EJVES Vascular Forum最新文献

{"title":"Endovascular Management of Renal Arteriovenous Fistula Associated with Nutcracker Syndrome","authors":"Olivier Creton ,&nbsp;Anne Taquet ,&nbsp;Fabien Boulière","doi":"10.1016/j.ejvsvf.2025.11.006","DOIUrl":"10.1016/j.ejvsvf.2025.11.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Renal arteriovenous fistulae (AVFs) and Nutcracker syndrome (NCS) are rare vascular anomalies. This report describes the case of a renal AVF associated with NCS presenting as pelvic congestion syndrome (PCS).</div></div><div><h3>Case Report</h3><div>A 62 year old woman presented with chronic pelvic pain and exertional dyspnoea. Imaging revealed a large left renal AVF draining into the left ovarian vein, associated with NCS. The patient underwent two stage endovascular treatment: embolisation of the left renal artery using Amplatzer Vascular Plugs (Abbott; Abbott Park, IL, USA), followed nine months later by embolisation of pelvic varices using glue. Symptoms resolved completely and were sustained at the four year follow up.</div></div><div><h3>Discussion</h3><div>The co-existence of renal AVFs and NCS may exacerbate venous hypertension and aggravate PCS symptoms. Endovascular embolisation offers a safe, minimally invasive, and effective therapeutic option in anatomically complex cases, avoiding the morbidity of open surgery. This case highlights the need to consider vascular anomalies such as AVFs and NCS in women with PCS. Staged endovascular embolisation can provide excellent outcomes in select patients.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 40-42"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037826","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":"Physician Modified Inner Branched Endovascular Repair for Infected Thoraco-Abdominal Aortic Aneurysm Using the ‘Squid Capture’ Technique for Diameter Reduction: A Case Report","authors":"Kazuhiro Ueno ,&nbsp;Norio Hongo ,&nbsp;Shinji Miyamoto","doi":"10.1016/j.ejvsvf.2025.12.002","DOIUrl":"10.1016/j.ejvsvf.2025.12.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Endovascular repair of thoraco-abdominal aortic aneurysms in patients with hostile anatomy, such as saccular or infected aneurysms, is technically challenging. Difficulties arise from limited working space and the need for precise alignment with visceral branches. This report presents a case in which a physician modified branched endograft was successfully used, supported by three dimensional (3D) printing and the ‘squid capture’ technique.</div></div><div><h3>Methods</h3><div>An 82 year old man with chronic heart failure, multiple previous coronary interventions, and pacemaker implantation for complete atrioventricular block presented with fever and back pain. Computed tomography imaging revealed a saccular, infected thoraco-abdominal aortic aneurysm involving the visceral segment. Due to high surgical risk, a fully endovascular approach was selected. A Zenith TX2 Dissection stent graft was physician modified to include four inner branches (two antegrade and two retrograde) using Viabahn stents. A patient specific aortic model was created with 3D printing to guide the precise orientation of inner branches to the visceral arteries. After graft deployment, the squid capture technique, using a homemade snare system composed of a 300 cm, 0.014 inch guidewire and a 6 F sheath, was used to create a working space within the aneurysm sac, facilitating safe visceral branch cannulation and serving as a rescue mechanism in case of visceral branch occlusion, particularly involving the superior mesenteric artery.</div></div><div><h3>Results</h3><div>All target vessels were successfully stented. The patient completed six weeks of intravenous antibiotic therapy and was discharged in stable condition. Follow up imaging confirmed aneurysm exclusion and visceral branch patency.</div></div><div><h3>Conclusion</h3><div>This case demonstrates how combining 3D printing and the squid capture technique can enhance the safety and precision of physician modified branched endovascular repair in anatomically challenging thoraco-abdominal aneurysms. Although off the shelf branched devices are expected to cover most cases in the future, physician modified endografts remain a valuable option for patients with complex vascular anatomy for whom commercial devices may not be suitable.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 49-54"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167362","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":"Bailout Renal Stenting Associated With Endovascular Aortic Repair: A Single Centre Experience","authors":"Alba Alonso Pastor ,&nbsp;Francisco Abril Ramiro ,&nbsp;Paloma Alonso Diego ,&nbsp;Ahmad Amer Zanabili Al-Sibbai ,&nbsp;Francisco Álvarez Marcos ,&nbsp;Manuel Alonso Pérez","doi":"10.1016/j.ejvsvf.2026.03.004","DOIUrl":"10.1016/j.ejvsvf.2026.03.004","url":null,"abstract":"<div><h3>Introduction</h3><div>This study describes the midterm results of renal stenting as a bailout technique during endovascular aortic repair (EVAR) of abdominal aortic aneurysms.