Abstract Introduction: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. Case report: The authors present a clinical case of a seventy year-old man previously s...
Abstract 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 dehydrogenase (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 prognos...
Introduction: Ever since the first positive case was identified on March 2nd in Lousada, a region close to the border of our catchment area, we reacted immediately by systematically repurposing our surgical wards. Objective: Describe the changed made by our Vascular Surgery Department from March 13 to May 14. Methods: We collected clinical, operative, and consultation volume data from March 13 to May 14 and we ...
Introduction: Behçet´s syndrome is a systemic vasculitis characterized by recurrent oral and/or genital ulcers, and several systemic manifestations. The authors describe the case of a pediatric-onset Behçet´s syndrome. Case report: An 11-year-old boy was referred to the Pediatric consultation after two episodes of great saphenous vein thrombophlebitis. He had experienced daily oral aphthae for the past three ye...
Arteriovenous malformations are the least common vascular anomalies, but they can have a worst prognosis when compared with other vascular anomalies. In this way, the authors present a case of young female with arteriovenous malformation on the left shoulder. The indication and the treatment options were discussed within national and international experts at the Conference of Vascular Anomalies in Lisbon in 201...
The presence of abdominal or back pain, weight loss and elevated erythrocyte sedimentation rate is characteristic of the inflammatory abdominal aortic aneurysms. Low-grade fever is sometimes identified. Other inflammatory markers, such as white blood cell count, C reactive protein, anti-nuclear antibody and IgG4 levels can be elevated. Computed tomography is the exam of choice, showing characteristically the m...
Introdução: A isquemia crítica tem como tratamento de eleição a revascularização, cirúrgica ou endovascular. Estão a ser continuamente desenvolvidas novas ferramentas que permitem, por um lado, garantir um sucesso terapêutico mais prolongado e, por outro, o tratamento de estruturas vasculares que antes se pensavam inacessíveis. Tratamentos bem sucedidos nem sempre cursam com melhoria imediata da autonomia e cap...
Objectivos: Correlacionar as manifestações clínicas da classificação CEAP com as alterações no Eco-Doppler venoso dos membros inferiores. Material e métodos: Foram avaliados 806 membros (403 doentes consecutivos), submetidos a Eco-Doppler venoso dos membros inferiores no decurso da investigação de insuficiência venosa crónica. Resultados: Média de idades de 46,8 anos, 360 mulheres e 43 homens. Constatou-se uma ...