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  1. Article ; Online: To Scallop or Not to Scallop in the Arch? Is This the Question?

    Tsilimparis, Nikolaos / Gouveia E Melo, Ryan

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 66, Issue 6, Page(s) 830–831

    MeSH term(s) Animals ; Humans ; Pectinidae ; Seafood
    Language English
    Publishing date 2023-08-22
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.08.041
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    Zs.A 2283: Show issues Location:
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    Zs.MO 381: Show issues

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  2. Article ; Online: The Importance of Quality of Life in Aortic Research.

    Gouveia E Melo, Ryan / Twine, Christopher P

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 66, Issue 3, Page(s) 342

    MeSH term(s) Humans ; Quality of Life ; Aortic Valve ; Aortic Valve Stenosis/surgery ; Aorta/surgery ; Treatment Outcome
    Language English
    Publishing date 2023-07-03
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.06.036
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    Zs.A 2283: Show issues Location:
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  3. Article ; Online: The G-Branch Off the Shelf Endograft: a New Kid in Town?

    Gouveia E Melo, Ryan / Mendes Pedro, Luís

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 67, Issue 3, Page(s) 426

    MeSH term(s) Humans ; Stents ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation ; Prosthesis Design ; Endovascular Procedures ; Treatment Outcome ; Aortic Aneurysm, Thoracic/surgery
    Language English
    Publishing date 2023-11-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.11.038
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  4. Article ; Online: Fiber Optic RealShape in Endovascular Aneurysm Repair: Following the Light into a Future with Less Radiation Exposure.

    Gouveia E Melo, Ryan / Mendes Pedro, Luís

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2023  Volume 67, Issue 4, Page(s) 601–602

    MeSH term(s) Humans ; Endovascular Aneurysm Repair ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Endovascular Procedures/adverse effects ; Blood Vessel Prosthesis Implantation ; Radiation Exposure ; Treatment Outcome
    Language English
    Publishing date 2023-12-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2023.12.002
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  5. Article ; Online: Impact of Calcification on the Outcomes of Femoropopliteal Artery Endovascular Treatment Using a Polymer Coated Drug-Eluting Stent.

    Gouveia E Melo, Ryan / Torsello, Giovanni / Argyriou, Angeliki / Chlouverakis, Gregory / Bisdas, Theodosios / Beropoulis, Efthymios / Tsilimparis, Nikolaos / Stavroulakis, Konstantinos

    Cardiovascular and interventional radiology

    2024  

    Abstract: Purpose: The aim of this study was to analyze the impact of calcification on the 12 and 24 months outcomes of the Eluvia™ (Boston Scientific®) drug-eluting stent (DES) for femoropopliteal occlusive disease using three different calcium scoring systems.!# ...

    Abstract Purpose: The aim of this study was to analyze the impact of calcification on the 12 and 24 months outcomes of the Eluvia™ (Boston Scientific®) drug-eluting stent (DES) for femoropopliteal occlusive disease using three different calcium scoring systems.
    Material and methods: A single-center, retrospective cohort-study (March-2016 to December-2018) of patients treated with the Eluvia™ DES for femoropopliteal atherosclerosis was performed. Outcomes included primary and secondary patency rates and freedom from target lesion revascularization (FTLR) and were analyzed by comparing the impact of calcium burden according to the following calcium scores: Peripheral Arterial Calcium Scoring System (PACSS) score, number of vessel quadrants affected (0-4) and calcification score per Peripheral Academic Research Consortium (PARC) definitions.
    Results: In total, 111 Patients were included (mean age: 71.2 ± 7.9; 64% male). Most patients presented with Rutherford class 3 (79.9%), followed by class 5 (12.7%), class 4 (10%) and class 6 (6.4%). The mean lesion length was 197.6 ± 108.5 mm and 74.3% of patients had chronic total occlusions. There were no differences in primary patency between the calcification scores at 12 months (PACSS, LogRank = 0.28; quadrants, LogRank = 0.29; PARC, LogRank = 0.42) and 24 months (PACSS, LogRank = 0.13; quadrants, LogRank = 0.42; PARC, LogRank = 0.13). FTLR was significantly lower at 12 months in patients with calcification affecting 3 or 4 quadrants (LogRank = 0.022) but not at 24 months (LogRank = 0.36).
    Conclusions: In this study, the Eluvia™ DES showed promising performance in calcified disease and the analysis according to the quadrant model predicted an increased risk for TLR at 12 months.
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-024-03662-8
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    Zs.A 1378: Show issues Location:
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  6. Article ; Online: Vascular surgery department adjustments in the era of the COVID-19 pandemic.

