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Bracale UM, Ammollo RP, Hussein EA, Hoballah JJ, Taurino M, Saleem BR, Setacci C, Pecoraro F, Serra R, Bracale G, Panagrosso M, Peluso A, Petrone A, Maisto M, Del Guercio L, Dinoto E, Bajardi G, Bouayed MN, Zeebregts CJ, Pulli R, Pane B, Pratesi G, Castelli P, Setacci F, Gargiulo M, Stella A, Illario M, De Luca V, Verhoeven ELG, Riambau V, Saratzis N, Cvjetko I, Resch T, Fernandes E Fernandes J, Chiche L, Goeau-Brissonniere O. Position Paper on Young Vascular Surgeons Training of the Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS): State of the Art and Perspectives. Ann Vasc Surg 2021; 77:e7-e13. [PMID: 34454017 DOI: 10.1016/j.avsg.2021.08.002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 08/05/2021] [Indexed: 10/20/2022]
Abstract
The Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS) was founded in 2018, with the aim to promote cooperation among vascular professionals within Mediterranean countries. Due to its prominent social and economic impact on national health systems, diabetic peripheral artery was selected as the very first topic to be investigated by the federation. In this second paper, different experiences from delegates of participating countries were shared to define common strategies to harmonize, standardize, and optimize education and training in the Vascular Surgery specialty.
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Affiliation(s)
- Umberto Marcello Bracale
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy.
| | - Raffaele Pio Ammollo
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Emad A Hussein
- Department of Vascular Surgery, Ain Shams University, Cairo, Egypt
| | - Jamal J Hoballah
- Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
| | - Maurizio Taurino
- Unit of Vascular Surgery, Department of Clinical and Molecular Medicine, "Sapienza", University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - Ben R Saleem
- Department of Surgery (Division of Vascular Surgery), University Medical Center Groningen, Groningen, The Netherlands
| | - Carlo Setacci
- Vascular and Endovascular Surgery Unit, Department of Medicine, Surgery and Neurological Sciences, Policlinico S. Maria alle Scotte, University of Siena, Italy
| | - Felice Pecoraro
- Department of Surgical Oncological and Oral Sciences (DICHIRONS), University of Palermo, Vascular Surgery Unit, Palermo, Italy
| | - Raffaele Serra
- Department of Medical & Surgical Sciences University Magna Graecia of Catanzaro, Italy
| | - Giancarlo Bracale
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy; Health Innovation Unit, Campania Region, Naples, Italy
| | | | - Marco Panagrosso
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Antonio Peluso
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Anna Petrone
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Marianna Maisto
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Luca Del Guercio
- Vascular and Endovascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - Ettore Dinoto
- Department of Surgical Oncological and Oral Sciences (DICHIRONS), University of Palermo, Vascular Surgery Unit, Palermo, Italy
| | - Guido Bajardi
- Department of Surgical Oncological and Oral Sciences (DICHIRONS), University of Palermo, Vascular Surgery Unit, Palermo, Italy
| | | | - Clark J Zeebregts
- Department of Surgery (Division of Vascular Surgery), University Medical Center Groningen, Groningen, The Netherlands
| | - Raffaele Pulli
- Vascular Surgery, Department of Cardiothoracic Surgery, University of Bari, Bari, Italy
| | - Bianca Pane
- Clinic of Vascular and Endovascular Surgery, Ospedale Policlinico San Martino, Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, Italy
| | - Giovanni Pratesi
- Clinic of Vascular and Endovascular Surgery, Ospedale Policlinico San Martino, Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, Italy
| | - Patrizio Castelli
- Research Centre for Vascular Surgery, Department of Medicine and Surgery, University of Insubria, Italy
| | - Francesco Setacci
- Unit of Vascular Surgery, Multimedica Institute for Research and Care, Milan, Italy
| | - Mauro Gargiulo
- Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Andrea Stella
- Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Maddalena Illario
- Health Innovation Unit, Campania Region, Naples, Italy; Research and Development Unit, AOU "Federico II", Naples, Italy
| | | | - Eric L G Verhoeven
- Department of Vascular and Endovascular Surgery, Klinikum Nuremberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany
| | - Vincent Riambau
- Vascular Surgery Division, Thorax Institute, Hospital Clinic, Barcelona, Spain
| | - Nikolaos Saratzis
- 1st Department of Surgery and Vascular Surgery, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ivan Cvjetko
