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Use of low-level laser therapy as an adjuvant therapy for phlebostatic lesions. 将低强度激光疗法作为咽喉病变的辅助疗法。
IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301592
Lucas Dalvi Armond Rezende, Davi de Souza Catabriga, Alicia de Oliveira Pacheco, Aline de Oliveira Ramalho, Paula de Souza Silva Freitas

Low-intensity laser therapy (LILT) is commonly used as an adjuvant therapy for treating injuries. This integrative literature review was carried out in the MEDLINE, LILACS, CUMED, BDENF, SPORTDiscus, Dentistry & Oral Sciences Source, Academic Source and CINAHL databases. Among the inclusion criteria were: range from 2011 to 2021, in English, Portuguese and Spanish and any study, with the exception of preprints and books. The question was answered: "What is the effectiveness described in the literature of using low-intensity laser therapy (LILT) in the treatment of venous lesions?" The wavelength used in studies varied from 635 nm of red ray to 780 nm of infrared ray, generating healing improvement at any length. LBI presented itself as a low-cost and easy-to-apply adjuvant option, alleviating pain complaints and improving healing in patients with vasculogenic lesions.

低强度激光疗法(LILT)通常用作治疗损伤的辅助疗法。本综合文献综述是在 MEDLINE、LILACS、CUMED、BDENF、SPORTDiscus、Dentistry & Oral Sciences Source、Academic Source 和 CINAHL 数据库中进行的。纳入标准包括:时间范围从 2011 年至 2021 年,语言为英语、葡萄牙语和西班牙语,除预印本和书籍外的任何研究。问题解答"文献中描述的使用低强度激光疗法(LILT)治疗静脉病变的效果如何?"研究中使用的波长从 635 纳米的红外线到 780 纳米的红外线不等,任何波长的激光都能改善治疗效果。低强度激光治疗是一种低成本、易于应用的辅助治疗方法,可减轻脉管病变患者的疼痛症状,改善愈合情况。
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引用次数: 0
Comparison between vascular Doppler ultrasound and contrast exams in chronic peripheral arterial disease. 慢性外周动脉疾病中血管多普勒超声与造影剂检查的比较。
IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301042
Alex Aparecido Cantador, Ana Terezinha Guillaumon

Background: Vascular Doppler ultrasound (DUS) has evolved over recent years because of improvements in the technology involved in the acquisition and processing of sound and image data. The method is an excellent option for use in diagnosis of peripheral arterial disease considering its availability, low cost, and absence of harmful effects. The breakdown of logistics supply chains caused by the COVID-19 pandemic caused worldwide shortages of iodinated contrast, highlighting the need to validate alternative diagnostic methods.

Objective: To use DUS for decision-making when choosing between by-pass and endovascular surgery for femoropopliteal arterial disease and compare the results to those of iodinated contrast exams.

Methods: We compared DUS with examinations using contrast for identification of stenoses/occlusions and indication of surgical treatment (by-pass vs. endovascular). In the first phase of the study the results were merely compared, DUS vs. angiotomography. Then, in the second phase, the vascular ultrasound results were used for screening between by-pass and endovascular treatment, comparing DUS with angiotomography in cases scheduled for by-pass and with arteriography in endovascular patients.

Results: In phase 1, the sensitivity of DUS compared to CT angiography was 100% for the SFA territory. When considering solely the choice of bypass vs. endovascular treatment, the results showed 100% agreement for phase 1 and 94% for phase 2.

Conclusion: Notwithstanding the sample size, the study fulfilled its objective of demonstrating the reliability of DUS for indicating the treatment choice between by-pass and endovascular surgery.

