35 Works

TRATAMENTO ENDOVASCULAR NO SÍNDROME PÓS-TROMBÓTICO SECUNDÁRIO A FIBROMA UTERINO

Pedro Pinto Sousa
Os fibromas uterinos são o tumor sólido pélvico mais frequente nas mulheres, geralmente condicionando hipomenorreia. Não costumam estar associados a trombose venosa profunda, mas, quando atingem dimensões consideráveis podem condicionar fenómenos compressivos a nível da veia cava inferior e veias pélvicas e consequentes fenómenos trombóticos. Posteriormente, as lesões obstrutivas pós-trombóticas das veias ilíacas poderão levar ao desenvolvimento de clínica e sintomas compatíveis com doença venosa crónica. Se por um lado não existe indicação para intervenção...

IN MEMORIAM PROFESSOR DOUTOR LUIZ TEIXEIRA DINIZ (1926 - 2021)

Luís Mendes Pedro
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On-table Zenith® CE Fenestrated Stent Graft modification for the treatment of delayed type Ia Endoleak

Fábio Pais, Anita Quintas, Gonçalo Alves, Joana Catarino, Ricardo Correia, Rita Bento, Rita Garcia, Rita Ferreira & Maria Emília Ferreira
Introduction: Delayed type Ia endoleaks are often associated with proximal extension of the aneurysmal degeneration to the juxtarenal aortic segment. Endovascular treatment of type Ia endoleaks secondary to aortic neck dilatation can raise many technical challenges related to the previous implanted stent graft. Methods: It is presented the endovascular treatment of a delayed type Ia endoleak using a physician-modified Zenith® fenestrated stent graft and two parallel aortic covered stents. Results: The patient was a 84-years...

CLINICAL AND MUTATIONAL ANALYSIS OF A COHORT OF PORTUGUESE PATIENTS WITH PARAGANGLIOMAS OF THE CAROTID BODY

Roger Rodrigues, Maria R. Almeida, João Carreiro, António Assunção, Sandrina Braga, Joel Sousa, Nelson Camacho, Pedro Garrido, Miguel Maia, José Gimenez, José França, Gabriel Anacleto & Óscar Gonçalves
Introduction: Representing 0.03% of all tumors, paragangliomas (PGLs) are extremely rare. During the past 15 years, there has been a significant progress in the knowledge of the genetics of PGLs. Germline mutations in succinate dehy- drogenase (SDH) genes are the commonest genetic cause of PGL. Objective: Given the high clinical relevance of the SDH status, we aimed to evaluate the diagnostic and prognostic value of SDH mutations in a Portuguese cohort with carotid body paragangliomas....

EVIDÊNCIA ATUAL DA PROTAMINA EM CIRURGIA CAROTÍDEA

Eduardo Silva, Mafalda Correia, Celso Nunes, Vânia Constâncio, Joana Silva, Pedro Lima, Joana Moreira & Manuel Fonseca
Introdução e Objetivos: A administração de heparina constitui um passo standardizado na cirurgia carotídea dada a redução de complicações tromboembólicas no período perioperatório. Esta prática não está livre de riscos visto que as complicações hemorrágicas estão associadas a um aumento de reintervenções. Historicamente, a protamina, enquanto agente capaz de reverter os efeitos anticoagulantes da heparina, tem gerado controvérsia pela alegada associação a trombose carotídea e AVC. Este artigo tem como objetivo rever a literatura publicada...

RENAL AUTOTRANSPLANTATION: A SOLUTION FOR DIFFERENT COMPLEX SITUATIONS

Pedro Pinto Sousa, Pedro Sá Pinto, Rui Machado & Rui Almeida
Introduction: Renal autotransplantation (RA) is a safe and effective procedure to reconstruct the urinary tract which first successful surgery was performed by Hardy in 1963. The main indications reported to perform a RA generally include renovascular disease, ureteral pathologies and neoplastic disease. Furthermore, RA may be useful as an ultimate recourse in preventing kidney loss in highly selected patients, especially when conventional methods have failed. Materials and Methods: The authors describe four total different situations...

