20 documents found, page 1 of 2
Autopsy image following aortic arch parallel grafting of a ruptured aortic aneu...
Gouveia e Melo, Ryan; Fernandes e Fernandes, Ruy; Silvestre, Luís; Mendes Pedro, Luís; Fernandes e Fernandes, JoséAn 85-year-old man was admitted with a ruptured thoracic aortic aneurysm involving the mid/distal arch (bovine aortic arch) and proximal descending thoracic aorta. An emergent endovascular repair was performed with zone 0 TEVAR using a COOK® Zenith Thoracic Alpha endograft and endo-debranching of the innominate artery (IA) and left carotid artery (LCA) using parallel (chimney) grafts through right axillary and ...
A literature review on pharmacologic therapy for abdominal aortic aneurysms
Romão Rodrigues, Marta; Gouveia e Melo, Ryan; Silvestre, Luís; Fernandes e Fernandes, Ruy; Martins, Carlos; Mendes Pedro, LuísAortic 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 aneurysms. In this report we ...
The evolution of management of type B aortic dissection in a series of 100 cons...
Lopes, Alice; Pedro, Luís M; Melo, Ryan; Moutinho, Mariana; Sobrinho, Gonçalo; Amorim, Pedro; Silvestre, Luís; Fernandes E Fernandes, RuyIntroduction and objectives: Management of aortic dissection is rapidly evolving. The present study aims to assess paradigm shifts in type B aortic dissection (TBAD) treatment modalities and their outcomes according to clinical presentation and type of treatment. We also aim to assess the impact of endovascular technology in TBAD management in order to define organizational strategies to provide an integrated c...
POST-DISSECTION THORACO-ABDOMINAL ANEURYSMS: RESULTS OF OPEN AND ENDOVASCULAR R...
Gouveia e Melo, Ryan; Campos, Jorge; Garrido, Pedro; Lopes, Alice; Fernandes e Fernandes, Ruy; Silvestre, Luís; Sobrinho, Gonçalo; Ministro, AugustoIntroduction/Objectives: Repair of post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) is a complex challenge. Choosing the correct approach to manage these aneurysms is not straightforward as both open and endovascular strategies are valid. Our aim was to analyze and compare the results of PD-TAAA treated by endovascular or open surgery. Methods: A seven-year (January-2013 and May-2020) single-center ...
ENDOVASCULAR MANAGEMENT OF TRANSPLANT RENAL ARTERY STENOSIS: EARLY AND MID-TERM...
Pinto, Vanda; Lopez, Noélia; Cardoso, Ana; Henriques, Mickael; Silva, Emanuel; Silvestre, Luís; Baptista, Lucas; Guerra, José; Mendes Pedro, LuísOBJECTIVE: Renal graft dysfunction or worsened hypertension in renal transplanted patients may be a manifestation of graft hypoperfusion due to transplant renal artery stenosis (TRAS) or stenosis of iliac arteries proximal to renal transplant (pseudo-TRAS). Endovascular management of TRAS has been increasingly used to preserve renal graft function. With this study, we aim to evaluate the impact of endovascular ...
SINGLE CENTER REAL-WORLD ANALYSIS OF THE USE OF ILIAC BRANCHED DEVICES FOR AORT...
Romão Rodrigues, Marta; Melo, Ryan; Garrido, Pedro; Silvestre, Luís; Fernandes e Fernandes, Ruy; Martins, Carlos; Mendes Pedro, LuísIntroduction: Endovascular repair of aortic aneurysms is widely established. However, aorto-iliac aneurysms pose a challenge, specifically regarding distal sealing. A frequent approach is extending the iliac limb to the external iliac artery (EIA) with occlusion of the internal iliac artery (IIA), often with varying degree of pelvic ischemia causing significant morbidity. Iliac branched devices (IBD) allow for ...
LIVING DONOR RENAL TRANSPLANTATION — A COMPLEX VASCULAR CASE
Pinto, Vanda; Ministro, Augusto; Silvestre, Luís; Mendes Pedro, Luís; Lopez, Noélia; Guerra, José; Baptista, LucasIntroduction: The presence of multiple renal vessels is frequent in the general population and, when present in a donor, increases the complexity of renal transplantation surgery, increasing the risk of complications. Although transplantation of cadaver donor grafts with these characteristics is accepted, the same procedure in living donor remains controversial. The objective of this work is to present th...
ADAPTATIONS IN THE VASCULAR SURGERY DEPARTMENT OF THE CHULN DURING THE COVID-19...
Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, EmanuelWith the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...
Adaptations in the Vascular Surgery Department of the CHULN during the COVID-19...
Duarte, António; Melo, Ryan; Lopes, Alice; Rato, João; Rodrigues, Marta; Henriques, Mickael; Gomes, Miguel; Pinto, Vanda; Ribeiro, Karla; Silva, EmanuelWith the onset of the SARS-CoV-2 pandemic in early 2020, health services and personnel adapted their resources to mitigate and control the outbreak. These needs inevitably led to adaptations in most medical and surgical departments, including in our Vascular Surgery department. As we are facing a second outbreak of this pandemic, with unpredictable outcomes and repercussions in health services, it is crucial to...
Clinical outcomes of aortic arch hybrid repair in a real-world single-center ex...
Soares, Tony; Melo, Ryan; Amorim, Pedro; Ministro, Augusto; Sobrinho, Gonçalo; Silvestre, Luís; Fernandes E Fernandes, Ruy; Martins, CarlosObjective: Aortic arch aneurysmal disease remains a therapeutic challenge. For patients unsuitable for standard open surgery, hybrid repair with debranching of the supra-aortic arteries followed by thoracic endovascular grafting has been shown to be an effective solution. The aim of this study was to report the clinical outcomes of a single-institution experience using hybrid aortic arch repair. Methods: The ca...