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Agnes S, Avolio AW, Magalini SC, Foco M, Castagneto M. Should retransplantation still be considered for primary non-function after liver transplantation? Transpl Int 2018. [DOI: 10.1111/tri.1992.5.s1.170] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Frongillo F, Avolio AW, Nure E, Mulè A, Pepe G, Magalini SC, Agnes S. Quantification of degree of steatosis in extended criteria donor grafts with standardized histologic techniques: implications for graft survival. Transplant Proc 2014; 41:1268-72. [PMID: 19460535 DOI: 10.1016/j.transproceed.2009.03.096] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The gap between the availability of livers from organ donors and the increased demand has led many centers to apply strategies to reduce this deficit. Splitting of cadaveric organs for use in 2 recipients; domino transplantation; and organs from living donors, non-heart-beating donors, and extended-criteria donors (ECDs) are all currently used in orthotopic liver transplantation (OLT). Fatty changes in the donor liver are a risk factor for poor function after OLT; however, the presence of steatosis, frequently present in livers from ECDs, does not exclude the use of these organs. Since January 2000 at our institution, we observed 39 steatotic grafts that were stratified istologically as follows: low steatosis, 5% to 15%; mild steatosis, 16% to 30%; moderate steatosis, 31% to 60%; and severe steatosis (>60%). Histologic techniques can enable identification of the type of fatty change as macrovesicular and microvesicular. These alterations have different effects on primary nonfunction and primary dysfunction. Fifteen grafts, all with severe or moderate, macrovesicular changes were discarded. Twenty-four fatty grafts with low to moderate steatosis were utilized for transplant. Sections from 2 liver biopsies (1 wedge in the left lobe and 1 needle in the right lobe) were stained with hematoxylin-eosin, Masson trichrome, Gomori reticulin, and oil red O. The OLT was performed only in patients with a MELD (Model for End-Stage Liver Disease) score lower than 27. The rate of primary dysfunction was 12.5%, and of primary nonfunction 8.4%. The 6-month graft survival for all fatty livers was 80%. We encourage the careful use of grafts with low to moderate steatosis in recipients without additional risks.
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Affiliation(s)
- F Frongillo
- Department of Surgery, U.O. Chirurgia Sostitutiva, Policlinico "A. Gemelli", Catholic University, Rome, Italy.
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Perilli V, Aceto P, Modesti C, Ciocchetti P, Sacco T, Vitale F, Lai C, Magalini SC, Avolio AW, Sollazzi L. Low values of left ventricular ejection time in the post-anhepatic phase may be associated with occurrence of primary graft dysfunction after orthotopic liver transplantation: results of a single-centre case-control study. Eur Rev Med Pharmacol Sci 2012; 16:1433-1440. [PMID: 23104662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Previous investigations on risk factors for orthotopic liver transplantation (OLT) surgery have not analyzed hemodynamic aberrations in great detail. Moreover, the usefulness of esophageal Doppler monitoring has not been extensively studied in this clinical setting. The aim of this study was to evaluate if the occurrence of primary graft dysfunction (PGD) may be anticipated by hemodynamic indexes measured by esophageal Doppler (ED) monitoring system as well as by pulmonary artery catheter (PAC) in patients undergoing OLT. MATERIALS AND METHODS 38 OLT recipients were studied. Patients with acute liver failure or having non treated esophageal varices and those transplanted with marginal donors were excluded from the study. The haemodynamic data - measured by ED monitoring system (HemosonicTM 100, Arrow, OK, USA) and PAC - collected at the following 3 time points were considered for statistical analysis: 30 minutes after the induction of anesthesia but before skin incision, T0; 20 minutes after liver dissection, T1; at the beginning of biliary reconstruction, T2. On the basis of early outcome (72 hours after OLT), patients were distinguished into two groups: those with PGD (grade III-IV of Toronto classification) and those without PGD (grade I-II). RESULTS LVETc (left ventricular ejection time) values, registered at the beginning of biliary reconstruction (T2), were lower in patients with PGD compared to those without PGD (p < 0.000), while there were no differences in hemodynamic parameters derived from PAC between the two groups. CONCLUSIONS Since LVETc is related to preload, the results of this study would suggest that normovolemia could be the end point of a fluid replacement strategy in OLT setting.
