25 research outputs found
Incidence of stent fractures and patency after femoropopliteal stenting with the nitinol self-expandable SMART stent: a single-center study.
No full textOBJECTIVE: The aim of the study was to investigate long-term incidence of stent fractures and patency after femoropopliteal stenting. METHODS: Sixty consecutive patients (mean age 70 ± 7 years) were treated with implantation of single (31 patients) or multiple (29 patients) self-expandable nitinol SMART stents (Cordis, Miami, Florida, USA; mean stent length 108.8 ± 73 mm) between year 2000 and 2005. At a mean follow-up of 66 ± 20 months, 37 patients (85% men, mean age 71 ± 7 years) were alive and underwent plain radiograph and color-coded duplex sonography. A peak systolic velocity was measured proximally, intrastent and distally. RESULTS: Stent fractures were detected by radiograph in three of the 39 (7.7%) legs (mean stented segment 207 ± 64 mm). In one case, a moderate strut fracture was associated with in-stent occlusive restenosis confirmed by angiography. Color-coded duplex sonography revealed a mean in-lesion peak systolic velocity of 73 ± 35 cm/s, six (15%) in-stent restenoses and four (11%) total occlusions. Primary patency rate 5 years after nitinol SMART stent implantation was 74.6%. Patients symptomatic for claudication or presenting with diagnosis of in-stent restenosis underwent angiography. CONCLUSION: Long-term femoral SMART stenting showed minimal incidence of fractures compared with previously published data with different stent types. In-stent restenosis and occlusive restenosis seem to be correlated with stented segment length
I rapporti processuali del fallito: riflessioni a margine della transizione in atto dalla legge fallimentare al codice della crisi
No full textL’articolo muove dalla constatazione della limitata incidenza del Codice della Crisi d’Impresa sulla pregressa disciplina dei rapporti processuali del fallito, per ripercorrere il dibattito dottrinale sulla condizione processuale di tale soggetto e tentare di offrire una lettura ragionata della
vasta ed eterogenea produzione giurisprudenziale interferente con il tema. Il lavoro evidenzia un
procedere incerto della giurisprudenza rispetto alla fondamentale contrapposizione, emersa in letteratura, tra la tesi che postula l’incapacità processuale del fallito e la tesi che esclude che il fallimento sia di per sé ostativo alla coltivazione da parte di tale soggetto delle proprie liti. In chiave teorica
si esprime una netta propensione per tale seconda costruzione, di cui si sottolinea la perdurante
validità nonostante le novità apportate, in materia, dapprima dalla riforma del 2006 e da ultimo
dal CCI.The paper, considered the modest innovation made by CCI with regard to trials of bankrupt, recalls the debate about processual condition of this figure and tries to read systematicly the related cases law. The author underlines that jurisprudence is not crearly aligned to the doctrinal debate. Among the traditional theories – the first assumes that bankrupt isn’t allowed to be part in trial while the opposite assumes the processual ability of bankrupt – the paper leans towards the second theory also after the regulatory reform of 2006 and after the approval of CCI
Le misure protettive concedibili nel procedimento di omologazione della proposta di ristrutturazione dei debiti del consumatore
No full textLa nota esamina il decreto di ammissione della proposta di ristrutturazione del debito del consumatore, con particolare attenzione alla sospensione, con esso disposta in via cautelare, dell’incameramento del quinto stipendiale, da parte del finanziatore con cessione del relativo credito a suo favore, nelle more del giudizio di omologazione. La misura cautelare concessa, sullo sfondo della disciplina del codice della crisi relativa al trattamento dei finanziamenti concessi contro cessione di credito, presuppone che di questi si ammetta la “ristrutturabilità”, a decorrere non già dal momento della omologazione del piano, bensì dalla dichiarazione di ammissibilità dello stesso ex art. 70, comma 1, cod. Profilo della cui problematicità si dà conto nella nota.The author examines the judicial decree, with particular regard to the provisional suspension of the salary withholding in favor of one creditor, during the approval judgment. The precautionary measure, granted by the judge, presupposes that the debt of the consumer can ben restructured starting from the decree ex art. 70, comma 1, cod. crisi. The issue, however, is not peaceful, as explained in the case note
