EJVES ExtraPub Date : 2012-05-01DOI: 10.1016/j.ejvsextra.2012.03.001
A. Chaudhuri
{"title":"Endobypass Using a Heparin-bonded Covered Stent to Treat Upper Limb Claudication due to Axillary Artery Occlusion Following Axillofemoral Bypass","authors":"A. Chaudhuri","doi":"10.1016/j.ejvsextra.2012.03.001","DOIUrl":"10.1016/j.ejvsextra.2012.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Post-surgical axillary artery occlusion may present with upper limb symptoms requiring intervention.</p></div><div><h3>Report</h3><p>A 76-year-old male had previously undergone left axillofemoral bypass for lower limb ischemia. Following an initial presentation with brachial thromboembolism, he re-presented with left axillary artery occlusion manifesting as upper limb claudication significantly affecting activities of daily living. The axillary artery was successfully recanalised following deployment of a 10 × 50mm Viabahn endoprosthesis with complete symptomatic resolution.</p></div><div><h3>Discussion</h3><p>Endovascular recanalisation of proximal upper limb vessels affords a convenient option to open surgery. A stent-graft offers additional protection compared to a stent if there is arterial rupture during the procedure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 5","pages":"Pages e48-e49"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85845758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.001
M.T. Clarke , P.W. Waterland , S.S. Bahia , J.R. Asquith , A.D. Pherwani , J.C.L. Wong
{"title":"True Brachial Artery Aneurysm: A Rarity","authors":"M.T. Clarke , P.W. Waterland , S.S. Bahia , J.R. Asquith , A.D. Pherwani , J.C.L. Wong","doi":"10.1016/j.ejvsextra.2012.02.001","DOIUrl":"10.1016/j.ejvsextra.2012.02.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Brachial artery aneurysms can occur secondary to trauma and previous arteriovenous fistulae. True brachial artery aneurysms are rare. We describe a case and review the limited literature.</p></div><div><h3>Report</h3><p>A 71-year-old man was found to have a large, left-sided true brachial artery aneurysm causing ischaemic symptoms distally. He underwent a successful surgical repair using a reversed basilic vein interposition graft.</p></div><div><h3>Discussion</h3><p>Prompt diagnosis and treatment of true brachial artery aneurysms are important to prevent hand ischaemia.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e27-e28"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84143834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.003
D. Nikolov, V. Chervenkov, E. Vachev, M. Staneva, D. Gorcheva
{"title":"Abdominal Aortic Repair and Inferior Vena Cava Interposition in a Patient with Ruptured Aneurysm","authors":"D. Nikolov, V. Chervenkov, E. Vachev, M. Staneva, D. Gorcheva","doi":"10.1016/j.ejvsextra.2012.02.003","DOIUrl":"10.1016/j.ejvsextra.2012.02.003","url":null,"abstract":"<div><h3>Introduction</h3><p>We report a case of a ruptured abdominal aortic aneurysm (RAAA) with atypical localisation of inferior vena cava (IVC), successfully managed with open surgery repair.</p></div><div><h3>Case Report</h3><p>A 52-year-old male patient presented with a 2-day duration of acute abdominal pain and acute left limb pain. Computed tomographic angiography demonstrated ruptured abdominal aortic aneurysm with massive retroperitoneal haematoma and occluded left superficial femoral artery. In addition, left-sided infrarenal IVC, ventrally crossing the aneurysmal neck, supposed difficult clamping and anastomosing. After transection of IVC, the AAA was successfully repaired with tube graft interposition. Subsequently, IVC was reconstructed with a short 20-mm Dacron graft. The patient had an uneventful recovery.</p></div><div><h3>Conclusion</h3><p>The case demonstrates the importance of pre-operative imaging for successful treatment of RAAA in the presence of a challenging venous anomaly and one technical decision for this type of cases.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e31-e33"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76732591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.004
D.R. Robinson , H. Kanhere , B. George , G.L. Benveniste