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Affiliation(s)
- V Perilli
- Department of Anesthesiology and Intensive Care, School of Medicine, Catholic University of the Sacred Heart, A. Gemelli Hospital, Rome, Italy
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Sermoneta D, Di Mugno M, Spada PL, Lodoli C, Carvelli ME, Magalini SC, Cavicchioni C, Bocci MG, Martorelli F, Brizi MG, Gui D. Intra-abdominal vacuum-assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis: preliminary experience. Int Wound J 2010; 7:525-30. [DOI: 10.1111/j.1742-481x.2010.00727.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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Avolio AW, Agnes S, Barbarino R, Magalini SC, Frongillo F, Pagano L, Larocca LM, Pompili M, Caira M, Sollazzi L, Castagneto M. Posttransplant Lymphoproliferative Disorders After Liver Transplantation: Analysis of Early and Late Cases in a 255 Patient Series. Transplant Proc 2007; 39:1956-60. [PMID: 17692665 DOI: 10.1016/j.transproceed.2007.05.019] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
We reviewed the incidence and the impact of posttransplant lymphoproliferative disorders (PTLDs) on patient survival among a consecutive series of 255 patients. Five cases of PTLD were observed in adults: two cases were early (less than 1 year) and three cases, late lymphomas. The EBV positivity and the degree of immunosuppression were the main risk factors. We labeled cases as early or late according to whether the time elapsed from the transplant to the first clinical evidence of PTLD was less than 12 months. The median time from transplant to diagnosis of PTLD was 8 (early) and 108 (late) months. All cases were treated by reduction in immunosuppressive therapy with conventional chemotherapy and rituximab. The early cases with lymphoma located at the hepatic hilum died due to local complications (biliary sepsis and hemobilia), after an initial partial response to chemotherapy. The three patients with late cases are in remission after a mean follow-up of 23 months.
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Affiliation(s)
- A W Avolio
- Department of Surgery-Transplantation Service, Catholic University, A Gemelli Hospital, Rome, Italy.
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Abstract
Since 1980, botulinum toxin has been employed for the treatment of various voluntary muscle spastic disorders in the fields of neurology and ophthalmology. More recently, botulinum toxin has been proved to be effective in the therapy of dyskinetic smooth muscle disorders of the gastrointestinal tract. Achalasia and anal fissure are the gastrointestinal disorders in which botulinum toxin therapy has been most extensively investigated. Botulinum toxin is the best treatment option for achalasia in patients whose condition makes them unfit for pneumatic dilation or surgery. In anal fissure, botulinum toxin is highly effective and may become the treatment of choice. In the future, botulinum toxin application in the gastrointestinal tract will be extended to many other gastrointestinal disorders, such as non-achalasic motor disorders of the oesophagus, dysfunction of Oddi's sphincter, achalasia of the internal anal sphincter and others. This article describes the mechanism of action, rationale of employment, indications and side-effects of botulinum toxin application in smooth muscle disorders of the gastrointestinal tract, and compares the results of different techniques of botulinum toxin therapeutic application.
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Affiliation(s)
- D Gui
- Department of Surgery, Catholic University, Rome, Italy.
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Affiliation(s)
- S Agnes
- Department of Surgery, Division of Organ Transplantation, Catholic University, Policlinico "A. Gemelli,", Roma, Italy
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Abstract
The use of marginal donors is well accepted by most centers for emergency situations, but there is debate on their use for patients on regular waiting lists. We report our experience of the 1-year survival for patients on waiting lists (n = 147, 1-year survival = 32%), patients transplanted from good donors (n = 60, 1-year survival = 84%), and patients transplanted from marginal donors (n = 15, 1-year survival = 56%). We concluded that liver transplantation from marginal donors (a) is a safe procedure (b) has a 1-year survival that is significantly better than that on a waiting list (c) is ethically justified especially in countries with donor shortages, and (d) may allow transplantation of "special" high risk and poor long-term outcome patients.
