30 documents found, page 1 of 3
Percutaneous Closure of Patent Foramen Ovale after Anterior Spinal Cord Infarction
Ferreira Reis, J; Loureiro, P; Lopes Silva, R; Martins, JDIn patients with a patent foramen ovale (PFO) who have had a cryptogenic ischemic stroke, percutaneous closure reduces its recurrence risk. However, its role in spinal cord infarction (SCI) is less well-established. A few case reports describe the putative causative role of PFO in SCI. We present a case of a teenager with cryptogenic anterior SCI in the setting of a deep vein thrombosis and a high risk-PFO who ...
A Rare but Real Necessity: Case Report of Coronary Artery Stenting in an Infant
Martins, JD; Lourenço, G; Sousa, L; Pinto, MFPercutaneous coronary intervention (PCI) is an extremely common and well-established procedure in adults which is rarely performed in children. We present a case of a successful left main coronary artery stenting in a small infant with a congenital coronary artery anomaly. We highlight the technical challenges of performing a PCI in a small patient, the risks of antithrombotic prophylaxis in this age group, and...
Endovascular Treatment of Pediatric Ischemic Stroke: a Single Center Experience...
Fragata, I; Morais, T; Silva, R; Paiva Nunes, A; Loureiro, P; Martins, JD; Pamplona, J; Carvalho, R; Baptista, M; Reis, JIntroduction: Mechanical thrombectomy is standard treatment for large vessel occlusion (LVO) in adults. There are no randomized controlled trials for the pediatric population. We report our single-center experience with thrombectomy of LVO in a series of pediatric patients, and perform a review of the literature. Methods: Retrospective review of consecutive pediatric thrombectomy cases between 2011 and 2018. De...
A Very Rare Case of Coronary Artery Bypass Grafting in a Progeria Child
Cerejo, R; Rodrigues, R; Martins, JD; Torres, C; Sousa, L; Pinto, MF; Fragata, JHutchinson-Gilford progeria syndrome is a rare genetic disorder, characterized by progressive premature aging and early death in the first or second decade of life, usually secondary to cardiovascular events (myocardial infarction and stroke). We report a case of a 14-year-old boy with progeria syndrome and cardiac arrest due to myocardial infarction, who was submitted to an immediate coronary angiography which...
Impact of Treatment Modality on Vascular Function in Coarctation of the Aorta: ...
Martins, JD; Zachariah, J; Selamet Tierney, E; Truong, U; Morris, S; Kutty, S; de Ferranti, S; Guarino, M; Thomas, B; Oliveira, D; Marinho, ABackground Optimally treated patients with coarctation of the aorta remain at risk for late vascular dysfunction. The effect of treatment modality on vascular function is unknown. The LOVE-COARCT (Long-term Outcomes and Vascular Evaluation After Successful Coarctation of the Aorta Treatment) study was done to compare vascular function in patients with coarctation of the aorta treated with surgery, balloon dilat...
RoPE Score As a Predictor of Recurrent Ischemic Events After Percutaneous Paten...
Morais, LA; Sousa, L; Fiarresga, A; Martins, JD; Timóteo, AT; Viveiros Monteiro, A; Soares, C; Agapito, A; Pinto, MF; Cruz Ferreira, RThe benefits of patent foramen ovale (PFO) closure for cryptogenic stroke secondary prevention are still debated. The Risk of Paradoxical Embolism (RoPE) study developed a score to improve patient selection for this procedure. We proposed to assess the validity of this score to assess the prognostic impact of PFO closure.From 2000 to 2014, all consecutive patients submitted to PFO closure were included in a pro...
Percutaneous Pulmonary Valve Implantation in Small Conduits: A Multicenter Expe...
Hascoet, S; Martins, JD; Baho, H; Kadirova, S; Pinto, MF; Paoli, F; Bitar, F; Haweleh, A; Uebing, A; Acar, P; Ghez, O; Fraisse, ABACKGROUND: Guidelines allow percutaneous pulmonary valve implantation (PPVI) in conduits above 16mm diameter. Balloon dilatation of a conduit to a diameter>110% of the original implant size is also not recommended. We analyzed patients undergoing PPVI in such conditions. METHODS AND RESULTS: Nine patients (May 2008-July 2016) from 8 institutions underwent PPVI in conduits <16mm diameter. Five patients with 16-...
Successful Percutaneous Closure of a Residual Atrial Septal Defect Due to Devic...
Aguiar Rosa, S; Ferreira, F; de Sousa, L; Fiarresga, A; Martins, JD; Galrinho, A; Agapito, A; Fazendas, P; Pinto, MF; Cruz Ferreira, RA 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified this finding by sho...
Percutaneous Occlusion of Vascular Malformations in Pediatric and Adult Patient...
Pereira-da-Silva, T; Martins, JD; Sousa, L; Fiarresga, A; Trigo Pereira, C; Cruz Ferreira, R; Pinto, MFOBJECTIVE: A case series on different vascular malformations (VM) treated with percutaneous occlusion in children and adults is presented. BACKGROUND: Percutaneous occlusion is usually the preferred treatment method for VM. Previous series have mostly focused on single types of devices and/or VM. METHODS: Retrospective analysis of all patients who underwent percutaneous occlusion of VM in a single center, from ...
Bridging Thoracic Endovascular Aneurysm Repair for a Late Rupture Following Aor...
Oliveira, N; Albuquerque e Castro, J; Martins, JD; Quintas, A; Laranjo, S; Valentim, H; Pinto, MF; Mota Capitão, LIntroduction Thoracic endovascular aneurysm repair has been employed to treat late complications after aortic coarctation correction. However, its use in children has seldomly been reported. Case report We present the case of a 15-year-old child who presented with a ruptured aneurysm of the descending aorta complicated later by an aortic-oesophageal fistula following aortic coarctation stenting that was managed...