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Wound Necrosis and Peripheral Microangiopathy due to Delayed-onset Heparin-induced Thrombocytopenia Following Arterial Bypass Surgery 动脉搭桥术后迟发性肝素诱导的血小板减少引起的伤口坏死和周围微血管病变
EJVES Extra Pub Date : 2012-11-01 DOI: 10.1016/j.ejvsextra.2012.08.006
G. Herren, C. Haller
{"title":"Wound Necrosis and Peripheral Microangiopathy due to Delayed-onset Heparin-induced Thrombocytopenia Following Arterial Bypass Surgery","authors":"G. Herren,&nbsp;C. Haller","doi":"10.1016/j.ejvsextra.2012.08.006","DOIUrl":"10.1016/j.ejvsextra.2012.08.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Delayed-onset heparin-induced thrombocytopenia (HIT) is a rare side effect of heparin. This prothrombotic condition can present its first signs up to three weeks following heparin administration even if heparin use has been stopped.</p></div><div><h3>Report</h3><p>A 54-year-old claudicant patient underwent a suprageniculate limb bypass with heparin administration. Despite bypass patency, our patient developed recurrent wound necrosis and kept complaining of ischemic pain. The patient then developed toe necrosis and underwent leg amputation.</p></div><div><h3>Conclusion</h3><p>Delayed-onset HIT is a rare condition that should be looked for and promptly managed in patients with peripheral vasculopathy following heparin administration.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 5","pages":"Pages e34-e35"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84811963","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
Endovascular Stent-protected Resection of a Large Jugular Vein Aneurysm Containing Thrombus 血管内支架保护切除含血栓的颈静脉大动脉瘤
EJVES Extra Pub Date : 2012-11-01 DOI: 10.1016/j.ejvsextra.2012.08.005
H.Y. Zhang, D.Z. Chai, W.G. Fu, Y.Q. Wang, J. Yang, Y. Shi, T. Zhu, Z.H. Dong, X. Xu
{"title":"Endovascular Stent-protected Resection of a Large Jugular Vein Aneurysm Containing Thrombus","authors":"H.Y. Zhang,&nbsp;D.Z. Chai,&nbsp;W.G. Fu,&nbsp;Y.Q. Wang,&nbsp;J. Yang,&nbsp;Y. Shi,&nbsp;T. Zhu,&nbsp;Z.H. Dong,&nbsp;X. Xu","doi":"10.1016/j.ejvsextra.2012.08.005","DOIUrl":"10.1016/j.ejvsextra.2012.08.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Internal jugular vein aneurysms are very uncommon. Indications for surgery include the compression of adjacent structures and the risk of pulmonary embolism associated with thrombus within the aneurysm.</p></div><div><h3>Report</h3><p>A 78-year-old woman was hospitalised with a large internal jugular vein aneurysm filled with thrombus. A bare metal stent was deployed from the left subclavian vein to the left brachiocephalic vein and served as a protection device during the open surgical resection of the aneurysm. At 28-month follow-up no serious complications had occurred.</p></div><div><h3>Discussion</h3><p>This case report introduces a novel method to prevent pulmonary embolism during treatment of large partially thrombosed jugular vein aneurysms.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 5","pages":"Pages e29-e31"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74160315","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
Endovascular Repair of Aortic Aneurysm through Bilateral Common Iliac Stents with a Repositionable Stent-graft 双侧髂总支架联合可定位支架的血管内修复主动脉瘤
EJVES Extra Pub Date : 2012-11-01 DOI: 10.1016/j.ejvsextra.2012.08.003
T.P.T. Au Yong , G.J. Harrison , M.J. Duddy , J. Hopkins , R.K. Vohra
{"title":"Endovascular Repair of Aortic Aneurysm through Bilateral Common Iliac Stents with a Repositionable Stent-graft","authors":"T.P.T. Au Yong ,&nbsp;G.J. Harrison ,&nbsp;M.J. Duddy ,&nbsp;J. Hopkins ,&nbsp;R.K. Vohra","doi":"10.1016/j.ejvsextra.2012.08.003","DOIUrl":"10.1016/j.ejvsextra.2012.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>A case of abdominal aortic aneurysm (AAA), treated with a repositionable stent-graft, in the presence of bilateral common iliac stents positioned partially within the aneurysm is presented.</p></div><div><h3>Case report</h3><p>An 84 year-old man had endovascular repair of a 55 mm AAA. Bilateral common iliac stents, which had been implanted 14 years previously for iliac occlusive disease, were partially positioned within the aneurysm. Endovascular repair required partial device deployment above the aneurysm to enable contralateral limb cannulation. The stent graft was then positioned correctly and fully deployed.</p></div><div><h3>Discussion</h3><p>This case highlighted the utility of a stent-graft with a repositionable delivery system.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 5","pages":"Pages e27-e28"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77689621","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