- Clinical Department of Vascular Surgery, University Hospital Merkur, Zagreb, Croatia
| | - Timothy Resch
- Vascular Center Malmö-Lund, Skåne University Hospital, Sweden
| | | | - Laurent Chiche
- Sorbonne Université, Department of Vascular Surgery, Pitié-Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, France
| | - Olivier Goeau-Brissonniere
- Department of Vascular Surgery, Ambroise Paré Hospital, AP-HP, Boulogne-Billancourt, France; Faculté de Médecine Paris Ile-de-France Ouest, Paris, France
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De Luca V, Tramontano G, Riccio L, Trama U, Buono P, Losasso M, Bracale UM, Annuzzi G, Zampetti R, Cacciatore F, Vallefuoco G, Lombardi A, Marro A, Melone MAB, Ponsiglione C, Chiusano ML, Bracale G, Cafiero G, Crudeli A, Vecchione C, Taglialatela M, Tramontano D, Iaccarino G, Triassi M, Roller-Wirnsberger R, Bousquet J, Illario M. "One Health" Approach for Health Innovation and Active Aging in Campania (Italy). Front Public Health 2021; 9:658959. [PMID: 34046390 PMCID: PMC8144456 DOI: 10.3389/fpubh.2021.658959] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 01/26/2021] [Accepted: 03/18/2021] [Indexed: 12/23/2022] Open
Abstract
This article describes how innovations are exploited in Campania (Italy) to improve health outcomes, quality of life, and sustainability of social and healthcare services. Campania's strategy for digitalization of health and care and for healthy aging is based on a person-centered, life-course, “One Health” approach, where demographic change is considered capable of stimulating a growth dynamic linked to the opportunities of combining the “Silver Economy” with local assets and the specific health needs of the population. The end-users (citizens, patients, and professionals) contribute to the co-creation of products and services, being involved in the identification of unmet needs and test-bed activity. The Campania Reference Site of the European Innovation Partnership on Active and Healthy Aging is a flexible regional ecosystem to address the challenge of an aging population with a life-course approach. The good practices, developed in the context of research and innovation projects and innovative procurements by local stakeholders and collaborations with international networks, have been allowing the transfer of innovative solutions, knowledge, and skills to the stakeholders of such a multi-sectoral ecosystem for health.
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Affiliation(s)
- Vincenzo De Luca
- Dipartimento di Sanità Pubblica, Università degli Studi di Napoli "Federico II, " Naples, Italy
| | - Giovanni Tramontano
- Unità Operativa Semplice Ricerca e Sviluppo, Azienda Ospedaliera Universitaria Federico II, Naples, Italy
| | - Luigi Riccio
- Direzione Generale per la Tutela della Salute e il Coordinamento del Servizio Sanitario Regionale, Naples, Italy
| | - Ugo Trama
- Direzione Generale per la Tutela della Salute e il Coordinamento del Servizio Sanitario Regionale, Naples, Italy
| | - Pietro Buono
- Direzione Generale per la Tutela della Salute e il Coordinamento del Servizio Sanitario Regionale, Naples, Italy
| | - Mario Losasso
- Dipartimento di Architettura, Università degli Studi di Napoli "Federico II", Naples, Italy
| | | | - Giovanni Annuzzi
- Unità Operativa Semplice Microinfusori e tecnologie innovative, Azienda Ospedaliera Universitaria Federico II, Naples, Italy
| | | | - Francesco Cacciatore
- Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II, " Naples, Italy
| | | | | | - Anna Marro
- Azienda Sanitaria Locale Avellino, Avellino, Italy
| | - Mariarosa Anna Beatrice Melone
- Dipartimento di Scienze Mediche e Chirurgiche Avanzate e Centro Interuniversitario di Ricerca in Neuroscienze, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy
| | - Cristina Ponsiglione
- Dipartimento di Ingegneria Industriale, Università degli Studi di Napoli "Federico II", Naples, Italy
| | - Maria Luisa Chiusano
- Dipartimento di Agraria, Università degli Studi di Napoli "Federico II", Naples, Italy
| | - Giancarlo Bracale
- Mediterranean Federation for Advancing Vascular Surgery, Naples, Italy
| | | | | | - Carmine Vecchione
- Dipartimento di Medicina, Chirurgia e Odontoiatria, Università degli Studi di Salerno, Salerno, Italy
| | - Maurizio Taglialatela
- Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, Università degli Studi di Napoli "Federico II," Naples, Italy
| | - Donatella Tramontano
- Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli "Federico II," Naples, Italy
| | - Guido Iaccarino
- Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli "Federico II," Naples, Italy
| | - Maria Triassi
- Dipartimento di Sanità Pubblica, Università degli Studi di Napoli "Federico II, " Naples, Italy
| | | | - Jean Bousquet
- MACVIA-France, Fondation Partenariale FMC VIA-LR, Montpellier, France
| | - Maddalena Illario
