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https://www.readbyqxmd.com/read/27799418/a-standardized-ultrasound-approach-to-pelvic-congestion-syndrome
#1
Nicos Labropoulos, Patrick T Jasinski, Demetri Adrahtas, Antonios P Gasparis, Mark H Meissner
Pelvic congestion syndrome is one of the many causes of chronic pelvic pain and is often diagnosed based on exclusion of other pathologies. Over the past decades, pelvic congestion syndrome was recognized to be a more common cause of chronic pelvic pain. Multiple diagnostic modalities including pelvic duplex ultrasonography, transvaginal ultrasonography, computed tomography, and magnetic resonance were studied. In the current literature, selective ovarian venography, an invasive imaging approach, is believed to be the gold standard for diagnosing pelvic congestion syndrome...
October 31, 2016: Phlebology
https://www.readbyqxmd.com/read/27598472/endothermal-venous-ablation-of-the-saphenous-vein-on-patients-who-are-on-anticoagulation-therapy
#2
Shekeeb Sufian, Alejandro Arnez, Nicos Labropoulos, Sanjiv Lakhanpal
BACKGROUND: The purpose of this study was to evaluate the risks of bleeding, deep venous thrombosis (DVT), endovenous heat induced thrombosis (EHIT) and failure of ablation on patients who undergo ablation while on oral anticoagulation. METHODS: We compared 378 (3.4%) out of 11252 patients (Group A) who had undergone 724 endovenous ablation of the saphenous veins from January 1, 2011 to September 30, 2014 while on oral anticoagulation to a randomly selected 375 patients (Group B) who underwent 641 endovenous ablation in the same time period but were not on anticoagulation...
September 6, 2016: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/27567936/commentary-on-ultrasonography-of-skin-changes-in-legs-with-chronic-venous-disease
#3
N Labropoulos
No abstract text is available yet for this article.
October 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27546338/early-physician-follow-up-and-out-of-hospital-outcomes-after-cerebral-aneurysm-treatment-in-the-elderly
#4
Kimon Bekelis, Dan Gottlieb, Yin Su, Nicos Labropoulos, Stavropoula Tjoumakaris, Pascal Jabbour, Todd A MacKenzie
BACKGROUND: The impact of early physician follow-up on out-of-hospital outcomes after cerebral aneurysm treatment has not been studied before. We investigated the association of early physician follow-up (within 30 days of discharge) with mortality and readmissions for elderly patients undergoing treatment for cerebral aneurysms. METHODS: We performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who underwent treatment for cerebral aneurysms from 2007 to 2012...
August 18, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27545329/comparison-of-physiological-and-post-endovascular-aneurysm-repair-infrarenal-blood-flow
#5
Anastasios Raptis, Michalis Xenos, Efstratios Georgakarakos, George Kouvelos, Athanasios Giannoukas, Nicos Labropoulos, Miltiadis Matsagkas
Endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms results in redirection of blood through the deployed endograft (EG). Even though EVAR is clinically effective, the absolute flow restoration is not warranted. Our purpose was to compare the physiological with the post-EVAR infrarenal flow conditions. We developed patient-specific models based on computed tomography data of five healthy volunteers and ten patients treated with the Endurant(®) stent-graft system. Wall shear stress (WSS), helicity, pressure and velocity fields were calculated using computational fluid dynamics...
August 22, 2016: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/27238986/tibioperoneal-trunk-aneurysm-resulting-in-compartment-syndrome-with-associated-aneurysms-of-the-popliteal-and-dorsalis-pedis-arteries
#6
Daniel J Ventarola, Nicos N Labropoulos, David S Landau, Apostolos K Tassiopoulos, Shang A Loh
True aneurysms of the tibioperoneal trunk are rare. Given the scarcity of reports, the clinical presentation and treatment is not well defined. This is a case report of a 50-year-old male patient presenting with severe lower extremity swelling and compartment syndrome with neurological compromise secondary to a tibioperoneal trunk aneurysm. He was also noted to have discrete ipsilateral popliteal and dorsalis pedis artery aneurysms. Given the location and size of the aneurysm, the severe leg swelling, and venous hypertension, aneurysmorrhaphy or aneurysm sac excision with arterial reconstruction was prohibitively dangerous...
August 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27203150/comparison-of-clipping-and-coiling-in-elderly-patients-with-unruptured-cerebral-aneurysms
#7
Kimon Bekelis, Daniel J Gottlieb, Yin Su, A James O'Malley, Nicos Labropoulos, Philip Goodney, Michael T Lawton, Todd A MacKenzie
OBJECTIVE The comparative effectiveness of the 2 treatment options-surgical clipping and endovascular coiling-for unruptured cerebral aneurysms remains an issue of debate and has not been studied in clinical trials. The authors investigated the association between treatment method for unruptured cerebral aneurysms and outcomes in elderly patients. METHODS The authors performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who had treatment for unruptured cerebral aneurysms between 2007 and 2012...
