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Adrenal Vein Sampling: How We Do It

Resende Neves, T; Proença Caetano, A; Manique, I; Amaral, S; Godinho, C; Bilhim, T; Coimbra, E

Primary aldosteronism is the most common cause of secondary hypertension. When unilateral disease is present, patients can be treated curatively by adrenalectomy. Adrenal vein sampling (AVS) is considered essential for discrimination between unilateral versus bilateral disease. Knowledge of normal and variant anatomy of the adrenal veins is important to avoid misleading results and increase technical success. T...


Adrenal Vein Sampling in the Management of Primary Aldosteronism: The Added Val...

Manique, I; Amaral, S; Matias, A; Bouça, B; Serranito, S; Torres, J; Gutu, O; Bilhim, T; Coimbra, E; Rodrigues, I; Godinho, C; Cortez, L; Silva-Nunes, J

Introduction: Primary aldosteronism is the most common cause of secondary hypertension. Adrenal vein sampling is the gold standard for subtyping primary aldosteronism. However, this procedure is technically challenging and often has a low success rate. Our center is one of the very few performing this technique in our country with an increasing experience. Objective: The aim of this study was to evaluate the ro...






CT-Guided Percutaneous Embolization of a Rasmussen Aneurysm with Ethylene Vinyl...

Conde Vasco, I; Costa, NV; Luz, JH; Veloso Gomes, F; Bilhim, T; Coimbra, E


A Rare Cause of Abdominal Pain in a Patient with Acute Necrotizing Pancreatitis.

Branco, C; Cardoso, M; Lourenço, C; Santos, L; Horta, V; Coimbra, E; Reis, J

INTRODUCTION: Walled-off necrosis (WON) is a potentially lethal late complication of acute pancreatitis (AP) and occurs in less than 10% of AP cases. It can be located in or outside the pancreas. When infected, the mortality rate increases and can reach 100% if the collection is not drained. Its treatment is complex and includes, at the beginning, intravenous antibiotics, which permit sepsis control and a delay...



Risk Factors for the Development of Postembolization Syndrome after Transarteri...

Lima, M; Dutra, S; Veloso Gomes, F; Bilhim, T; Coimbra, E

Introduction: Hepatic transarterial chemoembolization is a widely used technique for the treatment of hepatocellular carcinoma. The most common complication of this procedure is postembolization syndrome. The main objective of this study was to assess risk factors for the development of postembolization syndrome. Material and Methods: Single-centre retrospective analysis of 563 hepatic transarterial chemoemboli...


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