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A Spinal Osteophyte as Indication for Treatment of an Infra-renal Aortic Aneurysm 脊柱骨赘作为肾下主动脉瘤治疗的指征
EJVES Extra Pub Date : 2013-09-01 DOI: 10.1016/j.ejvsextra.2013.06.002
R. Machado, C. Vaz, A. Matos, R. de Almeida
{"title":"A Spinal Osteophyte as Indication for Treatment of an Infra-renal Aortic Aneurysm","authors":"R. Machado,&nbsp;C. Vaz,&nbsp;A. Matos,&nbsp;R. de Almeida","doi":"10.1016/j.ejvsextra.2013.06.002","DOIUrl":"10.1016/j.ejvsextra.2013.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Infra-renal aortic aneurysm rupture is a feared condition, therefore is it important to preview potential factors that could lead to it.</p></div><div><h3>Report</h3><p>A 59-year-old male with ankylosing spondylitis presented with a 4.6 cm diameter infra-renal aortic aneurysm. He had an osteophyte like a harpoon of the third and fourth lumbar vertebra, contacting directly with the aneurysm wall. The patient was submitted to an endovascular procedure.</p></div><div><h3>Discussion</h3><p>Surgical treatment was mandatory because of the potential high risk of rupture produced by the continuous trauma of the aorta against the osteophyte. The authors believe that this case reveals a possible new indication for treatment.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 3","pages":"Pages e36-e37"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76428248","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}
引用次数: 4
Cerebral Proliferative Angiopathy: A Rare Case with Rare Presentation and Rarer Angiographic Features 脑增生性血管病:罕见的病例，罕见的表现和罕见的血管造影特征
EJVES Extra Pub Date : 2013-09-01 DOI: 10.1016/j.ejvsextra.2013.05.001
T. Srivastava , T. Mathur , R.S. Mittal , B.S. Raghavendra , R. Jain , R. Handa
{"title":"Cerebral Proliferative Angiopathy: A Rare Case with Rare Presentation and Rarer Angiographic Features","authors":"T. Srivastava ,&nbsp;T. Mathur ,&nbsp;R.S. Mittal ,&nbsp;B.S. Raghavendra ,&nbsp;R. Jain ,&nbsp;R. Handa","doi":"10.1016/j.ejvsextra.2013.05.001","DOIUrl":"10.1016/j.ejvsextra.2013.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>“Cerebral proliferative angiopathy” (CPA) is a distinct entity unlike “classical” brain arteriovenous malformations (AVMs).</p></div><div><h3>Report</h3><p>We describe a patient with seizure who on DSA showed diffuse angiogenesis, absence of a well formed nidus and early venous phase suggestive of fast capillary transit favouring diagnosis of CPA alongwith filling of ophthalmic artery through middle meningeal branch of external carotid artery which made it even rarer. Treatment options are limited and vary with the patient's presentation and angiographic features.</p></div><div><h3>Conclusion</h3><p>CPA is rare and filling of ophthalmic artery from middle meningeal artery in association with CPA is even rarer.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 3","pages":"Pages e27-e29"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81753076","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}
引用次数: 2
Takayasu's Arteritis-associated Superior Mesenteric Artery Aneurysm Treated by Stent-graft Implantation via the Common Carotid Artery 经颈总动脉支架植入术治疗Takayasu动脉炎相关肠系膜上动脉瘤
EJVES Extra Pub Date : 2013-09-01 DOI: 10.1016/j.ejvsextra.2013.05.002
H.Y. Zhang , D.Z. Chai , W.G. Fu , Y.Q. Wang , J. Yang , Z.H. Dong , Y. Shi , X. Xu
