EJVES Vascular Forum最新文献

{"title":"The Natural History of Ascending Aortic Aneurysms Involve Infiltration of Lipoproteins and Immune Cells","authors":"D. Freiholtz ∗ , O. Bergman , K. Lång , C. Österholm Corbascio , C. Olsson , A. Franco-cereceda , P. Eriksson , A. Gisterå , H.M. Björck","doi":"10.1016/j.ejvsvf.2024.07.004","DOIUrl":"10.1016/j.ejvsvf.2024.07.004","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S3-S4"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699655","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}

{"title":"Residual Popliteal Aneurysm Perfusion Leading to Embolic Complications: A Case Report","authors":"Matteo Giardini ,&nbsp;Christoph A. Binkert ,&nbsp;Thomas R. Wyss","doi":"10.1016/j.ejvsvf.2024.05.010","DOIUrl":"10.1016/j.ejvsvf.2024.05.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical management of popliteal artery aneurysms has been described for half a century. Long term development of the excluded aneurysm sac in the popliteal segment however remains widely unknown, with only a few small series describing outcomes. Residual aneurysm perfusion has the potential to lead to serious complications.</p></div><div><h3>Report</h3><p>A 63 year old man presents with skin and soft tissue necrosis of the right calf two years after proximal and distal aneurysm ligation and great saphenous vein bypass for a popliteal artery aneurysm. Computed tomography and magnetic resonance angiography show perfusion of the excluded aneurysm as well as extensive necrosis of the gastrocnemius muscle. Direct angiography of the aneurysm demonstrated retrograde aneurysm perfusion due to insufficient distal ligation with recurrent micro-embolisation to the calf via geniculate arteries. Coiling of the geniculate arteries was performed, plugging the connection to the tibiofibular trunk and embolisation of the aneurysm sac. After the intervention, no flow was seen in the aneurysm sac and the patient made full recovery.</p></div><div><h3>Discussion</h3><p>Residual aneurysm sac perfusion can lead to complications long after successful aneurysm exclusion. Follow-up after surgery of popliteal aneurysms should include observation of the excluded aneurysm sac with control of residual blood flow. For persistent sac perfusion, aneurysm enlargement or symptoms, further treatment should be considered. Surgical aspects such as complete transection of the artery after aneurysm ligation or end to end anastomosis of the bypass may be considered, to prevent such complications.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 1-4"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X2400090X/pdfft?md5=e66492b38f9ff18d1e14ae9b170bb5e2&pid=1-s2.0-S2666688X2400090X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144400","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}

{"title":"Bilateral Transankle Intervention as a Critical Determinant of Successful Revascularisation in Complex Peripheral Arterial Disease","authors":"Tetsuya Nomura,&nbsp;Naotoshi Wada,&nbsp;Kenshi Ono,&nbsp;Keisuke Shoji","doi":"10.1016/j.ejvsvf.2024.07.038","DOIUrl":"10.1016/j.ejvsvf.2024.07.038","url":null,"abstract":"<div><h3>Introduction</h3><p>Establishing optimal vascular access sites is important for the procedural success of endovascular treatment (EVT) and the patient's comfort afterwards. Among the variety of vascular access sites, the transankle intervention (TAI) has been used more recently; however, there have been no reports of complex lower extremity arterial disease lesions treated with the TAI manoeuvre.</p></div><div><h3>Report</h3><p>An 82 year old man with chronic limb threatening ischaemia in both lower extremities underwent EVT for bilateral long segment occlusion from the iliac arteries to the superficial femoral artery (SFA). The right posterior tibial artery was punctured under extravascular ultrasound guidance and a Parent Select 5082 guide sheath was inserted. The guidewire was manipulated under intravascular ultrasound (IVUS) guidance. When the first guidewire entered the subintimal space, the second guidewire was manipulated to advance through the intraplaque route, while monitoring it using IVUS. The intraluminal space of the right common iliac artery was reached by repeating these procedures. A self expandable stent was deployed in the external iliac artery and drug coated balloons were inflated from the common femoral artery to the SFA; good vascular patency and favourable blood flow were confirmed. Subsequently, a similar TAI procedure was performed from the left dorsalis pedis artery, and successful revascularisation was achieved from the left common iliac artery to the SFA. After revascularisation, the persistent pain disappeared in the right lower limb and the wound healed favourably in the left lower limb.</p></div><div><h3>Conclusion</h3><p>In this case of complex chronic limb threatening ischaemia, the TAI strategy worked favourably for successful revascularisation. Transankle intervention can provide various advantages for successful EVT.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 30-34"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24001345/pdfft?md5=8178c4d312ce66918c3496b90648f491&pid=1-s2.0-S2666688X24001345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841844","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}

{"title":"Accessory Renal Arteries Role In Endovascular Treatment Of Abdominal Aorta Aneurysms","authors":"Alessia Di Girolamo ∗ ,&nbsp;Wassim Mansour ,&nbsp;Chiara Pranteda ,&nbsp;Pasqualino Sirignano ,&nbsp;Maurizio Taurino ,&nbsp;Luca di Marzo","doi":"10.1016/j.ejvsvf.2024.01.045","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.045","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S34-S35"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000467/pdfft?md5=96d1add112c83d2f974cb7aabc8b04a5&pid=1-s2.0-S2666688X24000467-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052377","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}

