15 documents found, page 1 of 2

Nellix stent graft explant: a great challenge for late open conversion of faile...

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 submitted ...

Endovascular Y-reconstruction of chronic ilio-cava occlusion

INTRODUCTION: Inferior vena cava (IVC) agenesis is a rare pathology, associated with an increased risk of iliofemoral deep venous thrombosis (DVT), a frequent cause of disabling post-thrombotic syndrome (PTS). CASE REPORT: Authors present a case of bilateral iliofemoral thrombosis in a patient with IVC agenesis, successfully treated at a European reference center. Patient was submitted to an endovascular Y reco...

DEEP VEIN ULTRASOUND-GUIDED THROMBOLYSIS

Catheter directed thrombolysis is a minimally invasive procedure that results in a significant reduction in venous obstruction after deep vein thrombosis. The technique implies the performance of phlebographies to monitor the thrombolysis progression. The objective of this paper is to describe the use of vascular ultrasound to follow the thrombus lysis and to adjust the catheter position according to the progre...

ENDOMETRIOSIS - UNUSUAL AETIOLOGY OF INGUINAL SWELLING

A 42 years-old female presented with right inguinal swelling with one year of evolution. Magnetic resonance imaging was suggestive of inguinal endometriosis adherent to femoral vessels. Due to the rarity of this pathology (prevalence 0.3-0.6%), clinical suspicion is essential. Surgical excision is the treatment of choice.

ENDOANCHOR IMPLANTATION FOR TREATMENT OF ENDOLEAK

The authors describe a clinical case of correction of a type 1A endoleak after EVAR using endo-anchors. An 85-year old female was referred due to an abdominal aortic aneurysm. The patient´s previous medical history included hypertension, dyslipidemia, renal insufficiency and multiple abdominal surgeries (appendicectomy, classic cholecystectomy and hysterectomy). The aneurysm had 7.5 cm diameter with an angulate...

NEOINTIMAL HYPERPLASIA

Neointimal hyperplasia is a physiologic healing response to injury to the blood vessel wall, involving all the three arterial layers and it occurs in the presence of internal (endovascular) or external (surgical) injury. It is a highly complex process involving several tissues (perivascular, vessel wall, and blood) and numerous cell lineages with multiple molecular signaling networks. So, there is a number of p...

AORTOILIAC OCLUSION AND MESENTERIC ISCHEMIA: DIFFERENT MANIFESTATIONS, THE SAME...

Homem de 69 anos, hipertenso, fumador e com cardiomiopatia desenvolveu quadro de dor abdominal, retorragias e perda ponderal (10 kg), acompanhado de parestesias nos pés. Por doença arterial periférica grau III de Leriche-Fontaine e isquemia mesentérica crónica (Fig. 1) foi submetido a bypass aorto-bifemoral com extensão à artéria mesentérica superior (Fig. 2). Aos 4 anos de seguimento apresenta-se assintomático...

RECURRENT INGUINAL LYMPHOCELE – A THERAPEUTIC CHALLENGE

Recurrent lymphocele after repair of crural hernia without resolution after several aspirations and injections of sclerosing agents. Reintervention with lymphatic marking (injection of patent blue dye at the interdigital level, Figure 1 a) Lymphatic marking through injection of patent blue dye at the interdigital level. b) Surgical approach of the inguinal region. Figure 1), followed by en bloc removal of the g...

VASCULAR SURGERY PRACTICE DURING THE COVID-19 LOCKDOWN — HOSPITAL DA SENHORA DA...

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 Ma...

Reparação Cirúrgica de aneurisma inflamatório da aorta abdominal