- Dipartimento di Sanità Pubblica, Università degli Studi di Napoli "Federico II, " Naples, Italy
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Bracale UM, Ammollo RP, Hussein EA, Hoballah JJ, Goeau-Brissonniere O, Taurino M, Setacci C, Pecoraro F, Bracale G, Giribono AM, Ferrante L, de Donato G, Dinoto E, Bajardi G, Illario M, Bouayed MN, Saleem BR, Pulli R, Gossetti B, Pane B, Castelli P, Tozzi M, Sraieb T, Setacci F, Stella A, De Luca V. Managing Peripheral Artery Disease in Diabetic Patients: A Questionnaire Survey from Vascular Centers of the Mediterranean Federation for the Advancing of Vascular Surgery (MeFAVS). Ann Vasc Surg 2020; 64:239-245. [DOI: 10.1016/j.avsg.2019.09.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 09/06/2019] [Accepted: 09/09/2019] [Indexed: 01/13/2023]
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Setacci C, de Donato G, Tadiello M, Tozzi M, Bracale G, del Guercio L, Bracale UM, Setacci F. Evidence on the need for an integrated approach to the management of diabetes: the surgical perspective. Transl Med UniSa 2020; 21:4-6. [PMID: 32123672 PMCID: PMC7039262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Affiliation(s)
- C Setacci
- Vascular Surgery Unit, University of Siena, Italy
| | - G de Donato
- Vascular Surgery Unit, University of Siena, Italy
| | - M Tadiello
- Vascular Surgery Unit Insubria, University of Varese, Italy
| | - M Tozzi
- Vascular Surgery Unit Insubria, University of Varese, Italy
| | - G Bracale
- Vascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - L del Guercio
- Vascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - UM Bracale
- Vascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - F Setacci
- Vascular Surgery Unit IRCCS Multimedia, Milano, Italy
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Illario M, De Luca V, Bracale UM, Bracale G. Editorial: Health Technologies: a challenge to tackle in NETWORK. Transl Med UniSa 2020; 21:1-3. [PMID: 32123671 PMCID: PMC7039263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- M Illario
- Department of Public Health, University Federico II of Naples, Naples, Italy
- Health Innovation Division, General Directorate for Health, Campania Region, Naples, Italy
| | - V De Luca
- Research and Development Unit, Federico II University Hospital, Naples, Italy
| | - U M Bracale
- Vascular Surgery Unit, Department of Public Health, University Federico II of Naples, Naples, Italy
| | - G Bracale
- The Mediterranean Federation for Advancing Vascular Surgery, Naples, Italy
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Illario M, De Luca V, Leonardini L, Kucharczyk M, Parent AS, Dantas C, Jegundo AL, van Staalduinen W, Ganzarain J, Comisso L, Bramezza C, Carriazo AM, Maritati A, Tramontano G, Capozzi P, Goossens E, Cotrone C, Costantini A, Ciliberti M, Femiano M, d’Amore A, Forlenza M, Ruggiero R, Bianchi A, Augustin L, Marrazzo V, Dello Ioio T, Capaldo S, Crudeli A, De Cesare G, Cuccaro F, Bracale G, Tramontano D, Postiglione A, Matera C, Coscioni E, Bousquet J. Health tourism: an opportunity for sustainable development. Transl Med UniSa 2019; 19:109-115. [PMID: 31360675 PMCID: PMC6581494] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
In February 2017, the "Programma Mattone Internazionale Salute" (ProMis), that is the Italian Program for Internationalization of Regional Health Systems of the Ministry of Health (MoH), presented the first version of its Position Paper on Health Tourism, which embeds a first shared approach to the recommendations expressed by the European Committee of Regions (CoR) on "Age-Friendly" tourism. The CoR stresses the importance of local and regional authorities in the coordination of multi-sectoral policies such as healthcare, social assistance, transport, urban planning and rural development in relation to the promotion of mobility, security, accessibility of services, including health care and social services. "Age-friendly" tourism is an example of an innovative tourist offer that strives to meet the health needs of the entire "traveling" population, with an integrated and cross-sector approach that involves various organizations operating in sectors such as healthcare, accessibility and transport. The aim of the workshop was to explore the interest of the stakeholders to participate in a systemic action in the field of "health" tourism, and to identify priority implementation areas that offer opportunities to take advantage of validated, innovative experiences that strengthen the accessibility to health and social services in regional, national and international contexts. This effort provides the opportunity to take advantage of aligning the European Structural and Investment Funds (ESIF) to the development of tourism, coherently with the needs and resources of local and regional health authorities.
