Publications by authors named "Giorgio U Turicchia"

We report a multicenter experience of open conversions (OC) for aortic endograft infections (AEI). We retrospectively analyzed all patients who underwent OC for AEI after endovascular aneurysm repair (EVAR), from 1997 to 2021 in 12 Italian centers. The endpoints were as follows: mortality (30-days, in-hospital), major postoperative complications.

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Article Synopsis
  • An occult endoleak (OE) can make problems worse after a surgery called endovascular aneurysm repair (EVAR) when an aneurysm sac gets bigger.
  • This study looked at patients who needed more surgery after EVAR to see if they had these hidden leaks that weren't caught before.
  • They found that about 12.5% of patients had an OE, often hiding more serious leaks, infections or even tumors, and many cases that seemed like a "mystery" still had no clear cause after surgery.
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Article Synopsis
  • This study compares the outcomes of late open conversions (LOC) and semi-conversions (SC) after endovascular aneurysm repair, focusing on early and long-term results across 11 vascular centers from 1997 to 2020.
  • Among 347 patients, 222 underwent LOC and 48 SC, revealing similar baseline characteristics but differences in endoleak types leading to surgery.
  • Results showed higher postoperative complications and better long-term survival rates for LOC compared to SC, with 1-year survival at 80% for LOC and 72% for SC, indicating SC has acceptable but varied outcomes.
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We report a case of deep femoral artery (DFA) retrograde access for recanalization of an accidental ostial occlusion complicating an antegrade-retrograde superficial femoral artery (SFA) procedure. A 77-year-old man with chronic limb-threatening ischemia of the right lower limb was submitted to a duplex ultrasound that showed a heavy calcified SFA chronic total occlusion. During antegrade and retrograde attempts to cross the SFA obstruction, a control angiogram unexpectedly showed the ostial occlusion of the DFA.

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An 80-year-old woman developed a recurrent chronic limb-threatening ischemia of the right lower limb after a popliteal artery (PA) recanalization with retrograde puncture of the peroneal artery (PR). The angiography showed the PA restenosis and an arteriovenous fistula (AVF) at the previous peroneal retrograde access site. After the PA angioplasty, the AVF was identified through selective contrast injections in multiple projections.

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To report a new technique to reenter the common femoral artery (CFA) true lumen after retrograde recanalization of a superficial femoral artery (SFA) with flush ostial occlusion. The technique is demonstrated in a 76-year-old woman with critical limb ischemia previously submitted to several surgical revascularizations. A duplex ultrasound showed flush ostial occlusion of the SFA and patency of the anterior tibial artery at the ankle as the sole outflow vessel.

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Purpose: To report the endovascular treatment of a full metal jacket (FMJ) femoropopliteal chronic total occlusion (CTO) using a new ancillary retrograde technique.

Case Report: An 80 year old woman with type 2 diabetes presented to the Diabetic Foot Clinic with critical limb ischaemia with tissue loss in the right leg. Her comorbidities included coronary artery disease, morbid obesity, hypertension, dyslipidaemia, and active smoking habit.

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Background: The coexistence of an unstable spinal fracture with a pending aortic lesion is potentially catastrophic and a therapeutic challenge as to timing of treatment, assigning priorities and selecting the best approach.

Case Report: A 41 year-old healthy male victim of bike accident. Imaging revealed a fracture of 6th and 7th thoracic vertebrae with a bone fragment in close proximity to the descending thoracic aorta.

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