Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair
Abstract Despite technological advances, the long-term outcomes of endovascular aortic aneurysm repair (EVAR) are still debatable. Although most endograft failures after EVAR can be corrected with endovascular techniques, open conversion may still be required. A 70-year-old male patient presented at the emergency unit with abdominal pain. Twice, in the third and fourth years after the first repair, a stent graft had been placed over a non-adhesive portion of the stent graft due to type Ia endoleaks. In the most recent admission, a CT scan showed type III endoleak and ruptured aneurysm sac. On this occasion the patient und...
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Variations in the origin and course of the suprascapular artery: case report and literature review
Abstract The suprascapular artery is normally a branch of the thyrocervical trunk of the subclavian artery. During dissection of the left upper limb of a female cadaver, aged 70 years and fixed in 10% formalin solution, the suprascapular artery was observed aberrantly arising from the first part of the axillary artery. Later, it coursed obliquely behind the clavicle bone and brachial plexus to reach the suprascapular notch, where it was accompanied by the suprascapular nerve. Then, both suprascapular nerve and artery anomalously traversed beneath the transverse scapular ligament. It then irrigated the supraspinatus muscles...
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Adventitial cystic disease of the popliteal artery: case report
We report the case of a 51 year-old male patient presenting with lower-limb intermittent claudication in whom this pathology was diagnosed and who was treated with segmental arterial resection and autologous saphenous vein interposition. We also discuss diagnostic and therapeutic alternatives. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Persistent sciatic artery aneurysm: case report of endovascular treatment
This report describes the case of a female patient complaining of a pulsating mass in the left buttock. She was referred to a Vascular Service where an angiotomography showed complete bilateral persistence of the sciatic artery, with an aneurysm of the left sciatic artery. The aneurysm was treated with endovascular techniques, via a contralateral approach, with placement of two stent grafts and preservation of distal patency. Patency is particularly important in cases of this anatomical variation in which the persistent sciatic artery is complete. This patient recovered well. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Comparison of open and endovascular surgery for treatment of popliteal artery aneurysm: a review
The objective of this study is to conduct a literature review on comparisons between open surgery and endovascular treatment for popliteal artery aneurysms. Searches were run on the LILACS and MEDLINE databases using the appropriate search terms and 15 articles were selected. A total of 5,166 surgical procedures were compared, 3,930 open surgeries and 1,236 endovascular surgeries. Open surgery with venous bypass is still the gold standard. Endovascular surgery offers shorter length of hospital stay and is a viable option for elective patients, those with short life expectancy, high surgical risk, comorbidities, and more ad...
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Endovascular vs. open repair of popliteal artery aneurysm: review article
Resumo O tratamento convencional do aneurisma da art éria poplÃtea é a cirurgia aberta de exclusão do aneurisma e revascularização do membro acometido. Nos últimos anos, o tratamento endovascular vem ganhando popularidade e interesse. O tratamento endovascular é menos invasivo e de menor morbidade; porém, é de alto custo e sua perviedade é incerta. O objetivo desta revisão é comparar os dois tratamentos através da análise de desfechos abordados em estudos primários e secundários. Realizou-se uma revisão narrativa da literatura publicada nos últimos 5 anos. Foram selecionados seis estudos retrospectivos,...
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Deep venous thrombosis prevention in bariatric surgery: comparative study of different doses of low weight molecular heparin
Conclusions There were no statistical differences when higher doses of LWMH were used for prevention of DVT in bariatric surgery patients, in terms of DVT risk, anti-Xa factor levels, or preoperative and postoperative bleeding. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Development of a clinical model to predict the likelihood of identification of the Adamkiewicz artery by angiotomography
Conclusions Using the covariates ethnicity, body mass index, smoking, arterial hypertension, and dyslipidemia, it proved possible to create a mathematical model for predicting identification of the AKA with a combined significance of nine coefficients (p = 0.042). (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Data mining to evaluate mortality after amputation surgery
Conclusion Data mining enabled identification of associations between death and a variety of different variables and diagnostic hypotheses; for example, age> 70 years and diagnosis of embolism and thrombosis of arteries of the lower extremities. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Factors associated with outcome of endovascular treatment of iliac occlusive disease: a single-center experience
Conclusions TASC type C/D was associated with a higher number of reinterventions and with worse limb loss and primary patency rates. Male gender was associated with a worse survival rate after ET of IOD.Resumo Contexto O tratamento endovascular da doen ça oclusiva ilÃaca (DOI) é bem estabelecido. O uso de stents nas angioplastias ilÃacas (AI) alcançou estimativas de salvamento de membro e perviedade similares à s de cirurgias abertas, porém com menor morbimortalidade. Objetivos Demonstrar os desfechos clÃnicos a longo prazo, principalment e as estimativas de salvamento de membro (ESM) e perviedade, do tratament...
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Reflections on becoming a senior surgeon
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Isolated ruptured aneurysm of the superficial femoral artery: case report
Resumo Aneurismas verdadeiros isolados da art éria femoral superficial (AFS) são eventos raros. Manifestam-se principalmente em homens idosos e frequentemente estão associados a outros aneurismas. Possuem etiologia variada e costumam ser detectados quando apresentam complicações como trombose, embolização distal ou, mais raramente, ruptu ra. O presente caso refere-se a um paciente cujo aneurisma de AFS se apresentou roto contido e sem associações com outros aneurismas. Foram realizados eco-Doppler colorido arterial, que diagnosticou a ruptura, e angiotomografia, que evidenciou aneurisma sacular de AFS medindo 11,4...
Source: Jornal Vascular Brasileiro - February 15, 2018 Category: Surgery Source Type: research
Angiosarcoma mimicking a late endoleak following endovascular aneurysm repair: case report
We present the case of an EVAR patient in whom a tumor of the duodenum mimicked an endoleak during the postoperative period. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - February 15, 2018 Category: Surgery Source Type: research
Clinical discussion of the arteria lusoria: a case report
This article reports the variation and discusses its embryological, clinical and surgical aspects.Resumo Em alguns casos, a art éria subclávia direita pode se originar da porção esquerda do arco aórtico. Esse vaso aberrante é conhecido como artéria lusória. Para chegar em sua região, essa artéria passa posteriormente ao esôfago, e pode ser, portanto, causa de uma doença conhecida como disfagia lusória, desencade ando sintomas desconfortantes. A artéria lusória está frequentemente associada com outras anomalias, como o nervo larÃngeo não recorrente e o tronco bicarotÃdeo, assim como pode estar em associaÃ...
Source: Jornal Vascular Brasileiro - February 15, 2018 Category: Surgery Source Type: research
Treatment of recurrent varicosity of the great saphenous vein arch via proximal access
Resumo A maior causa de recidiva das varizes dos membros inferiores é a inadequada dissecção da crossa da safena interna, com a ligadura não rente da junção safenofemoral. O acesso direto ao tecido cicatricial de uma cirurgia prévia deve ser evitado ao máximo pelo elevado risco de sangramento e de lesões linfáticas. O acesso proximal ao tecido cicatricial, abordando inicialmente a veia femoral comum acima da junção safenofemoral, seguindo-a em direção caudal até a crossa da safena, mostrou-se uma técnica eficiente e relativamente simples quando comparada às abordagens medial, lateral e direta.Abstract The...
Source: Jornal Vascular Brasileiro - February 15, 2018 Category: Surgery Source Type: research
