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Manigrasso M, Degiuli M, Maione F, Venetucci P, Roviello F, De Palma GD, Milone M. Is proctoscopy sufficient for the evaluation of colorectal anastomosis prior to ileostomy reversal? A nationwide retrospective analysis of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative group (SICO-CCN). Colorectal Dis 2024; 26:439-448. [PMID: 38229251 DOI: 10.1111/codi.16864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 07/24/2023] [Accepted: 09/25/2023] [Indexed: 01/18/2024]
Abstract
AIM Several methods for assessing anastomotic integrity have been proposed, but the best is yet to be defined. The aim of this study was to compare the different methods to assess the integrity of colorectal anastomosis prior to ileostomy reversal. METHOD A retrospective cohort analysis on patients between 1 January 2010 and 31 December 2020 with a defunctioning stoma for middle and low rectal anterior resection was performed. A propensity score matching comparison between patients who underwent proctoscopy alone and patients who underwent proctoscopy plus any other preoperative method to assess the integrity of colorectal anastomosis prior to ileostomy reversal (transanal water-soluble contrast enema via conventional radiology, transanal water-soluble contrast enema via CT, and magnetic resonance) was performed. RESULTS The analysis involved 1045 patients from 26 Italian referral colorectal centres. The comparison between proctoscopy alone versus proctoscopy plus any other preoperative tool showed no significant differences in terms of stenoses (p = 0.217) or leakages (p = 0.103) prior to ileostomy reversal, as well as no differences in terms of misdiagnosed stenoses (p = 0.302) or leakages (p = 0.509). Interestingly, in the group that underwent proctoscopy and transanal water-soluble contrast enema the comparison between the two procedures demonstrated no significant differences in detecting stenoses (2 vs. 0, p = 0.98), while there was a significant difference in detecting leakages in favour of transanal water-soluble contrast enema via CT (3 vs. 12, p = 0.03). CONCLUSIONS We can confirm that proctoscopy alone should be considered sufficient prior to ileostomy reversal. However, in cases in which the results of proctoscopy are not completely clear or the surgeon remains suspicious of an anastomotic leakage, transanal water-soluble contrast enema via CT could guarantee its detection.
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Affiliation(s)
- Michele Manigrasso
- Department of Advanced Biomedical Sciences, 'Federico II' University of Naples, Naples, Italy
| | - Maurizio Degiuli
- Department of Oncology, University of Turin, Turin, Italy
- San Luigi University Hospital, Surgical Oncology and Digestive Surgery Unit, Turin, Italy
| | - Francesco Maione
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy
| | - Pietro Venetucci
- Dipartimento di Oncoematologia, Diagnostica per Immagine, Radioterapia e Medicina Legale, "Federico II" University Hospital, Naples, Italy
| | - Franco Roviello
- Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy
| | | | - Marco Milone
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy
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Porcaro P, Turchino D, Quarantelli M, Guercio LD, Accarino G, Serra R, Venetucci P, Bracale UM. Endovascular treatment of a wide-necked renal artery aneurysm with a flow diverter stent. Radiol Case Rep 2023; 18:2854-2859. [PMID: 37388268 PMCID: PMC10300470 DOI: 10.1016/j.radcr.2023.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/03/2023] [Accepted: 05/08/2023] [Indexed: 07/01/2023] Open
Abstract
Renal artery aneurysm (RAA) is a rare, often asymptomatic disease (0.1% incidence in general population) and can be incidentally diagnosed during an abdominal imaging workup. The traditional, gold standard of treatment is open surgery, carrying with it, however, a high risk of nephrectomy, mortality, and collateral morbidity. The endovascular approach is currently the most valid alternative to treating RAAs reducing, as it does, the risks associated with the surgical approach/open surgery. Herein we report on our experience with a case of wide-necked RAA treated with the Pipeline Vantage (Medtronic) flow diverter stent. Wide-neck aneurysms are defined as having neck diameters greater than 4 mm. Our choice of endovascular treatment was preferred over the surgical option notwithstanding the large size of the neck and the involvement of the branching vessels.
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Affiliation(s)
| | - Davide Turchino
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Naples, Italy
| | - Mario Quarantelli
- Department of Radiology, University Federico II of Naples, Naples, Italy
| | - Luca del Guercio
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Naples, Italy
| | - Giulio Accarino
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Naples, Italy
| | - Raffaele Serra
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Pietro Venetucci
- Department of Radiology, University Federico II of Naples, Naples, Italy
| | - Umberto Marcello Bracale
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Naples, Italy
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3
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Abate V, Vergatti A, Casoria A, Zarrella AF, Muscariello R, Nuzzo V, Vargas M, Servillo G, Conca P, D'Elia L, Iannuzzo G, Venetucci P, De Filippo G, Rendina D, Tufano A. Venous thromboembolism and major bleeding in severe and critical COVID-19 hospitalized patients. Monaldi Arch Chest Dis 2023. [PMID: 37403940 DOI: 10.4081/monaldi.2023.2617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 06/07/2023] [Indexed: 07/06/2023] Open
Abstract
Venous thromboembolism (VTE) and major bleeding (MB) are life-threatening complications described in COVID-19 hospitalized patients and they can be considered as two sides of the same coin. This retrospective study aims to evaluate the risk factors for VTE and MB in COVID-19 patients admitted to two Italian hospitals. The medical records of all COVID-19 patients (males 139; 62.3%, mean age 67.2±13.6 years, body weight 88.2±20.6 kg) hospitalized from March 11th to July 31st, 2020 to the Federico II University Hospital and to Sea Hospital, Naples, Italy, were analyzed. The COVID-19 patients were classified into four groups: COVID-19 patients developing VTE and/or MB, COVID-19 patients developing only VTE, COVID-19 patients developing only MB, and COVID-19 patients not developing neither VTE nor MB. During the hospitalization, 53 COVID-19 patients (24.7%; males 40; 75.5%, mean age 67.2±13.6 years, weight 88.2±20.6 kg) developed VTE, 33 COVID-19 patients (15.3 %; males 17; 51.5, mean age 67.3±14.9 years, weight 74.1±14.3 kg) developed MB, and 129 COVID-19 patients not developed neither TVP nor MB. No parameters to identify severe COVID-19 complicated by VTE and/or MB were found. However, some clinical and biochemical parameters can be evaluated to predict the risk of MB in order to modify the treatment and take prompt action to reduce mortality.
