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| 1 | Passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts and assessment of clinical outcomes显示文摘AIM To assess for passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts(TIPS) and compare outcomes with maximally dilated TIPS.METHODS Polytetrafluoroethylene covered TIPS(Viatorr) from July 2002 to December 2013 were retrospectively reviewed at two hospitals in a single institution. Two hundred and thirty patients had TIPS maximally dilated to 10 mm(m TIPS), while 43 patients who were at increased risk for hepatic encephalopathy(HE), based on clinical evaluation or low pre-TIPS portosystemic gradient(PSG), had 10 mm TIPS sub-maximally dilated to 8 mm(sm TIPS). Group characteristics(age, gender, Model for End-Stage Liver Disease score, post-TIPS PSG and clinical outcomes were compared between groups, including clinical success(ascites or varices), primary patency,primary assisted patency, and severe post-TIPS HE. A subset of fourteen patients with sm TIPS underwent follow-up computed tomography imaging after TIPS creation, and were grouped based on time of imaging(< 6 mo and > 6 mo). Change in diameter and crosssectional area were measured with 3D imaging software to evaluate for passive expansion.RESULTS Patient characteristics were similar between the sm TIPS and m TIPS groups, except for pre-TIPS portosystemic gradient, which was lower in the sm TIPS group(19.4 mm Hg ± 6.8 vs 22.4 mm Hg ± 7.1, P = 0.01). Primary patency and primary assisted patency between sm TIPS and m TIPS was not significantly different(P = 0.64 and 0.55, respectively). Four of the 55 patients(7%) with sm TIPS required TIPS reduction for severe refractory HE, while this occurred in 6 of the 218 patients(3%) with m TIPS(P = 0.12). For the 14 patients with follow-up computed tomography(CT) imaging, the median imaging follow-up was 373 d. There was an increase in median TIPS diameter, median percent diameter change, median area, and median percent area change in patients with CT follow-up greater than 6 mo after TIPS placement compared to follow-up within 6 mo(8.45 mm, 5.58%, 56.04 mm^2, and 11.48%, respectively, P = 0.01).CONCLUSION Passive expansion of sm TIPS does occur but clinical outcomes of sm TIPS and m TIPS were similar. Sub-maximal dilation can prevent complications related to overshunting in select patients. | Michael C Hsu Charles N Weber S William Stavropoulos Timothy W Clark Scott O Trerotola Richard D Shlansky Goldberg Michael C Soulen Gregory J Nadolski | 2017 | World Journal of Hepatology2017，9，12： | 11 |
| 2 | Renal function and physical fitness after 12-mo supervised training in kidney transplant recipients显示文摘AIM To evaluate the effect of a 12-mo supervised aerobic and resistance training, on renal function and exercise capacity compared to usual care recommendations.METHODS Ninety-nine kidney transplant recipients(KTRs) were assigned to interventional exercise(Group A; n = 52) and a usual care cohort(Group B; n = 47). Blood and urine chemistry, exercise capacity, muscular strength, anthropometric measures and health-related quality of life(HRQo L) were assessed at baseline, and after 6 and 12 mo. Group A underwent a supervised training three times per week for 12 mo. Group B received only general recommendations about home-based physical activities.RESULTS Eighty-five KTRs completed the study(Group A, n = 44; Group B, n = 41). After 12 mo, renal function remained stable in both groups. Group A significantly increased maximum workload(+13 W, P = 0.0003), V'O2 peak(+3.1 mL/kg per minute, P = 0.0099), muscular strength in plantar flexor(+12 kg, P = 0.0368), height in the countermovement jump(+1.9 cm, P = 0.0293) and decreased in Body Mass Index(-0.5 kg/m^2, P = 0.0013). HRQo L significantly improved in physical function(P = 0.0019), physical-role limitations(P = 0.0321) and social functioning scales(P = 0.0346). Noimprovements were found in Group B.CONCLUSION Twelve-month of supervised aerobic and resistance training improves the physiological variables related to physical fitness and cardiovascular risks without consequences