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Relatório científico da Expedição Oceano Azul - Cascais | Mafra | Sintra

Cabral, H; Afonso, CML; Almada, F; Almeida, S; Alonso, H; Andrade, J; Anjos, M; Batista, M; Bentes, L; Carvalho, AC; Celestino, S; Coelho, PD; Coxey, M

A zona marítima dos concelhos de Cascais, Mafra e Sintra tem sido pouco estudada, não obstante situar-se frente a grandes centros urbanos e ser alvo de diversos usos e atividades humanas. Algumas das suas características geográficas e dos seus elementos notáveis ao nível dos fundos marinhos acrescem o seu interesse científico e patrimonial. Com o objectivo de ampliar o conhecimento científico sobre a biodiversi...


Exploring innovative adhesive approaches to manage medical adhesive-related ski...

Fialho, L; Albuquerque, J; Pinho, AS; Pereira, AM; Monteiro, C; Oliveira, N; Ferreira, S; Martins, MCL

Medical adhesives are essential to secure wound care dressings and medical devices to the skin, to bind wound edges, track vital signs, or even provide local drug delivery. Despite several options in the market, most medical adhesives are composed of acrylate, hydrocolloid, and silicone, materials that are associated with the development of Medical Adhesive-Related Skin Injury (MARSI). Moreover, these injuries ...


Periodic third-order problems with a parameter

Minhós, Feliz; Oliveira, N

This work concerns with the solvability of third-order periodic fully problems with a weighted parameter, where the nonlinearity must verify only a local monotone condition and no periodic, coercivity or super or sublinearity restrictions are assumed, as usual in the literature. The arguments are based on a new type of lower and upper solutions method, not necessarily well ordered. A Nagumo growth condition and...


Risk Factors, Dynamics, and Clinical Consequences of Aortic Neck Dilatation aft...

Oliveira, N; Oliveira-Pinto, J; Rijn, M; Baart, S; Raa, S; Hoeks, S; Bastos Gonçalves, F; Verhagen, H

Objective: Aortic neck dilatation (AND) occurs after endovascular aneurysm repair (EVAR) with self expanding stent grafts (SESs). Whether it continues, ultimately exceeding the endograft diameter leading to abdominal aortic aneurysm (AAA) rupture, remains uncertain. Dynamics, risk factors, and clinical relevance of AND were investigated after EVAR with standard SESs. Methods: All intact EVAR patients treated fr...


Aneurysm Volumes After Endovascular Repair of Ruptured vs Intact Aortic Aneurys...

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Bouwens, E; Bastos Gonçalves, F; Hoeks, S; Van Rijn, MJ; Ten Raa, S; Mansilha, A; Verhagen, H

Purpose: To compare changes in abdominal aortic aneurysm (AAA) sac volume between endovascular aneurysm repairs (EVAR) performed for ruptured (rEVAR) vs intact (iEVAR) AAAs and to determine the impact of early volume shrinkage on future complications. Materials and methods: A retrospective analysis was performed of all patients undergoing standard infrarenal EVAR from 2002 to 2016 at a tertiary referral institu...


Alterações Morfológicas e Consequências Clínicas do Tratamento de Colos Proxima...

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, H

Introdução: O tratamento endovascular representa o método de eleição para o tratamento de Aneurismas da Aorta Abdominal (AAA). Existem endopróteses disponíveis com diâmetros do colo proximal até 36mm, que permitem o tratamento de colos proximais até 32 mm. Contudo, a existência de colos largos representa um conhecido preditor de complicações. O objetivo deste estudo é avaliar os resultados a médio-prazo de doen...


Long-Term Results After Standard Endovascular Aneurysm Repair With the Endurant...

Oliveira-Pinto, J; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, H

Objective: Many endografts are currently available for standard endovascular repair of infrarenal abdominal aortic aneurysms. Comparison of long-term outcomes between devices might aid in this decision process, but comparative data are scarce. The purpose of this study was to report long-term clinical outcomes of two commercially available endoprosthesis, the Endurant (Medtronic Vascular, Inc, Minneapolis, Minn...


Total Luminal Volume Predicts Risk after Endovascular Aneurysm Repair

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Hoeks, S; Van Rijn, MJ; Raa, ST; Mansilha, A; Verhagen, HJ; Bastos Gonçalves, F

Objective: Large aneurysm diameter represents a well known predictor of late complications after endovascular aneurysm repair (EVAR). However, the role of the thrombus free lumen inside the abdominal aortic aneurysm (AAA) sac is not clear. It was hypothesised that greater luminal volume represents a relevant risk factor for late complications after EVAR. Methods: A retrospective cohort analysis was performed in...


Comparison of Midterm Results of Endovascular Aneurysm Repair for Ruptured and ...

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, JM

Objective: Endovascular aneurysm repair (EVAR) became an increasingly preferred modality for abdominal aortic aneurysm (AAA) repair both in elective AAA repair (el-EVAR) and EVAR of a ruptured AAA (r-EVAR) setting. Ruptured AAAs usually have more hostile anatomies and less time for planning. Consequently, more complications may arise after r-EVAR. The purpose of this study was to compare mi-term outcomes betwee...


Anatomic Predictors for Late Mortality after Standard Endovascular Aneurysm Repair

Oliveira, N; Ultee, K; van Rijn, MJ; Pinto, JP; Raa, S; Bastos Gonçalves, F; Hoeks, S; Verhagen, H

Objective: Abdominal aortic aneurysm (AAA) management involves a decision process that takes into account anatomic characteristics, surgical risks, patients' preferences, and expected survival. Whereas larger AAA diameter has been associated with increased mortality after both standard endovascular aneurysm repair (EVAR) and open repair, it is unclear whether survival after EVAR is influenced by other anatomic ...


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