背景:近年来,由于声音和图像数据的采集和处理技术不断进步,血管多普勒超声(DUS)也在不断发展。考虑到其可用性、低成本和无有害影响,该方法是诊断外周动脉疾病的绝佳选择。COVID-19 大流行导致物流供应链断裂,造成全球碘造影剂短缺,突出了验证替代诊断方法的必要性:目的:利用 DUS 对股骨头动脉疾病选择旁路手术还是血管内手术进行决策,并将其结果与碘造影剂检查结果进行比较:我们将 DUS 与使用造影剂的检查进行了比较,以确定狭窄/闭塞和手术治疗指征(旁路手术与血管内手术)。在研究的第一阶段,我们仅比较了 DUS 与血管造影的结果。然后,在第二阶段,血管超声结果被用于旁路治疗和血管内治疗之间的筛选,在计划进行旁路治疗的病例中比较 DUS 和血管造影,在血管内治疗患者中比较动脉造影:在第一阶段,与 CT 血管造影相比,DUS 对 SFA 区域的敏感性为 100%。如果仅考虑选择旁路治疗还是血管内治疗,结果显示第一阶段的一致性为100%,第二阶段为94%:结论:尽管样本量有限,但这项研究达到了其目的,即证明了 DUS 在显示旁路手术和血管内手术治疗选择方面的可靠性。
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引用次数: 0
Brazilian Angiology and Vascular Surgery Society Guidelines for the treatment of extracranial cerebrovascular disease. 巴西血管学和血管外科学会颅外脑血管疾病治疗指南。
IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202300942
Arno von Buettner Ristow, Bernardo Massière, Guilherme Vieira Meirelles, Ivan Benaduce Casella, Marcia Maria Morales, Ricardo Cesar Rocha Moreira, Ricardo Jayme Procópio, Tércio Ferreira Oliveira, Walter Jr Boim de Araujo, Edwaldo Edner Joviliano, Júlio Cesar Peclat de Oliveira

Extracranial cerebrovascular disease has been the subject of intense research throughout the world, and is of paramount importance for vascular surgeons. This guideline, written by the Brazilian Society of Angiology and Vascular Surgery (SBACV), supersedes the 2015 guideline. Non-atherosclerotic carotid artery diseases were not included in this document. The purpose of this guideline is to bring together the most robust evidence in this area in order to help specialists in the treatment decision-making process. The AGREE II methodology and the European Society of Cardiology system were used for recommendations and levels of evidence. The recommendations were graded from I to III, and levels of evidence were classified as A, B, or C. This guideline is divided into 11 chapters dealing with the various aspects of extracranial cerebrovascular disease: diagnosis, treatments and complications, based on up-to-date knowledge and the recommendations proposed by SBACV.

颅外脑血管疾病一直是全世界深入研究的课题,对血管外科医生来说至关重要。本指南由巴西血管学和血管外科学会(SBACV)编写,取代了 2015 年指南。非动脉粥样硬化性颈动脉疾病未纳入本文件。本指南旨在汇集该领域最有力的证据,以帮助专科医生在治疗决策过程中进行决策。本指南采用 AGREE II 方法和欧洲心脏病学会系统进行推荐和证据分级。本指南分为 11 章,涉及颅外脑血管疾病的各个方面:诊断、治疗和并发症,以最新知识和 SBACV 提出的建议为基础。
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引用次数: 0
Brazilian Society of Angiology and Vascular Surgery 2023 guidelines on the diabetic foot. 巴西血管病学和血管外科学会 2023 年糖尿病足指南。
Q3 Medicine Pub Date : 2024-05-17 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202300872
Eliud Garcia Duarte, Cicero Fidelis Lopes, Danilo Roberto Fadel Gaio, Jamil Victor de Oliveira Mariúba, Lorena de Oliveira Cerqueira, Marcos Antonio Bonacorso Manhanelli, Tulio Pinho Navarro, Aldemar Araújo Castro, Walter Jr Boim de Araujo, Hermelinda Pedrosa, Júnio Galli, Nelson de Luccia, Clayton de Paula, Fernando Reis, Milton Sérgio Bohatch, Tércio Ferreira de Oliveira, Amanda Fernandes Vidal da Silva, Júlio Cesar Peclat de Oliveira, Edwaldo Édner Joviliano

