Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Events of Interest","authors":"","doi":"10.1016/S2468-4287(25)00185-6","DOIUrl":"10.1016/S2468-4287(25)00185-6","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101903"},"PeriodicalIF":0.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704870","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":"Information for Readers","authors":"","doi":"10.1016/S2468-4287(25)00184-4","DOIUrl":"10.1016/S2468-4287(25)00184-4","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101902"},"PeriodicalIF":0.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704869","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":"Re-entry catheter-guided in situ fenestration to preserve the left subclavian artery during thoracic endovascular aortic repair for subacute type B aortic dissection","authors":"Diego Ardiles MD ,&nbsp;Marcelo Lagos MD ,&nbsp;Jeison Peñuela MD ,&nbsp;Allan Vera MD ,&nbsp;Rocío Castro MD, MSc ,&nbsp;Manuel Espíndola MD","doi":"10.1016/j.jvscit.2025.101905","DOIUrl":"10.1016/j.jvscit.2025.101905","url":null,"abstract":"<div><div>We describe the use of the BeBack re-entry catheter as an alternative tool for in situ fenestration during thoracic endovascular aortic repair in a patient with subacute type B aortic dissection requiring zone 2 landing. A 69-year-old woman with high-risk imaging features underwent thoracic endovascular aortic repair with intentional coverage of the left subclavian artery. Via percutaneous left brachial access, a deflectable 7F introducer was positioned against the outer curvature of the thoracic endograft. Retrograde puncture was performed using a 4F × 120 cm BeBack re-entry catheter under angiographic guidance in orthogonal projections to ensure precise orientation and penetration. After successful crossing of the endograft fabric, an 0.018″ guidewire was advanced into the ascending aorta, followed by sequential dilation and deployment of a balloon-expandable stent. Final angiography confirmed patency of the target vessel and exclusion of the false lumen.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101905"},"PeriodicalIF":0.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771510","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":"Fibrin-associated diffuse B-cell lymphoma after endovascular aneurysm repair can mimic a mycotic aneurysm","authors":"Joshua T. Geiger MD, MS,&nbsp;Alaska Pendleton MD, MPH","doi":"10.1016/j.jvscit.2025.101908","DOIUrl":"10.1016/j.jvscit.2025.101908","url":null,"abstract":"<div><div>Fibrin-associated diffuse large B-cell lymphoma is a rare malignancy that can arise after vascular surgical procedures. Importantly, it can mimic culture-negative aortic graft infection with elevated inflammatory markers and avidity on positron emission tomography. Chemotherapy is the mainstay of treatment. This case highlights the challenges in the diagnosis and perioperative management of a patient with such a disease after complex endovascular aortic surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101908"},"PeriodicalIF":0.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757824","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":"Intra-aortic balloon pump rupture and metallic frame entrapment requiring complex retrieval and hybrid repair","authors":"Tiffany R. Bellomo MD ,&nbsp;Srihari K. Lella MD ,&nbsp;Camille Karren BS ,&nbsp;Matthew J. Eagleton MD ,&nbsp;Sunita D. Srivastava MD ,&nbsp;Luis Suarez MD","doi":"10.1016/j.jvscit.2025.101911","DOIUrl":"10.1016/j.jvscit.2025.101911","url":null,"abstract":"<div><div>A 50-year-old woman required an emergent operative exploration after an unsuccessful attempt at bedside removal of a ruptured intra-aortic balloon pump (IABP). Initial fluoroscopy demonstrated that the IABP tip moved dynamically with blood flow, but retraction and advancement caused significant bowing of the proximal external iliac artery. After unsuccessful endovascular snaring and resheathing, an exploratory laparotomy was required to remove the entrapped IABP via a longitudinal external iliac arteriotomy. Proximal to the patch angioplasty, an occlusive dissection flap was identified, requiring stent placement. Back table examination showed an exposed metallic knob, concerning for a manufacturing or iatrogenic defect, that likely caused this complication. The patient’s health care proxy consented to the publication of this patient’s operative course.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101911"},"PeriodicalIF":0.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757826","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":"Iliofemoropopliteal deep vein thrombosis in a patient with a pelvic horseshoe kidney treated successfully with local intravenous lysis therapy and venous stenting","authors":"Mikolaj Walensi MD, MA ,&nbsp;Basem Abdelrahman MD ,&nbsp;Pavlos Drongitis MD ,&nbsp;Kai Nassenstein MD ,&nbsp;Abdalla Marei MD ,&nbsp;Johannes N. Hoffmann MD","doi":"10.1016/j.jvscit.2025.101904","DOIUrl":"10.1016/j.jvscit.2025.101904","url":null,"abstract":"<div><div>Horseshoe kidney (HSK) is a rare disorder and may be associated with several vascular complications. A 46-year-old female patient with a pelvic HSK suffered a deep vein thrombosis of the left popliteal, femoral, and iliac veins. Lysis therapy, followed by balloon angioplasty and stent implantation in the iliac vein, was performed, significantly improving the patient's symptoms. Endovascular therapies such as lysis therapy and stent implantation may result in excellent therapeutic outcomes for deep vein thrombosis caused by an HSK, sparing the patient extensive surgical procedures on the venous system and, at the same time, reducing the risk of a post-thrombotic syndrome.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101904"},"PeriodicalIF":0.