BOULANGER MIOTO NETTO
Índice h a partir de 2011
1
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
9 resultados
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Agora exibindo 1 - 9 de 9
- Endovascular and open repair for blunt aortic injury, treated in one clinical institution in Brazil. A case series(2011) SINCOS, Igor Rafael; AUN, Ricardo; BELCZAK, Sergio Quilici; NASCIMENTO, Luciano Dias; NETTO, Boulanger Mioto; CASELLA, Ivan; SILVA, Erasmo Simao da; PUECH-LEAO, PedroOBJECTIVE: The objective of this retrospective study is to analyze and compare the results of conventional surgical repair and endovascular treatment of blunt aortic injury over the past 8 years. METHODS: Twenty-eight patients (25 male; mean age, 35 years) were treated for blunt aortic injury between April 2001 and March 2009 in a university hospital in Brazil. Twenty-six patients were included in the study: five were treated with operative repair (OR) and 21 with endovascular treatment (TEVAR). Two patients were excluded from analysis: one was managed conservatively, and one was treated with endovascular treatment for chronic dissection related to aortic trauma. RESULTS: Mean age was lower in the OR group than in the endovascular treatment group (17.8 vs. 38 years, P = .003). There was one death in the OR group and four deaths in the endovascular treatment group. Mean follow-up for the overall group was 33.6 months, with 48.7 months (range 8-83 months) for the OR group, and 29.8 months (range 2-91 months) for the TEVAR group. Mean time elapsed from injury to repair was 23.4 hours (range 8-48 h, median 20 h) for the OR group and 30.3 hours (range 2-240 h, median 18 h) for the TEVAR group (P = .374). The duration of surgery was shorter in the endovascular treatment group (142 versus 237 minutes; P = .005). There were no significant differences with respect to the number of postoperative days requiring mechanical ventilation, duration of ICU stay or duration of hospital stay. CONCLUSION: In this retrospective analysis, endovascular treatment was a safe method for repair of blunt aortic trauma, with immediate and midterm results that were comparable to those results obtained with operative repair. No complications from the stent graft were identified during follow-up. Nevertheless, long-term follow-up is necessary to confirm the effectiveness of this treatment.
bookPart Oclusões Arteriais Agudas(2013) AUN, Ricardo; MIOTO NETO, BoulangerbookPart Oclusões Arteriais Agudas(2013) AUN, Ricardo; NEVES, Celso Ricardo Bregalda; FIDELIS, Ronald José; MIOTO NETTO, Boulanger- Correção endovascular de aneurisma de aorta abdominal e artéria ilíaca comum esquerda em paciente com hemofilia C grave(2012) BELCZAK, Sergio Quilici; SINCOS, Igor Rafael; AUN, Ricardo; MIOTO NETO, Boulanger; LOBATO, Manoel; SALITURE, Fernando; LEDERMAIN, AlexFactor XI deficiency, also known as hemophilia C, is a rare hereditary blood disease that manifests with persistent bleeding after surgery, trauma, menorrhagia, and dental extractions. This article reports an endovascular repair of a patient diagnosed with an aortic and left common iliac aneurysm, with severe factor XI deficiency (factor XI activity below 20%). The procedure was successfully performed with management of the coagulation disorder by preoperative and postoperative infusion of plasma and laboratory control of the coagulation.
bookPart Síndrome do esmagamento(2016) AUN, Ricardo; WAKSMAN, Hilton; MIOTO NETTO, BoulangerbookPart Dissecção Aguda da Aorta(2013) AUN, Ricardo; MIOTO NETTO, Boulanger; MARTINS, Herlon SaraivabookPart Trauma Vascular(2013) AUN, Ricardo; SILVA, Erasmo Simão da; PRESTI, Calógero; MIOTO NETTO, BoulangerbookPart Trauma vascular(2016) AUN, Ricardo; WAKSMAN, Hilton; MIOTO NETTO, Boulanger- Endovascular management of massive pulmonary embolism with clot fragmentation and suction(2013) BELCZAK, Sergio Quilici; SINCOS, Igor Rafael; AUN, Ricardo; LEDERMAIN, Alex; MIOTO NETO, Boulanger; SALITURE, Fernando; LOBATO, ManoelMassive pulmonary embolism with right ventricular dysfunction may be treated with thrombolysis, embolectomy, or percutaneous mechanical thrombectomy. This study describes our experience with two patients that had massive pulmonary embolism and were treated with percutaneous mechanical thrombectomy and reports on the mid-term results of this procedure. A 28-year-old man and a 70-year-old woman were diagnosed with deep venous thrombosis and massive pulmonary embolism. They first had lower limb edema followed by sudden onset of dyspnea. Their physical examination revealed edema, tachypnea, chest discomfort and jugular turgescence. Both needed to receive oxygen using a nasal cannula. Doppler ultrasound, echocardiography, and computed tomography angiography were used to establish the diagnoses. Patients underwent percutaneous mechanical thrombectomy using the Aspirex® system (Straub Medical), and their clinical condition and imaging study findings improved substantially. At mid-term follow-up, patient conditions were improving satisfactorily.