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Affiliation(s)
- Veronica Abate
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Anita Vergatti
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Aniello Casoria
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | | | | | - Vincenzo Nuzzo
- Endocrinology and Nutrition Department, Ospedale del Mare, Naples.
| | - Maria Vargas
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples.
| | - Giuseppe Servillo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples.
| | - Paolo Conca
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Lanfranco D'Elia
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Gabriella Iannuzzo
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Pietro Venetucci
- Department of Morphological and Functional Diagnostics, Radiotherapy, Forensic Medicine, Federico II University of Naples.
| | - Gianpaolo De Filippo
- Department of Paediatric Endocrinology and Diabetology, Robert Debré University Hospital, Assistance Publique-Hôpitaux de Paris.
| | - Domenico Rendina
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
| | - Antonella Tufano
- Department of Clinical Medicine and Surgery, Federico II University of Naples.
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Montalti R, Rompianesi G, Cassese G, Pegoraro F, Giglio MC, De Simone G, Rashidian N, Venetucci P, Troisi RI. Role of preoperative 3D rendering for minimally invasive parenchyma sparing liver resections. HPB (Oxford) 2023:S1365-182X(23)00125-9. [PMID: 37149483 DOI: 10.1016/j.hpb.2023.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 03/23/2023] [Accepted: 04/13/2023] [Indexed: 05/08/2023]
Abstract
BACKGROUND 3D rendering (3DR) represents a promising approach to plan surgical strategies. The study aimed to compare the results of minimally invasive liver resections (MILS) in patients with 3DR versus conventional 2D CT-scan. METHODS We performed 118 3DR for various indications; the patients underwent a preoperative tri-phasic CT-scan and rendered with Synapse3D® Software. Fifty-six patients undergoing MILS with pre-operative 3DR were compared to a similar cohort of 127 patients undergoing conventional pre-operative 2D CT-scan using the propensity score matching (PSM) analysis. RESULTS The 3DR mandated pre-operative surgical plan variations in 33.9% cases, contraindicated surgery in 12.7%, providing a new surgical indication in 5.9% previously excluded cases. PSM identified 39 patients in both groups with comparable results in terms of conversion rates, blood loss, blood transfusions, parenchymal R1-margins, grade ≥3 Clavien-Dindo complications, 90-days mortality, and hospital stay respectively in 3DR and conventional 2D. Operative time was significantly increased in the 3DR group (402 vs. 347 min, p = 0.020). Vascular R1 resections were 25.6% vs 7.7% (p = 0.068), while the conversion rate was 0% vs 10.2% (p = 0.058), respectively, for 3DR group vs conventional 2D. CONCLUSION 3DR may help in surgical planning increasing resectability rate while reducing conversion rates, allowing the precise identification of anatomical landmarks in minimally invasive parenchyma-preserving liver resections.
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Affiliation(s)
- Roberto Montalti
- Department of Public Health, Federico II University, Naples, Italy; Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy
| | - Gianluca Rompianesi
- Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy
| | - Gianluca Cassese
- Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy
| | - Francesca Pegoraro
- Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy
| | - Mariano C Giglio
- Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy
| | - Giuseppe De Simone
- Department of Anesthesiology and Intensive Care, Federico II University, Naples, Italy
| | - Nikdokht Rashidian
- Department of Hepatobiliary and Liver Transplantation, Ghent University Hospital, Ghent, Belgium
| | - Pietro Venetucci
- Division of Medical Imaging and Radiotherapy, Department of Onco-Hematology, Diagnostic and Morphologic Imaging, and Forensic Medicine, Federico II University, Naples, Italy
| | - Roberto I Troisi
- Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Renal Transplant Service, Federico II University, Naples, Italy.
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Manigrasso M, Milone M, Musella M, Venetucci P, Maione F, Elmore U, Gallo G, Perinotti R, De Palma GD. Preoperative Localization in Colonic Surgery (PLoCoS Study): a multicentric experience on behalf of the Italian Society of Colorectal Surgery (SICCR). Updates Surg 2021; 74:137-144. [PMID: 34611841 PMCID: PMC8827339 DOI: 10.1007/s13304-021-01180-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 09/19/2021] [Indexed: 02/01/2023]
Abstract
The aim of this prospective multicentric study was to compare the accurate colonic lesion localization ratio between CT and colonoscopy in comparison with surgery. All consecutive patients from 1st January to 31st December 2019 with a histologically confirmed diagnosis of dysplastic adenoma or adenocarcinoma with planned elective, curative colonic resection who underwent both colonoscopy and CT scans were included. Each patient underwent conventional colonoscopy and CT to stage the tumour, and the localization results of each procedure were registered. CT and colonoscopic localization were compared with surgical localization, adopted as the reference. Our analysis included 745 patients from 23 centres. After comparing the accuracy of colonoscopy and CT (for visible lesions) in localizing colonic lesions, no significant differences were found between the two preoperative tools (510/661 vs 499/661 correctly localized lesions, p = 0.518). Furthermore, after analysing only the patients who underwent complete colonoscopy and had a visible lesion on CT, no significant difference was observed between conventional colonoscopy and CT (331/427 vs 340/427, p = 0.505). Considering the intraoperative localization results as a reference, a comparison between colonoscopy and CT showed that colonoscopy significantly failed to correctly locate the lesions localized in the descending colon (17/32 vs 26/32, p = 0.031). We did not identify an advantage in using CT to localize colonic tumours. In this setting, colonoscopy should be considered the reference to properly localize lesions; however, to better identify lesions in the descending colon, CT could be considered a valuable tool to improve the accuracy of lesion localization.