The diabetic foot interacts with anatomical, vascular, and neurological factors that challenge clinical practice. This study aimed to compile the primary scientific evidence based on a review of the main guidelines, in addition to articles published on the Embase, Lilacs, and PubMed platforms. The European Society of Cardiology system was used to develop recommendation classes and levels of evidence. The themes were divided into six chapters (Chapter 1 - Prevention of foot ulcers in people with diabetes; Chapter 2 - Pressure relief from foot ulcers in people with diabetes; Chapter 3 -Classifications of diabetic foot ulcers; Chapter 4 - Foot and peripheral artery disease; Chapter 5 - Infection and the diabetic foot; Chapter 6 - Charcot's neuroarthropathy). This version of the Diabetic Foot Guidelines presents essential recommendations for the prevention, diagnosis, treatment, and follow-up of patients with diabetic foot, offering an objective guide for medical practice.

糖尿病足与解剖、血管和神经因素相互作用,给临床实践带来挑战。本研究旨在根据对主要指南的回顾,以及在 Embase、Lilacs 和 PubMed 平台上发表的文章,汇编主要科学证据。欧洲心脏病学会系统用于制定推荐类别和证据等级。主题分为六章(第1章--糖尿病足溃疡的预防;第2章--糖尿病足溃疡的压力缓解;第3章--糖尿病足溃疡的分类;第4章--足部与外周动脉疾病;第5章--感染与糖尿病足;第6章--夏科神经关节病)。这一版本的《糖尿病足指南》为糖尿病足患者的预防、诊断、治疗和随访提供了基本建议,为医疗实践提供了客观指导。
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引用次数: 0
Case report: persistent double dorsal aorta. 病例报告:持续性双背主动脉。
Q3 Medicine Pub Date : 2024-05-10 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301502
Paulo Henrique Alves Togni, Ernani Alves de Oliveira, Eduardo Milani Mora, Paulo Eduardo Borher Moreira, Bruno Previdelli Coghi, Guilherme Augusto Paro

Persistent double dorsal aorta is an extremely rare congenital anomaly, with only 13 cases published to date. The objective of this study is to present this embryological variant as observed in the abdominal aorta of a patient. The anatomical description was written up on the basis of a review of electronic medical records and imaging exams. The patient in this case was an elderly 79-year-old man who presented at emergency with pain at rest in the left lower limb. He was admitted and laboratory tests and imaging exams were ordered. The variation was an imaging finding observed on angiotomography, consisting of complete separation of the abdominal aorta into two portions - a ventral and a dorsal, with different calibers - at the level of the third lumbar vertebra. There was also an anomalous origin of the inferior mesenteric artery.

