Jornal Vascular Brasileiro最新文献

{"title":"Psychological stress affecting the size and resolution of an intermittent post-traumatic vascular lesion of the temporalis muscle.","authors":"Harshit Arora, Vasudha Sharma, Lavanya Arora, Waryaam Singh, Rajesh Pasricha","doi":"10.1590/1677-5449.202501052","DOIUrl":"https://doi.org/10.1590/1677-5449.202501052","url":null,"abstract":"<p><p>Vascular anomalies are disorders of arteries or veins which are further sub-classified as vascular malformations or vascular tumors. Vascular malformations are attributed to disorderly vascular morphogenesis, trauma, or hormonal imbalances. We present a rare case of a patient in their 30s who presented to the outpatient department with a localized post-traumatic soft tissue swelling in the temporalis region, which was soft and non-pulsatile with occurrences in periods of acute emotional stress, followed by spontaneous resolution when the same was negated by the patient. The diagnosis was established on the basis of magnetic resonance imaging and contrast enhanced computed tomography. We add to the existing limited literature on intramuscular vascular malformations of the temporalis muscle and highlight the effect of emotional stress and anxiety on vascular anomalies.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250105"},"PeriodicalIF":1.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascular access in Pará: clinical and epidemiological aspects of patients on renal replacement therapy at the largest specialist center in Pará state, Brazil.","authors":"José Maciel Caldas Dos Reis, Iara de Brito Silva, Maria Gabriela Perdigão Barros Monteiro, Maria Mirella Nunes Bessa Guerra, Daniele Lima da Costa, Fabiany de Fátima Pompeu Rodrigues, Mariseth Carvalho de Andrade","doi":"10.1590/1677-5449.202400522","DOIUrl":"https://doi.org/10.1590/1677-5449.202400522","url":null,"abstract":"<p><strong>Background: </strong>There are no official data on the prevalence of end-stage chronic kidney disease with dialysis for the Brazilian state of Pará.</p><p><strong>Objectives: </strong>To describe the clinical-epidemiological profile of hemodialysis patients at the largest specialist center in the state of Pará.</p><p><strong>Methods: </strong>This is an observational, cross-sectional, descriptive, quantitative study. Simple descriptive statistics were calculated. Data were collected from medical records from June to August 2022 at the Hemodialysis Center at the Hospital de Clínicas Gaspar Vianna (HCGV) and the Monteiro Leite Hemodialysis Clinic (CMHL), both in Belém, Pará, Brazil. A total of 191 patients from the chronic hemodialysis program were interviewed.</p><p><strong>Results: </strong>Of the total sample, 28.8% patients were from HCGV and 71.6% from CHML; 57.1% were men and 42.9% were women. Mean age was 54.1 years. Results showed that 65.4% of patients self-reported skin color as brown, 44.5% had completed primary education, 41.9% were single, 71.4% had hypertension, 40.6% had diabetes, and 77.5% had been on renal replacement therapy for a mean time of 4 years. Regarding treatment, 86.9% started treatment with a short-duration catheter, 8.4% were using a long-dwelling catheter, and 4.7% had a definitive dialysis access via a mature arteriovenous fistula (AVF). Currently, 58.1% of these patients have a native AVF, 34% have a long-dwelling catheter, and 3.1% have a short-duration catheter and no AVF.</p><p><strong>Conclusions: </strong>Patients on renal replacement therapy in Pará predominantly initiate hemodialysis in an unplanned manner, using temporary venous catheters, although they transition to definitive vascular access over time. This scenario highlights the need for early diagnosis of chronic kidney disease and timely vascular access planning, aiming to reduce complications and optimize clinical outcomes.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20240052"},"PeriodicalIF":1.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare arteriovenous communication between left testicular vein with left accessory renal artery and multiple renal vascular anomalies: understanding the genetic and embryological perspective.","authors":"Sarah S Sangma, Neerja Rani, Jessy Jp, Rajesh Kumar","doi":"10.1590/1677-5449.202501252","DOIUrl":"https://doi.org/10.1590/1677-5449.202501252","url":null,"abstract":"<p><p>Vascular malformations are abnormalities of the vascular tree, either congenital or acquired, which may involve arteries, veins, capillaries, or lymphatic vessels. Congenital malformations, such as patent ductus arteriosus, may persist into adulthood, resulting in abnormal vascular communications. Acquired vascular communications may occur following trauma, such as gunshot or stab injuries, or after surgical procedures. Arteriovenous malformations are congenital disorders affecting the circulatory system during early developmental stages. Renal vascular variations are also relatively common, usually silent (asymptomatic) and often diagnosed incidentally during surgical or radiological procedures. Renal artery variations occur in approximately 30% of the population. Renal vein variations are also frequent but are always overlooked than their arterial counterpart. In this case study, we report an abnormal communication along with multiple urogenital vascular anomalies and discuss their genetic and developmental perspectives. Recognition of such anomalies helps establish safety guidelines for the diagnosis and management of renal and gonadal disorders.