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Papers by Zacharias Androulakakis

European Journal of Gastroenterology Hepatology, Feb 1, 2001

Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal le... more Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal lesions or pancreatic tumours. This study describes a case of a 77-year-old man who developed GO obstruction due to extrinsic compression from a large gastroduodenal artery aneurysm under rupture. This cause of GO obstruction has never previously been reported in the literature.

Injury Int J Care Injured, 2004

A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing s... more A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing severe pain in the right axilla. She was taken to a nearby hospital, but was discharged shortly after no abnormality was found on shoulder X-ray or emergency blood tests. Three days later, she presented to our Accident and Emergency Department with increasing pain in the right axilla and gradually deteriorating limb function. Her past history included controlled essential hypertension and admission to hospital 9 years previously for a traumatic anterior right shoulder dislocation. This had been reduced but her ability to elevate her arm took 6 months to recover completely.

European journal of gastroenterology & hepatology, 2001

Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal le... more Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal lesions or pancreatic tumours. This study describes a case of a 77-year-old man who developed GO obstruction due to extrinsic compression from a large gastroduodenal artery aneurysm under rupture. This cause of GO obstruction has never previously been reported in the literature.

International Journal of Angiology, 1994

of the limbs are rare lesions of uncertain etiology with structural disorders of the vascular sys... more of the limbs are rare lesions of uncertain etiology with structural disorders of the vascular system, nondegenerative and noninflammatory in origin, which occur during embryologic development. They affect one or more systems, commonly coexist with other malformations, and create a polymorphy, and their classification and radical cure are questionable. Surgical treatment, where indicated, presupposes morphological and hemodynamic evaluation of each case, knowledge of the pathophysiology, and highly specialized surgical ability. In this series of 31 patients with CVMs of the limbs, 12 arteriovenous (av) fistulae, 8 Klippel-Trenaunay syndromes, 1 Kasabach-Merritt syndrome, and I0 pure venous angiomata were studied. Ten of the 12 av fistulae were managed operatively, and the other CVMs were managed mainly conservatively. Congenital av fistulae require surgical therapy because of their serious systemic and local complications. Surgical options include division and ligation of the fistula, skeletonization of the feeding artery, or resection of the fistula and ligation of the feeding vessels. In the other groups of CVMs nonoperative management offers the best results and consists of elastic support of the limb, appropriate profession selection, body weight control, orthopedic shoes, avoidance of oral contraceptives in women, and rarely, conservative operations on the veins of compression sclerotherapy. In 6 of the 10 limbs with av fistulae operated on the results remain good at mean follow-up of 7.2 years, but 4 of the remaining recurred (rate 40%), and in 2 of the recurrences reoperation has been planned for further reduction of the shunt. In the CVMs other than av fistulae, the condition of the patients treated with conservative measures only has stabilized, whereas in the Correspondence to: ones who had surgery, compression sclerotherapy, or laser therapy the results were unsatisfactory.

Injury, 2004

A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing s... more A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing severe pain in the right axilla. She was taken to a nearby hospital, but was discharged shortly after no abnormality was found on shoulder X-ray or emergency blood tests. Three days later, she presented to our Accident and Emergency Department with increasing pain in the right axilla and gradually deteriorating limb function. Her past history included controlled essential hypertension and admission to hospital 9 years previously for a traumatic anterior right shoulder dislocation. This had been reduced but her ability to elevate her arm took 6 months to recover completely.

CardioVascular and Interventional Radiology, 2003

The Trellis™ Peripheral Infusion System is an over-the-wire 0.035Љ guidewire compatible device, d... more The Trellis™ Peripheral Infusion System is an over-the-wire 0.035Љ guidewire compatible device, designed to isolate a region of the peripheral vasculature to allow for lytic drug infusion and dispersion. We used it successfully through a percutaneous approach in two cases of acute thrombosis of a native lower limb artery. The total amount of rt-PA used was 12 and 9 mg, respectively and was delivered through bolus injections obviating the need for a supplementary continuous infusion of the agent. The time for dissolution of thrombus was 45 and 35 minutes, respectively. No complications were observed.

