Conservative management of knee arthropathy in a patient with Klippel Trenaunay syndrome
We present the case of a patient with a diagnosis of KTS and severe knee arthropathy. A 34-year-old man with KTS was referred to our hospital with severe knee arthropathy, with the joint fixed in a 90 ° position. CT Angiography and MRI of the left leg showed important varicose development of the superficial venous system with intraarticular vessels. After discussion of the case by a multidisciplinary committee, the patient was enrolled on a physiotherapy program and had achieved significant impr ovements in movement and quality of life at 12-month follow-up. Treatment of KTS is primarily conservative and a multidisciplina...
Source: Jornal Vascular Brasileiro - May 21, 2020 Category: Surgery Source Type: research
Minilaparoscopic lumbar sympathectomy with 3 mm instruments for plantar hyperhidrosis
We describe a technique for ELS using minilaparocopic instruments, which we have used for our last 70 cases and has become our standard technique. The aim of this study is to demonstrate the feasibility of this technique and its advantages compared to the conventional technique.Resumo A hiperidrose palmoplantar grave afeta cerca de 1,5-2,8% da popula ção geral. A hiperidrose plantar está relacionada a odor dos pés, pés frios, lesões cutâneas, infecções, e até instabilidade da marcha. A simpatectomia lombar endoscópica (endoscopic lumbar sympathectomy, ELS) é o tratamento de escolha para essa condição; entreta...
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
An alternative approach to treatment of inferior vena cava filter perforation
We report a case of inferior vena cava filter perforation immediately after filter implantation, recognized intraoperatively in a patient undergoing laparotomy for resection of locally advanced ovarian cancer. We describe an alternative approach with strut resection, less invasive than filter removal, enabling the device to be maintained and bleeding to be controlled.Resumo Relatamos um caso de perfura ção de veia cava inferior imediatamente após o implante de um filtro. A complicação foi reconhecida no intraoperatório de uma laparotomia para ressecção de um câncer de ovário localmente avançado. Descrevemos uma ...
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
Endovascular treatment of a teenager with nutcracker syndrome: a case report
We report the case of a 12-year-old boy presenting with severe hematuria for 12 hours, with no abnormal findings at a first evaluation, who progressed with severe anemia and urinary retention. Further investigation provided images suggestive of nutcracker syndrome, and endovascular stenting (smart control stent) followed by balloon dilatation was the treatment of choice. Hematuria ceased after the procedure, and the patient is still asymptomatic at 5-year follow-up. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
Effectiveness and safety of structured exercise vs. no exercise for asymptomatic aortic aneurysm: systematic review and meta-analysis
Abstract We conducted a systematic review to compare the effectiveness and safety of exercise versus no exercise for patients with asymptomatic aortic aneurysm. We followed the guidelines set out in the Cochrane systematic review handbook. We searched Medline, Embase, CENTRAL, LILACS, PeDRO, CINAHL, clinicaltrials.gov, ICTRP, and OpenGrey using the MeSH terms “ aortic aneurysm ” and “ exercise ” . 1189 references were identified. Five clinical trials were included. No exercise-related deaths or aortic ruptures occurred in these trials. Exercise did not reduce the aneurysm expansion rate at 12 weeks to 12 months (m...
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
WIfI classification: the Society for Vascular Surgery lower extremity threatened limb classification system, a literature review
The objective of this study is to collect together the main points about the WIfI classification that have been discussed in the scientific literature. Most of the studies conducted for validation of this classification system prove its association with factors related to limb salvage, such as amputation rates, amputation-free survival, prediction of reintervention, amputation, and stenosis (RAS) events, and wound healing. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
Remote ischemic conditioning enhances heart and brain antioxidant defense
Conclusions Remote ischemic conditioning temporarily enhan ces heart and brain antioxidant defenses in male Wistar rats.Resumo Contexto A les ão de isquemia e reperfusão contribui para a morbidade após procedimentos de revascularização. Juntamente com a reperfusão precoce, o condicionamento tecidual através de breves episódios de isquemia e reperfusão é considerado a melhor abordagem para limitar o dano tecidual. Apesar disso, o s mecanismos do condicionamento isquêmico remoto são pouco compreendidos, o que pode levar a uma aplicação incorreta. Objetivos Avaliar se o condicionamento isquêmico remoto funcio...
