39 documents found, page 1 of 4
Sex-related differences in patients with acute aortic syndromes
Ferreira, Adriana M.; Lopes, Alice; Rodrigues, Marta; Mendes Pedro, LuísINTRODUCTION: Heterogeneity in the epidemiology, management, and in-hospital outcomes of patients with acute aortic syndromes can be found among male and female populations. This study aims to analyze sex-related differences in a cohort of patients treated in a tertiary university center. METHODS: All patients admitted with acute aortic syndromes between January 2012 and January 2023 were retrospectively analyz...
Spinal cord ischemia in endovascular repair of thoracoabdominal and complex abd...
Magalhães, Tiago; Gouveia e Melo, Ryan; Fernandes e Fernandes, Ruy; Asseiro, Joana; Lopes, Alice; Rodrigues, Marta; Mendes Pedro, LuísINTRODUCTION: Spinal cord ischemia (SCI) is an uncommon but one of the most terrifying complications associated with the treatment of extensive aortic aneurysms. Its pathophysiology, risk factors, and event characteristics must be clarified. This study aimed to perform a descriptive analysis of the cases of SCI after complex aortic repair at our center and to understand which factors contributed to the event. M...
Time goals in ruptured abdominal aortic aneurysm – the experience of a tertiary...
Rato, João Pedro; Amorim, Pedro; Lopes, Alice; Gouveia e Melo, Ryan; Moutinho, Mariana; Mendes Pedro, LuísINTRODUCTION: Guidelines state that ruptured abdominal aortic aneurysms should be treated shortly after the diagnosis and ideally within 90 minutes. The main aim of this study is to assess the referral pattern of our centre regarding the intervals between the diagnosis of ruptured AAA and the surgical repair, considering the geographical referral areas of our hospital. METHODS: We conducted an observational, re...
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, LuísINTRODUCTION: 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 ...
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, LuísAcute 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...
Practice changes in renal artery stenting after the CORAL trial
Duarte, Antonio; Moutinho, Mariana; Lopes, Alice; Sobrinho, Gonçalo; Mendes Pedro, LuisINTRODUCTION: Renal angioplasty emerged as an alternative for renal artery stenosis (RAS). In 2009 and 2014, two clinical trials (ASTRAL and CORAL) led to a paradigm shift in renovascular disease. Neither showed a clear benefit over best medical treatment, although there were methodological flaws. This study aims to evaluate the impact of these trials in clinical practice. METHODS: We designed a retrospective c...
Porquê publicar os "Consentimentos Informados" em Angiologia e Cirurgia vascular?
Moutinho, Mariana; Nogueira, Clara; Lopes, Alice; Rodrigues, Marta; Ferreira, Rita; Rodrigues, Roger; Gonçalves, Ana; Bastos Gonçalves, FredericoAs questões éticas da especialidade constituíram sempre uma preocupação da Sociedade Portuguesa Angiologia e Cirurgia Vascular traduzida, inclusivamente, na formação de um Núcleo de Ética Profissional. A necessidade de conferir aos médicos o consentimento para as intervenções após o devido esclarecimento é uma aquisição relativamente recente. Por exemplo, os gregos achavam que a participação d...
The evolution of management of type B aortic dissection in a series of 100 cons...
Lopes, Alice; Pedro, Luís M; Melo, Ryan; Moutinho, Mariana; Sobrinho, Gonçalo; Amorim, Pedro; Silvestre, Luís; Fernandes E Fernandes, RuyIntroduction and objectives: Management of aortic dissection is rapidly evolving. The present study aims to assess paradigm shifts in type B aortic dissection (TBAD) treatment modalities and their outcomes according to clinical presentation and type of treatment. We also aim to assess the impact of endovascular technology in TBAD management in order to define organizational strategies to provide an integrated c...
Case report of suspected Takayasu arteritis manifesting as chronic mesenteric i...
Duarte, Antonio; Lopes, Alice; Sobrinho, Gonçalo; Mendes Pedro, LuísINTRODUCTION: Chronic intestinal ischemia accounts for approximately 1:1,000,000 admissions in some epidemiological studies. This condition usually affects individuals with known atherosclerotic lesion in other territories. Although typically found in female patients in their seventh decade of life with established arterial disease, chronic intestinal ischemia may manifest itself in younger patients. In the lat...
A real-world analysis of anti-atherosclerotic medical treatment and risk factor...
Lopes, Alice; Gouveia e Melo, Ryan; Soares, Tony; Mendes Pedro, LuísIntroduction: The aim of this study was to assess the pattern of anti-atherosclerosis medicines in patients admitted to a vascular surgery department, the effective control of the target values and its subsequent modification by the vascular surgery team.Material and Methods: A retrospective single-center cohort study of prospectively collected data was performed between May 2017 and May 2018 in a tertiary cent...