Angiologia e Cirurgia Vascular最新文献

{"title":"Lesão vascular traumática dos membros superior e inferior","authors":"Tiago Ferreira, Luís Silvestre, Augusto Ministro, Mariana Moutinho, José Fernandes e Fernandes","doi":"10.1016/j.ancv.2015.03.006","DOIUrl":"10.1016/j.ancv.2015.03.006","url":null,"abstract":"","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 84-85"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54090337","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":"Página do Secretário‐geral","authors":"Daniel Brandão","doi":"10.1016/j.ancv.2015.05.002","DOIUrl":"https://doi.org/10.1016/j.ancv.2015.05.002","url":null,"abstract":"","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Page 50"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137329785","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":"Dez anos de tratamento de aneurismas da aorta abdominal – exclusão endovascular vs. cirurgia aberta nas diferentes regiões portuguesas","authors":"Ricardo Castro‐Ferreira ,&nbsp;Manuel Neiva‐Sousa ,&nbsp;Sérgio Sampaio ,&nbsp;Paulo Gonçalves Dias ,&nbsp;Altamiro da Costa‐Pereira ,&nbsp;Alberto Freitas","doi":"10.1016/j.ancv.2014.11.002","DOIUrl":"10.1016/j.ancv.2014.11.002","url":null,"abstract":"<div><h3>Background</h3><p>Abdominal aortic aneurysms (AAA) affect approximately 5% of men over 65 years of age and are estimated to be the tenth leading cause of mortality in Western countries. Elective surgery either by open repair (OR) or endovascular aneurysm repair (EVAR) is indicated in patients with large AAAs, preventing rupture, the major complication of AAA. To the best of our knowledge a detailed study comparing the treatment choice for AAA repair as well as its associated in‐hospital mortality in Portuguese mainland state hospitals has never been performed.</p></div><div><h3>Aim</h3><p>The purpose of this analysis was to determine i) the proportion of aneurysm type submitted to repair in each region state hospitals, ii) the proportion of each type of surgical treatment among them, iii) the in‐hospital mortality associated with each treatment.</p></div><div><h3>Methods</h3><p>All individuals diagnosed with ruptured or non‐ruptured AAAs submitted to either OR or EVAR between 2000 and 2010, whose information was available on an inpatient hospital administrative database, were selected for the study. The database contained data from all Portuguese mainland state hospitals. To evaluate the regional chronological evolution of these data, a yearly characterization for the period between 2000 and 2010 was performed. The type of AAA, its choice of correction and the in‐hospital mortality were evaluated for each national region.</p></div><div><h3>Results</h3><p>Between the years 2000 and 2010, 3101 AAAs repairs were registered in mainland Portugal. Non‐ruptured AAAs were three times more frequent than ruptured AAAs (75% vs. 25%). Regional comparison showed the non‐ruptured AAA/ruptured AAA ratio in <em>Norte</em> and <em>Lisboa</em> to be significantly higher than that in <em>Centro.</em> Ruptured AAA frequency remained fairly stable during the 11 years evaluated. OR was the preferred method for treatment of both ruptured and non‐ruptured AAAs in all regions. Nevertheless, the choice for EVAR has been increasing from the period of 2005 to 2010, actually becoming the most frequent method in <em>Norte</em> and <em>Lisboa</em> during 2010 (55% in both regions). Ruptured AAAs mortality was similar in all the evaluated regions (52% in <em>Norte</em>, 52% in <em>Centro</em> and 51% in <em>Lisboa</em>). No significant differences were found between EVAR and OR in the repair of ruptured AAA (in‐hospital mortality of 51% in OR vs. 52% in EVAR). A significant improved outcome was obtained with EVAR in the repair of non‐ruptured AAA in state hospitals of <em>Norte</em> and <em>Lisboa</em> (2,1% vs. 6,6% in <em>Norte</em> and 5,0% vs. 8,7% in <em>Lisboa</em>, <em>p</em> <!-->&lt;<!--> <!-->0,05). No differences were observed in state hospitals of <em>Centro.</em></p></div><div><h3>Conclusions</h3><p>The yearly number of AAA repairs in Portuguese mainland state hospitals is increasing across all regions, with EVAR repair consistently gaining prominence. Com","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 51-60"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2014.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54089209","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":"Evolução e tendências formativas em angiologia e cirurgia vascular: a experiência de uma instituição","authors":"Rita Soares Ferreira,&nbsp;Frederico Bastos Gonçalves,&nbsp;Hugo Rodrigues,&nbsp;Nelson Oliveira,&nbsp;Gonçalo Rodrigues,&nbsp;Anita Quintas,&nbsp;Rodolfo Abreu,&nbsp;Nelson Camacho,&nbsp;Maria Emília Ferreira,&nbsp;João Albuquerque e Castro,&nbsp;Luís Mota Capitão","doi":"10.1016/j.ancv.2015.04.001","DOIUrl":"10.1016/j.ancv.2015.