John V White, Mohammed Moursi, Sateesh Babu, Timothy Schaub
{"title":"Management Strategies for the Treatment of Iatrogenic Vascular Injuries in Infants and Children.","authors":"John V White, Mohammed Moursi, Sateesh Babu, Timothy Schaub","doi":"10.1016/j.jvs.2025.03.168","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.03.168","url":null,"abstract":"<p><p>The care of ill children, from extremely premature infants to late adolescents, increasingly involves the use of invasive monitoring and percutaneous diagnostic and therapeutic interventions. Premature infants, neonates, and small children are at greatest risk for iatrogenic vascular injury. Given the often small diameter of the blood vessels and the ability to develop severe spasm, iatrogenic vascular injury is increasing. The very nature of their hemostatic mechanisms, small vascular diameters, tolerance of severe ischemia, and the potential for rapid growth and remodeling of collateral beds alters decision making significantly from adults. Surgery, when required, may involve microsurgery and subtle changes in the methods of vascular dissection and arterial repair. There is little information available for the vascular surgeon to understand the risks and nature of these injuries and the options for treatment. This review addresses the mechanisms of and management strategies for the most common iatrogenic injuries..</p><p><strong>Methods: </strong>The National Task Force on Pediatric Vascular Care established jointly by the Society for Vascular Surgery and the American Pediatric Surgery Association appointed a working group with expertise in managing pediatric iatrogenic vascular injuries to develop a support document for vascular surgeons. To do this, the published literature was reviewed on pediatric iatrogenic injuries that vascular surgeons might be called to manage. Intracranial injuries and those associated with ECMO were excluded. The majority of injuries reported in the literature involved femoral and brachial artery cannulation sites. The literature was reviewed by the writing group and the most important of these selected. In addition, consensus expert opinion from the writing group was used when support from the literature was scant.</p><p><strong>Results: </strong>There were 6 major types of pediatric iatrogenic vascular injury identified including arteriovenous fistula, pseudoaneurysm, hemorrhage, arterial and venous thrombosis, and pharmacologic ischemia There is little uniform documentation on the diagnosis and treatment of these. Using available literature and consensus expert opinion of the Working Group, each of the major categories of iatrogenic injury was defined and management strategies devised.</p><p><strong>Conclusion: </strong>There is often a non-surgical approach to the management of the 6 major types of iatrogenic injury. It is important for the vascular consultant to understand incorporate these approaches to develop comprehensive management strategies for children with iatrogenic vascular injuries. When treatment of even the smallest of pediatric patients is undertaken with a clear understanding of the etiology and treatment options, a very high rate of success can be expected.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milan Ho , Arash Fereydooni MD, MS, MHS , Babak Litkouhi MD , Amer Karam MD , Jason T. Lee MD , Edmund J. Harris Jr. MD , Elizabeth L. George MD, MS
{"title":"Vascular Interventions in Gynecologic Oncology Surgery: Outcomes at a Tertiary Medical Center","authors":"Milan Ho , Arash Fereydooni MD, MS, MHS , Babak Litkouhi MD , Amer Karam MD , Jason T. Lee MD , Edmund J. Harris Jr. MD , Elizabeth L. George MD, MS","doi":"10.1016/j.jvs.2024.12.073","DOIUrl":"10.1016/j.jvs.2024.12.073","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Page e16"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikunj Nitin Donde MD, Bret R. Akins CVT, Misty Humphries MD, MAS, Steven Maximus MD
{"title":"Preliminary Results of Utilizing Cine Angiography as an Alternative Modality During Visceral Vessel Cannulation to Reduce Radiation Exposure During F/BEVARs","authors":"Nikunj Nitin Donde MD, Bret R. Akins CVT, Misty Humphries MD, MAS, Steven Maximus MD","doi":"10.1016/j.jvs.2024.12.110","DOIUrl":"10.1016/j.jvs.2024.12.110","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Pages e38-e39"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predicting General Surgery Residents’ Competence and Autonomy in Core Endovascular Surgery Procedures","authors":"Pavan Guduri","doi":"10.1016/j.jvs.2024.12.098","DOIUrl":"10.1016/j.jvs.2024.12.098","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Pages e31-e32"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Tsukagoshi, M. Orrukem, J. Shimamura, E.A. Secemsky, T. Nakama, Y. Yokoyama, H. Takagi, T. Kuno
{"title":"Short and Midterm Outcomes of Percutaneous Deep Venous Arterialisation for No Option Chronic Limb Threatening Ischaemia: A Systematic Review and Meta-Analysis","authors":"J. Tsukagoshi, M. Orrukem, J. Shimamura, E.A. Secemsky, T. Nakama, Y. Yokoyama, H. Takagi, T. Kuno","doi":"10.1016/j.jvs.2025.01.036","DOIUrl":"10.1016/j.jvs.2025.01.036","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Page 999"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Access Site on Carotid Artery Stenting in Challenging Anatomy","authors":"Christopher Y. Chow MD","doi":"10.1016/j.jvs.2024.12.082","DOIUrl":"10.1016/j.jvs.2024.12.082","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Page e24"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C.M. Wahlgren, C. Aylwin, R.A. Davenport, L.B. Davidovic, J.J. DuBose, C. Gaarder, C. Heim, V. Jongkind, J. JørgensenIn, S.K. Kakkos, D.T. McGreevy, M.A. Ruffino, M. Vega de Ceniga, P. Vikatmaa, J.-B. Ricco, K. Brohi, ESVS Guidelines Committee, George A. Antoniou, Jonathan R. Boyle, Raphaël Coscas, Sabine Wipper
{"title":"European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma","authors":"C.M. Wahlgren, C. Aylwin, R.A. Davenport, L.B. Davidovic, J.J. DuBose, C. Gaarder, C. Heim, V. Jongkind, J. JørgensenIn, S.K. Kakkos, D.T. McGreevy, M.A. Ruffino, M. Vega de Ceniga, P. Vikatmaa, J.-B. Ricco, K. Brohi, ESVS Guidelines Committee, George A. Antoniou, Jonathan R. Boyle, Raphaël Coscas, Sabine Wipper","doi":"10.1016/j.jvs.2025.01.034","DOIUrl":"10.1016/j.jvs.2025.01.034","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 4","pages":"Page 999"},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}