European Journal of Gastroenterology Hepatology, Feb 1, 2001

Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal le... more Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal lesions or pancreatic tumours. This study describes a case of a 77-year-old man who developed GO obstruction due to extrinsic compression from a large gastroduodenal artery aneurysm under rupture. This cause of GO obstruction has never previously been reported in the literature.

Injury Int J Care Injured, 2004

A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing s... more A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing severe pain in the right axilla. She was taken to a nearby hospital, but was discharged shortly after no abnormality was found on shoulder X-ray or emergency blood tests. Three days later, she presented to our Accident and Emergency Department with increasing pain in the right axilla and gradually deteriorating limb function. Her past history included controlled essential hypertension and admission to hospital 9 years previously for a traumatic anterior right shoulder dislocation. This had been reduced but her ability to elevate her arm took 6 months to recover completely.

European journal of gastroenterology & hepatology, 2001

Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal le... more Gastric outlet (GO) obstruction in an adult is usually caused by intrinsic gastric or duodenal lesions or pancreatic tumours. This study describes a case of a 77-year-old man who developed GO obstruction due to extrinsic compression from a large gastroduodenal artery aneurysm under rupture. This cause of GO obstruction has never previously been reported in the literature.

International Journal of Angiology, 1994

of the limbs are rare lesions of uncertain etiology with structural disorders of the vascular sys... more of the limbs are rare lesions of uncertain etiology with structural disorders of the vascular system, nondegenerative and noninflammatory in origin, which occur during embryologic development. They affect one or more systems, commonly coexist with other malformations, and create a polymorphy, and their classification and radical cure are questionable. Surgical treatment, where indicated, presupposes morphological and hemodynamic evaluation of each case, knowledge of the pathophysiology, and highly specialized surgical ability. In this series of 31 patients with CVMs of the limbs, 12 arteriovenous (av) fistulae, 8 Klippel-Trenaunay syndromes, 1 Kasabach-Merritt syndrome, and I0 pure venous angiomata were studied. Ten of the 12 av fistulae were managed operatively, and the other CVMs were managed mainly conservatively. Congenital av fistulae require surgical therapy because of their serious systemic and local complications. Surgical options include division and ligation of the fistula, skeletonization of the feeding artery, or resection of the fistula and ligation of the feeding vessels. In the other groups of CVMs nonoperative management offers the best results and consists of elastic support of the limb, appropriate profession selection, body weight control, orthopedic shoes, avoidance of oral contraceptives in women, and rarely, conservative operations on the veins of compression sclerotherapy. In 6 of the 10 limbs with av fistulae operated on the results remain good at mean follow-up of 7.2 years, but 4 of the remaining recurred (rate 40%), and in 2 of the recurrences reoperation has been planned for further reduction of the shunt. In the CVMs other than av fistulae, the condition of the patients treated with conservative measures only has stabilized, whereas in the Correspondence to: ones who had surgery, compression sclerotherapy, or laser therapy the results were unsatisfactory.

Injury, 2004

A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing s... more A 68-year-old lady, a standing passenger in a bus, fell after sudden deceleration, experiencing severe pain in the right axilla. She was taken to a nearby hospital, but was discharged shortly after no abnormality was found on shoulder X-ray or emergency blood tests. Three days later, she presented to our Accident and Emergency Department with increasing pain in the right axilla and gradually deteriorating limb function. Her past history included controlled essential hypertension and admission to hospital 9 years previously for a traumatic anterior right shoulder dislocation. This had been reduced but her ability to elevate her arm took 6 months to recover completely.

CardioVascular and Interventional Radiology, 2003

The Trellis™ Peripheral Infusion System is an over-the-wire 0.035Љ guidewire compatible device, d... more The Trellis™ Peripheral Infusion System is an over-the-wire 0.035Љ guidewire compatible device, designed to isolate a region of the peripheral vasculature to allow for lytic drug infusion and dispersion. We used it successfully through a percutaneous approach in two cases of acute thrombosis of a native lower limb artery. The total amount of rt-PA used was 12 and 9 mg, respectively and was delivered through bolus injections obviating the need for a supplementary continuous infusion of the agent. The time for dissolution of thrombus was 45 and 35 minutes, respectively. No complications were observed.