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PURPOSE To report a retrospective study that sought to identify clinical factors contributing to the development of in-stent restenosis in the carotid arteries, to profile the patients at greatest risk, and to review the treatment modalities evolved from our experience. METHODS Between December 2000 and April 2003, 195 carotid angioplasty/stenting (CAS)(More)
PURPOSE This study aims to review the incidence of in-stent restenosis (ISR), the factors which determine restenosis, and to evaluate the use of various endovascular techniques for the management of ISR following carotid artery stenting (CAS). METHODS Four hundred and seven patients (334 men, mean age 63 years, range 46-86, median 65 years) were treated(More)
OBJECTIVES The efficacy and safety of endovascular aneurysm repair is disputable in aneurysms with a short, angulated, wide, conical, or thrombus-lined neck making a reliable seal difficult to achieve. The influence of a challenging neck on early results using the Endurant stent-graft system in high risk patients was investigated. MATERIALS AND METHODS A(More)
PURPOSE To evaluate (1) whether carotid artery stenting (CAS) performed in octogenarians increases the procedure-related risk and (2) the incidence of complex anatomy of the aortic arch and supra-aortic vessels in patients >80 years old, which can increase the technical difficulty of CAS. METHODS Between December 2000 and September 2005, 1053 patients(More)
PURPOSE To evaluate the safety and feasibility of optical coherence tomography (OCT) in patients with carotid stenosis undergoing carotid artery stenting (CAS). METHODS In a prospective study, 25 consecutive patients (15 men; mean age 74±4 years) undergoing protected CAS were enrolled and underwent high-definition (homoaxial resolution 10 µm) OCT image(More)
INTRODUCTION Endovascular treatment of abdominal aortic aneurysms has become a widespread and accepted practice in most Vascular Surgery centres. The optimal method to identify and characterise complications still awaits assessment. CASE REPORT An 83-year-old woman was admitted to our Institution for volumetric expansion of the aneurysm sac due to a(More)
The ability to project oneself into the past and future to relive or pre-live personal experiences, known as mental time travel (MTT), is associated with activity in a core network of brain regions involving the ventromedial prefrontal cortex (vmPFC). We investigated whether (1) vmPFC is crucial for MTT, and (2) whether vmPFC is selectively involved in the(More)
AIM We studied the thirty-day mortality and morbidity rate to assess the value of conventional open repair vs endovascular aortic repair (EVAR) in an elderly population presenting with a ruptured, symptomatic or asymptomatic abdominal aortic aneurysm (AAA) undergoing emergency, urgent or elective repair. METHODS During the period from January 2004 to May(More)
The rupture of an abdominal aortic aneurysm (rAAA) causes about 15000 deaths/year in the USA alone. Even though over the last 50 years progress in surgical techniques and in postoperative intensive care have been outstanding, the analysis of registries has shown either no decrease in the mortality rate for surgically treated rAAAs. Some reports asserted(More)
OBJECTIVES This study aims to evaluate the rate of stent malapposition, plaque prolapse and fibrous cap rupture detected by optical coherence tomography (OCT) imaging according to carotid stent design. DESIGN It was a prospective single-centre study. MATERIALS AND METHODS Forty consecutive patients undergoing protected carotid artery stenting (CAS) and(More)