A5090528230- Diagnosis and Treatment of Venous Diseases
- Venous Thromboembolism Diagnosis and Management
- Peripheral Artery Disease Management
- Vascular Procedures and Complications
- Central Venous Catheters and Hemodialysis
- Cerebrovascular and Carotid Artery Diseases
- Dermatologic Treatments and Research
- Vascular anomalies and interventions
- Intracranial Aneurysms: Treatment and Complications
- Abdominal vascular conditions and treatments
- Diabetic Foot Ulcer Assessment and Management
- Muscle and Compartmental Disorders
- Dialysis and Renal Disease Management
- Lymphatic Disorders and Treatments
- Gestational Trophoblastic Disease Studies
- Trauma Management and Diagnosis
- Lymphatic System and Diseases
- Education and Digital Technologies
- Vascular Malformations and Hemangiomas
- Aortic aneurysm repair treatments
- Fetal and Pediatric Neurological Disorders
- Neonatal and fetal brain pathology
- Ectopic Pregnancy Diagnosis and Management
- Vascular Anomalies and Treatments
- Blood Coagulation and Thrombosis Mechanisms
Hospital de Clínicas Universidade Federal do Paraná
2018-2025
Universidade Federal do Paraná
2015-2024
Sociedade Brasileira de Cardiologia
2023-2024
Instituto de Patologia da Coluna
2019-2024
Universidade Federal do Pará
2024
Academia Nacional de Medicina
2023
Secretaria de Ciência, Tecnologia e Inovação
2023
Rauma Group (Norway)
2023
Directorate-General for Interpretation
2016
National Board of Examinations
2016
A female patient in her early 40s presented with bilateral great saphenous vein (GSV) incompetence, as identified on duplex ultrasound (DUS), and recurrent leg swelling. The underwent endovenous laser ablation for GSVs concomitant phlebectomies. She was discharged the same day without any reported complications prescribed prophylactic low-molecular-weight heparin 1 week. Seven days later, although asymptomatic, surveillance DUS confirmed GSV global occlusion. On postoperative 27,...
The use of compression dressings after phlebectomy is based solely on clinical experience due to the lack a unified set definitive recommendations, which makes practice extremely heterogeneous.To evaluate therapy with elastic stockings for 7 days phlebectomy.We randomly allocated 104 lower limbs disease classified as C1 and C2 1 2 groups: an intervention group (64 limbs) - wearing first phlebectomy; or control (40 given conventional bandaging 24 hours postoperatively. We compared response by...
Abstract The diabetic foot interacts with anatomical, vascular, and neurological factors that challenge clinical practice. This study aimed to compile the primary scientific evidence based on a review of main guidelines, in addition articles published Embase, Lilacs, PubMed platforms. European Society Cardiology system was used develop recommendation classes levels evidence. themes were divided into six chapters (Chapter 1 - Prevention ulcers people diabetes; Chapter 2 Pressure relief from 3...
Objectives To evaluate histological and immunohistochemical changes in the great saphenous vein after endovenous laser ablation at two different wavelengths (1470 vs. 1940 nm) linear energy density values (50 100 J/cm). Method Segments were obtained from conventional eversion removal of divided into a control group four groups for ex vivo irradiation (control group; A: 1470 nm, 50 J/cm; B: C: D: Fifty venous segments ( n = 10/group) analyzed. Changes classified low-temperature changes,...
Heterotopic pregnancy (HP) is defined as the simultaneous development of an intra- and extra uterine gestation. The occurrence a spontaneous triplet HP exceptionally rare medical condition. We report case young woman with heterotopic triplets at 8 weeks gestation, misdiagnosis topic twins acute appendicitis. ectopic tubal was ruptured salpingectomy performed by laparotomy. intrauterine progressed uneventfully. two healthy babies were delivery cesarean section 36 ± 2 represent special...
Extracranial cerebrovascular disease has been the subject of intense research throughout world, and is paramount importance for vascular surgeons. This guideline, written by Brazilian Society Angiology Vascular Surgery (SBACV), supersedes 2015 guideline. Non-atherosclerotic carotid artery diseases were not included in this document. The purpose guideline to bring together most robust evidence area order help specialists treatment decision-making process. AGREE II methodology European...
Endovenous thermal ablation is now one of the most important techniques for treating chronic venous insufficiency. Technical refinements and technological innovations have made it possible to employ method not only in saphenous veins, but also treat superficial veins such as varicose tributaries. We describe a technique surgical treatment using endovenous laser employing multiple punctures present experience at our service with analysis 601 cases operated this technique. Thermoablative...
Abstract Patients with peripheral artery disease and generalized atherosclerosis are at high risk of cardiovascular limb complications, affecting both quality life longevity. Lower atherosclerotic is associated morbidity mortality adequate management founded on treatments involving patient-dependent factors, such as lifestyle changes, physician-dependent clinical treatment, endovascular or conventional surgery. Medical multifaceted, its most important elements reduction cholesterol level,...
