Jornal Vascular Brasileiro最新文献_第9页

Popliteal artery pseudoaneurysm of spontaneous occurrence: a case report. 自发性腘动脉假性动脉瘤：病例报告。

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Jornal Vascular Brasileiro Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400212

Wallace Klein Schwengber, Claudia Carolina Schnorr, Guilherme Camargo Winckler, Ricardo Bocchese Paganella, Marco Aurélio Grudtner

{"title":"Popliteal artery pseudoaneurysm of spontaneous occurrence: a case report.","authors":"Wallace Klein Schwengber, Claudia Carolina Schnorr, Guilherme Camargo Winckler, Ricardo Bocchese Paganella, Marco Aurélio Grudtner","doi":"10.1590/1677-5449.202400212","DOIUrl":"https://doi.org/10.1590/1677-5449.202400212","url":null,"abstract":"Idiopathic popliteal artery pseudoaneurysms are exceedingly rare, posing significant diagnostic challenges due to their elusive etiology. This report presents the case of a 78-year-old female with no history of trauma or orthopedic procedures who was diagnosed with a large pulsatile mass in the right popliteal fossa. Arteriography confirmed a popliteal artery pseudoaneurysm. Despite extensive clinical evaluation, no causative factors were identified, suggesting an idiopathic diagnosis. The patient underwent open surgical repair using a posterior approach, during which the popliteal artery defect was closed using a bovine pericardium patch. Postoperative follow-up revealed proximal patch stenosis, necessitating angioplasty. This case underscores the need for comprehensive diagnostic evaluation of atypical pseudoaneurysm presentations and highlights the complexities involved in managing idiopathic cases, emphasizing the importance of postoperative follow-up to address potential complications.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240021"},"PeriodicalIF":0.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287749","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}

引用次数: 0

Thromboprophylaxis in lower limb amputation surgery. 下肢截肢手术中的血栓预防。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301442

Monique Magnavita Borba da Fonseca Cerqueira, Marcos Arêas Marques, Alcides José Araújo Ribeiro, Daniel Mendes-Pinto, Suzanna Maria Viana Sanches

{"title":"Thromboprophylaxis in lower limb amputation surgery.","authors":"Monique Magnavita Borba da Fonseca Cerqueira, Marcos Arêas Marques, Alcides José Araújo Ribeiro, Daniel Mendes-Pinto, Suzanna Maria Viana Sanches","doi":"10.1590/1677-5449.202301442","DOIUrl":"https://doi.org/10.1590/1677-5449.202301442","url":null,"abstract":"Background: Lower limb amputation surgery is associated with a high risk of venous thromboembolism. There is evidence that pharmacological thromboprophylaxis is not widely prescribed to patients undergoing this type of procedure.Objectives: To investigate the profile of the thromboprophylaxis practices of angiologists and vascular surgeons in Brazil during the perioperative period of lower limb amputation surgery and conduct a descriptive analysis of the findings.Methods: This is a cross-sectional, descriptive study, with simple probabilistic sampling, carried out with angiologists and vascular surgeons working in Brazil. Data were collected through electronic questionnaires, from February to June 2023.Results: There were 237 respondents, 58.6% of whom conduct thrombotic risk stratification. Of these, 86.3% use the Caprini score. Only 27% of participants stratify patients' bleeding risk. Low molecular weight heparin is the medication of choice for 85.7% of study participants, 78.9% of whom use a dosage of 40 IU per day. Around 46.8% use direct oral anticoagulants in addition to low molecular weight heparin and rivaroxaban is the drug they most often prescribe (94.6%). A little more than half (51.15%) routinely recommend pharmacological thromboprophylaxis until hospital discharge.Conclusions: The study revealed the heterogeneous nature of conduct related to prescription of pharmacological thromboprophylaxis, highlighting the need for more studies to support prophylaxis decision-making in this patient population.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230144"},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287752","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}

引用次数: 0

There is no well-being without oral health: a case report of Lemierre's syndrome due to neglected odontogenic infection. 没有口腔健康就没有幸福：一例因被忽视的牙源性感染导致的莱米埃尔综合征报告。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301622

Edward Davis, Ardeno Kristianto, Andrew Jackson Yang

引用次数: 0

Embolization of multiple splenic artery aneurysms in a patient with hypersplenism due to portal hypertension: a case report. 门静脉高压症脾功能亢进患者的多发性脾动脉瘤栓塞术：病例报告。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301392

Lucas Victoy Guimarães Zengo, Maria Vitoria Bandeira Liebich, Larissa Rossi, Giuliana Rossato Biezus, Jeferson Freitas Toregeani, Jong Hun Park

