18 documents found, page 1 of 2
Uma disseção muito complicada: um caso clínico
Tavares, Carolina; Pinto, Vanda; Figueiredo, Adriana; Fidalgo, Helena; Alves, Gonçalo; Garcia, Ana Catarina; Ferreira, Maria EmíliaINTRODUÇÃO: A disseção aórtica aguda tipo B (DAAB) é uma síndrome aórtica aguda que apresenta elevada taxa de mortalidade. Atualmente, na fase aguda, preconiza-se o tratamento médico nos casos de DAAB não complicada, ficando a cirurgia reservada para os casos de DAAB complicada (rutura, síndrome de malperfusão, dor/hipertensão ref ratária, expansão rápida ou progressão proximal/distal). A cirur...
Outcomes of elective and non-elective fenestrated-branched endovascular aortic ...
Dias-Neto, Marina; Vacirca, Andrea; Huang, Ying; Baghbani-Oskouei, Aidin; Jakimowicz, Tomasz; Mendes, Bernardo C.; Kolbel, Tilo; Sobocinski, JonathanCopyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.; This work was presented at the 143rd Annual Meeting of the American Surgical Association, Toronto, Ontario, Canada, April 20-22, 2023.; Objective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs). Background: FB-EVAR has been increasingly ...
Secondary aortoenteric fistula after endovascular aortic aneurysm repair – a na...
Gueifão, Inês; Quintas, Anita; Alves, Gonçalo; Ribeiro, Tiago; Pais, Fábio; Henrique, Alberto; Ferreira, Maria EmíliaINTRODUCTION: Endovascular aortic repair (EVAR) has become the technique of choice in most vascular centres for abdominal aortic aneurysms (AAA). However, due to its low incidence, literature regarding secondary aortoenteric fistula (AEF) as an EVAR complication is still scarce. We aim to summarise the latest evidence on the topic through a narrative review. METHODS: We conducted a MEDLINE literature search and...
Mycotic aortic aneurysm: a ticking time-bomb!
Bento, Rita; Rodrigues, Gonçalo; Alves, Gonçalo; Garcia, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Mycotic or primary infected aortic aneurysms comprise aproximately 1.3% of all aortic aneurysms and may be caused by septic emboli to the vasa vasorum, by haematogenous spread during bacteraemia or by direct extension of an adjacent infection leading to an infectious degeneration of the arterial wall and aneurysm formation. The objective of this report is to describe a clinical case of a complicat...
Venous thrombectomy after failure of catheter-directed thrombolysis for the tre...
Pais, Fábio; Quintas, Anita; Vieira, Isabel; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, Rita; Cardoso, Joana; Ribeiro, TiagoINTRODUCTION: 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 sw...
On-table Zenith® CE Fenestrated Stent Graft modification for the treatment of d...
Pais, Fábio; Quintas, Anita; Alves, Gonçalo; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, Rita; Ferreira, Rita; Ferreira, Maria EmíliaIntroduction: 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-m...
NELLIX® ENDOPROTHESIS IN THE TREATMENT OF AAA — REPORT OF OUR UNSUCCESSFULL EXP...
Ribeiro, Tiago; Ferreira, Rita Soares; Alves, Gonçalo; Catarino, Joana; Vieira, Isabel; Correia, Ricardo; Bento, Rita; Garcia, Rita; Pais, FábioIntroduction: Nellix® endoprosthesis (Endologix Inc., Irvine, CA) is composed by two ballon-expandable stents surrounded by endobags, which are filled with a polymer, thus obliterating the aneurysmal sac – Endovascular Aneurysm Sealing (EVAS). Initially, due to its properties, was introduced with extended IFU, allowing the use in more complex abdominal aortic aneurysms. However, during the initial experience wi...
PERICARDIUM BOVINE PATCH INFECTION AFTER AORTIC LIGATION — CLINICAL CASE
Catarino, Joana; Alves, Gonçalo; Gonçalves, Frederico; Quintas, Anita; Ferreira, Rita; Correia, Ricardo; Bento, Rita; Ferreira, Maria EmíliaIntroduction: Prosthetic graft infection is one of the most feared complications after aortic surgery (0,19% after conventional surgery and 0,16% after EVAR). Clinical case: Male patient, 53 years-old, with a prior history of hypertension, dyslipidemia, stroke, smoking habits, was submitted in 2015 to an aorto-bifemoral bypass for aortic occlusive disease. In October 2019 the angio CT showed signs of prosthetic...
FALSE LUMEN BRANCHED STENT GRAFT IMPLANTATION FOR REPAIR OF A DISSECTING THORAC...
Catarino, Joana; Alves, Gonçalo; Gonçalves, Frederico; Ferreira, Rita; Correia, Ricardo; Bento, Rita; Ferreira, Maria EmíliaIntroduction: It is estimated that approximately 20 to 40% of patients with chronic type B aortic dissection (CTBAD) develop enlargement of the FL that warrants treatment. The standard endovascular treatment usually involves implant of a stent graft into the true lumen of the dissection in an effort to exclude the false lumen, with less morbidity than open surgery. Clinical case: The patient was a 65 year old m...
DISSECTION FLAP FENESTRATION WITH TIPS NEEDLE, AN ADJUVANT TECHNIQUE IN ENDOVAS...
Correia, Ricardo; Catarino, Joana; Vieira, Isabel; Bento, Rita; Garcia, Rita; Pais, Fábio; Ribeiro, Tiago; Cardoso, Joana; Alves, GonçaloIntroduction: In chronic aortic dissection complicated with aneurysmal degeneration, there are commonly spontaneous tears between true and false lumen at the level of visceral arteries. However, in its absence or difficult identification, treatment with f/bEVAR is limited. In these, it may be required a fenestration procedure to allow visceral vessels access. Methods / Results: We present two case-reports of pa...