stent-graft and CO<inf>2</inf> was used as main contrast medium. The intraoperative angiographies performed with carbon dioxide showed very well the rupture site and the pseudoaneurysm; the latter were more clearly visible with CO<inf>2</inf> compared with ICM. The reported case shows the efficacy of CO<inf>2</inf> as contrast medium also in urgent settings and arterial ruptures. The lower viscosity of CO<inf>2</inf> probably leads to an easier diffusion through the arterial lesion into the pseudoaneurysmal sac. Therefore, in this case the use of carbon dioxide not only guaranteed prevention of massive allergic reaction to iodine and preservation of postoperative renal function, but also resulted in higher image quality in the operating room.
MeSH term(s)	Female ; Humans ; Adult ; Carbon Dioxide ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/surgery ; Ilium ; Angiography ; Contrast Media ; Aorta, Abdominal ; Endovascular Procedures/adverse effects ; Iodine ; Treatment Outcome ; Iliac Artery/diagnostic imaging ; Iliac Artery/surgery
Chemical Substances	Carbon Dioxide (142M471B3J) ; Contrast Media ; Iodine (9679TC07X4)
Language	English
Publishing date	2023-08-01
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.23.12735-2
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Article ; Online: Shared Decision Making - A Term to Understand and a Principle to Adopt.

St John, Edward R / Faggioli, Gianluca

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

2022 Volume 64, Issue 1, Page(s) 82

MeSH term(s)	Decision Making ; Decision Making, Shared ; Humans ; Patient Participation
Language	English
Publishing date	2022-04-21
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.2022.04.009
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Article ; Online: Maintaining Safe Elective Aneurysm Surgery in the COVID-19 Era.

Faggioli, Gianluca / Chakfé, Nabil / Imray, Chris

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

2021 Volume 62, Issue 5, Page(s) 675–677

MeSH term(s)	Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/surgery ; Aortic Rupture/etiology ; Aortic Rupture/mortality ; Aortic Rupture/prevention & control ; COVID-19 ; Clinical Decision-Making ; Elective Surgical Procedures ; Health Services Needs and Demand ; Humans ; Needs Assessment ; Patient Safety ; Risk Assessment ; Risk Factors ; Vascular Surgical Procedures/adverse effects ; Vascular Surgical Procedures/mortality
Language	English
Publishing date	2021-07-02
Publishing country	England
Document type	Editorial
ZDB-ID	1225869-6
ISSN	1532-2165 ; 1078-5884
ISSN (online)	1532-2165
ISSN	1078-5884
DOI	10.1016/j.ejvs.2021.06.033
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Zs.A 2283: 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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Article ; Online: The mid-term results of the Carotid Asymptomatic Stenosis (CARAS) observational study.

Pini, Rodolfo / Faggioli, Gianluca / Rocchi, Cristina / Fronterrè, Sara / Lodato, Marcello / Vacirca, Andrea / Gallitto, Enrico / Gargiulo, Mauro

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

2024 Volume 33, Issue 2, Page(s) 107508

Abstract: Introduction: Carotid endarterectomy (CEA) in patients with asymptomatic carotid stenosis (ACAS) remains a subject of debate. Current recommendations are based on randomized trials conducted over 20 years ago and improvements in medical therapies may ... ...

