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Biomedical subjects

Augusto Brazzini

Publications and source records attributed to Augusto Brazzini.

3 recordsLinked to original sources

Percutaneous transhepatic treatment of symptomatic mesenteric venous thrombosis.

Three patients were seen with acute mesenteric venous thrombosis. With a transhepatic access, percutaneous pharmacologic thrombolysis was performed in one patient with extensive thrombosis of the portal and mesenteric veins, resulting in complete thrombolysis of the portal vein and partial thrombolysis of the superior mesenteric vein. In two patients with focal thrombosis, the use of mechanical devices achieved complete thrombolysis. Percutaneous thrombolysis of portal and mesenteric veins with a transhepatic approach, followed by coil embolization, is a promising endovascular technique for treatment of symptomatic acute mesenteric venous thrombosis.

Adult↗

[TIPS]

Esophageal hemorrage due to variceal bleeding in cirrhotic patients represents a serious problem for the physician in charge, especially in this country where liver transplants are inexistent; and also, it is a drama for the patient and its familly. We propose here the Transjugular Intrahepatic Portosystemic Shunt (TIPS). Twenty one patients were part of a study where 23 TIPS were placed, observing an immediate improval in 18 of them, a rebleeding in 2, within the first 24 and 48 hours. An embolization of the coronary veins was performed in the procedure in 15 patients, and a second intervention due to rebleeding in 2 of them. In the latter patients, the embolization of the coronary veins was rutinary.The survival of the patients has been outstanding.We conclude that this interventional procedure is a worldwide reality in the treatment of esophageal hemorrage by variceal bleeding due to portal hipertension, and it does not cut down the probability of liver transplant, unfortunately inexistent in our country. This procedure results in a low morbimortality with an adequate quality of life.

Journal Article↗

[PERITONEAL VENOUS SHUNT IN THE TREATMENT OF MALIGNANTASCITIS: PRELIMINARY REPORT]

The present study, mentions the use of a valve for the drainage os ascitic fluid, better known as the peritoneo venous shunt, as a paliation treatment in terminal oncologic patients. It was performed in four patients with diseminated carcinomas, of diferent primary ethiology. These patients had a bad life quality, because when admitted in our Radiology suite, the clinical examination showed shortness of breathearly saciety, lethargy, and were found handiccapped to perform their habitual skills. This is a short and preliminar series, but it is an encouraging report, because, the quality of life, our goal, is improved.

Journal Article↗