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Impact of target visceral vessel anatomical configuration on early complicatins following endovascular repair of thoracoabdominal aortic aneurysms Objectives: Fenestrated and branched endovascular aortic repair (fEVAR-bEVAR) is a viable treatment option for thoracoabdominal aortic aneurysms but target visceral stent (TVS) endoleak and thrombosis remain a limiting factor. This study aims to evaluate TVS anatomy impact on one-year risk of thrombosis and endoleak. Methods: Patients treated with fEVAR-bEVAR for thoracoabdominal aneurysms between 2008-2020 in our centre were enrolled. We recorded comorbidities, operative details, one-month postoperative CT scan (anatomical reference), and TVS behaviour: thrombosis and endoleak at one-year follow-up. For each TVS, different points were identified using a centre-lumen-line: (A) TVS origin, (B) end of branch/fenestration, (C) visceral vessel entry, (D) end of TVS, (E) 1-cm distally. We analyzed TVS tortuosity ((centre-lumen-line/straight distance)-1, in %), image vector analysis of each segment in 2D (antero-posterior, left-right) and 3D (craneo-caudal displacement), and centre-lumen-line analysis (bending in ABC and CDE). Three independent observers performed a blind analysis, and anatomical differences between bEVAR/fEVAR, and cases with/without 1-year thrombosis and TVS endoleak, were compared using Kaplan-Meier curves (Log-Rank test), and T-Test/Wilcoxon signed-ranks test respectively. Results: 54 patients (72±713 years mean age; 182 TVS: 50 branches, 132 fenestrations) met the inclusion criteria. bEVAR cases had longer stents, with more caudal 3D angulation and greater ABC angulated segment. After excluding bEVAR cases (low case number), 97 fEVAR TVS were analyzed. Five thrombosis and seven endoleaks were observed. While anatomical configuration showed no association to thrombosis, it was related to endoleak: these cases presented more tortuous stents (5.97%±0.10, 21.40%±0,22, P=.011), with more angulated centre-lumen-line at ABC segment (5.69°±15.77°, 7.18°±7.77°, P=.012), and more upward-pointing stents in the origin of the stent (AB: 89.07°±24.46°, 109.09°±16.56°, P=.012; BC: 87.86°±21.10°, 113.11°±22.23°, P=.026). Conclusions: Anatomical configuration of the TVS is associated with stent type I-III endoleak, but not thrombosis, at one-year following fEVAR. Cases with endoleak presented more tortuous stents, with a more angulated exit from the endograft and upward-pointing of the origin of the stent.

Objective Branched and fenestrated endografts (fEVAR/bEVAR) are complex techniques used to treat thoracic aorta pathologies involving the aortic arch. This systematic review aims to determine all the reported results regarding these techniques in the aortic arch, in order to describe their clinical outcomes. Methods A systematic review of the literature was performed, considering all articles published until October 2019. PubMed, Cochrane database resources were used. The protocol of the study was previously registered in the Prospero database (CRD42020147037). Primary exclusion criteria included opinion articles, merely technique descriptions, articles without the follow-up of at least 1 month, studies conducted on animals, mixed treatments, and ongoing trials without published data. Included variables were study design, aortic pathology, type of endovascular technique (fEVAR/bEVAR), endograft manufacturing, number of fenestrations/branches and type of bridge stents. Technical success, complications during surgery and follow-up were also described. Results From a total of 164 articles, 29 (28 retrospective, 1 prospective) were analyzed with a total of 693 cases (341 fEVAR and 352 bEVAR). The most common indications for repair were aneurysm (54.8%) and dissection (40%). Only fEVAR and bEVAR were considered, but different endograft materials and techniques were used and, therefore, reported upon in the current review. Zenith Alpha Thoracic Endovascular Graft was the most representative (24% of cases). Custom made, off-the-shelf, physician modified and in situ fenestrated endografts were also used in 39%, 22.4%, 18.6% and 18.9% of cases, respectively. Bridge stents were implanted in the 50.5% of cases. Technical success rate was 96%. The main intraoperative complication was the endoleak (5.2%) followed by stroke (4.8%). The in-hospital mortality was 2.5%. The mean follow-up was 18.5 months. The mortality related to the main operation during follow-up was 3.2% and not directly related to the main operation was 11.3%. During the follow-up, 92 cases (13.3%) in total had to undergo through a reintervention, 46.7% with endovascular repair and 26.1% with open surgical repair (the rest were not specified). Conclusion published experience with bEVAR and fEVAR in the aortic arch showed acceptable short-term effectiveness and safety. More well-conducted prospective clinical studies with long term follow-up, combined with comparative meta-analysis, are needed to elucidate the real benefit of those endovascular techniques in the aortic arch pathology.

