7 documents found, page 1 of 1
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,Luís; Machado,MartaAbstract Introduction: Involvement of the ascending/aortic arch in the thoracic aorta pathology can preclude thoracic endovascular 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®, T...
Abordagem endovascular de aneurismas viscerais - experiência de um centro
Coelho,Nuno Henriques; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Semião,Carolina; Pinto,Evelise; Ribeiro,João; Peixoto,João; Martins,VictorIntrodução: Ao longo da última década, a abordagem endovascular tem assumido um papel preponderante no tratamento dos aneurismas das artérias viscerais (AAVs). Esta mudança de paradigma tem em conta a eficácia, a segurança e o facto de o tratamento endovascular ser menos invasivo quando comparada com a cirurgia clássica. Reportamos a experiência do nosso centro no tratamento endovascular de AAVs. Métodos: Revim...
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,Luís; Gouveia,RicardoIntroduction: 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 remains at ...
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,TiagoAbstract Introduction: 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, thi...
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,Rita; Semião,CarolinaIntroduction: 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 study was to identi...
Type B aortic intramural hematoma - when a sheep becomes a wolf
Coelho,Nuno Henriques; Nogueira,Clara; Martins,Victor; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Semião,Carolina; Pinto,Evelise; Ribeiro,JoãoIntroduction: 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 acute B-IMH...
Intraoperative anticoagulation monitorization in vascular surgery - Does a blin...
Coelho,Nuno Henriques; Pontes,Raquel Laranja; Silva,Rita; Martins,Victor; Oliveira,Cármen; Campos,Jacinta; Sousa,Pedro; Coelho,Andreia; Augusto,RitaIntroduction: 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 simple, reliable...