{"title":"Takayasu's Arteritis-associated Superior Mesenteric Artery Aneurysm Treated by Stent-graft Implantation via the Common Carotid Artery","authors":"H.Y. Zhang ,&nbsp;D.Z. Chai ,&nbsp;W.G. Fu ,&nbsp;Y.Q. Wang ,&nbsp;J. Yang ,&nbsp;Z.H. Dong ,&nbsp;Y. Shi ,&nbsp;X. Xu","doi":"10.1016/j.ejvsextra.2013.05.002","DOIUrl":"10.1016/j.ejvsextra.2013.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Complications of Takayasu's arteritis are usually ischemia of certain organs caused by progressive arterial narrowing, while dilative lesions or formation of aneurysms are relatively uncommon.</p></div><div><h3>Report</h3><p>A 43-year-old man with the chief compliant of abdominal discomfort underwent an enhanced computed tomography scan which showed a 30 mm × 23 mm superior mesenteric artery aneurysm. Because of the acute downward angulation of the superior mesenteric artery and inappropriateness for larger sheath placement brachial arteries, the aneurysm was excluded with a stent-graft via the common carotid artery approach.</p></div><div><h3>Discussion</h3><p>Stent-graft implantation through the common carotid artery is a feasible approach for the endovascular treatment of superior mesenteric artery aneurysms when unfavorable anatomic limits exist.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 3","pages":"Pages e30-e31"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85363596","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}
引用次数: 0
Spinal Cord Ischaemia Following Fenestrated Endovascular Aortic Repair for Infrarenal Aortic Aneurysm: Report of a Rare Complication and Its Successful Treatment 开窗动脉内修复术治疗肾下主动脉瘤后脊髓缺血:一例罕见并发症及成功治疗报告
EJVES Extra Pub Date : 2013-08-01 DOI: 10.1016/j.ejvsextra.2013.04.003
D. Misselhorn , T. Beresford , A. Laing , A. Khanafer
{"title":"Spinal Cord Ischaemia Following Fenestrated Endovascular Aortic Repair for Infrarenal Aortic Aneurysm: Report of a Rare Complication and Its Successful Treatment","authors":"D. Misselhorn ,&nbsp;T. Beresford ,&nbsp;A. Laing ,&nbsp;A. Khanafer","doi":"10.1016/j.ejvsextra.2013.04.003","DOIUrl":"10.1016/j.ejvsextra.2013.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Spinal cord ischaemia (SCI) is a rare complication of infrarenal aortic aneurysm repair.</p></div><div><h3>Report</h3><p>We present a case of a 68-year-old man with an infrarenal aortic aneurysm treated by fenestrated endovascular aneurysm repair (FEVAR). He developed paraplegia alleviated by cerebrospinal fluid (CSF) drainage and resolved by revascularization of the inadvertently occluded internal iliac artery (IIA).</p></div><div><h3>Discussion</h3><p>The incidence and aetiology of SCI following aortic repair are discussed with an emphasis on collateral flow. SCI is rare in FEVAR and does not require routine CSF monitoring but awareness. Prompt restoration of adequate spinal perfusion is curative.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 2","pages":"Pages e24-e26"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89379446","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}
引用次数: 1
TEVAR for Iatrogenic Injury of the Distal Aortic Arch after Pacemaker Implantation 心脏起搏器植入后远端主动脉弓医源性损伤的TEVAR研究
EJVES Extra Pub Date : 2013-08-01 DOI: 10.1016/j.ejvsextra.2013.03.006
L. Di Tommaso , G. Iannelli , M. Mottola , V. Mannacio , V. Poli , G. Esposito , C. Morisco , C. Vosa
{"title":"TEVAR for Iatrogenic Injury of the Distal Aortic Arch after Pacemaker Implantation","authors":"L. Di Tommaso ,&nbsp;G. Iannelli ,&nbsp;M. Mottola ,&nbsp;V. Mannacio ,&nbsp;V. Poli ,&nbsp;G. Esposito ,&nbsp;C. Morisco ,&nbsp;C. Vosa","doi":"10.1016/j.ejvsextra.2013.03.006","DOIUrl":"10.1016/j.ejvsextra.2013.03.006","url":null,"abstract":"<div><h3>Introduction</h3><p>We report the endovascular treatment of aortic arch injury due to direct puncture during pacemaker implantation.</p></div><div><h3>Report</h3><p>After pacemaker implantation a 74-year-old woman showed a progressive decrease in haematocrit with elevation of cardiac troponin-I. Coronary angiography revealed the malposition of the catheters introduced through the aortic wall. The atrial lead was placed in the left circumflex coronary artery. Computed tomography scan confirmed distal aortic arch perforation. A Medtronic-Valiant stent–graft was implanted in the distal aortic arch while the two catheters were removed. A new VVI pacemaker was implanted and, 3 days later, the patient underwent percutaneous coronary intervention (PCI) on the dissected left circumflex artery. Four days later the patient was discharged. One-year computed tomography scan showed successful repair of the injured aorta.</p></div><div><h3>Discussion</h3><p>Endovascular stent grafting has emerged as a less invasive therapeutic alternative to treat traumatic or iatrogenic injuries of the distal aortic arch.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 2","pages":"Pages e17-e19"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88236156","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}
