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  1. Article ; Online: Response: Patients and Long-Term Follow-Up Support Good Results.

    De Gregorio, Miguel Angel / Guirola, Jose Andres

    Journal of vascular and interventional radiology : JVIR

    2021  Volume 32, Issue 5, Page(s) 764–765

    MeSH term(s) Embolization, Therapeutic ; Female ; Follow-Up Studies ; Humans ; Treatment Outcome ; Varicose Veins
    Language English
    Publishing date 2021-03-05
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2021.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multidisciplinary Consensus, Is Anyone Missing?

    Ciampi-Dopazo, Juan José / Guirola, José Andrés / Urbano, José / de Gregorio, Miguel Angel

    Archivos de bronconeumologia

    2021  

    Title translation Consenso multidisciplinar, ¿falta alguien?
    Language Spanish
    Publishing date 2021-04-28
    Publishing country Spain
    Document type Letter
    ZDB-ID 2591346-3
    ISSN 2173-5751 ; 2173-5751
    ISSN (online) 2173-5751
    ISSN 2173-5751
    DOI 10.1016/j.arbres.2021.04.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Multidisciplinary consensus, is anyone missing?

    Ciampi-Dopazo, Juan José / Guirola, José Andrés / Urbano, José / de Gregorio, Miguel Angel

    Archivos de bronconeumologia

    2021  Volume 57, Issue 9, Page(s) 611

    MeSH term(s) Consensus ; Humans ; Patient Care Team
    Language English
    Publishing date 2021-07-12
    Publishing country Spain
    Document type Letter ; Comment
    ZDB-ID 733126-5
    ISSN 1579-2129 ; 0300-2896
    ISSN (online) 1579-2129
    ISSN 0300-2896
    DOI 10.1016/j.arbr.2021.06.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A New Removable Helical Metallic Stent for the Treatment of Tracheomalacia in Children: Study in Pathological Animal Model.

    Lopez-Minguez, Sandra / Rodriguez-Zapater, Sergio / Bonastre, Cristina / Rodriguez, Jose / De Gregorio, Miguel Angel / Guirola, Jose Andres / Serrano-Casorran, Carolina

    Journal of clinical medicine

    2022  Volume 11, Issue 22

    Abstract: Background: Congenital tracheomalacia is a pathology with no consensus of medical or surgical approach. The permanent nature and the major complications associated with metallic stents have limited their use over the years. The purpose of this study was ...

    Abstract Background: Congenital tracheomalacia is a pathology with no consensus of medical or surgical approach. The permanent nature and the major complications associated with metallic stents have limited their use over the years. The purpose of this study was to evaluate the feasibility of a helical stent design removal.
    Methods: Ten dogs diagnosed with tracheal collapse and treated with the helical stent were involved in the study. Animals were classified into three groups depending on stent indwelling time. Prior to the removal, endoscopic evaluation was performed to assess endothelization grade, mucous accumulation, and the presence of stenosis. During the removal, bleeding, fracture, or impossibility of removal were noted. After the removal, all macroscopic mucosal changes were recorded.
    Results: Technical success was 100%, without any complications. Complete epithelization of the stent was visualized in 7/10 animals. The removal procedure duration ranged from 2-12 min. At post-removal endoscopy, bleeding or epithelial damage, was visualized in any case. Stent fracture during removal occurred in one animal.
    Conclusions: The removal of a metallic stent with spiral geometry is feasible, simple, and without complications, regardless of the degree of neo-epithelialization.
    Language English
    Publishing date 2022-11-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11226757
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Safety and Effectiveness of a New Electrical Detachable Microcoil for Embolization of Hemorrhoidal Disease, November 2020-December 2021: Results of a Prospective Study.

    De Gregorio, Miguel Angel / Bernal, Román / Ciampi-Dopazo, Juan Jose / Urbano, José / Millera, Alfonso / Guirola, José Andres

    Journal of clinical medicine

    2022  Volume 11, Issue 11

    Abstract: Purpose: The purpose of this study was to prospectively evaluate the efficacy and safety of a new, bare platinum, detachable microcoil as a metallic embolization agent in the treatment of hemorrhoidal disease.: Material and methods: This prospective ... ...

