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Biomedical subjects

G Agrifoglio

Publications and source records attributed to G Agrifoglio.

52 records · Page 3Linked to original sources
PubMedDate not supplied

Semiclosed thromboendoarterectomy on femoro-popliteal tract revisited after a fourteen years experience on 595 cases.

In the seventies atherosclerotic femoropopliteal lesions were extensively treated by means of retrograde semiclosed thromboendarterectomy (FP-TEA) an analytic follow-up of cases, until 1980, induced the modification of the indications to FP-TEA. Currently the FP-TEA technique is only employed for patients at the 2nd Fontaine's stage with disabling claudication (generally less than 100 mt) with a good distal run-off (at least 2 tibial vessels patent). The report deals with a series of 595 cases operated in the period January 1971-December 1984. In 45% of cases FP-TEA was associated with a proximal revascularization. In an attempt to focus on the factors that may influence the outcome, the patients operated in 1976, 1980, 1984, were assessed and the results related to clinical stage, angiographic pattern and postoperative treatment.

Arterial Occlusive Diseases↗
PubMedDate not supplied

Treatment of peripheral congenital arterio-venous fistulas.

The authors describe their experience in the treatment of peripheral congenital A-V fistulas in 64 cases. Different surgical procedures (skeletation, "en bloc resection") have been performed in 19 patients, embolization in 15 patients. The need for a more radical and definitive procedure has induced the authors, in a recent series of 6 patients, to associate embolization and surgical therapy in the same operative session. The results are encouraging. The technique is reported.

Adult↗
PubMedDate not supplied

Infections and anastomotic false aneurysms in reconstructive vascular surgery.

The authors report their experiences in two kinds of late complications of direct reconstructive surgery: infections and anastomotic false aneurysms. Such complications occurred after operations calling for the use of alloplastic prostheses, with an incidence of 2.8% out of all other operations in which prosthesic grafts have been used. All the patients have undergone second surgery with good results in 16 cases out of 19 (84.3%), 1 patient underwent amputation (5.2%) and 2 patients, suffering for infected false aneurysms of the aorta, died (10.5%).

Aorta, Abdominal↗
PubMedDate not supplied

Rupture of gastroduodenal artery aneurysm into the portal vein.

Aneurysms of the gastroduodenal artery are very rarely observed. Rupture occurs in about 60% of cases and is usually associated with gastroduodenal bleeding. A case of rupture into the portal vein and secondary portal hypertension is presented. The combined use of computed tomography (CT scan) and selective visceral angiography was very useful for the diagnosis.

Aged↗
PubMedDate not supplied

Bypass procedures in the management of juxtarenal aortic occlusion.

Juxtarenal aortic occlusion is one of the most important though less frequent atherosclerotic lesions. The indications for surgical treatment using bypass techniques, are well known. However, controversy remains about the pathogenesis of the lesion; from either a thrombosis developing on an atherosclerotic lesion of the terminal aorta, or a primary atherosclerosis of the subrenal aorta. In our series of 1,180 patients submitted to surgery for aorto-iliac occlusive disease, we encountered 91 cases (7.7%) of juxtarenal occlusion. Apart from the different angiographic pictures, the patients were grouped on the operative finding of either thrombosis or atheroma. An aortobifemoral bypass graft was implanted on all but three of the cases; in these three we performed an axillo-bifemoral bypass. A different technique was used, for juxtarenal disobliteration, using a different (end-to-end, or end-to-side) suture of the proximal anastomosis. The operative indications and results are discussed.

Adult↗
PubMedDate not supplied

[Epidemiology, natural history and indications for carotid thromboendarterectomy].

Stroke is the third most common cause of death in the occidental population and most important cause of disability. The average annual incidence of cerebral ischemia is increasing linked to population's mean age that is growing together with risk factors for cerebrovascular disease. There are many multicentre randomised trials (NASCET, ECST, Vet. Adm. SCT, CASANOVA, ACSV Adm. Study, ACAS, ACST) that identify surgical therapy as a prevention for stroke in symptomatic and asymptomatic patients. In discussing about all these studies it appears the necessity to follow the surgical guide-line proposed by multicentre trials in order to uniform indications for surgical or conservative therapy and to obtain data and results good enough to be effective in preventing really efficaciously stroke.

Arteriosclerosis↗
PubMedDate not supplied

Observations on the Raynaud's disease.

During the last 25 years, owing to the improvement of the diagnostic means, the cases of "Raynaud's phenomenon" with well known etiology have been increasing and according to some authors they should be considered clearly prevailing. Through a right prevention and a medical and surgical therapy it is possible to obtain significant results. Consequently it is important to carry out a diagnostic screening. A study concerns 68 cases have been carried out in the Institute of Vascular Surgery, University of Milan, during the period 1971-1974. The cases are divided in two groups: idiopathic forms (disease) and forms connected to identifiable etiologies (syndrome). Many of the clinical parameters studied are examined. The so-called idiopathic forms: 47 cases (69%) with an average age of 45 years and a clear female prevalence (33 against 14). The forms with an identifiable etiology: 21 (31%) with an average age of 31 years and a clear male prevalence (16 against 5). It is therefore observed that the idiopathic Raynaud's disease is still prevailing and particularly in women. In idiopathic forms brachial angiography shows in most of the cases X-ray evidence of digital artery occlusion.

Adult↗