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Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm Associated with Polycystic Kidney Disease 多囊肾病相关胸腹主动脉瘤混合修复术
EJVES Extra Pub Date : 2012-09-01 DOI: 10.1016/j.ejvsextra.2012.06.003
A.H. Perera , E. Kashef , N. Courtois , J. Wolfe
{"title":"Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm Associated with Polycystic Kidney Disease","authors":"A.H. Perera ,&nbsp;E. Kashef ,&nbsp;N. Courtois ,&nbsp;J. Wolfe","doi":"10.1016/j.ejvsextra.2012.06.003","DOIUrl":"10.1016/j.ejvsextra.2012.06.003","url":null,"abstract":"<div><h3>Introduction</h3><p>We report an incidental finding of a 9.8 cm Crawford type III thoraco-abdominal aortic aneurysm associated with autosomal dominant polycystic kidney disease (ADPKD).</p></div><div><h3>Case report</h3><p>CT imaging revealed a grossly enlarged polycystic liver and right kidney in a 54-year-old female. The patient had a complex medical history including end-stage renal failure requiring haemodialysis and chronic obstructive pulmonary disease. She had experienced back pain for eighteen months. This was attributed to a progression of pain secondary to abdominal polycystic disease and therefore not investigated. She had previously undergone a left nephrectomy. A single-stage hybrid approach with open retrograde visceral re-vascularisation and endovascular stenting was carried out successfully to treat the aneurysm.</p></div><div><h3>Discussion</h3><p>We report this case to highlight the association between aortic aneurysms and ADPKD, and we present a solution to the complex technical problem involved.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 3","pages":"Pages e13-e15"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72836158","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
A Custom-made Endovascular Treatment Strategy in a Patient with Marfan's Disease 马凡氏病患者的定制血管内治疗策略
EJVES Extra Pub Date : 2012-09-01 DOI: 10.1016/j.ejvsextra.2012.06.001
A.H. Perera , M.S. Hamady , N.J. Cheshire , M. Mireskandari , C.D. Bicknell
{"title":"A Custom-made Endovascular Treatment Strategy in a Patient with Marfan's Disease","authors":"A.H. Perera ,&nbsp;M.S. Hamady ,&nbsp;N.J. Cheshire ,&nbsp;M. Mireskandari ,&nbsp;C.D. Bicknell","doi":"10.1016/j.ejvsextra.2012.06.001","DOIUrl":"10.1016/j.ejvsextra.2012.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>We present a young female with Marfan's Syndrome and aortic dilatation between two previous dacron grafts of the descending thoracic and abdominal aorta after type B dissection.</p></div><div><h3>Report</h3><p>Open retrograde visceral revascularisation was undertaken and a single bespoke stent-graft used to exclude the aneurysm. A custom-made stent overcame some of the limitations of standard devices. A 50 mm proximal stent diameter was used to seal the landing zone in the dilated dacron thoracic graft.</p></div><div><h3>Discussion</h3><p>A single custom-made stent avoided multiple stent requirements to accommodate significant proximal/distal size discrepancy and reduced risk of type III endoleak in this young patient with complex disease.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 3","pages":"Pages e11-e12"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82913114","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
Combined Assessment of Arterial and Venous Anatomy in Lower Limb Ischaemia Using a Single Contrast-Enhanced Magnetic Resonance Scan 单次磁共振增强扫描对下肢缺血动脉和静脉解剖的综合评估
EJVES Extra Pub Date : 2012-08-01 DOI: 10.1016/j.ejvsextra.2012.06.002
K. Hussey , D. Orr , G. Roditi
{"title":"Combined Assessment of Arterial and Venous Anatomy in Lower Limb Ischaemia Using a Single Contrast-Enhanced Magnetic Resonance Scan","authors":"K. Hussey ,&nbsp;D. Orr ,&nbsp;G. Roditi","doi":"10.1016/j.ejvsextra.2012.06.002","DOIUrl":"10.1016/j.ejvsextra.2012.06.002","url":null,"abstract":"<div><p>Contrast-Enhanced Magnetic Resonance Angiography (CE-MRA) is a non-invasive investigative modality for patients with lower limb arterial insufficiency. When infra-inguinal arterial reconstruction is indicated autologous great saphenous vein is the conduit of choice and adequacy of the vein is often assessed by an additional Duplex ultrasound.</p><p>We evaluated whether single, high-resolution steady state MR imaging with blood pool contrast agent could generate a sufficiently informative assessment of both venous and arterial anatomy to plan surgery potentially avoiding the need for an additional venous duplex.</p><p>There was good correlation between CE-MRA, venous duplex and subsequent operative findings.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 2","pages":"Pages e7-e9"},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79966695","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
Successful Superior Thyroid Artery Embolisation Using Microporous Beads 微孔珠成功栓塞甲状腺上动脉
EJVES Extra Pub Date : 2012-08-01 DOI: 10.1016/j.ejvsextra.2012.05.001
S. Speybrouck, R. Beelen, F. Casselman, L. Maene, I. Bouckenooghe, I. Degrieck
