Long term outcome of renal artery angioplasty with stenting for atherosclerotic stenosis: a systematic review
The objective of this systematic literature review is to discuss the long-term results (at least 24 months) of angioplasty with stenting of renal arteries for atherosclerotic disease, in terms of renal function and blood pressure levels for control of hypertension. A thorough search was conducted of LILACS, EMBASE, SCIELO, Cochrane Library, and MEDLINE using the appropriate terms. Just seven out of 2170 references identified met all inclusion criteria. It was concluded that over the long term renal function was stabilized, blood pressure levels were reduced, and the number of classes of antihypertensive medication decrease...
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
The importance of recognizing antiphospholipid syndrome in vascular medicine
Resumo A s índrome antifosfolipíde (SAF) é uma doença autoimune sistêmica caracterizada por trombose arterial ou venosa recorrente e/ou morbidade gestacional e pela presença dos anticorpos antifosfolipídeos, podendo apresentar outras manifestações vasculares, como microangiopatia, arteriopatia crônic a e SAF catastrófica. Determinados testes laboratoriais para a síndrome (por exemplo, o anticoagulante lúpico) podem sofrer interferência do uso de medicações anticoagulantes, dificultando o diagnóstico. A fisiopatologia da SAF é complexa, sendo enumerados no texto diversos mecanismos patogê nicos relacionad...
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Totally implantable venous catheters: history, implantation technique and complications
The objectives of this article are to review historical data on vascular access and discuss the implantation technique and the main complications associated with procedures for placement and use of totally implantable venous access devices. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Systemic fibrinolytic therapy in pulmonary thromboembolism
Resumo O tromboembolismo pulmonar permanece como um grande desafio terap êutico para os médicos especialistas, pois, apesar de todo investimento e desenvolvimento em seu diagnóstico, profilaxia e tratamento, essa condição continua sendo a principal causa de morte evitável em ambiente hospitalar. Ainda restam muitas dúvidas em relação a qual perfil de paciente va i se beneficiar de fato da terapia fibrinolítica sistêmica, sem ficar exposto a um grande risco de sangramento. A estratificação de risco e a avaliação do prognóstico do evento, através de escores clínicos de insuficiência ventricular direita, ma...
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Evaluation of diabetic patients’ knowledge about preventive care of the diabetic foot, in Maringá, PR, Brazil
Conclusions There is a lack of knowledge about preventative measures, even among patients who have a reasonable level of education, resulting in deficient self-care behavior. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Peripherally inserted central venous catheters: alternative or first choice vascular access?
Conclusions Ultrasound-guided and fluoroscopy-positioned PICC placement had a low incidence of complications, reduced infection rates, and proved safe and effective in cases of difficult vascular access. PICCs can be considered the devices of choice for central vascular access. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Technical evaluation of Exoseal-Cordis® vascular closure device
Conclusions In this study, hemostasis by manual compression exhibited equal efficacy to use of a VCD, but the duration of compression and delay before resumption of activity were shorter in the patients for whom the device was employed. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Vascular ultrasonographic measurement of diameters of great saphenous veins without reflux in women
Conclusions We observed that the diameters of great saphenous veins free from reflux were independent of CEAP clinical classes 0/1 or 2; age; and height. However, GSV diameters were significantly related to patients ’ BMI. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Assessing normality of data in clinical and experimental trials
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Venous thromboembolism prophylaxis in bariatric surgery
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 7, 2017 Category: Surgery Source Type: research
Morphometric analysis of rat femoral vessels under a video magnification system
Abstract The right femoral vessels of 80 rats were identified and dissected. External lengths and diameters of femoral arteries and femoral veins were measured using either a microscope or a video magnification system. Findings were correlated to animals ’ weights. Mean length was 14.33 mm for both femoral arteries and femoral veins, mean diameter of arteries was 0.65 mm and diameter of veins was 0.81 mm. In our sample, rats ’ body weights were only correlated with the diameter of their femoral veins.Resumo Os vasos femorais de 80 ratos foram identificados e dissecados. O comprimento e o di âmetro externo da artéri...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
Oral angioleiomyoma: case report and a review of current findings
This article presents a review of reports of oral angioleiomyoma in the literature from the last 5 years and describes the case of a 44-year-old man who presented with an asymptomatic nodule in the upper lip that had developed over a 6-month period. Diagnostic hypotheses of pleomorphic adenoma or canalicular adenoma were raised. Biopsy of the lesion, histopathological and immunohistochemical analysis (S100, CD34, H-caldesmon, and desmin) confirmed a diagnosis of angioleiomyoma. It is noteworthy that immunohistochemistry is an important auxiliary method for differential diagnosis of angioleiomyoma from other tumors, particu...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
Endovascular treatment of aortoiliac aneurysm: first report of a case using a Brazilian device with an iliac branch
Resumo O aneurisma aortoil íaco tem representado desafio terapêutico principalmente em relação ao tratamento endovascular, visto que a embolização das artérias ilíacas internas pode levar a graves complicações. Inúmeras técnicas cirúrgicas convencionais e endovasculares têm sido descritas para a preservação de ao menos um ramo ilíaco interno. Dentre as opções de tratamento totalmente endovascular, podemos citar as endopróteses ramificadas e a técnica de próteses paralelas. Os autores relatam o primeiro caso de tratamento endovascular com preservação de ramo ilíaco interno utilizando endoprótese ...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
Deep venous thrombosis and chikungunya virus
Resumo Algumas infec ções virais sistêmicas podem estar relacionadas ao desenvolvimento de trombose venosa profunda e/ou embolia pulmonar. Essa associação já está bem descrita em pacientes com infeções pelo vírus da imunodeficiência humana (HIV), hepatite C ou influenza. Recentemente introduzido no continente americano, o vírus chicungunha, agente etiológico da febre de chicungunha, ainda não tem essa relação bem sedimentada, mas com o aumento progressivo de sua incidência e pelo fato dessa infecção causar, muitas vezes, uma restrição severa da locomoção por poliartralgia e uma possível les ão end...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
Anomalies of radial and ulnar arteries
Abstract During dissection conducted in an anatomy department of the right upper limb of the cadaver of a 70-year-old male, both origin and course of the radial and ulnar arteries were found to be anomalous. After descending 5.5 cm from the lower border of the teres major, the brachial artery anomalously bifurcated into a radial artery medially and an ulnar artery laterally. In the arm, the ulnar artery lay lateral to the median nerve. It followed a normal course in the forearm. The radial artery was medial to the median nerve in the arm and then, at the level of the medial epicondyle, it crossed from the medial to the lat...
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