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Affiliation(s)
- Michele Manigrasso
- Department of Advanced Biomedical Sciences, "Federico II" University of Naples, Via Sergio Pansini 5, 80131, Naples, Italy.
| | - Marco Milone
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Via Pansini 5, 80131, Naples, Italy
| | - Mario Musella
- Department of Advanced Biomedical Sciences, "Federico II" University of Naples, Via Sergio Pansini 5, 80131, Naples, Italy
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, "Federico II" University of Naples, Via Sergio Pansini 5, 80131, Naples, Italy
| | - Francesco Maione
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Via Pansini 5, 80131, Naples, Italy
| | - Ugo Elmore
- Division of Gastrointestinal Surgery, San Raffaele Scientific Institute, 60 Via Olgettina, 20132, Milan, Italy
| | - Gaetano Gallo
- Operative Unit of General Surgery, Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy
| | - Roberto Perinotti
- Colorectal Surgical Unit, Department of Surgery, Infermi Hospital, Biella, Italy
| | - Giovanni Domenico De Palma
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Via Pansini 5, 80131, Naples, Italy
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Abate V, Casoria A, Rendina D, Muscariello R, Nuzzo V, Vargas M, Servillo G, Venetucci P, Conca P, Tufano A, Galletti F, Di Minno G. Spontaneous Muscle Hematoma in Patients with COVID-19: A Systematic Literature Review with Description of an Additional Case Series. Semin Thromb Hemost 2021; 48:100-108. [PMID: 34388842 DOI: 10.1055/s-0041-1732370] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Coagulation abnormalities, thrombosis, and endothelial dysfunction have been described in COVID-19 patients. Spontaneous muscle hematoma (SMH) is a rare complication in COVID-19. The aims of this study are to: (1) perform a systematic review of the literature to better define the clinical SMH characteristics, (2) describe the prevalence and the clinical characteristics of SMH in COVID-19 patients referring to a Department of Internal Medicine (IM) (Federico II University of Naples), a Department of Sub-Intensive Care Medicine (SIM) (Ospedale Del Mare), and a Department of Intensive Care Unit (ICU) (Federico II University). The systematic review was performed according to PRISMA criteria. The local prevalence of SMH in COVID-19 was evaluated retrospectively. The medical records of all COVID-19 patients referring to IM and ICU from March 11th, 2020, to February 28th, 2021 were examined for SMH occurrence. In our retrospective analysis, we describe 10 cases of COVID-19 patients with SMH not previously reported in literature, with a prevalence of 2.1%. The literature review, inclusive of our case series, describes a total of 50 SMHs in COVID-19 patients (57.4% males; mean age 68.8 ± 10.0 years). The SMH sites were ileo-psoas, vastus intermedius, gluteus, sternocleidomastoid, and pectoralis major muscles. Males developed SMH earlier than females (9.5 ± 7.8 vs. 17.1 ± 9.7 days). Ileo-psoas hematoma was more frequent in males (69.2 vs. 30.8%), while pectoralis major hematoma occurred only in females. The in-hospital mortality rate of SMH in COVID-19 patients was 32.4%. SMH is a rare but severe complication in COVID-19 hospitalized patients, associated with high mortality. A gender difference seems to be present in the clinical presentation of the disorder.
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Affiliation(s)
- Veronica Abate
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | - Aniello Casoria
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | - Domenico Rendina
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | | | - Vincenzo Nuzzo
- Endocrinology and Nutrition Department, Ospedale del Mare, Naples, Italy
| | - Maria Vargas
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II," Naples, Italy
| | - Giuseppe Servillo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II," Naples, Italy
| | - Pietro Venetucci
- Department of Morphological and Functional Diagnostics, Radiotherapy, Forensic Medicine, University of Naples "Federico II," Naples, Italy
| | - Paolo Conca
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | - Antonella Tufano
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | - Ferruccio Galletti
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
| | - Giovanni Di Minno
- Department of Clinical Medicine and Surgery, "Federico II" University Hospital, Naples, Italy
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Loiudice G, Catelli A, Corvino A, Quarantelli M, Venetucci P. Endovascular treatment of chronic hemoptysis in patients with pulmonary tuberculosis. Acta Biomed 2021; 92:e2021201. [PMID: 34212920 PMCID: PMC8343743 DOI: 10.23750/abm.v92i3.10648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 10/01/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND We aimed to demonstrate the safety and efficacy of bronchial artery embolization (BAE) in patients with pulmonary tuberculosis in the planned management of "mild" hemoptysis. This treatment, already widely documented and used as a life-saving therapy in an emergency regimen, if properly planned in poorly controlled patients through medical therapy alone, can provide a valid opportunity by reducing the frequency and extent of non-fatal bleeding, but which still worsen the quality of life of these already significantly traumatized patients. METHODS All procedures were conducted through a right common femoral access with a 5 Fr catheter and a 2.7 Fr super-selective catheter coaxial technique of the branches of the bronchial arteries with suspected bleeding sources. Embolizations were performed with 500-700 micron Terumo PVA plastic microparticles. We decided to adopt the following inclusion criteria for the selection of patients to be enrolled: documented diagnosis of pulmonary TB, the presence of at least one bleeding episode that required at least two blood transfusions, evaluation with bronchoscopic examination to ascertain the bronchial origin of bleeding and the affected lobar site, execution of an angio-ct radiological study for the evaluation of the bronchial systemic anatomy as well as the patency of the pulmonary arterial circulation, general hemodynamic compensation and an age of enrollment between 25 and 65 years. RESULTS All selective embolization interventions demonstrated a technical success of 100% of the total number of patients. 11 out of 12 patients did not show any signs of relapse or complications related to the interventional procedure at a first check-up carried out at 48 hours, instead a fatal massive hemoptysis occurred in only one patient. At the next three-month follow-up, no relapses were documented in all selected patients. Only one patient required a second embolization four months after the first procedure. CONCLUSIONS Radiological-interventional approach in the elective regimen of super-selective embolization of the bronchial arteries (BAE) in the management and control of "mild" hemoptysis in patients with pulmonary tuberculosis not controlled exclusively by medical therapy, according to a strategy systematic of planned intervention and respecting clear and standardized inclusion criteria, represented in our experience a safe and effective procedure, free from significant short and long term complications, especially in well selected patients, which, although not always allows a definitive and stable control of hemoptysis, can in any case significantly limit the risks, also allowing a better planning of the most appropriate therapeutic intervention strategy.
