Introduction: Commonly used chronic limb-threatening ischemia (CLTI) classifications lack granularity and detail to precisely stratify patients according to risk of limb loss, expected revascularization benefit and mortality. The aim of this study is to evaluate in a Portuguese population the prognostic value of an updated CLTI classification based on Wound, Ischemia, and foot Infection (WIfI) proposed by the S...
Introduction: Chronic Mesenteric Ischemia (CMI) resulting from an impaired blood flow of the splanchnic organs is characterized by an insidious clinical course and is often an underestimated and undertreated disease. The natural history is progressive, caused by atherosclerosis progression in a polymorbidity and aging society. Due to collateralization, diffuse stenotic lesions can remain asymptomatic for a long...
Introduction: Subclavian arterial puncture is a relatively frequent complication of attempted placement of central venous catheters (CVC). The placement of a CVC in the artery is rarer, but with potential serious complications especially in its withdrawal. Anticipating these complications, control of potential bleeding in catheter withdrawal is usually performed by surgical or endovascular approach with endopro...
Aortoenteric fistula (AEF) is a rare cause of gastrointestinal (GI) bleeding. There are two types of AEF: primary and secondary. Primary AEF usually occurs in association with abdominal aortic aneurysm (AAA). Secondary AEF are associated to aortic grafts, normally in relation to graft infection, and represent the most common type. A high level of suspicion is essential to a prompt diagnosis. If not promptly dia...
Introduction: Between 14–20% of patients with critical lower-limb ischemia (CLI) are not candidates for revascularization due to extensive occlusions in crural/pedal vessels. Frequently these patients are young and functionally active. In these cases, the concept of shunting blood through veins to get this reversed flow to reach the nutritive tissue capillary bed becomes attractive. Our aim is to report our ver...
The number of patients treated with abdominal aortic aneurysm (AAA) increased considerably in the last decades. Even though open surgery remains the gold standard for AAA treatment, endovascular techniques like Chimney grafts (CGs) showed to be reliable to treat patients with contraindications for conventional surgery and hostile neck aneurysms.CGs are off-the-shelf stents which are accessible and use...
Introduction: The criss cross technique combines antegrade and retrograde vascular access to the popliteal vein in order to achieve venous recanalization in patients with acute iliofemoral deep venous thrombosis (DVT) with concomitant popliteal and calf vein thrombosis. Case report: We report a 57-year-old female, with a background of radical hysterectomy and pelvic lymphadenectomy in 2013 due to uterine tumour...
Introduction: 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...
Homem de 65 anos observado em consulta externa de cirurgia vascular por apresentar edema assimétrico do membro inferior esquerdo após acidente de trabalho que lhe terá condicionado imobilização prolongada. Pela suspeita de trombose venosa profunda, o doente realizou ecodoppler venoso dos membros inferiores que con!rmou ao diagnóstico de trombose venosa profunda iliofemoral tendo concomitantemente sido identi!ca...