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Papers by Loukia Alexopoulou-Prounia

Research paper thumbnail of European and US guidelines on acute DVT management

˜The œJournal of Cardiovascular Surgery/Journal of Cardiovascular Surgery, Mar 1, 2024

Research paper thumbnail of Endarterectomy Achieves Lower Stroke and Death Rates Compared With Stenting in Patients With Asymptomatic Carotid Stenosis: a Systematic Review and Meta-Analysis of the Literature

European Journal of Vascular and Endovascular Surgery, May 1, 2023

Background: It is currently unclear if carotid artery stenting (CAS) is as safe as carotid endart... more Background: It is currently unclear if carotid artery stenting (CAS) is as safe as carotid endarterectomy (CEA) for patients with significant asymptomatic stenosis. The aim of our study was to perform a systematic review and meta-analysis of trials comparing CAS with CEA. Methods: On March 17, 2017, a search for randomized controlled trials was performed in MEDLINE and Scopus databases with no time limits. We performed meta-analyses with Peto odds ratios (ORs) and 95% confidence intervals (CIs). Quality of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation method. The primary safety and efficacy outcome measures were stroke or death rate at 30 days and ipsilateral stroke at 1 year (including ipsilateral stroke and death rate at 30 days), respectively. Perioperative stroke, ipsilateral stroke, myocardial infarction (MI), and cranial nerve injury (CNI) were all secondary outcome measures. Results: The systematic review of the literature identified nine randomized controlled trials reporting on 3709 patients allocated into CEA (n ¼ 1479) or CAS (n ¼ 2230). Stroke or death rate at 30 days was significantly higher for CAS (64/2176

Research paper thumbnail of Ceftriaxone Administration Associated with Lithiasis in Children: Guilty or Not? A Systematic Review

Journal of Personalized Medicine, Apr 16, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Severe aortic valve stenosis in low-risk elderly patients; which is the role of surgery?

Interdisciplinary CardioVascular and Thoracic Surgery

Research paper thumbnail of Vascular handlebar syndrome with blunt injury of common femoral artery

Vasa

Summary: Vascular handlebar syndrome with blunt injury of the common femoral artery is a rare vas... more Summary: Vascular handlebar syndrome with blunt injury of the common femoral artery is a rare vascular trauma mechanism, with high possibility of being missed or delayed. We present two cases of vascular handlebar syndrome treated in our hospital and a systematic review of the literature using MEDLINE and SCOPUS databases. Literature review identified 20 similar cases. The median age of patients was 18 years, and in vast majority males in gender. In most cases, the common femoral artery injury was an intimal flap and lumen occlusion with intramural thrombosis followed by transection and intimal injury without occlusion or thrombosis. The median time between injury and diagnosis/treatment was half an hour. Clinical presentation ranged from asymptomatic to acute limb ischemia. The grade of acute ischemia was mostly Rutherford class I (n=14), while acute IIa (n=4), chronic ischemia (n=3), and no ischemia (n=1) were also noticed. The correct diagnosis was revealed by clinical examinatio...

Research paper thumbnail of Impact of COVID-19 on University Students’ Quality of Life and Mental Health in Greece: a Cross-sectional Study

Background: COVID-19 pandemic has highlighted an increasing deterioration of university students’... more Background: COVID-19 pandemic has highlighted an increasing deterioration of university students’ quality of life and mental health. COVID-19 pandemic forced university students to take online classes, which may have an impact on students’ education. In addition, students lost many job opportunities because of the pandemic. Faced with unemployment and study pressure and worried about the epidemic, university students were prone to high overall negative emotions, anxiety, and depression. Our study aims to conduct an impact assessment of the COVID-19 pandemic on the quality of life and mental health of university students.Methods: We conducted a cross-sectional study using an online interview survey on students at public universities in Greece to better understand the effects of the pandemic on their quality of life and mental health. Three tools were used (WHOQOL-BREF, IES-R, and HADS) as well as five separate questions directed only at participants who have been previously hospitali...

Research paper thumbnail of A Unique Case of an Expanded Polytetrafluoroethylene Graft Rupture 14 Years after Abdominal Aortic Aneurysm Open Repair Managed with Placement of a Thoracic Endograft

AORTA, 2021

We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occur... more We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occurred 14 years after abdominal aortic aneurysm (AAA) repair. Endovascular repair with a thoracic endograft was performed. Postoperatively, an increase in the size of the existing hematoma with active extravasation occurred and was managed with iliolumbar artery embolization. Τo the best of our knowledge, rupture of ePTFE graft used for AAA repair has not been reported in the literature.