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
Quality of life assessment before and after surgery for lower limb varicose veins
Conclusions No difference in quality of life was observed after surgery in most of the patients in the present study. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
A new era of medical therapy for peripheral artery disease
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - May 8, 2020 Category: Surgery Source Type: research
Recurrent arterial thrombosis in a patient with Fabry disease: case report
Resumo A doen ça de Fabry é definida como uma doença rara de depósito lisossomal ligada ao cromossomo X que apresenta sintomas multissistêmicos, incluindo comprometimento vascular com eventos trombóticos. Paciente do sexo feminino, 57 anos, com diagnóstico de doença de Fabry há 11 anos, apresentava hiper idrose, hipoacusia e angioqueratoma nas mãos. Na história patológica pregressa, relatou episódio de acidente vascular encefálico isquêmico prévio aos 40 anos de idade e trombose arterial crônica agudizada em membro inferior direito há 1 ano, a qual foi tratada por meio de angioplastia com u so de stent, a...
Source: Jornal Vascular Brasileiro - April 3, 2020 Category: Surgery Source Type: research
Total reversal of internal carotid blood flow in a patient with severe stenosis of the brachiocephalic trunk
RESUMO As estenoses graves e oclus ões do tronco braquiocefálico (artéria inominada) são raras, e apresentam uma grande variedade de manifestações clínicas, com alterações relacionadas a isquemia cerebral hemisférica, vertebrobasilar e de membro superior direito. A causa mais comum é a aterosclerose. A ultrassonografia vas cular com Doppler pode revelar inversão de fluxo na artéria vertebral direita, hipofluxo na subclávia, e vários tipos de alterações no fluxo da carótida direita, incluindo hipofluxo, inversão parcial do fluxo durante o ciclo cardíaco, e até mesmo inversão completa do fluxo na carót...
Source: Jornal Vascular Brasileiro - April 3, 2020 Category: Surgery Source Type: research
Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
Resumo A s índrome da fístula artério-portal (FAP) é uma rara e reversível causa de hipertensão portal pré-sinusoidal, ocasionada pela comunicação de uma artéria visceral com o sistema venoso portal. A maioria dos pacientes é assintomática, mas quando desenvolvem sintomas, estes são mais relaciona dos com sangramento gastrointestinal, ascite, insuficiência cardíaca congestiva e diarreia. Este desafio terapêutico apresenta um caso de FAP decorrente de ferimento antigo por arma branca e subsequente evolução clínica desfavorável, com grave desnutrição e frequentes hemorragias digestivas . O caso foi solu...
Source: Jornal Vascular Brasileiro - April 3, 2020 Category: Surgery Source Type: research
Acute aortic wall injury caused by aortic cross-clamping: morphological and biomechanical study of the aorta in a swine model of three aortic surgery approaches
Conclusions Aortic cross-clamping during open or laparoscopic surgery can affect the mechanical properties of the aorta leading to decrease in resistance of the aorta wall, without structural changes in aorta wall histology. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - April 3, 2020 Category: Surgery Source Type: research
Ultrasound-guided foam sclerotherapy for chronic venous disease with ulcer. A prospective multiple outcome cohort study
Conclusion The results suggest that most patients benefited from UGFS.Resumo Contexto A doen ça venosa crônica (DVC) é a principal causa de úlceras crônicas em membros inferiores. As varizes dos membros inferiores são a causa mais frequente de úlcera venosa (UV). No Brasil, 50,9% das mulheres têm varizes e a prevalência da úlcera chega a 4%. A escleroterapia ecoguiada com espuma ( EEE) é uma alternativa de baixo custo para tratamento de varizes de membros inferiores. Objetivos Analisar evolução de portadores de UV tratados com EEE. Métodos Coorte prospectiva e consecutiva em um único serviço. Portadores ...
Source: Jornal Vascular Brasileiro - April 3, 2020 Category: Surgery Source Type: research
Evaluation of the effectiveness of wearing compression stockings for prevention of occupational edema in hairdressers
Conclusions Compression stockings are effective for preventing occupational lower limb edema and the attenuation of symptoms such as pain a nd fatigue directly contributes to better quality of life for hairdressers. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - March 7, 2020 Category: Surgery Source Type: research
