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Search Results: 1 - 10 of 11037 matches for " Renato Menezes Palácios "
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Endovascular Treatment of Giant Splenic Artery Aneurysm
Adenauer Marinho de Oliveira Góes Junior,Amanda Silva de Oliveira Góes,Paloma Cals de Albuquerque,Renato Menezes Palácios,Simone de Campos Vieira Abib
Case Reports in Surgery , 2012, DOI: 10.1155/2012/964093
Abstract: Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5?cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation. Discussion. Symptomatic aneurysms and those larger than 2?cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature. Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy. 1. Introduction Visceral artery aneurysms (VAAs) are uncommon. Among them, splenic artery is the most common (46–60%), followed by hepatic artery (20%) and superior mesenteric artery (5-6%) [1–6]. Seventy-five percent of VAAs are asymptomatic. The most common symptom is pain in the upper left quadrant of the abdomen or in the epigastrium, radiating to left shoulder, nausea, and vomiting. [1, 2, 7, 8]. The rupture occurs in 3% to 8% of cases, is manifested by hypovolemic shock, and is potentially fatal [1, 2, 4, 7, 8]. The splenic artery aneurysms can be approached by laparotomy, laparoscopy, or endovascular techniques. The endovascular option, less invasive, has less morbidity and faster postoperative recovery [1–4, 8]. Among the various endovascular techniques, covered stent implantation has been little reported in the literature. The authors present a case of splenic artery aneurysm treated by this method. 2. Presentation of Case A female patient, 64 years old, controlled hypertension, and 2 previous pregnancies, presented as main complaint episodes of mild pain in the epigastrium and left hypochondrium, evolving for about 12 months. Physical examination of the abdomen was nonspecific, with ill-defined pain on palpation of the mesogastrium and left hypochondrium. In the hospital of origin she was submitted to
Tratamento endovascular de angiomiolipoma renal por emboliza??o arterial seletiva
Palácios, Renato Menezes;Góes, Amanda Silva de Oliveira;Albuquerque, Paloma Cals;Aguiar, Maurício Figueiredo Massulo;Ribeiro, Flávio Roberto Cavalleiro de Macêdo;Góes Junior, Adenauer Marinho de Oliveira;
Jornal Vascular Brasileiro , 2012, DOI: 10.1590/S1677-54492012000400013
Abstract: we report a case of a patient with a major complaint of left lumbar pain, diagnosed with bilateral renal angiomyolipomas (amlrs), with the most voluminous lesion of 6.2 cm in its largest diameter, underwent endovascular superselective arterial embolization with microspheres. the amlrs are rare benign tumors. most are sporadic, while a minority is associated with tuberous sclerosis complex (etc). the amlrs larger than 4 cm must be treated due to higher risk of complications, especially hemorrhagic. a selective arterial embolization (eas) is an effective and safe treatment for amlrs.
Endovascular Treatment of Giant Splenic Artery Aneurysm
Adenauer Marinho de Oliveira Góes Junior,Amanda Silva de Oliveira Góes,Paloma Cals de Albuquerque,Renato Menezes Palácios
Case Reports in Surgery , 2012, DOI: 10.1155/2012/964093
Abstract:
VOLUME 7 NúMERO 1 ANO 2002
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2007, DOI: 10.5216/phi.v7i1.3240
Abstract:
RESPOSTA A JULIO CABRERA
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2007, DOI: 10.5216/phi.v6i1/2.3132
Abstract:
VOLUME 6 NúMERO 1/2 ANO 2001
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2007, DOI: 10.5216/phi.v6i1/2.3238
Abstract:
VOLUME 7 NúMERO 2 ANO 2002
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2007, DOI: 10.5216/phi.v7i2.3239
Abstract:
VOLUME 10 NúMERO 1 ANO 2005
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2007, DOI: 10.5216/phi.v10i1.3235
Abstract:
ONE TEACH HOW TO PHILOSOPHIZE, PHILOSOPHIZING ENSINA-SE A FILOSOFAR, FILOSOFANDO
Gonzalo Armijos Palácios
Philósophos : Revista de Filosofia , 2008, DOI: 10.5216/phi.v12i1.3505
Abstract: If it is not possible to teach Philosophy but to philosophize, how to teach how to philosophize? Obviously, philosophizing. On the other hand, if Philosophy is not defined by an object of its own or by a privileged method, what is then that action referred to by the verb `philosophizing`? That Philosophy is not defined by an object or by any method seems clear enough. However, something, in general, should characterize the act of philosophizing. What seems to characterize it, however negatively, is the attempt of solving problems that with the results of other sciences or with the knowledge obtained in other areas of human activity would be impossible. That takes us to the object of this paper: discuss how, in fact, it is possible to teach to philosophize – and not only to teach History of Philosophy. We can only teach to philosophize as we teach anything else: by our own example of philosophizing, that is, discussing, evaluating and searching for answers to the problems that we face. Se n o se ensina filosofia, mas a filosofar (Kant), como se ensina a filosofar? Obviamente, filosofando. Por outro lado, se a filosofia n o se define por um objeto próprio nem a distingue um só método privilegiado, em que consiste, ent o, essa a o que o filosofar aponta? Que a filosofia n o se define por um objeto nem por um método parece claro. No entanto, algo, em geral, deve caracterizar o filosofar. O que parece caracterizá-lo, mesmo que negativamente, é a tentativa de resolu o de problemas que com o resultado de outras ciências ou do conhecimento obtido em outras áreas da atividade humana é impossível resolver. Isso nos leva ao objeto desta comunica o: discutir como, efetivamente, é possível ensinar a filosofar e n o simplesmente ensinar [história da] filosofia. Ensina-se a filosofar como se ensina outra atividade qualquer: pelo exemplo. Neste caso, pelo exemplo de um agir filosofante, ou seja, discutindo, avaliando e procurando respostas aos problemas que a cada um de nós, filosoficamente, nos preocupam.
Debate on the paper by David Vlahov & David D. Celentano
Palácios Marisa
Cadernos de Saúde Pública , 2006,
Abstract:
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