Publications by authors named "F Vacirca"

Article Synopsis
  • The systematic review aimed to assess the safety and effectiveness of percutaneous Transarterial Embolization (TAE) in treating spontaneous retroperitoneal hematomas, analyzing data from 141 patients across six studies.
  • Results showed a 100% technical success rate but clinical success rates varied, with complications occurring in 10 out of 116 procedures analyzed.
  • The study concluded that TAE is a safe and effective treatment option for life-threatening hematomas, with low complication rates and no significant difference in rebleeding between targeted and empirical embolization.
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Article Synopsis
  • Endovascular treatment, specifically percutaneous transarterial embolization (PTAE), is now the preferred method for managing abdominal wall hematomas (AWHs) in patients who are stable, often more so than surgery.
  • A study involving 112 patients examined the safety and success of PTAE, comparing blind and targeted embolization techniques, and included both COVID-19 and non-COVID-19 patients.
  • The study found a high technical success rate (99%) and an overall clinical success rate of 86%, with no significant differences in outcomes based on the type of embolization used or between COVID-19 and non-COVID-19 patients.
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Purpose: To assess the role of Uterine Artery Embolization (UAE) to treat cesarean scar pregnancy (CSP) using different embolic materials, focusing on its clinical and technical success rates; the association of UAE with methotrexate (MTX) and/or dilatation & curettage (D&C) was evaluated also.

Materials And Methods: A retrospective analysis 33 patients (mean age 35 years) affected by CSP and treated with UAE from March 2012 to 2020 was performed. Dynamic levels of serum β-HCG have been collected until they decreased to normal values after procedures.

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(1) Background: Spontaneous retroperitoneal hematomas are a relatively common occurrence in hospitalized patients with COVID-19 related pneumonia, and endovascular treatment of trans-arterial embolization (TAE) may be a life-saving procedure after failure of medical and supportive therapy. The aim of our study was to evaluate spontaneous retroperitoneal hematomas in the COVID-19 era, focusing on their imaging features at CTA and DSA and on the safety, as well as technical and clinical success, of TAE, comparing patients affected by COVID-19 and non-COVID-19 patients. (2) Materials and Methods: We retrospectively enrolled 24 patients with spontaneous retroperitoneal hematoma who underwent TAE; of these, 10 were hospitalized for COVID-19-related pneumonia, while the other 14 were without COVID-19 infection.

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Vascular compression syndromes include a group of rare vascular changes due to extrinsic compression of veins or arteries by surrounding structures. These pathologies are often underestimated due to their rarity, clinicians' poor level of knowledge, and the non-specificity of their symptoms. The best known are Eagle syndrome, thoracic outlet syndrome, nutcracker syndrome, May-Thurner syndrome, Dunbar syndrome, and popliteal entrapment syndrome.

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