20 documents found, page 1 of 2
Open repair of type IV thoracoabdominal aortic aneurysms: a real-world experien...
Rodrigues,Marta Romão; Magalhães,Tiago; Melo,Ryan Gouveia e; Silvestre,Luís; Fernandes,Ruy Fernandes e; Silva,Emanuel; Amorim,Pedro; Ministro,AugustoAbstract Introduction: Currently, type IV thoracoabdominal aortic aneurysms (TAAA-IV) are treated primarily by endovascular repair. Despite the increased morbidity, there is still a role for open surgery in selected patients. This paper aims to present a descriptive analysis and outcome evaluation of open repair for TAAA-IV in our institution, where endovascular repair is generally the first-line treatment opti...
Impact of type 2 diabetes on postoperative outcomes after endovascular aortic a...
Duarte,António; Gonçalves,Hugo Fabian; Melo,Ryan Gouveia e; Amorim,Pedro; Fernandes,Ruy Fernandes e; Pedro,Luís MendesAbstract Introduction: Although the incidence of abdominal aortic aneurysms (AAA) has declined over the last two decades, this condition has high mortality rates when symptomatic or ruptured. Paradoxically, diabetes seems to slow AAA progression or rupture. However, there is little and contradictory data regarding the postoperative setting. This study aims to evaluate the clinical impact of diabetes after stand...
Time goals in ruptured abdominal aortic aneurysm - the experience of a tertiary...
Rato,João Pedro; Amorim,Pedro; Lopes,Alice; Melo,Ryan Gouveia e; Moutinho,Mariana; Pedro,Luís MendesAbstract Introduction: Guidelines state that ruptured abdominal aortic aneurysms should be treated shortly after the diagnosis and ideally within 90 minutes. The main aim of this study is to assess the referral pattern of our centre regarding the intervals between the diagnosis of ruptured AAA and the surgical repair, considering the geographical referral areas of our hospital. Methods: We conducted an observat...
Implantação da endoprótese ramificada off-the-shelf COOK® T-BRANCH®: aspectos t...
Lopes,Alice Cabral; Melo,Ryan Gouveia; Amorim,Pedro; Sobrinho,Gonçalo; Fernandes,Ruy Fernandes e; Pedro,Luis MendesResumo Introdução: As próteses ramificadas off-the-shelf, como a Cook t-Branch®, surgiram como uma alternativa de rápido acesso no tratamento de aneurismas tóraco-abdominais (ATA). Objetivo/Técnica: Na nossa instituição a utilização da endoprótese Cook T-Branch® tem sido efetuada em casos urgentes e em alguns casos eletivos com anatomia favorável e em que é desaconselhável esperar pela confeção de um custom-mad...
Técnica de double kissing (DK) crush para o tratamento de doença arterial perif...
Lopes,Alice; Amorim,Pedro; Vieira,João; Albino,PereiraResumo Introdução: O tratamento de lesões arteriais complexas com oclusões longas e envolvimento da bifurcação das artérias tibiais permanece um desafio técnico na área endovascular que muitas vezes culmina com a escolha de uma alternativa cirúrgica convencional. Dadas as semelhanças de calibre arterial e de material necessário, a adaptação de técnicas utilizadas nas lesões de bifurcações na circulação coronári...
Adaptações no serviço de cirurgia vascular do CHULN durante a pandemia de COVID...
Duarte,António; Melo,Ryan; Lopes,Alice; Rato,João; Rodrigues,Marta; Henriques,Mickael; Gomes,Miguel; Pinto,Vanda; Ribeiro,Karla; Silva,EmanuelCom o surgir da pandemia a SARS-CoV-2 no início de 2020, os serviços de saúde sofreram várias adaptações de forma a mitigar e controlar a progressão do surto a nível europeu e nacional. Estes ajustes repercutiram-se inevitavelmente na dinâmica da maioria dos serviços hospitalares, nomeadamente no nosso serviço de Cirurgia Vascular. Perante a previsível chegada de uma segunda vaga na Europa e em Portugal, com de...
Post-dissection thoraco-abdominal aneurysms: Results of open and endovascular r...
Melo,Ryan Gouveia e; Campos,Jorge; Garrido,Pedro; Lopes,Alice; Fernandes,Ruy Fernandes e; Silvestre,Luís; Sobrinho,Gonçalo; Ministro,AugustoAbstract Introduction/Objectives: Repair of post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) is a complex challenge. Choosing the correct approach to manage these aneurysms is not straightforward as both open and endovascular strategies are valid. Our aim was to analyze and compare the results of PD-TAAA treated by endovascular or open surgery. Methods: A seven-year (January-2013 and May-2020) singl...
Evaluation of Bispectral Index time delay in response to anesthesia induction: ...
Ferreira,Ana Leitão; Mendes,Joaquim Gabriel; Nunes,Catarina Sofia; Amorim,PedroAbstract Background and objectives According to the manufacturer, the Bispectral Index (BIS) has a processing time delay of 5-10 s. Studies addressing this have suggested longer delays. We evaluated the time delay in the Bispectral Index response. Methods Based on clinical data from 45 patients, using the difference between the predicted and the real BIS, calculated during a fixed 3 minutes period after the mom...
A hybrid solution to manage a thoracoabdominal aortic aneurysm: the simplified...
Soares,Tony R.; Amorim,Pedro; Martins,Carlos; Manuel,Viviana; Silva,Emanuel; Moutinho,Mariana; Rato,João; Silvestre,Luís; Pedro,Luís MendesIntroduction: Thoracoabdominal aortic aneurysms (TAAA) remain a therapeutic challenge for vascular surgeons. We report a Crawford extent type III TAAA managed with the simplified technique to approach TAAA associated to endograft implantation in the proximal aortic anastomosis to minimize the risk of blowout of the aortic stump. Case Report: A 43-year-old female patient was evacuated from Mozambique with a hi...
Aortic graft infection: a hybrid and staged solution
Soares,Tony R.; Amorim,Pedro; Manuel,Viviana; Martins,Carlos; Martins,Pedro; Pedro,Luís MendesIntroduction: Aortic graft infection (AGI) is a life-threatening condition and a therapeutic challenge for vascular surgeons. We report a case of a complex AGI managed by a hybrid and staged strategy. Methods: Data related to the present case report were collected from hospital medical records. Results: A 51-year-old male patient, submitted 5 years ago to prosthetic aorto-bifemoral and superior mesenteric arter...