Efthymios Beropoulis

Dr.
  • Function: Consultant
  • Speciality: Vascular Surgery
  • Country: GER
  • Working place: St. Franziskus Hospital, Münster, GER

Activities

Comment on Oct 24, 2020

Athanasios Saratzis replied to your comment on presentation VascupediaVIEWS AAA Course Episode 5: EVAR – Challenging “Renal Patient”.

»Indeed! Interesting publication which shows that stenting 4mm accessory renals when the neck is adequate is feasible. The definition of what is a "clinically relevant" accessory renal remains arbitrary though. The only way to assess what constitutes "clinically relevant" in terms of accessory renal preservation in EVAR would be randomisation; however, given how rare this clinical scenario is, we would really struggle to achieve power. I think it's a case by case judgement call... definitions will probably remain arbitrary & driven by expert opinion in this setting. To add to the complexity, assessing % of renal parenchyma supplied by a certain artery is really not very easy or accurate pre-operatively. An interesting area for future research!«
Comment on Oct 13, 2020

Konstantinos Donas commented on presentation VascupediaVIEWS AAA Course Episode 5: EVAR – Challenging “Renal Patient”.

»Thank you Dr. Beropoulis and Dr. Saratzis for the nice overview! Regarding the mentioned lack of evidence in accessory renal arteries, I would like to use the opportunity and mention the study from Dr. Abu Bakr who recommended the use of chimney grafts in ARAs which supply one-third of the renal parenchyma, and having a diameter >4 mm. The work was published in JEVT in 2016 and represents as you know, dear Efthymios, our general practice in my previous Hospital in St. Franziskus Hospital in Münster for those patients. Thank you again and best regards.«
E-Poster

Endovenous treatment of acute iliofemoral vein thrombosis with aspiration thrombectomy catheter – early clinical outcomes

The acute deep vein thrombosis (DVT) affects many in- and out-hospital patients. The vast majority of these patients are treated conservatively. At this study, the safety and efficacy of an aspiration thrombectomy catheter was evaluated and showed promising results regarding clot removal for the treatment of acute DVT. E-poster presented at EVF 2018 in Athens.

Efthymios Beropoulis
May 9, 2019 No Comments
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Comment on Jun 14, 2018

Efthymios Beropoulis commented on presentation Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia.

»Dear Konstantinos, Thank you for the interesting question. According to the initial publication of WIfI from Mils at JVS (doi: 10.1016/j.jvs.2013.08.003) the estimated likelihood of benefit of revascularization for patients with a low WIfI score would be also very low. On the other hand, we do know that critical threatening limb ischemia (CTLI) is even today associated with high amputation- (approx. 20%) and morbidity rates (approx. 25%) within a year. Moreover, revascularization for limb salvage is indicated wherever feasible (recommendation IB, ESC Guidelines 2017, doi:10.1093/eurheartj/ehx095). In my opinion, WIfI score is undoubtedly a useful evaluation tool, but for the final decision regarding revascularization or not, patients' comorbidity index and anatomic disease pattern should be taken into consideration.«
Clinical investigation

Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia

The WIfI classification system was initially published by Dr. Mills in January 2014 at JVS. The aim of this classification is to stratify the risk of limb amputation (very low, low, moderate and high risk) based on three factors: wound, ischemia and foot infection. The following presentation represents a validation of this classification in a well-defined cohort (nondiabetic patients treated by endovascular means for critical limb ischemia).

Efthymios Beropoulis
June 10, 2018 2 Comments
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Poll 13/04/2018 – 30/06/2018

Topic: Asymptomatic juxta- and pararenal aortic aneurysms

Patient’s characteristics

Gender: Female
Age: 75 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, previous aortocoronary bypass grafting, previous myocardial infarction, previous smoker, peripheral arterial disease, atrial fibrillation
Symptoms: None
Previous operations: None

 

Aneurysm characteristics:

Max. aneurysm diameter: 54 mm

Length of proximal infrarenal neck: 0 mm

Distance between SMA and LRA: 20 mm

Diameter of renal arteries: RRA: 5,3 mm, LRA: 6 mm

Suprarenal angulation: 60°

Diameter of distal neck: 30 mm

Minimum diameter of common iliac arteries: R: 11 mm, L:9 mm

Maximum diameter of common iliac arteries: R: 11 mm, L: 14 mm

Minimum diameter of external iliac arteries: R: 7 mm, L: 6,2 mm

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Poll 01/05/2019 – 31/05/2019

The radiation exposure

Since January 2018, employers in the U.K and Europe have had to comply with their duties under the Ionising Radiations Regulations 2017, IRR17. Previous to this most health trusts working with ionising radiation followed IRR99.

The main changes since the last edition (IRR99) that affect the operator:

  • The dose limit for exposure to the lens of the eye has been reduced from 150 mSv to 20 mSv in a year. This is usually assessed using forehead monitoring bands.

It is the duty of the operator to control methods for restricting exposure to ionising radiation by use of distance and shielding etc.

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Poll 01/04/2019 – 30/04/2019

The AV access salvage procedure

Gender: Male

Age: 75 years old

Comorbidity: End-Stage Renal Disease, Diabetes, Arterial hypertension, Dyslipidemia, on hemodialysis in the last 5 years

Symptoms:  Acute occlusion of a surgically created left-sided brachial cephalic AV fistula

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Poll 01/04/2019 – 30/04/2019

The AV access salvage procedure

Gender: Male

Age: 75 years old

Comorbidity: End-Stage Renal Disease, Diabetes, Arterial hypertension, Dyslipidemia, on hemodialysis in the last 5 years

Symptoms:  Acute occlusion of a surgically created left-sided brachial cephalic AV fistula

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Poll 01/11/2018 – 30/11/2018

Ilio-femoral deep vein thrombosis

45 years old female patient presenting with painful swelling of the right limb during the last 24 hours. Wells score on admission was 4 points. The duplex ultrasound scanning revealed a femoropopliteal and iliac deep vein thrombosis. No other risk factors were present. No previous operations. No thrombophilia documented.

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Poll 01/10/2018 – 31/10/2018

Critical limb-threatening ischemia – CLI Global Society

Patient’s characteristics

 

Gender: Male

Age: 79 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, chronic kidney disease (GFR: 53 ml/min/1,73m²), NYHA II, Coronary artery disease, previous CABG

Symptoms:  Toe ulceration of the left limb

Previous operations: None

ABI: incompressible, Toe pressure: 32 mmHg

Vascular Imaging – Duplex ultrasound: Isolated tibial vessel disease

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Poll 06/01/2020 – 31/01/2020

VASCUPEDIA@LINC – ENDOLEAKS-CASE-BASED SOLUTIONS

The topic of this month is called ENDOLEAKS-CASE-BASED SOLUTIONS and aims to provide more information to the discussants of the session about endoleaks that will take place on Thursday, January 30, 2020 in Leipzig, during the LINC symposium. Take the opportunity to answer the questions and to inform the experts about your current practice for the treatment of all type of endoleaks.

Your participation will provide unique data for an interesting discussion and your answers will challenge the experts during the session.

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