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Affiliation(s)
- Giovanni Loiudice
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131.
| | - Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131.
| | - Antonio Corvino
- Motor Science and Wellness Department, University of Naples "Parthenope", via F. Acton 38, I-80133 Naples, Italy .
| | - Mario Quarantelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131.
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131.
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Catelli A, Santoro A, Antignani E, Venetucci P, Minelli S. Safety and efficacy of tomosynthesis-guided breast biopsies in the prone position: monocentric study and review of the literature. J Cancer Res Clin Oncol 2021; 148:967-974. [PMID: 34052946 DOI: 10.1007/s00432-021-03674-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 05/24/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE The purpose of this study is to describe the safety and efficacy of 9G needle biopsy under tomosynthesis guidance with the patient in the prone position. MATERIALS AND METHODS This is a retrospective observational study conducted on patients with non-palpable breast mass exclusively detectable through tomosynthesis, performed from the 1st January 2018 to the 1st August 2020. The procedures were performed by taking 12 tissue samples from each mass. The evaluated technical success was considered as a conclusive sample for histological diagnosis. We performed a comparison between the procedural data of interventions in patients who have a lesion < or = 10 mm and > 10 mm and between high-contrast and low-contrast masses. The histological data of the samples were analyzed. RESULTS Five hundred biopsies of the total 1500 performed from the 1st January 2018 to the 1st August 2020 were included in the study; repetitions for inadequate withdrawal occurred 0.4% (3/500). No major complications have ever been observed. Two cases (0.2%) of minor bleeding were observed with self-limited bleeding from the skin breach at 90 min without clinical sequelae in an asymptomatic patient. The biopsy samples showed carcinoma in 55.2% (276/500). CONCLUSION Our study suggests that the 9G needle sampling biopsy procedure through tomosynthesis guide with prone patient is a safe and effective procedure for the characterization of indeterminate breast mass.
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Affiliation(s)
- Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, 80131, Naples, Italy.
| | - Angela Santoro
- A.O.R.N. "Cardarelli". Breast Interventional Radiology Division, Naples, Italy
| | - Elena Antignani
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, 80131, Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, 80131, Naples, Italy
| | - Salvatore Minelli
- A.O.R.N. "Cardarelli". Breast Interventional Radiology Division, Naples, Italy
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9
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Catelli A, Castaldo A, Venetucci P, Franzese R, De Angelis M, Serao R, Ginolfi L, Rosati Tarulli F. Degenerative lesion of the extensor tendon V finger: Ultrasound imaging in diagnosis and therapeutic possibilities. Eur J Radiol Open 2021; 8:100348. [PMID: 34012998 PMCID: PMC8113718 DOI: 10.1016/j.ejro.2021.100348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 04/21/2021] [Accepted: 04/23/2021] [Indexed: 11/24/2022] Open
Abstract
Traumatic injuries of the extensor tendons of the hand are common and are more frequent predisposed to tendon injuries due to the presence of chronic tendon damage. We present the case of a 61-year-old woman, tailor by profession, who showed acute rupture (80 %) with degenerative etiology of the extensor tendon of the V finger of the fifth level according to Kleinert and Verdan classification.
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Affiliation(s)
- Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
| | - Anna Castaldo
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
| | - Raffaele Franzese
- Fatebenefratelli Hospital - Orthopedics Division, Benevento (BN), Italy
| | | | - Rossana Serao
- Public Health Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
| | - Luca Ginolfi
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
| | - Filippo Rosati Tarulli
- Public Health Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131, Naples, Italy
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Peluso A, Venetucci P, Catelli A, Bracale UM. Management of Deep Femoral Artery Pseudoaneurysm in a COVID-19 patient. Ann Vasc Surg 2021; 73:141-142. [PMID: 33549792 PMCID: PMC7860932 DOI: 10.1016/j.avsg.2021.01.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 01/27/2021] [Accepted: 01/28/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Antonio Peluso
- Department of Public Health, Vascular Surgery Unit, University Federico II of Naples, Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, Unit of Radiology, University Federico II of Naples, Naples, Italy
| | - Antonio Catelli
- Advanced Biomedical Sciences Department, Unit of Radiology, University Federico II of Naples, Naples, Italy
| | - Umberto Marcello Bracale
- Department of Public Health, Vascular Surgery Unit, University Federico II of Naples, Naples, Italy.
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11
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Catelli A, Loiudice G, Corvino A, Bracale UM, Quarantelli M, Venetucci P. Amplatzer vascular plug in renal artery embolization: case report and review of the literature. Egypt J Radiol Nucl Med 2020. [DOI: 10.1186/s43055-020-00279-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Arterial embolization constitutes a safe and effective therapeutic possibility in the treatment of numerous renal pathologies in election and in urgency. Over the years, numerous embolizing materials have been proposed: fibrin (temporary occlusion), glues, coils, and microspheres. The use of St. Jude Amplatzer vascular plug (AVP) constitutes a more recent and less widespread therapeutic choice, and its use in the renal district is not yet widespread although potentially very valid.
Case presentation
We present 3 renal arterial embolizations performed with AVP performed between January 2019 and February 2020: two patients had a very bulky renal heteroplastic lesion and were candidates for nephrectomy, and a third patient instead was affected by a high-flow FAV post-biopsy. In our experience, the use of AVP for the treatment of renal arteriovenous fistula and neoplastic masses has given excellent results without any complications during and after the treatment. In all cases, a single plug was used which perfectly adapted to the target artery resulting in complete occlusion of the vessel in a short time.
Conclusion
Renal artery embolization performed with AVP has growing potential and numerous advantages in terms of the time of the procedure, speed of embolization, and precision of occlusion, but with a relative increase in costs.
