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Your search keyword '"Peroulis, Michail"' showing total 14 results
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14 results on '"Peroulis, Michail"'

2. Low-Profile Minos TMStent Graft System for Endovascular Abdominal Aorta Aneurysm Repair—Early and Late Outcomes in Elective and Emergent Situations

Author

Karaolanis, Georgios I., Hadjis, Demetrios, Karakosta, Agathi, Bekas, Nikolaos, Tatsis, Vasileios, Tzimas, Petros, Mitsis, Michail, and Peroulis, Michail

Abstract

The aim of the study was to present the results of a novel abdominal stent graft for patients with abdominal aortic aneurysm (AAA), through 2-year follow-up.

Published
2025
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3. Role of thoracic endovascular aortic repair in T4b esophageal cancer management: a systematic review.

Author

Papaconstantinou, Dimitrios, Koliakos, Nikolaos, Tzortzis, Andrianos-Serafeim, Mandrakas, Nikolaos, Bakopoulos, Anargyros, Lianos, Georgios D, Peroulis, Michail, and Schizas, Dimitrios

Subjects
ENDOVASCULAR aneurysm repair, ENDOVASCULAR surgery, ESOPHAGEAL cancer, OVERALL survival, AORTA, SURVIVAL rate
Abstract

The incidence of T4b esophageal cancer with aortic invasion but without distant metastasis is estimated to be between 3.8% and 4.6% of all esophageal cancer cases. Development of an aortoesophageal fistula in such cases is a rare but not unlikely event, leading to catastrophic consequences. The aim of this systematic review is to evaluate the importance of aortic stenting (Thoracic Endovascular Aortic Repair—TEVAR) and its optimal timing in the management of locally advanced esophageal cancer. A systematic literature search of the MEDLINE, Scopus, and Google Scholar databases was undertaken to identify relevant studies published up to March 2024. An individual patient data analysis was performed by forming a patient cohort with elective and salvage TEVAR subgroups, depending on the timing of the stenting. The study pool consisted of 25 studies incorporating 101 cases of locally advanced esophageal cancer, with a median age of 64 years (range 45–87 years). Of them, 50 patients underwent elective TEVAR compared with 51 patients receiving TEVAR in an acute salvage setting. Elective or prophylactic TEVAR was found to significantly increase esophageal resection rates (65.6% vs. 16.7% in the salvage subgroup, P  < 0.001), concurrently reducing complication rates (8.3% vs. 36.1%, P  < 0.001). Overall survival was also prolonged in the elective subgroup (8.3 vs. 4 months, P  = 0.001), with elective stenting being the only independent predictor of improved survival. In conclusion, management with aortic stenting in high-risk patients may reduce the catastrophic consequences of massive bleeding, minimize complications, and enhance survival rates. [ABSTRACT FROM AUTHOR]

Published
2024
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4. EndoVenous-assisted invaginated stripping of the great saphenous vein: A pilot and feasibility study.

Author

Alexiou, Vangelis G., Vassiliou, Areti, Mitsis, Michail, and Peroulis, Michail

Subjects
PAIN measurement, ABLATION techniques, PILOT projects, ENDOVASCULAR surgery, MINIMALLY invasive procedures, SURGICAL therapeutics, DESCRIPTIVE statistics, LONGITUDINAL method, VENOUS insufficiency, SAPHENOUS vein, POSTOPERATIVE period
Abstract

Objective: By incorporating an endovascular component into Great Saphenous Vein stripping, EndoVenous-assisted Invaginated Stripping (EVIS) aims to make the procedure minimally invasive. A study was conducted to investigate the surgical intervention. Methods: Sketches and videos were used to illustrate the technical aspects of EVIS. A prospective cohort study included 20 patients with chronic venous insufficiency (CVI). Results: EVIS is performed as a day-surgery. Technical success was 100%, and no complications were recorded. The mean operative time was 45 minutes, intraoperative pain score was 4.8, post-operative pain was 2.5, 1.8, 1.2, 0.5 at 48 hours, 1, 4, and 12 weeks, respectively. The mean blood loss was 15 mL, and the mean length of the GSV strapped was 19 cm. The follow-up duplex showed a reduction in the diameter of the residual GSV stump. Conclusions: EVIS is a combination of standard techniques that may prove valuable in managing CVI. [ABSTRACT FROM AUTHOR]