引用次数: 8
Leiomyosarcoma of the Inferior Vena Cava: Segment II 下腔静脉平滑肌肉瘤:第二节段
EJVES Extra Pub Date : 2013-08-01 DOI: 10.1016/j.ejvsextra.2013.04.002
R. Pinjala
{"title":"Leiomyosarcoma of the Inferior Vena Cava: Segment II","authors":"R. Pinjala","doi":"10.1016/j.ejvsextra.2013.04.002","DOIUrl":"10.1016/j.ejvsextra.2013.04.002","url":null,"abstract":"<div><h3>Introduction</h3><p>A case of leiomyosarcoma from segment II of the inferior vena cava (IVC) treated by excision is presented.</p></div><div><h3>Case report</h3><p>A 45-year-old woman was admitted with mass and pain in the right upper abdomen. Before surgery, different types of tumors from IVC and right kidney were considered. During surgery tumor arising from the supra renal IVC was noted. The aorta was clamped to reduce flows, the tumor was excised and the IVC repaired. Postoperative recovery was uneventful.</p></div><div><h3>Discussion</h3><p>This case shows lateral venorrhaphy of IVC after complete excision of the tumor with cross clamping of the aorta.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 2","pages":"Pages e22-e23"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84261151","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}
引用次数: 0
Pseudo-coarctation Following TEVAR in a Young Triathlete 一名年轻铁人三项运动员TEVAR后的伪缩窄
EJVES Extra Pub Date : 2013-08-01 DOI: 10.1016/j.ejvsextra.2013.04.001
P.O. Myers , A. Kalangos , A. Panos
{"title":"Pseudo-coarctation Following TEVAR in a Young Triathlete","authors":"P.O. Myers ,&nbsp;A. Kalangos ,&nbsp;A. Panos","doi":"10.1016/j.ejvsextra.2013.04.001","DOIUrl":"10.1016/j.ejvsextra.2013.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Thoracic endovascular aortic repair (TEVAR) has become the main treatment of traumatic aortic isthmic rupture. The long-term complications of TEVAR may be more important in a young patient population.</p></div><div><h3>Report</h3><p>A 33-year-old triathlete who had undergone successful TEVAR for aortic isthmus rupture, was diagnosed with resistant hypertension 6 years later. CT angiography showed stent dislocation mimicking a coarctation. He underwent successful surgical repair.</p></div><div><h3>Discussion</h3><p>Device collapse is a phenomenon observed after TEVAR for blunt thoracic aorta injury. Current testing of endografts are insufficient for the long lifespan of survivors of traumatic isthmic rupture. This case illustrates this complication.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 2","pages":"Pages e20-e21"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82731583","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}
引用次数: 0
Video-assisted Thoracoscopic Surgery with Endovascular Repair for Delayed Iatrogenic Descending Aorta Injury after Posterior Instrumentation with Pedicle Screws for T11 Burst Fracture 电视胸腔镜下血管内修复T11爆裂骨折后路椎弓根螺钉内固定后延迟医源性降主动脉损伤的研究
EJVES Extra Pub Date : 2013-07-01 DOI: 10.1016/j.ejvsextra.2013.03.005
T.-M. Liu , M.-L. Li , C.-C. Ding , B.-C. Li
