36 documents found, page 1 of 4
The challenging management of acute mesenteric ischemia - too frail or too late?
Pinelo, Andreia; Loureiro, Luís; Mendes, Daniel; Rocha, Henrique; Almeida, Henrique; Queirós, Miguel; Cabral, João; Machado, RuiINTRODUCTION: acute mesenteric ischemia (AMI) presents a life-threatening emergency, requiring a high degree of suspicion for timely diagnosis. Despite advancements in the management of these patients, in-hospital mortality rates remain high. This study aims to assess the outcomes and prognostic factors in patients with AMI. METHODS: A retrospective single-center analysis of all patients undergoing emergent sur...
Mid and long-term results of the Supera® stent in femoropopliteal obstructive d...
Pinelo, Andreia; Loureiro, Luís; Veterano, Carlos; Rocha, Henrique; Castro, João; Machado, RuiINTRODUCTION The femoropopliteal biomechanical characteristics make the endovascular treatment of complex lesions particularly challenging. Despite several studies reporting longer patency of femoropopliteal stenting when compared to balloon angioplasty, long-term outcomes are still marginal due to the high rate of restenosis, stent fracture, and thrombosis. This study aims to review the current literature on t...
ChEVAR technique for emergent aneurysm repair - a retrospective case series
Veterano, Carlos; Sá Pinto, Pedro; Pereira, Carlos; Martins, Joana; A. Mendes, Daniel; Rocha, Henrique; Pinelo, Andreia; Machado, RuiINTRODUCTION: Chimney EVAR (ChEVAR) for the treatment of complex abdominal aortic aneurysm (AAA) has been largely relegated for when fenestrated endografts are unavailable, especially due to durability concerns. However, the off-the-shelf nature of ChEVAR makes it a good option for emergent AAA repair. We report our institutional experience in ChEVAR in an urgent setting.METHODS: ChEVAR procedures were collecte...
Endovascular approach as first-line therapy for congenital arteriovenous malfor...
Pinelo, Andreia; Loureiro, Luís; Almeida, Paulo; Mendes, Daniel; Veterano, Carlos; Castro, João; Rocha, Henrique; Almeida, RuiINTRODUCTION: Congenital vascular malformations are entities with a broad spectrum of presentations and variable prognosis. They typically present at a young age and are historically associated with extensive resection surgeries and with high morbidity. This study aims to evaluate the results of arteriovenous malformations (AVMs) embolization as a first-line approach in lesions which are not suitable for surgic...
Venous bypass for iliofemoral venous occlusion: a possible answer for patients ...
Azevedo Mendes, Daniel; Machado, Rui; Veiga, Carlos; Rocha, Henrique; Almeida, RuiINTRODUCTION: Percutaneous endovenous treatment is the first-line therapy for chronic nonmalignant iliocaval venous obstruction (ICVO) due to low morbidity and suitable medium and long-term results. Open surgical procedures are only used as a last resort therapy. However, there is a lack of updated data regarding surgical techniques and outcomes. We present two cases of surgical venous reconstructions to treat ...
Outcomes of kidney autotransplantation technique in the treatment of different ...
A. Mendes, Daniel; Machado, Rui; Veterano, Carlos; Rocha, Henrique; Castro, João; Pinelo, Andreia; Almeida, Henrique; Almeida, RuiINTRODUCTION: Kidney autotransplantation (KAT) is a versatile surgical technique used to treat multiple diseases affecting the kidney. This procedure allows the reconstruction of the renal artery or vein with optimal surgical exposure reducing warm ischemia time compared to open direct repair. Although infrequently reported nowadays and despite the growing use of endovascular treatments, KAT still has a place i...
The Vascular Patient - Chronic Mesenteric Ischemia, AAA and Iliac Occlusion
Veterano, Carlos; Rocha, Henrique; Veiga, Carlos; Almeida, Rui; Sá Pinto, PedroPeripheral arterial disease (PAD), abdominal aortic aneurysm (AAA) and chronic mesenteric ischaemia (CMI) are vascular diseases uncommonly observed in the same patient, especially when treatment is required. This case report illustrates a patient requiring mesenteric revascularization due to CMI. A long flush occlusion of the superior mesenteric artery (SMA) precluded endovascular revascularization. Therefore, ...
BILATERAL KIDNEY AUTOTRANSPLANTATION AS A SOLUTION FOR MULTIPLE ANEURYSMS OF TH...
Mendes, Daniel Azevedo; Machado, Rui; Veiga, Carlos; Veterano, Carlos; Rocha, Henrique; Castro, João; Pinelo, Andreia; Almeida, Henrique; Alemida, RuiIntroduction: Renal artery aneurysms are rare clinical entities whose treatment criteria are not fully established. Endovascular treatment has gained acceptance in the case of renal artery trunk aneurysms. However, in the case of aneurysms of the renal artery branches, such procedures are often impossible due to high morbidity, so the question remains about the best treatment modality. We present a clinical cas...
Transposição de veia ovárica como um tratamento cirúrgico menos invasivo para a...
Antunes, Inês; Pereira, Carlos; Veterano, Carlos; Veiga, Carlos; Mendes, Daniel; Rocha, Henrique; Castro, João; Pinelo, Andreia; Almeida, RuiINTRODUÇÃO: O fenómeno de nutcracker refere-se à compressão da veia renal esquerda (VRE), habitualmente entre a aorta e a artéria mesentérica superior. Quando sintomático, designa-se síndrome de nutcracker. Os sintomas/sinais estão relacionados com o desenvolvimento de hipertensão venosa renal e o diagnostico depende da conjugação da clínica e alterações laboratoriais na presença de critérios ...
Considerations on the treatment for aortoiliac aneurysmal disease with concomit...
Veterano, Carlos; Antunes, Inês; Veiga, Carlos; Mendes, Daniel; Rocha, Henrique; Castro, João; Pinelo, Andreia; Sá Pinto, Pedro; Almeida, RuiINTRODUCTION: Ectopic kidneys with concomitant aortoiliac aneurysmal disease have been previously reported in the literature, however its exact prevalence is unknown. The objective of this review is to summarize current knowledge on the treatment this special group of patients. METHODS: A non-systematic literature research was performed on the treatment of aortoiliac aneurysmal disease in patients with ectopic ...