Hydrofluoric Acid Burn of the Hand – A Rare Emergency 氢氟酸烧伤的手-罕见的紧急情况
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/j.ejvsextra.2012.07.001
J. Peter , S.-M. Maksan , K. Eichler , T.C. Schmandra , T. Schmitz-Rixen
{"title":"Hydrofluoric Acid Burn of the Hand – A Rare Emergency","authors":"J. Peter ,&nbsp;S.-M. Maksan ,&nbsp;K. Eichler ,&nbsp;T.C. Schmandra ,&nbsp;T. Schmitz-Rixen","doi":"10.1016/j.ejvsextra.2012.07.001","DOIUrl":"https://doi.org/10.1016/j.ejvsextra.2012.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>We report on successful endovascular treatment of a hydrofluoric acid burn to the hand.</p></div><div><h3>Report</h3><p>A worker complained of severe pain in the fingers D II to D V after injury with 60% hydrofluoric acid. A digital subtraction angiography showed vasospasm of the common palmar digital artery. We selectively applied 20% calcium gluconate intra-arterially.</p><p>After treatment all arteries were perfused. Alprostadil, acetylsalicylic acid and clopidogrel were administered in conjunction. Pain symptoms improved and sensory and motor functions were restored.</p></div><div><h3>Discussion</h3><p>Immediate angiography and intra-arterial application of calcium gluconate are recommended to treat hydrofluoric acid burn to a limb.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 4","pages":"Pages e19-e20"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91606386","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
‘Trial of Stiff Guidewire’: A Useful Adjunct to Determining Suitability for Endovascular Aneurysm Repair “硬导丝试验”:确定血管内动脉瘤修复适宜性的有用辅助手段
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/j.ejvsextra.2012.08.002
V.J. Gokani, N.G. Fishwick, E. Choke, M.J. Bown, R.D. Sayers
{"title":"‘Trial of Stiff Guidewire’: A Useful Adjunct to Determining Suitability for Endovascular Aneurysm Repair","authors":"V.J. Gokani,&nbsp;N.G. Fishwick,&nbsp;E. Choke,&nbsp;M.J. Bown,&nbsp;R.D. Sayers","doi":"10.1016/j.ejvsextra.2012.08.002","DOIUrl":"10.1016/j.ejvsextra.2012.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>This study investigated our practice of performing a pre-operative ‘trial of stiff guidewire’ to assess whether iliac artery tortuosity may be overcome, prior to denying patients endovascular aortic aneurysm repair (EVAR).</p></div><div><h3>Report</h3><p>During the 58-month study period, 35 ‘trial of stiff guidewire’ procedures were performed, the thirty-one of whom ‘passed’ were suitable for EVAR. Four patients whose iliac anatomy could not be straightened (failing the trial of stiff guidewire) were offered open surgery only.</p></div><div><h3>Discussion</h3><p>If the iliac artery can be straightened using the stiff wire, to a bend less acute than 80°, patients may still be offered EVAR.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 4","pages":"Pages e23-e24"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78174634","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: 7
Hydrofluoric Acid Burn of the Hand – A Rare Emergency 氢氟酸烧伤的手-罕见的紧急情况
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/J.EJVSEXTRA.2012.07.001
J. Peter, S. Maksan, K. Eichler, T. Schmandra, T. Schmitz-Rixen
{"title":"Hydrofluoric Acid Burn of the Hand – A Rare Emergency","authors":"J. Peter, S. Maksan, K. Eichler, T. Schmandra, T. Schmitz-Rixen","doi":"10.1016/J.EJVSEXTRA.2012.07.001","DOIUrl":"https://doi.org/10.1016/J.EJVSEXTRA.2012.07.001","url":null,"abstract":"","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"97 1","pages":"527"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75966566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Idiopathic True Aneurysm of the Radial Artery: A Rare Entity 特发性真动脉瘤的桡动脉:一个罕见的实体
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/j.ejvsextra.2012.08.001
J. Jedynak, G. Frydman
