29 documents found, page 1 of 3
Covered versus uncovered stents for malignant superior vena cava syndrome: a sy...
Basílio,Francisco; Coelho,Andreia; Gouveia,Ricardo; Peixoto,João; Fernandes,Luís; Machado,Marta; Carvalho,Patrícia; Guimarães,Beatriz; Canedo,AlexandraAbstract Introduction: In recent years, endovascular stenting has emerged as a promising palliative therapeutic modality for carefully selected patients with Superior Vena Cava Syndrome (SVCS) secondary to intra-thoracic malignancies. However, a lack of data hinders procedure standardization, particularly regarding the dichotomy of covered versus uncovered stents. This study aims to compare the outcomes of mali...
Bilateral iliac aneurysms and concomitant severe multilevel occlusive arterial ...
Coelho,Nuno; Brandão,Daniel; Gouveia,Ricardo; Martins,Victor; Augusto,Rita; Semião,Carolina; Ribeiro,João; Peixoto,João; Fernandes,LuísAbstract Introduction: Severe ilio-femoral occlusive disease can limit the endovascular treatment of aorto-iliac aneurysms. In high surgical risk patients, inventive and staged hybrid interventions can be the answer to achieve definitive treatment. Clinical Case: A 68-year-old male, with multiple comorbidities, presented with simultaneous occurrence of bilateral common iliac aneurysms and severe ilio-femoral oc...
Superior mesenteric artery pseudoaneurysm rupture: a rare complication of pancr...
Semião,Carolina; Brandão,Daniel; Nogueira,Clara; Gouveia,Ricardo; Augusto,Rita; Coelho,Nuno; Pinto,Evelise; Ribeiro,João; Peixoto,João; Fernandes,LuísAbstract Pseudoaneurysms after gastro-intestinal tract surgery are rare. Most of them occur after biliary tract and pancreatic surgery. They can lead to potentially serious consequences, such as rupture, hemorrhage and death. For these reasons, pseudoaneurysms should be diagnosed and treated as soon as possible.
Abordagem endovascular de aneurismas viscerais - experiência de um centro
Coelho,Nuno Henriques; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Semião,Carolina; Pinto,Evelise; Ribeiro,João; Peixoto,João; Martins,VictorIntrodução: Ao longo da última década, a abordagem endovascular tem assumido um papel preponderante no tratamento dos aneurismas das artérias viscerais (AAVs). Esta mudança de paradigma tem em conta a eficácia, a segurança e o facto de o tratamento endovascular ser menos invasivo quando comparada com a cirurgia clássica. Reportamos a experiência do nosso centro no tratamento endovascular de AAVs. Métodos: Revim...
Late Type 1A endoleak after EVAS: an unique challenge
Augusto,Rita; Gouveia,Ricardo; Campos,Jacinta; Coelho,Andreia; Coelho,Nuno; Brandão,Daniel; Canedo,AlexandraEndovascular aneurysm sealing (EVAS) using the Nellix system is an alternative method for abdominal aortic aneurysm (AAA) repair. Type 1 endoleaks are not an uncommon complication following conventional endovascular aortic aneurysm repair (EVAR), occurring in up to 10 % of cases. The incidence of these endoleaks following Nellix EVAS was determined to be up to 3,1% in short-term follow-up. Early detection and c...
Internal carotid pseudoaneurysm caused by migration of a coronary guidewire fra...
Coelho,Nuno Henriques; Monteiro,Pedro; Augusto,Rita; Pinto,Evelise; Semião,Carolina; Ribeiro,João; Peixoto,João; Fernandes,Luís; Gouveia,RicardoIntroduction: Guidewire fracture is a rare complication of percutaneous coronary intervention (PCI). Retained fragments can cause thrombosis, dissection, perforation of the vessel or embolize. When is impossible to withdraw or to trap the fragment during the procedure, management is debatable between surgical removal or conservative approach. When choosing to leave the fragment in place, the patient remains at ...
Radial pulsatile mass - appearances can be deceiving
Semião,Ana Carolina; Nogueira,Clara; Coelho,Andreia; Gouveia,Ricardo; Augusto,Rita; Coelho,Nuno; Pinto,Evelise; Ribeiro,João; Peixoto,JoãoAbstract Adventitial cystic disease (ACD) is a rare condition. It affects mostly the popliteal artery, with few cases reported affecting the radial artery. This condition is characterized by accumulation of mucinous content at the adventitious layer.
Rotura de aneurisma da aorta abdominal pós-evar no contexto de endoleak tipo II...
Coelho,Andreia Pires; Lobo,Miguel; Barreto,Paulo; Gouveia,Ricardo; Campos,Jacinta; Augusto,Rita; Coelho,Nuno; Semião,Ana; Canedo,AlexandraIntrodução: A democratização da reparação aórtica endovascular (EVAR) alterou significativamente a estratégia terapêutica do aneurisma da aorta abdominal (AAA), devido ao seu carácter minimamente invasivo e à menor morbi-mortalidade perioperatória associada. No entanto, complicações específicas, como o endoleak tipo 1a (T1aE) e o endoleak tipo 2 persistente (pT2E), foram associadas a outcomes adversos, sendo...
Colite isquémica como marcador precoce de isquemia mesentérica aguda
Coelho,Andreia; Lobo,Miguel; Rodrigues,Jaime; Gouveia,Ricardo; Campos,Jacinta; Augusto,Rita; Coelho,Nuno; Semião,Ana Carolina; Canedo,AlexandraIntrodução: A Isquemia Mesentérica Aguda (IMA) e Colite Isquémica (CI) são duas entidades clínicas indissociáveis que podem aparecer no mesmo doente, simultaneamente ou em períodos temporais distintos. No entanto, a maioria dos doentes com CI não apresentam causa vascular obstrutiva major identificável, por oposição à IMA. Segundo o American College of Gastroenterology (ACG), a exclusão de IMA por angio-tomogra...
Hybrid management for spontaneous isolated dissection of the common iliac arter...
Coelho,Andreia; Lobo,Miguel; Nogueira,Clara; Gouveia,Ricardo; Campos,Jacinta; Augusto,Rita; Coelho,Nuno; Semião,Ana Carolina; Canedo,AlexandraIntroduction: Iliac artery dissection without aortic involvement is a rare entity, with most cases associated with predisposing factors such as trauma, atherosclerosis, connective tissue disorders or vigorous exercise. The best treatment is not unanimous, and depends on the acuteness and severity of symptoms. Criteria for intervention include prevention of aneurysmatic degeneration, acute limb ischemia, inguina...