The early and short-term efficacy of the snorkel/chimney technique for endovascular aortic aneurysm repair (ch-EVAR) have been previously reported. However, long-term ch-EVAR performance, vessel ...patency, and patient survival remain unknown. Our study evaluated the late outcomes to identify possible predictors of failure within the PERICLES (performance of the chimney technique for the treatment of complex aortic pathologies) registry.
Clinical and radiographic data from patients who had undergone ch-EVAR from 2008 to 2014 in the PERICLES registry were updated with an extension of the follow-up. Regression models were used to evaluate the relevant anatomic and operative characteristics as factors influencing the late results. We focused on patients with ≥30 months of follow-up (mean, 46.6 months; range, 30-120 months).
A total of 517 patients from the initial PERICLES registry were included in the present analysis, from which the mean follow-up was updated from 17.1 months to 28.2 months (range, 1-120 months). All-cause mortality at the latest follow-up was 25.5% (n = 132), with an estimated patient survival of 87.6%, 74.4%, and 66.1% at 1, 3, and 5 years, respectively. A subgroup of 244 patients with 387 chimney grafts placed (335 renal arteries, 42 superior mesenteric arteries, 10 celiac arteries) and follow-up for ≥30 months was used to analyze specific anatomic and device predictors of adverse events. In the subgroup, the technical success was 88.9%, and the primary patency was 94%, 92.8%, 92%, and 90.5% at 2.5, 3, 4, and 5 years, respectively. The mean aneurysm sac regression was 7.8 ± 11.4 mm (P < .0001). Chimney graft occlusion had occurred in 24 target vessels (6.2%). Late open conversion was required in 5 patients for endograft infection in 2, persistent type Ia endoleak in 2, and endotension in 1 patient. The absence of an infrarenal neck (odds ratio, 2.86; 95% confidence interval, 1.32-6.19; P = .007) was significantly associated with long-term device-related complications. A sealing zone diameter >30 mm was significantly associated with persistent or late type Ia endoleak (odds ratio, 4.86; 95% confidence interval, 1.42-16.59; P = .012).
The present analysis of the PERICLES registry has provided the missing long-term experience for the ch-EVAR technique, showing favorable results with more than one half of the patients surviving for >5 years and a chimney graft branch vessel patency of 92%. The absence of an infrarenal neck and treatment with a sealing zone diameter >30 mm were the main anatomic long-term limits of the technique, requiring adequate preoperative planning and determination of the appropriate indication.
Pericles, Greece's greatest statesman and the leader of its Golden Age, created the Parthenon and championed democracy in Athens and beyond. Centuries of praise have endowed him with the powers of a ...demigod, but what did his friends, associates, and fellow citizens think of him? InPericles: A Sourcebook and Reader,Stephen V. Tracy visits the fifth century B.C. to find out. Tracy compiles and translates the scattered, elusive primary sources relating to Pericles. He brings Athens's political atmosphere to life with archaeological evidence and the accounts of those close to Pericles, including Thucydides, Aristophanes, Herodotus, Protagoras, Sophocles, Lysias, Xenophon, Plato, and Plutarch. Readers will discover Pericles as a formidable politician, a persuasive and inspiring orator, and a man full of human contradictions.
This article argues that an exploration of contingency in Pericles is central to understand the play's achievement, which is born of the tensions the play sets up between narrative and dramatic ...accounts of experience, and vesting in the figure of Miranda an ‘otherness’ that opens possibilities that are foreclosed by an anthropocentric, law-based world view. The play's aesthetic is founded on this, and, indeed, on the contingent effect of its damaged state. This encourages an improvisatory approach to performance, which displaces the figure of the author just as the drama itself questions the role of the father.
Romances were among the most popular books in the sixteenth and seventeenth centuries among both Protestant and Catholic readers. Modeled after Catholic narratives, particularly the lives of saints, ...these works emphasized the supernatural and the marvelous, themes commonly associated with Catholicism. In this book, Tiffany Jo Werth investigates how post-Reformation English authors sought to discipline romance, appropriating its popularity while distilling its alleged Catholic taint.
Charged with bewitching readers, especially women, into lust and heresy, romances sold briskly even as preachers and educators denounced them as papist. Protestant reformers, as part of their broader indictment of Catholicism, sought to redirect certain elements of the Christian tradition, including this notorious literary genre. Werth argues that through the writing and circulation of romances, Protestants repurposed their supernatural and otherwordly motifs in order to “fashion,” as Edmund Spenser writes, godly vertuous readers.
Through careful examinations of the period’s most renowned romances—Sir Philip Sidney’s The Countess of Pembroke’s Arcadia, Spenser’s The Faerie Queen, William Shakespeare’s Pericles, and Lady Mary Wroth’s Urania—Werth illustrates how post-Reformation writers struggled to transform the literary genre. As a result, the romance, long regarded as an archetypal form closely allied with generalized Christian motifs, emerged as a result of the struggle as a central tenet of the religious controversies that divided Renaissance England.
Contemporary authorities invoke luck to explain the arbitrariness of economic success, to emphasize our shared vulnerability to disaster, and to urge more generous policy, legislation, and ...governance. According to Robert Frank, Martha Nussbaum, and Ronald Dworkin, for example, extreme bad luck can befall individuals no matter what they know or do. By redefining luck as a psychological phenomenon (rather than as a constitutive principle of the world), this article challenges the contemporary consensus. My approach to luck arises out of my engagement with the political thought of Thucydides. Whereas influential interpreters present Thucydides as a witness to the crushing power of bad luck, and whereas they criticize Thucydides’ Pericles for being insufficiently deferential to luck, I revisit and defend Pericles’ skeptical and psychological approach to luck, and I argue that Thucydides shares this approach, at least in the main. The pathological intellectual and emotional responses to apparent good or bad luck diagnosed by Pericles in his final speech recur throughout the History and influence the evolution of the whole war. Going beyond Pericles, Thucydides shows that the appeal of luck arises out of a human need to explain, beautify, or lament what is merely natural necessity, haphazard coincidence, or awful suffering.
Athens as a Small World Diane Harris Cline
Journal of Historical Network Research,
05/2020, Letnik:
4
Journal Article
Recenzirano
Odprti dostop
Athenian political life in the 460’s and 450’s BC centered on conflict between the Oligoi and the Demos, whose positions were articulated by Cimon and Pericles, and then Cimon’s successor, Thucydides ...son of Melesias. Through the building program debate in the ecclesia, and the success of Pericles over his opponent who was ostracized, the fissure between clusters was resolved, and the Demos got the upper hand. In 1998, Anthony Podlecki wrote a book called Perikles and his Circle, and before that Philip Stadter (1991) wrote an influential article entitled “Pericles Among the Intellectuals.” To their work, we now add a formal social network analysis to study the position of Pericles in the social network of intellectuals, artists, politicians, and cultural creatives in the mid-5th century BC. The study shows clusters of varying size and relative positions in which boundaries were fluid and there was much interaction. Women feature highly in betweenness centrality. The data set includes 328 nodes, and 754 edges, built around the ego-network of Socrates, of which Pericles, political figures, and the intellectuals are members. The data consists of an edge list drawn from all of Plato, Plutarch’s lives of Cimon, Pericles, Nicias, and Alcibiades, plus Xenophon’s Memorabilia and Symposium, plus Lysias’s speeches and some of Diogenes Laertius Book 2 on Socrates.
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