on renal function. Recommendations alone are not sufficient to induce changes in exercise capacity of KTRs. Our study is an example of collaborative working between transplant centres, sports medicine and exercise facilities. | Giulio Sergio Roi Giovanni Mosconi Valentina Totti Maria Laura Angelini Erica Brugin Patrizio Sarto Laura Merlo Sergio Sgarzi Michele Stancari Paola Todeschini Gaetano La Manna Andrea Ermolao Ferdinando Tripi Lucia Andreoli Gianluigi Sella Alberto Anedda Laura Stefani Giorgio Galanti Rocco Di Michele Franco Merni Manuela Trerotola Daniela Storani Alessandro Nanni Costa | 2018 | World Journal of Transplantation2018，8，1： | 4 |
| 3 | Mechanical thrombolysis of venous thrombosis in an animal model with use of temporary caval filtration显示文摘 | Trerotola SO Mclennan G Eclavea AC | 2001 | J Vasc Interv Radiol2001，12，9： | 2 |
| 4 | Analysis of tip malposition and correction in peripherally inserted central catheters paced at bedside by a dedicated nursing Team显示文摘 | Trerotola S O Thompson S Chittams J | 2007 | J Vase Interv Radiol2007，18，4： | 1 |
| 5 | Analysis of tipmapposition and correction in peripherally inserted central catheters placed at bedside by a dedicated nursing team显示文摘 | Trerotola S Thompson S Chittams J | | 0，，04： | 1 |
| 6 | Tunneled infusion catheters:increased incidence of symptomatic venous thrombosis after subclavian versus internal jugular venous access显示文摘 | Trerotola SO Kuhn-Fulton J Johnson MS | 2000 | Radiology2000，217，1： | 1 |
| 7 | Reporting Standards for Percutaneous Interventions in Dialysis Access显示文摘 | Richard J. Gray David Sacks Louis G. Martin Scott O. Trerotola | 2003 | Journal of Vascular and Interventional Radiology2003，，： | 1 |
| 8 | Preoperative Spinal Artery Localization and its Relationship to Postoperative Neurologic Complications显示文摘 | Savader SJ Williams GM Trerotola SO | 1993 | Radiology1993，189，1： | 1 |
| 9 | Hemodialysis-related venous stenosis: treatment with ultrahigh pressure angioplastyballoons 显示文摘 | TREROTOLA S O STAVROPOULOS S W SHLANSKY- GOLDBERG R | 2004 | Radiology2004，231，1： | 1 |
| 10 | Stent graftversus balloon angioplasty for failing dialysis-accessgrafts 显示文摘 | Haskal ZJ Trerotola S Dolmatch B | 2010 | N Eng J Med2010，362，： | 1 |
| 11 | Analysis of tip malposition and correction in peripherally inserted central catheters placed at bedside by a dedicated nursing team显示文摘 | Trerotola SO Thompson S Chittams J | 2007 | J Vasc Interv Radiol2007，18，4： | 1 |
| 12 | A bi- cistronic CYCLIN D1-TROP2 mRNA chimera demon- strates a novel oncogenic mechanism in human cancer 显示文摘 | Guerra E Trerotola M Dell' Arciprete R | 2008 | Cancer Res2008，68，19： | 1 |
| 13 | Tunneled infusion catheters:increased incidence of symptomatic venous thrombosis after subclavian versus internal jugular venous access显示文摘 | Trerotola SO Kuhn-Fulton J Johnson MS | | 0，，01： | 1 |
| 14 | Complex biliary stones: treatment with a small choledochoscope and laser lithotripsy 显示文摘 | Harris VJ Sherman S Trerotola SO | 1996 | Radiology1996，199，1： | 1 |
| 15 | CD133, Trop-2 and a261 integrin surface receptors as markers of puta- tive human prostate cancer stem cells显示文摘 | TREROTOLA M RATHORE S GOEL HL | 2010 | Am J Transl Res2010，2，13： | 1 |
| 16 | A bicistronie CYCLIN D1-TROP2 mRNA chimera demonstrates a novel oncogenic mechanism in human cancer显示文摘 | Guerra E Trerotola M Dell Arciprete R | 2008 | Cancer Res2008，68，19： | 1 |
| 17 | Stent graft versus balloon angioplasty for failing dialysis-access grafts显示文摘 | Haskal ZJ Trerotola S Dolmatch B | 2010 | N Eng J Med2010，362，： | 1 |
| 18 | Preoperative spinal artery localization and its relationship to postoperative neurologic complications显示文摘 | Savader SJ Williams GM Trerotola SO | 1993 | Radiology1993，189，1： | 1 |
| 19 | PAVM embolization : an update 显示文摘 | Trerotola SO Pyeritz RE | 2010 | Am J Roentgenol2010，195，4： | 1 |
| 20 | Analysis of tipma-poaitionand correction in peripherally inserted central catheter-splaced at bedside by a dedicated nursing team显示文摘 | Trerotola SO Thompson S Chittams J | 2007 | J Vasc Interv Radol2007，18，4： | 1 |
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