Publications by authors named "S Macheda"

Article Synopsis
  • Immunotherapy is a diverse set of cancer treatments that use the immune system to fight cancer and includes methods like immune-checkpoint inhibitors and CAR-T therapy.
  • While these treatments can be highly effective, they have been linked to unexpected side effects, especially cardiovascular issues, which have become more documented in recent years.
  • The review emphasizes the need for specialized guidelines to better manage the unique cardiovascular risks associated with immunotherapy, providing insights into how to evaluate and handle these patients effectively.
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Introduction: After the rapid surge of a novel coronavirus (SARS-CoV-2) in 2020 anti-SARS-CoV-2 vaccines have been developed to prevent the development of critical forms of COVID-19 leading to Intensive Care Unit (ICU) admission. The possibility of ICU admission after the first-cycle vaccination has been already reported; however, no data have been published regarding vaccinated patients with a "booster" dose. This retrospective study describes the characteristics of critically ill patients after the implementation of the regional "booster" dose vaccination program in a southern region of Italy.

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(1) Background: In COVID-19 patients, the occurrence of thromboembolic complications contributes to disease progression and mortality. In patients at increased risk for thrombotic complications, therapeutic enoxaparin should be considered. However, critically ill COVID-19 patients could develop resistance to enoxaparin.

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Introduction: Chimeric antigen receptor (CAR)-T-cell therapy is a new treatment for patients with hematologic malignancies in which other therapies have failed.

Areas Covered: The review provides an overview for recognizing and managing the most acute toxicities related to CAR-T cells.

Expert Opinion: The development of immune-mediated toxicities is a common challenge of CAR-T therapy.

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Peripheral-immune-checkpoint blockade (P-ICB) with mAbs to PD-1 (nivolumab and pembrolizumab) or PD-L1 (atezolizumab, durvalumab, avelumab) alone or combination with chemotherapy represents a novel active treatment for mNSCLC patients. However, this therapy can be associated to immune-related adverse events (irAEs) and high cost. Therefore, finding reliable biomarkers of response and irAEs is strongly encouraged to accurately select patients who may potentially benefit from the immuno-oncological treatment.

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