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Unfractionated Heparin in Ruptured Aortic Aneurysms – Narrative Review

F. Ribeiro, Tiago; Correia, Ricardo; Bento, Rita; Pais, Fábio; Soares Ferreira, Rita; Bastos Gonçalves, Frederico; Amaral, Carlos

INTRODUCTION: Portuguese estimates point out that nearly 20% of aortic aneurysms are treated in a ruptured setting, with in-hospital mortality reaching up to 50%. Although unfractionated heparin (UFH) is routine during elective surgery, this technical point is debatable when treating ruptured aneurysms. The authors aimed to review the literature on the topic of intraoperative heparinization with UFH within the ...


Giant Renal Tumor with Inferior Vena Cava Thrombus – a Case Report

F. Ribeiro, Tiago; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Fidalgo, Helena; Ferrito, Fernando; Aragão de Moraisa, José; Ferreira, Maria Emilia

INTRODUCTION: Vascular migration and venous tumor thrombus are infrequent but unique aspects of renal cell carcinoma, and these features have signifcant therapeutic and prognostic implications. We report a case of renal neoplasm with a vena cava tumor thrombus treated with surgical resection and adjuvant chemotherapy. CASE REPORT: A 53-year-old, otherwise healthy woman presented to the emergency department due ...


Diagnosis and Predictors of Post-Implantation Syndrome Following Endovascular R...

F. Ribeiro, Tiago; Soares Ferreira, Rita; Bento, Rita; Pais, Fábio; Cardoso, Joana; Bastos Gonçalves, Frederico; Amaral, Carlos; Ferreira, Maria Emilia

INTRODUCTION: After endovascular aortic repair (EVAR), many patients develop a systemic inflammatory response called post-implantation syndrome (PIS). AAA and procedure-related characteristics have been linked with increased odds of developing this syndrome. Similarly, some short- and long-term consequences have been associated with PIS. This study aims to review the literature on the diagnosis and predictors o...


Octopus endograft technique in complex aortic pathologies – a retrospective sin...

F. Ribeiro, Tiago; Soares Ferreira, Rita; Garcia, Rita; Bento, Rita; Pais, Fábio; Cardoso, Joana; Bastos Gonçalves, Frederico; Emília Ferreira, Maria

INTRODUCTION: Fenestrated/branched EVAR (f/bEVAR) are associated with lower peri-operative major complications, when compared to open repair in complex aortic pathologies. However, f/bEVAR is limited by the waiting time for customized graft production and has specific anatomic limitations. Alternatively, adapting outside instructions-for-use, readily available off-the-shelf devices has been used with variable s...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

Isolated Superior Mesenteric Artery Dissection, A Rare Cause Of Abdominal Pain

F. Ribeiro, Tiago; Soares Ferreira, Rita

A 42-year-old previously healthy male presented with 5 days of spontaneous mid-epigastric intense abdominal pain and mild epigastric tenderness on palpation. CT angiography revealed a Sakamoto type 2 isolated superior mesenteric artery dissection (SMA) with a “cul-de-sac” shaped false lumen (B- C: large arrow), side branch perfusion from both lumens, and compression of the true (A-D: small arrow) by the false l...


RISK OF DEATH AFTER PACLITAXEL EXPOSURE DURING FEMOROPOPLITEAL ARTERY ANGIOPLAS...

F. Ribeiro, Tiago; Ferreira, Rita Soares; Cardoso, Joana; Figueiredo, Adriana; Fidalgo, Helena; Gonçalves, Frederico Bastos; Ferreira, Maria Emília

Paclitaxel molecule has been on the market since 1991 and is indicated for the treatment of multiple neoplasms. Since 2012 has been used in endovascular devices for the treatment of peripheral artery disease and have become a mainstay in the treatment of symptomatic femoro-popliteal lesions, in particular for preventing arterial restenosis. They have a proven benefit in patency and freedom-from re-intervention ...

Date: 2022   |   Origin: Angiologia e Cirurgia Vascular

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