Jornal Vascular Brasileiro最新文献_第9页

Prevalência de aneurismas viscerais raros em 92.833 angiotomografias (2005-2021) 92,833张血管造影中罕见内脏动脉瘤患病率(2005-2021年)

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202300741

Sergio Quilici Belczak, Nathalia Almeida Cardoso da Silva, Matheus Toledo Nora, Paula Ribeiro do Prado Chadud, Luciana Helena Benetti, Camila de Freitas Corrêa, Adriano Tchibana, Ricardo Aun

{"title":"Prevalência de aneurismas viscerais raros em 92.833 angiotomografias (2005-2021)","authors":"Sergio Quilici Belczak, Nathalia Almeida Cardoso da Silva, Matheus Toledo Nora, Paula Ribeiro do Prado Chadud, Luciana Helena Benetti, Camila de Freitas Corrêa, Adriano Tchibana, Ricardo Aun","doi":"10.1590/1677-5449.202300741","DOIUrl":"https://doi.org/10.1590/1677-5449.202300741","url":null,"abstract":"Resumo Contexto Ainda são incomuns os estudos de prevalência de aneurismas viscerais raros, e os poucos estudos que focalizaram esses aneurismas observam taxas de prevalência em grupos de pacientes com aneurismas viscerais, mas pouco se conhece sobre a sua prevalência na população geral. Objetivos Avaliar a prevalência de aneurismas viscerais raros em angiotomografias realizadas para diagnóstico e seguimento de pacientes com diferentes patologias vasculares. Métodos Este estudo transversal partiu do acesso a todos os laudos de angiotomografias realizadas entre janeiro de 2005 e julho de 2021 em hospital privado de excelência situado na cidade de São Paulo. Foi utilizado um programa de mecanismo de busca de laudos pré-indexados, cuja base de dados é o Sistema de Informação Radiológica (RIS), para acesso aos laudos de pacientes com aneurismas intra-abdominais. Resultados Foram acessados laudos de angiotomografias de 92.883 pacientes, dos quais 2.597 (2,795%) apresentavam aneurismas intra-abdominais, sendo 937 (1,063%) viscerais, incluindo 158 (0,171%) aneurismas viscerais raros, mais frequente entre homens e nos seguintes segmentos: tronco celíaco (0,098%), artéria mesentérica superior (0,033%), artéria gástrica esquerda (0,010%), artéria pancreático-duodenal (0,009%), artéria gastroduodenal (0,005%) e arco pancreático (0,004%). Prevalências menores foram encontradas em outros diferentes segmentos. Achados adicionais revelaram taxa de concomitância de aneurismas viscerais raros com outros aneurismas intra-abdominais entre 11,11% e 66,67%. Conclusões A prevalência de aneurismas viscerais raros em ampla população submetida a angiotomografias foi de 0,171%, com maior comprometimento nos pacientes do sexo masculino.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136304342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variations of venous drainage of the thyroid gland and their surgical implications: a narrative review. 甲状腺静脉引流的变化及其手术意义:叙述回顾。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202201632

Rajani Singh

{"title":"Variations of venous drainage of the thyroid gland and their surgical implications: a narrative review.","authors":"Rajani Singh","doi":"10.1590/1677-5449.202201632","DOIUrl":"https://doi.org/10.1590/1677-5449.202201632","url":null,"abstract":"Diseases of the thyroid are common worldwide, so knowledge of its normal and variant anatomy, especially of the veins of thyroid, is essential for safe and successful surgery involving the anterolateral neck. The aim of this study is to consolidate all information related to venous drainage of the thyroid gland as a ready reference for vascular and endocrine surgeons. The study was conducted at the Department of Anatomy and the literature search was carried out using the Pubmed, Scielo, Researchgate, Medline, and Scopus databases. Various terms related to the thyroid gland and its venous drainage were used to explore the literature. The literature review revealed that the superior and middle thyroid veins have the fewest variations in terms of course and termination while the inferior thyroid vein has the most variations in terms of course and termination. Detailed knowledge of normal and variant anatomy of the thyroid veins is of utmost use for vascular surgeons performing anterolateral neck surgery, especially tracheostomy, a lifesaving procedure, minimizing intraoperative and postoperative complications and morbidity and mortality.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10153794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767273","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

Grayscale median (GSM) post-processing, posterizing, and color mapping for carotid ultrasound. 灰度中值(GSM)后处理，分离，和彩色映射颈动脉超声。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202200811

Pedro Luciano Mellucci, Matheus Bertanha, Rodrigo Gibin Jaldin, Winston Bonetti Yoshida, Marcone Lima Sobreira

引用次数: 0

Correlations between ultrasound, tomographic, and intraoperative measurements of the great saphenous vein used as an arterial graft. 作为动脉移植物的大隐静脉的超声、断层扫描和术中测量的相关性。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202201212