This chapter draws from a commercial netnography we conducted to explore Chinese cosmetics consumers’ changing notions of female beauty. Specifically, we were tasked with informing the new product development efforts of ArtCosmetics, an Italian B2B contract manufacturer operating in the global cosmetics market. We use the project to discuss how we used a team of researchers to collect, interpret, translate, and understand data about the central role of cultural codes of beauty in cosmetics tastes and routines. In response to the complexity involved in the project, we improvised a netnographic research design. As a result, our netnography with ArtCosmetics was a methodological and intellectual journey that challenged us in many ways: transnational and effective sampling, appropriately bricolaged research design, collecting and comprehending the nuance of foreign language and foreign culture data from new platforms, resolving heterogenous data, managing vast cultural complexity, and translating sophisticated ethnographic finding into pragmatic consumer, brand, and new product development insights. Today, Chinese notions of beauty and identity are firmly rooted in historical ethnic and national identities but are also fluidly global. Adapting netnography to this fluid transnational context allowed us to grasp a flow of beautyscapes, infoscapes, brandscapes, selfscapes, and usagescapes as shifting elements in a primordial process that oscillates between East and West, traditional and futuristic, and symbolic and functional.

Purpose This paper aims to investigate the conceptualisation of corporate communication management (CCM) and its dimensionality from the practitioners’ perspectives. It proposes to validate an operational definition and dimensions of the CCM construct, which have not been identified in the literature. Design/methodology/approach The initial concepts are based on academic literature and followed by 12 face-to-face interviews with corporate communication practitioners and consultants from Malaysia to confirm the practicality of each dimension. QSR Nvivo Version 9.0 software is used to analyse the qualitative data. Then, the data are classified through deductive content analysis based on key words or themes. Findings The diverse perspectives are shown from the practitioners and consultants on the dimensionality of CCM. Most of the interviewees suggest that CCM dimensions include corporate advertising, corporate affairs, investor relations and employee communication within the corporate communication and other departments. They also found the public relations and media relations are clearly under corporate communications manager’s supervision. This research confirms the concept of CCM and its dimensionality to operationalise the CCM construct. The CCM dimensions also offer opportunities for further research to develop the measurement scales. Originality/value This research contributes to the clarification on the subject matter by developing clear concepts of the CCM and by offering insights about the role of the CCM dimensions, which help managers to more successfully incorporate the CCM dimension into the corporate management strategy. This paper also examines the concept of CCM and confirms its dimensionality, which helps in developing the CCM measurement for further quantitative research.

Diaries have a long-standing tradition in consumer research as a data collection tool. In this paper we reboot and update this tradition by elaborating how diaries in the form of digitally constructed artifacts using smart and mobile technologies can be adopted to complement research projects conducted in networked settings. We frame our methodological contributions by building on the concept of networked sociality, an emerging form of people connectivity that is the result of the intertwinement of digital media and their related communicative modes.

