Is there concordance between bone and tendon cultures in patients with foot tissue loss?
Resumo Contexto As infec ções profundas de extremidades representam um desafio para o salvamento de membro dos pacientes. Objetivos Investigar se existe concordância entre as culturas de osso e tecido profundo em pacientes com lesões tróficas de extremidades. Métodos Foi realizado um estudo retrospectivo incluindo 5 4 pacientes com lesões tróficas profundas de extremidades internados, no Complexo Hospitalar Universitário Professor Edgard Santos, Salvador (BA), Brasil. Foram incluídos todos os pacientes que realizaram culturas de lesões tróficas profundas, com duas modalidades de coleta de exame: osso e fr ag...
Source: Jornal Vascular Brasileiro - November 14, 2019 Category: Surgery Source Type: research
Outcomes of segmental femoral artery pseudoaneurysm in patients with Behçet’s disease: a single center’s experience
Conclusions Surgical repair with muscle flap coverage, with or without ligation of profunda femoris artery, does not affect prognosis. An alternative method for identifying healthy segments of femoral artery may be frozen section and examination of the artery to decrease the risk of recurrence at the site of anastomosis.RESUMO Contexto A doen ça de Behçet (DB) é uma enfermidade autoimune que envolve múltiplos sistemas. A manifestação arterial mais comum em pacientes com DB é o pseudoaneurisma, que tem uma frequência mais alta do que a formação de aneurismas. Objetivos Esclarecer a importância da artéria femor...
Source: Jornal Vascular Brasileiro - November 14, 2019 Category: Surgery Source Type: research
Oxandrolone for treatment of lipodermatosclerosis: case report
We report a case of acute lipodermatosclerosis in a 61-year-old woman with a previous history of surgical treatment for venous insufficiency of the lower limbs. The patient presented with edema and painful, erythematous lesions with diffuse infiltration, mainly affecting the posterior aspect of the left calf. She was initially treated with stanozolol and pentoxifylline, with good response. Due to unavailability of stanozolol, she was put on oxandrolone. This treatment was well tolerated, reduced the intensity of edema, erythema, and infiltration in the lower limbs, effectively leading to pain relief. Oxandrolone may be a u...
Source: Jornal Vascular Brasileiro - November 8, 2019 Category: Surgery Source Type: research
Ulcers of the fingers and dorsum of the left hand caused by venous hypertension after construction of a brachiocephalic arteriovenous fistula: case report
We present a case caused by hemodynamic overload of a tributary, which diverted the primary flow from the fistula to the distal limb. We chose to ligate the fistula to treat the ulcers and create another arteriovenous fistula in the contralateral limb. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - November 5, 2019 Category: Surgery Source Type: research
Anatomic variant of the internal jugular vein and its importance in vascular access for hemodialysis
Resumo A veia jugular interna direita é considerada a melhor via para um acesso vascular, devido a baixas taxas de complicação e ao fornecimento de fluxo satisfatório durante a hemodiálise dado seu trajeto mais retilíneo para o átrio direito. O presente estudo relata a identificação, prévia à punção, de uma variação anatô mica da posição da veia jugular interna em relação à artéria carótida comum. Destaca-se o benefício dessa identificação prévia, enfatizando-se a importância de se realizar a ultrassonografia vascular com Doppler em detrimento de utilizar somente reparos anatômicos externos par...
