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1.
Rev Med Interne ; 37(4): 284-91, 2016 Apr.
Artigo em Francês | MEDLINE | ID: mdl-26797187

RESUMO

Non-infectious aortitis are usually due to giant cell arteritis (temporal arteritis), Takayasu and Behçet's diseases. Aortitis should be suspected in the presence of aortic wall thickening or of aneurysm or occlusion of the aorta and its branches in the absence of characteristic cardiovascular risk factors. Surgery is required in case of severe damage. But the quiescence of the inflammatory disease must be obtained before endovascular or surgical treatment to prevent complications such as anastomotic false aneurysm or stent thrombosis, especially common in this disease. The frequency of aortic aneurysms (in particular of ascending aorta) in giant cell arteritis encourages its systematic screening, as well as regular monitoring of the entire aorta during the follow-up. Behçet's and Takayasu diseases require the greatest control of inflammation and the knowledge of some surgical tricks to avoid the risk of recurrence. The literature review shows that endovascular treatment could reduce perioperative morbidity but did not allow reducing long-term complications.


Assuntos
Aortite/cirurgia , Procedimentos Cirúrgicos Cardiovasculares/métodos , Aneurisma Aórtico/complicações , Aneurisma Aórtico/cirurgia , Aortite/etiologia , Síndrome de Behçet/complicações , Síndrome de Behçet/cirurgia , Arterite de Células Gigantes/complicações , Arterite de Células Gigantes/cirurgia , Humanos , Arterite de Takayasu/complicações , Arterite de Takayasu/cirurgia
2.
J Cardiovasc Surg (Torino) ; 56(5): 729-36, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25896513

RESUMO

Endovascular techniques have deeply modified the indications to open surgical repair in nearly all the vascular tree and especially in areas where the invasiveness of open surgery is real like the thoracic aorta. However their anatomical and technological limits on one hand and uncertainty on their long term results on the other hand still leave a large place for open surgery. Also, immediate as well as late results of open surgery have continued their progress during the endovascular era, rendering it competitive in trained centers for fit selected patients.


Assuntos
Aorta Torácica/cirurgia , Doenças da Aorta/cirurgia , Implante de Prótese Vascular , Procedimentos Endovasculares , Aorta Torácica/diagnóstico por imagem , Doenças da Aorta/diagnóstico , Aortografia/métodos , Implante de Prótese Vascular/efeitos adversos , Procedimentos Endovasculares/efeitos adversos , Humanos , Tomografia Computadorizada por Raios X , Resultado do Tratamento
3.
Urol Int ; 66(3): 149-51, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11316977

RESUMO

OBJECTIVE: To determine whether Sildenafil use in the patients with penile implants provided additional sexual satisfaction. MATERIAL AND METHODS: 12 patients who had had insertion of inflatable penile implants were given oral Sildenafil in the period following implantation. They were assessed for sexual satisfaction before and after oral Sildenafil use. The assessment was done using questions 7, 8, 13 and 14 of the International Index of Erectile Function (IIEF) questionnaire. These four questions of the IIEF questionnaire address the domain of satisfaction in male sexual behavior. Each person answered these questions using a scale of 1 (almost never or never) to 5 (almost always or always). The main answer to each question after Sildenafil was compared to the mean answer before. RESULTS: There was a significant increase in the mean answer score to each of these questions. CONCLUSION: Supplemental Sildenafil can increase the sexual satisfaction of patients with inflatable penile implants.


Assuntos
Disfunção Erétil/terapia , Satisfação do Paciente , Prótese de Pênis , Inibidores de Fosfodiesterase/uso terapêutico , Piperazinas/uso terapêutico , Terapia Combinada , Humanos , Masculino , Pessoa de Meia-Idade , Purinas , Citrato de Sildenafila , Sulfonas
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