30 documents found, page 1 of 3
Caregiver perceptions of the impact and effect of family conferences for patien...
Nascimento, Ana; Brandão-Silva, Joana; Cunha, Daniela; Ramos, Iliana; Pereira, Cristina; Semedo, Valéria; Andrade, José Paulo; Rocha-Neves, JoãoIntroduction: Family conferences (FC) are a structured and therapeutic tool in palliative care, promoting effective communication between the healthcare team, patient and family. They are especially relevant for patients with high clinical complexity, both in hospital settings and in primary care. Objective: To evaluate caregivers’ perceptions of the impact of FC on patients cared for by palliative care teams a...
Advancing Endovascular Solutions for Complex Abdominal Aortic Aneurysms: Patien...
Martins-Lopes, Mariana; Santos-Venâncio, Miguel; Rocha-Neves, João; Marques-Vieira, MárioBackground: Abdominal aortic aneurysm (AAA) poses a significant health risk, with a prevalence of 4.8% and becomes a surgical concern when the diameter exceeds 5.5 cm due to the heightened risk of rupture. Endovascular aneurysm repair (EVAR) has emerged as the primary approach, especially for infrarenal AAAs, offering advantages over traditional open surgery. However, complex anatomies challenge standard EVAR, ...
IL-6 and Surgical Outcomes in Carotid Endarterectomy: A Systematic Review.
Rocha-Melo-Sousa, Antónia; Brazuna, Márcio; Tavares, Carmen; Guduru, Sai; Fragão-Marques, Mariana; Rocha-Neves, JoãoInterleukin-6 (IL-6) is a key inflammatory cytokine implicated in atherosclerotic plaque progression and carotid vulnerability. Although elevated IL-6 levels have been linked to cerebrovascular risk, its prognostic value in patients undergoing carotid endarterectomy (CEA) remains undefined. This systematic review aimed to investigate the available evidence on the relationship between IL-6 levels, surgical outco...
IL-6 and Surgical Outcomes in Carotid Endarterectomy
Rocha-Melo-Sousa, Antónia; Brazuna, Márcio; Tavares, Carmen; Guduru, Sai; Fragão-Marques, Mariana; Rocha-Neves, JoãoBackground: Interleukin-6 (IL-6) is a key inflammatory cytokine implicated in atherosclerotic plaque progression and carotid vulnerability. Although elevated IL-6 levels have been linked to cerebrovascular risk, its prognostic value in patients undergoing carotid endarterectomy (CEA) remains undefined. This systematic review aimed to investigate the available evidence on the relationship between IL-6 levels, su...
Advances in Diagnosis, Treatment and Prognostic in Aortoiliac Occlusive Disease...
Azevedo, Maria; Nóbrega, Leandro; Rocha-Neves, JoãoBackground: Aortoiliac disease (AID) is a variant of peripheral artery disease involving the infrarenal aorta and iliac arteries. Similar to other arterial diseases, aortoiliac disease obstructs blood flow through narrowed lumens or by embolization of plaques. AID, when symptomatic, may present with a triad of claudication, impotence, and absence of femoral pulses, a triad also referred as Leriche Syndrome (LS)...
Hemodynamic Predictors And Changes During Carotid Endarterectomy Under Regional...
Silva, Vera A.; D. Gamas, Luís; Pereira-Macedo, Juliana; Carreira, Mariana; Myrcha, Piotr; Andrade, José P.; L. Moreira, André; Rocha-Neves, JoãoObjectives: Carotid endarterectomy (CEA) is the standard treatment for carotid stenosis, but it can lead to cerebral hypoperfusion and hemodynamic stroke. Regional anesthesia (RA) and light sedation allow continuous monitoring of intraoperative neurological function. However, the relationship between perioperative hemodynamic management and neurological dysfunction has yet to be thoroughly investigated. This st...
Prosthetic Graft Infection in Femoropopliteal Bypass
Catarina-Ferreira, Maria; Thierstein, Lourenço; Pereira-Neves, António; Rocha-Neves, João; Araújo-Andrade, LeonardoIntroduction: Peripheral artery disease, a manifestation of systemic atherosclerosis, often necessitates surgical revascularization in advanced stages, with femoropopliteal bypass serving as a primary intervention to restore adequate lower limb perfusion. When autologous vein grafts are not available, prosthetic conduits are commonly used. However, these heterologous materials carry an increased risk of infecti...
Advancing Vascular Surgery: The Role Of Artificial Intelligence And Machine Lea...
Pias, Ana Daniela; Pereira-Macedo, Juliana; Marreiros, Ana; António, Nuno; Rocha-Neves, JoãoIntroduction: Cardiovascular diseases affect 17.7 million people annually, worldwide. Carotid degenerative disease, commonly described as atherosclerotic plaque accumulation, significantly contributes to this, posing a risk for cerebrovascular events and ischemic strokes. With carotid stenosis (CS) being a primary concern, accurate diagnosis, clinical staging, and timely surgical interventions, such as carotid ...
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...