{"title":"Successful Superior Thyroid Artery Embolisation Using Microporous Beads","authors":"S. Speybrouck,&nbsp;R. Beelen,&nbsp;F. Casselman,&nbsp;L. Maene,&nbsp;I. Bouckenooghe,&nbsp;I. Degrieck","doi":"10.1016/j.ejvsextra.2012.05.001","DOIUrl":"10.1016/j.ejvsextra.2012.05.001","url":null,"abstract":"<div><p>During placement of a central catheter in the left internal jugular vein, an arterial puncture led to an expanding haematoma at the level of the thyroid gland due to an ongoing bleeding fed by the left superior thyroid artery, which was successfully treated by embolisation using beads. The micro-porous structure of these microspheres offered optimal attrition, rigidity, elasticity and durability. These beads provided a controlled, targeted embolisation with a better ability to select the desired end point through choice of size.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 2","pages":"Pages e5-e6"},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86378652","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
Endovascular Retrieval of Fragmented Central Venous Access Device Catheters: A Management Protocol Based on Catheter Location 中心静脉通路装置导管碎片的血管内回收:一种基于导管定位的管理方案
EJVES Extra Pub Date : 2012-07-01 DOI: 10.1016/j.ejvsextra.2012.03.004
S.-F. Ko , C.-K. Sun , C.-T. Kung , S.-H. Ng , C.-C. Huang
{"title":"Endovascular Retrieval of Fragmented Central Venous Access Device Catheters: A Management Protocol Based on Catheter Location","authors":"S.-F. Ko ,&nbsp;C.-K. Sun ,&nbsp;C.-T. Kung ,&nbsp;S.-H. Ng ,&nbsp;C.-C. Huang","doi":"10.1016/j.ejvsextra.2012.03.004","DOIUrl":"10.1016/j.ejvsextra.2012.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Fragmented central venous access device (CVAD) catheters can be retrieved percutaneously but a pertinent approach for catheters in various locations has not been addressed.</p></div><div><h3>Report</h3><p>Comparing 14 fragmented CVAD catheters managed with direct snaring with 35 catheters treated by a modified protocol with repositioning of intrapulmonary or intracardiac catheters (21/35 cases) to the inferior vena cava before snaring, the latter group had a shorter fluoroscopic time (23.0 ± 10.6 vs. 11.0 ± 4.0 min, <em>P</em> = 0.005) and less chest symptoms (42.8% vs. 8.7%, <em>P</em> = 0.011).</p></div><div><h3>Conclusion</h3><p>Fragmented CVAD catheters managed with a modified protocol with repositioning before snaring are feasible with reductions in fluoroscopic time and chest symptoms.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 1","pages":"Pages e1-e3"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72713713","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
Failure of Sweat Gland Curettage to Relieve Axillary Hyperhidrosis: A Salutary Lesson 汗腺刮除术治疗腋下多汗症失败:有益的教训
EJVES Extra Pub Date : 2012-06-01 DOI: 10.1016/j.ejvsextra.2012.02.008
S.J. Chapman, M.J. Gough
{"title":"Failure of Sweat Gland Curettage to Relieve Axillary Hyperhidrosis: A Salutary Lesson","authors":"S.J. Chapman,&nbsp;M.J. Gough","doi":"10.1016/j.ejvsextra.2012.02.008","DOIUrl":"10.1016/j.ejvsextra.2012.02.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Several treatment options are available for primary hyperhidrosis. Selection for individual patients is influenced by symptom severity, success rates and the relative risk of compensatory hyperhidrosis.</p></div><div><h3>Case report</h3><p>A 24-year-old female presented with a 10-year history of palmar, pedal and axillary hyperhidrosis. Following recurrent relapse after botulinum toxin (BOTOX<sup>®</sup>) injections for axillary hyperhidrosis bilateral axillary sweat gland curettage was performed with immediate procedural success. At 6 month follow-up recurrent hyperhidrosis was reported affecting both axillae. A starch-iodine test showed a rim of persisting sweating at the periphery of both axillae.</p></div><div><h3>Discussion</h3><p>Curettage is generally performed without specific identification of sweat gland distribution, perhaps explaining the recurrence in this patient. In contrast, a starch–iodine test is used to guide administration of BOTOX<sup>®</sup> for hyperhidrosis. We propose pre-operative use of this technique before axillary curettage.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 6","pages":"Pages e53-e54"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81306975","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
A Case of Iatrogenic Ilio-iliac Arteriovenous Fistula Initially Mistaken for Deep Venous Thrombosis 医源性髂髂动静脉瘘误诊为深静脉血栓1例
EJVES Extra Pub Date : 2012-06-01 DOI: 10.1016/j.ejvsextra.2012.03.003
X. Liu , M. Lu , H. Shi , M. Jiang
