EJVES ExtraPub Date : 2013-07-01DOI: 10.1016/j.ejvsextra.2013.03.003
K.K.F. Ho , P.J. Walker , D.M. Cavaye
{"title":"A Case of Large Recurrent Perigraft Seroma after Axillobifemoral Bypass","authors":"K.K.F. Ho , P.J. Walker , D.M. Cavaye","doi":"10.1016/j.ejvsextra.2013.03.003","DOIUrl":"10.1016/j.ejvsextra.2013.03.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Perigraft seroma is an uncommon complication of vascular reconstructive surgery. We report a case of a large recurrent seroma related to an axillobifemoral bypass.</p></div><div><h3>Case report</h3><p>A 79-year-old male patient developed a large seroma in his left flank and suprapubic region after an axillobifemoral bypass. The seroma was so large that it prevented the patient from bending. It recollected twice after drainage, which led to the decision to remove the graft and to replace it with a different synthetic material.</p></div><div><h3>Discussion</h3><p>Seromas are suspected when there is a sterile mass in relation to a bypass graft. To our knowledge, this is one of the larger seromas related to axillobifemoral bypass documented in published literature, reaching a size such that it interfered with the patient's physical functioning.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e1-e3"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75107689","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 : 2013-07-01DOI: 10.1016/j.ejvsextra.2013.03.007
L. Niclauss, A. Roumy, P. Gersbach
{"title":"Spinal Cord Stimulation in Thromboangiitis Obliterans and Secondary Raynaud's-Syndrome","authors":"L. Niclauss, A. Roumy, P. Gersbach","doi":"10.1016/j.ejvsextra.2013.03.007","DOIUrl":"10.1016/j.ejvsextra.2013.03.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Spinal cord stimulation (SCS) may be a treatment option in limb ischemia occurring as a result of Thromboangiitis obliterans (TAO) or secondary Raynaud's-Syndrome (SRS). The impact of SCS on disease progression and micro-perfusion was prospectively evaluated during a follow-up (FU) of 4 years.</p></div><div><h3>Report</h3><p>Under SCS, a significant increase in trans-cutaneous oxygen tension (tcpO2) was observed in TAO and a significant increase in systolic perfusion pressure at plethysmography was observed in SRS. Complete limb preservation was achieved in all patients who had reduced tobacco consumption.</p></div><div><h3>Discussion</h3><p>SCS is an efficient therapeutic tool in TAO and SRS. Patient selection criteria are crucial for success.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e9-e11"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83122465","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 : 2013-07-01DOI: 10.1016/j.ejvsextra.2013.03.008
A. Monnot , P. Boitet , D. Plissonnier
{"title":"Aberrant Right Subclavian Artery and Kommerell's Diverticulum: An Original Surgical Treatment with Dual-purpose Shunt","authors":"A. Monnot , P. Boitet , D. Plissonnier","doi":"10.1016/j.ejvsextra.2013.03.008","DOIUrl":"10.1016/j.ejvsextra.2013.03.008","url":null,"abstract":"<div><h3>Introduction</h3><p>We report a case of Kommerell's diverticulum of an aberrant right subclavian artery in a patient with a left-sided aortic arch.</p></div><div><h3>Report</h3><p>The 80-year-old patient presented with dysphagia and dyspnea. The computed tomography scan showed that the trachea and the esophagus were compressed by the aberrant artery. This situation was corrected by surgical treatment without cardiopulmonary bypass or hypothermic circulatory arrest. The aneurysm was excluded by means of a temporary shunt between the ascending aorta and the descending aorta.</p></div><div><h3>Discussion</h3><p>An endovascular procedure was not considered to be appropriate to release the esophagus and trachea from arterial compression.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e12-e14"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83168929","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 : 2013-06-01DOI: 10.1016/j.ejvsextra.2013.03.002
K. Igari, T. Kudo, T. Toyofuku, M. Jibiki, Y. Inoue