Doença cística adventicial da artéria popliteia: excisão sem reconstrução arterial

Tiago Soares, Paulo Dias, Sérgio Sampaio & José Teixeira
INTRODUÇÃO: A doença cística da adventícia é uma condição vascular rara e que afeta na maioria dos casos a artéria poplítea. Habitualmente cursa com claudicação intermitente durante o exercício. CASO CLÍNICO: Descreve-se um caso clínico de uma doente com doença cística da adventícia da artéria poplítea. A apresentação clínica foi sob a forma de claudicação intermitente gemelar direita. Procedeu-se ao tratamento cirúrgico, por abordagem posterior, com exérese do quisto mantendo a integridade da parede luminal....

Prevalence of asymptomatic visceral occlusive disease in patients admitted for chronic lower limb ischemia: A cross-sectional study.

Ryan Gouveia E Melo, Ruy Fernandes E Fernandes, Mickael Fernandes, Pedro Garrido, Tiago Magalhães & Luís Mendes Pedro
INTRODUCTION: Occlusive disease of the visceral vessels, when complicated, may lead to a high mortality rate. Current data regarding the co-prevalence of atherosclerotic disease of the lower limbs and visceral vessels is scarce. The aim of this study was to analyze the prevalence of splanchnic and renal visceral occlusive disease in patients admitted for chronic lower limb ischemia (CLLI). METHODS: A cross-sectional study was performed including 100 aleatory patients admitted for CLLI between 2015 and...

Abordagem aos Endoleaks tipo II – Uma Revisão Sistemática dos últimos 5 anos de literatura

Andreia F. B. Pinelo, Maria J. Oliveira & Ivone F. S. Silva
INTRODUÇÃO: Os endoleaks tipo II são a complicação e causa de reintervenção mais frequente do EVAR sendo, contudo, tema de debate entre a comunidade científica. Este trabalho tem como objetivo rever as diferentes abordagens aos endoleaks tipo II após reparação endovascular de aneurismas da aorta infrarrenal. MATERIAIS E MÉTODOS: Para a realização deste trabalho os autores selecionaram e analisaram de forma sistemática artigos publicados na plataforma PubMed em língua inglesa entre 2015 e 2020, segundo...

Considerations on the treatment for aortoiliac aneurysmal disease with concomitant ectopic kidney

Carlos Veterano, Inês Antunes, Carlos Veiga, Daniel Mendes, Henrique Rocha, João Castro, Andreia Pinelo, Pedro Sá Pinto & Rui Almeida
INTRODUCTION: Ectopic kidneys with concomitant aortoiliac aneurysmal disease have been previously reported in the literature, however its exact prevalence is unknown. The objective of this review is to summarize current knowledge on the treatment this special group of patients. METHODS: A non-systematic literature research was performed on the treatment of aortoiliac aneurysmal disease in patients with ectopic kidneys. RESULTS: Literature on the management of patients with aorto-iliac aneurysms and concomitant ectopic kidneys is limited to...

Abdominal compartment syndrome after endovascular treatment of ruptured abdominal aortic aneurysm: a topical review

José Oliveira Pinto, Pedro Sá, Joel Sousa & Armando Mansilha
INTRODUCTION Abdominal compartment syndrome (ACS), defined as intra-abdominal pressure (IAP) greater than 20 mm Hg that is associated with new organ dysfunction/failure, represents na uncommon but hazardous complication after endovascular aneurysm repair for ruptured abdominal aortic aneurysms (r-EVAR). The aim of this review is to overview incidence, mortality and potential benefit of expedite treatment of ACS. METHODS Pubmed databases were searched in order to find publications reporting incidence associated mortality of ACS after r-EVAR. Articles...