</div></div><div><h3>Method</h3><div>A single centre retrospective study of renal artery rescue procedures during consecutive elective EVARs was performed in patients without pre-existing renal stenosis over a 22 year period. Demographic characteristics, aneurysm neck morphometry surgical details, technical success, peri-operative complications, re-interventions, renal function, and death during follow up were analysed.</div></div><div><h3>Results</h3><div>Seven renal stents were implanted (all men; mean age 72.3 ± 7 years) in 748 EVARs (0.9%) in the study period. Two of seven (29%) patients had chronic kidney disease before the intervention. Two of seven (29%) aortic necks fulfilled hostility criteria (one case of conical neck and one case with a diameter &gt;28 mm at renal level). The Herculink Elite (Abbott, Chicago, IL, USA) stent was used in all patients (seven of seven) (median length 18 mm, median diameter 6.14 ± 0.7 mm). Technical success was 100%, with no complications associated with the renal stenting and no peri-operative death. The two patients with chronic kidney disease presented with worsened renal function (creatinine 2.72 ± 3 mg/dL, glomerular filtration rate 62.3 ± 32) a median 17 months after the intervention, with no renal replacement therapy requirements during follow up. The renal stent patency rate was 100% after a median follow up of 21 months (range 6–92 months); no cases of renal infarction were identified on follow up imaging.</div></div><div><h3>Conclusion</h3><div>The need for bailout renal stenting during EVAR was low in this cohort. It is essential to adopt all measures that guarantee precise endograft deployment, even in favourable anatomies.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 147-151"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147612437","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":"Abdominal Stent Graft Numerical Models to Virtually Simulate Endovascular Aortic Repair: A Scoping Review","authors":"Giulia de Campo ,&nbsp;Jasper F. de Kort ,&nbsp;Nesar A. Hasami ,&nbsp;Anna Ramella ,&nbsp;Sara Barati ,&nbsp;Giulia Luraghi ,&nbsp;Joost A. van Herwaarden ,&nbsp;Francesco Migliavacca ,&nbsp;Santi Trimarchi","doi":"10.1016/j.ejvsvf.2026.02.001","DOIUrl":"10.1016/j.ejvsvf.2026.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Endovascular aortic repair (EVAR) is a common procedure used to treat abdominal aortic aneurysms. This scoping review aimed to identify the numerical methods currently available in the literature to analyse the surgical applicability and credibility of this procedure from a structural and fluid dynamic perspective.</div></div><div><h3>Method</h3><div>PubMed (MEDLINE), Scopus, and Web of Science were systematically searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews were followed. Data were analysed and summarised in tables. Quality assessment was performed using a 14 item rating rubric.</div></div><div><h3>Results</h3><div>This scoping review identified 28 articles published in the last 10 years. Most of these articles were of intermediate to good quality. Seventeen articles (61%) focused on post-EVAR haemodynamics, performing computational fluid dynamics simulations. Six articles (21%) aimed to develop new methods to reproduce the EVAR procedure through finite element analysis. Five articles (18%) addressed the coupling between fluids and structures by performing a fluid–structure interaction simulation of the EVAR procedure. Studies using computational fluid dynamics demonstrated a more homogeneous approach in the selection of blood models, discretisation, and boundary conditions. Studies using finite element analysis adopted different strategies to reproduce the EVAR procedure <em>in silico</em>, with no common methodology identified. The choice of material properties assigned to the aorta, graft, and stent was highly heterogeneous. Four studies (16%) on fluid–structure interaction published in the last 10 years were identified. A Newtonian model for the blood was adopted in all the articles (100%), and in three articles (75%), a velocity waveform was applied as inlet boundary condition. For the structural part, more heterogeneities were found.</div></div><div><h3>Conclusion</h3><div>This review provides an overview of the existing computational models to reproduce the EVAR procedure. Although promising, these simulation techniques remain largely in the developmental phase, and robust clinical validation is lacking. Future studies should incorporate clinically relevant outcome data to enhance the credibility and translational value of these models.