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Affiliation(s)
- M Illario
- Health Innovation Division of Campania Region (DG04), Federico II University and Hospital, Naples, Italy
| | - V De Luca
- Research and Development Unit, Federico II University Hospital, Naples, Italy
| | - L Leonardini
- Programma Mattone Internazionale Salute, Italian Ministry of Health, San Donà di Piave VE, Italy
| | | | - AS Parent
- AGE Platform Europe Network, Brussels, Belgium
| | - C Dantas
- Caritas Coimbra, Coimbra, Portugal
| | | | | | - J Ganzarain
- Academy on Age-friendly Environments BV, Gouda, the Netherlands
| | - L Comisso
- Azienda per i Servizi Sanitari n.5 “Bassa Friulana”, Udine, Italy
| | - C Bramezza
- Azienda ULSS n. 4 Veneto Orientale, San Donà di Piave VE, Italy
| | | | - A Maritati
- Programma Mattone Internazionale Salute, Italian Ministry of Health, San Donà di Piave VE, Italy
| | - G Tramontano
- Research and Development Unit, Federico II University Hospital, Naples, Italy
| | - P Capozzi
- Health Innovation Division of Campania Region (DG04), Federico II University and Hospital, Naples, Italy
| | - E Goossens
- Center for Gastrology, Brussels, Belgium
| | - C Cotrone
- Relations with European and extra-European countries Division, Campania Region, Naples, Italy
| | - A Costantini
- Azienda Sanitaria Locale Napoli 3 Sud, Castellamare di Stabia NA, Italy
| | - M Ciliberti
- Azienda Sanitaria Locale Napoli 3 Sud, Castellamare di Stabia NA, Italy
| | - M Femiano
- Azienda Sanitaria Locale Napoli 2 Nord, Frattamaggiore NA, Italy
| | - A d’Amore
- Azienda Sanitaria Locale Napoli 2 Nord, Frattamaggiore NA, Italy
| | - M Forlenza
- Azienda Sanitaria Locale Napoli 1 Centro, Naples, Italy
| | - R Ruggiero
- Azienda Sanitaria Locale Napoli 1 Centro, Naples, Italy
| | - A Bianchi
- Istituto Nazionale Tumori Pascale, Naples, Italy
| | - L Augustin
- Istituto Nazionale Tumori Pascale, Naples, Italy
| | - V Marrazzo
- Regional Coordination of Tourism Districts of Campania, Naples, Italy
| | - T Dello Ioio
- Parco regionale dei Monti Lattari, Castellammare di Stabia NA, Italy
| | - S Capaldo
- Federalberghi Terme, Rome, Italy
- Federterme, Rome, Italy
| | | | - G De Cesare
- Centro Mediterranea Diagnostica Srl, Castellamare di Stabia NA, Italy
| | - F Cuccaro
- Centro Mediterranea Diagnostica Srl, Castellamare di Stabia NA, Italy
| | - G Bracale
- Mediterranean Federation for Advancing Vascular Surgery, Naples, Italy
| | - D Tramontano
- Department of Molecular Medicine and Medical Biotechnology, Federico II University, Naples, Italy
| | - A Postiglione
- General Directorate for Health Protection and the coordination of Regional Health System, Campania Region, Naples, Italy
| | - C Matera
- Regional Ministry for Tourism, Campania Region, Naples, Italy
| | - E Coscioni
- Department of Heart Surgery, San Giovanni di Dio e Ruggi d’Aragona Hospital, Salerno, Italy
| | - J Bousquet
- Department of Pneumology and Addictology, Montpellier University Hospital Center, Montpellier, France
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Narese D, Bracale UM, Vitale G, Porcellini M, Midiri M, Bracale G. What the young physician should know about May-Thurner syndrome. Transl Med UniSa 2016; 12:19-28. [PMID: 28845392 PMCID: PMC4592040] [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: 11/20/2022] Open
Abstract
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.