Published
2024
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11. Efficacy and Safety of Adjunctive Cilostazol to Clopidogrel‐Treated Diabetic Patients With Symptomatic Lower Extremity Artery Disease in the Prevention of Ischemic Vascular Events

Author

Kalantzi, Kallirroi, primary, Tentolouris, Nikolaos, additional, Melidonis, Andreas J., additional, Papadaki, Styliani, additional, Peroulis, Michail, additional, Amantos, Konstantinos A., additional, Andreopoulos, George, additional, Bellos, George I., additional, Boutel, Dimitrios, additional, Bristianou, Magdalini, additional, Chrisis, Dimitrios, additional, Dimitsikoglou, Nikolaos A., additional, Doupis, John, additional, Georgopoulou, Chrysoula, additional, Gkintikas, Stergios A., additional, Iraklianou, Styliani, additional, Kanellas, Κonstantinos, additional, Kotsa, Kalliopi, additional, Koufakis, Theocharis, additional, Kouroglou, Maria, additional, Koutsovasilis, Anastasios G., additional, Lanaras, Leonidas, additional, Liouri, Eirini, additional, Lixouriotis, Charalampos, additional, Lykoudi, Akrivi, additional, Mandalaki, Efthymia, additional, Papageorgiou, Evanthia, additional, Papanas, Nikolaos, additional, Rigas, Spyridon, additional, Stamatelatou, Maria I., additional, Triantafyllidis, Ioannis, additional, Trikkalinou, Aikaterini, additional, Tsouka, Aikaterini N., additional, Zacharopoulou, Ourania, additional, Zoupas, Christos, additional, Tsolakis, Ioannis, additional, and Tselepis, Alexandros D., additional

Published
2021
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12. Simultaneous Transcatheter Aortic Valve Implantation and Infrarenal Aortic Aneurysm Repair for Severe Aortic Stenosis and Abdominal Aortic Aneurysm: Report of 2 Cases and Literature Review

Author

Koutsias, Stylianos, primary, Karaolanis, Georgios I., additional, Papafaklis, Michail I., additional, Peroulis, Michail, additional, Tzimas, Petros, additional, Lakkas, Lampros, additional, Mitsis, Michail, additional, Naka, Katerina K., additional, and Michalis, Lampros K., additional

Published
2020
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14. A Hybrid Approach That May Facilitate the Repair of Traumatic Popliteal Artery Pseudoaneurysms

Author

Vassiliou, Areti, Peroulis, Michail, Tatsis, Vassilios, and Alexiou, Vangelis G.

Abstract

Purpose: Traumatic popliteal pseudoaneurysms may occur in accidents or as an iatrogenic complication of a total knee arthroplasty. Complications often arise in open repair because of distorted anatomy. Up to 22% of the patients may suffer above-knee amputation. Endovascular treatment has proven to be an effective solution. However, the long-term performance of stents at the hinge point of the popliteal artery is questionable. We present a hybrid technique that was used successfully in 2 cases.Technique: Our approach takes advantage of both open and endovascular techniques. At first, we apply a stent graft at the side of the injury to cover the arterial trauma and stop blood leakage to the aneurysm sac. This allows for a safer dissection and open repair. We clamp the artery proximally and distally, open the sac, extract the stent graft, and extend to a longitudinal arteriotomy. We then reconstruct the entire area with a standard in lay end-to-end anastomosis using a vein graft. This hybrid technique may reduce the risk of uncontrollable bleeding and allow for a safer nerve decompression.Conclusions: Repair of such injuries is technically demanding. A hybrid approach may reduce the risk of complications and offer excellent long-term outcomes.Clinical Impact The hybrid approach to the treatment of traumatic popliteal pseudoaneurysms combines the advantages of both open and endovascular approaches. It may be possible to make an acute operation just as safe as an elective operation by implementing the proposed strategy. The procedure can be performed by surgeons of all levels, and patients may benefit from a safer surgical dissection with fewer complications and blood loss. This smart combination of standard techniques may prove invaluable in a hostile surgical environment where limb loss is likely.

Published
2024
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