30 resultados para Ugolino, BlasioUgolino, BlasioBlasioUgolino
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Authore Blasio Ugolino
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Im Mittelpunkt dieser Untersuchung steht die Annahme, dass Carpeaux’ Plastik Ugolino und seine Söhne (1857-1861) in bewusster Auseinandersetzung mit der französischen Malerei der Romantik entstanden ist. Sowohl hinsichtlich des Umgangs mit Material und Technik als auch in Bezug auf die Sujetwahl bestehen Parallelen zu Gemälden von z.B. Eugène Delacroix und Théodore Géricault, die sich im Ugolino in Form eines unkonventionellen Zusammenspiels von Form und Aussage manifestieren. Es liegt die Vermutung nahe, dass Carpeaux sich der französischen Romantik auch in ideeller Hinsicht verbunden fühlte. Der Ugolino könnte folglich als provokative Stellungnahme gegenüber den etablierten Institutionen des Kunstbetriebs des 19. Jahrhunderts gelesen werden.
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen
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Mode of access: Internet.
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Mode of access: Internet.
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To test the hypothesis that simultaneous closure of at least 2 independent vascular territories supplying the spinal cord and/or prolonged hypotension may be associated with symptomatic spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR).
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OBJECTIVES To review the incidence, clinical presentation, definite management and 1-year outcome in patients with aorto-oesophageal fistulation (AOF) following thoracic endovascular aortic repair (TEVAR). METHODS International multicentre registry (European Registry of Endovascular Aortic Repair Complications) between 2001 and 2011 with a total caseload of 2387 TEVAR procedures (17 centres). RESULTS Thirty-six patients with a median age of 69 years (IQR 56-75), 25% females and 9 patients (19%) following previous aortic surgery were identified. The incidence of AOF in the entire cohort after TEVAR in the study period was 1.5%. The primary underlying aortic pathology for TEVAR was atherosclerotic aneurysm formation in 53% of patients and the median time to development of AOF was 90 days (IQR 30-150). Leading clinical symptoms were fever of unknown origin in 29 (81%), haematemesis in 19 (53%) and shock in 8 (22%) patients. Diagnosis could be confirmed via computed tomography in 92% of the cases with the leading sign of a new mediastinal mass in 28 (78%) patients. A conservative approach resulted in a 100% 1-year mortality, and 1-year survival for an oesophageal stenting-only approach was 17%. Survival after isolated oesophagectomy was 43%. The highest 1-year survival rate (46%) could be achieved via an aggressive treatment including radical oesophagectomy and aortic replacement [relative risk increase 1.73 95% confidence interval (CI) 1.03-2.92]. The survival advantage of this aggressive treatment modality could be confirmed in bootstrap analysis (95% CI 1.11-3.33). CONCLUSIONS The development of AOF is a rare but lethal complication after TEVAR, being associated with the need for emergency TEVAR as well as mediastinal haematoma formation. The only durable and successful approach to cure the disease is radical oesophagectomy and extensive aortic reconstruction. These findings may serve as a decision-making tool for physicians treating these complex patients.
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen
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Vorlage d. Digitalisats aus d. Besitz d. Theol. Hochschule St. Georgen