May 20, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27081866/venous-symptoms-the-sym-vein-consensus-statement-developed-under-the-auspices-of-the-european-venous-forum
#8
Michel Perrin, Bo Eklof, Andre VAN Rij, Nicos Labropoulos, Michael Vasquez, Andrew Nicolaides, Werner Blattler, Didier Bouhassira, Eliete Bouskela, Patrick Carpentier, Katy Darvall, Marianne DE Maeseneer, Mieke Flour, Jean J Guex, Claudine Hamel-Desnos, Stavros Kakkos, Robert Launois, Marzia Lugli, Oscar Maleti, Armando Mansilha, Peter NEGLéN, Eberhard Rabe, Evgeny Shaydakov
No abstract text is available yet for this article.
August 2016: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/27060255/systematic-review-of-the-complications-following-isolated-calf-deep-vein-thrombosis
#9
REVIEW
J Garry, A Duke, N Labropoulos
BACKGROUND: A large number of studies have examined the potential complications of calf deep vein thrombosis (DVT). There is no consensus on when or how to treat patients to prevent these complications. This systematic review assessed the rate of proximal propagation, pulmonary embolism, major bleeding and recurrence in patients with isolated calf DVT. METHODS: Database searches of MEDLINE, the Cochrane Library, Scopus, CINAHL and Web of Science were undertaken along with extensive cross-referencing...
June 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27013232/medicare-expenditures-for-elderly-patients-undergoing-surgical-clipping-or-endovascular-intervention-for-unruptured-cerebral-aneurysms
#10
Kimon Bekelis, Dan Gottlieb, Yin Su, Nicos Labropoulos, George Bovis, Michael T Lawton, Todd A MacKenzie
BACKGROUND: The cost difference between the two treatment options (surgical clipping and endovascular therapy) for unruptured cerebral aneurysms remains an issue of debate. We investigated the association between treatment method for unruptured cerebral aneurysms and Medicare expenditures in elderly patients. METHODS: We performed a cohort study of 100% Medicare fee-for-service claims data for elderly patients who underwent treatment for unruptured cerebral aneurysms from 2007 to 2012...
March 24, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/26992305/management-of-perforator-vein-aneurysms-in-the-lower-extremities
#11
Nicos Labropoulos, Matthew Comito, Patrizia De Zolt, Dimitrios Kontothanassis
OBJECTIVE: Perforator vein aneurysms (PVAs) of the lower extremity have not been defined or reported. This study reports the clinical presentation of patients, the PVA characteristics, and the clinical outcome of their management. METHODS: Patients with signs and symptoms of chronic venous disease who had a PVA were included. Diagnosis of a PVA was made with duplex ultrasound. Normal perforator veins have a diameter of <3 mm. A PVA was defined as a diameter dilation of >9 mm, and it was always found below the deep fascia...
July 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26946910/current-state-of-the-treatment-of-perforating-veins
#12
Ellen D Dillavou, Michael Harlander-Locke, Nicos Labropoulos, Steven Elias, Kathleen J Ozsvath
Perforating veins may play a role in the development of chronic venous insufficiency and ulceration. There is renewed interest in minimally invasive treatments vs historic surgical options. Current indications for treatment, technical success, and evidence for clinical efficacy are summarized. Existing recommendations include perforator closure in Clinical, Etiology, Anatomy, and Pathophysiology class 5 or class 6 disease through percutaneous thermal ablation, subfascial endoscopic perforator surgery, open surgery, or sclerotherapy...
January 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26918479/the-impact-of-hybrid-neurosurgeons-on-the-outcomes-of-endovascular-coiling-for-unruptured-cerebral-aneurysms
#13
Kimon Bekelis, Dan Gottlieb, Nicos Labropoulos, Yin Su, Stavropoula Tjoumakaris, Pascal Jabbour, Todd A MacKenzie
OBJECTIVE The impact of combined practices on the outcomes of unruptured cerebral aneurysm coiling remains an issue of debate. The authors investigated the association of combined open and endovascular expertise with the outcomes of unruptured cerebral aneurysm coiling. METHODS The authors performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who underwent endovascular coiling for unruptured cerebral aneurysms between 2007 and 2012. To control for confounding, the authors used propensity score conditioning, with mixed effects to account for clustering at the hospital referral region level...
February 26, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/26806238/the-use-of-angiovac-for-symptomatic-aortic-thrombus-complicated-by-mesenteric-ischemia
#14
Spyridon Monastiriotis, Carl Gonzales, Angela Kokkosis, Nicos Labropoulos, Thomas Bilfinger, Apostolos K Tassiopoulos
Aortic thrombus complicated by mesenteric ischemia is a rare but rather challenging entity. With the recent advancements of endovascular techniques, there is a trend to replace the traditional open surgery with an endovascular approach. We report a patient with paravisceral aortic thrombus involving the celiac artery and superior mesenteric artery (SMA). The patient was complaining of worsening abdominal pain, with clinical findings of leukocytosis, normal lactate, and diagnostic laparoscopy demonstrating a segment of threatened jejunum...
