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  1. Article ; Online: Radiological stent placement of post sleeve gastrectomy leak

    Giovanni Scavone / Giuseppe Caltabiano / Corrado Inì / Federica Castelli / Daniele Falsaperla / Antonio Basile / Luigi Piazza / Antonio Scavone

    Heliyon, Vol 8, Iss 1, Pp e08857- (2022)

    efficacy, imaging features and post-procedure complications

    2022  

    Abstract: Laparoscopic sleeve gastrectomy (SG) is the most commonly performed bariatric procedure. The primary and insidious early post-SG complication is the gastric leak (GL). In literature, there are many studies describing the endoscopic stent placement as ... ...

    Abstract Laparoscopic sleeve gastrectomy (SG) is the most commonly performed bariatric procedure. The primary and insidious early post-SG complication is the gastric leak (GL). In literature, there are many studies describing the endoscopic stent placement as treatment of GL and few studies about stent placement performed by interventional radiology under fluoroscopic guide. Our aims were to describe the radiological stent placement technique, to compare endoscopic and radiological stent placement, to illustrate normal diagnostic features and summarise the incidence of complications after stent placement, removal, and their imaging features. This was a single centre retrospective study of 595 patients who underwent SG between 2011 and 2019. Inclusion criteria: patients who developed GL after SG and treated with gastro-oesophageal stent placement by endoscopy or interventional radiology; availability of medical history and imaging studies; follow-up time after stent removal (1 year). The rates of technical success, clinical success and complications after stent placement and removal were collected and compared between the two methods of stent positioning. A total of 17/595 (2.8%) patients developed a radiologically diagnosed GL after SG. The type II-III GLs (15/17) were treated with endoscopic or radiological stent placement. 9/15 (60%/Group A) patients underwent gastro-oesophageal stenting by interventional radiology and 6/15 (40%/Group B) were treated with endoscopic stent placement. The technical and clinical success rate was 100% for both groups. Stent migration occurred in 22% and 27% for Group A and B respectively. Post-extraction stenosis was the main late complication, occurring in 22% in Group A and 0% in Group B. Gastro-esophageal stent placement performed by interventional radiologists is a valid “mini-invasive” treatment for GL. This procedure is not inferior to endoscopic positioning regarding efficacy, periprocedural and postprocedural complication rate. It's necessary to be familiar with radiological ...
    Keywords Sleeve gastrectomy ; Bariatric surgery ; Obesity ; Radiological stent placement ; Imaging ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 616
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Distal radial artery

    Andrea Boncoraglio / Giuseppe Caltabiano / Pietro Valerio Foti / Luca Mammino / Giovanni Failla / Stefano Palmucci / Antonio Basile

    SAGE Open Medical Case Reports, Vol

    The last extreme rescue arterial access for interventional radiologists?

    2019  Volume 7

    Abstract: Transradial artery approach as primary access for transcatheter diagnosis and intervention is associated with lower risk of bleeding and major vascular complications, improved patient comfort and shorter time to hemostasis and ambulation than femoral one. ...

    Abstract Transradial artery approach as primary access for transcatheter diagnosis and intervention is associated with lower risk of bleeding and major vascular complications, improved patient comfort and shorter time to hemostasis and ambulation than femoral one. Patient’s adequate hand collateral perfusion, assessed by the Barbeau test, must be depicted prior to transradial artery approach in order to assess any absolute contraindication (D waveform). We describe the distal transradial artery approach, recently proposed for coronary interventions, used in emergency to embolize an intestinal bleeding in an 84-year-old woman and a left pectoralis major muscle bleeding in an 83-year-old woman, both with high risk of bleeding for femoral approach and contraindication for transradial artery approach (Barbeau D waveform).
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The chance case history of an unusual disease: mesenteric panniculitis.

    Signorelli, Salvatore Santo / Fiore, Valerio / Mangiafico, Marco / Giuseppe, Caltabiano

    Internal and emergency medicine

    2015  Volume 10, Issue 7, Page(s) 883–884

    MeSH term(s) Aged, 80 and over ; Humans ; Leukemia/complications ; Male ; Panniculitis, Peritoneal/diagnosis ; Panniculitis, Peritoneal/diagnostic imaging
    Language English
    Publishing date 2015-10
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 2454173-4
    ISSN 1970-9366 ; 1828-0447
    ISSN (online) 1970-9366
    ISSN 1828-0447
    DOI 10.1007/s11739-015-1244-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Endovenous laser ablation of spermatic vein for the treatment of varicocele

    Antonio Basile / Alessandro Motta / Giovanni Failla / Giuseppe Caltabiano / Marco Pizzarelli / Cecilia Gozzo / Davide Castiglione / Stefano Palmucci

    European Journal of Radiology Open, Vol 4, Iss , Pp 129-

    2017  Volume 131

    Abstract: Introduction: Varicocele is a relatively complex pathology of the scrotum veins', known to be one of the easiest to treat. Modern treatment involves both surgical (open, laparoscopic and microsurgery) and interventional approach (either with coils and/or ...

    Abstract Introduction: Varicocele is a relatively complex pathology of the scrotum veins', known to be one of the easiest to treat. Modern treatment involves both surgical (open, laparoscopic and microsurgery) and interventional approach (either with coils and/or sclerosant injection). Our aim is to demonstrate the feasibility and the reliability of endovenous laser ablation (EVLA) of the spermatic vein for the treatment of varicocele. Materials and methods: We consecutively and prospectively treated 11 patients (age range 24â45 years old, mean 31y) with left varicocele, phlebografically classified as Bahren type I and with indication for percutaneous treatment. Clinical success was evaluated by color doppler ultrasound (CDUS) one week, one months and three months after the procedures. We also evaluated the pain feeling for 48Â h after the procedure on the basis of the visual analogue score (VAS) obtained through telephonic interview. Results: Technical success was achieved in all cases. In all cases varicocele disappeared at CDUS at 1 and three months with reflux abolition. Two cases of small vein laceration were noted without sequelae, no other complication has been described. All patients reported improvements either regarding symptoms and/or spermiographic parameters. Conclusions: In our experience, EVLA of spermatic vein is a feasible and safe treatment in patients with Bahren type I varicocele. The key advantage of this technique is the adoption of a standardized protocol, which remains one of the main problems in gaining scientific evidence in case of coil or sclerosant embolisation (type and number of coils, amount of sclerosant agent etc). Keywords: Varicocele, Laser, Therapy, Treatment, Evla, Endovenous, Ablation, Minimal invasive
    Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 616
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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