{"title":"Embolization of multiple splenic artery aneurysms in a patient with hypersplenism due to portal hypertension: a case report.","authors":"Lucas Victoy Guimarães Zengo, Maria Vitoria Bandeira Liebich, Larissa Rossi, Giuliana Rossato Biezus, Jeferson Freitas Toregeani, Jong Hun Park","doi":"10.1590/1677-5449.202301392","DOIUrl":"https://doi.org/10.1590/1677-5449.202301392","url":null,"abstract":"Aneurysms of the splenic artery are the third most common type of intra-abdominal aneurysms and the most common type of visceral aneurysms. Portal hypertension is a significant risk factor for development of these aneurysms. We report the case of a white, female, 52-year-old patient with multiple splenic artery aneurysms and hypersplenism secondary to portal hypertension and cirrhosis. Abdominal angiotomography identified six splenic aneurysms. In this scenario, an endovascular intervention was scheduled to conduct embolization using controlled release coils and Onyx™ embolization agent. The three largest aneurysms were treated. Control angiographs showed good exclusion of the aneurysms. The endovascular technique therefore proved to be a good choice considering the patient's comorbidities and blood disorders. In this case, the procedure was successful. There were no immediate or long-term complications. The patient recovered well and is in clinical follow-up.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230139"},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287743","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}

引用次数: 0

Case report: persistent bilateral complete sciatic artery associated with aneurysmal degeneration. 病例报告：持续性双侧完全坐骨动脉伴有动脉瘤变性。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301512

Paulo Henrique Alves Togni, André Luís Santos Vaz Leite, Marcela Prando Sampaio, Beatriz Camargo Castro, Henrique Tomaz Rodrigues, Guilherme Augusto Paro

{"title":"Case report: persistent bilateral complete sciatic artery associated with aneurysmal degeneration.","authors":"Paulo Henrique Alves Togni, André Luís Santos Vaz Leite, Marcela Prando Sampaio, Beatriz Camargo Castro, Henrique Tomaz Rodrigues, Guilherme Augusto Paro","doi":"10.1590/1677-5449.202301512","DOIUrl":"https://doi.org/10.1590/1677-5449.202301512","url":null,"abstract":"Persistent sciatic artery is a rare congenital anomaly, with few cases described in the literature. This study presents a case of this embryological variation observed in a patient's lower limb circulatory system. The anatomical description is based on a review of medical records and imaging exams. This case report describes a 63-year-old female patient admitted to the emergency department complaining of severe pain in the right lower limb, with a cold, pale extremity and ecchymosis on the dorsum of the foot. Duplex ultrasound showed no detectable flow in the anterior tibial and fibular arteries and a tardus parvus pattern in the posterior tibial artery. The patient developed loss of movement and fixed cyanosis in the right foot and was referred for urgent thromboembolectomy. However, adequate reperfusion was not seen after the procedure. Angiotomography was performed on the first postoperative day, showing bilateral persistence of the sciatic artery, with aneurysmal degeneration, partially thrombosed, and no opacification of the arterial system downstream of the aneurysm. By the third postoperative day, the patient had developed areas of dry necrosis in the limb, with no perfusion to the ankle, and underwent transfemoral amputation. Despite being a rare condition, it is of great clinical importance because of the high complication rates.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230151"},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287741","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}

引用次数: 0

Ruptured carotid artery pseudoaneurysm following excision of a carotid body tumor: a rare complication managed successfully with surgery and literature review. 颈动脉体肿瘤切除术后颈动脉假性动脉瘤破裂：手术成功治愈的罕见并发症及文献综述。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301702

Basil Babu, Divij Jayant, Arunanshu Behera, Cherring Tandup, Swapnesh Kumar Sahoo, Vipul Thakur

{"title":"Ruptured carotid artery pseudoaneurysm following excision of a carotid body tumor: a rare complication managed successfully with surgery and literature review.","authors":"Basil Babu, Divij Jayant, Arunanshu Behera, Cherring Tandup, Swapnesh Kumar Sahoo, Vipul Thakur","doi":"10.1590/1677-5449.202301702","DOIUrl":"https://doi.org/10.1590/1677-5449.202301702","url":null,"abstract":"A 47-year-old male presented with a right-sided Shamblin type 2 carotid body tumor measuring 5*5 cm. After preoperative embolization, a sub adventitial resection of the tumor was done. He was discharged after postoperative day 5 and presented again to emergency 10 days later with a bleeding pseudoaneurysm at the surgical site causing dysphagia and dyspnea. He was taken for emergency exploration of the surgical wound and, intraoperatively, it was observed that the proximal ends of the internal carotid artery and external carotid artery close to the bifurcation were forming a pseudoaneurysm, 1 cm distal to the common carotid artery. The external carotid artery was ligated and a common carotid to internal carotid artery bypass was done with a reversed saphenous vein graft. He recovered well in the postoperative period and was discharged on day 7. Pseudoaneurysm formation following carotid body tumor resection is extremely rare and has only been reported thrice in the literature.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230170"},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287750","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}

