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...
Objectives: Effective revascularization is the cornerstone of limb salvage in chronic limb threatening ischemia. In recent years, less invasive endovascular revascularization techniques have supplanted surgical bypass as the primary mode of revascularization. The real impact of this transition is being increasingly questioned. This study aims to evaluate the endovascular evolution, and how it impacted the amput...
INTRODUÇÃO: A doença quística adventicial é uma patologia que afeta principalmente o leito arterial, porém, em raros casos pode envolver o sistema venoso. O objetivo desta revisão foi padronizar a marcha diagnóstica, tratamento e vigilância de doentes com suspeita de doença quística adventicial venosa. MÉTODO: Para cumprir os objetivos supracitados, uma revisão narrativa sumarizando os principais a...
Introduction: Chronic kidney disease prevalence has been increasing worldwide, with an increasing need to deliver an effective treatment. During the first months of the coronavirus disease 2019 (COVID-19) pandemic healthcare systems around the world were under stress. Therefore, the aim of this study is to report a single center experience with arteriovenous fistula (AVF) creation while also evaluating the impa...
Clinical case: A 48 years old indigent man, with history of smoking and chronic alcohol consumption. He was taken to the Hospital one month after leg trauma. Physical exmamination showed extensive ulcer (25x15cm) on the anteromedial aspect of the left leg, with important signs of infection, as well as significant bone exposure of the tibial shaft. No femoral or dislal pulses in the affected limb. The case...
Introduction: Subclavian artery aneurysm (SAA) can be an extremely rare complication of thoracic outlet syndrome (TOS). The arterial dilation usually occurs distal to the stenosis site causing TOS. We describe a rare case of a patient with neurological TOS with two voluminous SAA proximal and distal to interscalene triangle. Case report: A 55 years-old female patient, with no prior medical conditions, was refer...
Introdução: A satisfação com a profissão médica tem sido apontada como um fator essencial para a qualidade assistencial, o bemestar dos doentes e a estabilidade dos sistemas de saúde. Estudos recentes têm vindo a enfatizar um crescente descontentamento dos médicos, principalmente como consequência das alterações das relações laborais. Objetivos: Avaliar a perceção dos médicos de formação específica em Portugal,...
Introduction: The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems’ stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations.Objectives: To assess the perception of Portuguese medical residents about: correspondence of residency wi...