5 results on '"Douglas Cavalcanti"'
Search Results
2. Envolvimento cardiovascular na COVID-19
- Author
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Renato Douglas Cavalcanti Farias, Bárbara Gomes Cavalcanti, Rafael Nóbrega Cavalcante, Iris Luna De Menezes, Lucas Iago Bezerra Monteiro, Andrey Rafael Pereira Damasceno, and Thaís Regina de Souza Lins Nascimento Ribeiro
- Published
- 2021
3. Safety and efficacy of the EPIC™ nitinol vascular stent system for the treatment of lesions located in the superficial femoral artery: prospective and multicentric trial
- Author
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José Carlos Ingrund, Norma Maria Tenório Brito Pires, Rafael Narciso Franklin, Daniel Mendes Pinto, Antonio Kambara, Caetano de Sousa Lopes, Koen Deloose, Gustavo Henrique Dumont Kleinsorge, Marco Rivera, Walter Khegan Karakhanian, Cristiano Torres Bortoluzzi, Jong Park, Felipe Nasser, Rodrigo Lopes, Adnan Neser, Douglas Cavalcanti, Roberto Augusto Caffaro, Marc Bosiers, André Mourão, Ilana Barros, Gilberto do Nascimento Galego, Alvaro Razuk, Pierre Galvagni Silveira, Leonardo Ghizoni Bez, Carlos Abath, and Marcelo Calil Burihan
- Subjects
Target lesion ,Male ,Time Factors ,medicine.medical_treatment ,02 engineering and technology ,Femoral artery ,Kaplan-Meier Estimate ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Medicine ,Prospective Studies ,Aged, 80 and over ,Ultrasonography, Doppler, Duplex ,Endovascular Procedures ,Angiography ,General Medicine ,Middle Aged ,Femoral Artery ,Treatment Outcome ,Female ,Stents ,Radiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Brazil ,Adult ,medicine.medical_specialty ,0206 medical engineering ,Prosthesis Design ,Disease-Free Survival ,03 medical and health sciences ,Peripheral Arterial Disease ,medicine.artery ,Alloys ,Vascular Patency ,Humans ,Ankle Brachial Index ,Aged ,business.industry ,Stent ,Critical limb ischemia ,medicine.disease ,020601 biomedical engineering ,Popliteal artery ,Intermittent claudication ,Surgery ,Stenosis ,business - Abstract
Background The aim of this study was to evaluate the short and mid-term safety and efficacy of the EPIC™ nitinol vascular stent system for the treatment of lesions located in the superficial femoral artery (SFA). Methods From October 2010 to June 2012, 83 subjects were enrolled in a prospective, multicenter, non-randomized study designed to demonstrate that the EPIC nitinol vascular stent system for SFA lesions is non-inferior to the published patency rates found in literature. Inclusion criteria were stenosis or occlusion of the SFA or SFA and proximal popliteal artery, with total length from 4 to 11 cm and amenable for treatment with a single stent, in patients with a score from 2 to 5 on Rutherford classification. The primary endpoint was primary patency rate at 12 months as determined by Duplex ultrasound. The secondary endpoints evaluated were: initial arteriographic success, primary patency rate at 6 months, major adverse event rate at one year and technical success. Follow-up with a complete clinical and physical exam, including ABI and Duplex ultrasound was performed at 6 and 12 months. Results Most patients (56.6%) were men and the mean age was 68.59 (33.1-99.15) years. 25.3% of the total population had intermittent claudication and 73.5% presented with critical limb ischemia. Most lesions were total occlusions (75.9%) and the mean lesion length was 71.16 mm. Contralateral femoral access was performed in 26.5%cases, and ipsilateral femoral approach was used for the remaining 73.5% patients. Technical and arteriographic success was obtained in all 83 (100.00%) patients. Duplex controlled primary patency rate at 6 and 12 months was 95.8% and 76.1%, respectively. The freedom from target lesion revascularization rate was 98.7% and 92.6% at 6 and 12 months, respectively. No stent fractures were observed in this study. Major adverse event rate at 1 year (clinically driven TLR, major amputation, and all-cause mortality) was 15.7%: two target lesion revascularizations (2.4%), one major amputation (1.2%) and ten deaths not related to the procedure (12%). Conclusions In conclusion, this study demonstrates the safety and efficacy of the EPIC™ Nitinol Vascular Stent System for the treatment of SFA lesions.