{"title":"A Case of Iatrogenic Ilio-iliac Arteriovenous Fistula Initially Mistaken for Deep Venous Thrombosis","authors":"X. Liu ,&nbsp;M. Lu ,&nbsp;H. Shi ,&nbsp;M. Jiang","doi":"10.1016/j.ejvsextra.2012.03.003","DOIUrl":"10.1016/j.ejvsextra.2012.03.003","url":null,"abstract":"<div><p>Deep venous thrombosis (DVT) and associated complications cause significant morbidity and mortality in orthopedic surgery. Typical DVT symptoms, such as swelling, pain and discoloration in the affected extremities are often unreliable for diagnosis. Here we report a rare case of iatrogenic ilio-iliac arteriovenous fistula (AVF) due to lumbar discectomy, which was initially misdiagnosed as DVT, resulting in unnecessary implantation of a permanent inferior vena cava filter. Endovascular treatment is an attractive treatment option for such an AVF. We recommend a thorough physical and ultrasonography for patients presenting with DVT-like symptoms, especially following lumbar spinal surgery, to prevent overlooking underlying AVF.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 6","pages":"Pages e55-e57"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81124786","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
Not Just a Popliteal Aneurysm: A Case of Metastatic Epithelioid Angiosarcoma 不只是腘动脉瘤:一例转移性上皮样血管肉瘤
EJVES Extra Pub Date : 2012-05-01 DOI: 10.1016/j.ejvsextra.2012.03.002
A. Cristaudo, C. Steffen
{"title":"Not Just a Popliteal Aneurysm: A Case of Metastatic Epithelioid Angiosarcoma","authors":"A. Cristaudo,&nbsp;C. Steffen","doi":"10.1016/j.ejvsextra.2012.03.002","DOIUrl":"10.1016/j.ejvsextra.2012.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Popliteal aneurysms are the second most common aneurysm. This case report describes a case of angiosarcoma in a popliteal aneurysm, illustrating the importance of post-operative surveillance in expanding popliteal aneurysms post-treatment.</p></div><div><h3>Report</h3><p>A 79-year-old male presented with an enlarging mass in the left popliteal fossa, 18 months post-ligation and bypass for a left popliteal aneurysm. The case proved to be metatstatic epithelioid angiosarcoma, arising in the left popliteal fossa.</p></div><div><h3>Discussion</h3><p>Epithelioid angiosarcomas are rare, aggressive vascular neoplasms. An awareness of these lesions during surveillance of patients with expanding popliteal aneurysms post-treatment, would allow for earlier diagnosis and more timely interventions.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 5","pages":"Pages e50-e52"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81904176","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
Infrarenal Aortic Coarctation as a Cause for Hypertension 肾下主动脉缩窄是高血压的一种病因
EJVES Extra Pub Date : 2012-05-01 DOI: 10.1016/j.ejvsextra.2012.02.007
R.J. van der Vijver , A.P. Schouten van der Velden , J.J. Fütterer , P. Berger
{"title":"Infrarenal Aortic Coarctation as a Cause for Hypertension","authors":"R.J. van der Vijver ,&nbsp;A.P. Schouten van der Velden ,&nbsp;J.J. Fütterer ,&nbsp;P. Berger","doi":"10.1016/j.ejvsextra.2012.02.007","DOIUrl":"10.1016/j.ejvsextra.2012.02.007","url":null,"abstract":"<div><p>We present a case report of a 29-year-old male who was diagnosed with asymptomatic hypertension. Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) showed a stenotic aorta, with extensive collateral flow called the middle aortic syndrome. The aetiology of middle aortic syndrome is poorly understood. Although treatment is preferably surgical, our case shows that medical therapy can be successful.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 5","pages":"Pages e43-e44"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89528395","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
A Modified Technique of Open Surgical Treatment for Aneurysmal Sac Enlargement after Endovascular Repair 血管内修复后动脉瘤囊肿大的开放手术治疗改进技术
EJVES Extra Pub Date : 2012-05-01 DOI: 10.1016/j.ejvsextra.2012.02.009
A. Hiraoka, H. Yoshitaka, G. Chikazawa, A. Ishida, T. Totsugawa, M. Kuinose
{"title":"A Modified Technique of Open Surgical Treatment for Aneurysmal Sac Enlargement after Endovascular Repair","authors":"A. Hiraoka,&nbsp;H. Yoshitaka,&nbsp;G. Chikazawa,&nbsp;A. Ishida,&nbsp;T. Totsugawa,&nbsp;M. Kuinose","doi":"10.1016/j.ejvsextra.2012.02.009","DOIUrl":"10.1016/j.ejvsextra.2012.02.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Although several articles have reported the successful treatment of an abdominal aortic aneurysm (AAA) enlargement after endovascular aortic repair (EVAR) due to endoleak or endotension, the strategy to treat this type of complication is still controversial.</p></div><div><h3>Report</h3><p>We report three cases of AAA expansion after EVAR. When other endovascular approaches were not considered effective, we performed a modified open surgical treatment.</p></div><div><h3>Discussion</h3><p>This technique includes ligation of all branched vessels arising from the aneurismal sac, plication of the aneurysm and wrapping of the aneurysm using bio-prosthetic material instead of explanting the implanted endovascular graft.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 5","pages":"Pages e45-e47"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.02.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84862157","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
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