With the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...
With the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...
Objectives: Endarterectomy is the treatment of choice for arterial occlusive disease of the femoral bifurcation. Longitudinal arteriotomy and prosthetic patch angioplasty is the standard technique but, due to the increasing concerns with prosthetic-related infections and multidrug-resistant pathogens our group adopted an alternative approach. We present our experience with eversion femoral endarterectomy. Metho...
Doente do sexo masculino, 82 anos, fumador e com fibrilhação auricular, internado noutra instituição hospitalar por pneumonia adquirida na comunidade. Transferido para o nosso hospital após colocação de catéter venoso central na veia jugular interna esquerda a qual foi complicada de punção transfixiva e cateterização acidental da artéria carótida primitiva ipsilateral com progressão para o arco aórtico (Figura ...
Introduction: Aortic graft infection (AGI) is a life-threatening condition and a therapeutic challenge for vascular surgeons. We report a case of a complex AGI managed by a hybrid and staged strategy.Methods: Data related to the present case report were collected from hospital medical records.Results: A 51-year-old male patient, submitted 5 years ago to prosthetic aorto-bifemoral and superior mesenteric ar...
Background Through the association of endovascular and open procedures, hybrid surgery for lower limb revascularization allows the treatment of multilevel occlusive disease with a lower risk when compared to extensive open interventions. The aim of this study is to evaluate the immediate and midterm clinical outcomes of hybrid techniques for lower limb revascularization in a cohort of patients with multilevel a...
The popliteal artery entrapment syndrome (PAES) is a major cause of claudication and acute ischemia of lower limb in young athletes without risk factors for atherosclerosis. We present a 39 years-old female patient with no relevant past history and no sport activity, admitted to our emergency department with acute disabling claudication in the right lower limb caused by retrogeniculate popliteal artery occlusio...
Previously considered a rare clinical condition, the development of more sophisticated imaging methods and endovascular intervention for deep venous thrombosis (DVT) led to a more frequent identification of May-Thurner Syndrome. We present a 68 years-old woman with history of chronic pain and edema in the left lower limb and a CT-scan finding of left common iliac vein compression. Phlebography confirmed a steno...
Introduction: In the event of aortoiliac occlusive disease when revascularization from the infrarenal aorta is contraindicated, the axillary-femoral bypass surgery is the most common option, but it shows substantially inferior patency rates. Material and methods: A retrospective analysis of six patients, submitted to surgery between 2003 and 2014, by the same surgical team, is presented. Results: All six patien...