Purpose Extant branding literature is dominated by a metaphorical view of value co-creation in which the roles of brand actors remain unspecified. To help provide clarity, the purpose of this paper is to critically appraise how brand professionals understand brand value co-creation and perceive their role in facilitating it, with the aim of questioning its viability in day-to-day brand management practices. Design/methodology/approach Building on brand professionals’ reflexivity, the study develops a qualitative methodological glance via semi-structured interviews based on confrontational techniques with a purposive sample of 28 experienced brand decision-makers. Findings Brand professionals perceive accessibility, reciprocity and citizenship as the gateways provided by the firm for value co-creation to happen. Despite their enthusiastic rhetorical afflatus in making explicit their viewpoints about how firms can facilitate value co-creation, the current translation into practice of the role of the firm does not seem to be able to overcome the sender-biased approach that still resides in brand management. Practical implications To go beyond the limits of rhetorical representations and make brand value facilitation more actionable, the authors provide guidelines on how firms can create and enhance the circumstances for the co-creation of brand value to occur in interactions with consumers and stakeholders. Originality/value This study contributes to the critical actionability of the brand value co-creation by elucidating how firms currently perceive their facilitation role. The paper provides strategic recommendations to put co-creation rhetoric into practice by reframing and expanding the scope and the significance of brand management.

Citizenship approach to corporate branding challenges the corporate brand to evolve from being a self-referential corporate asset embodying a company-centred attitude, toward being an asset that is...

Purpose This paper aims to provide a degree of clarity on the corporate communication management (CCM) concept, by building a conceptual framework that uncovers its underlying antecedents and consequences. Although it is consolidated that corporate communication and information together play an important role in strategic management planning because of the high relevance of managing positive relationships with multiple stakeholder that have a strong impact on corporate survival, extant literature suggests that there have been few empirical studies so far assessing the contribution of CCM to organisational performance. Design/methodology/approach The paper is conceptual, and a model is developed as a result of an extensive critical multidisciplinary literature review. Findings Findings of this study identify three antecedents of CCM, namely, culture, information and communication technology innovation diffusion and corporate leadership. In addition, the study highlights a potential positive relationship between CCM, financial performance and corporate mission achievement. An integrative conceptual framework and a detailed summary table are presented in the paper. Originality/value This study provides a comprehensive critical insight into a growing body of corporate communication and information business literature that offers the basis for a thorough assessment of CCM contribution to organisational performance. By doing so, it advances the body of applicable knowledge of corporate communication meant as a strategic management lever. Moreover, the managerial and policy implications provided in this paper may help corporate communication and information practitioners to identify the key guidelines for the design and implementation of an appropriate CCM programme.

This study explores how the networked environment of consumer tribes, turned into an online public, can support consumers' capacities to undertake entrepreneurial projects. The work explores how the consumer-entrepreneur designs, constructs, negotiates, and develops a new business venture, born as a tribal endeavor and later evolves in a startup business. The work introduces the notion of a liquid entrepreneur: a member of a consumer tribe who can understand its values, translate them into market offers thanks to an online curatorship addressed beyond the tribe to the online publics, and serve consumers by assuming a liquid position that oscillates between the tribe and the wider marketplace. The research follows an ethnographic methodological approach, studying the exemplar consumer's entrepreneurial project Ferro29. It also provides interpretive managerial insights on how to fine-tune consumer entrepreneurship venture projects with the ethos and the sensitivities of consumer legacies, such as tribes and publics.

Engaging consumers with their brands has emerged as a priority in marketers’ agenda. Brand decision-makers share a clear representational view of consumer-brand engagement (CBE). Despite this agreement, practitioners are currently finding hard to practically achieve CBE. The clash between an ideal representation of CBE focused on consumer protagonism and its fragile execution urges a rethinking of consumer-brand relationship modes and timeframe. We argue that this clash is nurtured by the long-established conflicting relational dynamics among brand decision-makers illustrated by client–agency (CA) disputes of which consumers represent the ending-point recipient. This paper reflects on how consumer protagonism as an inherent component of CBE is currently reshaping the relation dynamics among all brand actors. We represent CBE as a relational hub resting upon a co-creation rather than a separation logic. We finally provide a pragmatic reflection on the relationship culture required by CBE among actors beyon...