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Affiliation(s)
- S Agnes
- Department of Surgery-Division of Organ Transplantation, Catholic University, Policlinico Gemelli, Rome, Italy
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Nanni G, Gangeri G, Magalini SC, Grieco A, Piantelli M. [Primary carcinoid of the umbilicus. Description of the 1st case]. MINERVA CHIR 1994; 49:1165-70. [PMID: 7708243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
A 78-year old male came to our observation presenting and enlargement of bilateral inguinal lymph nodes and a tumor of the mesogastric abdominal wall. Three years before the patient had been operated on for a primary tumor of the umbilicus with concomitant longstanding diarrhea. No histological examination was performed at that time. We performed a lymph node biopsy which demonstrated carcinoid metastasis. We went on to perform radical resection of the abdominal wall, regional lymphadenectomy and right hemicolectomy for malignant villous adenoma of the right colon. The abdominal defect was repaired by using Goretex mesh. Cyclic adjuvant alpha-interferon therapy was continued for more than 1 year, followed by long term therapy with longastatin. Twenty months after the operation the patient is in good clinical conditions and disease-free. On the basis of literature review our case appears to be the first primary carcinoid of the umbilicus.
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Affiliation(s)
- G Nanni
- Istituto di Clinica Chirurgica, Università Cattolica del Sacro Cuore, Roma
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Perilli V, Avolio AW, Sollazzi L, Agnes S, Bradariolo S, Magalini SC, Pelosi G, Castagneto M. Pulmonary gas exchange during orthotopic liver transplantation. Br J Anaesth 1994; 73:695-6. [PMID: 7826803 DOI: 10.1093/bja/73.5.695] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
The aim of this study was to evaluate the efficiency of pulmonary gas exchange during the course of liver transplantation. We studied 25 adult cirrhotic patients undergoing transplantation, performed with venovenous bypass. A significant increase in PaO2, and a significant decrease in physiological shunt and alveolar-arterial partial pressure difference were observed just before the start of venovenous bypass. These changes were probably caused by modifications in respiratory mechanics, such as an increase in functional residual capacity. There were no other respiratory changes during the anhepatic and post-anhepatic phases.
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Affiliation(s)
- V Perilli
- Department of Anaesthesiology and Intensive Care, Catholic University, Roma, Italy
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Agnes S, Avolio AW, Azzaretto M, Magalini SC, Castagneto M. Postoperative clinical problems in the liver transplant patient. Rays 1994; 19:304-18. [PMID: 7800840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- S Agnes
- Istituto di Clinica Chirurgica, Cattedra di Chirurgia Sostitutiva e dei Trapianti d'Organo Università Cattolica del S. Cuore, Policlinico, A. Gemelli, Roma, Italy
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Avolio AW, Agnes S, Magalini SC, Nanni G, Castagneto M. Quantification of liver damage and prediction of 1-year survival after liver transplantation by a multifactorial "recovery score". Transplant Proc 1993; 25:1868-9. [PMID: 8470206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- A W Avolio
- Department of Surgery, CNR, Catholic University of Rome, Italy
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Avolio AW, Gozzo ML, Forni L, Agnes S, Colacicco L, Barbaresi G, Magalini SC, Castagneto M. Mitochondrial/cytoplasmic enzyme ratio for the diagnosis of acute rejection after liver transplantation: sensitivity and specificity. Transplant Proc 1992; 24:2572-3. [PMID: 1361263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Affiliation(s)
- A W Avolio
- Department of Surgery-Centro di Studio per la Fisiopatologia dello Shock, CNR, University of Rome, Italy
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Magalini SC, Nanni G, Tacchino RM, Avolio AW, Castagneto M. Lack of predictivity of serum neopterin, soluble interleukin-2 receptor, and serum amyloid A in long-term kidney transplant recipients. Transplant Proc 1992; 24:2547-8. [PMID: 1465861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- S C Magalini
- Department of Surgery, Catholic University, Policlinico Gemelli, Rome, Italy
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Avolio AW, Agnes S, Magalini SC, Nanni G, Castagneto M. Recovery index: a useful tool for quantification of liver injury after liver transplantation to predict one-year survival. Transplant Proc 1992; 24:2707-8. [PMID: 1465908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- A W Avolio
