Browsing by Author "Gil-Agostinho, A"
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- Aorto-oesophageal fistula treated with emergent thoracic endovascular repairPublication . Andrade, LC; Felix-Morais, R; Gil-Agostinho, A; Caseiro-Alves, F
- Giant aneurysm of the left renal artery: Case 8067Publication . Santiago, I; Ruivo, C; Rodrigues, H; Gil-Agostinho, A
- Transarterial embolisation of a large focal nodular hyperplasia, using microspheres, in a paediatric patientPublication . Oliveira, C; Gil-Agostinho, A; Gonçalves, I; Noruegas, MJBenign liver tumours are uncommon in children, haemangiomas being the most frequent. Focal nodular hyperplasia (FNH) represents about 2% of paediatric liver tumours. In children, as in adults, a conservative approach is generally recommended. However, large lesions (greater than 5 cm) are more frequent in the paediatric age group, and in these cases, as well as in growing lesions, surgical removal may be advised. Transarterial embolisation (TAE) has been a successful alternative option described in older patients, especially in cases where surgical removal is not possible. This minimally invasive procedure may also become an option in the paediatric group. The authors report the case of a boy with a large FNH treated with TAE using microspheres.
- US-guided interventional joint procedures in patients with rheumatic diseases--when and how we do it?Publication . Gonçalves, B; Ambrósio, C; Serra, S; Alves, F; Gil-Agostinho, A; Caseiro-Alves, FOBJECTIVE: To describe the main indications and the technical steps to perform ultrasound guided procedures in patients with rheumatic diseases. To access procedures accuracy, safety and effectiveness. MATERIALS AND METHODS: 27 patients with pain related to articular complications of rheumatic diseases and according to previous radiographic or US exam were submitted to several US-guided procedures. 42% of patients (n=11) had rheumatoid arthritis, 11% (n=3) spondyloarthropathies, 18% (n=5) psoriatic arthritis, 15% (n=4) undifferentiated arthritis, 3% (n=1) Sjögren syndrome and 11% (n=3) had gout. Described procedures are synovial biopsies, intra-articular injections of corticosteroids, radiation synovectomy and synovial cysts drainage procedures. When a therapeutical procedure was made, patients were evaluated by 2 rheumatologists. Corticosteroids used were Prednisolone and Triamcinolone. Yttrium-90 was used for synovectomy. RESULTS: In all cases success was achieved with correct needle placement inside the joint. After injection/aspiration symptoms successfully solved with all patients improving their health status. No complications were recorded during follow-up period. CONCLUSIONS: US-guidance is very reliable to afford a safety procedure always checking the injection, biopsy or aspiration. Guided-biopsy has high success rates obtaining several samples. Thus is also possible to use more powerful/long acting therapeutic drugs aggressive to extra-articular structures avoiding complications.