Publications by authors named "Mirabella D"

Endovascular aneurysm repair (EVAR) has become the preferred approach over open repair for abdominal aortic aneurysms (AAAs) due to its minimally invasive nature. The common femoral artery (CFA) is the main access vessel for EVAR, with both surgical exposure and percutaneous access being utilized. However, in emergent cases, percutaneous access can be challenging and may result in complications such as bleeding or dissection thrombosis, leading to the need for surgical conversion.

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Missing maxillary lateral incisors can be treated either with orthodontic space closure or preservation of the edentulous space for tooth replacement. Orthodontic space closure coupled with non-invasive post-orthodontic cosmetic dentistry is a compelling option compatible with optimal function, favourable aesthetics, and periodontal health in the long-term. We present the rationale for space closure and detail contemporary clinical strategies underpinning interdisciplinary treatment planning and excellence in finishing.

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Article Synopsis
  • - In patients with end-stage renal failure needing hemodialysis, creating an arteriovenous fistula (AVF) is favored over using tunneled dialysis catheters due to lower complications and costs, but AVF maturation failure is a common issue.
  • - This study explores the effectiveness of using intraoperative Doppler ultrasound (DUS)-guided Balloon-Assisted Maturation (BAM) with drug-eluting balloons (DEB) to enhance AVF maturation following initial creation, using data from 114 procedures.
  • - Results showed that BAM led to successful AVF maturation with minimal early complications, no AVF thrombosis, and an average maturation time of 15 days, highlighting the potential to reduce reinterventions by
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The adsorption of oxygen and its reaction with target gases are the basis of the gas detection mechanism by using metal oxides. Here, we present a theoretical analysis of the sensor response, within the ionosorption model, for an n-type polycrystalline semiconductor. Our goal of our work is to reveal the mechanisms of gas sensing from a fundamental point of view.

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Introduction: Brachial artery aneurysm (BAA) following long-standing arteriovenous fistula (AVF) ligation after renal transplantation is odd.

Case Presentation: Two cases of brachial artery aneurysm treated with bypass (a saphenous vein graft and a PTFE graft). In the first patient no complications were recorded whereas an infection was diagnosed after 6 months from the procedure in the second treatment.

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Article Synopsis
  • Endovascular aortic repair (EVAR) typically involves a technique called contralateral gate cannulation (CGC), but tricky cases can lead to longer procedures and higher radiation exposure.
  • A study analyzed 371 patients, narrowing down to 172 who met criteria for comparing traditional CGC with a new method called speed gate cannulation (SGC).
  • Results indicated that SGC significantly reduced both CGC time and fluoroscopy time without major complications, suggesting it is an efficient option worth considering in standard EVAR procedures, particularly in emergencies.
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Background: The aim of study was to assess the safety and effectiveness of 3 different commercial iliac branch devices (IBDs): the Zenith Branch Iliac Endovascular Graft; the Gore Excluder Iliac Branch System and the E-liac Stent Graft System for the treatment of aorto-iliac or iliac aneurysms.

Methods: From January 2017 to February 2020, a retrospective reviewed was conducted on a total of 96 patients. Primary endpoint was IBD instability rate at 24 months.

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The intima-media thickness (IMT) and its irregularities or ulcerations in the common carotid artery (CCA) are useful tools as sentinel biomarkers for the integrity of the cardiovascular system. Total homocysteine and lipoprotein levels are the most commonly used elements in cardiovascular risk stratification. Duplex ultrasound (DUS), associated with serum biomarkers, can be used simply to assess the degree of atherosclerotic disease and cardiovascular risk.

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In the original paper, Zhao and co-workers describe a sensing model to explain the response to a reducing gas as a function of the oxygen partial pressure. In this Comment we specifically analyze the basic gas detection mechanisms proposed in such a work and expressed through surface reactions (eqs 1-5). The consequence of these presented mechanisms lead to inconsistencies that are also regularly found in the literature.

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The case describes the interdisciplinary treatment of a 23-year-old woman with a Class III malocclusion, missing an upper right lateral incisor, abrasion of the maxillary incisal edges, anterior gingival margin discrepancies, and gingival recession. Initially, the patient was treated with fixed appliances combined with orthognathic surgery. The extraction of the upper left lateral incisor and bilateral canine substitution plan was chosen.

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Background: Hybrid treatments (HT) aim to reduce conventional open surgery invasiveness and address multilevel peripheral arterial disease (PAD). Herein, the simultaneous HT treatment in patients with chronic limb-threatening ischemia (CLTI) is reported.

Methods: Retrospective analysis, for the period from May 2012 to April 2018, of patients presenting multilevel PAD with CLTI addressed with simultaneous HT.

