Horseshoe kidney is the most common congenital renal anomaly, occurring in 0.15-0.25% of newborns. The association of a horseshoe kidney with an abdominal aortic aneurysm is rare. Only 0.12% of patients requiring abdominal aortic repair have a horseshoe kidney. This therapeutic challenge constitutes a patient presenting with a symptomatic abdominal aortic aneurysm and a horseshoe...
Vascular Doppler ultrasound is a noninvasive method that can help in diagnostic and therapeutic planning in case of pedal arterial obstructive disease. The dorsalis pedis artery is the direct continuation of the anterior tibial artery and follows a straight course along the dorsum of the foot, leading medially to the first intermetatarsal space, where it gives off its terminal...
BackgroundInternal iliac artery (IIA) preservation continues to be a challenge during open surgery or endovascular repair of abdominal aortoiliac aneurysm (AAIA).ObjectivesTo determine the results in terms of survival and clinical outcomes in patients with aortoiliac aneurysms (AAIA) treated with endovascular (EV) or open surgical (OS) repair.MethodsThis was a retrospective...
BackgroundLipedema is greatly underdiagnosed and there is a lack of low-cost tools to facilitate diagnostic. We created a lipedema screening questionnaire based on a questionnaire for assessing symptoms.ObjectivesThe study objectives were to identify relevant clinical questions, develop a screening questionnaire, and construct a model for predicting lipedema.MethodA simplified...
BackgroundIt is not clear how patients’ age and sex influence the anatomy of the aorta and its branches.ObjectivesTo determine the most frequent anatomical patterns of diameter and angulation of the abdominal aorta and its branches and the influence of patients’ sex and age on these patterns.MethodsCT scans with intravenous contrast from 157 patients were analyzed. Diameter and...
BackgroundAortic injuries caused by blunt chest traumas have high pre-hospital and emergency mortality. The endovascular approach is one option for treatment of these injuries, but many outcomes related to this approach remain unknown.ObjectivesThe aim of this study is to describe a specialist trauma center’s experience with endovascular treatment of cases like these.MethodsThis...
EDITORIALUse of ROC curves in clinical and experimental studiesTatiana Cristina Figueira Polo1 http://orcid.org/0000-0001-9496-1053Hélio Amante Miot1 http://orcid.org/0000-0002-2596-92941Universidade Estadual Paulista – UNESP, Faculdade de Medicina de Botucatu, Departamento de Dermatologia e Radioterapia, Botucatu, SP, Brasil.Decision-making in clinical practice and...
Embolization is a well-known and accepted form of treatment for bleeding caused by a multitude of renal procedures. We present a case of a 66-year-old woman who had a history of left nephrectomy for clear cell carcinoma seven years previously and now presented with a 6 cm tumor involving the solitary kidney. She underwent partial laparoscopic nephrectomy with removal of the tumor...
SARS-CoV-2 is responsible for the COVID-19 pandemic. The immune system is a determinant factor in defense against viral infections. Thus, when it acts in a balanced and effective manner the disease is self-limited and benign. Nevertheless, in a significant proportion of the population, the immune response is exaggerated. When infected, patients with diabetes, hypertension...
Hyperhidrosis (HH) is characterized by sweating exceeding the amount necessary to meet the thermal regulation and physiological needs of the body. Approximately 9.41% of individuals with HH have craniofacial hyperhidrosis (FH). The present study aims to review the most current data in the literature regarding craniofacial hyperhidrosis, including pathophysiology, diagnosis and...
Leg ulcers are the most common cutaneous complication of sickle cell disease. These lesions occur mainly in homozygous forms, are slow to heal and often relapse, causing negative physical, emotional, and economic impacts. In this paper, we discuss the clinical presentation, diagnosis, and pathophysiology of sickle cell leg ulcers and their implications for treatment.Keywords...
COVID-19 is a potentially serious respiratory disease caused by the SARS-CoV-2 virus that involves an increased risk of venous thromboembolism (VTE). Its pathophysiology is apparently related to an exacerbated inflammatory process and coagulopathy, verified by an increase in D-dimer, fibrinogen, and fibrin degradation products. Occurrence must be monitored, prevented, and treated...
BackgroundLower limb edema has both systemic and local causes. Using software to differentiate the origin of edema in ultrasound images is an innovation.ObjectiveTo determine the parameters for using software to differentiate edema of venous and/or lymphatic origin in ultrasound images of the lower limbs.MethodThis is a cross-sectional, quantitative, analytical study with non...