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The constant advances in Angiology and Vascular Surgery specialty has brought to us a great variety in the training during the residency. The main purpose of this study was to show the distinct trends in training during Angiology and Vascular Surgery residency over time, particularly in the field of surgical exposure and scientific activity.</p></div><div><h3>Methods</h3><p>After identifying the physicians who completed the Angiology and Vascular Surgery residency between January 2001 and March 2014 in the institution, a retrospective analysis was performed and all data collected from the final curriculum was reviewed. The results were obtained using the Spearman correlation coefficient.</p></div><div><h3>Results</h3><p>From 2001 to 2014, 13 subjects concluded Angiology and Vascular Surgery residency in the Institution, with a mean age 35<!--> <!-->±<!--> <!-->5.7 and 4 subjects (31%) were female. The average exposure to surgical procedures was 2518<!--> <!-->±<!--> <!-->310, which 2026<!--> <!-->±<!--> <!-->291 were vascular procedures. The mean of scientific presentations as first author was 9.7<!--> <!-->±<!--> <!-->5.7 and the mean of publications as first author was 4.5<!--> <!-->±<!--> <!-->5.9. Although surgical exposure has remained approximately constant, there was a marked variability in the proportion of endovascular procedures. It was observed a marked correlation between the number of endovascular procedures and time (rho<!--> <!-->=<!--> <!-->0.869, <em>p</em> <!-->&lt;<!--> <!-->0.001). There was no correlation between the number of endovascular procedures in respect to age or gender. Regarding scientific activity, variability was also large, there has also been an association between time and number of publications (rho<!--> <!-->=<!--> <!-->0.879, <em>p</em> <!-->&lt;<!--> <!-->0.001) and presentations (rho<!--> <!-->=<!--> <!-->0.753, <em>p</em> <!-->&lt;<!--> <!-->0.001). In a similar way, no correlation was found between the scientific activity and age or gender.</p></div><div><h3>Conclusion</h3><p>In overall the surgical exposure during the residency has remained stable; there was an evolution of the proportion of endovascular procedures, a growing concern with the scientific activity; also the gender or age did not affect surgical exposure and adoption of new technical or scientific activity.</p></div>","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 61-67"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54090354","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":"Reuniões e Congressos","authors":"","doi":"10.1016/j.ancv.2015.05.003","DOIUrl":"https://doi.org/10.1016/j.ancv.2015.05.003","url":null,"abstract":"","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Page 86"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91708736","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":"Página do Presidente","authors":"","doi":"10.1016/j.ancv.2015.05.001","DOIUrl":"https://doi.org/10.1016/j.ancv.2015.05.001","url":null,"abstract":"","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Page 49"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91708737","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":"Tratamento cirúrgico de um leiomiossarcoma do membro inferior","authors":"Mariana Moutinho ,&nbsp;Emanuel Silva ,&nbsp;Pedro Amorim ,&nbsp;Hugo Freitas ,&nbsp;Ana Evangelista ,&nbsp;José Fernandes e Fernandes","doi":"10.1016/j.ancv.2015.03.005","DOIUrl":"10.1016/j.ancv.2015.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The lower limb sarcomas represent the most common location of tumors of the connective tissue and no other treatment proved to be better than surgery. The objective of this paper is to present a case of leiomyosarcoma located in the left thigh of a 59 year old woman.</p></div><div><h3>Case report</h3><p>The authors describe the case of a 59 year old woman, asymptomatic until January 2013, when a swelling, painless and progressive growth in the left thigh has been identified. No signs of neuro‐vascular compromise. A mass with 10<!--> <!-->cm diameter, adhering to the deep planes, without pulsatility, has been identified through physical examination. She had no palpable lymphadenopathy and pulses were present and symmetrical. MRI revealed a solid lesion in intermuscular plane designed along the vascular‐nervous pedicle. The incisional biopsy confirmed a leiomyosarcoma. Together with the Plastic Surgery service a wide resection of leiomyosarcoma was performed followed by reconstruction of the SFA and the FV with interposition of the contralateral great saphenous vein in femoro‐femoral position. The procedure was held without significant complications.