38 documents found, page 1 of 4
Frailty and outcomes of vascular access for hemodialysis – a scoping review
Dias, Lara R.; Nóbrega, Leandro; Costa-Pereira, Tiago; Ferreira, Joana; Mansilha, Armando; Coentrão, LuísINTRODUCTION: Frailty is an age-related condition related to the decline of physiologic capacity and the increased vulnerability to stressors. It is associated with increased mortality, hospitalizations, and healthcare costs. Dialysis patients, due to age and comorbidities, are especially vulnerable to frailty. The aim of this review was to assess the impact of frailty on outcomes of vascular access for haemodi...
High-dependency unit care after carotid endarterectomy for asymptomatic stenosis
Guimarães, Beatriz; Coelho, Andreia; Dias-Neto, Marina; Castro-Ferreira, Ricardo; Peixoto, João; Fernandes, Luís; Boal, Roberto; Machado, MartaINTRODUCTION: Asymptomatic patients benefit from 3 to 6 hours of neurological and invasive blood pressure (BP) monitoring following carotid endarterectomy (CEA). Only a minority of patients will benefit from a prolonged stay in a high-dependency unit (HDU). The aim of this study was to externally validate previously described predictive variables of postoperative need for prolonged HDU stay. METHODS: To identif...
Arterial access complications in patients with extracorporeal membrane oxygenat...
Nóbrega, Leandro; Dias, Lara; Moura, Tiago; Paz Dias, Pedro; Sousa, Joel; Roncon, Roberto; Mansilha, ArmandoINTRODUCTION: The use of extracorporeal membrane oxygenation (ECMO) has been increasing in recent years. Veno-Arterial ECMO (ECMO-VA) is usually deployed in refractory cardiac failure and is mostly cannulated through the common femoral artery. When present, arterial access complications may have important consequences in these patients. Therefore, this work aims to narratively review the available evidence rega...
Carotid artery stenting and improvement of cognitive function in patients with ...
Jácome, Filipa; Sousa, Joel; Mansilha, ArmandoINTRODUCTION: Several studies unveiled an association between asymptomatic carotid artery stenosis and cognitive impairment, questioning the “asymptomatic” nature of carotid stenosis. Although there is increasing evidence of the impact of carotid artery stenting (CAS) on cognition, the current literature still contains some unclear data and conflicting results. This study aimed to examine the impact of CAS on v...
Why selective screening for asymptomatic carotid stenosis is currently appropri...
Paraskevas, Kosmas I.; Dardik, Alan; Schermerhorn, Marc L.; Liapis, Christos D.; Mansilha, Armando; Lal, Brajesh K.; Gray, William A.; Brown, Martin M.Introduction: Two of the main reasons recent guidelines do not recommend routine population-wide screening programs for asymptomatic carotid artery stenosis (AsxCS) is that screening could lead to an increase of carotid revascularization procedures and that such mass screening programs may not be cost-effective. Nevertheless, selective screening for AsxCS could have several benefits. This article presents the r...
Spontaneous isolated celiac and splenic artery dissection
Brandão, Daniel; Barreto, Paulo; Ferreira, Joana; Lopes, José; Sousa, Joel; Mansilha, ArmandoINTRODUCTION: Spontaneous isolated visceral artery dissection is a quite rare condition and designates a dissection that originates in the visceral artery itself with no involvement of the aorta. The objective of this revision article is to summarize the current evidence on this rare pathology. METHODS: A non-systematic literature search was performed using the PubMed database. Only English literature was consi...
Impact of inflammation on chronic limb-threatening ischaemia
Ferreira, Joana; Cunha, Pedro; Carneiro, Alexandre; Medeiros, Teresa; Longatto-Filho, Adhemar; Mesquita, Amílcar; Correia-Neves, MargaridaINTRODUCTION: Peripheral arterial disease (PAD) affects more than 202 million people worldwide, 1.3% of which with chronic limb-threatening ischaemia (CLTI). PAD is associated with an elevated mortality and morbidity. However, the evolution from claudication or from asymptomatic PAD to CLTI is not completely understood and cardiovascular risk factors are unable to fully explain it. The aim of this opportunistic...
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...
Exploring the diversity of visceral, subcutaneous and perivascular adipose tiss...
Ferreira, Joana; Afonso, Julieta Alexandra Pereira; Carneiro, Alexandre Lima; Vila, Isabel; Cunha, Cristina; Roque, Susana; Silva, CristinaThe prevalence of obesity has doubled, with a concomitant increase in cardiovascular disease. This study aimed to compare the characteristics of visceral, subcutaneous and peri-aortic adipose tissue determined with computed tomography (CT) scans and to correlate them with cardiovascular risk factors, anthropometric measures and medication. An observational and prospective study was conducted, and 177 subjects w...
Screening for asymptomatic carotid stenosis in patients with non-valvular atria...
Paraskevas, Kosmas I.; Eckstein, Hans-Henning; Mansilha, Armando; Ricco, Jean-Baptiste; Geroulakos, George; Di Lazzaro, Vincenzo; Rundek, TatjanaJolobe supports that screening for asymptomatic carotid stenosis (AsxCS) should be extended to patients with non-valvular atrial fibrillation (NVAF). Indeed, a 2021 meta-analysis (n = 20 studies; 49,070 patients) demonstrated that the pooled prevalence of >50% AsxCS inpatients with NVAF was 12.4% (range: 4.4–24.3%). Although this issue was not discussed in our manuscript, the optimal management of patients pres...