Animesh Singla, Y. Cai, Krishna Kotecha, T. Baillie, Daniel Nguyen
{"title":"A slice in the right direction – Novel use of directional atherectomy for treatment of upper limb vascular insufficiency and concurrent diagnosis","authors":"Animesh Singla, Y. Cai, Krishna Kotecha, T. Baillie, Daniel Nguyen","doi":"10.4103/ijves.ijves_43_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_43_22","url":null,"abstract":"Large-vessel vasculitides are well-recognized entities, affecting the aorta, supra-aortic branch vessels, cranial vessels, and less commonly, peripheral arteries. Giant cell arteritis (GCA) is one of the most frequent large-vessel vasculitides affecting elderly patients. Despite diagnostic criteria, the mainstay of definitive diagnosis has been temporal artery biopsies. More recently, adjuvant ultrasound has been used to identify skip lesions before the biopsy. Downstream ischemia affecting branch vessels has traditionally been managed by open revascularization due to patient age and risk of disease recurrence. Experience with endovascular strategies for the management of acute or chronic vasculitides has been steadily increasing. We present an unusual case of acute giant cell vasculitis, diagnosed and treated with the use of an endovascular atherectomy device. The patient was a 74-year-old woman, with prior history of polymyalgia rheumatica, long-standing immunosuppression, and new onset of significant left arm claudication and rest pain. She underwent treatment for a high-grade left axillary artery lesion with directional atherectomy and drug-coated angioplasty. She had a good angiographic result. The intraoperative atherectomy specimen revealed the presence of acute GCA which prompted treatment with an acute vasculitis regimen. She had good patency of the treated segment at 3-month follow-up with complete resolution of her symptoms.","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"10 1","pages":"148 - 151"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46156562","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":"Is Patient Care Losing its Personal Touch? Exploring the Paradigm Shift in Health-care Systems","authors":"Edwin Stephen, Darpanarayan Hazra","doi":"10.4103/ijves.ijves_67_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_67_23","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134883647","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":"Anthology-15","authors":"","doi":"10.4103/0972-0820.388301","DOIUrl":"https://doi.org/10.4103/0972-0820.388301","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884328","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":"Origin and Evolution of Sclerotherapy for Varicose Veins","authors":"M K Ayyappan, Jithin Jagan Sebastian","doi":"10.4103/ijves.ijves_82_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_82_23","url":null,"abstract":"Sclerotherapy is a simple and common method used to treat telangiectasia, reticular veins, and varicose veins, especially when no other option is available. It has become a part of primary and secondary treatments offered for varicose veins. It has several alternate uses in vascular surgery (malformations), as well as being commonly used in other disciplines such as dermatology due to its simplicity and efficacy. It has a quick learning curve, is easily practiced, and has thus undergone several historical modifications by several authors. There are two main events which led to the development of modern-day sclerotherapy. The first important aspect of the technique is gaining intravenous access. The invention required for this is a syringe, hence most progress in sclerotherapy came after and alongside designs and improvements made to syringes. The second problem encountered was a high rate of complication due to the nature of early sclerosants used and a poor understanding of their mechanisms of action in varicose veins. This paved the way for phlebologists experimenting with several different substances and describing safety techniques which eventually led to modern-day safe sclerotherapy. The first methods of intravenous access were rudimentary. Sir Christopher Wren and Robert Boyle in 1656 used a goose quill attached to an animal bladder as the first syringe.[1] This allowed them to perform the first intravenous access in a dog. The experiment consisted of using this device to inject wine and alcohol into the leg vein of a dog and success was noted when the dog was found to be drunk. The syringe used was primitive but served its purpose and was presented in the first meetings of the Royal Society of London.[2] This apparatus was modified and used by Johann Sigismund Elsholtz who administered the first injection of sclerotherapy in 1665. Elsholtz was a state physician to Frederick William of Brandenburg, the Duke of Prussia (Germany before the First World War), which gave him an opportunity to experiment and write extensively.[3] One of these experiments, documented in the “Clysmatica Nova” in 1665 in Berlin, describes the first use of sclerotherapy [Figure 1].[4] Elsholtz was a botanist and the sclerosant he used was a plant alkaloid which he injected into the leg vein of the duke’s bodyguard who had a venous ulcer. The puncture was carried out by open access to the vein with a lancet, along with proximal compression to enlarge the vein, making it easy to observe and cannulate.[4] The needle used was a hollowed out chicken bone fitted with a pigeon’s bladder as a syringe. Although the instrument used was archaic, this was the first successfully recorded attempt at sclerotherapy.[5] Elsholtz intention at the time was to find different uses of a clyster (enema syringe) and unintentionally used it in a patient with a venous ulcer to perform the first recorded sclerotherapy.[4] The outcome was never reported.Figure 1: Picture demonstrating the firs","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"254 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135211441","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":"Endovascular treatment of superficial femoral artery ostial occlusions and outcomes of unexpected postprocedural deep femoral artery occlusion","authors":"Behlul Igus, A. Firat","doi":"10.4103/ijves.ijves_96_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_96_22","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70770231","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":"Aortic injury in blunt trauma: Stay sharp to save lives","authors":"Parth Sharma, P. Joseph, K. Abhilash, V. Samuel","doi":"10.4103/ijves.ijves_19_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_19_22","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768489","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":"From cathode rays, X-rays to digital subtraction angiography","authors":"","doi":"10.4103/ijves.ijves_22_23","DOIUrl":"https://doi.org/10.4103/ijves.ijves_22_23","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768624","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}
A. Gulhane, T. Mandapal, Belman Murali, P. Burli, PC Gupta
{"title":"Evaluation of peripheral arterial disease using noncontrast magnetic resonance angiography","authors":"A. Gulhane, T. Mandapal, Belman Murali, P. Burli, PC Gupta","doi":"10.4103/ijves.ijves_25_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_25_22","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70768838","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}
V. Agrawal, B. Biswas, Marasandra Prakash, Bhanupratap Singh, V. Anand
{"title":"An observational study on clinical profile and management of transatlantic intersociety consensus II C and D aortoiliac and femoropopliteal occlusive diseases: Role of hybrid procedures in hybrid operation theater","authors":"V. Agrawal, B. Biswas, Marasandra Prakash, Bhanupratap Singh, V. Anand","doi":"10.4103/ijves.ijves_55_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_55_22","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70769490","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":"A study of arterial supply to carotid body tumor and its prospective implication in clinical practice","authors":"","doi":"10.4103/ijves.ijves_65_22","DOIUrl":"https://doi.org/10.4103/ijves.ijves_65_22","url":null,"abstract":"","PeriodicalId":13375,"journal":{"name":"Indian Journal of Vascular and Endovascular Surgery","volume":"40 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70769665","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}