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757825","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":"Ferumoxytol-enhanced magnetic resonance angiography for endovascular aortic repair surveillance in a patient after renal transplant","authors":"Richard Longfei Li MD ,&nbsp;Daniel R. Ludwig MD ,&nbsp;Anup S. Shetty MD ,&nbsp;Vincent Mellnick MD ,&nbsp;Brian G. Rubin MD","doi":"10.1016/j.jvscit.2025.101898","DOIUrl":"10.1016/j.jvscit.2025.101898","url":null,"abstract":"<div><div>Endovascular aneurysm repair requires lifelong imaging surveillance, typically with contrast-enhanced computed tomography imaging. This poses risks to patients with end-stage renal disease. Ferumoxytol, a superparamagnetic iron-based nanoparticle with minimal nephrotoxicity, has emerged as an alternative contrast agent for magnetic resonance angiography in patients with renal impairment. We present a case of a patient with a failing renal transplant who underwent ferumoxytol-enhanced magnetic resonance angiography to further characterize an indeterminant etiology of continued aneurysm sac expansion to 10 cm, avoiding iodinated and gadolinium-based contrast while achieving high-quality imaging for endoleak detection.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101898"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702536","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":"Challenging inferior vena cava filter removal complicated by strut penetration and prolonged dwell","authors":"Valentyna Kostiuk PhD ,&nbsp;Paula Pinto Rodriguez MD ,&nbsp;Britt H. Tonnessen MD ,&nbsp;Juan Carlos Perez Lozada MD ,&nbsp;Raul J. Guzman MD ,&nbsp;Cassius Iyad Ochoa Chaar MD, MS, MPH","doi":"10.1016/j.jvscit.2025.101894","DOIUrl":"10.1016/j.jvscit.2025.101894","url":null,"abstract":"<div><div>Temporary placement of inferior vena cava (IVC) filters for pulmonary embolism prevention is indicated for patients with contraindications to or unsuccessful anticoagulation therapy. However, timely IVC filter removal is necessary to avoid common complications, including filter strut penetration through the IVC wall into surrounding organs and structures. This report and describes IVC filter removal in a patient with symptomatic strut erosion into the L4 vertebral body and abutment of the proximal right common iliac artery, which was performed 12 years after placement. After filter retrieval, the patient's symptoms resolved, and he remains stable on anticoagulation therapy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101894"},"PeriodicalIF":0.7,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721111","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":"RevCore thrombectomy device effectively restores venous stent patency by treating iliofemoral caval in-stent restenosis","authors":"Taimur Saleem MD, FACS,&nbsp;Seshadri Raju MD, FACS","doi":"10.1016/j.jvscit.2025.101893","DOIUrl":"10.1016/j.jvscit.2025.101893","url":null,"abstract":"<div><div>Experience with the RevCore mechanical thrombectomy device in a series of 40 patients is described. The device was employed in the treatment of symptomatic in-stent restenosis (ISR) in iliofemoral caval venous stents in these patients. Computed tomography venography was performed preoperatively to differentiate ISR from stent compression in all patients who underwent intervention. All patients were treated in a single session with a mean estimated blood loss of &lt;10 mL with an average operative time of &lt;30 minutes. Alteplase was not used in any patient. All patients were discharged home the same day. Resolution of ≥50% ISR at the end of the procedure on intravascular ultrasound examination was noted in all patients. Symptom resolution was noted in all patients after the use of the RevCore device. No clinical perioperative pulmonary embolism was observed. Only one patient (2.5%) required reintervention during the follow-up period (range, 2-24 months).</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101893"},"PeriodicalIF":0.7,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738570","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":"Feasibility of Mixed Reality-assisted physician-modified endografts","authors":"Johannes Hatzl MD ,&nbsp;Christian Uhl MD ,&nbsp;Jana Ebner ,&nbsp;Alexandra Marquardt ,&nbsp;Dimitrios David Papazoglou MD ,&nbsp;Nina Bauer ,&nbsp;Katrin Meisenbacher MD ,&nbsp;Daniel Henning ,&nbsp;Andreas Sebastian Peters MD ,&nbsp;Dittmar Böckler MD","doi":"10.1016/j.jvscit.2025.101889","DOIUrl":"10.1016/j.jvscit.2025.101889","url":null,"abstract":"<div><div>This study aimed to develop and evaluate a standardized workflow for physician-modified endografts using Mixed Reality (MxR) technology, and to compare it with a conventional method in a phantom model experiment. The experiment consisted of two parts. In the first part, the feasibility of using a virtual MxR overlay to guide fenestration marking on a phantom stent graft was tested. Thirty-two observers each marked four fenestrations (F1-F4), totaling 128 markings. In the second part, 12 observers performed both the MxR-assisted workflow and a conventional method. Outcomes included positional accuracy, procedure time, usability, and number of required reattempts. Accuracy was assessed by comparing absolute and relative distances from ideal positions and fenestration centroids. The required time of the workflow was recorded. Usability was evaluated using the System Usability Scale (SUS) and the Post-Study System Usability Questionnaire (PSSUQ). In the feasibility test, mean deviations from ideal positions were 1.3 mm (F1), 1.0 mm (F2), 1.0 mm (F3), and 1.5 mm (F4). Centroid errors were 0.7 mm (clock position) and 0.5 mm (cranio-caudal). The workflow took 5:31 minutes on average, with step 2 requiring 2:55 minutes. SUS and PSSUQ scores indicated high usability (84.2/100 and 1.8/7, respectively). In the comparative analysis, the MxR group showed comparable accuracy to the conventional method but required fewer reattempts (3 vs 10) and less time (6.7 vs 14.6 minutes; <em>P</em> &lt; .01). Usability ratings were significantly higher for MxR (SUS, 85.1 vs 43.2; <em>P</em> &lt; .01). The MxR-assisted workflow enabled accurate, efficient, and user-friendly physician-modified endografts planning. At least in this experimental setup, it outperformed the conventional method in usability and speed, supporting its potential for broader clinical applications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 5","pages":"Article 101889"},"PeriodicalIF":0.7,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654351","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}