- Department of Surgery, Catholic University of Rome, Italy
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Agnes S, Avolio AW, Magalini SC, Foco M, Gattavilla N, Castagneto M, Crucitti F. [Blood recovery and autotransfusion within integrated transfusion systems during liver transplantation. The authors' own experience]. MINERVA CHIR 1992; 47:473-9. [PMID: 1589097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- S Agnes
- Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Roma
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Agnes S, Avolio AW, Magalini SC, Foco M, Castagneto M. Should retransplantation still be considered for primary non-function after liver transplantation? Transpl Int 1992; 5 Suppl 1:S170-2. [PMID: 14621766 DOI: 10.1007/978-3-642-77423-2_53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Primary non-function (PNF) of a transplanted liver is a postoperative condition characterized by absence of hepatic recovery due to various insults during harvesting, preservation or revascularization. Until recently early retransplantation (RTx) has been considered the policy of choice. Results of RTx for PNF are unsatisfactory (1-year survival rates ranging from 0 to 34%). The management of PNF by medical care without RTx with a recovery rate of 80% and a 1-year actuarial survival rate of 50% is reported for a series of 33 consecutive liver transplants. The guidelines for the medical care management are given and the results are discussed.
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Affiliation(s)
- S Agnes
- Department of Surgery, Catholic University of Rome, Rome, Italy
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Avolio AW, Agnes S, Magalini SC, Foco M, Castagneto M. Importance of donor blood chemistry data (AST, serum sodium) in predicting liver transplant outcome. Transplant Proc 1991; 23:2451-2. [PMID: 1926428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- A W Avolio
- Department of Surgery, Catholic University of Rome, Italy
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Avolio AW, Agnes S, Nanni G, Citterio F, Magalini SC, Castagneto M. Cyclosporine levels together with metabolites are more effective than cyclosporine parent compound levels alone in predicting hepatic toxicity after liver transplantation. Transplant Proc 1991; 23:2221-2. [PMID: 1871853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- A W Avolio
- Department of Surgery, Catholic University of Rome, Italy
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Avolio AW, Agnes S, Pelosi G, Sollazzi L, Magalini SC, Gozzo ML, Castagneto M. Intraoperative trends of oxygen consumption and blood lactate as predictors of primary dysfunction after liver transplantation. Transplant Proc 1991; 23:2263-5. [PMID: 1871867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- A W Avolio
- Department of Surgery, Catholic University of Rome, Italy
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Magalini SC, Nanni G, Agnes S, Avolio AW, Salvatori M, Manna R, Castagneto M. Neopterin, amyloid A, C-reactive protein, gamma-interferon, and interleukin-2 receptor in diagnosis of posttransplantation rejection. Transplant Proc 1991; 23:2267-8. [PMID: 1908153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- S C Magalini
- Department of Surgery, Catholic University, Policlinico Gemelli, Roma, Italy
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Agnes S, Avolio AW, Magalini SC, Foco M, Castagneto M. Is primary nonfunction still a suitable indication for liver retransplantation? Transplant Proc 1991; 23:2261-2. [PMID: 1871866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- S Agnes
- Department of Surgery, Catholic University of Rome, Italy
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Avolio AW, Agnes S, Pelosi G, Sollazzi L, Magalini SC, Citterio F, Perilli V, Castagneto M. Determinants of hemodynamic compensation during veno-venous bypass in liver transplantation. Transplant Proc 1990; 22:1535-6. [PMID: 2389393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- A W Avolio
- Department of Surgery, Catholic University, Policlinico A. Gemelli, Rome, Italy
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Magalini SC, Nanni G, Agnes S, Serino F, Avolio AW, Tacchino R, Castagneto M. Paradoxical effect of short-term protein loading on CsA-treated kidney transplant recipients. Transplant Proc 1989; 21:1500-1. [PMID: 2652483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- S C Magalini
- Department of Surgery, Catholic University of Rome, Italy
