11 documents found, page 1 of 2
Ultra-distal revascularization in chronic limb threatening ischaemia: results a...
Cabral, Gonçalo; Soares, Tony; Silva Costa, Tiago; Tiago, José Manuel; Gimenez, José L.; Duarte, Armanda; Cunha e Sá, DiogoINTRODUCTION: The progression of diabetes mellitus to a global epidemic resulted in an increased prevalence of tibioperoneal disease in chronic limb threatening ischemia (CLTI). Distal disease still poses an enormous challenge to vascular surgeons. Crural angioplasty was formerly restricted to patients with short stenotic lesions or to high-risk patients for bypass surgery. Nevertheless, endovascular treatment ...
An Epithelioid Hemangioma Camouflaged As Radial Aneurysm
Ferreira, José; Tiago, José; Gerardo, Gonçalo; Soares, Tony; Cabral, Gonçalo; Costa, Tiago; Rossello, José; Cunha e Sá, Diogo; Gonçalo, GerardoEpithelioid hemangioma (EH) is an uncommon benign vascular lesion usually present as subcutaneous nodules in the head and neck area. Sometimes, these lesions can occur in the peripheral arteries, and when they do, they can be mistaken for aneurysmal dilatations of that respective vessel. We report a case of a 43-year-old male who underwent surgical recession of a radial aneurysm, which after anatomopathological...
A real-world analysis of anti-atherosclerotic medical treatment and risk factor...
Lopes, Alice; Gouveia e Melo, Ryan; Soares, Tony; Mendes Pedro, LuísIntroduction: The aim of this study was to assess the pattern of anti-atherosclerosis medicines in patients admitted to a vascular surgery department, the effective control of the target values and its subsequent modification by the vascular surgery team.Material and Methods: A retrospective single-center cohort study of prospectively collected data was performed between May 2017 and May 2018 in a tertiary cent...
EVAS DEVICE EXPLANTATION IN A SECONDARY RUPTURE OF AN ABDOMINAL AORTIC ANEURYSM
Lopes, Alice; Soares, Tony; Amorim, Pedro; Sobrinho, Gonçalo; Pedro, Luís Mendes Endovascular aneurysm sealing (EVAS) was a relatively new concept that aimed to reduce the incidence of complications after endovascular aneurysm exclusion. However, EVAS device was recently recalled from market due to high risk of graft failure beyond two years after implantation(1,2). The aim of this paper is to report a case of a post-EVAS ruptured abdominal aortic aneurysm. A 72 year-old-man underwent...
Clinical aspects and present challenges of the seat belt aorta
Melo, Ryan; Amorim, Pedro; Soares, Tony; Fernandes E Fernandes, Ruy; Ministro, Augusto; Garrido, Pedro; Fernandes e Fernandes, José; Pedro, Luís MObjective: Seat belt aorta is rare and difficult to manage. The lack of data and follow-up increases the complexity of treating such patients. We aimed to create a decision algorithm by reviewing our current experience and analyzing the presentation and management of our patients. Methods: We performed a descriptive case series based on retrospective analysis of all consecutive patients admitted with the diagno...
A single-center experience in the eversion femoral endarterectomy
Soares, Tony; Amorim, Pedro; Manuel, Viviana; Lopes, Alice; Fernandes E Fernandes, Ruy; Martins, Carlos; Pedro, Luís MObjectives: Endarterectomy is the treatment of choice for arterial occlusive disease of the femoral bifurcation. Longitudinal arteriotomy and prosthetic patch angioplasty is the standard technique but, due to the increasing concerns with prosthetic-related infections and multidrug-resistant pathogens our group adopted an alternative approach. We present our experience with eversion femoral endarterectomy. Metho...
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...
A HYBRID SOLUTION TO MANAGE A THORACOABDOMINAL AORTIC ANEURYSM: THE “SIMPLIFIED...
Soares, Tony; Amorim, Pedro; Martins, Carlos; Manuel, Vivivana; Silva, Emanuel; Moutinho, Mariana; Rato, João; Silvestre, Luís; Mendes Pedro, LuísIntroduction: Thoracoabdominal aortic aneurysms (TAAA) remain a therapeutic challenge for vascular surgeons. We report a Crawford extent type III TAAA managed with the “simplified technique”1 to approach TAAA associated to endograft implantation in the proximal aortic anastomosis to minimize the risk of blowout of the aortic stump. Case Report: A 43-year-old female patient was evacuated from Mozambique with a h...
Hybrid surgery in lower limb revascularization : a real-world experience from a...
Soares, Tony; Manuel, Viviana; Amorim, Pedro; Martins, Carlos; Melo, Ryan; Ministro, Augusto; Sobrinho, Gonçalo; Silvestre, LuísBackground Through the association of endovascular and open procedures, hybrid surgery for lower limb revascularization allows the treatment of multilevel occlusive disease with a lower risk when compared to extensive open interventions. The aim of this study is to evaluate the immediate and midterm clinical outcomes of hybrid techniques for lower limb revascularization in a cohort of patients with multilevel a...
ENTRAPMENT SYNDROME IN A NON-ATHLETIC PATIENT
Soares, Tony; Tiago, José; Manuel, Viviana; Martins, Carlos; Amorim, Pedro; Pedro, Luís MendesThe popliteal artery entrapment syndrome (PAES) is a major cause of claudication and acute ischemia of lower limb in young athletes without risk factors for atherosclerosis. We present a 39 years-old female patient with no relevant past history and no sport activity, admitted to our emergency department with acute disabling claudication in the right lower limb caused by retrogeniculate popliteal artery occlusio...