April 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26455289/periodontal-disease-preceding-osteonecrosis-of-the-jaw-onj-in-cancer-patients-receiving-antiresorptives-alone-or-combined-with-targeted-therapies-report-of-5-cases-and-literature-review
#15
REVIEW
Ourania Nicolatou-Galitis, Evangelia Razis, Dimitra Galiti, Evangelos Galitis, Stefanos Labropoulos, Antonis Tsimpidakis, Joseph Sgouros, Athanasios Karampeazis, Cesar Migliorati
OBJECTIVE: We present clinical and radiologic data of periodontal tissue involvement preceding the appearance of osteonecrosis of the jaw (ONJ) in 5 patients with solid tumors, who received antiresorptives alone or in combination with targeted therapies. STUDY DESIGN: Five patients with osteonecrosis before dental extraction were studied. RESULTS: Periodontal involvement was evidenced by pain, bleeding, fistula, purulence, swelling, periodontal pocket, and tooth mobility...
December 2015: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/26358305/investigation-of-venous-ulcers
#16
REVIEW
Angela A Kokkosis, Nicos Labropoulos, Antonios P Gasparis
The evaluation of patients with venous ulceration primarily includes noninvasive methods to elucidate the distribution and extent of pathology. Duplex ultrasound is the first line of investigation, as it provides assessment of both reflux and obstruction conditions. In patients with iliofemoral pathology, axial imaging with computed tomography scan or magnetic resonance imaging should be performed. If the treatment of iliofemoral vein obstruction is warranted, then invasive assessment using venography and/or intravascular ultrasound should be used to guide the interventional procedure...
March 2015: Seminars in Vascular Surgery
https://www.readbyqxmd.com/read/26354287/accuracy-of-venous-thromboembolism-assessment-and-compliance-to-prophylaxis-in-a-tertiary-care-center
#17
Pamela S Kim, Antonios P Gasparis, Kristan Probeck, Doreen Elitharp, Apostolos Tassiopoulos, Nicos Labropoulos
BACKGROUND: Proper assessment of venous thromboembolism (VTE) risk level in hospitalized patients is vital to providing adequate prophylaxis. Clinical decision support (CDS) tools with electronic medical record (EMR) have been used by institutions to improve assessment and prophylaxis. As such, this study was conducted after implementing such a system to compare admitting service (AS) assessment of VTE risk level to the VTE consult service (CS) assessment. In addition, compliance of ordered prophylaxis based on AS assessment was evaluated...
September 2016: Phlebology
https://www.readbyqxmd.com/read/26311713/surgical-clipping-versus-endovascular-coiling-for-elderly-patients-presenting-with-subarachnoid-hemorrhage
#18
Kimon Bekelis, Dan Gottlieb, Yin Su, Alistair J O'Malley, Nicos Labropoulos, Phillip Goodney, Todd A MacKenzie
BACKGROUND: The comparative effectiveness of the two treatment options (surgical clipping and endovascular coiling) for ruptured cerebral aneurysms has not been studied in real-world practice in the USA. We investigated the association between the treatment method for ruptured cerebral aneurysms and outcomes. METHODS: We performed a retrospective cohort study of elderly patients who underwent treatment for ruptured cerebral aneurysms from 2007 to 2012 using a 100% sample of Medicare fee-for-service claims data...
September 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/26169014/radiation-exposure-in-endovascular-repair-of-abdominal-and-thoracic-aortic-aneurysms
#19
REVIEW
Spyridon Monastiriotis, Matthew Comito, Nicos Labropoulos
BACKGROUND: Endovascular aortic repair has become increasingly popular the last years for the treatment of abdominal aortic aneurysms (EVAR) and thoracic aortic aneurysms. EVAR is less invasive compared with the classic open approach, related to a decreased immediate postoperative morbidity and mortality. Those beneficial characteristics of EVAR do not come without a cost, since EVAR requires that the patient will be exposed to a significant amount of radiation during preoperative planning, graft placement, and consecutive follow-up...
September 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26091688/changes-in-the-rate-of-prophylactic-vena-cava-filter-insertion-at-a-university-hospital
#20
Andrew Smith, Demetri Adrahtas, Doreen Elitharp, Antonios Gasparis, Nicos Labropoulos, Apostolos Tassiopoulos
OBJECTIVE: We previously demonstrated a high rate of prophylactic vena cava filter (VCF) insertion at our institution. We have since attempted to restrict the use of VCF to indications supported by Level-I evidence. This study was designed to evaluate the success of our interventions. METHODS: All patients receiving VCF between 2007-2009 and 2012-2014 at a university hospital were reviewed. After assessing the use of VCF in the first period, a meeting was convened among the Departments of Radiology, Vascular Surgery and Trauma...
July 2016: Phlebology
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