Publications by authors named "Nikolas Tsilimparis"

Article Synopsis
  • This study reviews the outcomes of urgent repairs for juxtarenal/pararenal aneurysms using Cook's T-branch endografts across 23 European centers from 2013 to 2023.
  • It analyzes data from 197 patients, mostly elderly, presenting with symptoms and large aneurysm sizes, indicating a need for urgent intervention.
  • The results show a high technical success rate (92%), but complications included persistent spinal cord ischemia (8%) and a few cases of mortality, with rupture being a significant risk factor for technical failure.
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Background: While endovascular aneurysm repair has become a first-line strategy in many centers, open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) is still the best option for certain patients. A significant number of patients who are offered OSR for AAA have been previously submitted to other open abdominal surgeries (PAS). It is unclear, however, how this may impact their outcomes.

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Objective: The aim of this study was to assess the immediate postoperative and midterm outcome of complex aortic aneurysm treatment necessitating four-vessel revascularization with either a total endovascular approach (fenestrated-branched stent graft [FBSG]) or a hybrid technique of visceral debranching plus stenting.

Methods: The clinical data of consecutively treated patients presenting with a complex aortic aneurysm that necessitated four-vessel revascularization between 2010 and 2015 were retrospectively analyzed.

Results: There were 98 patients (65 men [68%]) with a mean age of 70.

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