15 documents found, page 1 of 2
Arterial Injuries In Lower Extremity Trauma – Outcomes Of A Single Center Study
Nunes, Celso; Lopes, Catarina; O'neill Pedrosa, João; Silva, Miguel; Orelhas, Luís; Sousa, JulianaObjectives: Femoropopliteal artery injury is a common and potentially life-threatening form of arterial injury in the lower extremities. Despite advancements in its management, there is still a considerable risk of amputation and death associated with these injuries. Methods: We conducted a retrospective analysis on the patients who received treatment for lower limb trauma and concomitant arterial injury at a L...
Effectiveness of statins on haemodialysis patients with concomitant peripheral ...
Nunes, Celso; Sousa, Juliana; Oliveira, Vânia; Silva, Eduardo; Baldaia, Leonor; Silva, Miguel; Orelhas, Luis; Fonseca, ManuelINTRODUCTION: The use of statins in hemodialysis patients is a topic of ongoing research and debate. Patients with chronic kidney disease on hemodialysis constitute a large proportion of patients treated in the vascular surgery field. Clinical data of the protective statin effect on this group is scarce and conflicting results exist regarding cardiovascular, cerebrovascular and limb outcomes. METHODS: We perfor...
A closer look at aortic seat belt injuries: review of 52 cases published in the...
Silva, Eduardo; Constâncio, Vânia; Nunes, Celso; Baldaia, Leonor; Castro, Miguel; Orelhas, Luís; Moreira, Mário; Fonseca, ManuelINTRODUCTION: Seat belt aorta is a rare but often severe complication arising from blunt trauma with compression of the abdominal aorta against vertebrae. Seat belt sign is often present as an ecchymosis across the abdomen. The association with abdominal wall disruption and hollow viscus injury has been named seat belt triad; the presence of Chance fracture is sometimes considered a fourth component. METHODS: U...
Blunt traumatic injuries of thoracic aorta, a retrospective study
Baldaia, Leonor; F. Antunes, Luís; Silva, Miguel; Silva, Eduardo; Nunes, Celso; C. Oliveira, Vânia; Silva, Joana; Fonseca, ManuelINTRODUCTION: Blunt thoracic aortic injuries (BTAI) are defined as a tear in the thoracic aorta caused by a high energy blunt trauma with sudden deceleration and increased intravascular pressure. The most common reported mechanism of injury is motor vehicle accidents, and it can be potentially lethal. The purpose of this study was to analyze and report our center’s experience in the treatment of blunt traumatic...
An Incidental Finding Of A Persistent Sciatic Artery – Case Report And Literatu...
Nunes, Celso; Sousa, Juliana; O'Neill Pedrosa, João; Oliveira, Vânia; Silva, Eduardo; Baldaia, Leonor; Silva, Miguel; Antunes, LuísPersistent sciatic artery is a rare anatomic variation due to the lack of regression during fetal development, associated sometimes with abnormalities of the iliofemoral arterial axis and predisposing the patients to aneurysm formation and thromboembolism, which can compromise the limb. In our department, we assisted a 59-year-old male with an acute limb ischemia as result of an incidental finding of a thrombos...
Blunt traumatic injuries of thoracic aorta and supra-aortic trunks - a narrativ...
Baldaia, Leonor; Antunes, Luís F.; Silva, Miguel; Silva, Eduardo; Nunes, Celso; Oliveira, Vânia C.; Silva, Joana; Fonseca, ManuelINTRODUCTION: Blunt thoracic aortic injuries (BTAI) are defined as a tear in the thoracic aorta caused by a high energy blunt trauma. The most common reported mechanism of injury is motor vehicle accidents, and it can be potentially lethal. The Society for Vascular Surgery (SVS) and the European Society for Vascular Surgery (ESVS) guidelines recommend thoracic endovascular aortic repair (TEVAR) as the first lin...
Descending Thoracic Aorta as inflow for primary revascularization of aorto-ilia...
Nunes, Celso; Pereira, Ricardo V.; O'neil Pedrosa, João; Oliveira, Vânia; Silva, Eduardo; Baldaia, Leonor; Silva, Miguel; Anacleto, GabrielINTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures. METHODS: A comprehensive electron...
Host-Reaction Following Silicone Tube Implantation For Lower Limb Lymphoedema M...
Silva, Eduardo; Nunes, Celso; Constâncio Oliveira, Vânia; Silva, Joana; Lima, PedroIntroduction: Silicone tube implantation in lymphoedema reduces symptoms by improving fluid drainage. Although there are descriptions of implant host reaction that can be misdiagnosed as graft infections these are scarce. Report: A 34 year old female with lymphoedema of the lower limb, underwent silicone tube implantation. Ten months after surgery, the patient presented with fever and dermatolymphangioadenitis ...
Impact of Charlson Comorbidity Index adjusted to age in prognosis after endovas...
Constâncio Oliveira, Vania; Cruz Silva, Joana; Silva, Eduardo; Nunes, Celso; Castro, Miguel; Baldaia, Leonor; Vale Pereira, Ricardo; Fonseca, ManuelBACKGROUND: Individualized risk assessment using comorbidity adjustment is an important component in modern clinical practice and can be performed considering individual comorbidities or through the use of summary measures. The Charlson Comorbidity Index adjusted to age (CCIa) is the most widely validated and used comorbidity assessment tool. Studies have proved CCIa as a strong predictor of mortality for a var...
Sex disparities in peripheral arterial occlusive disease
Baldaia, Leonor; F. Antunes, Luís; G. Silva, Cândida; Silva, Miguel; Silva, Eduardo; Nunes, Celso; Constâncio, Vânia; Fonseca, ManuelINTRODUCTION: Recently published studies on peripheral arterial occlusive disease (PAOD) have revealed marked sex disparities in patient selection and treatment outcomes. In a recent retrospective study with data from 11 different countries, Portugal was highlighted as one of the countries with greater sex discrepancies related to PAOD treatment. We aimed to analyze sex specific differences in the treatment of ...