Vinicius Adorno Gonçalves, Daniel Martins Vieira Zimmermann, Fábio Hüsemann Menezes

{"title":"Correlations between ultrasound, tomographic, and intraoperative measurements of the great saphenous vein used as an arterial graft.","authors":"Vinicius Adorno Gonçalves, Daniel Martins Vieira Zimmermann, Fábio Hüsemann Menezes","doi":"10.1590/1677-5449.202201212","DOIUrl":"https://doi.org/10.1590/1677-5449.202201212","url":null,"abstract":"Background: The great saphenous vein is the major superficial vein of the lower limb, and also the most often used as arterial graft material for lower limb revascularization. Prior knowledge of the quality of the vein can guide choice of therapeutic strategy, avoiding surgery that is doomed to failure. Discrepancies between intraoperative findings of the quality of the great saphenous vein and imaging tests are also frequently observed.Objectives: To evaluate the diameter of the great saphenous vein using two imaging methods (Duplex Ultrasound and Computed Tomography) and the gold-standard (intraoperative direct measurement of the vein), comparing the results.Methods: Prospective, observational study of data obtained during routine medical procedures performed by the Vascular Surgery team.Results: 41 patients were evaluated, with a 12-month follow-up. 27 (65.85%) were male and mean age was 65.37 years. 19 (46.34%) patients had femoropopliteal grafts and 22 (53.66%) had distal grafts. Preoperative saphenous vein internal diameters measured with the patient supine were on average 16.4% smaller on CT and 33.8% smaller on US than the external diameters measured after intraoperative hydrostatic dilatation. There were no statistical differences in measurements when sex, weight, and height were considered.Conclusions: Saphenous vein diameters were underestimated by preoperative US and CT scans when compared to intraoperative measurements. Thus, in patients undergoing graft planning for revascularization, the choice of conduit should take this data into consideration, so that use of the saphenous vein is not ruled out unnecessarily during planning.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9662460","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

Traumatic aorta injuries in a rural area: late manifestations and review of therapeutic aspects. 农村地区外伤性主动脉损伤:晚期表现和治疗方面的回顾。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202200142

José Maciel Caldas Dos Reis, Flávio Roberto Cavalleiro de Macêdo Ribeiro, Adib Koury, Glauco Dos Santos Melo, Murilo Vasconcelos de Oliveira, Vitor Hugo Guerreiro Américo Gomes, José Victor Figueiredo Dos Santos, Sotero Gonçalves Sarquis

{"title":"Traumatic aorta injuries in a rural area: late manifestations and review of therapeutic aspects.","authors":"José Maciel Caldas Dos Reis, Flávio Roberto Cavalleiro de Macêdo Ribeiro, Adib Koury, Glauco Dos Santos Melo, Murilo Vasconcelos de Oliveira, Vitor Hugo Guerreiro Américo Gomes, José Victor Figueiredo Dos Santos, Sotero Gonçalves Sarquis","doi":"10.1590/1677-5449.202200142","DOIUrl":"https://doi.org/10.1590/1677-5449.202200142","url":null,"abstract":"Traumatic thoracic aortic injuries (TTAI) are associated with high rates of morbidity and mortality. They are classified according to the extent of damage and computed tomography angiography has the highest sensitivity and specificity for identifying the degree of injury and potential associated lesions. Treatment strategies for TTAI are based on the type and extent of injury and associated lesions. The patient's degree of stability can also help to define the choice of treatment, which can be conventional or endovascular surgery (EVAR) or even conservative management in selected cases. Among patients with adequate vascular anatomy, endovascular surgery is associated with better survival and fewer risks. The objective of this article is to describe a series of four cases followed up at a tertiary service in a Brazilian state that has few centers that provide high complexity care. Endovascular therapy was employed as the preferred method. All four patients had favorable outcomes, with no complications up to discharge, and are currently in outpatient follow-up.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9708826","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

Prevalence, morphology, morphometry and associated clinical implications of mastoid emissary veins: narrative review. 乳突代表静脉的流行、形态、形态计量学及相关临床意义:叙述回顾。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202300362