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12
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Catelli A, Venetucci P, Castaldo A, loiudice G, Tarulli FR, Carpiniello M, De Angelis M, Corvino A. Calcium pyrophosphate deposition disease: The role of imaging in their detection and in differential diagnosis of crystal arthropathies. Radiol Case Rep 2020; 15:1773-1776. [PMID: 32774579 PMCID: PMC7403887 DOI: 10.1016/j.radcr.2020.07.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 07/02/2020] [Accepted: 07/03/2020] [Indexed: 02/06/2023] Open
Abstract
Calcium pyrophosphate deposition disease is characterized by the deposition of pyrophosphate crystals in various joint structures. Calcium pyrophosphate deposition disease can be linked to underlying metabolic disorders such as hemochromatosis, hyperparathyroidism, hypophosphatemia, hypomagnesaemia, and hypothyroidism, all of which increase the risk of calcium pyrophosphate deposition. We present the case of a 55-year-old male who underwent diagnostic examination for the onset of recurrent joint pain in the right knee.
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Affiliation(s)
- Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Anna Castaldo
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Giovanni loiudice
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | | | | | | | - Antonio Corvino
- Motor Science and Wellness Department, University of Naples “Parthenope”, Naples, Italy
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13
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Corvino A, Venetucci P, Caruso M, Tarulli FR, Carpiniello M, Pane F, Sabatino V, Franzese R, Catalano O, Corvino F, Catelli A. Iliopsoas bursitis: The role of diagnostic imaging in detection, differential diagnosis and treatment. Radiol Case Rep 2020; 15:2149-2152. [PMID: 32952753 PMCID: PMC7484528 DOI: 10.1016/j.radcr.2020.08.036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/17/2020] [Accepted: 08/19/2020] [Indexed: 11/24/2022] Open
Abstract
Iliopsoas bursitis is characterized by distension of the iliopsoas muscle bursa due to synovial fluid and/or hypertrophic synovium. Hip disease is usually associated with it, however, isolated bursitis is also present. Clinically Diagnosing iliopsoas bursitis can be difficult, and imaging is usually required to differentiate iliopsoas bursitis from other inguinal masses such as lymphadenopathy, hernias, and tumors. We present the case of a 45-year-old athletic patient who underwent diagnostic examination for recurrent right hip pain and a recent development (last 3 months) of a bulky right inguinal mass.
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Affiliation(s)
- Antonio Corvino
- Motor Science and Wellness Department, University of Naples "Parthenope," via F. Acton 38, I-80133 Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Martina Caruso
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | | | | | - Francesco Pane
- ASL NA 3 SUD- Ospedale Riuniti dell'area Vesuviana- P.O. "Maresca-Sant'Anna e Maria SS. della Neve,'' Naples, Italy
| | - Vittorio Sabatino
- ASL NA 3 SUD- Ospedale Riuniti dell'area Vesuviana- P.O. "Maresca-Sant'Anna e Maria SS. della Neve,'' Naples, Italy
| | - Raffaele Franzese
- Clinic Villa del Sole S.p.A. - Orthopedics Division, Casagiove (CE), Italy
| | | | - Fabio Corvino
- A.O.R.N. ''Cardarelli,'' Interventional Radiology Division, Naples, Italy
| | - Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
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14
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Quarto G, Velotti N, Milone M, Manigrasso M, Vitiello A, Venetucci P, Iacovazzo C, Benassai G, Servillo G, De Palma GD, Musella M. Small bowel obstruction secondary to adipose tissue herniation through gastric band tubing loop. An unusual case presentation. Ann Ital Chir 2020; 9:S2239253X2003457X. [PMID: 32945272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Laparoscopic adjustable gastric band complications like oesophageal dilatation, intractable nausea and vomiting, band migration, late slippages, and port problems with a cumulative rate of 19.2%. Rarely, LAGB complications may be related to the connection tube system and in this case the clinical presentation and the effects of the problem can generate difficulties in diagnosis. METHODS A 47 years old woman who had a LAGB placed 2 years before the symptoms was admitted in our centre with nausea, vomit, leukocytosis and distended abdomen with a generalized tenderness. Computed tomography images showed an anomalous course of banding tube and a contemporary compression of a small bowel tract secondary to the traction exerted by an adipose tissue band attracted by the tube. RESULTS A laparoscopic exploration of the abdominal cavity showed a tight loop of LAGB tubing causing a small bowel obstruction with an ischemic damage, so surgeons provided to LAGB removal and a 50 cm ileum resection CONCLUSIONS: Small bowel obstruction resulting from LAGB tubing is an uncommon complication which was reported in few cases. Although bariatric surgery currently represents the best treatment option for morbid obesity and its related- diseases, peri- and post-operative complications have always to be taken into account. KEY WORDS Adjustable gastric band complications, Bariatric surgery, Bowel obstruction, CT scan, LAGB tube.
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15
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Catelli A, Loiudice G, Corvino A, Castaldo A, Bracale UM, Quarantelli M, Venetucci P. Amplatzer vascular plug IV in the treatment of high flow renal arteriovenous fistula: Case considerations. Radiol Case Rep 2020; 15:1442-1445. [PMID: 32642014 PMCID: PMC7334554 DOI: 10.1016/j.radcr.2020.05.060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 05/27/2020] [Accepted: 05/27/2020] [Indexed: 01/22/2023] Open
Abstract
Renal arteriovenous fistula is classified into idiopathic, acquired and congenital. Endovascular therapy has become the gold standard compared to surgery. We present the embolization procedure of a renal fistula postbiopsy in a 57-year-old female patient through the use of St. Jude Medical Amplatzer vascular Plug IV. Although numerous embolizing agents are available, plug type IV has numerous advantages in terms of procedure times, speed of embolization and precision of the occlusion, but with a relative increase in costs.