{"title":"Migration of Gentamicin Beads into Duodenum following Treatment of Primary Infection of the Aorta","authors":"D.R. Robinson , H. Kanhere , B. George , G.L. Benveniste","doi":"10.1016/j.ejvsextra.2012.02.004","DOIUrl":"10.1016/j.ejvsextra.2012.02.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Gentamicin impregnated beads have been used in the treatment and prevention of infections in vascular surgery.</p></div><div><h3>Report</h3><p>A patient presented with sepsis 6 years after repair of an infrarenal aortic mycotic aneurysm with an in situ polytetrafluoroethylene (PTFE) graft and implanted gentamicin beads. Several beads migrated into the duodenum resulting in a paraprosthetic sinus. The patient was successfully treated with duodenal resection and Roux-en-Y anastomosis.</p></div><div><h3>Discussion</h3><p>This report highlights a serious complication relating to the implantation of gentamicin beads in the retroperitoneum. We would advocate aggressive debridement and coverage of the infected field with well-vascularised tissue rather than permanent gentamicin bead implantation.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e34-e36"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80036119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.002
A. Kaladji , A. Zamreek , G. Pinel , F. Gérard , A. Leguerrier , A. Cardon
{"title":"Klippel–Trenaunay Syndrome Associated with Abdominal Aortic Aneurysm","authors":"A. Kaladji , A. Zamreek , G. Pinel , F. Gérard , A. Leguerrier , A. Cardon","doi":"10.1016/j.ejvsextra.2012.02.002","DOIUrl":"10.1016/j.ejvsextra.2012.02.002","url":null,"abstract":"<div><p>The Klippel–Trenaunay syndrome is a rare disorder characterised by well-described bony and vascular (venous and lymphatic) anomalies. Its association with arterial aneurysms has only been reported in a dozen cases, in particular, in cerebral, renal and popliteal arteries. We report the case of a 35-year-old male patient, who presented with an 85-mm aorto-iliac aneurysm primarily suspected to be mycotic, in addition to a typical single lower extremity arteriomegaly. The patient was successfully treated by means of an allograft. This is considered to be the first reported case of Klippel–Trenaunay syndrome, associated with an aortic aneurysm.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e29-e30"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84432807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.005
D. McGregor, S. Rajagopalan, E. Munro
{"title":"Upper Limb Ischaemia in a Young Female","authors":"D. McGregor, S. Rajagopalan, E. Munro","doi":"10.1016/j.ejvsextra.2012.02.005","DOIUrl":"10.1016/j.ejvsextra.2012.02.005","url":null,"abstract":"<div><p>We present the case of an acute or chronic ischaemia of the upper limb due to extrinsic compression and thrombotic occlusion of the left subclavian artery successfully bypassed with a subclavian to axillary artery venous auto-graft.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e37-e39"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77822198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-04-01DOI: 10.1016/j.ejvsextra.2012.02.006
A. Mallios, B. Boura, W. Yankovic, A. Costanzo, M. Combes
{"title":"Replacement of Infected Prosthetic Femoral Graft with Longitudinally Tailored Vein Patches","authors":"A. Mallios, B. Boura, W. Yankovic, A. Costanzo, M. Combes","doi":"10.1016/j.ejvsextra.2012.02.006","DOIUrl":"10.1016/j.ejvsextra.2012.02.006","url":null,"abstract":"<div><p>Infection of prosthetic material is a devastating complication in vascular surgery, often resulting in death or amputation. We present the case of a 55-year-old man operated for aortic valve replacement and at the same time aneurysm resection of the right femoral artery and replacement with a termino-terminal 10 mm Dacron graft. On the 14th postoperative day, the patient presented local and systemic inflammatory signs with positive blood cultures for <em>Staphylococcus epidermidis</em>. Replacement of the graft with autogenous material was judged mandatory but technically challenging due to the large calibre of the artery and, on the other hand, small diameter of the saphenous vein. A composite vein graft was tailored in a technically interesting way. The postoperative course was uneventful and the graft remained patent. Prosthesis infection is a challenging situation often complicated by the lack of autogenous material. The method presented is a feasible alternative and to our knowledge it is the first time such a technique is described for the replacement of an infected prosthesis.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 4","pages":"Pages e40-e41"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88267656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-03-01DOI: 10.1016/j.ejvsextra.2011.12.004
