Jornal Vascular BrasileiroPub Date : 2024-10-09eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202400032
Adenauer Marinho de Oliveira Góes, Simone de Campos Vieira Abib, Gustavo Henrique Dumont Kleinsorge, Daniella Adrea Araujo Rossi Vieira, Luis Carlos Uta Nakano
{"title":"Treatment of penetrating injuries of the retrohepatic vena cava: systematic review protocol.","authors":"Adenauer Marinho de Oliveira Góes, Simone de Campos Vieira Abib, Gustavo Henrique Dumont Kleinsorge, Daniella Adrea Araujo Rossi Vieira, Luis Carlos Uta Nakano","doi":"10.1590/1677-5449.202400032","DOIUrl":"https://doi.org/10.1590/1677-5449.202400032","url":null,"abstract":"<p><p>Injuries to the retrohepatic segment of the inferior vena cava require complex procedures, as exposure without prior vascular control can lead to uncontrollable and fatal bleeding. To achieve such control, the classic techniques of hepatic vascular exclusion and the implantation of an atriocaval shunt have been described, and more recently, endovascular strategies have been reported. However, there is no consensus in the literature regarding which of these strategies is associated with lower mortality. In order to determine which therapeutic strategy presents the lowest mortality and complication rates in the treatment of penetrating injuries to the retrohepatic segment of the inferior vena cava, a systematic review of the literature will be conducted, registered on the PROSPERO platform under the number CRD42023464133. The Cochrane Handbook for Systematic Reviews of Interventions will guide the process. Searches will be carried out in the MEDLINE/PubMed, LILACS, Embase, Scopus, and Web of Science databases. ClinicalTrials.gov and the International Clinical Trials Registry Platform (ICTRP) will be consulted to detect ongoing or unpublished trials. Studies will be selected based on a predefined search strategy, the number of results will be filtered using the Rayyan app, and the studies included will be independently reviewed by two authors to reach a final consensus. The qualitative analysis of the studies will be conducted using the RoB 1.0 tool.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240003"},"PeriodicalIF":0.8,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465996","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}
Jornal Vascular BrasileiroPub Date : 2024-10-07eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202301212
Cláudia Carvalho Sathler-Melo, Daniel Mendes-Pinto, Guilherme de Castro-Santos
{"title":"Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report.","authors":"Cláudia Carvalho Sathler-Melo, Daniel Mendes-Pinto, Guilherme de Castro-Santos","doi":"10.1590/1677-5449.202301212","DOIUrl":"https://doi.org/10.1590/1677-5449.202301212","url":null,"abstract":"<p><p>Fordyce's Angiokeratoma (AKF) is a benign type of vascular lesion that affects the male and female external genitalia. Prevalence is unknown and there is no apparent hereditary component. Diagnosis can be suggested by ectoscopy, by the presence of purple, bluish, black or red papules on the vulva, clitoris, scrotum, or penis body or glans. Most patients are asymptomatic. Various methods have been used for treatment, including surgery, electrocoagulation, chemical cauterization, sclerotherapy, and LASER. The effectiveness and complications of these therapies are varied. The purpose of this article is to report the case of a 56-year-old woman with abundant and painful vulvar lesions treated with a 1064 nm Nd:YAG LASER. The 1064 nm Nd:YAG LASER proved to be a viable therapeutic option, with satisfactory results and a low rate of complications.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230121"},"PeriodicalIF":0.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465994","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}
Jornal Vascular BrasileiroPub Date : 2024-10-07eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202201572
Felipe Puricelli Faccini, Marcelo Halfen Grill
{"title":"Ultrasound-guided mini-incision technique for CHIVA.","authors":"Felipe Puricelli Faccini, Marcelo Halfen Grill","doi":"10.1590/1677-5449.202201572","DOIUrl":"https://doi.org/10.1590/1677-5449.202201572","url":null,"abstract":"<p><p>CHIVA (<i>Cure Conservatrice et Hemodynamique de l'Insuffisance Veineuse en Ambulatoire</i>) is a surgical technique for varicose veins that avoids destroying the saphenous vein and collaterals. In some patients, the flush ligation of saphenous collaterals performed in the CHIVA technique may require more dissection than is desirable. This is especially valid for obese patients and thigh ligations. We report an innovative technique that uses duplex-guided puncture to bring the collateral closer to the skin and reduce the need for dissection and incision. The technique does not change any of the CHIVA principles. While the long-term results are not yet known, we expect them to be similar to normal CHIVA procedures.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20220157"},"PeriodicalIF":0.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465997","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}
Jornal Vascular BrasileiroPub Date : 2024-10-04eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202000282
Fábio Augusto Cypreste Oliveira, Bruno Campos Coelho, Marina Balestra, Juliana Caetano Barreto Cypreste Oliveira, Maria Cunha Ribeiro Amorelli, Davi Douglas Heckmann, Carlos Eduardo de Sousa Amorelli, Fábio Lemos Campedelli
