Ted R. Prins

University Medical Center Groningen

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Eric L.G. Verhoeven

Nuremberg Hospital

Ignace F.J. Tielliu

University Medical Center Groningen

J.J.A.M. van den Dungen

University of Groningen

Clark J. Zeebregts

University Medical Center Groningen

R.G. Hulsebos

Maasstad Ziekenhuis

B.I. Oranen

Dutch Institute for Clinical Auditing

Wendy J. Post

University of Groningen

Marc van Det

Ziekenhuis Groep Twente

R. van Schilfgaarde

University of Groningen

W. T. G. J. Bos

University Medical Center Groningen

Cooperative Institutions

University Medical Center Groningen

University of Groningen

Dialyse Centrum Groningen

Leiden University Medical Center

University of Amsterdam

University Medical Center Utrecht

Amsterdam University Medical Centers

Radboud University Nijmegen

Radboud University Medical Center

Dutch Institute for Clinical Auditing

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Emergency Abdominal Aortic Aneurysm Repair With a Preferential Endovascular Strategy:Mortality and Cost-Effectiveness Analysis

Journal of Endovascular Therapy (2007)

M.R. Kapma Henk Groen B.I. Oranen Christian S. van der Hilst Ignace F.J. Tielliu

To assess mortality and treatment costs of a new management protocol with preferential use of emergency endovascular aneurysm repair (eEVAR) for acute abdominal aortic aneurysm (AAA).From September 2003 until February 2005, 49 consecutive patients (45 men; mean age 71 years) with acute AAA were entered into a prospective study of a new management protocol that featured preferential use of eEVAR (n=18); patients with unsuitable anatomy or who were hemodynamically unstable underwent open repair (n=31). Mortality data and costs of treatment were compared in this mixed prospective group to a historical control group consisting of 147 patients (128 men; mean age 71 years) who underwent open repair from January 1998 to December 2001. All direct medical costs were included from the moment of admission until discharge from the hospital.Mortality in the mixed prospective group (18%) was lower than in the historical control group (31%), but the difference did not reach statistical significance (p=0.099). The mean total cost in the mixed prospective group was 17,164 euro compared to 21,084 euro in the historical open repair group (p=0.255).A preferential eEVAR protocol for acute AAA can decrease mortality and does not increase overall costs during initial treatment, but larger studies are needed to determine if these trends are statistically significant.

Endovascular aneurysm repair

10.1583/07-2182.1

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Citations (18)

Radiofrequency Ablation of Hepatic Metastases from Thyroid Carcinoma

Thyroid (2008)

Marieke W.J.L.A.E. Wertenbroek Thera P. Links Ted R. Prins John Theodorus Plukker Erik J. van der Jagt

Background: Radiofrequency ablation (RFA) is performed for various types of liver tumors. It might also have a role in the palliative treatment of liver metastases from thyroid carcinoma. Summary: Three patients with liver metastases of thyroid carcinoma were retrieved from our database of 125 patients who had been treated with RFA for liver tumors. In all three patients, the metastases were a sign of widespread disease, and several other treatment modalities had been performed earlier. Two patients had metastases from medullary thyroid carcinoma and had severe diarrhea. The third patient had a rapidly progressive metastasis of a follicular thyroid carcinoma. The aim of the treatment was cytoreduction with amelioration of symptoms (n = 2) and debulking with increased sensitivity for subsequent 131I treatment. The ablation was performed via laparotomy (n = 1), laparoscopically (n = 1), or percutaneously (n = 1). One patient experienced superficial burn wounds after a long-lasting RFA procedure. Severity of symptoms was reduced significantly after RFA for a prolonged period of time. RFA induced partial tumor necrosis because of hypervascularization of the tumor in one patient. After arterial embolization the second RFA treatment induced total tumor necrosis. Local recurrences at the site of the ablated liver metastases were not encountered during follow-up. Conclusions: RFA is a useful treatment modality in patients with liver metastases from thyroid carcinoma. It should be considered an adjunct to other types of treatment or for those patients in whom more regular treatment modalities are not effective or possible or are associated with increased risks.