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250125"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral carotid dissection due to Eagle syndrome: case report.","authors":"Anita Dos Santos Cardoso, Yago Marcelino Maciel, Ruymara Candal Nogueira, Rafaela Tezza Matiola, Thais Pereira da Rosa, Fernando Topanotti Tarabay, Gregory Vinícius Périco, Brunella Flores Pupo","doi":"10.1590/1677-5449.202500082","DOIUrl":"https://doi.org/10.1590/1677-5449.202500082","url":null,"abstract":"<p><p>Eagle Syndrome (ES), characterized by elongation of the styloid process (ESP), is a rare condition with diverse symptoms. Among its complications, carotid dissection is a significant outcome requiring accurate diagnosis and intervention. This study describes a case of bilateral carotid dissection associated with ES, emphasizing diagnostic challenges, management, and therapeutic approaches. Conducted under Research Ethics Committee protocol 68193123.5.0000.0119 and approval number 6.028.970, it reports on a 38-year-old woman with a 5-day history of left-sided headache, otalgia, syncope, right-hand limitation, and visual blurring. MRI revealed left carotid bulb occlusion and recent ischemic events, while angio-CT confirmed bilateral carotid dissections. After clinical management failed, an intraoral surgical approach was chosen, resulting in full neurological recovery. CT confirmed ESP, and genetic testing was negative. This case highlights the need to consider ES in atypical cervicofacial symptoms, given its underdiagnosed incidence (~4% for ESP; ~0.16% for ES), reinforcing the importance of better clinical guidelines.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250008"},"PeriodicalIF":1.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regenerative therapies for complex diabetic foot wounds: a therapeutic challenge.","authors":"Vinicius Tadeu Ramos da Silva Grillo, Eduardo Aparecido Romio, Caíque Damasceno Sousa, Gabriel Gomes Ranite, William Rodrigues da Silva, Pedro Luciano Melluci, Francisco José de Oliveira, Matheus Bertanha","doi":"10.1590/1677-5449.202500712","DOIUrl":"https://doi.org/10.1590/1677-5449.202500712","url":null,"abstract":"<p><p>Diabetic foot ulcers are a leading cause of morbidity, hospitalization, and nontraumatic lower-extremity amputation in patients with diabetes mellitus. Effective management of these wounds requires a multidisciplinary approach and combined therapies addressing infection control, perfusion optimization, and stimulation of tissue regeneration. This case report describes a patient with a severe infected neuroischemic foot ulcer treated with a sequential integrated strategy: infrapatellar endovascular revascularization, targeted antibiotic therapy, serial debridement, negative pressure wound therapy, application of an ovine-derived extracellular matrix, and autologous grafting of adipose tissue-derived mesenchymal stem cells. The treatment resulted in complete wound healing and limb preservation, with no recurrence after 7 months of follow-up. This case highlights the potential role of advanced regenerative therapies in the management of complex, refractory diabetic foot wounds, expanding therapeutic perspectives in the care of patients with diabetic foot.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250071"},"PeriodicalIF":1.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of complications in vascular surgery: development of a clinical predictive model.","authors":"Juliana Peres, Jeferson Freitas Toregeani, Ana Julia Vendrametto","doi":"10.1590/1677-5449.202501812","DOIUrl":"https://doi.org/10.1590/1677-5449.202501812","url":null,"abstract":"<p><strong>Background: </strong>Postoperative complications in vascular surgery are associated with high morbidity, mortality, and hospital costs, highlighting the need for reliable predictive tools for risk stratification.</p><p><strong>Objectives: </strong>To develop and validate a clinical model to estimate the risk of postoperative complications in vascular surgery.</p><p><strong>Methods: </strong>This retrospective study included 510 patients who underwent vascular surgeries between 2021 and 2024, divided into arterial, venous, and vascular access subgroups. Clinical and surgical variables were analyzed using multivariate logistic regression, and model performance was evaluated using the receiver operating characteristic curve.</p><p><strong>Results: </strong>The overall complication rate was 17.6%, being higher in arterial procedures (35.6%) than venous procedures (11.3%) or vascular access surgeries (6.9%). In the total sample, age (odds ratio [OR] 1.03; p = 0.006), chronic kidney disease (OR 9.94; p < 0.001), smoking (OR 3.29; p = 0.001), and procedure time (p = 0.038) were independent predictors, while chronic anticoagulant use had a protective effect (OR 0.39; p = 0.036). In the specific subgroup models, type 2 diabetes mellitus (OR 13.54; p < 0.001) and chronic kidney disease (OR 15.30; p = 0.007) were significant predictors in the venous access group, smoking was associated with risk in the vascular access group (OR 9.57; p = 0.081), and chronic kidney disease was significant in the arterial group (OR 6.50; p < 0.001). The model showed good discriminatory performance (overall area under the curve [AUC] = 0.806).</p><p><strong>Conclusions: </strong>The proposed model demonstrated good accuracy and clinical applicability, allowing individualized risk stratification across different vascular surgery contexts. External validation is needed to confirm its usefulness.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250181"},"PeriodicalIF":1.