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Chronic Limb-Threatening Ischemia Under the Age of 50 – a Single-Center 12-Year...

Gueifão, Inês; Quintas, Anita; Soares Ferreira, Rita; Pais, Fábio; Ribeiro, Tiago; Cardoso, Joana; Fidalgo, Helena; Ferreira, Maria Emilia

INTRODUCTION: Premature peripheral artery disease (PAD), defined as occurring before or at the age of 50, is a poorly studied subset of PAD due to its low incidence. It has been associated with a higher risk of progression to chronic limb-threatening ischemia (CLTI), major adverse limb events and mortality. Etiology is multifactorial, with genetics and environmental causes at play, with the most common risk fac...


Chronic limb-threatening ischemia under the age of 50 – a single-center 12-year...

Gueifão, Inês; Quintas, Anita; Soares Ferreira, Rita; Pais, Fábio; Ribeiro, Tiago; Cardoso, Joana; Fidalgo, Helena; Ferreira, Maria Emília

INTRODUCTION: Premature peripheral artery disease (PAD), defined as occurring before or at the age of 50, is a poorly studied subset of PAD due to its low incidence. It has been associated with a higher risk of progression to chronic limb-threatening ischemia (CLTI), major adverse limb events and mortality. Etiology is multifactorial, with genetics and environmental causes at play, with the most common risk fac...

Date: 2025   |   Origin: Angiologia e Cirurgia Vascular

Intravascular Lithotripsy For Severe Peripheral Artery Calcification – A 3-Year...

Gueifão, Inês; Correia, Ricardo; Quintas, Anita; Ribeiro, Tiago; Cardoso, Joana; Fidalgo, Helena; Figueiredo, Adriana; Ferreira, Maria Emília

Introduction: Severe arterial calcification is a challenging limitation in endovascular procedures leading to worse success rates and outcomes. Conventional balloon angioplasty may provide limited luminal gain, calling for adjunctive strategies of plaque modification, such as intravascular lithotripsy (IVL). The aim of this study is to describe our institutional experience with IVL in the treatment of periphera...


Targeted therapy with sirolimus in vascular malformations – a case report

Gueifão, Inês; Amaral, Carlos; Soares Ferreira, Rita; Quintas, Anita; Ferreira, Maria Emília

BACKGROUND: Vascular malformations are a heterogeneous group of vascular development disorders with historically few treatment options. Recent studies have shown the potential benefit of mTOR inhibitors—such as sirolimus—in their treatment, particularly in low-flow malformations. However, reports on their efficacy in highflow malformations are scarce and controversial. We report the case of a patient with a com...

Date: 2024   |   Origin: Angiologia e Cirurgia Vascular

Secondary aortoenteric fistula after endovascular aortic aneurysm repair – a na...

Gueifão, Inês; Quintas, Anita; Alves, Gonçalo; Ribeiro, Tiago; Pais, Fábio; Henrique, Alberto; Ferreira, Maria Emília

INTRODUCTION: Endovascular aortic repair (EVAR) has become the technique of choice in most vascular centres for abdominal aortic aneurysms (AAA). However, due to its low incidence, literature regarding secondary aortoenteric fistula (AEF) as an EVAR complication is still scarce. We aim to summarise the latest evidence on the topic through a narrative review. METHODS: We conducted a MEDLINE literature search and...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

Aortoesophageal fistula following TEVAR: Celerity of a multidisciplinary approa...

Henrique, Alberto; Quintas, Anita; Aragão Morais, José; Oliveira Martins, Francisco; Garcia, Rita; Bento, Rita; Pais, Fábio; Ferreira, Maria Emília

INTRODUCTION: Secondary Aortoesophageal fistula (AEF) is a rare but serious complication following thoracic endovascular aneurysm repair (TEVAR), which may lead to fatal outcomes. CASE REPORT: We present the case of a 62-year-old patient developing a secondary AEF one-month after TEVAR. The patient was managed in a staged approach: first, an oesophagus defunctionalisation by cervical oesophagus stapling, follow...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

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

Nogueira, Clara; Coelho, Andreia; Gouveia e Melo, Ryan; Bastos Gonçalves, Frederico; Mendes Pedro, Luís; Quintas, Anita; Vaz, Carolina; Brandão, Daniel

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 December 2022 ...

Date: 2023   |   Origin: Angiologia e Cirurgia Vascular

Venous thrombectomy after failure of catheter-directed thrombolysis for the tre...

Pais, Fábio; Quintas, Anita; Vieira, Isabel; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, Rita; Cardoso, Joana; Ribeiro, Tiago

INTRODUCTION: Phlegmasia cerulea (PC) is a severe form of deep vein thrombosis. In the setting of massive venous thrombosis and severe ischemia, catheter-directed thrombolysis (CDT) or trombectomy is mandatory. We report three cases of women with PC managed with venous thrombectomy after failure of CDT. CASE REPORTS: 1: 20 years-old, with recent intake of oral contraceptive, referred with acute onset of limb sw...

Date: 2022   |   Origin: Angiologia e Cirurgia Vascular

On-table Zenith® CE Fenestrated Stent Graft modification for the treatment of d...

Pais, Fábio; Quintas, Anita; Alves, Gonçalo; Catarino, Joana; Correia, Ricardo; Bento, Rita; Garcia, Rita; Ferreira, Rita; Ferreira, Maria Emília

Introduction: Delayed type Ia endoleaks are often associated with proximal extension of the aneurysmal degeneration to the juxtarenal aortic segment. Endovascular treatment of type Ia endoleaks secondary to aortic neck dilatation can raise many technical challenges related to the previous implanted stent graft. Methods: It is presented the endovascular treatment of a delayed type Ia endoleak using a physician-m...

Date: 2022   |   Origin: Angiologia e Cirurgia Vascular

PERICARDIUM BOVINE PATCH INFECTION AFTER AORTIC LIGATION — CLINICAL CASE

Catarino, Joana; Alves, Gonçalo; Gonçalves, Frederico; Quintas, Anita; Ferreira, Rita; Correia, Ricardo; Bento, Rita; Ferreira, Maria Emília

Introduction: Prosthetic graft infection is one of the most feared complications after aortic surgery (0,19% after conventional surgery and 0,16% after EVAR). Clinical case: Male patient, 53 years-old, with a prior history of hypertension, dyslipidemia, stroke, smoking habits, was submitted in 2015 to an aorto-bifemoral bypass for aortic occlusive disease. In October 2019 the angio CT showed signs of prosthetic...

Date: 2021   |   Origin: Angiologia e Cirurgia Vascular

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