Abstract	Introduction: Carotid endarterectomy (CEA) in patients with asymptomatic carotid stenosis (ACAS) remains a subject of debate. Current recommendations are based on randomized trials conducted over 20 years ago and improvements in medical therapies may have reduced the risk of cerebral ischemic events (CIE). This study presents a mid-term analysis of results from an ongoing prospective observational study of ACAS patients to assess their CIE risk in a real-world setting. Methods: This is a prospective observational cohort study of patients with ACAS >60 % (NASCET criteria) identified in a single duplex ultrasonography (DUS) vascular laboratory (trial registered: NCT04825080). Patients were not considered for CEA due to their short life expectancy (<3 year) or absence of signs of plaque vulnerability (ulceration, ipoechogenic core). Patient enrollment started in January 2019 and ended in March 2020 with a targeted sample size of 300 patients.A 5-year follow-up was scheduled. Clinical characteristics, risk factors, and medical therapies were documented, and, when necessary, the best medical therapy (BMT), involving antiplatelet agents, blood pressure control, and statins, was recommended during clinical visits. The primary endpoint was to asses CIEs (including strokes, transient ischemic attacks, amaurosis-fugax) ipsilateral to ACAS along with plaque progression rate and patients survival. Follow-up involved annual clinical visit and carotid DUS examination, complemented by telephone interviews at six-month intervals. Results: The study included 307 patients, with an average age of 80 ± 7 years, of whom 55 % were male. Contralateral stenosis exceeding 60 % was present in 61 (20 %) patients. Seventy-seven percent of patients were on BMT. At a mean follow-up of 41±9 months, 7 ispilateral strokes and 9 TIAs occurred, resulting in 14 CIEs (2 patients experienced both TIA and stroke). According to Kaplan-Meier analysis, the 4-year CIE rate was 6±2 %, with an annual CIE rate of 1.5 %. Fifty-eight (19 %) patients had a stenosis progression which was associated with a higher 4-year estimated CIE rate compared to patients with stable plaque (10.3 % vs 3.2 %, P=.01). Similarly, a contralateral carotid stenosis >60 % was associated with a higher 4-year estimated CIE rate: 11.7 % vs 2.9 %, P=.002. These factors were independently associated with high risk for CIE at the multivariate COX analysis: Hazard Ratio (HR): 3.2; 95 % Confidence Interval: 1.1-9.2 and HR: 3.6; 95 % CI: 1.2-10.5. Conclusion: The mid-term results of this prospective study suggest that the incidence of CIE in ACAS patients should not be underestimated, with plaque progression and contralateral stenosis serving as primary predictors of CIEs.
MeSH term(s)	Humans ; Male ; Aged ; Aged, 80 and over ; Female ; Carotid Stenosis/complications ; Carotid Stenosis/diagnostic imaging ; Carotid Stenosis/therapy ; Constriction, Pathologic/complications ; Prospective Studies ; Cohort Studies ; Disease Progression ; Stroke/etiology ; Stroke/complications ; Endarterectomy, Carotid/adverse effects ; Risk Factors ; Ischemic Attack, Transient/diagnostic imaging ; Ischemic Attack, Transient/epidemiology ; Ischemic Attack, Transient/etiology ; Treatment Outcome
Language	English
Publishing date	2024-01-03
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	1131675-5
ISSN	1532-8511 ; 1052-3057
ISSN (online)	1532-8511
ISSN	1052-3057
DOI	10.1016/j.jstrokecerebrovasdis.2023.107508
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Zs.A 3519: Show issues

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Article ; Online: Impact of iliac access in elective and non-elective endovascular repair of abdominal aortic aneurysm.

Spath, Paolo / Campana, Federica / Gallitto, Enrico / Pini, Rodolfo / Mascoli, Chiara / Sufali, Gemmi / Caputo, Stefania / Sonetto, Alessia / Faggioli, Gianluca / Gargiulo, Mauro

The Journal of cardiovascular surgery

2024

Abstract: Endovascular aortic repair (EVAR) is nowadays the establishment treatment for patients with abdominal aortic aneurysm (AAA) both in elective and urgent setting. Despite the large applicability and satisfactory results, the presence of hostile iliac ... ...

Abstract	Endovascular aortic repair (EVAR) is nowadays the establishment treatment for patients with abdominal aortic aneurysm (AAA) both in elective and urgent setting. Despite the large applicability and satisfactory results, the presence of hostile iliac anatomy affects both technical and clinical success. This narrative review aimed to report the impact of iliac access and related adjunctive procedures in patients undergoing EVAR in elective and non-elective setting. Hostile iliac access can be defined in presence of narrowed, tortuous, calcified, or occluded iliac arteries. These iliac characteristics can be graded by the anatomic severity grade score to quantitatively assess anatomic complexity before undergoing treatment. Literature shows that iliac hostility has an impact on device navigability, insertion and perioperative and postoperative results. Overall, it has been correlated to higher rate of access issues, representing up to 30% of the first published EVAR experience. Recent innovations with low-profile endografts have reduced large-bore sheaths related issues. However, iliac-related complications still represent an issue, and several adjunctive endovascular and surgical strategies are nowadays available to overcome these complications during EVAR. In urgent settings iliac hostility can significantly impact on particular time sensitive procedures. Moreover, in case of severe hostility patients might be written off for EVAR repair might be inapplicable, exposing to higher mortality/morbidity risk in this urgent/emergent setting. In conclusion, an accurate anatomical evaluation of iliac arteries during preoperative planning, materials availability, and skilled preparation to face iliac-related issues are crucial to address these challenges.
Language	English
Publishing date	2024-04-18
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/S0021-9509.24.12987-4
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Article ; Online: Pre-emptive False Lumen Embolization to Prevent Persistent Type II Endoleak in Fenestrated-Branched Endovascular Repair of Post-Dissection Thoracoabdominal Aortic Aneurysms.