持续性双腹主动脉是一种极其罕见的先天性异常,迄今为止仅发表过 13 例。本研究旨在介绍在一名患者腹主动脉中观察到的这种胚胎变异。解剖学描述是在查阅电子病历和影像学检查的基础上撰写的。该病例的患者是一名 79 岁的老人,因左下肢静止时疼痛而急诊就诊。他被收治入院,并接受了实验室检查和影像学检查。在血管造影术中观察到腹主动脉完全分离成两部分--腹侧和背侧,口径不同。肠系膜下动脉的起源也不正常。
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引用次数: 0
Assessment of anatomic variations of the brachial artery bifurcation using vascular Doppler ultrasound: a cross-sectional study 利用血管多普勒超声评估肱动脉分叉的解剖学变化:一项横断面研究
Q3 Medicine Pub Date : 2024-04-08 DOI: 10.1590/1677-5449.202301172
Mariana Jordão França, Graciliano José França, Luciana Akemi Takahashi, Solena Ziemer Kusma Fidalski, Eduarda Casagrande Zanoni
Abstract Background Anatomical variations in arteries of the upper limb, such as presence of an accessory brachial artery, are common and widely described in the literature, mainly in cadaveric studies, but it is now possible to diagnose them using vascular Doppler ultrasound. Objectives To identify the incidence of accessory brachial artery using vascular Doppler ultrasound and compare the findings with cadaveric studies. Methods This was a prospective study that examined 500 upper limbs of 250 volunteers assessed with vascular Doppler ultrasound using the Sonosite Titan portable ultrasound machine. Results 15.6% of the participants in our study had the accessory brachial artery anatomical variation. Our percentage is in line with the average rates found in cadaveric studies, which ranged from 0.2% to 22%. Being aware of this variation is fundamental in procedures such as peripheral venipuncture, arteriovenous fistula creation, catheterization, forearm flaps, emergency surgeries on the limb and even correction of fractures by cast. Conclusions The accessory brachial artery is a frequent variant in the upper limb. The percentage of individuals with an accessory brachial artery in our study was 15.6%, which agrees with data from the literature on cadaveric studies.
摘要 背景 上肢动脉的解剖变异(如存在肱动脉分支)很常见,文献中也有广泛描述,主要是在尸体研究中,但现在可以使用血管多普勒超声诊断这些变异。目的 利用血管多普勒超声确定肱动脉分支的发生率,并将结果与尸体研究进行比较。方法 这是一项前瞻性研究,使用 Sonosite Titan 便携式超声波机对 250 名志愿者的 500 只上肢进行了血管多普勒超声波评估。结果 15.6% 的参与者存在肱动脉分支解剖变异。我们的比例与尸体研究中发现的平均比例一致,后者从 0.2% 到 22% 不等。在进行外周静脉穿刺、动静脉瘘创建、导管插入、前臂皮瓣、肢体紧急手术甚至骨折石膏矫正等手术时,了解这种变异是非常重要的。结论 肱动脉分支是上肢的一种常见变异。在我们的研究中,肱动脉分支患者的比例为 15.6%,这与尸体研究文献中的数据一致。
{"title":"Assessment of anatomic variations of the brachial artery bifurcation using vascular Doppler ultrasound: a cross-sectional study","authors":"Mariana Jordão França, Graciliano José França, Luciana Akemi Takahashi, Solena Ziemer Kusma Fidalski, Eduarda Casagrande Zanoni","doi":"10.1590/1677-5449.202301172","DOIUrl":"https://doi.org/10.1590/1677-5449.202301172","url":null,"abstract":"Abstract Background Anatomical variations in arteries of the upper limb, such as presence of an accessory brachial artery, are common and widely described in the literature, mainly in cadaveric studies, but it is now possible to diagnose them using vascular Doppler ultrasound. Objectives To identify the incidence of accessory brachial artery using vascular Doppler ultrasound and compare the findings with cadaveric studies. Methods This was a prospective study that examined 500 upper limbs of 250 volunteers assessed with vascular Doppler ultrasound using the Sonosite Titan portable ultrasound machine. Results 15.6% of the participants in our study had the accessory brachial artery anatomical variation. Our percentage is in line with the average rates found in cadaveric studies, which ranged from 0.2% to 22%. Being aware of this variation is fundamental in procedures such as peripheral venipuncture, arteriovenous fistula creation, catheterization, forearm flaps, emergency surgeries on the limb and even correction of fractures by cast. Conclusions The accessory brachial artery is a frequent variant in the upper limb. The percentage of individuals with an accessory brachial artery in our study was 15.6%, which agrees with data from the literature on cadaveric studies.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary arteriovenous malformations in Rendu-Osler-Weber syndrome 伦杜-奥斯勒-韦伯综合征的肺动静脉畸形
Q3 Medicine Pub Date : 2024-04-08 DOI: 10.1590/1677-5449.202301332
Cristiane Ferreira de Araújo-Gomes, Carlos Eduardo Virgini-Magalhães, Leonardo Silveira de Castro, Eduardo Rodrigues, Alex Antunes Bezerra, Monica Rochedo Mayall, Cristina Ribeiro Riguetti-Pinto, Felipe Borges Fagundes
Abstract Rendu-Osler-Weber syndrome, also known as hereditary hemorrhagic telangiectasia, is an autosomal dominant hereditary disorder. It is characterized by presence of multiple arteriovenous malformations (AVMs) and telangiectasias. This article reports two cases of patients with Rendu-Osler-Weber syndrome who had pulmonary AVMs and underwent successful endovascular treatment. A brief review of the literature shows that up to 50% of patients with the syndrome have pulmonary AVMs and there is usually a positive family history in these patients. These pulmonary AVMs are multiple in 30% of cases and are associated with the most severe disease complications. Most patients are asymptomatic, even in the presence of AVMs with right-left shunts. When these shunts exceed 25% of the total blood volume, dyspnea, cyanosis, digital clubbing, and extracardiac murmurs may occur. Endovascular treatment is safe and offers control of complications from hereditary hemorrhagic telangiectasia and is currently the treatment of choice for these lesions.
摘要 伦杜-奥斯勒-韦伯综合征又称遗传性出血性毛细血管扩张症,是一种常染色体显性遗传疾病。其特征是存在多发性动静脉畸形(AVM)和毛细血管扩张症。本文报告了两例患有肺动静脉畸形并成功接受血管内治疗的伦杜-奥斯勒-韦伯综合征患者。对文献的简要回顾表明,多达 50% 的该综合征患者患有肺动静脉畸形,而且这些患者通常有阳性家族史。在 30% 的病例中,这些肺动静脉畸形是多发性的,并伴有最严重的疾病并发症。即使存在右左分流的 AVM,大多数患者也没有症状。当这些分流超过总血量的 25% 时,可能会出现呼吸困难、发绀、眼球突出和心外杂音。血管内治疗非常安全,可控制遗传性出血性毛细血管扩张症的并发症,是目前治疗此类病变的首选方法。
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引用次数: 0
Superficial venous arterialization with the great saphenous vein in situ: a single-center experience. 原位大隐静脉浅静脉动脉化:单中心经验。
Q3 Medicine Pub Date : 2024-03-25 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202300772
Karlene Thayane Barros da Silva, Marcos Antonio Bonacorso Manhanelli, José Francisco Moron Morad, Fábio Linardi, José Augusto Costa

