20 documents found, page 1 of 2
Giant renal tumor with inferior vena cava thrombus - a case report
Ribeiro,Tiago F.; Ferreira,Rita Soares; Garcia,Rita; Bento,Rita; Fidalgo,Helena; Ferrito,Fernando; Morais,José Aragão de; Ferreira,Maria EmíliaAbstract Introduction: Vascular migration and venous tumor thrombus are infrequent but unique aspects of renal cell carcinoma, and these features have significant 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 depar...
Fenestrated Physician-Modified Endografts (PMEGs) - a viable option for urgent ...
Bento,Rita; Alves,Gonçalo; Rodrigues,Gonçalo; Garcia,Rita; Ribeiro,Tiago; Cardoso,Joana; Ferreira,Rita Soares; Ferreira,Maria EmíliaAbstract Introduction: Fenestrated and branched stent graft technology has come a long way over the past few years, enabling the treatment of complex juxtarenal aneurysms, thoracoabdominal aneurysms, and arch pathologies. Many innovations have been developed, namely device and delivery optimization and technical tricks. These concepts have proven to work well when there is sufficient time to plan and manufactur...
Octopus endograft technique in complex aortic pathologies - a retrospective sin...
Ribeiro,Tiago F.; Ferreira,Rita Soares; Garcia,Rita; Bento,Rita; Pais,Fábio; Cardoso,Joana; Gonçalves,Frederico Bastos; Ferreira,Maria EmíliaAbstract 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 v...
Mycotic aortic aneurysm: a ticking time-bomb!
Bento,Rita; Rodrigues,Gonçalo; Alves,Gonçalo; Garcia,Rita; Pais,Fábio; Ferreira,Maria EmíliaAbstract Introduction: Mycotic or primary infected aortic aneurysms comprise aproximately 1.3% of all aortic aneurysms and may be caused by septic emboli to the vasa vasorum, by haematogenous spread during bacteraemia or by direct extension of an adjacent infection leading to an infectious degeneration of the arterial wall and aneurysm formation. The objective of this report is to describe a clinical case of a ...
Cirurgia aberta de aneurisma da aorta abdominal por internos de cirurgia vascul...
Bento,Rita; Rodrigues,Gonçalo; Camacho,Nelson; Catarino,Joana; Correia,Ricardo; Vieira,Isabel; Garcia,Rita; Pais,Fábio; Ribeiro,Tiago; Cardoso,JoanaResumo Introdução: Nas últimas duas décadas, a abordagem de tratamento de aneurisma da aorta abdominal (AAA) mudou drasticamente de cirurgia aberta para cirurgia endovascular. A diminuição de cirurgia de AAA convencional , open aneurysm repair (OAR), levanta preocupações relativamente à competência dos futuros cirurgiões vasculares para executar este procedimento complexo e de alto risco. O principal objetivo d...
Venous thrombectomy after failure of catheter-directed thrombolysis for the tre...
Pais,Fábio; Quintas,Anita; Vieira,Isabel; Catarino,Joana; Correia,Ricardo; Bento,Rita; Garcia,Rita; Cardoso,Joana; Ribeiro,Tiago; Ferreira,RitaAbstract Introduction: Phlegmasia cerulea (PC) is a severe form of deep vein thrombosis. In the setting of massive venous thrombosis and severe ischemia, catheter-directed thrombolysis (CDT) or trombectomy is mandatory. We report three cases of women with PC managed with venous thrombectomy after failure of CDT. Case reports: 1: 20 years-old, with recent intake of oral contraceptive, referred with acute onset o...
On-table Zenith® CE Fenestrated Stent Graft modification for the treatment of d...
Pais,Fábio; Quintas,Anita; Alves,Gonçalo; Catarino,Joana; Correia,Ricardo; Bento,Rita; Garcia,Rita; Ferreira,Rita; Ferreira,Maria EmíliaAbstract Introduction: Delayed type Ia endoleaks are often associated with proximal extension of the aneurysmal degeneration to the juxtarenal aortic segment. Endovascular treatment of type Ia endoleaks secondary to aortic neck dilatation can raise many technical challenges related to the previous implanted stent graft. Case report: The authors present a clinical case of an 84 year-old man, with a past medical ...
Clinical outcomes after vena cava thrombectomy for renal cell carcinoma with ve...
Pais,Fábio; Morais,José Aragão de; Quintas,Anita; Ferreira,Rita Soares; Catarino,Joana; Correia,Ricardo; Bento,Rita; Garcia,RitaAbstract Introduction: Renal cell carcinoma (RCC) frequently progress to involve the inferior vena cava (IVC) and even the right atrium (RA). Nephrectomy and eradication of the tumour thrombus, can extend survival and prevent symptoms of venous congestion. The authors evaluated the institutional experience of a tertiary center in the surgical management of RCC patients with tumour thrombi invading the IVC. Meth...
Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approa...
Henrique,Alberto; Quintas,Anita; Morais,José Aragão; Martins,Francisco Oliveira; Garcia,Rita; Bento,Rita; Pais,Fábio; Ferreira,Maria EmíliaAbstract Introduction: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. Case report: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus staplin...
Acute renal ischemia, a surgical vascular emergence with a still unknown evolut...
Correia,Ricardo; Catarino,Joana; Vieira,Isabel; Bento,Rita; Garcia,Rita; Pais,Fábio; Ribeiro,Tiago; Cardoso,Joana; Ferreira,Rita; Garcia,AnaAbstract Introduction: Acute renal ischemia has a low incidence. Literature evidence of its surgical treatment is based on case series, and there are no well-defined indications for renal revascularization in this setting. Methods: Observational and retrospective study, based on clinical records from patients that underwent renal artery revascularization due to acute renal ischemia, at a tertiary university hos...