Source: Jornal Vascular Brasileiro - November 5, 2019 Category: Surgery Source Type: research
Characterization of amputees at a large hospital in Recife, PE, Brazil
Conclusions The data observed in this study are alarming, particularly considering that many of these amputations could have been avoided, since they were caused by complications of diseases that can be prevented and controlled at healthcare services of a lower level of complexity and at a relatively low cost. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - November 5, 2019 Category: Surgery Source Type: research
The evolution of transcarotid artery stenting with flow reversal
(Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - November 5, 2019 Category: Surgery Source Type: research
Influence of polidocanol ultrasound-guided foam sclerotherapy on quality of life in lower extremity chronic venous disease: initial results
This article presents the results from the first 27 patients in a prospective, longitudinal, non-controlled study for evaluation of the clinical and QOL impact of USFS treatment for CEAP C4 to C6 grade CVI with contraindications for open surgery. Clinical symptoms were measured with the Venous Clinical Severity Score (VCSS) and QOL by the Assessment of Burden Chronic Disease - Venous questionnaire (ABC-V). We observed 22.2% reductions in VCSS (p<0.001) in the first week after the procedure, and a 37.8% reduction in ABC-V scores (p=0.03) over the first 3 months. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - October 24, 2019 Category: Surgery Source Type: research
Venous revascularization to treat posterior nutcracker syndrome by transposition of the left gonadal vein: case report
This report describes a case of Posterior Nutcracker Syndrome in which the management approach chosen was open surgery, transposing the gonadal vein distally, to the inferior cava vein. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - October 11, 2019 Category: Surgery Source Type: research
Ultrasonographic evaluation of the common carotid intima-media complex in healthy and overweight/obese children
Conclusions Intima-media thickness was greater among children with overweight/obesity and was directly proportional to BMI z score, denoting increased cardiovascular risk in this group. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - October 11, 2019 Category: Surgery Source Type: research
Improving a training model for vascular surgical techniques
We describe a low-cost model for training vascular surgical techniques. The model is constructed from cylindrical latex balloons filled with gelatin and fixed to a board for support. Arterial sutures, end-to-side and end-to-end anastomoses, patch, vascular shunt placement, and thromboembolectomy were simulated. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - October 8, 2019 Category: Surgery Source Type: research
Superior vena cava syndrome: endovascular management
Conclusions Endovascular stent placement was effective for management of SVCS, with good technical and clinical success rates and provided prompt relief from symptoms.Resumo Contexto O tratamento da s índrome da veia cava superior (SVCS) visa aliviar, rapidamente, os sintomas desconfortáveis. Os resultados das abordagens convencionais nem sempre são tão rápidos quanto os do tratamento endovascular com colocação de stent. Objetivos Relatar a experiência de um Serviço de Cirurgia Vascular e Endovascular de hospital universitário brasileiro com o tratamento endovascular da SVCS. Métodos Vinte e oito pacientes c...
Source: Jornal Vascular Brasileiro - October 8, 2019 Category: Surgery Source Type: research
Influence of linear intravenous energy density on the success of intravenous laser ablation for treatment of chronic venous insufficiency
Conclusions Linear intravenous energy density greater than the mean of 70.57 J/cm was associated with a higher rate of closure at the saphenofemoral junction. However, density did not have an influence on the result for the thigh segment, showing that an energy density exceeding 70.57 J/cm tends not to be required for treatment of this segment. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - September 2, 2019 Category: Surgery Source Type: research
Anxiety and depression in patients with peripheral arterial disease admitted to a tertiary hospital
Conclusions There are high prevalence rates of anxiety and depressive disorders among patients with PAD, which are underdiagnosed and, hence, not properly treated. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - August 30, 2019 Category: Surgery Source Type: research
Effects of probiotics on the lipid profile: systematic review
The objective was to review the effects of probiotic supplementation on the prevention and treatment of changes to the lipid profile. The searches were run on the PubMed database, using the descriptors “ probiotics and lipid profile ” and “ probiotics and dyslipidemia, ” with publication dates restricted to 2013 to 2018. Supplementation with probiotics significantly reduced total cholesterol, LDL-c, and triglycerides and increased HDL-c. Some benefits were observed on anthropometric variables, glycemic control, oxidative stress, inflammation, and immune system. The present study suggests that probiotic supplement...
Source: Jornal Vascular Brasileiro - August 15, 2019 Category: Surgery Source Type: research