{"title":"Urgent endovascular treatment of juxtarenal aneurysm using a parallel grafts technique.","authors":"Fábio Augusto Cypreste Oliveira, Bruno Campos Coelho, Marina Balestra, Juliana Caetano Barreto Cypreste Oliveira, Maria Cunha Ribeiro Amorelli, Davi Douglas Heckmann, Carlos Eduardo de Sousa Amorelli, Fábio Lemos Campedelli","doi":"10.1590/1677-5449.202000282","DOIUrl":"10.1590/1677-5449.202000282","url":null,"abstract":"<p><p>Abdominal aortic aneurysms can constitute a therapeutic challenge in several anatomical scenarios, making endovascular treatment more complex. A juxtarenal abdominal aortic aneurysm (JR-AAA) is defined by the absence of a proximal landing zone in the infrarenal segment and, therefore, techniques must be used to obtain an adequate neck for fixing the endoprostheses without provoking occlusion of renal arteries and visceral branches. The parallel grafts technique, physician-modified stent-graft, industry customized endoprostheses, and off-the-shelf branched endoprosthesis are techniques used in abdominal aneurysms with inadequate proximal neck, but each technique has its indications, limitations, and risks. In this therapeutic challenge, we present a case of urgent endovascular treatment of a JR-AAA using a parallel grafts technique, with good medium-term results, and discuss the therapeutic options.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20200028"},"PeriodicalIF":0.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465998","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}
Jornal Vascular BrasileiroPub Date : 2024-09-27eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202400072
Jorge Luis Carrera Martínez
{"title":"Regarding the article \"Entrustable Professional Activities (EPAs) for the residency program in vascular surgery\".","authors":"Jorge Luis Carrera Martínez","doi":"10.1590/1677-5449.202400072","DOIUrl":"10.1590/1677-5449.202400072","url":null,"abstract":"","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240007"},"PeriodicalIF":0.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667584","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}
Jornal Vascular BrasileiroPub Date : 2024-09-27eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202400142
Marcelo de Paula Loureiro, Pietro Maran Novais, Ruimário Machado Coelho, João Augusto Nocera Paulin
{"title":"Sexual effects and long-term outcomes of endoscopic lumbar sympathectomy for plantar hyperhidrosis in men: a cross-sectional study.","authors":"Marcelo de Paula Loureiro, Pietro Maran Novais, Ruimário Machado Coelho, João Augusto Nocera Paulin","doi":"10.1590/1677-5449.202400142","DOIUrl":"https://doi.org/10.1590/1677-5449.202400142","url":null,"abstract":"<p><strong>Background: </strong>Plantar hyperhidrosis (PHH) is a disease with high psychosocial impact, and endoscopic lumbar sympathectomy (ELS) has been shown to be the best choice for treatment, but with some concerns such as compensatory sweating (CS) and sexual effects (SE), particularly in men.</p><p><strong>Objectives: </strong>The aim of this study is to evaluate the long-term effectiveness of ELS for controlling PHH in men, its side effects, and perceived sexual modifications.</p><p><strong>Methods: </strong>A cross-sectional study including only male patients operated for PHH with ELS between 2014-2022 at a private practice. During remote interviews, patients were asked about symptoms before and after ELS and about the postoperative effects on PHH. They were also objectively asked about any SE during the postoperative period. Validated quality of life for hyperhidrosis and erectile function questionnaires were also administered.</p><p><strong>Results: </strong>10 male patients averaging 4.26±2.86 years post-ELS were interviewed. Eight of them (80%) achieved complete response (≥80% of sweat reduction) in the first month after surgery and this response was maintained up to the interview date. Two patients had partial response. In six patients, CS occurred, with 5 reporting it as non-troublesome. Six patients reported some type of SE, but none reported erectile dysfunction. Regarding the functional results, all patients rated ELS from good (10%) to very good (30%) or excellent (60%).</p><p><strong>Conclusions: </strong>Endoscopic lumbar sympathectomy was effective for treatment of plantar hyperhidrosis in these patients, improving their quality of life and providing lasting PHH control, with some transient sexual dysfunctions that did not impair their sexual life.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240014"},"PeriodicalIF":0.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465995","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}
Jornal Vascular BrasileiroPub Date : 2024-09-03eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202400442
Aline Gabriele Etur Dos Santos, Antônio Augusto Moreira
{"title":"Malignant transformation of a long-term ulcer in a patient with leprosy sequelae: a case report.","authors":"Aline Gabriele Etur Dos Santos, Antônio Augusto Moreira","doi":"10.1590/1677-5449.202400442","DOIUrl":"https://doi.org/10.1590/1677-5449.202400442","url":null,"abstract":"<p><p>Marjolin's ulcer (MU) is a rare condition defined as a malignant skin tumor arising from chronic wounds and inflammation. The most common histological findings in MUs are squamous cell carcinomas (SCC) (or spinocellular carcinomas [SPC]), such as basal cell carcinomas (BCC) and malignant melanomas (MM). The aim of this study is to report the case of a patient with sequelae of leprosy who presented malignant transformation in a long-standing ulcer on the right leg, thereby contributing to understanding of the progression and significance of early diagnosis of MU. The MU was diagnosed by incisional biopsy of the lesion and upon obtaining a positive result the patient was referred to an oncology service. Treatment of MU is multidisciplinary and surgical excision is the first therapeutic option. Proper management and surveillance of chronic ulcers by the healthcare team are necessary for early recognition of MU.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240044"},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287748","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}