</p></div><div><h3>Discussion and conclusion</h3><p>Leiomyosarcomas are malignant and locally aggressive, therefore the extended resection (no touch no see) has been proved to be the best therapeutic option, as a multidisciplinary approach in order to achieve the cure with functional preservation of the member even with radical resections becomes indispensable.</p></div>","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 79-83"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54090320","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":"XV Congresso da SPACV","authors":"","doi":"10.1016/j.ancv.2015.09.001","DOIUrl":"https://doi.org/10.1016/j.ancv.2015.09.001","url":null,"abstract":"","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 87-135"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91708735","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":"Contrast-induced acute kidney injury – A review focusing on prophylactic strategies","authors":"Rita Gouveia,&nbsp;Pedro Bravo,&nbsp;Cristina Santos,&nbsp;Aura Ramos","doi":"10.1016/j.ancv.2015.01.009","DOIUrl":"10.1016/j.ancv.2015.01.009","url":null,"abstract":"<div><p>Contrast-induced acute kidney injury is the third leading cause of intrahospital acute kidney disease, accounting for 11% of all cases. It is associated with a worse prognosis on the short- and long-term, as well as with extended hospital stay and increase in health-care costs. As the number of diagnostic and interventional angiographies and computerized tomography increases in clinical practice and higher doses of contrast media are administered to sicker and older patients, contrast-induced acute kidney injury is an increasing problem. Contrast-induced acute kidney injury is a unique form of acute kidney injury in that its risk factors are known and its timing predictable. This makes room for the implementation of prophylactic measures in patients at risk.</p><p>Several articles were searched in nephrology journals (“American Journal of Kidney Disease”, “Journal of the American Society of Nephrology”, “Clinical Journal of the American Society of Nephrology”, “Kidney International” and “Nephrology Dialysis Transplantation”) for a global view on contrast-induced acute kidney injury and prophylactic strategies. Subsequently, individual searches were made on MEDLINE^® database for randomized controlled trials and meta-analyses on each prophylactic strategy encountered.</p><p>Several approaches to contrast-induced acute kidney injury prevention have been reported, of which vigorous hydration and the use of non-ionic contrast media are the most important. The administration of oral N-acetylcysteine is also a popular strategy in virtue of its favorable risk/benefit profile. Statins have also been reported as protective against contrast-induced acute kidney injury. The authors review the disease and studied prophylactic interventions, presenting a practical approach to the prevention of contrast-induced acute kidney injury.</p></div>","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 2","pages":"Pages 68-78"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.01.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54090265","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":"Duplicação da veia cava inferior com drenagem pela veia ázigos. A propósito de um caso","authors":"João Vasconcelos,&nbsp;Victor Martins,&nbsp;Ricardo Gouveia,&nbsp;Pedro Sousa,&nbsp;Jacinta Campos,&nbsp;Daniel Brandão,&nbsp;Alexandra Canedo","doi":"10.1016/j.ancv.2015.01.008","DOIUrl":"10.1016/j.ancv.2015.01.008","url":null,"abstract":"<div><p>The authors describe the case of an inferior vena duplication with azygos vein drainage diagnosed during diagnostic venography, prior to filter introduction.</p><p>In a 69 years old medical inpatient woman with hemorrhagic stroke, a left popliteal‐femoro‐iliac DVT was diagnosed on the 20th day of admission. She was referred for vena cava filter placement. We performed a diagnostic venography with access from the right internal jugular vein. It has been possible to observe an inferior vena cava duplication with an anomalous posterior heart drainage. We placed an inferior vena cava filter in suprarrenal position, accessing the right common femoral vein.</p><p>Duplication of vena cava is rare with a prevalence of 0.2‐3%. Its approach in the context of placing a filter becomes an unusual challenge.</p></div>","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 1","pages":"Pages 35-39"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.01.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54090210","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}