Human immunodeficiency virus and carotid artery disease – single center experience and literature review

António Pereira-Neves, Juliana Pereira-Macedo, Tiago Soares, Luís Duarte-Gamas, Filipa Jácome, Leandro Nóbrega, Marina Dias-Neto, João Rocha-Neves, Alfredo Cerqueira & José Teixeira
INTRODUCTION: People infected with the human immunodeficiency virus (HIV) - People living with HIV/AIDS (PLWHA) - seem to have an increased risk of incidence and prevalence of cardiovascular diseases, namely stroke of ischemic nature. Additional etiological mechanisms, in addition to aging, appear to lie in chronic virus-mediated inflammation as well as in antiretroviral therapy (ART). The aim of this study was to carry out a retrospective review with descriptive analysis of cases of PLWHA and...

Escalas de Qualidade de Vida Após Amputação Major do Membro Inferior em Cirurgia Vascular: Revisão da Literatura

Joana Cruz Silva, Vânia C. Oliveira, Pedro Lima, Mafalda Correia, Mário Moreira, Gabriel Anacleto & Manuel Fonseca
Introdução: Apesar dos esforços das equipas de saúde, a taxa da amputação em doentes com Isquémia Crítica Ameaçadora de Membro (CLTI) é bastante elevada. Cada vez mais se torna relevante um tratamento individualizado do doente por forma a melhorar a sua qualidade de vida. Contudo, não existe uma escala de qualidade de vida validada para doentes amputados por isquémia crítica. Os autores propõem uma revisão sistemática da literatura com vista a sumarizar as escalas de...

The Effect of Contralateral Carotid Occlusion in Patients Undergoing Carotid Artery Endarterectomy

Luis Duarte-Gamas, António Pereira-Neves, Filipa Jácome, Diogo Domingues-Monteiro & João P. Rocha-Neves
INTRODUCTION: Contralateral carotid occlusion (CCO) is considered a high-risk condition for patients undergoing carotid artery endarterectomy (CEA). Patients with a CCO may be intolerant to carotid cross-clamping during CEA, thus prone to postoperative adverse neurological outcomes. Patients with CCO may also have a higher burden of atherosclerotic disease, leading to a higher rate of cardiovascular events. METHODS: A Medline search was performed in order to identify publications focused on the impact of CCO on outcomes...

DIFFERENT CLINICAL PRESENTATIONS OF A RARE VENOUS MALFORMATION-INFERIOR VENA CAVA AGENESIS

Marta Machado, Nuno Coelho, Pedro Maximiano, Carolina Semião, João Peixoto, Luís Fernandes, Pedro Brandão & Alexandra Canedo
INTRODUCTION: Inferior vena cava agenesis is one of the most uncommon anomalies of this vessel, with an estimated prevalence of 0.0005–1% in the general population. However, around 5% of the patients younger than 30 years with a diagnosis of deep vein thrombosis have this anomaly. METHODS AND MATERIAL: Report of two clinical cases of inferior vena cava agenesis with different clinical presentations. CLINICAL CASE 1: A 40-year-old man was admitted with a 3 days history...

ISOLATED ABDOMINAL AORTIC DISSECTION – A DIFFERENT ANIMAL? – CASE SERIES

Duarte Rego, Rui Machado & Rui Almeida
Introduction: Isolated abdominal aortic dissection (IAAD) is a relatively rare event and precise indications for treatment aren't clearly defined. Its natural history is not fully understood due to the rarity of the disease and to the fact that most surgeons have a low threshold to intervene in these patients. Open surgery represents the classical treatment but endovascular intervention has gained wide acceptance in most centers and is now the most frequently adopted treatment option. The...

Resumos do 21º Congresso SPACV

Congresso SPACV
Resumos do 21º Congresso SPACV

Reintervention after abdominal aortic aneurysm repair – who is to blame?

Filipa Jácome, Beatriz Ribeiro & Marina Dias Neto
Introduction: Endovascular repair of abdominal aortic aneurysm (EVAR) is often recommended as first option for patients with suitable abdominal aortic aneurysm (AAA) anatomy. Nevertheless, this treatment carries higher reintervention rates and possibly higher aneurysm and all cause-related mortality in the long run versus open surgery. This narrative review aims to convey recent data about surveillance and the frequency and indications for reintervention after EVAR. Methods: A comprehensive narrative review was conducted, providing a critical and...

