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Bilateral iliac aneurysms and concomitant severe multilevel occlusive arterial ...

Coelho,Nuno; Brandão,Daniel; Gouveia,Ricardo; Martins,Victor; Augusto,Rita; Semião,Carolina; Ribeiro,João; Peixoto,João; Fernandes,Luís

Abstract Introduction: Severe ilio-femoral occlusive disease can limit the endovascular treatment of aorto-iliac aneurysms. In high surgical risk patients, inventive and staged hybrid interventions can be the answer to achieve definitive treatment. Clinical Case: A 68-year-old male, with multiple comorbidities, presented with simultaneous occurrence of bilateral common iliac aneurysms and severe ilio-femoral oc...

Data: 2021   |   Origem: SciELO Portugal

Superior mesenteric artery pseudoaneurysm rupture: a rare complication of pancr...

Semião,Carolina; Brandão,Daniel; Nogueira,Clara; Gouveia,Ricardo; Augusto,Rita; Coelho,Nuno; Pinto,Evelise; Ribeiro,João; Peixoto,João; Fernandes,Luís

Abstract Pseudoaneurysms after gastro-intestinal tract surgery are rare. Most of them occur after biliary tract and pancreatic surgery. They can lead to potentially serious consequences, such as rupture, hemorrhage and death. For these reasons, pseudoaneurysms should be diagnosed and treated as soon as possible.

Data: 2021   |   Origem: SciELO Portugal

Retrograde approach: going further in endovascular techniques dedicated to crit...

Augusto,Rita; Campos,Jacinta; Coelho,Andreia; Coelho,Nuno; Pinto,Evelise; Semião,Carolina; Ribeiro,João; Peixoto,João; Brandão,Daniel; Canedo,Alexandra

Introduction: Endovascular techniques have been revolutionizing the revascularization of patients with chronic limb threatening ischemia (CLTI), showing consistently high limb salvage rates. However, endovascular recanalization of infrapopliteal occlusive disease can be technically demanding and the failure rate for these types of lesions is about 20%. In that case, an alternative vascular access may be require...

Data: 2020   |   Origem: SciELO Portugal

Abordagem endovascular de aneurismas viscerais - experiência de um centro

Coelho,Nuno Henriques; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Semião,Carolina; Pinto,Evelise; Ribeiro,João; Peixoto,João; Martins,Victor

Introdução: Ao longo da última década, a abordagem endovascular tem assumido um papel preponderante no tratamento dos aneurismas das artérias viscerais (AAVs). Esta mudança de paradigma tem em conta a eficácia, a segurança e o facto de o tratamento endovascular ser menos invasivo quando comparada com a cirurgia clássica. Reportamos a experiência do nosso centro no tratamento endovascular de AAVs. Métodos: Revim...

Data: 2020   |   Origem: SciELO Portugal

Parallel graft technique: an alternative procedure to treat the aortic arch

Augusto,Rita; Campos,Jacinta; Coelho,Andreia; Coelho,Nuno; Pinto,Evelise; Semião,Carolina; Ribeiro,João; Peixoto,João; Brandão,Daniel; Canedo,Alexandra

Treatment of aortic pathologies involving the aortic arch represents a great challenge for vascular surgeons. Endografting techniques, comparing to open surgery, are less invasive approaches. However, an adequate proximal landing zone remains a challenge and, regarding this issue, parallel graft techniques represent a viable endovascular treatment option in patients with challenging aortic arch pathology by ext...

Data: 2020   |   Origem: SciELO Portugal

Emergency arterial embolization for acute renal hemorrhage

Augusto,Rita; Campos,Jacinta; Coelho,Andreia; Coelho,Nuno; Pinto,Evelise; Semião,Ana; Ribeiro,João; Peixoto,João; Brandão,Daniel; Canedo,Alexandra

Data: 2020   |   Origem: SciELO Portugal

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 Pedro; Peixoto,João Paulo

Introduction: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 pa...

Data: 2020   |   Origem: SciELO Portugal

Pre-operative anemia as a predictive morbidity outcome - A retrospective analys...

Semião,Carolina; Nogueira,Clara; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Coelho,Nuno; Pinto,Evelise; Ribeiro,João; Peixoto,João; Canedo,Alexandra

Introduction: Anemia is associated with increased adverse outcomes during the early postoperative period because of high physiologic stress and increased cardiac demand. The aim of this study was to assess the relationship between pre-operative anemia and morbi-mortality outcomes in patients undergoing elective carotid endarterectomy (CEA), open aortic repair (OAR) or endovascular aneurysm repair (EVAR) of abdo...

Data: 2020   |   Origem: SciELO Portugal

Late Type 1A endoleak after EVAS: an unique challenge

Augusto,Rita; Gouveia,Ricardo; Campos,Jacinta; Coelho,Andreia; Coelho,Nuno; Brandão,Daniel; Canedo,Alexandra

Endovascular aneurysm sealing (EVAS) using the Nellix system is an alternative method for abdominal aortic aneurysm (AAA) repair. Type 1 endoleaks are not an uncommon complication following conventional endovascular aortic aneurysm repair (EVAR), occurring in up to 10 % of cases. The incidence of these endoleaks following Nellix EVAS was determined to be up to 3,1% in short-term follow-up. Early detection and c...

Data: 2020   |   Origem: SciELO Portugal

Internal carotid pseudoaneurysm caused by migration of a coronary guidewire fra...

Coelho,Nuno Henriques; Monteiro,Pedro; Augusto,Rita; Pinto,Evelise; Semião,Carolina; Ribeiro,João; Peixoto,João; Fernandes,Luís; Gouveia,Ricardo

Introduction: Guidewire fracture is a rare complication of percutaneous coronary intervention (PCI). Retained fragments can cause thrombosis, dissection, perforation of the vessel or embolize. When is impossible to withdraw or to trap the fragment during the procedure, management is debatable between surgical removal or conservative approach. When choosing to leave the fragment in place, the patient remains at ...

Data: 2020   |   Origem: SciELO Portugal

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