14 documents found, page 1 of 2
Prosthetic Graft Infection in Femoropopliteal Bypass
Catarina-Ferreira, Maria; Thierstein, Lourenço; Pereira-Neves, António; Rocha-Neves, João; Araújo-Andrade, LeonardoIntroduction: Peripheral artery disease, a manifestation of systemic atherosclerosis, often necessitates surgical revascularization in advanced stages, with femoropopliteal bypass serving as a primary intervention to restore adequate lower limb perfusion. When autologous vein grafts are not available, prosthetic conduits are commonly used. However, these heterologous materials carry an increased risk of infecti...
Outcomes of varicose vein surgery in patients with HIV/AIDS – a nested case-con...
Pereira-Neves, António; Domingues-Monteiro, Diogo; Nóbrega, Leandro; Duarte-Gamas, Luís; Cerqueira, Alfredo; Rocha-Neves, João; Oliveira-Pinto, JoséINTRODUCTION: Currently, people living with HIV/ AIDS (PLWHA) attain a life expectancy similar to a non-HIV population. However, these patients experience a status of chronic inflammation, which is a known cause of arteriopathy. Yet, literature is scarce regarding the potential venous inflammatory effect, especially after varicose vein surgery. The aim of this study was to perform a descriptive analysis alongsi...
Human immunodeficiency virus and carotid artery disease – single center experie...
Pereira-Neves, António; Pereira-Macedo, Juliana; Soares, Tiago; Duarte-Gamas, Luís; Jácome, Filipa; Nóbrega, Leandro; Dias-Neto, MarinaINTRODUCTION: People infected with the human immunodeficiency virus (HIV) - People living with HIV/AIDS (PLWHA) - seem to have an increased risk of incidence and prevalence of cardiovascular diseases, namely stroke of ischemic nature. Additional etiological mechanisms, in addition to aging, appear to lie in chronic virus-mediated inflammation as well as in antiretroviral therapy (ART). The aim of this study was...
The Effect of Contralateral Carotid Occlusion in Patients Undergoing Carotid Ar...
Duarte-Gamas, Luis; Pereira-Neves, António; Jácome, Filipa; Domingues-Monteiro, Diogo; Rocha-Neves, João P.INTRODUCTION: Contralateral carotid occlusion (CCO) is considered a high-risk condition for patients undergoing carotid artery endarterectomy (CEA). Patients with a CCO may be intolerant to carotid cross-clamping during CEA, thus prone to postoperative adverse neurological outcomes. Patients with CCO may also have a higher burden of atherosclerotic disease, leading to a higher rate of cardiovascular events. MET...
Mean platelet volume predicts restenosis after carotid endarterectomy
Pereira-Neves, António; Saramago, Sean; Duarte-Gamas, Luís; Domingues-Monteiro, Diogo; Fragão-Marques, Mariana; Marques-Vieira, Mário; Andrade, José P.Background: Carotid restenosis following carotid endarterectomy (CEA) has a cumulative risk at 5-years up to 32%, which may impact the well-being of patients following CEA. Haematological parameters in the standard complete blood cell count (CBC) are emerging as potential biomarkers, but their application in CEA is scarce. The primary aim of this study was to investigate haematological markers for restenosis fo...
The Gupta perioperative risk for myocardial infarct or cardiac arrest (MICA) ca...
Pereira-Macedo, Juliana; Fernandes, Beatriz; Duarte-Gamas, Luís; Pereira-Neves, António; Mourão, Joana; Khairy, Ahmed; Andrade, José PauloBackground: Patients undergoing carotid endarterectomy (CEA) may experiment intraoperative neurologic deficits (IND) during carotid cross-clamping. This work aimed to assess the impact of the Gupta Perioperative Myocardial Infarct or Cardiac Arrest (MICA) risk calculator in the IND. Methods: From January 2012 to April 2021, patients undergoing CEA with regional anaesthesia for carotid stenosis with IND and cons...
Contralateral carotid stenosis is a predictor of long-term adverse events in ca...
Moreira, Rita; Duarte-Gamas, Luís; Pereira-Macedo, Juliana; Pereira-Neves, António; Domingues-Monteiro, Diogo; Jácome, Filipa; Andrade, José P.Contralateral carotid stenosis (cICS) has been described as a perioperative predictor of mortality after carotid endarterectomy (CEA). However, its predictive value on long-term cardiovascular events remains controversial. The study aims to assess the potential role of cICS as a long-term predictor of major adverse cardiovascular events (MACE) in patients who underwent CEA. From January 2012 to July 2020, patie...
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERAT...
Nóbrega, Leandro; Pereira-Macedo, Juliana; Machado, Neuza; Pereira-Neves, António; Ferreira, Vitor; Oliveira-Pinto, José; Dias-Neto, MarinaINTRODUCTION: After noncardiac surgery, cardiac complications are common. Recently there is one that has gained notoriety as risk factor for cardiovascular morbidity and mortality, myocardial injury after noncardiac surgery (MINS). It has an estimated incidence of 8% and is associated with an increased risk of major adverse cardiovascular events (MACE). Thus, the aim of this paper is to review the available lit...
THE IMPACT OF NEUTROPHIL-TOLYMPHOCYTE RATIO AND PLATELETTO- LYMPHOCYTE RATIO IN...
Pereira-Neves, António; Fragão-Marques, Mariana; Rocha-Neves, João; Gamas, Luís; Oliveira-Pinto, José; Cerqueira, Alfredo; Andrade, JoséIntroduction: Inflammation is a common underlying feature of atherosclerosis. Several inflammatory biomarkers have been reported to have prognostic value, in several areas, including in vascular surgery. The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) may permit to identify patients at greater risk for cerebrovascular events, tailor patient management, improve preoperative status...
COMPLEX AORTOILIAC, PELVIC AND VISCERAL REVASCULARIZATION
Pereira-Neves, António; Rocha-Neves, João; Duarte-Gamas, Luís; Cerqueira, Alfredo; Gouveia, RicardoAortoiliac occlusive disease (AIOD) remains an area of debate concerning open and endovascular treatment options. A case of a 63-year old female is reported, with previous known vascular intermittent claudication, that presented in the emergency room with acute ischemia of the right lower limb with 24-hours of evolution. The computer tomographic angiography unveiled occlusion of the superior mesenteric artery, ...