Despite the widely recognized relevance of corporate branding (CB) to gain competitive advantage, CB studies suffer from highly fragmented perspectives that make it difficult to discern the value of CB and orient its practices. Our study is aimed at clarifying how CB has been approached in the academic and practitioners' literature so far to identify the contribution of these different perspectives. To investigate the debate on CB, we adopted a systematic software-assisted content analysis, appropriate when the research aims are to disentangle multiple perspectives on a phenomenon. Software-aided content analysis allows a rigorous treatment of a text highlighting recurrent themes, their semantic links, co-occurrences and correspondences among lexical units. Our findings suggest that CB is a crucial crossroad between ‘inside’ and ‘outside’ of a company acting as a ‘bridge’ among key intangibles and as an ‘inside–outside’ interface between company and stakeholders. The Thematic Analysis of Elementary Contex...

This paper digs into the existing controversial literature on stakeholder engagement (SE) to understand and critically confront with ambivalence in the concept. This is done by exploring how SE is conceptually framed and pragmatically pursued in the representations of current business practices. The study is designed according to a qualitative interpretive approach based on depth interviews with a purposively selected theoretical sample of key informants with established expertise in stakeholder relationship management practices. According to our findings, SE appears torn between an idealistic impetus on the fringe of a utopian vision of the business, and its often trivial translation into practice urged by the pragmatic necessity to meet accountability requirements. This tension stems from corporate governance logics and organizational business models of firms, which are often not prone to guarantee the participatory and genuinely dialogic exchange between company and stakeholders advocated by the idealistic mandate of SE. In terms of contribution the paper provides a critical inductive reconstruction of current meanings and clashes embedded in enacting SE.

This essay explains how intangible asset management oriented toward enhancing corporate performance increasingly embeds ethical concerns, primarily to address stakeholder expectations. We discuss how ethical dimensions in intangible asset management may be co-constructed and intertwined in organization-stakeholder interactions to generate collaborative meaning making according to a stakeholder-centric view of the firm. In so doing, we adopt an ethical view that acknowledges that stakeholders beyond the firm have equal status and agency to engage in a social construction process of intangible assets nurtured by ongoing dialogue and reciprocal understanding between organization and stakeholders. The essay concludes by envisioning how the dialogic process of social construction of intangible assets involving both organization and stakeholders is best conceived as a social contract between the two that enacts a cultural bond between intangible assets together with ethical and societal resources that are collectively generated, owned, and maintained.

Brand communication specialists are paying increasing attention to new unconventional methods of communicating messages. One such method is ambient communication; a complex form of communication that uses elements of public spaces to convey messages designed to increase customer engagement in corporate objectives. Health communication experts agree that these methods are potentially capable of increasing both an individual's engagement with health communication and the chances that preventive information become part of peers’ discourses. However little research has been done to assess the condition under which these new, alternative methods can effectively communicate health promotion messages. This article is based on the preliminary results of a qualitative study aimed at assessing the effectiveness conditions of ambient communication to prevent unsafe practices. The study considers an ambient initiative recently promoted in Brescia (Italy) by the public institutions to reduce drink-driving by young peo...

Are we born or granted leaders in our social interactions? Folklore, myths, books, TV-series, but also history, politics, economy, and more broadly our human life are disseminated with narratives of leadership construction. Latest studies have urged a shift in focus of leadership inquiry from the who (personality traits), what (behaviors), and where (situation) to the how of leadership. That has led to the emergence of a constructionist perspective that views leadership as embedded in context, considering person and context as interrelated social constructions made in ongoing local-cultural-historical processes. In this chapter, after briefly illustrating extant leadership styles, we put forth conceptually and then we substantiate with case studies the rise of conversational leadership as the emergent constructionist response to the dramatic increase of organizational and stakeholder complexity. The aim is to support readers to understand the conversational leader as an executive characterized by a flexible sensitivity in crafting relationships with people in time of disruption. Conversational leadership shows then how the mastery in soft skills ends up sustaining hard corporate results.