{"title":"An Operative Case of Abdominal Aortic Pseudo-aneurysm in Delayed Development due to Blunt Trauma","authors":"K. Igari, T. Kudo, T. Toyofuku, M. Jibiki, Y. Inoue","doi":"10.1016/j.ejvsextra.2013.03.002","DOIUrl":"10.1016/j.ejvsextra.2013.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Traumatic injury to the abdominal aorta is uncommon, and most patients exhibit a delayed presentation.</p></div><div><h3>Report</h3><p>At 67 years of age, the patient was in a traffic accident and sustained a liver injury without abdominal aortic injury. Three months after the accident, a computed tomography (CT) scan revealed the presence of an infrarenal abdominal aortic aneurysm with saccular changes. Three years after the accident, the pseudo-aneurysm measured 35 mm, and conventional open surgery was performed.</p></div><div><h3>Discussion</h3><p>It is important to be aware that the delayed development of an abdominal pseudo-aneurysm may exist despite normal initial CT scans.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 6","pages":"Pages e48-e49"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75846921","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 : 2013-06-01DOI: 10.1016/j.ejvsextra.2013.01.003
J.H. Lee, E.-J. Kim
{"title":"Hybrid Thoracic Endovascular Aortic Repair by Creating a Distal Landing Zone with Aortic Reduction Plasty and Open Fenestration","authors":"J.H. Lee, E.-J. Kim","doi":"10.1016/j.ejvsextra.2013.01.003","DOIUrl":"10.1016/j.ejvsextra.2013.01.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The effectiveness of thoracic endovascular aortic repair (TEVAR) in patients with chronic aortic dissection is controversial due to the unpredictable remodelling of the aorta.</p></div><div><h3>Report</h3><p>We report a case of hybrid TEVAR by making a distal landing zone with aortic reduction plasty and open fenestration in a high-risk patient with chronic aortic dissection.</p></div><div><h3>Discussion</h3><p>As survival after acute type 1 aortic dissection has shown improvement, more patients with dissecting aneurysm require surgical correction. This novel technique can be a reasonable treatment modality for patients with chronic aortic dissection.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 6","pages":"Pages e45-e47"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85693039","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 : 2013-05-01DOI: 10.1016/j.ejvsextra.2012.12.005
L. Botta , P. Fratto , A. Cannata , G. Bruschi , A. Rampoldi , L. Martinelli
{"title":"Aortic-arch Reconstruction with Bolton Medical Branched Thoracic Stent Graft","authors":"L. Botta , P. Fratto , A. Cannata , G. Bruschi , A. Rampoldi , L. Martinelli","doi":"10.1016/j.ejvsextra.2012.12.005","DOIUrl":"10.1016/j.ejvsextra.2012.12.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical repair of the aortic arch is technically demanding and requires complex circulatory management. Endovascular techniques can treat arch diseases but frequently need surgical de-branching of supra-aortic vessels.</p></div><div><h3>Report</h3><p>We describe the use of a new, custom-made, branched stent-graft system to treat a penetrating atherosclerotic ulcer of the aortic arch. This system consisted of a combination of three endoluminal prostheses introduced via peripheral arteries.</p></div><div><h3>Discussion</h3><p>The branched stent-graft system was effective and safe. Minimally invasive techniques for aortic-arch repair are attractive but technological progress and further improvements are still necessary in the endovascular treatment of complex arch anatomy.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 5","pages":"Pages e38-e41"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83141508","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 : 2013-05-01DOI: 10.1016/j.ejvsextra.2012.12.001
A. Mallios, B. Boura, M. Combes
{"title":"Precision in Distal Graft Deployment as an Additional Indication for Anterograde TEVAR through the Axillary Artery","authors":"A. Mallios, B. Boura, M. Combes","doi":"10.1016/j.ejvsextra.2012.12.001","DOIUrl":"10.1016/j.ejvsextra.2012.12.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Anterograde thoracic endovascular aneurysm repair (TEVAR) has been reported for patients with not suitable anatomy for retrograde delivery.</p></div><div><h3>Report</h3><p>We report the case of a 72 year old female patient that we treated with TEVAR via anterograde axillary approach for a different indication; lack of distal neck over the coeliac trunk.</p></div><div><h3>Discussion</h3><p>Anterograde TEVAR via the axillary artery is rarely needed. Although delivering the graft from the femoral artery allows some precision in distal landing, anterograde delivery can be much more precise when distal neck is very limited or non existing. We did not use a prosthetic conduit to protect the axillary artery and we express our objection in current trends that suggest the opposite strategy.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 5","pages":"Pages e35-e37"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80986266","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 : 2013-05-01DOI: 10.1016/j.ejvsextra.2013.01.002