Background: Arterialization of the dorsal venous arch of the foot is a technique indicated in cases of critical lower limb ischemia that do not have a distal bed that is adequate to enable conventional treatment such as revascularization, angioplasty, or clinical treatment.

Objectives: The purpose of this study is to present the result of arterialization of the venous arch of the foot in 16 patients who underwent treatment with this technique.

Methods: This is a cross-sectional retrospective descriptive analytical study based on a review of the medical records of 16 patients who underwent arterialization of the dorsal venous arch of the foot for limb salvage from January 2016 to January 2021.

Results: Four (25%) of the 16 patients who underwent arterialization of the venous arch of the foot underwent a major amputation during the same hospital stay and one patient (6.25%) had a major amputation within 6 months. The other 11 patients (68.75%) had their limbs preserved, with 10 undergoing minor amputations (toes and forefoot) and one patient having no additional procedures.

Conclusions: We conclude that the technique of arterialization of the dorsal venous arch of the foot should be considered in selected cases. It is a valid alternative for limb salvage when conventional treatment is impossible.

背景:足背静脉弓动脉化是一项适用于下肢严重缺血病例的技术,这些病例的远端静脉床不足以进行血管重建、血管成形术或临床治疗等常规治疗:本研究的目的是介绍 16 名接受该技术治疗的患者足弓静脉动脉化的结果:这是一项横断面回顾性描述性分析研究,基于对2016年1月至2021年1月期间接受足背静脉弓动脉化治疗以挽救肢体的16名患者的病历回顾:在接受足背静脉弓动脉化手术的16名患者中,有4名患者(25%)在住院期间接受了大截肢手术,1名患者(6.25%)在6个月内接受了大截肢手术。其他 11 名患者(68.75%)保留了肢体,其中 10 名患者进行了轻微截肢(脚趾和前脚),一名患者没有进行其他手术:我们的结论是,在选定的病例中应考虑足背静脉弓动脉化技术。结论:我们得出结论,足背静脉弓动脉化技术应在特定病例中加以考虑,这是在无法进行常规治疗的情况下挽救肢体的有效选择。
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引用次数: 0
Duplex ultrasound and pedal acceleration time as tools to evaluate foot perfusion: a literature review. 双工超声和踏板加速时间作为评估足部灌注的工具:文献综述。
Q3 Medicine Pub Date : 2024-03-25 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202300172
Drako de Amorim Souza, Pedro Victor Freitas Medrado, Vinícius Alves Santos, Carolline Xavier de Aguiar, Guilherme Souza Silva, Lucas Pereira Pintos de Sousa, Yasmin Bione Diniz Amando, Paulo Fernandes Saad

