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Publications (30)
Background
Ureteroarterial fistulas (UAFs) have a low incidence but are a potentially fatal cause of hematuria. Initially treated by open surgery, endovascular techniques have decreased potential complications.
Material and Methods
We present a short series of UAFs (n = 5) treated in our institution in the last 10 years: 1 case showed up after aor...
Surgical treatment of the occlusive arterial disease is a very big challenge for a vascular surgeon. While infrainguinal occlusive arterial disease can be resolved by general surgeons, below the knee, mesenteric and thoracic-abdominal arterial disease should be treated by specialists with proper training in different approaches and surgical techniq...
Introduction
chez certains patients ayant une ischémie critique de membre inférieur (ICMI), il n’existe pas de possibilité de revascularisation. Dans ces cas particuliers, l’angiogénèse thérapeutique (AT) utilisant une transplantation de progéniteurs cellulaires endothéliaux (PCE) pourrait constituer une alternative thérapeutique. L’objectif de cet...
In some patients with critical limb ischemia (CLI) the possibility of revascularizing treatment does not exist. In this case therapeutic angiogenesis (TA) using autologous endothelial progenitor cell (EPC) transplantation could be an alternative. The objective of our study was to evaluate the safety and efficacy of TA using EPC.
Twenty-eight patien...
El constante incremento de la población renal crónica junto con su mayor supervivencia nos obliga a optimizar el patrimonio venoso para la realización de accesos vasculares autólogos, pues éstos presentan una menor tasa de complicaciones y una mayor permeabilidad que los protésicos. Casos clínicos. Presentamos dos pacientes con insuficiencia renal...
Introducción. La mortalidad del aneurisma de aorta abdominal roto (AAAr) intervenido varía en 26-62%, dependiendo del estado clínico del paciente previo a la cirugía. Objetivos. Aplicar la escala de Glasgow en pacientes intervenidos de AAAr; y utilizarla como herramienta pronóstica para determinar la mortalidad perioperatoria y observar cómo se mod...
Critical limb ischemia is the end stage of peripheral arterial occlusive disease, with a deep impact in patient's quality of life. In some patients, there is no revascularizing treatment options, that determines major limb amputation in a high percentage of patients, not only for uncontrolled limb pain but also for complications of the trophic lesi...
Critical limb ischemia is the end stage of peripheral arterial occlusive disease, with a deep impact in patient's quality of life. In some patients, there is no revascularizing treatment options, that determines major limb amputation in a high percentage of patients, not only for uncontrolled limb pain but also for complications of the trophic lesi...
Introduction. The steady increase in the population suffering from chronic renal failure together with longer survival times means that it is necessary to optimise the venous pool for performing autologous vascular accesses, since these offer a lower rate of complications and greater patency than prosthetic accesses. Case reports. We report the cas...
Introduction. Mortality in cases of ruptured abdominal aortic aneurysm (rAAA) submitted to surgery ranges between 26-62%, depending on the clinical status of the patient before the operation. Aims. To apply the Glasgow scale in patients who underwent surgery for rAAA and to use it as a prognostic tool to determine the perioperative mortality rate a...
The aim of this study is to evaluate the functional recovery after Thoracic Outlet Syndrome (TOS) surgery, by the application of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire.
This was a prospective study of all patients operated on for TOS from January 1998 to December 2005. The DASH questionnaire was administered pre- and postop...
Introducción. Los aneurismas de las arterias viscerales son entidades poco comunes con una incidencia estimada de 0,01-2%. Su importancia clínica se debe a que su historia natural se caracteriza por una tendencia a la rotura, con una tasa de mortalidad que puede llegar a ser de hasta un 70%. Con el desarrollo de las nuevas técnicas de imagen ha cre...
Introducción. La isquemia aguda por embolización distal de un aneurisma cubital es infrecuente. La mayoría de los casos descritos en la bibliografía se relacionan con el síndrome del martillo hipotenar (SMH). Caso clínico. Varón de 45 años, con dolor, parestesias y frialdad de inicio súbito en el cuarto y el quinto dedos del miembro superior derech...
Introduction. Aneurysms in the visceral arteries are uncommon conditions with an estimated incidence of 0.01-2%. Their clinical importance derives from the fact that their natural history is characterised by a tendency to rupture, with a mortality rate that can reach up to 70%. With the development of the latest imaging techniques the number of cha...
Introduction. Acute ischaemia due to distal embolisation of an ulnar aneurysm is infrequent. Most of the cases reported in the literature are related to hypothenar hammer syndrome (HHS). Case report. We report the case of a 45-year-old male who suffered the sudden onset of pain, paresthesias and coldness in the 4th and 5th fingers of the right hand...
Introduction
Paracervical carotid tumours are a rare condition with a low incidence, especially if we compare them with intracranial aneurysmal malformations. The location varies according to the causation: syphilis, tuberculosis and other local infections were the most common cause up 50 years ago, and today these have been replaced by traumatic i...
A number of studies have related aneurysmal aortic degeneration to prior dissection, above all in patients with arterial hypertension. AIM. To analyse the rate of aneurysmal degeneration in patients previously diagnosed with aortic dissection. PATIENTS AND METHODS. We conducted a retrospective observational study involving 70 patients who survived...
Introduction. Paracervical carotid tumours are a rare condition with a low incidence, especially if we compare them with intracranial aneurysmal malformations. The location varies according to the causation: syphilis, tuberculosis and other local infections were the most common cause up 50 years ago, and today these have been replaced by traumatic...
Introduction. A number of studies have related aneurysmal aortic degeneration to prior dissection, above all in patients with arterial hypertension. Aim. To analyse the rate of aneurysmal degeneration in patients previously diagnosed with aortic dissection. Patients and methods. We conducted a retrospective observational study involving 70 patients...
Introducción. La arteritis de Takayasu es una enfermedad inflamatoria muy poco frecuente en nuestro medio, que afecta principalmente a mujeres jóvenes de origen asiático o norteafricano. El fenómeno creciente de inmigración existente actualmente en nuestro país, hace que debamos tener presentes patologías que hasta ahora eran muy poco habituales. C...
Patients with critical limb ischemia in whom surgical repair is not possible because bad distal vasculature, have an ominous prognosis. This study describes a technique for treatment of patients with critical limb ischemia with implantation of autologous peripheral mobilized hematopoietic cells, with the aim to stimulate angiogenesis.
Twelve patien...
Aortoenteric fistula is defined as a communication between the native aorta and any portion of the gastrointestinal tract. Depending on previous aortic grafting it can be classified as primary, without previous grafting, or secondary. Primary aortoenteric fistula is less frequent and usually arises from an abdominal aortic aneurysm. Clinical presen...
Aortoenteric fistula is defined as a communication between the native aorta and any portion of the gastrointestinal tract. Depending on previous aortic grafting it can be classified as primary, without previous grafting, or secondary. Primary aortoenteric fistula is less frequent and usually arises from an abdominal aortic aneurysm. Clinical presen...
Objectivo. Analisar a presença de factores predictivos que facilitem o diagnóstico precoce da colite isquémica no pós-operatório de uma ruptura de aneurisma da aorta abdominal. Doentes e métodos. Sobre um total de 49 doentes com ruptura de aneurisma da aorta abdominal intervencionados no nosso centro no período compreendido entre 1997 e 2003, reali...
Aim. To analyse the presence of predictive factors that facilitate the early diagnosis of ischemic colitis in the period following surgical intervention to treat a ruptured abdominal aortic aneurysm. Patients and methods. From a total of 49 patients with ruptured abdominal aortic aneurysms who underwent surgery in our centre during the period betwe...