M. Lainay, M. Bailleux-Moisant, N. David, A. Monnot, D. Plissonnier
{"title":"Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm through an Anterograde Approach after Transposition of Supra-aortic and Visceral Arteries","authors":"M. Lainay, M. Bailleux-Moisant, N. David, A. Monnot, D. Plissonnier","doi":"10.1016/j.ejvsextra.2013.01.002","DOIUrl":"10.1016/j.ejvsextra.2013.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Retrograde access through femoral artery is usual for endovascular repair of the aorta. Some patients are not suitable to receive endovascular treatment because of poor anatomic access.</p></div><div><h3>Report</h3><p>We report the hybrid treatment of a type 1 thoraco-abdominal aortic aneurysm, through an anterograde access by a temporary ascending aortic conduit after the transposition of supra-aortic and visceral arteries.</p></div><div><h3>Discussion</h3><p>This approach was described in two precedent cases that reported good results. It seems to be an interesting alternative in the case of retrograde access failure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 5","pages":"Pages e42-e44"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82878809","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 : 2013-04-01DOI: 10.1016/j.ejvsextra.2012.12.002
K.J. Ho, J.D. Gates
{"title":"An Unusual Cause of Duodenal Obstruction","authors":"K.J. Ho, J.D. Gates","doi":"10.1016/j.ejvsextra.2012.12.002","DOIUrl":"10.1016/j.ejvsextra.2012.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Superior mesenteric artery (SMA) compression of the duodenum is well described, but duodenal obstruction caused by extrinsic compression from an abdominal aortic aneurysm (AAA) occurs rarely.</p></div><div><h3>Report</h3><p>This case report describes a patient who presented with nausea and bilious vomiting and was found to have SMA syndrome due to an 8.6 cm suprarenal AAA. He declined an open aneurysm repair, but elected to have an enteric bypass procedure for symptomatic relief.</p></div><div><h3>Discussion</h3><p>SMA syndrome is caused by compression of the third portion of the duodenum between the aorta and the SMA, resulting in complete or partial duodenal obstruction. Only 22 cases of SMA syndrome caused by an AAA have been reported in the literature; usually there is an inflammatory process involved with the aneurysm or there is an infrarenal aortic neck. Definitive treatment consists of open aneurysm repair or decompress the aneurysm sac; other options are enteric bypass, duodenal transposition or duodenal mobilization and caudal displacement (Strong's procedure).</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 4","pages":"Pages e25-e26"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79484112","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 : 2013-04-01DOI: 10.1016/j.ejvsextra.2012.12.003
T. Synowiec , M. Warot , P. Burchardt , P. Samolewski , P. Checinski
{"title":"Rescue Chimney Technique after the Loss of All Branches of the Aortic Arch","authors":"T. Synowiec , M. Warot , P. Burchardt , P. Samolewski , P. Checinski","doi":"10.1016/j.ejvsextra.2012.12.003","DOIUrl":"10.1016/j.ejvsextra.2012.12.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The hybrid procedure is a compromise between open and total endovascular repairs of aortic arch aneurysms. However, this technique is not free from complications.</p></div><div><h3>Report</h3><p>We present the use of the chimney technique, after the loss of all branches of the aortic arch during thoracic endovascular aortic repair, in a patient with a previous partial debranching of the aortic arch.</p></div><div><h3>Discussion</h3><p>The coverage of the vital vessels of the aortic arch during stent graft deployment could be linked to hypertension, anatomical abnormalities, or patient movements. In such cases, the chimney technique may be the only possible rescue procedure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 4","pages":"Pages e27-e28"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79190056","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}