21/Nov/2024
Chronic spontaneous non-aneurysmal aortic rupture treated with endovascular surgery
DOI: 10.31744/einstein_journal/2024RC1113
ABSTRACT Spontaneous non-aneurysmal aortic rupture is rare and is usually attributed to penetrating aortic ulcers, infections, tumor infiltrations, or inflammatory and collagen diseases. Chronic rupture is infrequent but extremely rare in non-aneurysmal aortas, which makes diagnosis difficult because the absence of an aneurysm can mislead the physician to rule out rupture. Here, we describe the case of an 85-year-old male, who was undergoing oncological investigation for weight loss, inappetence, and back pain. Computed tomography and magnetic resonance imaging performed 3 […]
Keywords: Aged, 80 and over; Aneurysm; Aneurysm, false; Angiography; Aorta, abdominal; Endovascular procedures; Intensive care units; Magnetic resonance imaging; Patient discharge; Penetrating atherosclerotic ulcer; Prostheses and implants; Rupture; spontaneous; Tomography, x-ray computed
18/Nov/2024
Robotic endovascular peripheral arterial interventions: a proposal of a new learning model
DOI: 10.31744/einstein_journal/2024AO1058
Highlights ■ The learning curves for robotic peripheral arterial interventions were short, with optimal procedure and fluoroscopy times and radiation emission achieved after the 3rd procedure. ■ There were no differences in learning curves in relation to previous experience or main focus of work. ABSTRACT Objective: This study tests a suitable model for training robot-assisted peripheral vascular interventions and examines the learning curves of endovascular surgeons with different levels of previous experience and main focus of work, analyzing procedure time, […]
Keywords: Angioplasty; Cardiovascular; Endovascular procedures; Models; Robotic surgical procedures; Training
06/Nov/2024
Robotic cardiac surgery for removal of iliac venous stent embolized in the right cardiac chambers: a case report
DOI: 10.31744/einstein_journal/2024RC0943
ABSTRACT A 42-year-old female patient with a surgical history of iliac venous angioplasty with stenting developed dyspnea on exertion 9 months later. Chest computed tomography angiography revealed a fractured vascular stent in the right cardiac chamber. Doppler echocardiography confirmed that the stent was anchored by the tricuspid valve, causing mild obstruction of the right ventricular filling. The patient underwent robot-assisted cardiac surgery with stent removal, annuloplasty under general anesthesia, and cardiopulmonary bypass via an axillary incision. No sternotomy, cardioplegia, or […]
Keywords: Angioplasty; Dyspnea; Endovascular procedures; Minimally invasive surgical procedures; Robotic surgical procedures; Stents/adverse effects
03/Aug/2023
Proposed public policies to improve outcomes in vascular surgery: an experts’ forum
DOI: 10.31744/einstein_journal/2023AE0241
Highlights Notification of complications of arterial surgeries is essential in identifying strategies to improve surgical outcomes. Screening of prevalent and/or morbid diseases allows early intervention and prevention of complications. Use of telemedicine in vascular follow-up allows optimizing the use of resources and reducing the burden on health services. Concentrating complex cases in reference hospitals leads to improved surgical outcomes. ABSTRACT Objective To evaluate outcomes of vascular surgeries and identify strategies to improve public vascular care. Methods This was a descriptive, […]
Keywords: Amputation, surgical; Big data; Carotid artery diseases; Endovascular procedures; Health policy; Peripheral arterial disease; Public Policy; Vascular diseases; Vascular surgical procedures
01/Jul/2019
Peri-prosthetic infection in the postoperative period of endovascular abdominal aorta aneurysm repair: treatment by percutaneous drainage
einstein (São Paulo). 01/Jul/2019;17(4):eRC4668.
View Article01/Jul/2019
Peri-prosthetic infection in the postoperative period of endovascular abdominal aorta aneurysm repair: treatment by percutaneous drainage
DOI: 10.31744/einstein_journal/2019RC4668
ABSTRACT Endovascular aneurysm repair is an established technique for treating many infrarenal aortic aneurysms. Infection is one of the most serious complications of this technique, and although percutaneous treatment has been well established for intra-abdominal collections, its use to treat peri-prosthetic fluid collections has not been well determined. In this article we describe a small series of three patients who were treated with percutaneous drainage, with good clinical and imaging responses. Percutaneous drainage is a safe, effective and minimally invasive […]
Keywords: abdominal; Aortic aneurysm; Drainage/methods; Endovascular procedures; Infection; interventional; Radiology
01/Apr/2016
Endovascular revascularization of TASC C and D femoropopliteal occlusive disease using carbon dioxide as contrast
DOI: 10.1590/S1679-45082016AO3661
ABSTRACT Objective To analyze the results of ten angioplasties of TASC C and D femoropopliteal lesions using CO2 as primary contrast in patients with no formal contraindication to iodine, aiming to decrease allergic reactions and potential nephrotoxicity in high-risk patients. Methods We describe the results of ten angioplasties of TASC C and D femoropopliteal lesions using CO2 as primary contrast in patients with high risk for open revascularization and no formal contraindication to iodine. We analyzed feasibility of the procedures, […]
Keywords: Angioplasty; Carbon dioxide; Endovascular procedures; Peripheral arterial disease; Renal insufficiency