    Gouveia E Melo, Ryan / Pedro, Luís Mendes

    Journal of vascular surgery

    2020  Volume 72, Issue 1, Page(s) 375–376

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; Prevalence ; SARS-CoV-2 ; United States
    Keywords covid19
    Language English
    Publishing date 2020-04-17
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2020.04.017
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    Zs.A 1933: Show issues Location:
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  7. Article: Use of the STABILISE technique in the management of subacute type B aortic dissection.

    Lopes, Alice / Gouveia E Melo, Ryan / Fernandes E Fernandes, Ruy / Pedro, Luís Mendes

    Journal of vascular surgery cases and innovative techniques

    2021  Volume 8, Issue 1, Page(s) 66

    Language English
    Publishing date 2021-04-15
    Publishing country United States
    Document type Journal Article
    ISSN 2468-4287
    ISSN 2468-4287
    DOI 10.1016/j.jvscit.2021.03.009
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  8. Article ; Online: Current perspectives in acute type B aortic dissections: a literature review.

    Lopes, Alice / Gouveia E Melo, Ryan / Amorim, Pedro / Fernandes E Fernandes, Ruy / Mendes Pedro, Luís

    The Journal of cardiovascular surgery

    2023  

    Abstract: In this new millennial, endovascular strategies have revolutionized the treatment of acute type B aortic dissection (aTBAD). With reduced in-hospital mortality and good long-term outcomes TEVAR has become the gold standard for the treatment of ... ...

    Abstract In this new millennial, endovascular strategies have revolutionized the treatment of acute type B aortic dissection (aTBAD). With reduced in-hospital mortality and good long-term outcomes TEVAR has become the gold standard for the treatment of complicated dissection and is gaining increasing support for its preventive applicability in some uncomplicated dissections. With this new paradigm came a shift of the treatment goal where just covering the entry tear is not enough and instead achieving long-term positive thoracoabdominal remodeling is needed. More extensive approaches with composite device designs (covered stent graft and bare metal stent) emerged to answer this aortic conundrum. At 5-year of follow-up, "Provisional ExTension To Induce COmplete Attachment technique" (PETTICOAT) and its evolution "Stent assisted balloon induced intimal disruption and relamination in aortic dissection repair" (STABILISE) seem to be safe techniques that can allow, when anatomically feasible, excellent aortic remodeling and, in some cases, even the healing of the dissection. Nevertheless, STABILISE results, although promising, are mostly based on small series and therefore need to be validated by analyzing medium-long-term results from the international registry. Given the plethora of new data and the disparity of expert opinions on the best treatment to adopt, in this review we aim to summarize the current knowledge on the results of these different strategies for acute TBAD.
    Language English
    Publishing date 2023-05-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 80143-4
    ISSN 1827-191X ; 0021-9509
    ISSN (online) 1827-191X
    ISSN 0021-9509
    DOI 10.23736/S0021-9509.23.12636-X
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    Zs.A 469: Show issues Location:
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  9. Article: The fate of spinal arteries after the stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair technique: a case series.