Currently, the standard non-invasive test for diagnosing Peripheral Arterial Disease is the Ankle-Brachial Index. However, this test becomes unfeasible in a certain population. New evidence proposes the pedal acceleration time, an ultrasound index, as an alternative test. An integrative bibliographic review was carried out between June 3, 2022 and January 8, 2023, to investigate this new index as a tool to assess foot perfusion. Papers published in English, Portuguese, or Spanish between 2012 and 2022 were searched on PubMed, Google Scholar, and Scielo, using the keywords "Peripheral Arterial Disease" AND "Acceleration Time" AND (Pedal OR Plantar). Research that didn't assess foot perfusion using the methods of interest or did not present human data and also case series or reports were excluded. Seven out of the sixty-six articles identified in the searches were selected for the review, all of which had notable methodological limitations. Pedal acceleration time seems to be able to diagnose and stratify and may reflect prognosis.

目前,诊断外周动脉疾病的标准无创检测方法是踝肱指数。然而,在某些人群中,这种检测方法变得不可行。新的证据表明,超声波指数踏板加速时间可作为替代检测方法。我们在 2022 年 6 月 3 日至 2023 年 1 月 8 日期间进行了一次综合文献综述,以研究这种作为足部灌注评估工具的新指数。在PubMed、Google Scholar和Scielo网站上,使用关键词 "外周动脉疾病 "和 "加速时间 "以及(踏板或足底)对2012年至2022年期间用英语、葡萄牙语或西班牙语发表的论文进行了检索。未使用相关方法评估足部灌注或未提供人体数据的研究,以及病例系列或报告均被排除在外。在搜索到的 66 篇文章中,有 7 篇被选中进行综述,这些文章在方法上都有明显的局限性。踏板加速时间似乎能够进行诊断和分层,并可能反映预后。
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引用次数: 0
Multiple variation of right renal and gonadal vascularization: report of two cases. 右肾和性腺血管的多重变异:两个病例的报告。
Q3 Medicine Pub Date : 2024-03-25 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202300442
Marcelo Calil Burihan, Silvio Antonio Garbelotti, Paulo Laino Cândido, Rodrigo Barbosa de Souza, Osvaldo Pelozo, Aluisio Andrade, Marco Antonio De Angelis

We present two cases of multiple anatomical variations of the renal and gonadal vessels. The first case presented duplication of the renal vein and the presence of an accessory renal artery. However, the most interesting fact, in this case, was that the right gonadal vein emptied into the inferior right renal vein instead of ending in the inferior vena cava as would typically be the case. In the second case, we also found an accessory renal artery and the right gonadal vein emptied at the exact junction between the right renal vein and the inferior vena cava. Clinicians and surgeons should be familiar with anatomical variations to provide an accurate diagnosis during preoperative studies and to avoid surprises in abdominal surgical procedures.

我们介绍了两例肾血管和性腺血管的多重解剖变异。第一个病例出现了肾静脉的重复和附属肾动脉的存在。然而,在这个病例中,最有趣的事实是右侧性腺静脉排入右肾下静脉,而不是像通常情况下那样止于下腔静脉。在第二个病例中,我们还发现了一条附属肾动脉,右性腺静脉正好在右肾静脉和下腔静脉的交界处排空。临床医生和外科医生应熟悉解剖变异,以便在术前检查中提供准确诊断,避免腹部手术过程中出现意外。
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引用次数: 0
期刊
Jornal Vascular Brasileiro
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