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Affiliation(s)
- Antonio Catelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Giovanni Loiudice
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Antonio Corvino
- Motor Science and Wellness Department, University of Naples "Parthenope", I-80133 Naples, Italy
| | - Anna Castaldo
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | | | - Mario Quarantelli
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
| | - Pietro Venetucci
- Advanced Biomedical Sciences Department, University Federico II of Naples (UNINA), via S. Pansini 5, I-80131 Naples, Italy
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16
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Picardi M, Fonti R, Della Pepa R, Giordano C, Pugliese N, Nicolai E, Salvatore M, Mainolfi C, Venetucci P, Rascato MG, Cappuccio I, Mascolo M, Vigliar E, Troncone G, Del Vecchio S, Pane F. 2-deoxy-2[F-18] fluoro-D-glucose positron emission tomography Deauville scale and core-needle biopsy to determine successful management after six doxorubicin, bleomycin, vinblastine and dacarbazine cycles in advanced-stage Hodgkin lymphoma. Eur J Cancer 2020; 132:85-97. [PMID: 32334339 DOI: 10.1016/j.ejca.2020.03.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/14/2020] [Accepted: 03/18/2020] [Indexed: 12/19/2022]
Abstract
BACKGROUND The clinical impact of the positivity of the Deauville scale (DS) of positron emission tomography (PET) performed at the end of doxorubicin, bleomycin, vinblastine and dacarbazine (ABVD) in patients with advanced Hodgkin lymphoma (HL), in terms of providing rationale to shift poor responders onto a more intensive regimen, remain to be validated by histopathology. PATIENTS AND METHODS This prospective trial involved patients with stage IIB/IV HL who after six ABVD cycles underwent PET (PET6) and core-needle cutting biopsy (CNCB) of 2-deoxy-2[F-18] fluoro-d-glucose (FDG)-avid lymph nodes. Patients received high-dose chemotherapy/autologous haematopoietic stem cell rescue (HDCT/AHSCR) if CNCB was positive for HL, alternatively, if CNCB or PET was negative, received observation or consolidation radiotherapy (cRT) on residual nodal masses, as initially planned. The end-point was 5-year progression-free survival (PFS). RESULTS In all, 43 of the 169 (25%) evaluable patients were PET6 positive (DS 4, 32; DS 5, 11). Among them, histology showed malignancy (HL) in 100% of DS 5 scores and in 12.5% of DS 4 scores. Fifteen patients with positive biopsy received HDCT/AHSCR, whereas 28 patients with negative biopsy, as well as 126 patients with negative PET6, continued the original plan (cRT, 78 patients; observation, 76 patients). The 5-year PFS in the negative PET6 group, negative biopsy group and positive biopsy group was 95.4%, 100% and 52.5%, respectively. CONCLUSION DS positivity of end-of-ABVD PET in advanced HL carried a certain number of CNCB-proven non-malignant FDG-uptakes. The DS 4 scores which were found to have negative histology appeared to benefit from continuing the original non-intensive therapeutic plane as indicated by the successful outcome in more than 95% of them by obtaining similar 5-year PFS to the PET6-negative group. By contrast, the DS 5 score had consistently positive histology and was associated with unsuccessful conventional therapy, promptly requiring treatment intensification or innovative therapeutic approaches.
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Affiliation(s)
- M Picardi
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
| | - R Fonti
- Institute of Biostructures and Bioimages, National Research Council, Naples, Italy
| | - R Della Pepa
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy.
| | - C Giordano
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
| | - N Pugliese
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
| | | | | | - C Mainolfi
- Institute of Biostructures and Bioimages, National Research Council, Naples, Italy
| | - P Venetucci
- Department of Advanced Biomedical Sciences, Federico II University Medical School, Naples, Italy
| | - M G Rascato
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
| | - I Cappuccio
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
| | - M Mascolo
- Department of Advanced Biomedical Sciences, Federico II University Medical School, Naples, Italy
| | - E Vigliar
- Department of Public Health, Federico II University Medical School Naples, Italy
| | - G Troncone
- Department of Public Health, Federico II University Medical School Naples, Italy
| | - S Del Vecchio
- Department of Advanced Biomedical Sciences, Federico II University Medical School, Naples, Italy
| | - F Pane
- Department of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy
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17
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Panagrosso M, De Gregorio C, Peluso A, Venetucci P, Buono G, Bracale UM. Double-Microcatheter Technique through Tortuous Anatomy for Coil Embolization of a Saccular $plenic Aneurysm: a Technical Report. Transl Med UniSa 2020; 21:31-34. [PMID: 32123679 PMCID: PMC7039270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
We report on a case of an asymptomatic splenic artery aneurysm (SAA) with a large neck in a 53-year-old female with an extreme vessel tortuosity which was treated with a Double Microcatheter Technique. This endovascular procedure consists of embolization of the aneurysm using detachable coils with no application of any glue, stent or balloon. At the end of procedure, no complications occurred. At the three-month follow-up an MRI showed the aneurysm's complete exclusion and patency of the splenic artery.
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Affiliation(s)
- M Panagrosso
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Italy
| | - C De Gregorio
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Italy
| | - A Peluso
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Italy
| | - P Venetucci
- Department of Radiology, University Federico II of Naples, Italy
| | - G Buono
- Department of Radiology, University Federico II of Naples, Italy
| | - UM Bracale
- Department of Public Health, Unit of Vascular Surgery, University Federico II of Naples, Italy
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18
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Manigrasso M, Milone M, Velotti N, Vertaldi S, Schettino P, Musella M, Aprea G, Gennarelli N, Maione F, Sarnelli G, Venetucci P, De Palma GD, Milone F. Incidence and risk factors of portomesenteric venous thrombosis after colorectal surgery for cancer in the elderly population. World J Surg Oncol 2019; 17:195. [PMID: 31744485 PMCID: PMC6865040 DOI: 10.1186/s12957-019-1739-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 10/31/2019] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Although it is known that portomesenteric venous thrombosis (PMVT) is associated with total colectomy and proctocolectomy in young patients with inflammatory bowel disease, little is known about incidence and risk factors of PMVT among the elderly population undergoing colorectal surgery for cancer. METHODS Data of elderly patients (> 70 years) undergoing surgery for colorectal cancer were retrospectively registered. The occurrence of PMVT was correlated with the patients' characteristics and operative variables. Data collected included age, sex, obesity, ASA score, tumor degree, type of surgical resection, surgical approach (laparoscopic or open), and duration of surgery (from skin incision to the application of dressings). RESULTS A total of 137 patients > 70 years who underwent surgery for colorectal cancer and developed an acute intraabdominal process with suggestive symptoms, needing a CT scan, were included. Three of these patients (2.1%) had portomesenteric venous thrombosis during the study period, which was proved with CT scan. There were no significant patients' characteristics or operative variables between patients with or without the occurrence of PMVT after surgery. Of interest, only operative time was significantly higher in patients with PMVT after surgery (256 ± 40 vs 140 ± 41, p < 0.001). CONCLUSIONS PMVT as a cause of abdominal pain after colorectal surgery for cancer in the elderly population is uncommon. An index of suspicion for PMVT in an elderly postoperative colorectal cancer patient with sudden onset of abdominal pain must be maintained.
