INTRODUCTION: In recent years, endovascular stenting has emerged as a promising palliative therapeutic modality for carefully selected patients with Superior Vena Cava Syndrome (SVCS) secondary to intra-thoracic malignancies. However, a lack of data hinders procedure standardization, particularly regarding the dichotomy of covered versus uncovered stents. This study aims to compare the outcomes of malignant SVC...
INTRODUCTION: Splenic artery aneurysms (SAA) are the most frequent (50 to 75%) abdominal visceral arterial aneurysms. In autopsy studies, the overall incidence is 0.01%, increasing to 10.4% with age. Due to their rarity, there is a lack of data, so we aimed to perform a systematic review of available SAA data. METHODS: A systematic review was performed according to the PRISMA guidelines. A literature search was...
INTRODUCTION: Asymptomatic patients benefit from 3 to 6 hours of neurological and invasive blood pressure (BP) monitoring following carotid endarterectomy (CEA). Only a minority of patients will benefit from a prolonged stay in a high-dependency unit (HDU). The aim of this study was to externally validate previously described predictive variables of postoperative need for prolonged HDU stay. METHODS: To identif...
Introduction: Lower extremity peripheral artery disease (PAD) is associated with a high risk of cardiovascular and limb adverse events. Optimal post intervention antithrombotic strategy may significantly impact medium to long-term outcomes. The VOYAGER PAD trial showed a clinical benefit of combining low dose rivaroxaban plus aspirin by reducing cardiovascular and limb major adverse events. However, safety of t...
Introduction: The risk of rupture for abdominal aortic aneurysms (AAAs) is primarily influenced by their diameter with the likelihood of rupture increasing exponentially as the aneurysm enlarges. Nowadays, giant AAAs are relatively rare in clinical practice due to earlier diagnosis and treatment. This study aimed to analyze the treatment and prognosis of giant aneurysms comparing with non-giant AAAs within our ...
INTRODUCTION: Treatment decision in patients with asymptomatic carotid artery stenosis (ACS) is a matter of current debate with a recent shift towards isolated best medical treatment (BMT) as treatment of choice in most patients. However, poor medical compliance is one of the main constraints to the success of BMT. We hypothesized that more invasive treatment approaches can influence how patients perceive the s...
A ativação de marca é fundamental num mercado cada vez mais sobrecarregado de informação e competitivo, sendo necessário ser diferente e transparente para atrair e reter clientes, especialmente os jovens da Geração Z. Com a evolução da Era Digital, as marcas precisam adaptar-se rapidamente para alcançarem o sucesso desejado, tendo como objetivo principal adaptar-se as necessidades e valores dos jovens, qu...
INTRODUCTION: Carotid revascularization is a well-established technique for preventing stroke in patients with significant symptomatic or asymptomatic carotid artery stenosis. Carotid artery stenting (CAS) has become an alternative to carotid endarterectomy (CEA), especially in high-risk surgical patients. However, restenosis after CAS is a potentially severe complication that can impact the medium and long-ter...
INTRODUCTION: Due to their relative rarity, the natural history of iliac artery aneurysms and treatment outcomes are poorly understood. However, IAA treatment has evolved, and nowadays, there are a variety of open surgery, endovascular therapy, and hybrid options. This study aimed to compare the outcomes of endovascular treatment versus open surgery for patients with iliac artery aneurysms. METHODS: A systemati...
Introduction: Blunt thoracic aortic injuries (BTAI) once had mortality rates up to 32%, but the advent of thoracic endovascular aortic repair (TEVAR) has significantly improved outcomes. However, concerns persist regarding long-term devicerelated complications, device integrity in aging aortas, and the criteria for selecting patients for endovascular repair. We aimed to assess BTAI treatment strategies based on...