Jornal Vascular BrasileiroPub Date : 2024-09-03eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202201462
Adriano Carvalho Guimaraes, Ricardo Herkenhoff Moreira, Petra Cristina Van Den Bogert, Sergio Quilici Belczak, Felipe Coelho, Walter Jr Boim de Araujo
{"title":"Endovenous laser ablation for saphenous veins and tributaries - the LEST technique.","authors":"Adriano Carvalho Guimaraes, Ricardo Herkenhoff Moreira, Petra Cristina Van Den Bogert, Sergio Quilici Belczak, Felipe Coelho, Walter Jr Boim de Araujo","doi":"10.1590/1677-5449.202201462","DOIUrl":"https://doi.org/10.1590/1677-5449.202201462","url":null,"abstract":"<p><p>Endovenous thermal ablation is now one of the most important techniques for treating chronic venous insufficiency. Technical refinements and technological innovations have made it possible to employ the method not only in the saphenous veins, but also to treat superficial veins such as varicose tributaries. We describe a technique for surgical treatment of varicose veins using endovenous laser thermal ablation employing multiple punctures and present the experience at our service with analysis of 601 cases operated using this technique. Thermoablative treatment of tributary veins with multiple puncture sites expands the applications for endolaser in treatment of lower limb varicose veins, providing, comprehensive, safe, and effective treatment.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20220146"},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287744","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}
Jornal Vascular BrasileiroPub Date : 2024-09-03eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202301072
Marcone Lima Sobreira, Marcos Áreas Marques, Adilson Ferraz Paschoa, Alcides José Araújo Ribeiro, Ivan Benaduce Casella, Marcelo Calil Burihan, Marcelo Fernando Matielo, Rafael de Athayde Soares, Walter Junior Boin de Araujo, Edwaldo Edner Joviliano, Julio Cesar Peclat de Oliveira
{"title":"Guidelines on deep vein thrombosis of the Brazilian Society of Angiology and Vascular Surgery.","authors":"Marcone Lima Sobreira, Marcos Áreas Marques, Adilson Ferraz Paschoa, Alcides José Araújo Ribeiro, Ivan Benaduce Casella, Marcelo Calil Burihan, Marcelo Fernando Matielo, Rafael de Athayde Soares, Walter Junior Boin de Araujo, Edwaldo Edner Joviliano, Julio Cesar Peclat de Oliveira","doi":"10.1590/1677-5449.202301072","DOIUrl":"https://doi.org/10.1590/1677-5449.202301072","url":null,"abstract":"<p><p>Deep vein thrombosis is one of the main causes of inpatient and outpatient morbidity, both in medical and surgical patients, significantly impacting mortality statistics and requiring prompt diagnosis so that treatment can be initiated immediately. This document was prepared and reviewed by 11 specialists certified by the Brazilian Society of Angiology and Vascular Surgery, who searched the main databases for the best evidence on the diagnostic (physical examination, imaging) and therapeutic approaches (heparin, coumarins, direct oral anticoagulants, fibrinolytics) to the disease.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230107"},"PeriodicalIF":0.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287746","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}
Jornal Vascular BrasileiroPub Date : 2024-08-30eCollection Date: 2024-01-01DOI: 10.1590/1677-5449.202400242
Abdalla Ahmed Eldaw Elamin, Naveen Kumar, Vijay Paul Samuel, Kumar Megur Ramakrishna Bhat
{"title":"Giacomini's vein - a report on the invaluable importance of an anomalous short saphenous vein.","authors":"Abdalla Ahmed Eldaw Elamin, Naveen Kumar, Vijay Paul Samuel, Kumar Megur Ramakrishna Bhat","doi":"10.1590/1677-5449.202400242","DOIUrl":"https://doi.org/10.1590/1677-5449.202400242","url":null,"abstract":"<p><p>Variations in the drainage (termination) and course of the lower limb veins are not uncommon. When dissecting the left lower limb of the adult male cadaver in the vascular case described herein, a unique kind of unilateral short saphenous vein (SSV) termination was observed. It was found that the SSV had normal origin and course in the dorsum of the foot and the back of the leg, respectively. Most often the SSV terminates in the popliteal vein at the popliteal fossa. In this case, it extended upward into the back of the thigh, passing behind the sciatic nerve and then deep to it and the biceps femoris, and finally ended in the veins of the thigh. The SSV did not penetrate any structures along its course to the end, so this unusual vein appears unlikely to be associated with SSV varicose veins. For general, plastic, cardiothoracic, and vascular surgeons, our case would be of significant value.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240024"},"PeriodicalIF":0.8,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287745","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}