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A case of esophageal carcinoma due to esophageal squamous papillomatosis

Fraga, E.; Almeida, J.; Camacho, C.; Simões, J.; Bernardes, A.

tINTRODUCTION: Squamous Papilloma is a rare benign tumor of the esophagus. Esophageal squamouspapilloma is thought to arise from a chronic inflammatory reaction due to mechanical or chemical irri-tant. ESP is usually considered to have a benign clinical course; however, some reports highlight thepotential development of a malignancy. The development of extensive esophageal squamous papillomasalso known as squam...


iBox-CRT : better response, less complicated, equally fast

Aguiar-Ricardo, Inês; Nunes-Ferreira, Afonso; Rigueira, Joana; Agostinho, João R.; Santos, R.; Lima da Silva, G.; Antonio, Pedro Silverio; Rodrigues, T.

Introduction: The optimization of the left ventricle (LV) pacing site guided by the electrical delay increases CRT response rate (RR), however it’s necessary to develop technology that allows its universal use. Purpose: The aim is automatically, and operator-independent, access the conduction delay between the right ventricular (RV) stimulus and the LV available veins in order to select the LV pacing site. It i...


How can we improve the success of cardiac resynchronization therapy implantation?

Nunes-Ferreira, Afonso; Antonio Silverio, P.; Agostinho, João R.; Aguiar-Ricardo, Inês; Rigueira, Joana; Santos, R.; Cunha, N.; Rodrigues, T.

Introduction: The left ventricular (LV) lead implantation in cardiac resynchronization therapy (CRT) is one of the most important and complex steps, leading to implantation failure in 10–15% of cases. New LV lead implantation techniques are needed to allow better resynchronization and decrease mortality and hospitalizations. Objectives: To evaluate the efficacy and safety of the snare technique in the LV lead i...


Atrial fibrillation ablation : the added value of adenosine test in confirming ...

Nunes-Ferreira, Afonso; R. Agostinho, João; Cortez-Dias, Nuno; Silva, G. Lima da; Francisco, Ana Rita; Guimarães, T.; Gonçalves, I. Santos

Introduction: Adenosine test has been increasingly used to confirm pulmonary vein isolation (PVI) in patients undergoing ablation of atrial fibrillation (AF). However, its impact on the success of ablation remains unknown. Purposes: To evaluate the results of the adenosine triphosphate (ATP) test in patients undergoing PVI and assess the success of ablation related to the use of this test (adenosine-guided PVI ...


Implantation of ICD and CRT-D in the elderly population : will it be a limiting...

Ricardo, I. Aguiar; Dias, Nuno Cortez; Marques, P.; Magalhães, A.; Gonçalves, I.; Agostinho, J.; Silva, G. Lima da; Guimarães, T.; Santos, I.

Introduction: Implantable cardioverter defibrillator (ICD) and cardiac resynchronization (CRT-D) implantation in elderly patients is effective in preventing sudden death, although limited by the natural shorter life expectancy. The different device brands present very variable survival estimates and it has been discussed the availability of less expensive, less longevity generators for the elderly population. P...


Síndrome de Bouveret

Coutinho, L.; Brito, S.; Diogo, D.; Bernardes, A.; Oliveira, F.

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Date: 2009   |   Origin: Revista Portuguesa de Cirurgia

Inguinal hernia repair according to 3 mesh techniques: a retrospective comparat...

Coutinho, L.; Rodrigues, A.; Santiago, F.; Bernardes, A.; Oliveira, F.

AIM: Retrospective analisis of the outcome in the immediate and late postoperative care of inguinal hernioplasty according to 3 mesh techniques. Matherial and Methods: From 1997 until 2005, a 9-year period, 562 inguinal hernioplasty procedures were conducted in 496 patients at Surgery I Ward of University Hospitals of Coimbra. Male gender (n=453) was the most predominant and the mean age was 59 years [16-98]. E...

Date: 2008   |   Origin: Revista Portuguesa de Cirurgia

Normal vascular and biliary hepatic anatomy: 3D demonstration by multidetector CT

Donato, P.; Coelho, P.; Rodrigues, H.; Vigia, E.; Fernandes, J.; Caseiro-Alves, F.; Bernardes, A.

Abstract Due to constant innovations in radiological and surgical techniques, more accurate results are expected in the diagnostic and therapeutic procedures related to hepatic pathology. The aim of this work was to demonstrate the normal hepatic vascular and biliary anatomy using cadaveric livers and CT scans of the affected livers. Furthermore, using the CT scans, the authors intended to illustrate the most c...


A simple intra-operative maneuver to decrease a duodenal ulcer hemorrhage tempo...

Bernardes, A.; Dionísio, J.; Diogo, D.; Coelho, P.; Patrício, J.

Intraoperative hemostatic suture to treat a bleeding duodenal ulcer is sometimes difficult when there is massive hemorrhage. The aims of this paper are: (1) to describe a practical and easy intraoperative procedure which quickly decreases a massively bleeding duodenal ulcer, allowing the surgeon to identify the bleeding site clearly and obtain definitive hemostasis by suturing the involved vessels with a low ri...


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