Penetrating atherosclerotic ulcer of the ascending aorta: the role of computed tomography scan
No full textAsymptomatic penetrating atherosclerotic ulcer is a rare pathology of the ascending aorta, more frequent in the descending thoracic aorta, even in multiple localizations. We present a case report of a patient with penetrating atherosclerotic ulcer and the preoperative role of the computed tomography scan
Endovascular treatment of abdominal aortic aneurysm after previous left pneumonectomy : a sound choice
No full textSurgical treatment of abdominal aortic aneurysm after previous pneumonectomy is a challenge because of the impaired respiratory function and increased surgical risks. Endovascular aneurysm repair in anatomically suited high-surgical-risk patients offers excellent short-term results and provides good protection from aneurysm-related death. In this article, we report a successful endovascular aneurysm repair of an infrarenal aortic aneurysm in a patient with past left pneumonectomy
An occasional diagnosis of myasthenia gravis - a focus on thymus during cardiac surgery: a case report
No full textAbstract Background Myasthenia gravis, an uncommon autoimmune syndrome, is commonly associated with thymus abnormalities. Thymomatous myasthenia gravis is considered to have worst prognosis and thymectomy can reverse symptoms if precociously performed. Case report We describe a case of a patient who underwent mitral valve repair and was found to have an occasional thymomatous mass during the surgery. A total thymectomy was performed concomitantly to the mitral valve repair. Conclusion The diagnosis of thymomatous myasthenia gravis was confirmed postoperatively. Following the surgery this patient was strictly monitored and at 1-year follow-up a complete stable remission had been successfully achieved.</p
Recurrent pericardial effusion after cardiac surgery: the use of colchicine after recalcitrant conventional therapy
No full textAbstract Pericardial effusion represents a common postoperative complication in cardiac surgery. Nonetheless, it can be resistant to conventional therapy leading to prolonged in-hospital stay and worsening of clinical conditions. Recent literature shows that colchicine therapy should be useful in the treatment of recurrent post surgical pericardial effusion. Hereby we report the case of a patient with postsurgical recurrent effusion treated with colchicine, and a review of literature concerning the use of this old drug.</p
Bicuspidy does not affect reoperation risk following aortic valve reimplantation
No full textAortic valve reimplantation has been shown to be a safe procedure. However, evidences of durability in bicuspid aortic valves (BAVs) are limited in the literature. Between 2002 and 2011, 132 patients (mean age 61 ± 12 years) underwent aortic valve reimplantation. In 24 patients (18%), aortic valve was bicuspid. Mean follow-up was 50 ± 26 months (range 1-102 months) and was 99% complete. In-hospital mortality was 0.8% (1 patient). Survival at 1 and 5 years was 99 and 94%, respectively. Overall freedom from aortic valve reoperation at 1 and 5 years was 96 and 90%, respectively, without significant difference between patients with bicuspid and tricuspid aortic valve. Freedom from aortic valve regurgitation >2+/4+, excluding patients reoperated, was at 1 and 5 years of 100 and 99%, respectively. Patients with valve cusp repair showed a higher rate of aortic valve reoperation; however, only postoperative aortic regurgitation >2+/4+ was significant risk factor for redo procedure at multivariate analysis. Aortic valve reimplantation in BAV without cusp repair provides excellent mid-term results. Further observations and longer follow-up are necessary to determine if BAV sparing, even in the presence of cusps alterations, could allow satisfying durability. © 2012 The Author
Intraoperative antiaggregant strategy for off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia
No full textImmune heparin-induced thrombocytopenia is a rare complication of heparin administration. We describe a patient with a previous diagnosis of heparin-induced thrombocytopenia and related contraindications to anticoagulation who underwent urgent off-pump myocardial revascularization with the administration of only antiaggregant therapy