Research paper thumbnail of Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia

European Journal of Vascular and Endovascular Surgery, 2019

Research paper thumbnail of European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis

Hellenic Journal of Vascular and Endovascular Surgery | Volume 4 - Issue 2 - , 2022

Research paper thumbnail of European and US guidelines on acute DVT management

˜The œJournal of Cardiovascular Surgery/Journal of Cardiovascular Surgery, Mar 1, 2024

Research paper thumbnail of Endarterectomy Achieves Lower Stroke and Death Rates Compared With Stenting in Patients With Asymptomatic Carotid Stenosis: a Systematic Review and Meta-Analysis of the Literature

European Journal of Vascular and Endovascular Surgery, May 1, 2023

Background: It is currently unclear if carotid artery stenting (CAS) is as safe as carotid endart... more Background: It is currently unclear if carotid artery stenting (CAS) is as safe as carotid endarterectomy (CEA) for patients with significant asymptomatic stenosis. The aim of our study was to perform a systematic review and meta-analysis of trials comparing CAS with CEA. Methods: On March 17, 2017, a search for randomized controlled trials was performed in MEDLINE and Scopus databases with no time limits. We performed meta-analyses with Peto odds ratios (ORs) and 95% confidence intervals (CIs). Quality of evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation method. The primary safety and efficacy outcome measures were stroke or death rate at 30 days and ipsilateral stroke at 1 year (including ipsilateral stroke and death rate at 30 days), respectively. Perioperative stroke, ipsilateral stroke, myocardial infarction (MI), and cranial nerve injury (CNI) were all secondary outcome measures. Results: The systematic review of the literature identified nine randomized controlled trials reporting on 3709 patients allocated into CEA (n ¼ 1479) or CAS (n ¼ 2230). Stroke or death rate at 30 days was significantly higher for CAS (64/2176

Research paper thumbnail of Ceftriaxone Administration Associated with Lithiasis in Children: Guilty or Not? A Systematic Review

Journal of Personalized Medicine, Apr 16, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Severe aortic valve stenosis in low-risk elderly patients; which is the role of surgery?

Interdisciplinary CardioVascular and Thoracic Surgery

Research paper thumbnail of Vascular handlebar syndrome with blunt injury of common femoral artery

Vasa

Summary: Vascular handlebar syndrome with blunt injury of the common femoral artery is a rare vas... more Summary: Vascular handlebar syndrome with blunt injury of the common femoral artery is a rare vascular trauma mechanism, with high possibility of being missed or delayed. We present two cases of vascular handlebar syndrome treated in our hospital and a systematic review of the literature using MEDLINE and SCOPUS databases. Literature review identified 20 similar cases. The median age of patients was 18 years, and in vast majority males in gender. In most cases, the common femoral artery injury was an intimal flap and lumen occlusion with intramural thrombosis followed by transection and intimal injury without occlusion or thrombosis. The median time between injury and diagnosis/treatment was half an hour. Clinical presentation ranged from asymptomatic to acute limb ischemia. The grade of acute ischemia was mostly Rutherford class I (n=14), while acute IIa (n=4), chronic ischemia (n=3), and no ischemia (n=1) were also noticed. The correct diagnosis was revealed by clinical examinatio...

Research paper thumbnail of Impact of COVID-19 on University Students’ Quality of Life and Mental Health in Greece: a Cross-sectional Study

Background: COVID-19 pandemic has highlighted an increasing deterioration of university students’... more Background: COVID-19 pandemic has highlighted an increasing deterioration of university students’ quality of life and mental health. COVID-19 pandemic forced university students to take online classes, which may have an impact on students’ education. In addition, students lost many job opportunities because of the pandemic. Faced with unemployment and study pressure and worried about the epidemic, university students were prone to high overall negative emotions, anxiety, and depression. Our study aims to conduct an impact assessment of the COVID-19 pandemic on the quality of life and mental health of university students.Methods: We conducted a cross-sectional study using an online interview survey on students at public universities in Greece to better understand the effects of the pandemic on their quality of life and mental health. Three tools were used (WHOQOL-BREF, IES-R, and HADS) as well as five separate questions directed only at participants who have been previously hospitali...

Research paper thumbnail of A Unique Case of an Expanded Polytetrafluoroethylene Graft Rupture 14 Years after Abdominal Aortic Aneurysm Open Repair Managed with Placement of a Thoracic Endograft

AORTA, 2021

We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occur... more We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occurred 14 years after abdominal aortic aneurysm (AAA) repair. Endovascular repair with a thoracic endograft was performed. Postoperatively, an increase in the size of the existing hematoma with active extravasation occurred and was managed with iliolumbar artery embolization. Τo the best of our knowledge, rupture of ePTFE graft used for AAA repair has not been reported in the literature.

Research paper thumbnail of Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia

European Journal of Vascular and Endovascular Surgery, 2019

Research paper thumbnail of European Society for Vascular Surgery (ESVS) 2021 Clinical Practice Guidelines on the Management of Venous Thrombosis

Hellenic Journal of Vascular and Endovascular Surgery | Volume 4 - Issue 2 - , 2022