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Agnes S, Avolio AW, Magalini SC, Nanni G, Foco M, Serino F, Hassan G, Marinucci G, Boldrini G, Castagneto M. Results of liver transplantation for hepatitis delta disease without immunoprophylaxis. Transplant Proc 1989; 21:2426-8. [PMID: 2652793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- S Agnes
- Department of Surgery, S. Giacomo Hospital, Rome, Italy
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Avolio AW, Agnes S, Pelosi G, Magalini SC, Storti S, Iannace C, Marra R, Sollazzi L, Castagneto M. Orpitt: a computerized chart for intraoperative real time management of liver transplant data. Transplant Proc 1989; 21:2353-6. [PMID: 2652765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- A W Avolio
- Department of Surgery Transplant Center, Catholic University, Rome, Italy
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Nanni G, De Gaetano AM, Boldrini G, Serino F, Pozzetto U, Magalini SC, Castagneto M. Parenchymal calcifications in the liver of kidney allograft recipients: an unrecognized side-effects of cyclosporine. Transplant Proc 1989; 21:1558-9. [PMID: 2652506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- G Nanni
- Department of Surgery, Catholic University, Rome, Italy
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Nanni G, Magalini SC, Serino F, Castagneto M. Effect of disopyramide in a cyclosporine-treated patient. Transplantation 1988; 45:257. [PMID: 3276058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Citterio F, Lauriola L, Nanni G, Vecchio FM, Magalini SC, Castagneto M. Polyclonal lymphoma confined to renal allograft: case report. Transplant Proc 1987; 19:3732-4. [PMID: 3313902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- F Citterio
- Department of Surgery and Pathology, Catholic University, Rome, Italy
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Magalini SC, Nanni G, Sambo A, Agnes S, Luciani G, Pozzetto A, Avolio A, Cittadini A, Castagneto M. Possibility of recognizing immunologic and cyclosporine A damage by urinary neopterin excretion in kidney transplant recipients. Transplant Proc 1987; 19:1686-8. [PMID: 3274405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- S C Magalini
- Department of Surgery Transplant Center, Catholic University, Policlinico Gemelli, Rome
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Avolio AW, Nanni G, Citterio F, Pozzetto U, Magalini SC, Zappacosta B, Tacchino RM, Zuppi C, Castagneto M. Increase in N-acetyl-beta-glucosaminidase excretion as a marker of kidney damage in cyclosporine-treated renal allografts. Transplant Proc 1987; 19:2086-7. [PMID: 3274475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- A W Avolio
- Surgical Department, Catholic University, Rome, Italy
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Agnes S, Magalini SC, Serino F, Foco M, Castagneto M. Pancreatic transplantation with double arterial and venous bridge anastomosis: a technique to avoid vascular thrombosis. Transplant Proc 1987; 19:1004-7. [PMID: 3547847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Magalini SC, Nanni G, Agnes S, Citterio F, Castagneto M. Anaphylactic reaction to first exposure to cyclosporine. Transplantation 1986; 42:443-4. [PMID: 3765054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Pelosi G, Zanghi F, Agnes S, Magalini SC. Maintenance of unstable kidney donors. Eur J Anaesthesiol 1986; 3:209-17. [PMID: 3536493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Cerebral death is often associated with haemodynamic changes which include a decrease in cardiac output and peripheral resistance. Brain-death following head injury may also lead to acquired diabetes insipidus with secondary water and electrolyte derangement. It is therefore necessary to prevent and correct these alterations, particularly when long-term maintenance is required, in order to keep kidney function within the normal range. Computerized monitoring of renal function and electrolyte and water derangements has been adopted. In all cases where early data of renal failure or oliguria were present infusions of dopamine and fluids were started. When indicated, the optimal dose of dopamine was calculated using a computerized system to allow drug dosages and the time of haemodynamic derangement to be minimized. When acquired central diabetes insipidus was present and urine output greater than 4 ml kg-1 h-1 desamino-cis-D-arginine vasopressin (DDAVP) was administered.
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Agnes S, Magalini SC, Castagneto M, Castiglioni GC. [Pancreas transplantation. An historical review and analysis of current results]. MINERVA CHIR 1985; 40:243-6. [PMID: 3921875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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