{"title":"Video-assisted Thoracoscopic Surgery with Endovascular Repair for Delayed Iatrogenic Descending Aorta Injury after Posterior Instrumentation with Pedicle Screws for T11 Burst Fracture","authors":"T.-M. Liu ,&nbsp;M.-L. Li ,&nbsp;C.-C. Ding ,&nbsp;B.-C. Li","doi":"10.1016/j.ejvsextra.2013.03.005","DOIUrl":"10.1016/j.ejvsextra.2013.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Iatrogenic descending aortic injury after spine surgery with pedicle screws has previously been reported.</p></div><div><h3>Report</h3><p>We describe a case of a 44 year-old woman who underwent posterior instrumentation with pedicle screws for 11th thoracic (T11) spinal burst fracture.</p></div><div><h3>Discussion</h3><p>Computed tomography revealed a malpositioned pedicle screw with erosion of the posterior medial site of the descending aorta. Therefore, the malpositioned screw was manually retracted under video-assisted thoracoscopic surgery (VATS) guidance, and a thoracic stent graft was deployed under fluoroscopic guidance. We suggest treating this complication with this minimally invasive method to avoid further complications.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e7-e8"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80959852","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}
引用次数: 2
Great Saphenous Vein and Leiomyosarcoma 大隐静脉和平滑肌肉瘤
EJVES Extra Pub Date : 2013-07-01 DOI: 10.1016/j.ejvsextra.2013.03.001
B. Amato , R. Compagna , V. Gasbarro , R. Serra , S. de Franciscis
{"title":"Great Saphenous Vein and Leiomyosarcoma","authors":"B. Amato ,&nbsp;R. Compagna ,&nbsp;V. Gasbarro ,&nbsp;R. Serra ,&nbsp;S. de Franciscis","doi":"10.1016/j.ejvsextra.2013.03.001","DOIUrl":"10.1016/j.ejvsextra.2013.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male.</p></div><div><h3>Report</h3><p>The symptoms were limited to leg tension and pain during exercise; Duplex scan suggested a GSV thrombosis with an enlarged lymph node. The failure of low-molecular-weight heparin treatment requested a magnetic resonance imaging (MRI) scan revealing a mass attached to the left saphenous vein.</p><p>An <em>en bloc</em> removal of the mass, measuring 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died.</p></div><div><h3>Discussion</h3><p>Leiomyosarcoma is difficult to diagnose, requiring MRI scan or positron emission tomography-computed tomography (PET-CT) scan. The best therapy is surgery, which must be radical and may be followed by radiation therapy that may be indicated postoperatively in case of metastases.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e15-e16"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91387847","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}
引用次数: 6
Aneurysm Intraluminal Thrombus Compressibility Estimated in vivo Using Electrocardiographically Gated Computed Tomography: A Feasibility Study 使用心电图门控计算机断层扫描估计体内动脉瘤腔内血栓可压缩性:一项可行性研究
EJVES Extra Pub Date : 2013-07-01 DOI: 10.1016/j.ejvsextra.2013.03.004
N. Kontopodis , E. Metaxa , K. Pagonidis , E. Georgakarakos , Y. Papaharilaou , C.V. Ioannou
{"title":"Aneurysm Intraluminal Thrombus Compressibility Estimated in vivo Using Electrocardiographically Gated Computed Tomography: A Feasibility Study","authors":"N. Kontopodis ,&nbsp;E. Metaxa ,&nbsp;K. Pagonidis ,&nbsp;E. Georgakarakos ,&nbsp;Y. Papaharilaou ,&nbsp;C.V. Ioannou","doi":"10.1016/j.ejvsextra.2013.03.004","DOIUrl":"10.1016/j.ejvsextra.2013.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>We attempt to investigate if the mechanical properties of an intraluminal thrombus (ILT) could be assessed non-invasively through modern imaging techniques. Thrombus compressibility and deformation are evaluated <em>in vivo</em>.</p></div><div><h3>Report</h3><p>Five patients underwent electrocardiographically (ECG) gated computed tomography scan during surveillance of their abdominal aortic aneurysm (AAA). ILT volumes and cross-sectional areas during peak systole and end diastole were recorded and found to remain constant.</p></div><div><h3>Discussion</h3><p>ILT elastic behaviour can be estimated non-invasively. Under physiologic arterial pressure, an ILT is incompressible and does not deform longitudinally.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72705224","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}
引用次数: 3
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