La politica estera italiana in Medio Oriente: dal fallimento della missione Jarring alla conclusione della guerra dello Yom Kippur (1972-73)

none1noneCRICCO M.Cricco, Massimilian

La Libia e la cooperazione allo sviluppo: un caso atipico

Volume a cura di Luciano Tosi, Lorella Toson

La difficile convivenza dei due Sudan. Dall’Impero Ottomano alla dichiarazione d’indipendenza del Sud Sudan

L’articolo analizza in maniera approfondita le dinamiche storico-politiche che hanno condotto alla separazione dei Sudan in due entità statuali distinte nel 2011

North African Societies after the Arab Spring: Between Democracy and Islamic Awakening

No attempt to define the Mediterranean as a region can overlook the multiplicity of political, religious and social forces at work along its shores. Responding to changes in the global and regional environment these forces have interacted in complex ways, as evidenced by their impact on the social, cultural, and political life of the states comprised between the covers of this collaborative volume. The peculiarity of the Mediterranean, as has been noted time and again, lies in its geographical position as a “sea in the middle of the land”, where different religions and cultures vie for recognition and self-expression. In the wake of the popular uprisings that have inflamed the region, beginning in Tunisia in December 2010, a drastic reorganisation of their respective state systems is coming into focus in Tunisia, Egypt, and Libya. Even in Morocco and Algeria, the least touched by such upheavals, popular discontent has led governments to introduce major political reforms. Though their paths do not run along parallel lines, they share a common denominator: the determination of their people to become the masters of their destinies, and to do so by grappling with new forms of democracy. Almost five years later, after their rulers became the target of violent mass protests, Tunisia, Egypt and Libya are going through an exceptionally difficult transition, trying to accommodate their nascent constitutional forms to the new forces inspired by the Arab Spring

Hybrid treatment of thoracoabdominal aortic aneurysms with the use of a new prosthesis

We report the case of a 72-year-old woman with thoracoabdominal aortic aneurysm who underwent hybrid surgical and endovascular procedure. First, debranching of the aortic arch and implantation of a new multi-branched prosthesis with transdiaphragmatic celiac artery and superior mesenteric artery revascularization was performed. Two weeks later the procedure was successfully completed with aneurysmal exclusion by deployment of multiple stent grafts. The postoperative course was uneventful. A two-staged surgical and endovascular approach with the use of a new prosthesis reduces the risk of endoluminal graft endoleak and may constitute an attractive alternative to conventional surgery in management of high-risk thoracoabdominal aortic aneurysms

Hybrid three-stage repair of mega-aortic syndrome with the Lupiae technique: 10-year results

9nononeBackground: Mega-aortic syndrome (MAS) is a rare disease carrying a poor prognosis if treated conservatively. Open repairs of these aneurysms are invasive, while totally endovascular repairs are associated with higher rates of late reintervention due to endoleaks, compromising long-term prognosis. We describe the 10-year results of a hybrid three-stage approach to MAS using the Lupiae technique. Methods: Between 2006 and 2016, 27 patients with MAS extending from the ascending aorta to the iliac arteries (MAS type III) underwent: (I) a surgical aortic arch debranching, using the Vascutek Lupiae™ multibranched graft to create a proximal Dacron landing zone; (II) an abdominal aorta debranching to create a distal Dacron landing zone and (III) the implantation of multiple endovascular stents to exclude any residual aneurysm between the two landing zones. Results: One patient died following the first stage, and another following the second stage of the repair (overall mortality 7.4%). The interval between the first and the second stage was 58.3±16.1 days. The interval between the second and the third stage was 47.7±13.1 days. Four-year survival was 88.6%±6.2% while 10-year survival was 51.7%±17.9%. One patient had a type III endoleak after the third stage that self-resolved within 6 months without intervention. No patient had type I or II endoleaks and none underwent redo procedures. Mean follow-up was 5.9±3.6 years and completeness was 100%. Conclusions: Three-stage hybrid repairs using the Lupiae technique can be safely performed in MAS type III patients. Short intervals between the stages should mitigate the risk of rupture during the waiting periods and may enhance patient compliance, but to achieve this, the burden and the complexity of the first stage must be carefully weighted. Our strategy improves the long-term survival of these patients compared to their natural history and is less invasive than an open repair. The adoption of Dacron landing zones appears to be associated with very low rates of reintervention due to endoleaks.noneEsposito, Giampiero*; Cappabianca, Giangiuseppe; Beghi, Cesare; Cricco, Antonio M.; Memmola, Cataldo; Bichi, Samuele; Miccoli, Matteo; Conte, Massimiliano; Contegiacomo, GaetanoEsposito, Giampiero; Cappabianca, Giangiuseppe; Beghi, Cesare; Cricco, Antonio M.; Memmola, Cataldo; Bichi, Samuele; Miccoli, Matteo; Conte, Massimiliano; Contegiacomo, Gaetan