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral artery pseudoaneurysm as a late complication of flexible intramedullary nailing for a diaphyseal femur fracture in a child: a case report.","authors":"Gabriel Bezerra Pereira, Pedro Raphael Rocha de Sousa, Armando Nicodemos Lucena Felinto, Mariana Almeida Sales, Jurandir Vieira Marques, Paulo Giordano Baima Colares","doi":"10.1590/1677-5449.202501282","DOIUrl":"https://doi.org/10.1590/1677-5449.202501282","url":null,"abstract":"<p><p>Flexible intramedullary nails are a safe, effective, and low-morbidity option for the treatment of diaphyseal femur fractures in children. They generally provide acceptable results regarding bone consolidation and clinical stabilization. However, late vascular events may occur. In this report, we describe the case of a male patient who underwent osteosynthesis with flexible nails for a femur fracture at age 9 and 5 years later developed local pain and swelling, leading to detection of a left femoral artery pseudoaneurysm. Subsequently, surgical correction with revascularization using an ipsilateral great saphenous vein was performed, with no further complications and an adequate clinical outcome. This case emphasizes the importance of long-term surveillance in orthopedic follow-up, particularly in the context of vascular injuries after surgical interventions.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250128"},"PeriodicalIF":1.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review and meta-analysis comparing microwave ablation vs. radiofrequency ablation for treatment of great saphenous vein reflux.","authors":"Luis Eduardo Rodrigues Sobreira, Vitor Kendi Tsuchiya Sano, Enrico Prajiante Bertolino, Marilia Pereira Costa, Altino Ono Moraes","doi":"10.1590/1677-5449.202501832","DOIUrl":"https://doi.org/10.1590/1677-5449.202501832","url":null,"abstract":"<p><p>This study compares the outcomes of Endovenous Microwave Ablation (EMA) and Radiofrequency Ablation (RFA). A systematic search of the PubMed, Embase, Web of Sciences, and Scopus databases was conducted. Statistical analysis was performed with a random-effects model to compute mean differences (MD) and risk ratios (RR) with 95% confidence intervals. Three cohorts were included. Patients undergoing EMA showed a significant improvement in quality of life, with a reduction in Chronic Venous Insufficiency Questionnaire - 14 (CIVIQ-14) scores (MD -0.66; 95% CI -1.08 to -0.25; <i>P</i> < 0.01). Regarding length of stay, RFA patients may have experienced a slightly shorter recovery time than those in the EMA group (MD 0.12; 95% CI -0.01 to 0.30; <i>P</i> = 0.06). Lastly, phlebitis was slightly reduced in the EMA group, but this difference was also non-significant. Our findings revealed no significant differences between the two techniques.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250183"},"PeriodicalIF":1.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative embolization and lung-sparing robotic surgery in intrathoracic Castleman's disease: case report.","authors":"Felipe Furtado Leite, Ricardo Sales Dos Santos, Priscila Mina Falsarella, Kauê Polizel Souza, Breno Boueri Affonso, Leonardo Guedes Moreira Valle, Mario Cláudio Ghefter, Felipe Nasser","doi":"10.1590/1677-5449.202501672","DOIUrl":"10.1590/1677-5449.202501672","url":null,"abstract":"<p><p>Castleman's disease is a rare lymphoproliferative disorder that may present as unicentric or multicentric, with differing therapeutic implications. We report the case of a 23-year-old woman with unicentric Castleman's disease in the mediastinum. Following unsuccessful systemic therapy with corticosteroids and monoclonal antibodies, she underwent successful preoperative embolization using Embosphere® microspheres and subsequent robotic-assisted resection. This approach minimized blood loss (<100 mL) and facilitated safe dissection in a surgically challenging region. The patient had an uneventful postoperative course and was discharged on postoperative day seven. This case highlights the benefits of combining embolization with robotic surgery in managing hypervascular mediastinal lesions, offering a minimally invasive and safe alternative in selected patients.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250167"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute arterial occlusion following inadvertent infusion of ferric hydroxide sacarate (Noripurum®) into the radial artery: case report.","authors":"Daniel César Magalhães Fernandes, Daniel Rassi Gusmao, Felipe Mendonça Oliveira E Souza, Juliano Ricardo Santana Dos Santos, Beatriz Franco Fidalgo","doi":"10.1590/1677-5449.202500552","DOIUrl":"10.1590/1677-5449.202500552","url":null,"abstract":"<p><p>Iron overload, whether acute or chronic, has been implicated in the pathogenesis of ischemic cardiovascular diseases. However, its effects on peripheral vascular function and thrombotic responses to endothelial injury remain incompletely elucidated. We present a case of inadvertent intra-arterial infusion of ferric hydroxide saccharate (Noripurum®), resulting in severe acute arterial occlusion, most likely secondary to diffuse endothelial injury. Despite prompt surgical intervention and adjunctive pharmacological therapy, the clinical outcome was unfavorable. Given the lack of similar reports in major scientific databases and the involvement of complex, yet poorly characterized, interactions between iron overload and endothelial dysfunction, this case contributes valuable insights into the vascular implications of parenteral iron administration.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250055"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}