Publications by authors named "A D Karelis"
Objective: Emergent complex abdominal aortic diseases are challenging to treat. During in situ laser fenestration (ISLF), aortic branches are covered and flow is restored with in situ fenestration of the stent graft, with promising midterm results. This study aimed to expand on the limited body of knowledge of midterm outcomes of ISLF in renovisceral aortic pathology in a multicentre setting.
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- Direct percutaneous access to the carotid artery (diPerCa) during endovascular aortic arch repair (EVAAR) shows promise as a minimally invasive method, potentially reducing local complications compared to traditional surgical approaches.* -
- A review of 13 patients using diPerCa reported a 92.3% technical success rate, with few complications such as one case of carotid pseudoaneurysm and minor issues like nerve palsy and dizziness.* -
- The study concluded that diPerCa is a feasible option with low neurological and local complication rates, but highlights the need for further research to validate long-term outcomes.*
Article Synopsis
- * Among 418 patients treated, the 30-day mortality rate was found to be low at 2.2%, with fenestrated endovascular repairs having a slightly better rate than open repairs (1.7% vs. 2.6%), though not statistically significant.
- * Perioperative complications were more common in open surgical repairs (19.3% vs. 7.4%), and overall results indicate that while both procedures are viable, their complications and patient profiles differ significantly.
Article Synopsis
- Hematidrosis is a rare condition characterized by sweating blood, often linked to psychological distress and skin pathology.
- A historical review of literature from ancient Greece to modern times showed 70 cases from the Renaissance to 1900 and 44 cases from 2007 to 2022, with a notable difference in gender representation.
- Common affected areas included the scalp, face, and limbs historically, while modern cases also frequently involved the eyes and ears, with various triggers such as stress and faith contributing to its occurrence.
Objective: The objective of this study was to investigate whether the use of carbon dioxide (CO) angiography decreases the intraoperative use of iodine contrast medium (ICM), thereby decreasing the risk of developing postoperative renal damage in patients undergoing iliac branch device (IBD) implantation.
Methods: Patients undergoing IBD implantation at a single tertiary center between May 2013 and August 2019 were screened for inclusion in the study. A cohort of patients in whom an intraoperative imaging protocol using predominantly CO was compared with a control group in whom ICM was used (CO and ICM groups).