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Affiliation(s)
- Michele Manigrasso
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Marco Milone
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy. .,Department of Gastroenterology, Endocrinology and Surgical Endoscopy, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
| | - Nunzio Velotti
- Department of Advanced Biomedical Sciences, University "Federico II" of Naples, Naples, Italy
| | - Sara Vertaldi
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Pietro Schettino
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Mario Musella
- Department of Advanced Biomedical Sciences, University "Federico II" of Naples, Naples, Italy
| | - Giovanni Aprea
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Nicola Gennarelli
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Francesco Maione
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Giovanni Sarnelli
- Department of Clinical Medicine and Surgery, University "Federico II" of Naples, Naples, Italy
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, University "Federico II" of Naples, Naples, Italy
| | | | - Francesco Milone
- Department of Advanced Biomedical Sciences, University "Federico II" of Naples, Naples, Italy
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19
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Milone M, Manigrasso M, Venetucci P, Gennarelli N, Maione F, De Palma GD. Could a transanal approach be the future treatment for a nonhealing colorectal anastomotic leakage? Colorectal Dis 2019; 21:241-242. [PMID: 30549409 DOI: 10.1111/codi.14533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 11/18/2018] [Indexed: 02/08/2023]
Affiliation(s)
- M Milone
- Department of Surgical Endoscopy, University 'Federico II' of Naples, Naples, Italy
| | - M Manigrasso
- Department of Surgical Endoscopy, University 'Federico II' of Naples, Naples, Italy
| | - P Venetucci
- Department of Advanced Biomedical Sciences, University 'Federico II' of Naples, Naples, Italy
| | - N Gennarelli
- Department of Surgical Endoscopy, University 'Federico II' of Naples, Naples, Italy
| | - F Maione
- Department of Surgical Endoscopy, University 'Federico II' of Naples, Naples, Italy
| | - G D De Palma
- Department of Surgical Endoscopy, University 'Federico II' of Naples, Naples, Italy
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20
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D'Antuono F, Stanzione A, Tucci AG, Pizza S, Venetucci P. An unusual cause of acute thoracic pain: left ventricular pseudoaneurysm. Intern Emerg Med 2018; 13:1329-1331. [PMID: 30022396 DOI: 10.1007/s11739-018-1911-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Felice D'Antuono
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy.
| | - Arnaldo Stanzione
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Anna Giacoma Tucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Silvia Pizza
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy
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21
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D'Antuono F, Venetucci P. Immediate Resolution of a Grade 3 Varicocele Post-Prostatic Artery Embolisation (PAE). Cardiovasc Intervent Radiol 2017; 41:664. [PMID: 29181603 DOI: 10.1007/s00270-017-1849-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 11/17/2017] [Indexed: 10/18/2022]
Affiliation(s)
- Felice D'Antuono
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy.
| | - Pietro Venetucci
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy
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22
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Hatzidakis A, Venetucci P, Krokidis M, Iaccarino V. Percutaneous biliary interventions through the gallbladder and the cystic duct: What radiologists need to know. Clin Radiol 2014; 69:1304-11. [PMID: 25172204 DOI: 10.1016/j.crad.2014.07.016] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Revised: 07/24/2014] [Accepted: 07/28/2014] [Indexed: 02/08/2023]
Abstract
Percutaneous cholecystostomy is an established drainage procedure for the management of high-risk patients with acute cholecystitis. However, percutaneous image-guided access to the gallbladder may not be limited to the simple placement of a drain, but may also be used as an alternative approach to the biliary tree through the catheterization of the cystic duct, for a variety of other more complicated conditions. Percutaneous transcholecystic interventions may be performed in both malignant and benign disease. In the case of malignant jaundice, the transcholecystic route may be used when the liver parenchyma is occupied by metastatic lesions and transhepatic access is not possible. In benign conditions, access through the gallbladder may offer a solution if the biliary tree is not dilated. The transcholecystic access may then be route of insertion of large sheaths, internal drainage catheters, lithotripsy devices, stone retrieval baskets, and stents. The purpose of this review is to illustrate the techniques and to discuss the indications, complications, and technical difficulties of this alternative access to the biliary tree.
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Affiliation(s)
- A Hatzidakis
- Department of Medical Imaging, University Hospital of Heraklion, Heraklion, Greece
| | - P Venetucci
- Department of Cardiovascular and Interventional Radiology, University Hospital "Federico II", Naples, Italy
| | - M Krokidis
- Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
| | - V Iaccarino
- Department of Cardiovascular and Interventional Radiology, University Hospital "Federico II", Naples, Italy
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23
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Iaccarino V, Venetucci P. Interventional Radiology of Male Varicocele: Current Status. Cardiovasc Intervent Radiol 2012; 35:1263-80. [DOI: 10.1007/s00270-012-0350-z] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2011] [Accepted: 12/22/2011] [Indexed: 10/28/2022]
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24
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Conzo G, Stanzione F, Celsi S, Candela G, Venetucci P, Palazzo A, Della Pietra C, Santini L, Iaccarino V. Integrated treatment of secondary hepatolithiasis. Case report. G Chir 2011; 32:424-428. [PMID: 22018218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Hepatolithiasis is defined as the occurrence of stones proximal to the biliary confluence and represents a prevalent disease in South East Asia being uncommon in Western countries. Biliary sepsis, hepatic abscesses and cholangiocarcinoma are considered potential complications. The Authors describe a case of a 68 years male patient affected by a left massive intrahepatic lithiasis secondary to common duct stones and associated to acute pancreatitis. The patient refused surgery and was submitted to a conservative transhepatic percutaneous treatment. After a complete removal of intrahepatic stones and a positioning of external internal biliary drainage (14F), a laparoscopic cholecistectomy was performed. The MRI control showed a complete resolution of the intrahepatic lithiasis. Conservative transhepatic percutaneous approach to hepatolithiasis represents a safe and effective treatment allowing good medium-long term results. Surgery is recommended in case of severe hepatic fibrosis or atrophy, suspected cholangiocarcinoma or multiple strictures with biliary distorsion. Integrated therapeutical protocols in referral multidisciplinary centers-offers the best long term results.