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 131-146"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147612438","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":"Transpedal Retrograde Recanalisation of a Dorsalis Pedis Artery Occlusion Associated With Arteriovenous Fistula After Combined Arthroscopic and Mini Open Talocalcaneotibial Arthrodesis","authors":"Michael Czihal ,&nbsp;Sebastian Baumbach ,&nbsp;Hans Polzer ,&nbsp;Sinan Deniz","doi":"10.1016/j.ejvsvf.2026.03.002","DOIUrl":"10.1016/j.ejvsvf.2026.03.002","url":null,"abstract":"<div><h3>Objective</h3><div>Arterial injury following hindfoot fusion is an exceptionally rare but serious complication that may result in limb threatening ischaemia.</div></div><div><h3>Methods</h3><div>This report presents the case of a 71 year old man who experienced acute foot ischaemia after undergoing combined arthroscopic and mini-open tibiotalocalcaneal arthrodesis. Angiography revealed anterior tibial artery occlusion with an arteriovenous fistula. After failed antegrade attempts, transpedal retrograde recanalisation via the dorsalis pedis artery successfully restored perfusion and excluded the fistula.</div></div><div><h3>Results</h3><div>This case highlights the potential for arterial injury as a rare complication of complex hindfoot procedures. It underscores the importance of multidisciplinary collaboration between orthopaedic and endovascular specialists and demonstrates that minimally invasive recanalisation techniques can effectively salvage the limb and prevent major amputation.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 170-174"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147749124","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":"Comments on Clinical and Haemodynamic Evaluation of a Novel Physician Modified Inner Branch Iliac Branch Device for East Asians","authors":"Mingwei Wu ,&nbsp;Jingqi Shen ,&nbsp;Jiang Xiong","doi":"10.1016/j.ejvsvf.2026.04.006","DOIUrl":"10.1016/j.ejvsvf.2026.04.006","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"66 ","pages":"Page 1"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193625","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":"Seat Belt Aorta in a Paediatric Patient: Conservative Management with Eight Year Follow Up to Adulthood","authors":"Alice Fourrier ,&nbsp;Bahaa Nasr ,&nbsp;Thomas Hebert ,&nbsp;Benjamin Espinasse","doi":"10.1016/j.ejvsvf.2025.12.005","DOIUrl":"10.1016/j.ejvsvf.2025.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Seat belt syndrome can cause blunt abdominal aortic injury (BAAI) in children. No specific guidelines exist for managing aortic injury in the paediatric population, presenting challenges due to ongoing somatic growth and vascular development.</div></div><div><h3>Report</h3><div>A 10 year old girl sustained BAAI in a high kinetic motor vehicle collision (90 km/h). Initial computed tomography revealed a grade III infrarenal abdominal aortic injury (circumferential intimal dissection extended to the common iliac arteries). Focal dilatation measured 13mm at the aortic segment compared to 11mm proximally. Despite injury severity, the patient remained haemodynamically stable with adequate lower extremity perfusion. Conservative management with antihypertensive therapy and intensive duplex ultrasound surveillance was pursued. The eight year follow up showed an increase of the ectatic segment from 14 to 22 mm, stability of the left common iliac artery stenosis, and no target lesion intervention.</div></div><div><h3>Discussion</h3><div>Conservative management may avoid intervention during somatic growth, circumventing complications of undersized devices, endoprosthesis migration, and peri-operative risks. Haemodynamically stable paediatric BAAI with contained injury may be managed conservatively with intensive surveillance. Multicentre case registries are needed to establish evidence based guidelines.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 83-86"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396484","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":"Commentary on: “clinical and haemodynamic evaluation of a novel physician modified inner branch iliac branch device for East Asians”","authors":"Sangameshwar Manikya ,&nbsp;Varshini Vadhithala ,&nbsp;Rajnish Kumar","doi":"10.1016/j.ejvsvf.2026.03.009","DOIUrl":"10.1016/j.ejvsvf.2026.03.009","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 206-207"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148001287","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":"Inner Branched Endovascular Repair of a Post-Type B Dissection Aneurysm Previously Treated With a Nellix in Both Lumens: Making the Most of a Complex Situation","authors":"Talje M. Fokkema ,&nbsp;Wajdi Alrawi ,&nbsp;Håkan Åstrand ,&nbsp;Robert C. Lind","doi":"10.1016/j.ejvsvf.2026.01.007","DOIUrl":"10.1016/j.ejvsvf.2026.01.