Debulking

10.1089/thy.2008.0080

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Citations (65)

Intraoperative salvage of a renal artery occlusion during fenestrated stent grafting

Journal of Vascular Surgery (2009)

Georgios Vourliotakis Montse Blanch Clark J. Zeebregts Toby Cohen Ted R. Prins

Right Renal Artery

10.1016/j.jvs.2009.06.018

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Citations (6)

Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts

Journal of Vascular Surgery (2006)

Bart E. Muhs Eric L.G. Verhoeven Clark J. Zeebregts Ignace F.J. Tielliu Ted R. Prins

Endovascular aneurysm repair

10.1016/j.jvs.2006.02.056

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Citations (211)

Treatment of Popliteal Artery Aneurysms with the Hemobahn Stent-Graft

Journal of Endovascular Therapy (2003)

Ignace F.J. Tielliu Eric L.G. Verhoeven Ted R. Prins Wendy J. Post R.G. Hulsebos

To report a prospective study to ascertain the results of popliteal aneurysm treatment with a self-expanding stent-graft.In a recent 3-year period, 21 patients (18 men; median age 67 years, range 52-82) with 23 popliteal aneurysms were treated with Hemobahn stent-grafts. Follow-up evaluation included duplex scanning, ankle-brachial index (ABI) measurements, and radiographic examination of the knee. Outcome measures were occlusion of the stent-graft and limb loss.Technical success in placing the stent-graft and excluding the aneurysm was 100%. An additional vascular intervention was performed in the same session in 5 (24%) cases. In the other 16 patients, local anesthesia was used in 10 (63%). During a median follow-up of 15 months (range 2-37), 5 (22%) of 23 stent-grafts occluded, resulting in a cumulative patency of 74%. All occlusions occurred within 6 months after the intervention; 2 were successfully recanalized, and none of the 3 patients with persisting occlusion required an amputation.The results of this study suggest that endovascular stent-graft repair of popliteal artery aneurysms is feasible. Midterm patency rates are lower compared to traditional surgical repair.

Popliteal artery

Endovascular aneurysm repair

10.1177/152660280301000121

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Citations (58)

Thoracic Stent Grafts with a Distal Fenestration for the Celiac Axis

Vascular (2005)

Ignace F.J. Tielliu Eric L.G. Verhoeven Clark J. Zeebregts Ted R. Prins J.J.A.M. van den Dungen

Fenestration

10.2310/6670.2005.50073

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Citations (0)

Fusobacterium pyomyositis of the shoulder after tonsillitis: Report of a case of Lemierre's syndrome

Acta Orthopaedica Scandinavica (1991)

Rienhart F.E. Wolf Joop G. Konings Ted R. Prins J Weits

A case of nontropical pyomyositis is reported in a young male without predisposing factors. The disease was preceded by a tonsillitis, and the presentation initially suggested a septic arthritis of the shoulder. Fusobacterium, a highly unusual pathogen in pyomyositis, was isolated from an abscess in the infraspinatus muscle. The increasing frequency of the disease in areas with a temperate climate and the pathogenesis are discussed. Our case had the classic features of Lemierre's syndrome: invasion of the bloodstream by Fusobacterium species from a tonsillitis.

Pyomyositis

Fusobacterium

Fusobacterium necrophorum

Lemierre's syndrome

Acute Tonsillitis

Fulminant

10.3109/17453679108994504

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Citations (23)

To haemodialysis and back: saving a kidney graft by treatment of an arteriovenous fistula

Nephrology Dialysis Transplantation (2005)

Auke H. Brantsma Ted R. Prins Eltjo F. de Maar Jaap J. Homan van der Heide Rutger J. Ploeg

10.1093/ndt/gfi107

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Citations (2)

Thoracic Stent Grafts with a Distal Fenestration for the Celiac Axis

Vascular (2005)

Ignace F.J. Tielliu Eric L.G. Verhoeven Clark J. Zeebregts Ted R. Prins J.J.A.M. van den Dungen

Descending thoracic aneurysms can be treated with a stent graft provided that there is sufficient proximal and distal aortic neck length above the celiac axis. One of the options for the treatment of thoracic aneurysms with a too short distal neck is described in this report. For this purpose, a stent graft was constructed with a scallop for the celiac axis. Three cases are presented, and the technical details are described.

Fenestration

Celiac artery

Thoracic aortic aneurysm

10.1258/rsmvasc.13.4.236

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Citations (10)

Circumference as an alternative for diameter measurement in endovascular aneurysm repair

Medical Hypotheses (2015)

Ignace F.J. Tielliu Ruben V.C. Buijs Marcel J. W. Greuter Tryfon Vainas Bas M. Wallis de Vries

Circumference

10.1016/j.mehy.2015.05.004

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Citations (3)