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Affiliation(s)
- G Conzo
- Second University of Naples, Italy
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25
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Venetucci P, Quarantelli M, Iaccarino V. A Rare Case of Recurrent Hematuria from Right Kidney: Radiologic Diagnosis and Treatment. ISRN Urology 2011; 2011:159104. [PMID: 22084790 PMCID: PMC3195287 DOI: 10.5402/2011/159104] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Accepted: 02/21/2011] [Indexed: 11/23/2022]
Abstract
We report the case of a young woman admitted because of several and recurring episodes of macroscopic hematuria beginned after her first pregnancy. Contrast-enhanced multidetector computed tomography images showed dilated ovarian veins due to a typical pelvic varicocele. We supposed to be a right ovarian vein syndrome, a rare clinical situation characterized by an anomalous compression of the lumbar ureter by the ectasic ovarian vein; this condition may cause a chronic inflammatory stimulus above the urothelial mucosa with a following hematuria. All symptoms were solved by an endovascular treatment through the sclero-embolisation of the pelvic varicocele. After eighteen months the patient didn't present hematuria anymore and she no longer complained about her right side lumbar pain.
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Affiliation(s)
- Pietro Venetucci
- Dipartimento Assistenziale di Diagnostica per Immagini, Sezione di Radiologia Cardiovascolare ed Interventistica, Università degli Studi di Napoli, A.O.U. Policlinico “Federico II”, Via Pansini, 5-80131, Napoli, Italy
| | - Mario Quarantelli
- Dipartimento Assistenziale di Diagnostica per Immagini, Sezione di Radiologia Cardiovascolare ed Interventistica, Università degli Studi di Napoli, A.O.U. Policlinico “Federico II”, Via Pansini, 5-80131, Napoli, Italy
| | - Vittorio Iaccarino
- Dipartimento Assistenziale di Diagnostica per Immagini, Sezione di Radiologia Cardiovascolare ed Interventistica, Università degli Studi di Napoli, A.O.U. Policlinico “Federico II”, Via Pansini, 5-80131, Napoli, Italy
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Milone M, Di Minno G, Di Minno MND, Iaccarino V, Venetucci P, Milone F. Effectiveness of endovascular thrombolysis in acute mesenteric vein thrombosis. BMC Geriatr 2011. [PMCID: PMC3194362 DOI: 10.1186/1471-2318-11-s1-a35] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
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Di Minno M, Milone F, Milone M, Iaccarino V, Venetucci P, Lupoli R, Sosa Fernandez L, Di Minno G. Endovascular Thrombolysis in Acute Mesenteric Vein Thrombosis: A 3-year follow-up with the rate of short and long-term sequaelae in 32 patients. Thromb Res 2010; 126:295-8. [PMID: 20097408 DOI: 10.1016/j.thromres.2009.12.015] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2009] [Revised: 12/17/2009] [Accepted: 12/27/2009] [Indexed: 01/14/2023]
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Krokidis M, Venetucci P, Hatzidakis A, Iaccarino V. Sodium Tetradecyl Sulphate Direct Intralesional Sclerotherapy of Venous Malformations of the Vulva and Vagina: Report of Five Cases. Cardiovasc Intervent Radiol 2010; 34 Suppl 2:S228-31. [DOI: 10.1007/s00270-010-9916-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2010] [Accepted: 05/28/2010] [Indexed: 11/29/2022]
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Milone F, Milone M, Bellini M, Salvatore G, De Martino C, Venetucci P, Quarantelli M, Iaccarino V. [Percutaneous cholecystostomy and papilloplasty in elderly high-risk patient. Case report]. Ann Ital Chir 2009; 80:479-481. [PMID: 20476684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
When acute cholecystitis is suspected in a very high-risk patient, percutaneous cholecystostomy should be considered as a safe and effective temporary management of patients with gallstones. Whenever possible, percutaneous cholecystostomy should be followed by laparoscopic cholecystectomy. In elderly patients who are inappropriate surgical candidates because of severe concomitant systemic diseases, less invasive treatments may prevent recurrence. Our experience shows the feasibility of percutaneous cholecystostomy to achieve an effective treatment of acute cholecystitis in surgical high-risk patients with a physiologic biliary drainage of gallstones in duodenum to prevent recurrence. Moreover we demonstrated the feasibility of a concomitant percutaneous treatment of biliary disease.
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Affiliation(s)
- Francesco Milone
- Dipartimento di Chirurgia, Ortopedia, Microchirurgia e Riabilitazione - Area Funzionale di Chirurgia Generale, Università degli Studi di Napoli "Federico II" Italia
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Accattatis V, Venetucci P, Zeppa P, Radice L. Malignant fibrous histiocytoma of the stomach. Radiol Med 2003; 106:481-5. [PMID: 14735013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
MFH is a kind of sarcoma, normally located in the soft tissues of the extremity and retroperitoneal space. The involvment of the gastroenteric tube and particularly of the stomach are rather rare. Our case shows some differences from the others described in literature: the sight of mass, the age of the patient, the extension at the moment of the diagnosis.
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Affiliation(s)
- Valentina Accattatis
- Department of Biomorphological and Functional Sciences, Service of Radiology, University Federico II of Naples, Naples, Italy.
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