14 documents found, page 1 of 2
Time goals in ruptured abdominal aortic aneurysm – the experience of a tertiary...
Rato, João Pedro; Amorim, Pedro; Lopes, Alice; Gouveia e Melo, Ryan; Moutinho, Mariana; Mendes Pedro, LuísINTRODUCTION: Guidelines state that ruptured abdominal aortic aneurysms should be treated shortly after the diagnosis and ideally within 90 minutes. The main aim of this study is to assess the referral pattern of our centre regarding the intervals between the diagnosis of ruptured AAA and the surgical repair, considering the geographical referral areas of our hospital. METHODS: We conducted an observational, re...
Practice changes in renal artery stenting after the CORAL trial
Duarte, Antonio; Moutinho, Mariana; Lopes, Alice; Sobrinho, Gonçalo; Mendes Pedro, LuisINTRODUCTION: Renal angioplasty emerged as an alternative for renal artery stenosis (RAS). In 2009 and 2014, two clinical trials (ASTRAL and CORAL) led to a paradigm shift in renovascular disease. Neither showed a clear benefit over best medical treatment, although there were methodological flaws. This study aims to evaluate the impact of these trials in clinical practice. METHODS: We designed a retrospective c...
Porquê publicar os "Consentimentos Informados" em Angiologia e Cirurgia vascular?
Moutinho, Mariana; Nogueira, Clara; Lopes, Alice; Rodrigues, Marta; Ferreira, Rita; Rodrigues, Roger; Gonçalves, Ana; Bastos Gonçalves, FredericoAs questões éticas da especialidade constituíram sempre uma preocupação da Sociedade Portuguesa Angiologia e Cirurgia Vascular traduzida, inclusivamente, na formação de um Núcleo de Ética Profissional. A necessidade de conferir aos médicos o consentimento para as intervenções após o devido esclarecimento é uma aquisição relativamente recente. Por exemplo, os gregos achavam que a participação d...
The evolution of management of type B aortic dissection in a series of 100 cons...
Lopes, Alice; Pedro, Luís M; Melo, Ryan; Moutinho, Mariana; Sobrinho, Gonçalo; Amorim, Pedro; Silvestre, Luís; Fernandes E Fernandes, RuyIntroduction and objectives: Management of aortic dissection is rapidly evolving. The present study aims to assess paradigm shifts in type B aortic dissection (TBAD) treatment modalities and their outcomes according to clinical presentation and type of treatment. We also aim to assess the impact of endovascular technology in TBAD management in order to define organizational strategies to provide an integrated c...
POST-DISSECTION THORACO-ABDOMINAL ANEURYSMS: RESULTS OF OPEN AND ENDOVASCULAR R...
Gouveia e Melo, Ryan; Campos, Jorge; Garrido, Pedro; Lopes, Alice; Fernandes e Fernandes, Ruy; Silvestre, Luís; Sobrinho, Gonçalo; Ministro, AugustoIntroduction/Objectives: Repair of post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) is a complex challenge. Choosing the correct approach to manage these aneurysms is not straightforward as both open and endovascular strategies are valid. Our aim was to analyze and compare the results of PD-TAAA treated by endovascular or open surgery. Methods: A seven-year (January-2013 and May-2020) single-center ...
ADAPTATIONS IN THE VASCULAR SURGERY DEPARTMENT OF THE CHULN DURING THE COVID-19...
Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, EmanuelWith 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...
Adaptations in the Vascular Surgery Department of the CHULN during the COVID-19...
Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, EmanuelWith 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...
INADVERTED PLACEMENT OF CENTRAL VENOUS CATHETER FOR DIALYSIS IN THE SUBCLÁVIA A...
Moutinho, Mariana; Gomes, Miguel; Silvestre, Luís; Mendes Pedro, LuísIntroduction: The inadvertent arterial puncture in the placement of dialysis catheters is uncommon, occurring in 4.2% - 9.3% of the cases, and it may be difficult to recognize immediately in previously unstable and in shock patients. It is a serious situation that occurs more frequently in the femoral region in relation to the subclavian and there is no recommended standard treatment. The purpose...
A HYBRID SOLUTION TO MANAGE A THORACOABDOMINAL AORTIC ANEURYSM: THE “SIMPLIFIED...
Soares, Tony; Amorim, Pedro; Martins, Carlos; Manuel, Vivivana; Silva, Emanuel; Moutinho, Mariana; Rato, João; Silvestre, Luís; Mendes Pedro, LuísIntroduction: Thoracoabdominal aortic aneurysms (TAAA) remain a therapeutic challenge for vascular surgeons. We report a Crawford extent type III TAAA managed with the “simplified technique”1 to approach TAAA associated to endograft implantation in the proximal aortic anastomosis to minimize the risk of blowout of the aortic stump. Case Report: A 43-year-old female patient was evacuated from Mozambique with a h...
Global Impact of Peripheral Obstructive Arterial Disease in Portugal: An Eight ...
Moutinho, Mariana; Simões, Inês; Rodrigues, Sónia; Abreu, Daisy; Silva, Emanuel; Sousa, Paulo; Fernandes, José Fernandes eIntroduction: Peripheral arterial disease has an important impact on morbidity/mortality. The objective of this study was to quantify the impact of this disease in Portugal during the last eight years, expressed by the volume of admissions, treatment strategies and associated morbidity and mortality.Material and Methods: We collected data from the Diagnosis Related Group national database on primary diagnosis, ...