    Abstract Purpose: The purpose of this study was to prospectively evaluate the efficacy and safety of a new, bare platinum, detachable microcoil as a metallic embolization agent in the treatment of hemorrhoidal disease.
    Material and methods: This prospective single-center study evaluated a new, bare platinum, electrical, detachable microcoil (Prestige plus coil (Balt Montmorency France)) for use in vascular embolization in patients with hemorrhoidal disease. Between January 2020 and January 2021, 24 embolization procedures were performed in 21 patients (12 males, 9 females; mean age 44.3 ± 7.3). The inclusion criteria were: (a) participants with grade I, II and III hemorrhoidal disease on the Goligher classification; (b) patients older than 18 years of age with a score of greater than 4 on the French bleeding score (FBS) scale; (c) patients with scores greater than 2 on the scale of discomfort proposed by Tradi and Farfallah. (d) patients who underwent treatment that included the use of the new novel coil (Prestige plus coil (Balt)) as an embolic material. The exclusion criteria were participants who failed to provide informed consent and participants diagnosed with rectal bleeding due to other causes (cancer, fissures or others). Participants with severe renal insufficiency, non-correctable coagulation abnormalities and adverse reactions to the contrast medium not correctable with medication were also excluded. The symptoms, technical aspects, the transarterial approach, clinical and technical success complications and short-term outcomes were assessed.
    Results: Technical success was obtained in 100% of the cases. Seventeen (80.9%) patients experienced improvements in their hemorrhoidal disease. The VAS and QL scores improved by 4 and 1.5 points (81.2% and 87.5%), respectively, after embolization (pV: 0001). Three (14.2%) patients underwent a second embolization due to rebleeding. One patient (4.7%) underwent surgery. No major complications were observed. Three patients had minor complications. The assessment of subjective post-treatment symptoms and QL surveys showed significant differences from the baseline survey. Likewise, the measurement of the degree of satisfaction using a telephone survey at 12 months revealed a high degree of patient satisfaction over 10 points (mean 8.3 ± 1.1).
    Conclusions: The present study demonstrates that the use of the new, platinum, detachable, electrical microcoil is safe and well-tolerated in the treatment of hemorrhoidal disease.
    Key points: Catheter-directed hemorrhoidal dearterialization (CDHD) is the procedure of embolization with embolic agents for the treatment of internal hemorrhoids. CDHD is a simple and safe procedure that is accepted by patients and preserves the anal sphincter; it presents few complications when metal devices or microspheres are used as embolic agents. As the recommended embolization agent in treatments, the Prestige electrical, detachable coil is a safe, easy-to-use and effective arterial embolic device.
    Language English
    Publishing date 2022-05-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11113049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A Comparative Study of a Small Series of Patients (50 Patients) with Pelvic Varicose Veins Treated with Plugs Alone or Plugs and Polidocanol.

    De Gregorio, Miguel Ángel / Yamamoto-Ramos, Masao / Fredes, Arturo / Serrano-Casorran, Carolina / Sierre, Sergio / Ciampi-Dopazo, Juan José / Méndez, Santiago / Abadal, Jose Maria / Urtiaga, Ignacio / Bonastre, Cristina / Rodríguez, Jose / Urbano, Jose / Guirola, José Andrés

    Journal of clinical medicine

    2023  Volume 12, Issue 16

    Abstract: Level of evidence: Level 2.: Purpose: To compare the safety and efficacy of vascular plug (VP) and vascular plug and polidocanol foam (VPPF) treatments for embolization in pelvic congestion syndrome (PCS).: Materials and methods: A comparative, ... ...

    Abstract Level of evidence: Level 2.
    Purpose: To compare the safety and efficacy of vascular plug (VP) and vascular plug and polidocanol foam (VPPF) treatments for embolization in pelvic congestion syndrome (PCS).
    Materials and methods: A comparative, prospective, two-center study enrolled 50 women with PCS from January 2019 to January 2020. The patients were divided into two groups, and embolization was performed with VP (n = 25) and VPPF (n = 25) treatments. The mean age of the patients was 45.6 years ± 6.9. Three clinical parameters were assessed: abdominal pain, dyspareunia, and lower limb pain. The primary outcome (clinical success at 1 yr using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared. The participants were followed-up at 1, 3, 6, and 12 months.
    Results: At the 1-year follow-up, clinical success did not significantly differ between the two groups (VP vs. VPPF) regarding the improvement of the symptoms analyzed (pelvic pain, dyspareunia, lower extremity pain, and other symptoms (
    Conclusions: Embolization for PCS resulted in pain relief in 90% of patients; the use of polidocanol did not demonstrate changes in the clinical outcome. The use of a VP alone was associated with decreased fluoroscopy time and radiation dose.
    Language English
    Publishing date 2023-08-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12165408
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: TIPS treatment in a patient with severe lower gastrointestinal bleeding with a misdiagnosis of cirrhotic portal hypertension.

    Laborda, Alicia / Guirola, José Andrés / Medrano, Joaquín / Simón, Miguel Ángel / Ioakeim, Ignatios / de-Gregorio, Miguel Ángel

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2015  Volume 107, Issue 12, Page(s) 766–767

    Abstract: Abernethy malformation is a rare abnormal embryological development of splanchnic venous system characterised by the presence of a congenital extrahepatic portosystemic shunt. We present a rare case of an adult male patient that was admitted with severe ... ...

    Abstract Abernethy malformation is a rare abnormal embryological development of splanchnic venous system characterised by the presence of a congenital extrahepatic portosystemic shunt. We present a rare case of an adult male patient that was admitted with severe lower gastrointestinal bleeding, requiring multiple blood transfusions. The patient's medical history and the laboratory tests performed led to the misdiagnosis of a congenital Abernethy malformation. We present a rare case, discussing the reasons for the misdiagnosis and we conclude that management of clinical data and imaging are highly important to discard these types of congenital malformations that can mimic a portal hypertension condition.
    MeSH term(s) Adult ; Diagnostic Errors ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Hypertension, Portal/diagnosis ; Liver Cirrhosis/diagnosis ; Male ; Portal Vein/abnormalities ; Portal Vein/surgery ; Portasystemic Shunt, Transjugular Intrahepatic ; Rectum ; Vascular Malformations/complications ; Vascular Malformations/diagnosis ; Vascular Malformations/surgery
    Language English
    Publishing date 2015-12-21
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2015.3794/2015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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