9 documents found, page 1 of 1
Nellix stent graft explant: a great challenge for late open conversion of faile...
Sousa, Pedro Pinto; Antunes, Inês; Braga, Sandrina; Simões, João Correia; Carrilho, Celso; Mesquita, AmílcarINTRODUCTION: The concept of the Nellix endoprosthesis is based on endovascular aneurysm sealing with endobags and was launched in the market for endovascular abdominal aortic aneurysm repair (EVAR). The manufacturer recently issued a hazard alert due to higher rates of endoleaks, migration and aneurysm enlargement. CASE REPORT: The authors present a clinical case of a seventy year-old man previously submitted ...
ANALYTICAL MARKERS THAT INFLUENCE THE RESULTS OF REVASCULARIZATION SURGERY IN P...
Sousa, Pedro PintoIntroduction: Patients with peripheral arterial occlusive disease and critical limb ischemia require limb revascularization to avoid limb loss. Nevertheless, they frequently present analytical disorders that interfere with outcomes. Methods: A retrospective study was conducted evolving every consecutive patient admitted and elective submitted to limb revascularization at a single institution between 2012 and 20...
DEEP FEMORAL ARTERY PSEUDOANEURYSM AFTER ORTHOPEDIC PROCEDURE
Sousa, Pedro Pinto; Nogueira, Clara; Brandão, Pedro; Canedo, AlexandraIntroduction: Most of the deep femoral artery (DFA) pseudoaneurysm (PSA) present asymptomatically or as a pulsatile mass. Clinical signs are variable and, normally, result from compression from adjacent structures but when ruptured it may present as haemorrhagic chock Symptomatic PSA should be treated. However, the decision to treat asymptomatic PSA is controversial. The majority of small PSA (less than 20...
OPEN HEART SURGERY OR CAROTID ENDARTERECTOMY. WHICH PROCEDURE SHOULD BE DONE FI...
Sousa, Pedro Pinto; Teixeira, Gabriela; Sá Pinto, Pedro; Vouga, Luis; Almeida, RuiIntroduction: Ischemic stroke is a predictable complication of cardiac surgery specially in patients with previous diagnosed carotid stenosis. On the other side, patients undergoing carotid endarterectomy with concomitant significant valvular or coronary artery disease, may face worst peri-operative outcomes. Objective: Analyzing outcomes from a pool of patients with both comorbidities wondering which pro...
VASCULAR SURGERY PRACTICE DURING THE COVID-19 LOCKDOWN — HOSPITAL DA SENHORA DA...
Ferreira, Joana; Sousa, Pedro Pinto; Braga, Sandrina; Simões, João Correia; Carrilho, Celso; Mesquita, AmílcarIntroduction: Ever since the first positive case was identified on March 2nd in Lousada, a region close to the border of our catchment area, we reacted immediately by systematically repurposing our surgical wards. Objective: Describe the changed made by our Vascular Surgery Department from March 13 to May 14. Methods: We collected clinical, operative, and consultation volume data from March 13 to Ma...
SYMPTOMATIC MODERATE CAROTID STENOSIS (50–69%) — RETROSPECTIVE ANALYSIS
Sousa, Pedro Pinto; Lopes, Gabriela; Teixeira, Gabriela; Almeida, Rui; Sá Pinto, PedroIntroduction: The European Society for Vascular Surgery (ESVS), following the most validated data published by North American Symptomatic Carotid Endarterectomy Trial (NASCET), European Carotid Surgery Trial (ECST) and Symptomatic Veterans Affairs Co-operative Study Trial (SVACS), determina, regarding symptomatic carotid endarterectomy, designated carotid endarterectomy (CEA) to be considered for patients repor...
Hemodialysis Acess - A Creative Attitude is Necessary
Sousa, Pedro Pinto; Almeida, Paulo; Almeida, Rui; Sá Pinto, PedroCreating and maintaining a functional vascular access (VA) is a critical factor in the survival of a dialysis patient. It implies a creative attitude either to maintain its functionality or to build a new one wherever possible, being it autologous or synthetic. We describe the VA history of a 59 years-old male patient, with extreme obesity, which started in 2012 with failed attempts of VA construction in both f...
ENDOVASCULAR REPAIR OF AN AXILLARY PSEUDOANEURYSM DUE TO PENETRATING TRAUMA
Sousa, Pedro Pinto; Brandão, Pedro; Canedo, AlexandraAxillary and subclavian artery injuries due to penetrating trauma, excluding those occurring in war theatre, are relatively rare and few cases are described in the literature. However, if not diagnosed in a timely manner, these lesions may be associated with high morbidity and mortality. The difficulty and complications often associated with the open surgery approach have made endovascular treatment a more attr...
POPLITEAL VEIN ANEURYSMS
Sousa, Pedro Pinto; Brandão, Pedro; Canedo, AlexandraPopliteal vein aneurysm is a rare but potentially fatal entity due to possible thromboembolic complications. The purpose of this paper is to describe two institutional cases and to review the literature. In one case the diagnosis was made after the occurrence of symptomatic pulmonary embolism and in another, incidentally. In both cases the treatment was by conventional surgery without perioperative complication...