NELSON DE LUCCIA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina - Líder
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- Atualização e enfoque em operações vasculares arteriais da II diretriz de avaliação perioperatória da Sociedade Brasileira de Cardiologia(2013) MARQUES, Andre Coelho; BELLEN, Bonno Van; CARAMELLI, Bruno; PRESTI, Calogero; PINHO, Claudio; CALDERARO, Daniela; GUALANDRO, Danielle Menosi; CARVALHO, Francine Correa de; CARMO, Gabriel Assis Lopes do; CASELLA, Ivan Benaduce; FORNARI, Luciana S.; VACANTI, Luciano Janussi; VIEIRA, Marcelo Luiz Campos; MONACHINI, Maristela C.; LUCCIA, Nelson de; YU, Pai Ching; FARSKY, Pedro Silvio; HEINISCH, Roberto Henrique; GUALANDRO, Sandra F. Menosi; MATHIAS JR., Wilson
conferenceObject Platelet aggregation behavior in the perioperative period of vascular surgery(2013) CALDERARO, D.; PASTANA, A. F.; ROCHA, T. R. F.; GUALANDRO, D. M.; YU, P. C.; CARMO, G. A. L.; D'AMICO, E. A.; LUCCIA, N. De; PUECH-LEAO, P.; CARAMELLI, B.conferenceObject Platelet aggregation decrease after vascular surgery and is related to cardiovascular events(2013) CALDERARO, D.; PASTANA, A. F.; ROCHA, T. R. F.; YU, P. C.; GUALANDRO, D. M.; CARMO, G. A. L.; D'AMICO, E.; PUECH-LEAO, P.; LUCCIA, N. De; CARAMELLI, B.- Aspirin responsiveness safely lowers perioperative cardiovascular risk(2013) CALDERARO, Daniela; PASTANA, Adriana Feio; ROCHA, Tania Rubia Flores da; YU, Pai Ching; GUALANDRO, Danielle Menosi; DELUCCIA, Nelson; D'AMICO, Elbio Antonio; CARAMELLI, BrunoIntroduction: Vascular surgeries are related to high cardiac morbidity and mortality, and the maintenance of aspirin in the perioperative period has a protective effect. The purpose of this study was to evaluate the association between preoperative platelet aggregability and perioperative cardiovascular (CV) events. Methods: A preoperative platelet aggregation test was performed on an impedance aggregometer in response to collagen and to arachidonic acid (AA) for 191 vascular surgery patients under chronic use of aspirin. We analyzed the following CV events: acute myocardial infarction, unstable angina, isolated troponin elevation, acute ischemic stroke, reoperation, and cardiac death. Hemorrhagic events were also evaluated and classified according to the Thrombolysis In Myocardial Infarction criteria. Results: The incidence of CV events was 22% (n=42). Higher platelet response to AA was associated with CV events, so that patients in the fourth quartile (higher than 11 Omega) had almost twice the incidence of CV events when compared with the three lower quartiles: 35% vs 19%; P = .025. The independent predictors of CV events were hemodynamic instability during anesthesia (odds ratio [OR], 4.12; 95% confidence interval [CI], 1.87-9.06; P < .001), dyslipidemia (OR, 3.9; 95% CI, 1.32-11.51; P = .014), preoperative anemia (OR, 2.64; 95% CI, 1.19-5.85; P = .017), and AA platelet aggregability in the upper quartile (OR, 2.48; 95% CI, 1.07-5.76; P = .034). Platelet aggregability was not associated with hemorrhagic events, even when we compared the lowest quartile of AA platelet aggregability (0-1.00 Omega) with the three upper quartiles (>1.00 Omega; OR, 0.77; 95% CI, 0.43-1.37; P = .377). Conclusions: The degree of aspirin effect on platelet aggregability maybe important in the management of perioperative CV morbidity, without increment in the bleeding toll.
- Coil embolization of an excluded internal iliac artery aneurysm with rapid expansion via gluteal artery approach(2013) LUCCIA, Nelson De; SASSAKI, Paulo; SANTO, Fabio Espirito; ROSA, Karina; PUECH-LEAO, PedroThe aim of the paper is to describe open approach of gluteal arteries for coil embolization of internal iliac artery (IIA) aneurysm. We observed enlargement of the IIA to 5.8 cm at the four-year follow-up evaluation of a 78-year-old man who had undergone surgical abdominal aortic aneurysm repair during which the IIA had been ligated at its origin. Following dissection of the gluteal artery with the patient in the prone position, a catheter was placed inside the aneurysmal sac, and coil embolization was possible to exclude the aneurysm. Postoperative angio-computed tomography showed good coil positioning and no demonstrable blood flow or type 2 endoleak.