BackgroundAcute arterial occlusions (AAO) in limbs have been increasing in parallel with population longevity.ObjectiveTo assess risk factors, limb salvage rates, and survival of patients with AAO treated at a University Hospital.MethodsRetrospective cohort study of consecutive patients. Outcomes included: patency, symptoms, comorbidities, Rutherford category, arteries occluded...
BackgroundAortic injuries caused by blunt chest traumas have high pre-hospital and emergency mortality. The endovascular approach is one option for treatment of these injuries, but many outcomes related to this approach remain unknown.ObjectivesThe aim of this study is to describe a specialist trauma center’s experience with endovascular treatment of cases like these.MethodsThis...
BackgroundIn order to reduce difficulties with learning surgical techniques, supplementary tools for training were developed. This paper describes the learning curve followed by student volunteer research subjects who used an alternative model for practicing vascular anastomosis.ObjectivesTo evaluate the vascular anastomosis technique learning curve and development of manual...
BackgroundThe association between the Metabolically Healthy Obese (MHO) phenotype in the absence of metabolic syndrome and subsequent cardiovascular disease remains unclear.ObjectivesWe examined the association between MHO and CVD risk in young Iranian women.MethodsWe studied 183 women aged 20-35 years from a population of 308 candidates. We classified participants into 4...
BackgroundLipedema is characterized as abnormal bilateral deposition of fat in the buttocks and legs that may be accompanied by orthostatic edema in women. A questionnaire for assessment of lipedema symptoms has previously been published in German and English to assess treatment progress.ObjectivesTo translate, culturally adapt, and validate the lipedema symptoms assessment...
BackgroundMay-Thurner syndrome (MTS) is defined as compression of the left iliac vein between the right iliac artery and the lumbar vertebral body in the presence of signs and symptoms of unilateral left chronic venous insufficiency. However, imaging findings of compression are not manifest in symptoms of the syndrome in all subjects.ObjectivesTo evaluate findings of compression...
BackgroundUse of electronic protocols for data collection and storage enables clinical research to be conducted dynamically, contributing to medical advances.ObjectivesTo create an electronic data base for collection of clinical and surgical data on chronic venous insufficiency (CVI), to facilitate production of scientific studies.MethodsInitially, a database was constructed by...
EDITORIALAnalysis of ordinal data in clinical and experimental studiesHélio Amante Miot1 http://orcid.org/0000-0002-2596-92941Universidade Estadual Paulista – UNESP, Faculdade de Medicina de Botucatu, Departamento de Dermatologia e Radioterapia, Botucatu, SP, Brasil.Certain phenomena are represented by qualitative data in which each category has a hierarchical relationship to the...
EDITORIALPhysiopathology of SARS-CoV-2-infection-associated thrombosisIvan Benaduce Casella1 http://orcid.org/0000-0002-1280-83521Universidade de São Paulo – USP, Faculdade de Medicina, Hospital das Clínicas, São Paulo, SP, Brasil.The pandemic provoked by the novel coronavirus (SARS-CoV-2) is the most severe public health event of recent decades, with more than 11.1 million cases...
LETTER TO THE EDITORChikungunya fever and lymphedema of limbsFebre chikungunya e linfedema de membrosBeuy Joob1 http://orcid.org/0000-0002-5281-0369Viroj Wiwanitkit2 1Private Academic Consultant, Bangkok, Thailand.2Dr. D. Y. Patil Vidyapeeth University, Pune, India.Dear Editor,We read the publication on “Secondary lymphedema of limbs and chikungunya fever (CF)” with great...
BackgroundPatients with venous ulcers report multiple comorbidities and are more likely to be physically inactive. Sarcopenia and frailty increase vulnerability to dependence and/or death.ObjectivesTo investigate the occurrence of sarcopenia and frailty in patients with chronic venous ulcers.MethodsObservational study with cross-sectional design. Nine patients (67.4 ± 8.42 years...
Treatment options for critical lower limb ischemia in the absence of the distal bed are limited. Diverting blood flow in a retrograde direction through the venous circulation is one alternative option that is supported by evidence from several published articles. Duplex scanning was used to compare the distribution of arterial flow in hind limbs of pigs maintained in...