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Out of hospital cardiac arrests and aortic dissection

Gouveia e Melo, Ryan; Fernandes e Fernandes, Ruy; Caldeira, Daniel; Lopes, Alice; Henriques, Mickael; Magalhães, Tiago; Mendes Pedro, Luís

INTRODUCTION: Out of Hospital Cardiac Arrest (OHCA) is one of the main causes of death worldwide. Most of the intrinsic causes of OHCA tend to be of cardiac origin, however, non-cardiac etiologies such as acute aortic dissection (AAD) may be more common than previously thought. The aim of this focused review is to summarize current knowledge on the association between OHCA and AAD. METHODS: A systematic review ...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

Epidemiology of Aortic Dissections – Understanding the Aortic Catastrophe

Gouveia e Melo, Ryan; Fernandes e Fernandes, Ruy; Caldeira, Daniel; Lopes, Alice; Henriques, Mickael; Magalhães, Tiago; Mendes Pedro, Luís

Acute aortic dissections are unpredictable aortic catastrophes. Although significant recent improvements have been accomplished in the treatment and management of aortic dissections, a significant amount is still not fully understood regarding this deadly condition. Comprehension of aortic dissections is especially important due to the impact of the disease, since a lot of patients die before reaching the hospi...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

HYBRID SURGERY ON THORACIC ANEURISM RUPTURE: AN EFFECTIVE ALTERNATIVE IN A CASE...

Pinto, Vanda; Ministro, Augusto; Henriques, Mickael; Rodrigues, Marta; Melo, Ryan; Silva, Emanuel; Pedro, Luís Mendes

Endovascular treatment of descending thoracic aortic aneurysms (DTAA) is associated with low rates of morbimortality and is currently the first line of therapeutic intervention. Endoleaks are a well-known complication of this technique, with the consensus that the identification of type I endoleak implies its prompt correction. We present the case of a patient who underwent TEVAR for the treatment of DTAA, with...

Date: 2021   |   Origin: Angiologia e Cirurgia Vascular

PROXIMAL EXTENSION OF JUXTA-RENAL AORTIC THROMBOSIS: AN UNDERESTIMATED COMPLICA...

Henriques, Mickael; Ministro, Augusto; Silva, Emanuel; Pinto, Vanda; Rato, João; Mendes Pedro, Luís

Aorto-iliac occlusive disease sometimes extends proximally with involvement of the renal arteries and visceral aorta, with loss of renal functional mass and intestinal ischemia. In this article we report the case of a patient presenting with progressive disabling intermittent claudication caused by chronic juxtarenal aortic thrombosis with proximal progression and involvement of the left renal artery, with a fu...

Date: 2021   |   Origin: Angiologia e Cirurgia Vascular

ENDOVASCULAR MANAGEMENT OF TRANSPLANT RENAL ARTERY STENOSIS: EARLY AND MID-TERM...

Pinto, Vanda; Lopez, Noélia; Cardoso, Ana; Henriques, Mickael; Silva, Emanuel; Silvestre, Luís; Baptista, Lucas; Guerra, José; Mendes Pedro, Luís

OBJECTIVE: Renal graft dysfunction or worsened hypertension in renal transplanted patients may be a manifestation of graft hypoperfusion due to transplant renal artery stenosis (TRAS) or stenosis of iliac arteries proximal to renal transplant (pseudo-TRAS). Endovascular management of TRAS has been increasingly used to preserve renal graft function. With this study, we aim to evaluate the impact of endovascular ...

Date: 2021   |   Origin: Angiologia e Cirurgia Vascular

A catastrophic seronegative anti-phospholipid syndrome: case and literature review

Pinto, Vanda; Ministro, Augusto; Carreira, Nuno; Cardoso, Ana; Gonçalves, Catarina Sousa; Henriques, Mickael; Rato, João; Silva, Emanuel; Pedro, Luís M

Background: Antiphospholipid Syndrome (APS) is a multisystemic autoimmune disease characterized by arterial and venous thrombosis and / or obstetric morbidity in the presence of at least one circulating anti-phospholipid antibody. The spectrum of vascular events varies from deep venous thrombosis to catastrophic APS, a rare form characterized by acute multiorgan thrombosis and high mortality. Case report: We pr...


ADAPTATIONS IN THE VASCULAR SURGERY DEPARTMENT OF THE CHULN DURING THE COVID-19...

Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, Emanuel

With the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...

Date: 2020   |   Origin: Angiologia e Cirurgia Vascular

Adaptations in the Vascular Surgery Department of the CHULN during the COVID-19...

Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, Emanuel

With the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...


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