Tratamento endovascular dos aneurismas de aorta abdominal: experiência inicial e resultados a curto e médio prazo

Saadi, Eduardo Keller; Gastaldo, Fernando; Dussin, Luiz Henrique; Zago, Alcides José; Barbosa, Gilberto Venossi; Moura, Leandro de

doi:10.1590/s0102-76382006000200016

Cited by 12 publications

(9 citation statements)

References 18 publications

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“…In Brazil, the effort of the Brazilian Society of Cardiovascular Surgery to report on and guide about this disease has steadily improved treatment [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Mortality within the endovascular treatment in Stanford type B aortic dissections

Fioranelli¹,

Filho²,

Júnior³

et al. 2011

Rev Bras Cir Cardiovasc

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dor persistente apesar da terapia médica, sinais de isquemia distal do membro, sinais de ruptura da aorta, progressão da dilatação do aneurisma da aorta descendente, durante o seguimento (definida como um diâmetro > 5 cm) e descendente da aorta torácica de 40 mm ou mais de diâmetro no início da dissecção aórtica. Os dados foram analisados estatisticamente considerados erro alfa de 5%. As variáveis

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“…In Brazil, the effort of the Brazilian Society of Cardiovascular Surgery to report on and guide about this disease has steadily improved treatment [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Mortality within the endovascular treatment in Stanford type B aortic dissections

Fioranelli¹,

Filho²,

Júnior³

et al. 2011

Rev Bras Cir Cardiovasc

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“…The majority of the patients have been classified as moderate risk for per-operative cardiac complications, as expected by their main disease and co-morbidities [11,20]. Patients showed a moderate surgical risk, and they have been in accordance with the estimated cardiac risk obtained by applying the Goldman scale.…”

Section: Fig 2 -Correlations Between Plasmatic Arginine-vasopressin mentioning

confidence: 95%

Vasopressina plasmática em pacientes submetidos à correção de aneurisma de aorta infrarrenal

Carvalho¹,

Guillaumon²,

Cintra³

et al. 2011

Rev Bras Cir Cardiovasc

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Objectives: To evaluate plasmatic arginine vasopressin (AVP) levels in patients undergoing scheduled conventional abdominal aortic aneurysm (AAA) repair.Methods: Plasmatic AVP concentrations were measured by radioimmunoassay in 22 non-consecutive adult patients undergoing infra-renal AAA repair. They were under combined general and epidural anesthesia at the following time frames: 1 -pre-operative (T0); 2 -2h (T1) and 6h (T2) after the surgical procedure; 3 -in the morning at the first (T3), second (T4) and third (T5) post-operative days. Some clinical and laboratory variables were also recorded.Results: The mean age of patients was 68±10 years; 17 were males. Plasmatic AVP (mean±SD; pg/mL) was within the normal range at T0 (1.4±0.7; baseline), increasing significantly at T1 (62.6±62.9; P<0.001) and at T2 (31.5±49.7; P<0.001), with a progressive fall, returning to basal levels at T5 (2.1±3.8; P=NS). Positive and statistically significant correlations were found between AVP and glycemia, serum lactate and white blood cells counts, but not with systemic arterial pressure or plasma osmolarity during the postoperative period.Conclusions: Considering that no correlations were found between AVP levels and hemodynamic or plasmatic osmolarity variations in AAA repair, it seems that stress response is mainly secondary to noxious stimulation mediated by the autonomic nervous system that is not completely blocked by anesthetics. Descriptors: Intensive care units. Cardiovascular abnormalities. Receptors, vasopressin. Resumo Objetivos: Avaliar os níveis plasmáticos de vasopressina (AVP) em pacientes submetidos à correção convencional de aneurisma de aorta abdominal (AAA).Métodos: A AVP plasmática foi mensurada por radioimunoensaio em 22 pacientes não-consecutivos submetidos à correção eletiva de AAA infrarrenal sob anestesia geral + epidural nos seguintes momentos: pré-operatório (T0); 2h (T1) e 6h (T2) após a cirurgia; e nas manhãs do primeiro (T3), segundo (T4) e terceiro (T5) dia pós-operatório (PO). Variáveis clínicas e laboratoriais de interesse também foram anotadas.Resultados: A média de idade dos pacientes foi de 68±10 anos, sendo 17 homens. A AVP plasmática (média±DP; pg/ mL) estava dentro de limites normais no T0 (1,4±0,7; basal), aumentando no T1 (62,6±62,9; P<0,001) e no T2 (31,5±49,7; P<0,001), e retornando aos valores basais no T5 (2,1±3,8; RBCCV 44205-1296

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“…Since they have favorable anatomy, endovascular treatment has recommendation grade "A" in these cases. In our environment, Saadi et al [9] reported a series of 25 patients undergoing endovascular repair of abdominal aortic aneurysm with 96% of patients alive and free of further intervention, up to a 27-month follow-up period.…”

Section: Fig 2 -Thrombosed False Lumem Of the Ascending Aortic Arch mentioning

confidence: 99%

Endovascular correction of abdominal aortic aneurysm as a late complication of type A aortic dissection

Pontes

Duarte

Silva

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Tratamento endovascular dos aneurismas de aorta abdominal: experiência inicial e resultados a curto e médio prazo

Abstract: Tratamento endovascular dos aneurismas de aorta abdominal: experiência inicial e resultados a curto e médio prazo

Cited by 12 publications

References 18 publications

Mortality within the endovascular treatment in Stanford type B aortic dissections

Mortality within the endovascular treatment in Stanford type B aortic dissections

Vasopressina plasmática em pacientes submetidos à correção de aneurisma de aorta infrarrenal

Endovascular correction of abdominal aortic aneurysm as a late complication of type A aortic dissection

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