8 documents found, page 1 of 1
A closer look at aortic seat belt injuries: review of 52 cases published in the...
Silva, Eduardo; Constâncio, Vânia; Nunes, Celso; Baldaia, Leonor; Castro, Miguel; Orelhas, Luís; Moreira, Mário; Fonseca, ManuelINTRODUCTION: Seat belt aorta is a rare but often severe complication arising from blunt trauma with compression of the abdominal aorta against vertebrae. Seat belt sign is often present as an ecchymosis across the abdomen. The association with abdominal wall disruption and hollow viscus injury has been named seat belt triad; the presence of Chance fracture is sometimes considered a fourth component. METHODS: U...
Internal carotid artery trauma due to elongated styloid process – a review of c...
Nunes, Celso M. D.; Sousa, Juliana; Silva, Joana; Constâncio, Vânia; Silva, Eduardo; Baldaia, Leonor; Silva, MiguelINTRODUCTION: Stylocarotid syndrome is caused by the conflict between the styloid process and the vascular structures leading to carotid artery dissection (CAD) or compression. Being headache the most common initial symptom in patients with spontaneous CAD, eagle syndrome could be one explanation for some so-called spontaneous dissections since this symptom is also common in this syndrome. METHODS: Afrer analyz...
Sex disparities in peripheral arterial occlusive disease
Baldaia, Leonor; F. Antunes, Luís; G. Silva, Cândida; Silva, Miguel; Silva, Eduardo; Nunes, Celso; Constâncio, Vânia; Fonseca, ManuelINTRODUCTION: Recently published studies on peripheral arterial occlusive disease (PAOD) have revealed marked sex disparities in patient selection and treatment outcomes. In a recent retrospective study with data from 11 different countries, Portugal was highlighted as one of the countries with greater sex discrepancies related to PAOD treatment. We aimed to analyze sex specific differences in the treatment of ...
CURRENT EVIDENCE OF PROTAMINE IN CAROTID SURGERY
Silva, Eduardo; Correia, Mafalda; Nunes, Celso; Constâncio, Vânia; Silva, Joana; Lima, Pedro; Moreira, Joana; Fonseca, ManuelIntroduction and Objectives: Heparin administration is a standardized step in carotid surgery due to the reduced thromboembolic complication rate during perioperative period. This practice is not free of risks since hemorrhagic complications are associated with a larger number of reinterventions. Historically, protamine, as an agent capable of reverting the anticoagulant effects of heparin has raised controvers...
MYCOTIC EXTRACRANIAL CAROTID ARTERIES ANEURYSMS – SYSTEMATIC REVIEW OF THE LITE...
Lima, Pedro; Moreira, Mário; Correia, Mafalda; Pereira, Bárbara; Silva, Joana; Constâncio, Vânia; Gonçalves, Anabela; Fonseca, ManuelIntroduction: Mycotic extracranial carotid artery aneurysms are extremely unusual, with only around 100 cases published in the literature. They represent a challenge due to delayed presentations, possible catastrophic consequences if left untreated, as well as high morbidity after surgical management. Knowledge about infectious aneurysms on this territory remains limited to case reports. Thus, the authors prete...
THE IMPACT OF PATIENT TRANSFER AFTER RUPTURE OF AN ABDOMINAL AORTIC ANEURYSM
Varino, Juliana; Vale-Pereira, Ricardo; Moreira, Mário; Pereira, Bárbara; Correia, Mafalda; Lima, Pedro; Silva, Joana; Constâncio, VâniaObjective: determine whether patient transfer adversely affects the survival of ruptured abdominal aortic aneurysm (rAAA) patients after conventional surgery. Methods: We performed a retrospective review of all patients undergoing attempted repair of an rAAA at a tertiary center, over January 2008 and December 2014. Patients were divided into those presenting directly to our center and those transferred from an...
REVIEW OF THE SURGICAL OUTCOMES OF AORTIC FISTULAS: EXPERIENCE OF A DEPARTMENT
Botelho de Melo, Mafalda; Constâncio, Vânia; Silva, Joana; Lima, Pedro; Moreira, Mário; Canhoto, Carolina; Antunes, Luís; Gonçalves, ÓscarIntroduction and methods: The approach of patients with fistulas of the aorta remains a challenge in Vascular Surgery. The objective of this paper is to review the surgical outcomes of patients with fistulas arising from the descending thoracic and abdominal aorta through consultation of the patient’s clinical file during 16 years in a Vascular Surgery Department. Results: From a total of twenty-two cases, twen...
PERIOPERATIVE OUTCOMES AND LONG TERM SURVIVAL AFTER CAROTID ENDARTERECTOMY IN E...
Moreira, Mário; Constâncio, Vânia; Silva, Joana; Lima, Pedro; Correia, Mafalda; Antunes, Luís; Moreira, Joana; Fonseca, ManuelIntroduction: Stroke is a major health problem. Overall, 10–15% of all strokes are related to a previous asymptomatic carotid stenosis >50%. Carotid endarterectomy (CEA) is e!ective in stroke prevention; risk/benefit assessment is less apparent for elderly. The authors evaluate department CEA outcomes in elderly population aged 75 years and older, focusing in perioperative outcomes and long term survival. Ma...