引用次数: 0

Catastrophic thrombotic events with partial bilateral amputation of legs and fingers in a 12-year-old girl with COVID-19 in Brazil: case report. 病例报告：巴西一名患有 COVID-19 的 12 岁女孩因严重血栓事件导致双腿和手指部分截肢。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301752

Giselly Rosa Modesto Pereira, André Ricardo Araújo da Silva, Claudia Escórcio Gurgel do Amaral Pitanga, Jocemir Ronaldo Lugon

引用次数: 0

Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review. 左心室梗阻性血栓的风险和结果：病例报告和文献综述。

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Jornal Vascular Brasileiro Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301242

Ahmed Ali Ali, Eman Elsayed Sakr

{"title":"Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review.","authors":"Ahmed Ali Ali, Eman Elsayed Sakr","doi":"10.1590/1677-5449.202301242","DOIUrl":"https://doi.org/10.1590/1677-5449.202301242","url":null,"abstract":"A 42-year-old male with ischemic cardiomyopathy presented with acute bilateral femoral artery embolization. After management with embolectomy and fasciotomy in both femoral arteries, transthoracic echocardiography revealed two pedunculated highly mobile left ventricle (LV) thrombi. Given the procedural risk, anticoagulation therapy was recommended over surgery. However, the bleeding risk impeded the continuation of anticoagulation, which increased the thrombus size. Multiorgan failure and disseminated intravascular coagulopathy followed and the patient died. We also systematically reviewed the PubMed and Scopus databases for pedunculated LV thrombi cases and retrieved 74 and 63 reports respectively. Of these, 37 relevant reports (45 cases) plus 11 reports from the manual search were included for data extraction, a total of 56 cases besides our case. Based on the etiologies and risks, LV thrombi are predictable and preventable, especially after ischemic events. A clear diagnostic algorithm and vigilant follow-up are needed as well as multidisciplinary management once a diagnosis is confirmed.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230124"},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287747","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}

引用次数: 0

Use of low-level laser therapy as an adjuvant therapy for phlebostatic lesions. 将低强度激光疗法作为咽喉病变的辅助疗法。

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Jornal Vascular Brasileiro Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301592

Lucas Dalvi Armond Rezende, Davi de Souza Catabriga, Alicia de Oliveira Pacheco, Aline de Oliveira Ramalho, Paula de Souza Silva Freitas

引用次数: 0

Comparison between vascular Doppler ultrasound and contrast exams in chronic peripheral arterial disease. 慢性外周动脉疾病中血管多普勒超声与造影剂检查的比较。

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Jornal Vascular Brasileiro Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301042

Alex Aparecido Cantador, Ana Terezinha Guillaumon

{"title":"Comparison between vascular Doppler ultrasound and contrast exams in chronic peripheral arterial disease.","authors":"Alex Aparecido Cantador, Ana Terezinha Guillaumon","doi":"10.1590/1677-5449.202301042","DOIUrl":"10.1590/1677-5449.202301042","url":null,"abstract":"Background: Vascular Doppler ultrasound (DUS) has evolved over recent years because of improvements in the technology involved in the acquisition and processing of sound and image data. The method is an excellent option for use in diagnosis of peripheral arterial disease considering its availability, low cost, and absence of harmful effects. The breakdown of logistics supply chains caused by the COVID-19 pandemic caused worldwide shortages of iodinated contrast, highlighting the need to validate alternative diagnostic methods.Objective: To use DUS for decision-making when choosing between by-pass and endovascular surgery for femoropopliteal arterial disease and compare the results to those of iodinated contrast exams.Methods: We compared DUS with examinations using contrast for identification of stenoses/occlusions and indication of surgical treatment (by-pass vs. endovascular). In the first phase of the study the results were merely compared, DUS vs. angiotomography. Then, in the second phase, the vascular ultrasound results were used for screening between by-pass and endovascular treatment, comparing DUS with angiotomography in cases scheduled for by-pass and with arteriography in endovascular patients.Results: In phase 1, the sensitivity of DUS compared to CT angiography was 100% for the SFA territory. When considering solely the choice of bypass vs. endovascular treatment, the results showed 100% agreement for phase 1 and 94% for phase 2.Conclusion: Notwithstanding the sample size, the study fulfilled its objective of demonstrating the reliability of DUS for indicating the treatment choice between by-pass and endovascular surgery.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230104"},"PeriodicalIF":0.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891554","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}

引用次数: 0