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Affiliation(s)
- Donatella Narese
- Department of Radiology D.I.B.I.M.E.F., “P. Giaccone” University Hospital, Palermo, Italy
| | | | - Gaetano Vitale
- Vascular and Endovascular Surgery, Federico II University of Naples, Italy
| | | | - Massimo Midiri
- Department of Radiology D.I.B.I.M.E.F., “P. Giaccone” University Hospital, Palermo, Italy
| | - Giancarlo Bracale
- Vascular and Endovascular Surgery, Federico II University of Naples, Italy
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Bracale UM, Corte G, Del Guercio L, Pecoraro F, Dinoto E, La Rosa G, Porcellini M, Bracale G, Bajardi G. Endovascular treatment of abdominal aortic anastomotic pseudoaneurysm. The experience of two centers. Ann Ital Chir 2012; 83:509-513. [PMID: 23110905] [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: 06/01/2023]
Abstract
INTRODUCTION Abdominal aortic pseudoaneurysms are a rare but serious complication of aortic surgery. Treatment with traditional open surgery is associated with a high rate of perioperative mortality and morbidity. Endovascular treatment is less invasive and guarantees lower mortality and morbidity rates. The aim of this study was to evaluate the role of short-, medium- and long-term endovascular treatment of these pseudoaneurysms. MATERIALS AND METHODS Over the past 10 years, 14 patients with abdominal aortic aneurysms, which developed after prior aortic surgery, underwent endovascular treatment involving implantation of an endoprosthesis at our institutions. Exclusion criteria were emergency treatment and suspicion of an infected prosthesis. A Cheatham-platinum covered stent mounted on a balloon catheter was implanted in one patient and self-expandable stent-graft in the other 13. No fenestrated or custom-made prostheses were used. RESULTS The procedure had a 100% technical success rate. There was no postoperative mortality. Two type I endoleaks, observed at aortography at the end of the procedure, were not seen on the CT scan taken one month later. Three patients (21.4%) had major perioperative complications which consisted of early occlusion of a branch of the endoprosthesis, (treated with a femoro-femoral crossover bypass graft), a transient ischemic attack, and jaundice. The long-term mortality rate, at an average follow-up of 37.4 months, was 21.4%. None of the deaths was related to the procedure. CONCLUSIONS Endovascular treatment of patients who develop anastomotic pseudoaneurysm after surgery of the abdominal aorta is safe and effective both in the short and long term. In our opinion it is the treatment of choice for this category of patients.
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Bracale U, Porcellini M, Bracale G. How should I treat concomitant post-endarterectomy carotid pseudoaneurysm and contralateral symptomatic stenosis? EUROINTERVENTION 2010. [DOI: 10.4244/eijv6i2a46] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Bracale UM, Porcellini M, Bracale G. How should I treat concomitant post-endarterectomy carotid pseudoaneurysm and contralateral symptomatic stenosis? EUROINTERVENTION 2010; 6:283-287. [PMID: 20562083] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND A 74-year-old male patient complaining of crescendo TIAs, hypertension and hyperlipidaemia. INVESTIGATION Duplex ultrasound scan MR angiography. DIAGNOSIS Pseudoaneurysm stemming from the ICA. TREATMENT An open or endovascular procedure for the right pECCA repair, or a left CEA or CAS.
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Affiliation(s)
- Umberto Marcello Bracale
- University Federico II of Naples, Department of Vascular and Endovascular Surgery, Naples, Italy.
