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Pizzocaro C, Rossini PL, Terzi A, Farfaglia R, Lazzari L, Simoncini E, Giubbini R. Sentinel Node Biopsy in Breast Cancer: The Experience of Brescia Civic Hospital. TUMORI JOURNAL 2018; 86:309-11. [PMID: 11016711 DOI: 10.1177/030089160008600412] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The accuracy of the sentinel node technique in the evaluation of axillary node involvement in breast cancer was evaluated in 83 consecutive patients with monofocal T1–2 carcinoma, who were clinically N0 and who underwent lymphoscintigraphy with 99mTc-colloid integrated with intraoperative sentinel node detection by a portable probe. Lymphoscintigraphy revealed at least one sentinel node in 75 patients (90.4%), always identified by the probe. In eight patients (9.6%) the sentinel node was detected neither by lymphoscintigraphy nor by the probe. All removed lymph nodes were analyzed by hematoxylin-eosin histology and the sentinel node by immunostaining. In 28/75 patients (37.3%) at least one metastatic axillary lymph node was detected; in 16 of the 28 N+ subjects (57%) only the sentinel node was positive. The false negative rate (sentinel node negative/other axillary lymph nodes positive) was 17.85% (5/28 patients). In 9/23 patients (39%) micrometastases were found in the sentinel node only. In conclusion, specific sentinel node positivity in 57% of cases supports the validity of the sentinel node concept. Moreover, nine patients would have been considered No by standard hematoxylin-eosin histology without sentinel node-aided immunostaining. A 17.8% false negative rate calls for caution in patients with negative sentinel nodes.
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Iacovoni A, Bellavia D, Coronnello C, Simon M, Link C, Falletta C, Romano G, Sciacca S, Di Gesaro G, Maalouf J, Pilato M, Gorcsan III J, Terzi A, Clemenza F. Predicting Acute and Chronic Right Ventricular Failure in Patients Undergoing Left Ventricular Assist Device Implant: The Importance of Right Atrial Strain and Regional Deformation of the Right Ventricular Free Wall. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Terzi A, Storelli E, Bettini S, Sibillano T, Altamura D, Salvatore L, Madaghiele M, Romano A, Siliqi D, Ladisa M, De Caro L, Quattrini A, Valli L, Sannino A, Giannini C. Effects of processing on structural, mechanical and biological properties of collagen-based substrates for regenerative medicine. Sci Rep 2018; 8:1429. [PMID: 29362434 PMCID: PMC5780384 DOI: 10.1038/s41598-018-19786-0] [Citation(s) in RCA: 69] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 12/11/2017] [Indexed: 12/21/2022] Open
Abstract
The aim of this work was to investigate the structural features of type I collagen isoforms and collagen-based films at atomic and molecular scales, in order to evaluate whether and to what extent different protocols of slurry synthesis may change the protein structure and the final properties of the developed scaffolds. Wide Angle X-ray Scattering data on raw materials demonstrated the preferential orientation of collagen molecules in equine tendon-derived collagens, while randomly oriented molecules were found in bovine skin collagens, together with a lower crystalline degree, analyzed by the assessment of FWHM (Full Width at Half Maximum), and a certain degree of salt contamination. WAXS and FT-IR (Fourier Transform Infrared) analyses on bovine collagen-based films, showed that mechanical homogenization of slurry in acidic solution was the treatment ensuring a high content of super-organization of collagen into triple helices and a high crystalline domain into the material. In vitro tests on rat Schwannoma cells showed that Schwann cell differentiation into myelinating cells was dependent on the specific collagen film being used, and was found to be stimulated in case of homogenization-treated samples. Finally DHT/EDC crosslinking treatment was shown to affect mechanical stiffness of films depending on collagen source and processing conditions.
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Bubak J, Roviglione G, Clarizia R, Mautone D, Bruni F, Terzi A, Ceccaroni M. Diaphragmatic Endometriosis – Endoscopic Management Based on 12-Year Retrospective Study. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bertoglio P, Viti A, Salgarello M, Pasetto S, Bogina G, Terzi A. P1.08-005 Preoperative Analysis of 18FDG-PET Features May Predict Loco-Regional Invasiveness in NSCLC. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Marrone C, Ferrero P, Uricchio N, Sebastiani R, Vittori C, Ciuffreda M, Terzi A, Galletti L. The unnatural history of failing univentricular hearts: outcomes up to 25 years after heart transplantation. Interact Cardiovasc Thorac Surg 2017; 25:892-897. [DOI: 10.1093/icvts/ivx352] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 09/19/2017] [Indexed: 11/12/2022] Open
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Iacovoni A, Vittori C, Fontana A, Carobbio A, Fino C, D'Elia E, Terzi A, Senni M. Echocardiographic outflow pump ramp test in centrifugal-flow left ventricular assist device. Int J Artif Organs 2017; 40:0. [PMID: 28430303 DOI: 10.5301/ijao.5000573] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2017] [Indexed: 11/20/2022]
Abstract
This study sought to develop a novel echocardiogram outflow ramp test to detect device malfunctions in centrifugal-flow left ventricular assist devices (LVADs). This new ramp pump test is based on the direct analyses of systolic and diastolic ratio (S/D) Doppler velocity in the outflow cannula in the HeartWare LVAD during progressive increases in speed. The results showed that in patients with normal pump function, the Doppler velocity S/D ratio gradually decreased during LVAD speed increases. This test is easily performed and seems promising to detect normal pump function in patients assisted by a centrifugal flow LVAD.