Ambient/street/guerrilla marketing is an articulated form of corporate communication that makes use of elements of the physical environment to deliver brand messages that engage consumers walking and gathering in streets and squares. This entry offers a conceptual definition of ambient marketing and its evolutionary features. It also provides a comprehensive classification of basic categories. It finally represents a first attempt to deal in a unified way with a variety of heterogeneous out-of-home communication tools. Keywords: ambient marketing; guerrilla marketing; street marketing; consumer–brand engagement; brand communication; out-of-home advertising

Consumer–brand engagement can be defined as a multidimensional construct that encompasses other marketing constructs. Moreover, consumer–brand engagement can be regarded as a meta-organizer of the dynamic and process-based relationship between a brand and its consumers. In this essay, first we draw a definition of the concept, then we present a short review of academic and professional literature on consumer–brand engagement, and finally, we point out the basic differences between consumer–brand engagement and other apparently overlapping marketing constructs (involvement, commitment, emotional attachment, and brand experience). Keywords: consumer–brand engagement; relationship management; brand experience; postmodern marketing; consumer behavior

Purpose– Studies that inquire in-depth into whether the Corporate Communications Officer (CCO) is an entrusted corporate executive and enacts a genuine leadership of his/her own style are generally neglected. The purpose of this paper is to unravel the leadership nature of the CCO beyond the managerial role. More specifically, the authors collected accounts of the span of the professional life and job experiences of CCOs, with the aim of understanding how their leadership, if any, can be depicted.Design/methodology/approach– The authors developed a qualitative research design to grasp the complexity of the CCO job experience. The authors chose a narrative approach involving a purposive sample of CCOs operating in global companies based in Italy to elicit and nurture their spontaneous reconstruction of the significant moments of their working lives.Findings– Based on the interpretive analysis, the capability of the CCO to overcome the trap of the formal appointment seems to rely on the organic emergence of a genuine leadership. The turning point between his/her resting on the appointment or becoming a genuine leader is marked by the display of his/her humanistic nature that can be ascribed to the enactment of a conversational leadership.Originality/value– While this is an exploratory qualitative study, it holds heuristic value in deepening the specific nature of genuine CCO leadership beyond an essentially task-based analysis of its managerial profile.

Consumer-brand engagement is becoming a central concern in brand management strategies but it has been dealt so far in heterogeneous and contradictory ways in both academic and professional literature. Our exploratory study designed according to the Grounded Theory methods is aimed at inductively founding a theoretical framework for this concept.

Our study is focused on the case of a company-managed online brand community in the soda drink sector, which failed in facilitating value co-creation. The aim was to explore the meaning-making processes taking place inside the company, among brand decision-makers, to highlight the factors hindering value co-creation between company and consumers in the brand community context. The study followed a qualitative multi-method design based on three interlaced motivational, semiotic and narrative research phases. The results reveal how some key misalignments rooted in inner tensions in the meaning-making processes among brand decision-makers resonate in an ambiguous community identity, which is then reflected into a detached and opportunistic consumer experience of the community, to the detriment of its value co-creation potential. The study points at the theoretical relevance of analysing the meaning-making processes occurring among brand decision-makers, since their internal fine-tuning represents a precondition for value co-creation processes with consumers in the community context.

Ambient Communication (AC) is a widespread brand practice. However, it lacks a clear understanding that may better orient its use. We aim at providing a comprehensive picture of AC to cast light on its distinctive conceptual dimensions. We designed a focused ethnography approach based on depth interviews with a purposive sample of agency professionals, analysed following a discursive perspective.