14 documents found, page 1 of 2
POST-EVAR LIMB GRAFT KINKING — INTRA-OPERATIVE DIAGNOSIS
Coelho, Andreia; Lobo, Miguel; Nogueira, Clara; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana Carolina; Ribeiro, João PedroIntroduction: Endograft limb kinking remains one of the major causes of secondary interventions and rehospitalisation after Endovascular aneurysm repair (EVAR). However, the importance of improving limb patency has received little focus. Endograft limb kinking also remains ill-defined, with considerable variability in the literature concerning its clinical presentation and natural history. The purpose of this p...
PENETRATING TRAUMA TO THE AXILLARY ARTERY
Pinto Sousa, Pedro; Lobo, Miguel; Canedo, AlexandraAxillary artery injuries due to penetrating trauma are relatively uncommon. Management of these injuries is challenging due to the complex local anatomy, rigid chest walls, and associated injuries. Open exposure with direct open vascular repair has been the mainstay of operative management. We report a clinical case of a 51-year-old man victim of penetrating trauma to the axillary artery caused by a chain-saw a...
RUPTURED IDIOPATHIC SPLENIC ARTERY PSEUDOANEURYSM — A CASE REPORT AND LITERATUR...
Coelho, Andreia; Brandão, Daniel; Lobo, Miguel; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana Carolina; Ribeiro, João PedroIntroduction: Splenic artery pseudoaneurysms (SAP) represent a rare clinical entity typically caused by sequelae of pancreatitis or abdominal trauma. Unprovoked, spontaneous SAP are exceedingly rare, with only two other case reports in the literature up to date. In this paper we pretend to present a case of a ruptured idiopathic SAP successfully treated endovascularly.Methods: Relevant medical da...
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY
Coelho, Andreia Pires; Monteiro, Pedro; Nogueira, Clara; Lobo, Miguel; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana CarolinaIntroduction: Infectious celiac artery aneurysm (ICAA) is an extremely rare diagnosis, and only a few cases have been reported in the literature to date. We aimed to review this rare clinical entity, focusing on diagnosis and treatment strategies.Methods: A systematic literature review was performed using MEDLINE database according to the PRISMA guidelines.Results: A total of 11 cases of ICAA were identifi...
ACUTE CAROTID STENT THROMBOSIS – A RARE CLINICAL ENTITY?
Coelho, Andreia; Lobo, Miguel; Nogueira, Clara; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semiao, Ana Carolina; Ribeiro, João PedroIntroduction: Acute carotid stent thrombosis (ACST), defined according to the Academic Research Consortium as occurring in the first 24 hours after the procedure, is described as an exceedingly rare complication of CAS but it can lead to catastrophic neurologic consequences. The European Society for Vascular Surgery updated guidelines state thrombolysis and intravenous abciximab may be effective, but provi...
RUPTURED ABDOMINAL AORTIC ANEURYSM POST-EVAR DUE TO COMBINED TYPE II AND IA END...
Coelho, Andreia Pires; Lobo, Miguel; Barreto, Paulo; Gouveia, Ricardo; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana; Canedo, AlexandraIntroduction: Endovascular aortic repair (EVAR) has significantly altered the therapeutic strategy for abdominal aortic aneurysm (AAA), due to less invasiveness and lower perioperative morbi-mortality. However, specific complications such as type 1a endoleak (T1aE) and persistent type 2 endoleak (pT2E) have been associated with adverse outcomes including aneurismal rupture. We present a case of AAA rupture due ...
HYBRID MANAGEMENT FOR SPONTANEOUS ISOLATED DISSECTION OF THE COMMON ILIAC ARTER...
Coelho, Andreia Pires; Lobo, Miguel; Nogueira, Clara; Gouveia, Ricardo; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana CarolinaIntroduction: 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...
COLONIC ISCHEMIA AS AN EARLY MARKER OF ACUTE MESENTERIC ISCHEMIA
Coelho, Andreia Pires; Lobo, Miguel; Rodrigues, Jaime; Gouveia, Ricardo; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana CarolinaIntroduction: Acute mesenteric ischemia (AMI) and colonic ischemia (CI) may be quite intricate and appear in the same patient simultaneously or in different time frames. However, in the majority of patients with CI a specific occlusive vascular lesion cannot be identified, as opposed to AMI. According to the American College of Gastroenterology (ACG), CT angiography should be performed in all patients with seve...
ENDOVASCULAR MANAGEMENT OF LIFE-THREATENING CAROTID BLOWOUT SYNDROME AFTER OSTE...
Coelho, Andreia; Lobo, Miguel; Coelho, Gustavo; Azevedo, Marta; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana Carolina; Ribeiro, João PedroAim: Carotid blowout syndrome is a rare but devastating complication of head and neck malignancy, and is associated with a reported mortality and neurologic morbidity of 40% and 60% respectively. The aim of this case report is to present our experience with a single case of massive haemorrhage from the internal carotid artery (ICA) in a previously irradiated neck treated with a stentgraft, hence maintaining car...
RUPTURED ABDOMINAL AORTIC ANEURYSM IN THE ERA OF ENDOVASCULAR REPAIR — TOWARDS ...
Coelho, Andreia; Lobo, Miguel; Gouveia, Ricardo; Campos, Jacinta; Augusto, Rita; Coelho, Nuno; Semião, Ana Carolina; Canedo, AlexandraIntroduction: Despite significant advancements, ruptured abdominal aortic aneurysm (rAAA) remains a life-threatening condition, and the decision whether or not to proceed with surgical intervention is extremely difficult in daily practice. Previous risk prediction models of rAAA mortality developed before EVAR was an option, had their validity questioned in an era where both open repair (OR) and EVAR are availa...