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Bracale UM, Carbone F, del Guercio L, Viola D, D'Armiento FP, Maurea S, Porcellini M, Bracale G. External iliac artery pseudoaneurysm complicating renal transplantation. Interact Cardiovasc Thorac Surg 2009; 8:654-60. [PMID: 19289398 DOI: 10.1510/icvts.2008.200386] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES To assess the etiology, management and outcome of iliac pseudoaneurysms following renal transplantation. METHODS Eleven patients who underwent repair between 1982 and 2007 were identified. Five (Group 1) presented pseudoaneurysm at the anastomosis of the donor renal and native iliac arteries, and six (Group 2) presented iliac pseudoaneurysm following transplant nephrectomy. Intraoperative cultures and immunohistochemical examinations were obtained from all surgical cases to determine the existence of a relationship between infection or transplant rejection and pseudoaneurysm formation. RESULTS Endovascular repair (EVR) was used to treat three patients, while eight patients underwent open repair (OR). Transplant nephrectomy was needed in all cases but one after anastomotic pseudoaneurysm repair. After pseudoaneurysm excision, arterial reconstruction was performed in all cases, with a limb salvage rate of 100%. At 30 days, no patients died in the EVR subgroup. In the OR subgroup, one patient died of sepsis (12.5%). Cultures taken from the pseudoaneurysm wall and content grew Candida albicans and E. coli in two febrile patients. Pathologic evaluation of donor renal arteries revealed evidence of chronic rejection in three patients (60%) in Group 1, and in two (33.3%) in Group 2. No patients in either Group presented late infection, failure of vascular reconstruction nor pseudoaneurysm recurrence. The follow-up ranges from 20 to 89 months. CONCLUSIONS The etiology of pseudoaneurysms in this location is multifactorial, however, an association with chronic rejection must be considered. Though rare, the development of pseudoaneurysms at the donor renal-external iliac artery anastomosis results in high rates of transplant nephrectomy. Less invasive endovascular techniques offer a new therapeutic option in this challenging scenario notwithstanding the fact that they require further validation.
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Affiliation(s)
- Umberto M Bracale
- Department of Vascular and Endovascular Surgery, University Federico II, Naples, Italy.
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Fortunato G, Di Taranto MD, Bracale UM, Del Guercio L, Carbone F, Mazzaccara C, Morgante A, D’Armiento FP, D’Armiento M, Porcellini M, Sacchetti L, Bracale G, Salvatore F. Decreased Paraoxonase-2 Expression in Human Carotids During the Progression of Atherosclerosis. Arterioscler Thromb Vasc Biol 2008; 28:594-600. [DOI: 10.1161/atvbaha.107.154658] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Giuliana Fortunato
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Maria Donata Di Taranto
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Umberto Marcello Bracale
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Luca Del Guercio
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Francesca Carbone
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Cristina Mazzaccara
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Alberto Morgante
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Francesco Paolo D’Armiento
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Maria D’Armiento
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Massimo Porcellini
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Lucia Sacchetti
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Giancarlo Bracale
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
| | - Francesco Salvatore
- From the Dipartimento di Biochimica e Biotecnologie Mediche (G.F., C.M., A.M., L.S., F.S.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy and CEINGE scarl, Via Comunale Margherita 482, 80145 Napoli, Italy; Dipartimento Assistenziale di Chirurgia Generale Toracica, Vascolare e Endovascolare (U.M.B., L.D.G., F.C., M.P., G.B.), Università degli Studi di Napoli “Federico II”, Via S. Pansini 5, 80131 Napoli, Italy; Dipartimento di Scienze Biomorfologiche e
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Porcellini M, D'armiento FP, Spinetti F, Anniciello A, Bracale G. Delayed diagnosis of leiomyosarcoma of the common femoral artery after endovascular repair. J Endovasc Ther 2004; 10:846-8. [PMID: 14533953 DOI: 10.1177/152660280301000425] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To describe a unique case of misdiagnosed leiomyosarcoma of the common femoral artery presenting with signs and symptoms of high-grade stenosis, which was treated with stent placement. CASE REPORT A 31-year-old woman with a history of diabetes and hyperlipidemia had recurrent claudication and showed significant in-stent restenosis of the common femoral artery in a postoperative angiogram at 5 months. The patient's clinical stage remained unchanged after repeat percutaneous intervention, and leiomyosarcoma was diagnosed from surgical specimens. The patient underwent resection and repair of the involved artery. She has survived 30 months with no further evidence of local recurrence or systemic metastatic disease. CONCLUSIONS Endovascular repair may cause a long delay in the diagnosis of an arterial leiomyosarcoma mimicking peripheral occlusive disease.
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Porcellini M, D'Armiento FP, Spinetti F, Anniciello A, Bracale G. Delayed Diagnosis of Leiomyosarcoma of the Common Femoral Artery After Endovascular Repair. J Endovasc Ther 2003. [DOI: 10.1583/1545-1550(2003)010<0846:ddolot>2.0.co;2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Porcellini M, Bracale G, D'armiento FP. Regarding "A spontaneous rupture of the external iliac vein revealed as a phlegmasia cerulea dolens with acute lower limb ischemia: case report and review of the literature". J Vasc Surg 2003; 37:244-6; author reply 246. [PMID: 12514626 DOI: 10.1067/mva.2003.15] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Abstract
The nitinol TrapEase inferior vena cava filter is a new device for pulmonary embolism prophylaxis. No cases of filter migration or filter-related complications with this type of device have so far been described. We report a case of intracardiac migration of this filter in a patient with a patent foramen ovale, resulting in severe cardiogenic shock, cerebral and right arm paradoxical embolism. Surgical treatment, results, causes of these complications are discussed.