- Published
- 2015
4. Cateteres intravenosos fraturados: retirada por técnicas endovasculares Intravenous catheter fragments: endovascular retrieval
- Author
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Gustavo Andrade, Romero Marques, Norma Brito, Ângelo Bomfim, Douglas Cavalcanti, and Carlos Abath
- Subjects
Corpos estranhos ,lcsh:Medical physics. Medical radiology. Nuclear medicine ,Foreign bodies ,lcsh:R895-920 ,Embolism ,Vias de acesso vascular ,Vascular access ports ,Embolia - Abstract
OBJETIVO: A colocação de cateter para acesso venoso central é uma prática médica cada vez mais comum, sendo a fratura e embolização de fragmentos do cateter raras, porém correspondem aos corpos estranhos intravasculares mais comuns. O objetivo é demonstrar nossa experiência na retirada desses corpos estranhos intravasculares utilizando técnicas endovasculares. MATERIAIS E MÉTODOS: Análise retrospectiva dos últimos cinco anos permitiu a avaliação de dez casos consecutivos, com a idade variando entre nove meses e 67 anos. RESULTADOS: O procedimento foi realizado com sucesso em todos os casos, por diferentes técnicas, sem complicações. Os locais mais comuns de alojamento dos fragmentos foram átrio direito, veia cava superior e artéria pulmonar esquerda. A retirada desses corpos estranhos por técnicas endovasculares é procedimento relativamente simples quando comparado à alternativa cirúrgica, tendo sido utilizada com segurança e sucesso em inúmeros pacientes. Os dispositivos disponíveis mostraram-se bastante eficazes, sendo o laço o mais versátil. CONCLUSÃO: A alta taxa de sucesso com poucas complicações relatadas, mesmo em crianças, permite a afirmação que os corpos estranhos intravenosos devem ser extraídos por técnicas percutâneas sempre que possível. Contudo, a familiarização com as diversas técnicas é fundamental, permitindo combinações e modificações, adaptando-as à situação do caso.OBJECTIVE: Central venous access is an increasingly frequent procedure and intravenous catheter fractures and fragments embolization, although being rare, correspond to the most common intravascular foreign bodies. This study purpose is to show our experience in the removal of these foreign bodies, employing endovascular techniques. MATERIALS AND METHODS: Retrospective analysis of ten consecutive cases in the last five years, including patients with ages ranging from 9 months to 67 years. RESULTS: The procedure was successfully performed in all the cases by means of different techniques and with no complication. Most common fragments lodgement sites were: right atrium, superior vena cava and left pulmonary artery. The retrieval of these foreign bodies by means of endovascular techniques is a relatively simple procedure when compared to the surgical alternative, and has been safely and successfully performed in countless patients. The available devices have proven quite effective and, among them, the loop snare is the most versatile. CONCLUSION: The high success rate with few complications reported, even in children, allows us to say that, whenever possible, percutaneous extraction of intravascular foreign objects should be performed. Notwithstanding, familiarization with the several techniques available is essential, allowing combinations and modifications according to each situation.
- Published
- 2006
5. Cateteres intravenosos fraturados: retirada por técnicas endovasculares
- Author
-
Norma Brito, Douglas Cavalcanti, Carlos Abath, Ângelo Bomfim, Gustavo Andrade, and Romero Marques
- Subjects
Corpos estranhos ,Foreign bodies ,Embolism ,Radiology, Nuclear Medicine and imaging ,Vias de acesso vascular ,Vascular access ports ,Embolia - Abstract
OBJETIVO: A colocação de cateter para acesso venoso central é uma prática médica cada vez mais comum, sendo a fratura e embolização de fragmentos do cateter raras, porém correspondem aos corpos estranhos intravasculares mais comuns. O objetivo é demonstrar nossa experiência na retirada desses corpos estranhos intravasculares utilizando técnicas endovasculares. MATERIAIS E MÉTODOS: Análise retrospectiva dos últimos cinco anos permitiu a avaliação de dez casos consecutivos, com a idade variando entre nove meses e 67 anos. RESULTADOS: O procedimento foi realizado com sucesso em todos os casos, por diferentes técnicas, sem complicações. Os locais mais comuns de alojamento dos fragmentos foram átrio direito, veia cava superior e artéria pulmonar esquerda. A retirada desses corpos estranhos por técnicas endovasculares é procedimento relativamente simples quando comparado à alternativa cirúrgica, tendo sido utilizada com segurança e sucesso em inúmeros pacientes. Os dispositivos disponíveis mostraram-se bastante eficazes, sendo o laço o mais versátil. CONCLUSÃO: A alta taxa de sucesso com poucas complicações relatadas, mesmo em crianças, permite a afirmação que os corpos estranhos intravenosos devem ser extraídos por técnicas percutâneas sempre que possível. Contudo, a familiarização com as diversas técnicas é fundamental, permitindo combinações e modificações, adaptando-as à situação do caso. OBJECTIVE: Central venous access is an increasingly frequent procedure and intravenous catheter fractures and fragments embolization, although being rare, correspond to the most common intravascular foreign bodies. This study purpose is to show our experience in the removal of these foreign bodies, employing endovascular techniques. MATERIALS AND METHODS: Retrospective analysis of ten consecutive cases in the last five years, including patients with ages ranging from 9 months to 67 years. RESULTS: The procedure was successfully performed in all the cases by means of different techniques and with no complication. Most common fragments lodgement sites were: right atrium, superior vena cava and left pulmonary artery. The retrieval of these foreign bodies by means of endovascular techniques is a relatively simple procedure when compared to the surgical alternative, and has been safely and successfully performed in countless patients. The available devices have proven quite effective and, among them, the loop snare is the most versatile. CONCLUSION: The high success rate with few complications reported, even in children, allows us to say that, whenever possible, percutaneous extraction of intravascular foreign objects should be performed. Notwithstanding, familiarization with the several techniques available is essential, allowing combinations and modifications according to each situation.
- Published
- 2006
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