There are few data on endovascular treatment of anterior nutcracker syndrome and pelvic varices in patients with posterior renal veins. Our objective is to report a case, identify occurrences compare diagnosis treatments. A 42-year-old woman presented flank pain hematuria. She had an vein. successful complete approach was done stent implantation the vein left gonadal embolisation. After 12-month follow-up, patient remained asymptomatic good results CT. Only two case reports veins were...
Trauma is a leading cause of death, permanent disability, and health care cost worldwide. The young economically active are the most affected population. Exsanguination due to noncompressible torso hemorrhage one frequent causes early posing significant challenge trauma vascular surgeons. possibility limb loss injuries must also be considered. In recent decades, approach has been significantly modified. Angiotomography become standard method for diagnosis, endovascular techniques currently...
PURPOSE: To develop an ex vivo model for the analysis of macroscopic, histological and immunohistochemical changes after experimental endovenous laser ablation (EVLA) great saphenous vein (GSV). METHODS: We describe a produced with glass tubes introducer sheaths to mimic physiological conditions EVLA procedures, such as tumescence blood flow. A pilot study was conducted evaluate procedure incompetent GSV segment using 1470-nm radial fiber diode (7 W power) automatic pull-back device. The...
Abstract The Brazilian Society of Angiology and Vascular Surgery has set up a committee to provide new evidence-based recommendations for patient care associated with chronic venous insufficiency. Topics were divided in five groups: 1. Classification, 2. Diagnosis, 3. Conservative or non-invasive treatment, 4. Invasive treatment 5. Treatment small vessels. This last series is closely related the activities angiologists vascular surgeons, who are heavily involved superficial veins. These...
In endovenous laser ablation (EVLA), the great saphenous vein (GSV) is usually ablated from knee to groin, with no treatment of below-knee segment regardless its reflux status. However, persistent GSV appears be responsible for residual varicosities and symptoms venous disease.To evaluate clinical duplex ultrasound (DUS) outcomes after above-knee EVLA associated conventional surgical incompetent perforating veins.Thirty-six patients (59 GSVs) were distributed into 2 groups, a control group...
Resumo Define-se trombose induzida pelo calor endovenoso como a propagação do trombo partir de uma veia superficial em direção mais profunda. Em geral, é considerada clinicamente insignificante quando não há para o sistema venoso profundo. Essa condição pode ser tratada com terapia anticoagulante, embora observação pareça suficiente, principalmente graus menores. Neste estudo, relatamos dois casos que teriam indicação heparina baixo peso molecular até resolução quadro. Porém, optou-se uso da...
Resumo Contexto O tratamento com laser endovenoso das veias safenas oferece ao paciente um procedimento baixos índices de complicações, proporcionando retorno precoce à atividade ocupacional. Objetivo Comparar a formação hematoma, presença parestesia no trajeto da veia safena magna (VSM) e sua taxa obliteração em 30 dias após termoablação nível coxa, utilizando ou não tumescência dois tipos fibras. Métodos Estudo prospectivo que foram analisados três grupos pacientes submetidos VSM...
Collective intelligence is extremely important in collective groups that discuss clinical medical cases, assisting professionals their decision-making processes, and consequently, helping patients.To evaluate the rate of resolution characteristics discussions carried out a private instant messaging group its applicability.Retrospective analysis events on Vascular Forum, an open for specialists accessed with mobile devices.From July 2015 to 2017, 1013 subjects were discussed among 680...
Objectives To describe saphenous reflux patterns in patients classified as CEAP C2 by analysis of 2027 vascular ultrasound examination reports. Methods A total venous mapping studies were reviewed and 1196 selected. Patients according to for the great vein small vein, rates analyzed both sexes. Results The overall prevalence was 45%. Males had significantly higher than females ( p < 0.001). most common pattern segmental males proximal reflux. Conclusions Saphenous is more frequent males....
Abstract Background Water-specific 1470-nm lasers enable vein ablation at lower energy densities and with fewer side effects because they target interstitial water in the vessel wall. Objectives To determine great saphenous (GSV) occlusion rate after thermal laser using 7W power to evaluate clinical outcomes complications. Method Nineteen patients (31 GSVs) underwent ablation. Follow-up duplex scanning, evaluation Venous Clinical Severity Score (VCSS), of procedure-related complications were...
Pseudoaneurysm secondary to chronic pancreatitis is a rare complication, but one with high mortality rate. It etiologically associated pancreatitis, and most diagnoses are made after rupture, which manifests clinical signs of acute hemorrhage. Computed tomography plays an important role in diagnosis, digital subtraction angiography remains the gold-standard method for diagnostic confirmation treatment planning. This article describes two cases pseudoaneurysm patients alcoholic pancreatitis;...