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Outcomes of varicose vein surgery in patients with HIV/AIDS – a nested case-con...
Pereira-Neves, António; Domingues-Monteiro, Diogo; Nóbrega, Leandro; Duarte-Gamas, Luís; Cerqueira, Alfredo; Rocha-Neves, João; Oliveira-Pinto, JoséINTRODUCTION: Currently, people living with HIV/ AIDS (PLWHA) attain a life expectancy similar to a non-HIV population. However, these patients experience a status of chronic inflammation, which is a known cause of arteriopathy. Yet, literature is scarce regarding the potential venous inflammatory effect, especially after varicose vein surgery. The aim of this study was to perform a descriptive analysis alongsi...
R2CHA2DS2-VA predictsthe cardiovascular risk after carotid endarterectomy
Quesado, João; Dias, Lara; Pereira-Macedo, Juliana; Duarte-Gamas, Luís; Khairy, Ahmed; Pinheiro, Marina; Reis, Pedro; Andrade, José P.Background: R2CHA2DS2-VA score has been used to predict short and long-term outcomes in many cardiovascular diseases. This study aims to validate the R2CHA2DS2-VA score as a long-term major adverse cardiovascular events (MACE) predictor after carotid endarterectomy (CEA). Secondary outcomes were also assessed regarding the incidence of all-cause mortality, acute myocardial infarction (AMI), major adverse limb e...
Human immunodeficiency virus and carotid artery disease – single center experie...
Pereira-Neves, António; Pereira-Macedo, Juliana; Soares, Tiago; Duarte-Gamas, Luís; Jácome, Filipa; Nóbrega, Leandro; Dias-Neto, MarinaINTRODUCTION: People infected with the human immunodeficiency virus (HIV) - People living with HIV/AIDS (PLWHA) - seem to have an increased risk of incidence and prevalence of cardiovascular diseases, namely stroke of ischemic nature. Additional etiological mechanisms, in addition to aging, appear to lie in chronic virus-mediated inflammation as well as in antiretroviral therapy (ART). The aim of this study was...
Mean platelet volume predicts restenosis after carotid endarterectomy
Pereira-Neves, António; Saramago, Sean; Duarte-Gamas, Luís; Domingues-Monteiro, Diogo; Fragão-Marques, Mariana; Marques-Vieira, Mário; Andrade, José P.Background: Carotid restenosis following carotid endarterectomy (CEA) has a cumulative risk at 5-years up to 32%, which may impact the well-being of patients following CEA. Haematological parameters in the standard complete blood cell count (CBC) are emerging as potential biomarkers, but their application in CEA is scarce. The primary aim of this study was to investigate haematological markers for restenosis fo...
The Gupta perioperative risk for myocardial infarct or cardiac arrest (MICA) ca...
Pereira-Macedo, Juliana; Fernandes, Beatriz; Duarte-Gamas, Luís; Pereira-Neves, António; Mourão, Joana; Khairy, Ahmed; Andrade, José PauloBackground: Patients undergoing carotid endarterectomy (CEA) may experiment intraoperative neurologic deficits (IND) during carotid cross-clamping. This work aimed to assess the impact of the Gupta Perioperative Myocardial Infarct or Cardiac Arrest (MICA) risk calculator in the IND. Methods: From January 2012 to April 2021, patients undergoing CEA with regional anaesthesia for carotid stenosis with IND and cons...
Contralateral carotid stenosis is a predictor of long-term adverse events in ca...
Moreira, Rita; Duarte-Gamas, Luís; Pereira-Macedo, Juliana; Pereira-Neves, António; Domingues-Monteiro, Diogo; Jácome, Filipa; Andrade, José P.Contralateral carotid stenosis (cICS) has been described as a perioperative predictor of mortality after carotid endarterectomy (CEA). However, its predictive value on long-term cardiovascular events remains controversial. The study aims to assess the potential role of cICS as a long-term predictor of major adverse cardiovascular events (MACE) in patients who underwent CEA. From January 2012 to July 2020, patie...
MANAGEMENT OF THE CAROTID ARTERY STENOSIS IN ASYMPTOMATIC PATIENTS
Carreira, Mariana; Duarte-Gamas, Luís; Rocha-Neves, João; Andrade, José Paulo; Fernando Teixeira, JoséBackground: An asymptomatic carotid stenosis (CS) is defined as a stable atherosclerotic luminal narrowing in patients with no history of ipsilateral cerebral or ocular ischemic events in the past six months. The bifurcation of the common carotid artery makes this area vulnerable to atherosclerosis due to the features of haemodynamic flow. The exact prevalence of asymptomatic patients with CS remains unknown an...
COMPLEX AORTOILIAC, PELVIC AND VISCERAL REVASCULARIZATION
Pereira-Neves, António; Rocha-Neves, João; Duarte-Gamas, Luís; Cerqueira, Alfredo; Gouveia, RicardoAortoiliac occlusive disease (AIOD) remains an area of debate concerning open and endovascular treatment options. A case of a 63-year old female is reported, with previous known vascular intermittent claudication, that presented in the emergency room with acute ischemia of the right lower limb with 24-hours of evolution. The computer tomographic angiography unveiled occlusion of the superior mesenteric artery, ...