8 documents found, page 1 of 1
PROGNOSTIC IMPACT OF PREOPERATIVE INFLAMMATORY BIOMARKERS IN ACUTE LIMB ISCHEMI...
Coelho, Nuno Henriques; Augusto, Rita; Pinto, Evelise; Semião, Carolina; Ribeiro, João; Peixoto, João; Fernandes, Luís; Martins, Victor; Gregório, TiagoIntroduction: In many areas of Medicine, biomarkers have been proving their value in disease management. The inclusion of inflammatory biomarkers in acute limb ischemia (ALI) decision-making remains debatable due to the scarce literature evidence. Nevertheless, much attention has been held towards the prognostic value of these simple, readily available and low-cost biomarkers might have. Therefore, this review ...
HOME-MADE FROZEN STENTED ELEPHANT TRUNK FOR ACUTE ARCH DISSECTION: AN HYBRID OF...
Coelho, Nuno Henriques; Silveira, Diogo; Martins, Victor; Martins, Daniel; Paulo, Nelson; Semião, Carolina; Peixoto, João; Fernandes, LuísIntroduction: Involvement of the ascending/aortic arch in the thoracic aorta pathology can preclude thoracic endovas- cular aortic repair (TEVAR) due to the absence of an adequate proximal landing zone. Hybrid interventions combining ascending/aortic arch replacement with TEVAR of the descending thoracic aorta (DTA) are associated with good outcomes. Despite the existence of dedicated devices (E-vita®, Thorafle...
TYPE B AORTIC INTRAMURAL HEMATOMA – WHEN A SHEEP BECOMES A WOLF
Coelho, Nuno Henriques; Nogueira, Clara; Martins, Victor; Campos, Jacinta; Coelho, Andreia; Augusto, Rita; Pinto, Evelise; Semião, CarolinaIntroduction: Type B aortic intramural hematoma (B-IMH) has a complex and variable natural history: it can remain stable and resolve spontaneously or progress to dissection, aneurysm, ulcer or even rupture. The possibility of disease progression, frequently with mild or no symptomatology, poses a significant treatment dilemma. Clinical Case: We report a case of a 60 year-old-female diagnosed with an a...
ENDOVASCULAR MANAGEMENT AND OUTCOMES OF VISCERAL ARTERIAL ANEURYSMS — SINGLE CE...
Coelho, Nuno Henriques; Campos, Jacinta; Coelho, Andreia; Augusto, Rita; Semião, Carolina; Pinto, Evelise; Ribeiro, João; Peixoto, João; Martins, VictorIntroduction: Over the past decade, endovascular treatment (EVT) is taking over visceral arterial aneurysms treatment considering its effectiveness, safety and minimal invasiveness. Methods: We retrospectively evaluated our department experience in visceral arterial aneurysms endovascular approach from 2009 to 2019. Results: From 2009 to 2019, nineteen visceral artery aneurysms were submitted to EVT (mean age 6...
INTERNAL CAROTID PSEUDOANEURYSM CAUSED BY MIGRATION OF A CORONARY GUIDEWIRE FRA...
Coelho, Nuno Henriques; Monteiro, Pedro; Augusto, Rita; Pinto, Evelise; Semião, Carolina; Ribeiro, João; Peixoto, João; Fernandes, LuísIntroduction: Guidewire fracture is a rare complication of percutaneous coronary intervention (PCI). Retained fragments can cause thrombosis, dissection, perforation of the vessel or embolize. When is impossible to withdraw or to trap the fragment during the procedure, management is debatable between surgical removal or conservative approach. When choosing to leave the fragment in place, the patient remain...
INTRAOPERATIVE ANTICOAGULATION MONITORIZATION IN VASCULAR SURGERY – DOES A BLIN...
Coelho, Nuno Henriques; Laranja Pontes, Raquel; Silva, Rita; Martins, Victor; Oliveira, Cármen; Campos, Jacinta; Sousa, Pedro; Coelho, AndreiaIntroduction: Unfractionated heparin (UFH) has been used for decades to prevent thrombotic events during vascular surgery. Although it is known that UFH has a complex and nonlinear pharmacokinetics, with great individual variability, anticoagulation monitorization in vascular surgery is not routine and a standard empirical dose is often used. Activated clotting time (ACT) has been shown to be a s...
SYSTEMIC ARTERY ANEURYSMS IN KAWASAKI DISEASE — A COMPREHENSIVE REVIEW
Coelho, Nuno Henriques; Barreto, Paulo; Martins, Victor; Nogueira, Clara; Campos, Jacinta; Sousa, Pedro; Coelho, Andreia; Augusto, RitaIntroduction: Kawasaki Disease (KD) is a self-limited, unknown-cause febrile vasculitis that predominantly addresses medium-sized arteries and most patients are under 5-years-old. In addition to life-threatening coronary artery involvement, aneurysms may develop in almost any medium-sized vessel, however systemic artery aneurysms (SAA) are described in only 2% of cases. The objective of this stud...
DESMOPLASTIC FIBROBLASTOMA ENTRAPPING BRACHIAL ARTERY — A UNIQUE CASE REPORT
Coelho, Nuno Henriques; Meira, José; Martins, Victor; Campos, Jacinta; Coelho, Andreia; Augusto, Rita; Semião, Carolina; Pinto, EveliseDesmoplastic fibroblastoma (DF), also known as collagenous fibroma, is a rare benign fibrous tumor, recently described. It occurs predominantly in trunk and upper limbs, and can appear at any age. The authors describe a case of a 42-yearold female patient with DF, with upper limb neurovascular compromise. Patient was submitted to block excision of the tumor mass and brachial artery, with arterial reconstruction...