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The challenging management of acute mesenteric ischemia - too frail or too late?

Abstract Introduction: Acute mesenteric ischemia (AMI) presents a life-threatening emergency, requiring a high degree of suspicion for timely diagnosis. Despite advancements in the management of these patients, in-hospital mortality rates remain high. This study aims to assess the outcomes and prognostic factors in patients with AMI. Methods: A retrospective single-center analysis of all patients undergoing eme...

TEVAR for primary aortic mural thrombus: when and how?

Abstract Introduction: Primary aortic mural thrombus (PAMT) is a rare cause of peripheral embolization that has been associated with hypercoagulable states. Anticoagulation is usually the first-line strategy, but has been associated with a significant risk of recurrent embolization. Case-report: A 51-year-old male patient with a history of right lung carcinoma underwent a follow-up computed tomography angiograp...

What is hidden behind persistent Inferior vena cava thrombosis?

Abstract Background: Primary tumors of the inferior vena cava (IVC) are rare. They most commonly arise from the smooth muscle of the IVC walls, known as leiomyomas. Case report: A 49-year-old male patient presented to the emergency department with right leg swelling. He had undergone varicose vein extraction surgery one month before presentation. Doppler ultrasound revealed thrombosis of the right iliac and fem...

Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm...

Abstract Background: Symptomatic or ruptured juxta-renal aortic aneurysms can be managed through open surgical repair or endovascular approaches, including chimney endovascular aortic repair (chEVAR), off-the-shelf branched devices, or physician-modified endograft (PMEG). PMEG has proven to be a feasible alternative with satisfactory long-term outcomes for such conditions. Case report: We document the inaugural...

Management of spontaneous carotid artery rupture: navigating life-threatening c...

Abstract Background: Carotid pseudoaneurysms are extremely rare, and their inherent instability and unpredictability require prompt evaluation and intervention to mitigate potential neurological complications or prevent life-threatening bleeding and airway obstruction. We present a case report of spontaneous internal carotid artery (ICA) rupture. Case report: An eighty-eight-year-old male with a history of non-...

Prof. José Fernandes e Fernandes 1º editor da revista Angiologia e Cirurgia Vas...

Outcomes of kidney autotransplantation technique in the treatment of different ...

Abstract Introduction: Kidney autotransplantation (KAT) is a versatile surgical technique used to treat multiple diseases affecting the kidney. This procedure allows the reconstruction of the renal artery or vein with optimal surgical exposure reducing warm ischemia time compared to open direct repair. Although infrequently reported nowadays and despite the growing use of endovascular treatments, KAT still has ...

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National survey to Portuguese Angiology and Vascular Surgery residents - Insigh...

Abstract Introduction: Vascular Surgery is a demanding specialty with vast technological and research advances in the last decades. This has led to an increasing complexity of providing adequate training programs for the modern Vascular Surgeon. Our aim was to understand the current satisfaction rates and perceived limitations of the Vascular Surgery residency program in Portugal by performing an online survey ...

Parallel grafting technique for a complex zone 6 aortic pseudoaneurysm treatment

Abstract Introduction: Endovascular reconstruction of the thoracoabdominal aorta is highly complex due to the need to preserve the main visceral branches. Optimal treatment with fenestrated and branched aneurysm aortic repair (F/B-EVAR) is usually not possible in urgent situations. Parallel grafting technique as an “off-the-shelf” solution have been described with good short and medium-term results. Case report...