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Treatment of chronic type B aortic dissection associated aneurysms where key vessels originate from both the true and false lumens is technically challenging. Further aneurysm formation may require new interventions after initial treatment. Innovative endovascular techniques can lead to successful treatment.</div></div><div><h3>Report</h3><div>A 74 year old man with a type B dissection was treated with an urgent femorofemoral crossover bypass (in 2001) and surgical graft in the thoracic aorta (in 2003). Due to the combination of a chronic type B dissection and a right sided common iliac artery aneurysm, he was subsequently treated with two separate Nellix endoprotheses (Endologix Inc., Irvine, CA, USA) in the infrarenal aorta. The Nellix endoprotheses were deployed in the true and the false lumens (in 2015). Eight years later, he required another intervention due of progressive enlargement of the thoracic aorta between the surgical graft and Nellix endoprotheses. The chosen treatment was a customised two inner branch thoracic endovascular aortic repair (TEVAR) and four inner branch endovascular aortic repairs, in combination with long Viabahn stent grafts from the TEVAR to the old Nellix endoprothesis in the false lumen (in 2021). All stent grafts were patent at three years of follow up.</div></div><div><h3>Discussion</h3><div>This case report presents a patient in whom former techniques were used as an initial treatment for a chronic type B dissection with aneurysm formation complicating further treatment. This report highlights what can be achieved with careful planning in combination with new available devices, resulting in a good individual outcome.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"65 ","pages":"Pages 114-117"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147612434","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":"Laparoscopic Clipping of the Inferior Mesenteric Artery for the Treatment of Type II Endoleak Using Intra-operative Indocyanine Green Fluorescence Angiography","authors":"Irene D. Kikkert,&nbsp;Steven J.G. Leeuwerke,&nbsp;Harry G.M. Vaassen","doi":"10.1016/j.ejvsvf.2026.06.005","DOIUrl":"10.1016/j.ejvsvf.2026.06.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Type II endoleaks (T2ELs) are a common finding after endovascular aortic repair (EVAR), often caused by retrograde flow from the inferior mesenteric artery (IMA). Although transarterial embolisation is standard, laparoscopic IMA ligation may provide a definitive alternative in selected cases. Indocyanine green fluorescence angiography (ICG-FA) adds real time vascular visualisation, helping the identification and confirmation of successful ligation. This report illustrates the potential benefit of Indocyanine green guided laparoscopic IMA clipping for managing T2ELs.</div></div><div><h3>Technique</h3><div>The case of a 69 year old man with an abdominal aortic aneurysm who underwent emergency EVAR for a ruptured left iliac artery aneurysm is presented. At two year follow up, computed tomography angiography revealed a persistent T2EL originating from the IMA, resulting in abdominal aortic aneurysm growth. Given the aneurysm’s progression, laparoscopic IMA clipping using ICG-FA was performed. The IMA was identified, and ICG-FA was used to confirm its precise location before applying ligation clips to occlude the vessel. Successful exclusion was further confirmed with repeated ICG-FA. Post-operative recovery was uneventful, and no endoleaks were detected on follow up imaging (computed tomography angiography).</div></div><div><h3>Discussion</h3><div>ICG-FA laparoscopic clipping of the IMA may offer a safe and effective treatment option in selected cases for persistent T2ELs after EVAR. Compared with endovascular options, it allows direct exclusion of the inflow vessel with real time visual confirmation. ICG-FA can provide real time functional imaging of vascular perfusion, enabling intra-operative identification of the IMA and objective confirmation of successful vessel occlusion. Its integration is practical, widely accessible, and may increase the safety and confidence of laparoscopic IMA ligation in selected patients.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"66 ","pages":"Pages 45-48"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585295","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}