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Affiliation(s)
- Massimo Porcellini
- Department of Vascular and Endovascular Surgery, Medical School, Federico II University, Naples, Italy.
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Bracale G, Porcellini M, D'Armiento FP, Baldassarre M. Spontaneous rupture of the iliac vein. J Cardiovasc Surg (Torino) 1999; 40:871-5. [PMID: 10776720] [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: 02/16/2023]
Abstract
Two unusual cases of iliac vein spontaneous rupture into the retroperitoneum are presented together with 18 cases reported by the literature. In one patient of ours, entrapment of clots in an IVC filter and proximal iliac vein involvement into the scar tissue surrounding the left limb of an aortoiliac bifurcation graft might have caused flow disturbances and subsequent predisposition to rupture of the thrombosed external iliac vein. Inflammatory parietal changes, including infiltration of macrophages, T and B lymphocytes producing elastin degradation by means of cytokines, may have led ultimately to vein disruption. Despite clinical features and CT scan findings, the physician's awareness of this disease remains the most important factor for the early treatment.
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Affiliation(s)
- G Bracale
- Department of Vascular Surgery, Federico II University of Naples, Italy
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Abstract
OBJECTIVE The prognostic factors and treatment options for thoracic aortic intramural hematoma are controversial. The purpose of this study was to determine the most suitable treatment of this condition in very elderly patients. METHODS In a review of the world literature, eight octogenarians with thoracic aortic intramural hematoma were found; to these the three cases reported here must be added. The descending thoracic aorta was involved in eight cases and the ascending/arch in three. RESULTS In spite of patients' poor general conditions, the medical treatment group showed survival rates of 85.7% (descending) and 66.6% (ascending/arch), respectively. CONCLUSION Extensive atherosclerotic changes of the aortic wall in the elderly, combined with control of hypertension, may probably prevent thoracic aortic intramural hematoma from progressing to dissection, with a favourable outcome. An earlier and more accurate preoperative diagnosis by modern diagnostic techniques, including spiral computed tomography (CT), as were performed in our own patients, will allow optimal treatment and increased patient survival.
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Affiliation(s)
- M Porcellini
- Department of Vascular Surgery, Medical School, Federico II, University, Naples, Italy
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Bracale G. [Aneurysms of the abdominal aorta: what surgical treatment?]. Minerva Cardioangiol 1998; 46:263-4. [PMID: 10021838] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Affiliation(s)
- G Bracale
- Cattedra e Scuola di Specializzazione in Chirurgia Vascolare, Facoltà di Medicina e Chirurgia, Università degli Studi Federico II, Napoli
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Bracale G, Porcellini M, Bernardo B, Selvetella L, Renda A. Inferior pancreaticoduodenal artery aneurysm associated with common hepatic artery occlusion. J Cardiovasc Surg (Torino) 1996; 37:579-81. [PMID: 9016971] [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: 02/03/2023]
Abstract
A unique case of true inferior pancreaticoduodenal artery aneurysm (IPDA) associated with occlusion of common hepatic artery is reported. Radiological and MRI findings are described. Because of high risk of visceral ischemia that contraindicated a percutaneous transluminal embolization, a successful tangential resection of aneurysm was performed.