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Solli P, Terzi A, Scarci M, Viti A, Bedetti B, Bahkhri K, Coonar A, Bertolaccini L. P-197FEASIBILITY OF MAJOR LUNG RESECTIONS IN THE ELDERLY PATIENTS: A MORBIDITY RISK STRATIFICATION MODEL. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Yildiz F, Coban S, Terzi A, Aksoy N, Bitiren M. Protective Effect of Micronized Purified Flavonoid Fraction on Ischemia/Reperfusion Injury of Rat Liver. Transplant Proc 2016; 47:1507-10. [PMID: 26093753 DOI: 10.1016/j.transproceed.2015.04.062] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Flavonoids have been subjected to considerable investigation because of its antioxidant and anti-inflammatory properties. However, there is no previously reported study about its effect on hepatic ischemia/reperfusion (I/R). We investigated the effects of micronized purified flavonoid fraction (MPFF) on hepatic I/R injury in rats. METHODS Thirty rats were recruited in the study as follows: group A, sham operation (n = 10); group B, I/R (n = 10); and group C, I/R+MPFF (n = 10). In group C, rats received (80 mg/kg/day) MPFF by gavage for 3 days before surgery, 30 minutes before ischemia and just before the reperfusion. Blood samples were taken, and serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), and lactate dehydrogenase (LDH) levels were measured to assess liver functions. Liver tissues were taken for histological evaluation and to determine the total antioxidant capacity (TAC), catalase (CAT), total oxidant status (TOS), oxidative stress index (OSI), and myeloperoxidase (MPO). RESULTS The present data showed a decrease in AST, ALT, and LDH levels in the MPFF-treated rats when compared with I/R group rats (P < .001 for all). In the MPFF-treated rats, tissue levels of TOS, OSI, and MPO were significantly lower than those in the I/R group (P < .01, P < .001, and P < .05, respectively). Increases in TAC and CAT levels were statistically significant in the MPFF-treated rats compared with the I/R group (P = .01 for both). On the other hand, MPFF attenuated histological alterations that were induced by I/R. CONCLUSIONS The present study demonstrates that MPFF ameliorates I/R-induced liver damage, probably through antioxidant and anti-inflammatory properties.
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Simon C, Grazioli L, Cugola D, Macchitelli V, Innocente F, Terzi A, Merlo M, Brucato AM, Lorini LM, Galletti L. Use of "LIMON Test" in Constrictive Pericarditis: a case series. J Cardiothorac Surg 2015. [PMCID: PMC4693943 DOI: 10.1186/1749-8090-10-s1-a37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Bertolaccini L, Felloni G, Salgarello M, Viti A, Bianchi A, Terzi A. Preoperative Positron Emission Tomography Fractal Biopsy of Thymic Epithelial Neoplasm. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv053.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Viti A, Bertolaccini L, Russi E, Merlano M, Colantonio I, Terzi A. 201 * CLINICAL IMPACT OF RADICAL LOCO-REGIONAL SURGERY IN SYNCHRONOUS OLIGOMETASTATIC NON-SMALL-CELL LUNG CANCER. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Bertolaccini L, Viti A, Terzi A. B-001 * ERGON - TRIAL: ERGONOMIC EVALUATION OF SINGLE-PORT ACCESS VERSUS THREE-PORT ACCESS VIDEO-ASSISTED THORACIC SURGERY. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu167.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Viti A, Bertolaccini L, Cavallo A, Fortunato M, Bianchi A, Terzi A. 18-Fluorine fluorodeoxyglucose positron emission tomography in the pretreatment evaluation of thymic epithelial neoplasms: a metabolic biopsy confirmed by Ki-67 expression. Eur J Cardiothorac Surg 2014; 46:369-74; discussion 374. [DOI: 10.1093/ejcts/ezu030] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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Filosso PL, Venuta F, Oliaro A, Ruffini E, Rendina EA, Margaritora S, Casadio C, Terzi A, Rena O, Lococo F, Guerrera F. Thymoma and inter-relationships between clinical variables: a multicentre study in 537 patients. Eur J Cardiothorac Surg 2014; 45:1020-7. [DOI: 10.1093/ejcts/ezt567] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Viti A, Bertolaccini L, Cavallo A, Bianchi A, Fortunato M, Terzi A. 127 * 18-FLUORINE FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY IN THE PRETREATMENT EVALUATION OF THYMIC EPITHELIAL NEOPLASMS: A "METABOLIC BIOPSY" CONFIRMED BY KI-67 EXPRESSION. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Bertolaccini L, Viti A, Cavallo A, Terzi A. Results of Li-Tho trial: a prospective randomized study on effectiveness of LigaSure(R) in lung resections. Eur J Cardiothorac Surg 2013; 45:693-8; discussion 698. [DOI: 10.1093/ejcts/ezt445] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bertolaccini L, Viti A, Cavallo A, Terzi A. B-006RESULTS OF LI-THO TRIAL: A PROSPECTIVE RANDOMIZED STUDY ON EFFECTIVENESS OF LIGASURE® IN LUNG RESECTIONS. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Filosso PL, Rendina A, Guerrera F, Ruffini E, Margaritora S, Casadio C, Terzi A, Lococo F, Rena O, Venuta F. BTOG-115THYMOMA AND INTER-RELATIONSHIPS BETWEEN CLINICAL VARIABLES: A MULTICENTRE STUDY IN 537 PATIENTS. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bertolaccini L, Viti A, Cavallo A, Terzi A. Correlation sometimes implies causation: possible roles of correlation analysis between 18fluorine-fluorodeoxyglucose positron emission tomography/computed tomography and thymic epithelial neoplasms. Eur J Cardiothorac Surg 2013; 44:187-8. [DOI: 10.1093/ejcts/ezs686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bertolaccini L, Lanzi E, Viti A, Chauvie S, Bianchi A, Cavallo A, Terzi A. 37O 18-F FDG PET TOTAL GLYCOLYTIC VOLUME IN THYMIC EPITHELIAL NEOPLASMS EVALUATION: AN EASILY REPRODUCIBLE IMAGE BIOMARKER. Lung Cancer 2013. [DOI: 10.1016/s0169-5002(13)70258-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bertolaccini L, Viti A, Gorla A, Terzi A. Home-management of malignant pleural effusion with an indwelling pleural catheter: Ten years experience. Eur J Surg Oncol 2012; 38:1161-4. [DOI: 10.1016/j.ejso.2012.08.021] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Accepted: 08/20/2012] [Indexed: 12/20/2022] Open
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Seddio F, Gorislavets N, Iacovoni A, Cugola D, Fontana A, Galletti L, Terzi A, Ferrazzi P. Is heart transplantation for complex congenital heart disease a good option? A 25-year single centre experience. Eur J Cardiothorac Surg 2012; 43:605-11; discussion 611. [PMID: 22733841 DOI: 10.1093/ejcts/ezs350] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Heart transplantation (HTx) in patients with complex congenital heart disease (CHD) is a challenge because of structural anomalies and multiple previous procedures. We analysed our results in adult and paediatric patients to evaluate outcome and assess risk factors affecting mortality. METHODS Between 1985 and 2011, among 839 patients who underwent HTx, 85 received transplantation for end-stage CHD. Patients were divided into four age subgroups: <1 year (8 patients, Group I), 1-10 years (20 patients, Group II), 11-18 years (24 patients, Group III) and >18 years (33 patients, Group IV) and into two time periods: 1985-2000 (47 patients) and 2001-2011 (38 patients). Anatomical diagnoses were single-ventricle defect in 37 patients (44%) and two-ventricle defect in 48 patients (56%). Seventy-three patients (86%) had undergone one or more cardiac surgical procedures prior to HTx (mean 2.4 ± 0.9). Twenty-two of them were suffering from Fontan failure. Mean pulmonary artery pressure was 25.2 ± 14.2 mmHg. Mean transpulmonary gradient was 9.4 ± 6.9 mmHg. RESULTS Mean follow-up after HTx was 7.8 ± 6.8 years. Survival at 1 month was 37.7% in Group I, 85.8% in Group II, 96.8% in Group II and 98.4% in Group IV and was significantly worse in younger recipients. Overall 30-day mortality was 17.6%. Currently 56 patients (65.8%) are alive. Overall survival at 1, 5, 10 and 15 years is 83-, 73-, 67- and 58%, respectively. There were 14 late deaths. Univariate analysis found that risk factors for early and late death were those related to recipient illness, such as pre-transplant creatinine, intravenous inotropic drugs, intravenous diuretics, mechanical ventilation and presence of protein-losing enteropathy (PLE). Multivariate analysis for all events (early and late deaths) identified preoperative mechanical ventilation as an independent risk factor for mortality. Number of previous procedures did not influence survival. Previous Fontan procedure did not increase mortality. We documented the reversibility of PLE in survivors. CONCLUSIONS We demonstrated that heart transplantation for patients with CHD can be performed with the expectation of excellent results. Previous procedures, including the Fontan operation, do not reduce survival. Mortality is related to preoperative patient condition. We advocate early referral of complex CHD patients for transplant assessment and for inclusion in waiting lists before the detrimental effects of end-stage failure manifest themselves.
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Bertolaccini L, Rizzardi G, Luzzi L, Terzi A. Treatment of Late Tracheomediastinal Fistula following Diagnostic Mediastinoscopy Treated by Multiple Pedicled Muscle Flaps. Thorac Cardiovasc Surg 2011; 59:364-6. [DOI: 10.1055/s-0030-1250481] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bertolaccini L, Rizzardi G, Terzi A. Single-port video-assisted thoracic surgery resection: the Copernican revolution of a geometrical approach in thoracic surgery? Interact Cardiovasc Thorac Surg 2011; 12:516. [DOI: 10.1510/icvts.2010.256222a] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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