Transposição de veia ovárica como um tratamento cirúrgico menos invasivo para a síndrome de nutcracker

Inês Antunes, Carlos Pereira, Carlos Veterano, Carlos Veiga, Daniel Mendes, Henrique Rocha, João Castro, Andreia Pinelo & Rui Almeida
INTRODUÇÃO: O fenómeno de nutcracker refere-se à compressão da veia renal esquerda (VRE), habitualmente entre a aorta e a artéria mesentérica superior. Quando sintomático, designa-se síndrome de nutcracker. Os sintomas/sinais estão relacionados com o desenvolvimento de hipertensão venosa renal e o diagnostico depende da conjugação da clínica e alterações laboratoriais na presença de critérios imagiológicos. Habitualmente a indicação terapêutica depende da severidade dos sintomas. Existem várias opções terapêuticas: transposição/ pontagem da VRE para uma implantação...

Página do Editor

Rui Machado
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ENDOVASCULAR TREATMENT OF AN AXILLARY ARTERIAL INJURY FOLLOWING A TRAUMATIC SHOULDER DISLOCATION: CASE REPORT

Roger Rodrigues, Diogo Moura, Alfredo G. Agostinho & Manuel Fonseca
Axillary artery injury after a shoulder dislocation is an extremely rare condition. Open surgery is the classical treat- ment of such lesions, consisting of direct suture at the site of the rupture or arterial reconstruction with a patch or a bypass. We report the case of a 74-years-old man who suffered a vascular and neurological injury after a recurrent glenohumeral joint dislocation and was treated with a covered stent.

CATHETER DIRECT THROMBOLYSIS IN ACUTE LOWER LIMB ISCHAEMIA IN DIFFERENT AETIOLOGIES

Tiago Soares, Paulo Dias, Sérgio Sampaio & José Teixeira
Introduction: Over the past few decades management options of the acute limb ischaemia (ALI) have changed. Nowadays, catheter direct thrombolysis (CDT) is commonly used as an alternative to surgery in immediate management of the ALI and may offer certain advantages over surgery in appropriately selected patients. Objective: To evaluate CDT data for the treatment of acute ischaemia in lower extremity in different aetiologies. Materials and methods: All consecutive patients who underwent CDT for acute limb...

RISK OF DEATH AFTER PACLITAXEL EXPOSURE DURING FEMOROPOPLITEAL ARTERY ANGIOPLASTY – NARRATIVE REVIEW

Tiago F. Ribeiro, Rita Soares Ferreira, Joana Cardoso, Adriana Figueiredo, Helena Fidalgo, Frederico Bastos Gonçalves & Maria Emília Ferreira
Paclitaxel molecule has been on the market since 1991 and is indicated for the treatment of multiple neoplasms. Since 2012 has been used in endovascular devices for the treatment of peripheral artery disease and have become a mainstay in the treatment of symptomatic femoro-popliteal lesions, in particular for preventing arterial restenosis. They have a proven benefit in patency and freedom-from re-intervention up to 5 years. A recent meta-analysis of RCT showed an increased late-mortality rate,...

Venous thrombectomy after failure of catheter-directed thrombolysis for the treatment of three cases of phlegmasia

Fábio Pais, Anita Quintas, Isabel Vieira, Joana Catarino, Ricardo Correia, Rita Bento, Rita Garcia, Joana Cardoso, Tiago Ribeiro, Rita Ferreira, Gonçalo Alves, Frederico Bastos Gonçalves & Maria Emília Ferreira
INTRODUCTION: Phlegmasia cerulea (PC) is a severe form of deep vein thrombosis. In the setting of massive venous thrombosis and severe ischemia, catheter-directed thrombolysis (CDT) or trombectomy is mandatory. We report three cases of women with PC managed with venous thrombectomy after failure of CDT. CASE REPORTS: 1: 20 years-old, with recent intake of oral contraceptive, referred with acute onset of limb swelling, pain and a cold left lower extremity associated with foot pallor, paresthesia...

Editorial

Clara Nogueira
Angiologia e Cirurgia Vascular, Vol. 18 No. 1 (2022): March

Registration Year

  • 2022
    35

Resource Types

  • Text
    35