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Introduction: Coronavirus 2019 (COVID-19) has been associated with endothelial dysfunction. This hypercoagulable state coming from the endothelial injury pones COVID-19 patients to a higher risk for thrombosis. COVID 19 diabetic patients are more exposed to peripheral vascular disease progression.

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Introduction: Peripheral Arterial Disease (PAD) in diabetic patients is a significant cause of Morbility. Long arterial occlusion in patient previously treated can require unusual and complex solution. Herein we report a case of complicated bypass in diabetic patient with history of bypass for bilateral popliteal aneurysm.

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Introduction: COVID-19 is an infectious disease that has been associated not only with respiratory complications. The COVID-19 disease includes, also damage to other organ systems as well as coagulopathy. The present report describes a case of COVID-19 presenting with acute mesenteric ischemia (AMI) and subsequent acute limb ischemia (ALI).

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Introduction: Stent-graft infection in peripheral arteries is rare and potentially dangerous. The use of hybrid procedures, in complicated patients previously treated, involves an increase of infective risk especially in no collaborative patients.

Presentation Of Case: We report a case of rare stent-graft infection in a patient treated for a Rutherford IV Multiple Peripheral Arterial Disease (MPAD) involving the right iliac-femoral axis with stenosis on deep femoral artery due to a previously stenting procedure for Superficial Femoral artery (SFA) stenosis.

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Introduction: Endovascular aneurysm sealing (EVAS) with the Nellix system was introduced to reduce endovascular aneurysm repair (EVAR) perioperative complications, especially endoleaks. Herein we report a case of successful type 1A endoleak managed with detachable coils embolization after EVAS.

Presentation Of Case: A 77-year-old male was referred for abdominal pain.

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Article Synopsis
  • *Methods*: Data were collected from patients with significant popliteal artery stenosis who underwent treatment with the Luminor® balloon, measuring various outcomes including technical success, complications, and long-term patency over a median follow-up of about 22 months.
  • *Results*: The treatment showed a 100% technical success rate with acceptable safety; after 24 months, survival was 97%, and primary patency was 96.9%, indicating the Luminor® is effective, although larger studies
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Introduction: Spontaneous acute aortic syndrome (IAAS) is rarely localized in the infrarenal aorta. The endovascular approach is preferred over conventional open surgery with fewer complications. However, dedicated endovascular devices for IAAS treatment are unavailable.

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The first line approach for subclavian steal syndrome is PTA-stenting of subclavian artery. When the ipsilateral vertebral artery origin is involved or in closed proximity of the atherosclerotic lesion in the subclavian artery PTA-stenting is at risk of ipsilateral vertebral artery coverage. Herein we report our experience with DEB to address lesions involving the subclavian artery and the origin of the ipsilateral vertebral artery.

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Diabetic ulceration of the foot is a major global medical, social and economic problem and is the most frequent end-point of diabetic complications. A retrospective analysis from February 2017 to May 2019 of diabetic patients presenting below-the-knee artery disease (PAD) was carried out. Only patients treated with endovascular techniques as first choice treatment were evaluated.

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Article Synopsis
  • * Researchers analyzed data from four male patients treated between January 2017 and December 2018, all of whom had neurological symptoms and successful treatment outcomes with no complications reported.
  • * The findings suggest that using proximal EPDs can improve safety during the procedure by minimizing stroke risks, but further research with more patients is needed to confirm these results.
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In this work, we investigate the efficiency of graphene production from graphite by ultrasonic-induced exfoliation under different operational conditions. An ultrasonic bath and an ultrasonic horn tip were used, to show how the graphene production efficiency depends on the acoustic intensity and cavitation mechanism using graphite crystal with different initial sizes and characteristic lengths. Operational variables such as geometry, location and type of vessel containing the liquid phase, were also explored.

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The purpose of this case series was to evaluate the survival rate and the incidence of complications of implants inserted and immediately loaded in sites where an impacted tooth was present in the anterior maxillary or mandibular arches (incisor to premolar). The implants were immediately inserted, drilling through the impacted teeth. Site preparation started in the crestal bone and continued into the impacted tooth's enamel and dentin.

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The association between carotid artery stenosis and brain meningioma is rather rare. Indeed, data in literature about this association are scarce and potential risks of carotid artery stenting using different protection devices are not known. We describe the endovascular treatment of severe carotid stenosis in two patients with intracranial meningioma.

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Background: The aim of this study was to evaluate, in particular, whether bone resorption occurred at the extraction sites of a group of patients under orthodontic treatment, and, in general, whether extraction treatment predisposes patients to a greater degree of root resorption.

Methods: The study group comprised 12 class II division 1 malocclusion patients who underwent orthodontic treatment and extraction, and the control group comprised 10 class II division 1 patients who underwent orthodontic treatment without extraction. In both groups, treatments were carried out by the same operator using the same techniques.

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