23 documents found, page 1 of 3
Nellix stent graft explant: a great challenge for late open conversion of faile...
Sousa, Pedro Pinto; Antunes, Inês; Braga, Sandrina; Simões, João Correia; Carrilho, Celso; Mesquita, AmílcarINTRODUCTION: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. CASE REPORT: The authors present a clinical case of a seventy year-old man previously submitted ...
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...
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...
Endovascular Y-reconstruction of chronic ilio-cava occlusion
Figueiredo Braga, Sandrina; Carrilho, Celso; Correia Simões, João; Pinto Sousa, Pedro; Mesquita, AmílcarINTRODUCTION: Inferior vena cava (IVC) agenesis is a rare pathology, associated with an increased risk of iliofemoral deep venous thrombosis (DVT), a frequent cause of disabling post-thrombotic syndrome (PTS). CASE REPORT: Authors present a case of bilateral iliofemoral thrombosis in a patient with IVC agenesis, successfully treated at a European reference center. Patient was submitted to an endovascular Y reco...
Is obesity a risk factor for carotid atherosclerotic disease?—opportunistic review
Ferreira, Joana; Cunha, Pedro; Carneiro, Alexandre; Vila, Isabel; Cunha, Cristina; Silva, Cristina; Longatto, Adhemar; Mesquita, Amílcar; Cotter, JorgeObesity is a risk factor for coronary atherosclerosis. However, the influence of adipose tissue in carotid atherosclerosis is not completely understood. No systematic review/meta-analysis was previously performed to understand if obesity is a risk factor for carotid atherosclerosis. This paper aims to provide an opportunistic review of the association between obesity and carotid atherosclerosis and define the r...
DEEP VEIN ULTRASOUND-GUIDED THROMBOLYSIS
Ferreira, Joana; Simões, João; Braga, Sandrina; Sousa, Pedro; Carrilho, Celso; Mesquita, AmílcarCatheter directed thrombolysis is a minimally invasive procedure that results in a significant reduction in venous obstruction after deep vein thrombosis. The technique implies the performance of phlebographies to monitor the thrombolysis progression. The objective of this paper is to describe the use of vascular ultrasound to follow the thrombus lysis and to adjust the catheter position according to the progre...
ENDOMETRIOSIS - UNUSUAL AETIOLOGY OF INGUINAL SWELLING
Longras, Catarina; Figueiredo Braga, Sandrina; Carrilho, Celso; Mesquita, AmílcarA 42 years-old female presented with right inguinal swelling with one year of evolution. Magnetic resonance imaging was suggestive of inguinal endometriosis adherent to femoral vessels. Due to the rarity of this pathology (prevalence 0.3-0.6%), clinical suspicion is essential. Surgical excision is the treatment of choice.
RARE COMBINATION OF ANATOMICAL VARIATIONS
Figueiredo Braga, Sandrina; Ferreira, Joana; Mesquita, AmílcarCongenital variation of right aortic arch (prevalence 0.05%), aberrant left subclavian artery (posterior to the oesophagus) and 28*26mm diameter Kommerell diverticulum (prevalence 0.4-2.3%), with tracheal deviation and extrinsic esophageal compression. Symptomatic or >55mm diameter Kommerell’s diverticulum should be considered for repair due to their risk of rupture.
ENDOANCHOR IMPLANTATION FOR TREATMENT OF ENDOLEAK
Figueiredo Braga, Sandrina; Correia Simões, João; Carrilho, Celso; Ferreira, Joana; Mesquita, AmílcarThe authors describe a clinical case of correction of a type 1A endoleak after EVAR using endo-anchors. An 85-year old female was referred due to an abdominal aortic aneurysm. The patient´s previous medical history included hypertension, dyslipidemia, renal insufficiency and multiple abdominal surgeries (appendicectomy, classic cholecystectomy and hysterectomy). The aneurysm had 7.5 cm diameter with an angulate...
NEOINTIMAL HYPERPLASIA
Figueiredo Braga, Sandrina; Rocha Neves, João; Ferreira, Joana; Carrilho, Celso; Correia Simões, João; Mesquita, AmílcarNeointimal hyperplasia is a physiologic healing response to injury to the blood vessel wall, involving all the three arterial layers and it occurs in the presence of internal (endovascular) or external (surgical) injury. It is a highly complex process involving several tissues (perivascular, vessel wall, and blood) and numerous cell lineages with multiple molecular signaling networks. So, there is a number of p...