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921.
George Papatheodoridis Konstantinos Mimidis Spilios Manolakopoulos Christos Triantos Ioannis Vlachogiannakos Christos Veretanos Melanie Deutsch Stylianos Karatapanis Ioannis Goulis Ioannis Elefsiniotis Evangelos Cholongitas Vassilios Sevastianos Dimitrios Christodoulou Dimitrios Samonakis Emanuel Manesis Andreas Kapatais Nikolaos Papadopoulos Panagiota Ioannidou Georgios Germanidis George Giannoulis Dimitra Lakiotaki Dionysios Kogias Ηarikleia Kranidioti Konstantinos Zisimopoulos Maria Mela George Kontos Paraskevi Fytili Chrysanthi Manolaka Polyxeni Agorastou Spyridon I. Pantzios Margarita Papatheodoridi Dimitrios Karagiannakis Eleni Geladari Nikolaos Psychos Kalliopi Zachou Anna Chalkidou Anastasia Spanoudaki Konstantinos Thomopoulos George Dalekos 《Liver international》2023,43(9):1879-1889
Background and Aims
Hepatitis D virus (HDV) underdiagnosis remains common. We assessed the HDV screening and prevalence rates in HBsAg-positive patients seen at tertiary liver centres throughout Greece as well as factors affecting HDV diagnosis.Methods
All adult HBsAg-positive patients seen within the last 5 years were included. Non-screened patients who visited or could be recalled to the clinics over a 6-month period were prospectively tested for anti-HDV.Results
Of 5079 HBsAg-positive patients, 53% had anti-HDV screening (41% before and 12% after study initiation). Pre-study (8%–88%) and total screening rates (14%–100%) varied widely among centres. Screening rates were associated with older age, known risk group, elevated ALT, centre location and size and period of first visit. Anti-HDV prevalence was 5.8% without significant difference in patients screened before (6.1%) or after study initiation (4.7%, p = 0.240). Anti-HDV positivity was associated with younger age, parenteral drug use, born abroad, advanced liver disease and centre location. Overall, HDV RNA detectability rate was 71.6% being more frequent in anti-HDV-positive patients with elevated ALT, advanced liver disease and hepatitis B therapy.Conclusions
Anti-HDV screening rates and recall capabilities vary widely among Greek liver clinics being higher in HBsAg-positive patients of known risk group with active/advanced liver disease seen at smaller centres, while non-medical factors are also important. Anti-HDV prevalence varies throughout Greece being higher in patients born abroad with younger age, parenteral drug use and advanced liver disease. Viremia is more frequently but not exclusively detected in anti-HDV-positive patients with elevated ALT and advanced liver disease. 相似文献922.
Ioannis Skalidis MD Michalis Hamilos MD PhD Stylianos Petousis MD PhD George Kochiadakis MD PhD Emmanouil Skalidis MD PhD 《Catheterization and cardiovascular interventions》2023,102(7):1386-1388
We present the first documented case of a successful closure of a transcatheter aortic valve replacement (TAVR)-induced Gerbode defect using a valve-in-valve approach. A 90-year-old female with severe aortic stenosis underwent TAVR. Following post-dilatation, the patient experienced hemodynamic deterioration and collapse due to tamponade and sub-annular rupture leading to hemodynamic deterioration and the development of a Gerbode defect with communication between the left ventricle and right atrium. Hemodynamic stabilization was achieved through pericardiocentesis, followed by the low implantation of a second valve, effectively sealing the rupture. This case showcases a valuable alternative for managing rare challenging complications during TAVR procedures. 相似文献