    Lopes, Alice / Gouveia E Melo, Ryan / Leitão, João / Mendonça, Carlos / Moutinho, Mariana / Mendes Pedro, Luís

    Journal of vascular surgery cases and innovative techniques

    2023  Volume 9, Issue 2, Page(s) 101183

    Abstract: Objective: We evaluated the patency of the spinal arteries (intercostal and lumbar) after the STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique.: Methods: A retrospective analysis of ... ...

    Abstract Objective: We evaluated the patency of the spinal arteries (intercostal and lumbar) after the STABILISE (stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair) technique.
    Methods: A retrospective analysis of all patients with aortic dissection treated with the STABILISE technique between April 2018 and July 2021 was performed. Imaging analysis of the spinal cord vascular supply was accomplished using multiplanar and maximum intensity projection reconstructed images of pre- and postoperative computed tomography angiograms at 1 month, 12 months, and annually thereafter.
    Results: Twelve patients were treated for complicated aortic dissection. Primary technical success was 100% and mid-term clinical success, at a mean follow-up of 27 ± 12 months, was 90%. No cases of spinal cord ischemia were identified. One patient died after 1 year (non-aortic related), and one patient was lost to follow-up. A significant decrease was found in the mean number of patent spinal arteries in the stent graft area at 1 month (
    Conclusions: Use of the STABILISE technique decreased intercostal artery patency in the thoracic stent graft area, but spinal artery patency was not significantly affected by the bare metal stent nor its aggressive ballooning. These findings constitute a step toward a better understanding of the safety of this technique.
    Language English
    Publishing date 2023-05-03
    Publishing country United States
    Document type Journal Article
    ISSN 2468-4287
    ISSN 2468-4287
    DOI 10.1016/j.jvscit.2023.101183
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  10. Article ; Online: Incidence of muscle symptoms in placebo arm among statin-intolerant patients: a systematic review with meta-analysis.

    Louro, Rita / Gouveia E Melo, Ryan / Ruivo, Jorge / Almeida, Ana G / Pinto, Fausto J / Caldeira, Daniel

    Expert review of cardiovascular therapy

    2023  Volume 21, Issue 11, Page(s) 887–894

    Abstract: Introduction: Statins are highly used in cardiovascular prevention. Statin intolerance is the most significant cause of decreased adherence, translating into a higher cardiovascular risk. This systematic review aims to estimate the incidence of muscle ... ...

    Abstract Introduction: Statins are highly used in cardiovascular prevention. Statin intolerance is the most significant cause of decreased adherence, translating into a higher cardiovascular risk. This systematic review aims to estimate the incidence of muscle adverse events in patients with a history of statin intolerance receiving placebo.
    Methods: Database search was performed in CENTRAL, MEDLINE, and EMBASE until March 2023. This systematic review included blinded randomized control trials enrolling patients with a history of statin intolerance who received a placebo. A random-effects meta-analysis was performed. Results were presented in percentages, with 95% confidence intervals (95% CI).
    Results: Overall, eight studies with 8095 patients with a history of statin intolerance receiving placebo were included. The muscle adverse events incidence rate was 21.34% (95% CI 13.26-30.63%, 8 studies), and discontinuation due to adverse muscle events was 6.12% (95% CI 1.22-13.70%, 3 studies). The incidence was higher in subcutaneous placebo/sham (41.67%, 1 study) compared to oral placebo studies (22.95%, 6 studies).
    Conclusion: In patients previously labeled as statin-intolerant, about a fifth of the patients exhibited muscle symptoms when receiving a placebo. This highlights the importance of ruling out non-statin-related symptoms to further optimize statin therapy for cardiovascular risk improvement.
    MeSH term(s) Humans ; Arm ; Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects ; Incidence ; Muscles
    Chemical Substances Hydroxymethylglutaryl-CoA Reductase Inhibitors
    Language English
    Publishing date 2023-12-10
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2192343-7
    ISSN 1744-8344 ; 1477-9072
    ISSN (online) 1744-8344
    ISSN 1477-9072
    DOI 10.1080/14779072.2023.2274502
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