14 documents found, page 1 of 2
Radiocephalic Fistula Recovery Using the Forearm Basilic Vein: A Case Report
Alferes,Daniela; Pereira,Susana; Faria,Vitória; Ventura,Ana; Martins,Victor; Canedo,Alexandra; Almeida,ClaraABSTRACT Dysfunction of the arteriovenous fistula for hemodialysis is a challenge for the nephrologist and the vascular surgeon. Although experience is limited, the use of the forearm basilic vein as outflow of the radiocephalic fistula has been considered. We report the case of a 60-year-old male, with cardiovascular comorbidities and a history of ischemic complications induced by the hemodialysis access. Drai...
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,LuísAbstract 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...
Home-made frozen stented elephant trunk for acute arch dissection: an hybrid of...
Coelho,Nuno Henriques; Silveira,Diogo; Martins,Victor; Martins,Daniel; Paulo,Nelson; Semião,Carolina; Peixoto,João; Fernandes,Luís; Machado,MartaAbstract Introduction: Involvement of the ascending/aortic arch in the thoracic aorta pathology can preclude thoracic endovascular aortic repair (TEVAR) due to the absence of an adequate proximal landing zone. Hybrid interventions combining ascending/aortic arch replacement with TEVAR of the descending thoracic aorta (DTA) are associated with good outcomes. Despite the existence of dedicated devices (E-vita®, T...
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,VictorIntrodução: 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...
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,RicardoIntroduction: 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 ...
Prognostic impact of preoperative inflammatory biomarkers in acute limb ischemi...
Coelho,Nuno Henriques; Augusto,Rita; Pinto,Evelise; Semião,Carolina; Ribeiro,João; Peixoto,João; Fernandes,Luís; Martins,Victor; Gregório,TiagoAbstract Introduction: In many areas of Medicine, biomarkers have been proving their value in disease management. The inclusion of inflammatory biomarkers in acute limb ischemia (ALI) decision-making remains debatable due to the scarce literature evidence. Nevertheless, much attention has been held towards the prognostic value of these simple, readily available and low-cost biomarkers might have. Therefore, thi...
Systemic artery aneurysms in Kawasaki Disease - a Comprehensive Review
Coelho,Nuno Henriques; Barreto,Paulo; Martins,Victor; Nogueira,Clara; Campos,Jacinta; Sousa,Pedro; Coelho,Andreia; Augusto,Rita; Semião,CarolinaIntroduction: Kawasaki Disease (KD) is a self-limited, unknown-cause febrile vasculitis that predominantly addresses medium-sized arteries and most patients are under 5-years-old. In addition to life-threatening coronary artery involvement, aneurysms may develop in almost any medium-sized vessel, however systemic artery aneurysms (SAA) are described in only 2% of cases. The objective of this study was to identi...
Type B aortic intramural hematoma - when a sheep becomes a wolf
Coelho,Nuno Henriques; Nogueira,Clara; Martins,Victor; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Semião,Carolina; Pinto,Evelise; Ribeiro,JoãoIntroduction: Type B aortic intramural hematoma (B-IMH) has a complex and variable natural history: it can remain stable and resolve spontaneously or progress to dissection, aneurysm, ulcer or even rupture. The possibility of disease progression, frequently with mild or no symptomatology, poses a significant treatment dilemma. Clinical Case: We report a case of a 60 year-old-female diagnosed with an acute B-IMH...
Intraoperative anticoagulation monitorization in vascular surgery - Does a blin...
Coelho,Nuno Henriques; Pontes,Raquel Laranja; Silva,Rita; Martins,Victor; Oliveira,Cármen; Campos,Jacinta; Sousa,Pedro; Coelho,Andreia; Augusto,RitaIntroduction: Unfractionated heparin (UFH) has been used for decades to prevent thrombotic events during vascular surgery. Although it is known that UFH has a complex and nonlinear pharmacokinetics, with great individual variability, anticoagulation monitorization in vascular surgery is not routine and a standard empirical dose is often used. Activated clotting time (ACT) has been shown to be a simple, reliable...
Tratamento de migração tardia de endoprótese torácica
Gouveia,Ricardo; Martins,Victor; Brandão,Daniel; Brandão,Pedro; Sousa,Pedro; Campos,Jacinta; Coelho,Andreia; Augusto,Rita; Coelho,Nuno; Canedo,AlexandraIntrodução e objetivo: A migração de uma endoprótese pós-correção de um aneurisma é uma complicação rara, sendo ainda escassos os casos reportados no setor aórtico torácico. Reportamos um caso tratado de migração de uma endoprótese no contexto pós-TEVAR. Métodos e Resultados: Reportamos o caso de um doente submetido previamente a TEVAR, há cerca de 15 anos, admitido na urgência por toracalgia. Após constatação ...