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Affiliation(s)
- G Bracale
- Department of Vascular Surgery, School of Medicine, University Federico II, Naples, Italy
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Bracale G, Selvetella L. [Clinical study of the efficacy of and tolerance to seaprose S in inflammatory venous disease. Controlled study versus serratio-peptidase]. Minerva Cardioangiol 1996; 44:515-24. [PMID: 9091835] [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: 02/04/2023]
Abstract
This study was designed to compare the efficacy and safety of seaprose S and serratio-peptidase in the treatment of venous inflammatory disease. Forty patients entered the study (11 males, 29 females), mean age 54.3 years (range 30-77), mean weight 74.8 kg (range 51-96), with superficial thrombophlebitis. The trial was conducted following a controlled, between patients, randomized experimental design. Seaprose S was administered as 30 mg tablets at a daily dosage of 90 mg (one tab t.i.d.), and serratio-peptidase as 5 mg tablets, at a dose of 30 mg per day (two tabs t.i.d.), both orally, for 14 days. Twenty patients received seaprose S and 20 serratio-peptidase. The findings indicate that seaprose S was more effective and better tolerated than serratio-peptidase. Although the group of patients assigned to seaprose S had considerably more severe initial symptoms, by the end of treatment spontaneous pain was reduced 68.7% from the baseline mean score (from 3.2 to 1.0), as compared with a 63.3% reduction in the serratio-peptidase group (from 3.0 to 1.1). Pain on pressure was reduced 61.1% with seaprose S (from 3.6 to 1.4), compared to 57.6% with the reference treatment (from 3.3 to 1.4). Edema was reduced respectively 75% (from 1.6 to 0.4) and 56.2% (from 1.6 to 0.7); erythema diminished 72.4% (from 2.9 to 0.8) and 58.3% (from 2.4 to 1.0); nighttime cramps were 61.1% less (from 1.8 to 0.7) compared with 52.9% (from 1.7 to 0.8); hemorrhagic suffusion was 53.3% less (from 1.5 to 0.7) compared with 41.7% (from 1.2 to 0.7); cutaneous dystrophy was reduced by 11.1% (from 1.8 to 1.6) and 7.7% (from 1.3 to 1.2). At the end of the treatment with seaprose S efficacy was assessed as good or excellent in 85% of the cases, compared with 65% for serratio-peptidase. Seaprose S caused no adverse reactions. During serratio-peptidase treatment one patient reported diarrhea, requiring temporary dosage reduction and specific treatment. It can thus be confirmed that seaprose S was effective and well tolerated in patients with inflammatory venous diseases.
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Affiliation(s)
- G Bracale
- Divisione di Chirurgia Vascolare, Università degli Studi di Napoli, Federico II
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Del Prete A, Chiosi E, Magli A, Calandriello M, Bernardo B, Bracale G. Surgical treatment and desensitization therapy of giant papillary allergic conjunctivitis. Ophthalmic Surg 1992; 23:776-9. [PMID: 1484672] [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: 12/27/2022]
Abstract
We found that three cases of giant papillary conjunctivitis responded well to local specific desensitization therapy and transplantation of the conjunctiva with saphenous vein tissue.
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Affiliation(s)
- A Del Prete
- Istituto di Oftalmologia, Università di Napoli Federico II, Italy
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Del Prete A, Chiosi E, Magli A, Calandriello M, Bernardo B, Bracale G. Surgical Treatment and Desensitization Therapy of Giant Papillary Allergic Conjunctivitis. Ophthalmic Surg Lasers Imaging Retina 1992. [DOI: 10.3928/1542-8877-19921101-13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Bracale G, Bernardo B. [Role of surgery in insufficiency of the perforating veins]. Phlebologie 1987; 40:649-53. [PMID: 3685135] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- G Bracale
- Universita' degli studi di Napoli il Facolta di Medicina e chirurgia cattedra di chirurgia vascolare
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Zotti G, Bracale G, Sfarzo A, Testa S, Amato B, de Luna FS. Postoperative gastric complications in vascular patients. Int Surg 1984; 69:129-31. [PMID: 6334063] [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: 01/19/2023] Open
Abstract
Although there is no etiopathogenetic correlation between arterial diseases and gastroduodenal ulcer, a chronic gastric disease can increase postoperative morbidity and mortality, in patients with arterial diseases. Furthermore, postoperative complications due to the development of acute hemorrhagic gastritis are frequent and dangerous, even in patients without any pre-existing gastric pathology. The experience of our Department in this field is reported here, and the risk and severity of hemorrhagic complications after administration of prophylaxis in patients with arterial diseases and gastroduodenal ulcer are evaluated.
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Jovino R, Bracale G, Santangelo ML. [Considerations on the so-called idiopatic chylothorax]. Rass Int Clin Ter 1971; 51:11-7. [PMID: 5580188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Valerio V, Cotrufo M, Bracale G, Purri P. [Electrocardiographic findings after implantation of pacemakers]. Rass Int Clin Ter 1970; 50:1149-63. [PMID: 5476592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Marino A, Mazzeo F, Di Mezza F, Bracale G. [Peripheral arteriopathies caused by adrenaline, ergotamine and psychological stress in guinea pigs]. Arch Int Pharmacodyn Ther 1965; 156:455-66. [PMID: 5868949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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