P. Aggarwal, RajaSuman Datta Aduri, S. Thingnam, Rupesh Kumar, Vidur Bansal, Apeksha Mittal
{"title":"Surgical repair of acute traumatic aortic transection using partial or left heart bypass: Our experience of six cases","authors":"P. Aggarwal, RajaSuman Datta Aduri, S. Thingnam, Rupesh Kumar, Vidur Bansal, Apeksha Mittal","doi":"10.4103/ijves.ijves_32_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_32_23","url":null,"abstract":"Aortic transection following blunt trauma chest is one of the main life-threatening situations requiring early intervention. The endovascular approach is now preferred; however, in some conditions, an open approach is warranted. We describe our experience of dealing with acute traumatic transection in six such patients over the past 3 years.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768927","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}
Surjeet Dwivedi, AmritShovan Dash, R. Dhillon, RakeshKumar Jha
{"title":"A prospective study of comparison between open trendelenburg operation, radiofrequency ablation, EVLA, and glue technique for the management of varicose veins","authors":"Surjeet Dwivedi, AmritShovan Dash, R. Dhillon, RakeshKumar Jha","doi":"10.4103/ijves.ijves_36_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_36_23","url":null,"abstract":"Background: Varicose veins are a subset of Chronic Venous disorders, including spider, reticular, varicose, and leg oedema. In our country, varicose veins are common surgical problems most commonly seen in low socio-economic groups and associated with certain occupation(s). Varicose veins have been known to affect the quality of life (QoL) leading to changes in occupation. Surgical treatment methods such as Saphenofemoral Junction (SFJ) Ligation and Great Saphenous Vein (GSV) stripping with spinal or general anaesthesia, Radio Frequency Ablation (RFA), Endovascular Laser Ablation (EVLA) and GLUE Technique within the operating room are considered in patients who remain refractory to conservative management and continue being symptomatic. Aim & Objectives: The study aimed to compare the outcome and associated post-operative complications, including Deep Venous Thrombosis, Pulmonary Embolism or Paresthesia, and Ecchymosis, with various modalities in the management of varicose veins. Material and Methods: The study was performed at a tertiary care centre which included 200 patients over a period of one year and was evaluated in the basis of VCSS & VDS scores. Results: We observed that all treatment protocols demonstrated results which improved the general physical condition of patients with the least number of complications. Treatment for varicose veins encompasses open surgeries and Endovenous techniques (EVLA and RFA), which show comparative results in clinical improvement, complications and postoperative hospital stay. Both VCSS and VDS are sensitive tools for measuring clinical outcomes of treatments of venous disease. However, the choice of appropriate tool is dependent upon the type of treatment, the Surgeon 's personal experience, availability of resources, durations of hospital admission and cost of treatment.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768944","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}
RRahul Singh, AjayB Mosur, Rahul Lakshminarayanan, R. Anandasu, P. Ragaveena, MSanthoshi Mounika, Narendranadh Meda
{"title":"Delayed presentation of anterior tibial artery pseudoaneurysm causing distal ischemia – A case report with review of literature","authors":"RRahul Singh, AjayB Mosur, Rahul Lakshminarayanan, R. Anandasu, P. Ragaveena, MSanthoshi Mounika, Narendranadh Meda","doi":"10.4103/ijves.ijves_39_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_39_23","url":null,"abstract":"A pseudoaneurysm is a rare complication involving the vasculature and may be limb threatening if not treated. Pseudoaneurysm typically occurs when there is a breach in the vessel wall such that the blood leaks through the inner wall but is contained by the adventitia or surrounding perivascular soft tissue. These may be caused due to trauma to the vessel (either due to fractures, bony fragments), following endovascular therapy , or infective etiology, or other causes. Tibial and pedal artery aneurysms occur in the setting of penetrating trauma, fractures, or iatrogenic injury during orthopaedic surgery or peripheral interventions. Those causing significant symptoms must be repaired with autologous vein bypass grafts if there is distal ischemia. If other tibial arteries are patent, a simple ligation will also suffice. Coil embolization and conservative management resulting in spontaneous thrombosis of small pseudoaneurysms, have also been reported. We report a case of a 51 year old male with right Anterior Tibial Artery pseudoaneurysm which had developed over several years after a trauma with the patient presenting to us only after he started having symptoms of distal ischemia.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70769130","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}
DeepJyoti Chaudhuri, Pranati Swain, V. Nair, B. Vasudevan, YuganPrakash Yadav
{"title":"External jugular veinous thrombosis: A rare presentation of Hansen's disease","authors":"DeepJyoti Chaudhuri, Pranati Swain, V. Nair, B. Vasudevan, YuganPrakash Yadav","doi":"10.4103/ijves.ijves_13_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_13_23","url":null,"abstract":"Veinous thrombosis is a rare manifestation of leprosy (Hansen's disease). In this case report, we bring to notice this extremely rare presentation and challenges faced during management. A 26-year-old young healthy individual presented with painless cord-like swellings on both sides of the neck for 1 month. This was evaluated to be external jugular vein (EJV) thrombosis on ultrasonography Doppler. Trying to evaluate the cause of the thrombosis, there was no specific etiology found. On further detailed evaluation, it was found that he had hypopigmented skin patches. This led to the diagnosis of borderline tuberculoid leprosy downgrading to borderline lepromatous in type 1 lepra reaction. He responded to rifampicin, clofazimine, and dapsone with progressive resolution of skin lesions. Simultaneous treatment with apixaban caused complete resolution of EJV thrombosis. Further evaluation revealed heterozygous methylenetetrahydrofolate reductase mutation and beta-2-glycoprotein immunoglobulin M positivity. An extensive literature review suggested that intimal damage caused by lepra bacilli can lead to veinous thrombosis in Hansen's disease. However, the interplay of genetic procoagulant predispositions in phenotypic presentation is yet to be determined.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768269","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}
