67 documents found, page 1 of 7

Open repair of type IV thoracoabdominal aortic aneurysms: a real-world experien...

Abstract Introduction: Currently, type IV thoracoabdominal aortic aneurysms (TAAA-IV) are treated primarily by endovascular repair. Despite the increased morbidity, there is still a role for open surgery in selected patients. This paper aims to present a descriptive analysis and outcome evaluation of open repair for TAAA-IV in our institution, where endovascular repair is generally the first-line treatment opti...

Conquering complex anatomy: EVAR success in a zig-zagging aortic aneurysm

Impact of type 2 diabetes on postoperative outcomes after endovascular aortic a...

Abstract Introduction: Although the incidence of abdominal aortic aneurysms (AAA) has declined over the last two decades, this condition has high mortality rates when symptomatic or ruptured. Paradoxically, diabetes seems to slow AAA progression or rupture. However, there is little and contradictory data regarding the postoperative setting. This study aims to evaluate the clinical impact of diabetes after stand...

Spinal cord ischemia in endovascular repair of thoracoabdominal and complex abd...

Abstract Introduction: Spinal cord ischemia (SCI) is an uncommon but one of the most terrifying complications associated with the treatment of extensive aortic aneurysms. Its pathophysiology, risk factors, and event characteristics must be clarified. This study aimed to perform a descriptive analysis of the cases of SCI after complex aortic repair at our center and to understand which factors contributed to the...

Sex-related differences in patients with acute aortic syndromes

Abstract Introduction: Heterogeneity in the epidemiology, management, and in-hospital outcomes of patients with acute aortic syndromes can be found among male and female populations. This study aims to analyze sex-related differences in a cohort of patients treated in a tertiary university center. Methods: All patients admitted with acute aortic syndromes between January 2012 and January 2023 were retrospective...

Centralização de cuidados vasculares em Portugal - resultados de um questionári...

Results of the first 1000 infra-renal aortic aneurysms included in the Portugue...

Abstract Introduction: The Abdominal aortic aneurysm (AAA) module of the Portuguese National Vascular Registry (RNPV) is a prospective, voluntary, population-based registry, that encompasses more than 90% of portuguese vascular departments. The aim of this study was to evaluate the results of the first 1000 infra-renal AAA included in the Portuguese RNPV. Methods: Data were collected from November 2019 to Decem...

Practice changes in renal artery stenting after the CORAL trial

Abstract Introduction: 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 retros...

Epidemiology of Aortic Dissections - Understanding the Aortic Catastrophe

Abstract Acute aortic dissections are unpredictable aortic catastrophes. Although significant recent improvements have been accomplished in the treatment and management of aortic dissections, a significant amount is still not fully understood regarding this deadly condition. Comprehension of aortic dissections is especially important due to the impact of the disease, since a lot of patients die before reaching ...

A literature review on pharmacologic therapy for abdominal aortic aneurysms

Abstract Introduction: Aortic aneurysms affect 3.3% of adults and there is a growing burden of small aneurysms detected, which may grow to need surgical repair. Still, we rely only on surgical therapy for this disease, left to monitor patients until they are candidates for treatment. Pharmacologic therapies have long been proposed and studied and still we have no evidence supporting drug therapy in small aneury...