Gallitto, Enrico / Faggioli, Gianluca / Poliseno, Carmine / Cappiello, Antonio / Pini, Rodolfo / Vacirca, Andrea / Logiacco, Antonino / Gargiulo, Mauro

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

2024 , Page(s) 15266028241246656

Abstract: Purpose: The purpose was to describe a technique to promote false lumen (FL) thrombosis in post-dissection thoracoabdominal aortic aneurysms (PD-TAAAs) managed by fenestrated/branched endografting (F/B-EVAR).: Technique: A 5/6Fr-90 cm length sheath ... ...

Abstract	Purpose: The purpose was to describe a technique to promote false lumen (FL) thrombosis in post-dissection thoracoabdominal aortic aneurysms (PD-TAAAs) managed by fenestrated/branched endografting (F/B-EVAR). Technique: A 5/6Fr-90 cm length sheath is advanced from the true lumen (TL) to FL through the most distal entry tear of the infrarenal aorta or iliac arteries. It is parked in the most cranial portion of the FL in the thoracic aorta. Aortic endografts are deployed in the TL excluding all the para-visceral/distal entry tears and target visceral vessels bridging stenting is performed. A selective FL angiography is performed through the 5/6Fr sheath to detect the origin of all segmentary arteries. Embolization of FL is performed from above to below by M-reye pushable coils, obtaining the packaging of FL. After completion angiography, the 5/6Fr sheath is retrieved in external iliac artery and molding ballooning of the distal segment of the aortic/iliac endograft is performed. Between 2019 and 2023, this technique was applied in 11cases with a median number of 73 (interquartile range [IQR=12) coils. Out of 8 (72%) patients with available radiological follow-up at 1 year, 7 exhibited complete FL thrombosis. Conclusions: The FL coiling in PD-TAAAs managed by F/B-EVAR is feasible, safe, and effective to promote the complete FL thrombosis. Clinical impact: Preemptive false lumen embolization is a feasible, safe, and effective technique for preventing persistent type II endoleaks after fenestrated-branched endovascular repair of post-dissection thoracoabdominal aortic aneurysms. This technique may be routinely recommended to promote FL thrombosis and aortic remodeling after FB-EVAR in PD-TAAAs, thereby reducing the incidence of reinterventions during follow-up.
Language	English
Publishing date	2024-04-24
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	10.1177/15266028241246656
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Article: Urgent endovascular maneuvers to rescue a failing transplant kidney with a T-stent approach.

Cavenaghi, Astrid Sofia / Cappiello, Antonio / Pini, Rodolfo / Faggioli, Gianluca / La Manna, Gaetano / Gargiulo, Mauro

Journal of vascular surgery cases and innovative techniques

2023 Volume 9, Issue 2, Page(s) 101168

Abstract: Renal artery thrombosis (RAT) is a major cause of renal transplant loss and, for this reason, should be treated promptly. We present a case of a 48-year-old man with external iliac thrombosis associated with thrombosis of a transplant renal artery that ... ...

Abstract	Renal artery thrombosis (RAT) is a major cause of renal transplant loss and, for this reason, should be treated promptly. We present a case of a 48-year-old man with external iliac thrombosis associated with thrombosis of a transplant renal artery that led to worsening of renal function. Multiple mechanisms have been identified in the literature as risk factors for RAT. In our patient, a combination of anastomotic stenosis, hypercoagulability, and diabetic nephropathy had resulted in RAT, and an unconventional endovascular revascularization technique with a T-stent approach was needed to guarantee patency of the treated vessels. No 30-day perioperative complications occurred, and the postoperative follow-up examination showed patency of the treated vessels; thus, transplant loss was avoided.
Language	English
Publishing date	2023-03-29
Publishing country	United States
Document type	Case Reports
ISSN	2468-4287
ISSN	2468-4287
DOI	10.1016/j.jvscit.2023.101168
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Article ; Online: Commentary: Investigating and Predicting the Fate of Infrapopliteal Arterial Disease After Endovascular Treatment.

Faggioli, Gianluca / Abualhin, Mohammad / Vacirca, Andrea / Gargiulo, Mauro

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

2020 Volume 27, Issue 4, Page(s) 581–583

MeSH term(s)	Angioplasty, Balloon/adverse effects ; Humans ; Popliteal Artery/diagnostic imaging ; Treatment Outcome
Language	English
Publishing date	2020-05-29
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2006618-1
ISSN	1545-1550 ; 1526-6028
ISSN (online)	1545-1550
ISSN	1526-6028
DOI	10.1177/1526602820928087
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