Rajani Singh

{"title":"Prevalence, morphology, morphometry and associated clinical implications of mastoid emissary veins: narrative review.","authors":"Rajani Singh","doi":"10.1590/1677-5449.202300362","DOIUrl":"https://doi.org/10.1590/1677-5449.202300362","url":null,"abstract":"The mastoid emissary vein connects the posterior auricular vein to the sigmoid sinus and varies in size, number, location, and course, resulting in clinical complications. This study was conducted in response to the vast clinical implications associated with this vein. The aim of this review is to highlight and describe the prevalence, varied morphology, and morphometry of the mastoid emissary vein, how these varied parameters cause clinical complications, and how these can be rectified and avoided. A literature survey was conducted using various databases and different terms related to mastoid emissary vein were used to search the literature. Pitfalls related to surgery in the vicinity of this vein and their remedies were elucidated. The literature search revealed that the prevalence, morphology, and morphometry of mastoid emissary veins vary immensely and are responsible for morbidity and mortality. Pre-operative identification of mastoid veins is thus essential and so multidetector computed tomography of the temporal bone should be scheduled before planning surgery.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990457","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

When and how to treat isolated visceral artery dissections - protocol proposal. 何时及如何治疗孤立性内脏动脉夹层-方案建议。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202300662

Paulo Eduardo Ocke Reis, Arno Von Ristow

引用次数: 0

Clinically important left superior polar artery giving rise to a left inferior suprarenal artery and an aberrant left inferior polar artery: a case report. 临床上重要的左上极动脉衍生出左肾上下动脉和异常左下极动脉1例。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202300122

Naveen Kumar, Ashwini Aithal Padur, Mohandas Rao Kappettu Gadahad, Swamy Ravindra Shanthakumar

引用次数: 0

Isolated external iliac artery aneurysm: a rare case presentation of IgG4-related disease. 孤立性髂外动脉瘤:一例罕见的igg4相关疾病。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202201192

Naveen Maheshwari, Venkata Vineeth Vaddavalli, Kishore Abuji, Ajay Savlania, Ritambhra Nada

{"title":"Isolated external iliac artery aneurysm: a rare case presentation of IgG4-related disease.","authors":"Naveen Maheshwari, Venkata Vineeth Vaddavalli, Kishore Abuji, Ajay Savlania, Ritambhra Nada","doi":"10.1590/1677-5449.202201192","DOIUrl":"https://doi.org/10.1590/1677-5449.202201192","url":null,"abstract":"Isolated external iliac artery aneurysm is a rare occurrence. These aneurysms have varied presentations depending on size and proximity. Both open surgical and endovascular modalities can be used for treatment depending upon presentation, aneurysmal anatomy, and patient condition. Preservation of at least one internal iliac artery is important to prevent post-repair hypogastric ischemia. There are no previous reports of IgG4-related disease (IgG4-RD) as etiology of these aneurysms. A 32-year-old male patient presented with a left lower abdominal lump and was found to have a left external iliac artery aneurysm on computed tomography angiography. The patient underwent iliofemoral bypass with an 8 mm polyester graft. Histopathological examination of the aneurysm wall suggested IgG4-RD. The patient fulfilled the 2020 Revised Comprehensive Diagnostic Criteria for IgG4-RD. An 18-Fluorodeoxyglucose-Positron Emission Tomography scan performed in the postoperative period showed no active disease, hence medical therapy was not instituted. The patient is doing well at 1 year.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10104685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316219","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: 1

Aberrant right subclavian artery: case report and literature review. 右锁骨下动脉异常:1例报告并文献复习。

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI: 10.1590/1677-5449.202101512

Michel Nasser, Bruna Beatriz Petrocheli, Thais Keltke Santos Felippe, Beatriz Isola, Beatriz Caroline Dos Santos Pereira, Ana Luiza Carvalho Sartoreli, João Marques Batista, Gustavo Muçouçah Sampaio Brandão

{"title":"Aberrant right subclavian artery: case report and literature review.","authors":"Michel Nasser, Bruna Beatriz Petrocheli, Thais Keltke Santos Felippe, Beatriz Isola, Beatriz Caroline Dos Santos Pereira, Ana Luiza Carvalho Sartoreli, João Marques Batista, Gustavo Muçouçah Sampaio Brandão","doi":"10.1590/1677-5449.202101512","DOIUrl":"https://doi.org/10.1590/1677-5449.202101512","url":null,"abstract":"The aberrant right subclavian artery, also known as the arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5 to 1% of the population. There is a higher prevalence in women and it is usually associated with other anatomical variations, such as the non-recurrent laryngeal nerve, present in 86.7% of cases. In the majority of cases, the aberrant right subclavian artery causes no symptoms. We describe this anomaly in an 82-year-old, hypertensive, and asymptomatic patient who had undergone a thoracoabdominal angiography to investigate a chronic DeBakey type III aortic dissection with dilation of the descending aorta. The aberrant right subclavian artery followed a retroesophageal course and was associated with a Kommerell diverticulum. In view of its rarity, we conducted an integrative bibliographic review of literature from the last 6 years indexed on the Medline, UpToDate, Lilacs, Scielo, and Portal Capes databases and discuss the most frequent anatomical changes, symptomatology, and therapeutic management adopted.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10818144","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