{"title":"Idiopathic True Aneurysm of the Radial Artery: A Rare Entity","authors":"J. Jedynak,&nbsp;G. Frydman","doi":"10.1016/j.ejvsextra.2012.08.001","DOIUrl":"https://doi.org/10.1016/j.ejvsextra.2012.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>True aneurysms of the radial artery are extremely rare. Most cases of Radial artery aneurysm are the result of iatrogenic trauma, however other rare causes such as vascular tumours, connective tissue diseases and occupational injury have also been reported.</p></div><div><h3>Case report</h3><p>A 60-year-old man presented with a pulsating mass in the anatomical snuffbox of the left hand. He underwent distal radial artery ligation and excision of the aneurysm. Histopathology demonstrated this to be a true aneurysm in continuation with the vessel wall.</p></div><div><h3>Discussion</h3><p>There are only a few cases of true distal radial artery aneurysm described in the literature. Careful examination and pre-operative imaging will help determine the most appropriate surgical management, including the need for vascular reconstruction.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 4","pages":"Pages e21-e22"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91606385","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: 11
Revascularisation of Internal Carotid Artery Aneurysm near the Skull Base 颅底附近颈内动脉瘤血运重建
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/j.ejvsextra.2012.08.004
H. Ren, X. Song, J. Shao, C. Liu, Y. Zheng
{"title":"Revascularisation of Internal Carotid Artery Aneurysm near the Skull Base","authors":"H. Ren,&nbsp;X. Song,&nbsp;J. Shao,&nbsp;C. Liu,&nbsp;Y. Zheng","doi":"10.1016/j.ejvsextra.2012.08.004","DOIUrl":"10.1016/j.ejvsextra.2012.08.004","url":null,"abstract":"<div><p>A 51-year-old man presented with a pulsatile neck mass. Computed tomography angiography (CTA) revealed a right internal carotid aneurysm. No neurological symptoms occurred for more than 40 years in this patient, which indicated a possible congenital lesion worsened by secondary atherosclerosis. The aneurysm extended from the carotid bifurcation nearly to the base of the skull, and a normal internal carotid artery (ICA) segment was found before entering the carotid canal. The distal end of the extracranial ICA was exposed by transecting the digastric muscle and removing the styloid process during the procedures. The external carotid artery (ECA) was chosen as the inflow source in order to shorten the clamping time of the ICA. His recovery was uneventful, and the follow-up at 2 years revealed that carotid artery patency was obtained.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 4","pages":"Pages e25-e26"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81859667","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
Idiopathic True Aneurysm of the Radial Artery: A Rare Entity 特发性真动脉瘤的桡动脉:一个罕见的实体
EJVES Extra Pub Date : 2012-10-01 DOI: 10.1016/J.EJVSEXTRA.2012.08.001
J. Jedynak, G. Frydman
{"title":"Idiopathic True Aneurysm of the Radial Artery: A Rare Entity","authors":"J. Jedynak, G. Frydman","doi":"10.1016/J.EJVSEXTRA.2012.08.001","DOIUrl":"https://doi.org/10.1016/J.EJVSEXTRA.2012.08.001","url":null,"abstract":"","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"77 1","pages":"527"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76090370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
A Case of Septic Superficial Thrombophlebitis of Varicose Veins Associated with Yersinia enterocolitica and Propionibacterium 结肠炎耶尔森菌及丙酸杆菌所致脓毒性浅血栓性静脉曲张1例
EJVES Extra Pub Date : 2012-09-01 DOI: 10.1016/j.ejvsextra.2012.06.004
K. Kam Fai Ho , A. Al-Timimi , P.J. Walker
{"title":"A Case of Septic Superficial Thrombophlebitis of Varicose Veins Associated with Yersinia enterocolitica and Propionibacterium","authors":"K. Kam Fai Ho ,&nbsp;A. Al-Timimi ,&nbsp;P.J. Walker","doi":"10.1016/j.ejvsextra.2012.06.004","DOIUrl":"10.1016/j.ejvsextra.2012.06.004","url":null,"abstract":"<div><p>A patient with a history of varicose veins developed septic superficial thrombophlebitis in the great saphenous vein (GSV). Blood cultures grew <em>Yersinia enterocolitica</em> and <em>Propionibacterium</em>. Ultrasonography showed thrombus extending into the deep venous system, which exposed the patient to the risk of septic emboli. This risk, together with the contraindication to anticoagulation due to the patient's gastric erosions and ulceration, prompted the decision to surgically remove the thrombus. Although superficial thrombophlebitis is common in the setting of varicose veins, septic superficial thrombophlebitis is rare, especially due to <em>Yersinia</em> infection.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 3","pages":"Pages e16-e17"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84327925","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
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