Publications by authors named "Borivoje Lukic"

7 Publications

  • Page 1 of 1

Endovascular Treatment of Aortic Bifurcation Occlusive Disease 10 Years After Open Surgical Repair of an Infrarenal Abdominal Aortic Aneurysm.

Eur J Vasc Endovasc Surg 2021 May 9;61(5):850. Epub 2021 Apr 9.

Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.

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http://dx.doi.org/10.1016/j.ejvs.2021.02.029DOI Listing
May 2021

Comparison of Long Term Outcomes After Endovascular Treatment Versus Bypass Surgery in Chronic Limb Threatening Ischaemia Patients with Long Femoropopliteal Lesions.

Eur J Vasc Endovasc Surg 2021 02 15;61(2):258-269. Epub 2020 Dec 15.

Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Serbia.

Objective: There are currently two treatments available for patients with chronic limb threatening ischaemia (CLTI): open surgical bypass (OSB) and percutaneous transluminal angioplasty with/without stenting (PTA/S). The aim of this study was to compare short and long term outcomes between PTA/S and OSB in CLTI patients with long (GLASS grade III and IV) femoropopliteal disease.

Methods: This was a two centre retrospective study including all consecutive patients with CLTI undergoing first time lower extremity intervention at two distinct vascular surgical centres. Between 1 January 2012 and 1 January 2018, 1 545 CLTI consecutive limbs were treated for femoropopliteal GLASS grade III and IV lesions at two vascular surgical centres. Using covariables from baseline and angiographic characteristics, a propensity score was calculated for each limb. Thus, comparable patient cohorts (235 in PTA/S and 235 in OSB group) were identified for further analysis. The primary outcomes were freedom from re-intervention in the treated extremity and major amputation. Secondary outcomes were all hospital complications among the two patient groups.

Results: Total overall complication rates were significantly higher in the OSB group (20.42% vs. 5.96%, p < .001), especially wound infection/seroma rate that required prolonged hospitalisation and further treatment (7.65% vs. 0%, p < .001). After the median follow up of 61 months, re-intervention rates were significantly higher in the PTA/S group (log rank test, 44.68% vs. 29.79%, p = .002), but there was no significant difference in terms of major amputation rates between the two group of patients (log rank test, PTA/S 27.23% vs. OSB 22.13%, p = .17).

Conclusion: Bypass surgery seems to be superior to PTA/S for GLASS grade III and IV femoropopliteal lesions in patients with CLTI in terms of long term re-intervention rates, but with considerably higher rates of post-operative complications. A larger cohort of patients in currently ongoing randomised trials, as well as prospective cohort studies are necessary to confirm these findings.
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http://dx.doi.org/10.1016/j.ejvs.2020.11.009DOI Listing
February 2021

Successful Embolization of Posterior Inferior Pancreaticoduodenal Artery Pseudoaneurysm on the Grounds of Chronic Pancreatitis-Case Report and Literature Review.

Medicina (Kaunas) 2020 Nov 16;56(11). Epub 2020 Nov 16.

Center for Radiology and Magnetic Resonance Imaging, Clinical Centre of Serbia, Pasterova No. 2, 11000 Belgrade, Serbia.

Pancreatic pseudoaneurysm is a rare but life-threatening clinical entity. In this paper, we present a case of a 74-year-old man, who was admitted to our clinic with a diagnosis of an acute on chronic pancreatitis complicated by walled-off-pancreatic-necrosis, with subsequent development of peripancreatic pseudoaneurysm. After initial conservative management, the patient recovered and was discharged from the hospital. However, he soon returned feeling anxious due to a pulsatile abdominal mass. Abdominal Color-Doppler examination, CT scan, and angiography revealed large pancreatic necrotic collection in the total size of 9 cm, with centrally enhancing area of 3.5 cm that corresponded to pseudoaneurysm originating from the posterior pancreaticoduodenal vascular arcade. Considering the size, location of the pseudoaneurysm, feeding vessel, and poor general patients condition, we opted for minimally invasive treatment. Pseudoaneurysm was successfully managed by endovascular coil embolization, i.e., "sandwich technique".
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http://dx.doi.org/10.3390/medicina56110617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696778PMC
November 2020

Recanalisation of a Superficial Temporal Artery Pseudoaneurysm after Vascular Plug Embolisation.

Eur J Vasc Endovasc Surg 2021 Apr 24;61(4):590. Epub 2020 Aug 24.

Klinikci Centar Srbije, Beograd, Serbia.

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http://dx.doi.org/10.1016/j.ejvs.2020.06.014DOI Listing
April 2021

Endovascular Management of Tibioperoneal Trunk Pseudoaneurysm with Arteriovenous Fistula.

Eur J Vasc Endovasc Surg 2020 Sep 25;60(3):429. Epub 2020 Jul 25.

Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.

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http://dx.doi.org/10.1016/j.ejvs.2020.05.034DOI Listing
September 2020

Endovascular treatment of different types of iliac occlusions-Results from an observational study.

PLoS One 2019 2;14(10):e0222893. Epub 2019 Oct 2.

School of Medicine, Belgrade University, Belgrade, Serbia.

Objective: The aim of this study was to evaluate the results of endovascular therapy on the treatment of different types of iliac occlusions.

Materials And Methods: A bi-center prospective, non-randomized study was conducted on 100 patients (mean age 59.14 ± 8.53; 64 men) who underwent endovascular treatment of iliac occlusive disease between January 2013 and November 2017. We evaluated baseline data, procedure, and follow-up results for the entire group, and according to Trans-Atlantic Inter-Society Consensus (TASC II) classification. The majority of patients (60%) were treated for severe claudication; 56 (56%) patients had TASC B occlusions, 28 patients TASC C, and 16 patients TASC D.

Results: The mean length of the occluded segments was 61.41 ± 35.15 mm. Procedural complications developed in 6 patients (6%). Mean ankle-brachial pressure index increased from 0.40 ± 0.12 preoperatively to 0.82 ± 0.16 postoperatively. The mean follow-up was 33.18 ± 15.03 months. After 1 and 5 years, the primary patency rates were 98% and 75.1%, and the secondary patency rate was 97% respectively. Regarding occlusion complexity there were no statistical significant differences in primary patency rates (TASC B vs. C vs. D: p = 0.19). There were no statistically significant differences in primary patency rates between patients in different clinical stages, as well as between the type of stents, and location of the occlusion.

Conclusion: In our study, endovascular treatment for iliac artery occlusions proved to be a safe and efficient approach with excellent primary and secondary patency rates regardless of the complexity of occlusions defined by TASC II classification. This study is aligned with the notion that in well selected patients, endovascular therapy can be the treatment of choice even in complex iliac lesions if performed by experienced endovascular interventionists in high volume centers.
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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0222893PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774573PMC
March 2020

Endovascular Treatment of Traumatic Pseudoaneurysm of the Superficial Temporal Artery.

Vasc Endovascular Surg 2016 Apr 15;50(3):171-4. Epub 2016 Mar 15.

Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Serbia.

Pseudoaneurysms of the superficial temporal artery (STA) are rare vascular lesions that mainly occur after blunt head trauma. Diagnosis can be made on clinical grounds and is confirmed by ultrasonography. They are usually treated by open surgery procedures, but when the aneurysm is located in inaccessible areas, catheter embolization can be an alternative therapeutic option. We describe a case of a traumatic pseudoaneurysm of the STA which was treated with the vascular plug embolization. We conclude that endovascular embolization can be an option in the treatment of STA pseudoaneurysms.
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http://dx.doi.org/10.1177/1538574416637449DOI Listing
April 2016
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