Embolization of traumatic and non-traumatic peripheral vascular lesions with Onyx.

Purpose: The aim of our study is to verify the feasibility and the efficacy of Onyx as embolization agent in the treatment of traumatic and non-traumatic peripheral vascular lesions.

Materials And Methods: In the period between September 2006 and March 2012, we treated with Onyx 26 patients (14 males/12 females; age range, 18-85 years old; mean age, 65 years old), 11 of which with traumatic peripheral vascular lesions and 15 with non-traumatic vascular lesions (9 neoplastic hemorrhagic lesions, 3 arteriovenous malformations (AVMs) and 3 aneurysms). Follow-up controls were performed with clinical examination and by multidetector computed tomography (MDCT) imaging 1, 6, and 12 months after the procedure.

Contrast-enhanced sonography in blunt scrotal trauma().

The scope of this study was to determine whether contrast-enhanced ultrasonography (CEUS), compared with basic US, can increase diagnostic confidence and provide relevant information on blunt scrotal trauma. Over a period of 75 months we examined 40 patients seen consecutively for blunt scrotal trauma using high-resolution US, color-power Doppler, low mechanical index CEUS, and power Doppler after IV administration of contrast medium (SonoVue(®)). In the 24 cases that were positive, concordance between basal US and CEUS findings was grade 0 (absent) in 4 cases, grade 1 (low) in 3, grade 2 (moderate) in 8, and grade 3 (high) in 9.

Endovascular treatment of femoropopliteal stenoses/occlusions with a SilverHawk directional atherectomy device: immediate results and 12-month follow-up.

Purpose: This paper reports our immediate and 12-month follow-up results in the treatment of arterial stenoses/occlusions of the femoropopliteal region with the use of the SilverHawk directional atherectomy device (EV3, USA).

Materials And Methods: In an 18-month period, we treated 18 patients (13 men, five women, age range 39-81 years) with the SilverHawk directional atherectomy device. Inclusion criteria were symptomatic femoropopliteal stenosis/insufficiency, nonresponsiveness to medical therapy, and Rutherford categories 3-5.

Long-term outcome of cirrhotic patients with early hepatocellular carcinoma treated with ultrasound-guided percutaneous laser ablation: a retrospective analysis.

Purpose: Percutaneous laser ablation (PLA) has been proposed as an active treatment in patients with hepatocellular carcinoma (HCC). However, large multicenter studies using this technique have not been reported.

Patients And Methods: We retrospectively analyzed treatment and survival parameters of 432 cirrhotic patients with nonsurgical early HCC (single nodule < or = 4 cm or three nodules < or = 3 cm each) who had received PLA in nine Italian centers.

Complications of laser ablation for hepatocellular carcinoma: a multicenter study.

Purpose: To retrospectively and prospectively determine the rate and type of complications and their association with clinical or technical factors after percutaneous laser ablation (LA) for hepatocellular carcinoma (HCC).

Materials And Methods: The institutional research board of each center approved the study and all patients provided informed consent. By using an Internet liver tumor database of nine Italian centers, 520 patients were included with HCC nodules of any size (small, 0-3 cm; intermediate, >3-5 cm; large, >5 cm).

Surgery for chronic Achilles tendinopathy yields worse results in nonathletic patients.

Objective: To report the outcome of surgery for chronic recalcitrant Achilles tendinopathy in nonathletic and athletic subjects.

Design: Case-control study.

Setting: University teaching hospitals.

Clinical diagnosis of Achilles tendinopathy with tendinosis.

Objective: To evaluate sensitivity, specificity, reproducibility, and predictive value of palpation of the painful arc sign and of the Royal London Hospital test in 10 patients with Achilles tendinopathy and in 14 asymptomatic subjects.

Design: Test-retest study.

Setting: University teaching hospital.

[Our experience in the percutaneous treatment of varicocele].

For its high incidence among young men and its affecting male fertility, varicocele requires an accurate screening, as well as an early and definitive treatment. The Authors report their experience in the treatment of varicocele with sclerotherapy: 24 patients underwent sclerotherapy of the left internal spermatic vein with a success rate of 91%. Complications never required hospitalization or surgery.

Ultrasonographic scan in knee pain in athletes.

Fifty-two knees were examined using real-time high-definition ultrasonography with a 7.5 MHz probe. The extra-articular structures were easily visualized and diagnosis of patellar tendon lesions and Baker's cysts formulated.

Tennis elbow: an ultrasonographic study in tennis players.

The findings of ultrasound examination at and around the lateral humeral epicondyle in 41 tennis players suffering from so called tennis elbow are reported. Ultrasound examinations were performed with a real time ultrasound machine. The tenderness and functional impairment of tennis elbow may be caused by several different lesions, at times appearing in association.

Surgical repair of ruptured Achilles tendon in sportsmen and sedentary patients: a longitudinal ultrasound assessment.

Ultrasound scanning was performed at different postoperative times on a total of 22 patients who underwent an end-to-end suture using absorbable material following a full thickness subcutaneous rupture of their Achilles tendon. All ultrasonic examinations were performed using a 5 MHz sectorial probe. The parameters taken into account were the size of the tendon, its borders and echographic pattern, the possible surgical sequelae, and residual pathology.

Ultrasound diagnosis of Achilles tendon pathology in runners.

The great upsurge in popularity of running activities has increased the number of athletes presenting with pathology of the Achilles tendon. A clinical and ultrasonic study was performed on 47 middle and long distance runners referred to the Authors with such problems. The results of this study can be grouped as follows: 1.