M. Dumantepe , I.A. Tarhan , A. Ozler , I. Yurdakul
{"title":"A Rare Case of Popliteal Venous Aneurysm","authors":"M. Dumantepe , I.A. Tarhan , A. Ozler , I. Yurdakul","doi":"10.1016/j.ejvsextra.2011.12.004","DOIUrl":"https://doi.org/10.1016/j.ejvsextra.2011.12.004","url":null,"abstract":"<div><h3>Objective</h3><p>Popliteal venous aneurysms are uncommon but potentially fatal abnormalities, since they can cause pulmonary emboli. Here, we report a case of a popliteal venous aneurysm of the right popliteal fossa.</p></div><div><h3>Method</h3><p>In a 32-year-old healthy male complaining of a localised swelling and pain in his right popliteal fossa, duplex ultrasonography and angio-computed tomography revealed a giant popliteal vein aneurysm. The popliteal fossa was surgically explored and aneurysm was resected partially and sutured through posterior approach.</p></div><div><h3>Results</h3><p>Recovery was uneventful and patient still remains asymptomatic. Further duplex ultrasonography follow-ups revealed patency of popliteal vein without thrombotic changes in 1st, 6th, 12th and 15th months. Additionally, no dilatation of the operated vein segment has been observed in the follow-up ultrasound studies.</p></div><div><h3>Conclusion</h3><p>Surgical repair of popliteal venous aneurysms can be performed safely. Partial aneurysm resection together with lateral venorrhaphy is preferred. Due to pulmonary thrombo-embolic complication risks, we recommend surgery in early stages.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 3","pages":"Pages e23-e24"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2011.12.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91681240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-03-01DOI: 10.1016/j.ejvsextra.2012.01.001
M. Danapal , J. Garvin , D. O’Brien , A. Leahy
{"title":"Acute Subarachnoid Haemorrhage following Liquid Sclerotherapy","authors":"M. Danapal , J. Garvin , D. O’Brien , A. Leahy","doi":"10.1016/j.ejvsextra.2012.01.001","DOIUrl":"10.1016/j.ejvsextra.2012.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Liquid sclerotherapy is a commonly performed procedure for treatment of varicose veins. Neurological complications have been reported, however they are rare. Our case report highlights the first case of subarachnoid haemorrhage occurring post sclerotherapy.</p></div><div><h3>Report</h3><p>A previously healthy 63-year old lady presented with sudden onset headache and vomiting immediately after injection of liquid sclerotherapy for lower limb varicose veins. Non-contrast CT brain demonstrated acute subarachnoid haemorrhage. The patient was treated conservatively and made a full recovery 48 h later.</p></div><div><h3>Discussion</h3><p>Subarachnoid haemorrhage occurring post sclerotherapy is a serious complication that is associated with this procedure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 3","pages":"Pages e25-e26"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54478078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJVES ExtraPub Date : 2012-03-01DOI: 10.1016/j.ejvsextra.2011.12.003
F. Gao , J. Chen , J. Guan , Q. Zeng , F.M. Lin
{"title":"A Spontaneous Dissecting Abdominal Aneurysm Originating from the Iliac Artery","authors":"F. Gao , J. Chen , J. Guan , Q. Zeng , F.M. Lin","doi":"10.1016/j.ejvsextra.2011.12.003","DOIUrl":"10.1016/j.ejvsextra.2011.12.003","url":null,"abstract":"<div><p>Aortic dissection often involves the thoracic and abdominal aorta, whereas isolated abdominal aortic dissection is rare. Few cases of abdominal aortic dissection caused by iliac arterial dissection have been reported. Herein, we report a case of spontaneous isolated abdominal dissection in which both the entry and exit sites were in the iliac arteries. The patient was treated successfully using the endovascular aneurysm repair procedure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 3","pages":"Pages e21-e22"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2011.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74887403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}