{"title":"Juvenile temporal arteritis with hypereosinophilic syndrome masquerading as an epidermal inclusion cyst of the scalp","authors":"Maheshri Deshpande, Geet Bhuyan","doi":"10.4103/ijves.ijves_51_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_51_22","url":null,"abstract":"A 34-year-old man came to the outpatient department with subcutaneous nodules in the temporal area. He did not complain of any other symptoms. Computed tomography scan revealed a nodule of 40.5 HU in the temporal region of the scalp. A possibility of an epidermal inclusion cyst was given. The lesion was excised and the biopsy revealed vasculitis with eosinophilia without giant cell formation. A final diagnosis of juvenile temporal arteritis with hypereosinophilic syndrome was given based on the clinical, radiological, and histopathological findings.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48860950","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}
{"title":"Pseudoaneurysm of the persistent median artery: A rare vascular injury","authors":"Devender Singh, S. Aryala","doi":"10.4103/ijves.ijves_36_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_36_22","url":null,"abstract":"Median artery is usually a transient vessel during the embryonic period and may persist in adult life as the persistent median artery (PMA) in the upper limbs. It remains asymptomatic in most people; however, thrombosis leading to features of carpal tunnel syndrome is one of the known complications. We report a case of pseudoaneurysm of PMA following a trivial injury. This case report highlights the importance of being aware of this anatomical variation, to avoid complications during hand surgeries.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49101069","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}
J. Patel, Alisha Akhani, Nirav Chhabhaya, Arya Patel
{"title":"A rare case of anterior abdominal wall arteriovenous malformation","authors":"J. Patel, Alisha Akhani, Nirav Chhabhaya, Arya Patel","doi":"10.4103/ijves.ijves_49_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_49_22","url":null,"abstract":"Arteriovenous malformation most commonly affects the central nervous system but can involve any organ. A 28 year old woman presented with complaints of on and off pain in epigastric region since 3 month.skin lesion in epigastric region since one month. local examination, there was multiple clear to hemorrhagic fluid filled blister present in epigastric region. An ill defined mass in the epigastric region, soft to firm in consistency and immobile. On leg raising test, the swelling became prominent. MDCT scan of whole abdomen showed a single lobulated hypodense lesion in anterior abdominal wall. Arterial supply was from superior epigastric artery from both sides and inferior epigastric artery from left side. There was no involvement of rectus sheath or evidence of intra-peritoneal extension. Excision of the epigastric AVM was performed after ligating all the feeders. To our best knowledge, this is the first case of epigastric subcutaneous AVM and such an entity has not been reported in the literature so far. Epigastric AVMs can easily be misdiagnosed as lipoma or epigastric hernia. Ultrasonography is useful as an initial imaging modality, however a CT scan is required to determine the peritoneal and visceral involvement of an epigastric mass.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42769471","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}
{"title":"Anthologies in Vascular Surgery-14","authors":"P. Ilayakumar","doi":"10.4103/0972-0820.382351","DOIUrl":"https://doi.org/10.4103/0972-0820.382351","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47743620","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}
{"title":"The importance of perioperative flow evaluation and prevention of steal syndrome in arteriovenous fistula surgery using transit-time flow measurement","authors":"A. Çolak, Izatullah Jalalzai","doi":"10.4103/ijves.ijves_5_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_5_23","url":null,"abstract":"Aim: Our aim is to evaluate the relationship between the survival time of arteriovenous (AV) fistula whose flows are measured with flow meter in patients with chronic renal failure who were operated for AV fistula (AVF) and present the results. Materials and Methods: In our clinic, we evaluated the flow meter measurement results with patency rates and usability after 6 months of AVF in 100 patients who underwent AVF operation due to chronic renal failure. Findings: In February 2012, transit-time flow measurement was put into use in our clinic. The last 50 consecutive patients with the same characteristics before this date constituted the control group (Group A) and the first 50 consecutive patients after this date constituted the study group. Radiocephalic fistula was made the most common (Group A, n = 50; Group B, n = 50). Nondominant upper extremity was selected when planning AVF for patients. First radiocephalic, then brachiocephalic AVF was performed. Fistulas flow was measured with an intraoperative flow meter. Those with bad flow were revised during the operation. Embolectomy was performed in one patient at the 2nd month due to fistula thrombosis, but it was not successful in one patient, and an AVF was opened with a graft. Results: While creating AVF, our aim is to use it effectively for a long time. By evaluating the fistula flows with the flow meter and make an intraoperative revision if necessary we ensure to extend the lifespan of a fistula.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42437013","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}
K. Nagarajan, S. Sabarish, Ankusha Yadav, Nelamangala Prasad
{"title":"Vascular plug as adjunct in the treatment of giant serpentine splenic artery aneurysm","authors":"K. Nagarajan, S. Sabarish, Ankusha Yadav, Nelamangala Prasad","doi":"10.4103/ijves.ijves_60_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_60_22","url":null,"abstract":"Splenic artery aneurysms (SAAs) are commonly related to high flow in the splenic artery and can remain asymptomatic for a long time. However, their natural course is a progressive increase in size, so treatment is always indicated if their size is >2 cm and even if they are asymptomatic. Endovascular treatment of these aneurysms is successful and safe either as an alternative to or as an adjunct to surgery. We present a case of SAA in a patient of noncirrhotic portal hypertension treated successfully by an endovascular Amplatzer plug followed by surgery.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48420573","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}