{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:10:07Z","timestamp":1760044207872},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  Complica\u00e7\u00f5es relacionadas ao acesso venoso cervicotor\u00e1cico, como os pseudoaneurismas (PAs), podem ser devastadoras. Neste artigo, apresentamos dois casos semelhantes em que o avan\u00e7o tecnol\u00f3gico impactou no diagn\u00f3stico, tratamento e resultados. Ambos pacientes apresentaram volumoso PA ap\u00f3s a tentativa de pun\u00e7\u00e3o venosa profunda. O primeiro caso, em 1993, diagnosticado por duplex scan, revelou grande PA oriundo da art\u00e9ria subcl\u00e1via direita. A art\u00e9ria foi abordada por esternotomia mediana com extens\u00e3o supraclavicular. O PA originava-se do tronco tireocervical, tratado com simples ligadura. No segundo caso, em 2017, angiotomografia revelou um PA origin\u00e1rio da art\u00e9ria vertebral, que foi tratado com t\u00e9cnica endovascular, mantendo a perviedade do vaso. Ambos evolu\u00edram satisfatoriamente, apesar de abordagens bastante diferentes. A les\u00e3o vascular cervicotor\u00e1cica representa um desafio proped\u00eautico e terap\u00eautico, com alto risco de ruptura. Os avan\u00e7os tecnol\u00f3gicos diminuem os riscos de les\u00f5es vasculares com acesso cir\u00fargico dif\u00edcil e devem estar entre as op\u00e7\u00f5es do cirurgi\u00e3o vascular.<\/jats:p>","DOI":"10.1590\/1677-5449.005618","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T13:34:54Z","timestamp":1539956094000},"page":"322-327","source":"Crossref","is-referenced-by-count":1,"title":["O impacto da tecnologia no tratamento do trauma vascular iatrog\u00eanico cervicotor\u00e1cico: estudo de dois casos com intervalo de tr\u00eas d\u00e9cadas e revis\u00e3o da literatura"],"prefix":"10.1590","volume":"17","author":[{"given":"Victor","family":"Bilman","sequence":"first","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Centro Integrado para a Pesquisa, Preven\u00e7\u00e3o, Diagn\u00f3stico e Terapia das Doen\u00e7as Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"Massi\u00e8re","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Centro Integrado para a Pesquisa, Preven\u00e7\u00e3o, Diagn\u00f3stico e Terapia das Doen\u00e7as Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Vescovi","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Centro Integrado para a Pesquisa, Preven\u00e7\u00e3o, Diagn\u00f3stico e Terapia das Doen\u00e7as Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Leal","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Centro Integrado para a Pesquisa, Preven\u00e7\u00e3o, Diagn\u00f3stico e Terapia das Doen\u00e7as Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Vivas","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; Centro Integrado para a Pesquisa, Preven\u00e7\u00e3o, Diagn\u00f3stico e Terapia das Doen\u00e7as Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Demier","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio de Janeiro,  Brasil; 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