Publications by authors named "A Radosevic"
Percutaneous liver procedures are frequently performed in patients with abnormal coagulation tests. Current guidelines suggest prophylactic transfusion is not mandatory in all patients with liver disease or cirrhosis, depending on the risk of bleeding. This study aims to describe the incidence and risk of major bleeding after percutaneous liver procedure in patients with and without cirrhosis.
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- - Pre-clinical studies indicate that thermal ablation of the main pancreatic duct (TAMPD) may be more effective than glue in reducing postoperative pancreatic fistula (POPF) following pancreatic surgery.
- - A small study involving 8 patients undergoing TAMPD after pancreatectoduodenectomy showed that while they experienced minor grades of POPF, the maximum diameter of the duct significantly increased initially before decreasing over time.
- - Results from an animal model suggest that TAMPD leads to long-term atrophy of the pancreas and initial duct dilation, which could paradoxically increase the risk of POPF; thus, it's recommended to perform TAMPD several weeks prior to surgery, preferably via endoscopy.
To demonstrate the efficacy of radiofrequency for pancreatic stump closure in reducing the incidence of postoperative pancreatic fistula (POPF) in distal pancreatectomy (DP) compared with mechanical transection methods. Despite all the different techniques of pancreatic stump closure proposed for DP, best practice for avoiding POPF remains an unresolved issue, with an incidence of up to 30% regardless of center volume or surgical expertise. DP was performed in a cohort of patients by applying radiofrequency to stump closure (RF Group) and compared with mechanical closure (Control Group).
View Article and Find Full Text PDFBackground: Pancreatic cancer (PCa) and biliary tract carcinomas (BTCa) have high morbidity and mortality rates. Bile duct obstruction (BDO) develops in approximately 65-75% of PCa at diagnosis, delaying the administration of optimal treatment. In patients not candidates for surgery, BDO is usually treated through the endoscopy-guided placement of self-expanding stents in the bile duct.
View Article and Find Full Text PDFMicrowave (MWA) and radiofrequency ablation (RFA) are main ablative techniques for hepatocellular carcinoma (HCC) and colorectal liver metastasis (MT). This randomized phase 2 clinical trial compares the effectiveness of MWA and RFA as well as morphology of corresponding ablation zones. HCC and MT patients with 1.
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