{"title":"Repair of Contained Rupture of an Infrarenal Aortic Aneurysm Using Autologous Superficial Femoral Vein","authors":"Dagim Leykun Berhanu,&nbsp;Benjamin Guarken Chiman,&nbsp;Biruk Woisha Bogale","doi":"10.1016/j.ejvsvf.2024.09.003","DOIUrl":"10.1016/j.ejvsvf.2024.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Contained ruptured abdominal aortic aneurysm (CR-AAA) refers to an acute aortic wall disruption leading to expansion of perivascular haematoma that is sealed off by peri-aortic structures. Low and middle income countries have a critical gap in managing abdominal aortic aneurysm (AAA). In Ethiopia, AAA screening is not routine and open surgical repair (OSR) using donated grafts remains the only treatment option. This case shows the first experience at Hawassa University Hospital treating CR-AAA using the superficial femoral vein (SFV) for aortic reconstruction due to lack of prosthetic grafts.</div></div><div><h3>Report</h3><div>A 40 year old woman presented with three months of abdominal and back pain, vomiting, and a pulsatile abdominal swelling. Imaging showed an 8 cm infrarenal CR-AAA. Due to lack of graft material, a 15 cm SFV was harvested from the left thigh and prepared as a tube graft. OSR via midline laparotomy revealed a 3 cm rupture on the right lateral aortic wall. The reversed SFV graft was anastomosed proximally to the infrarenal aorta, 3 cm below the renal artery, using a 3–0 Prolene suture. Distally, the graft was spatulated for optimal size matching and sewn with a 3–0 Prolene suture at the aortic bifurcation. The procedure lasted 10 hours. Due to the lack of a Cell Saver at the centre, 4 units of whole blood and 4 units of fresh frozen plasma were transfused. Post-operatively, the patient developed bilateral lower extremity swelling, and ultrasound revealed bilateral deep venous thrombosis. Oral anticoagulation was promptly initiated. Follow up imaging confirmed an intact anastomosis with good distal flow. The patient showed clinical improvement in leg swelling at one and three month follow ups. She is scheduled for a six month follow up and will continue regular monitoring.</div></div><div><h3>Discussion</h3><div>SFV use in ruptured AAA shows promise in resource limited settings. Sub-Saharan Africa's unique AAA patterns highlight specific healthcare needs. Global collaboration is vital to expand vascular care, funding, and research for better AAA treatment.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 87-90"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526821","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}

{"title":"18F-NAF PET-MRI in Patients Undergoing Carotid Endarterectomy: Correlation With Ex Vivo Imaging and Histology","authors":"J. Kaczynski ∗ ,&nbsp;M. Syed ,&nbsp;S. Debono ,&nbsp;M. Williams ,&nbsp;D. Newby ,&nbsp;A. Tavares ,&nbsp;R. Forsythe ,&nbsp;S. Sellers","doi":"10.1016/j.ejvsvf.2024.07.002","DOIUrl":"10.1016/j.ejvsvf.2024.07.002","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Page S2"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697927","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}

{"title":"Use of Natural Language Processing for Identification of Aortic Dissection on Radiology Reports: Petticoat Study. Feasibility Phase","authors":"K. Powezka ∗ ,&nbsp;K. Slater ,&nbsp;M. Wall ,&nbsp;M. Vezzosi ,&nbsp;M. Claridge ,&nbsp;D. Adam ,&nbsp;G. Gkoutos ,&nbsp;M. Juszczak","doi":"10.1016/j.ejvsvf.2024.07.008","DOIUrl":"10.1016/j.ejvsvf.2024.07.008","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Page S6"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699079","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}

{"title":"Altered Lipidomic Profile of Atheroprotective and Atherogenic Serum Lipoproteins in Patients With Peripheral Artery Disease","authors":"K. Batzalexis ∗ ,&nbsp;C. Kostara ,&nbsp;G. Kouvelos ,&nbsp;C. Karathanos ,&nbsp;G. Volakakis ,&nbsp;K. Spanos ,&nbsp;E. Bairaktari ,&nbsp;A. Giannoukas","doi":"10.1016/j.ejvsvf.2024.07.023","DOIUrl":"10.1016/j.ejvsvf.2024.07.023","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S15-S16"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697483","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}

{"title":"The Impact of the Inflammatory Ratios Neutrophil To Lymphocyte Ratio, Monocyte To Lymphocyte Ratio, Platelet To Lymphocyte Ratio on Abdominal Aortic Aneurysm Growth","authors":"M. Stevanov ∗ ,&nbsp;P. Konstantiniuk ,&nbsp;T. Cohnert ,&nbsp;R.H. Portugaller","doi":"10.1016/j.ejvsvf.2024.07.031","DOIUrl":"10.1016/j.ejvsvf.2024.07.031","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S19-S20"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699672","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}

{"title":"Tailored Risk Assessment and Forecasting in Intermittent Claudication: A Proof of Concept Decision Support Tool","authors":"B. Ravindhran ∗ ,&nbsp;J. Prosser ,&nbsp;A. Lim ,&nbsp;B. Mishra ,&nbsp;R. Lathan ,&nbsp;L. Hitchman ,&nbsp;G. Smith ,&nbsp;D. Carradice ,&nbsp;D. Thakker ,&nbsp;S. Pymer ,&nbsp;I. Chetter","doi":"10.1016/j.ejvsvf.2024.07.007","DOIUrl":"10.1016/j.ejvsvf.2024.07.007","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Page S5"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699078","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}