45 documents found, page 1 of 5
Clinical outcomes after vena cava thrombectomy for renal cell carcinoma with ve...
Pais, Fábio; Aragão de Morais, José; Quintas, Ana; Soares Ferreira, Rita; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, RitaINTRODUCTION: Renal cell carcinoma (RCC) frequently progress to involve the inferior vena cava (IVC) and even the right atrium (RA). Nephrectomy and eradication of the tumour thrombus, can extend survival and prevent symptoms of venous congestion. The authors evaluated the institutional experience of a tertiary center in the surgical management of RCC patients with tumour thrombi invading the IVC. METHODS: Retr...
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approa...
Henrique, Alberto; Quintas, Anita; Aragão Morais, José; Oliveira Martins, Francisco; Garcia, Rita; Bento, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, follow...
Octopus endograft technique in complex aortic pathologies – a retrospective sin...
F. Ribeiro, Tiago; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Pais, Fábio; Cardoso, Joana; Bastos Gonçalves, Frederico; Emília Ferreira, MariaINTRODUCTION: Fenestrated/branched EVAR (f/bEVAR) are associated with lower peri-operative major complications, when compared to open repair in complex aortic pathologies. However, f/bEVAR is limited by the waiting time for customized graft production and has specific anatomic limitations. Alternatively, adapting outside instructions-for-use, readily available off-the-shelf devices has been used with variable s...
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...
Cirurgia aberta de aneurisma da aorta abdominal por internos de cirurgia vascul...
Bento, Rita; Rodrigues, Gonçalo; Camacho, Nelson; Catarino, Joana; Correia, Ricardo; Vieira, Isabel; Garcia, Rita; Pais, Fábio; Ribeiro, TiagoINTRODUÇÃO: Nas últimas duas décadas, a abordagem de tratamento de aneurisma da aorta abdominal (AAA) mudou drasticamente de cirurgia aberta para cirurgia endovascular. A diminuição de cirurgia de AAA convencional , open aneurysm repair (OAR), levanta preocupações relativamente à competência dos futuros cirurgiões vasculares para executar este procedimento complexo e de alto risco. O principal objeti...
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...
Stent graft explantation following endovascular aortic aneurysm repair – a case...
Garcia, Rita Carreira; Gonçalves, Frederico Bastos; Catarino, Joana; Correia, Ricardo; Bento, Rita; Pais, Fábio; Ferreira, Maria EmíliaINTRODUCTION: Endovascular aneurysm repair (EVAR) offers significant advantages on aneurysm treatment. However, the management of EVAR complications or failure often results in complex surgical approaches, sometimes requiring graft explantation which remains a major challenge and one associated with a high morbidity and mortality. The purpose of this study is to review our contemporary institutional experience ...
Intravascular foreign body retrieval
Correia, Ricardo; Garcia, Ana; Camacho, Nelson; Catarino, Joana; Bento, Rita; Garcia, Rita; Pais, Fábio; Ferreira, Maria EmíliaIntroduction: Intravascular foreign body (IFB) embolization is a potential complication of any vascular procedure. Intravascular foreign body retrieval (IFBR) can be achieved using percutaneous techniques, open surgery, or both combined. Methods: We completed a retrospective review of patients who underwent endovascular or open IFBR since 2011 on our institution. Primary end-point was technical retrieval succes...
EVOLUTION AND TRAINING TRENDS IN VASCULAR SURGERY IN THE LAST 15 YEARS IN PORTUGAL
Bento, Rita; Gonçalves, Frederico Bastos; Rodrigues, Gonçalo; Ferreira, Rita; Catarino, Joana; Correia, Ricardo; Garcia, Rita; Pais, FábioIntroduction: Introduction: The evolution in the specialty of Angiology and Vascular Surgery was accompanied by differences in training during the internship. Objectives: The main goal of this study was to show the different trends in training in Vascular Surgery Internship over the last 15 years, namely with regard to surgical learning and scientific production. Methods: After identifying the physicians who co...