Samantha Fountain MMedSci , Sally Tan MD , Helen Liu DO , Scott Schubach MD , John Allendorf MD , Alec Vaezi MD , Reese Wain MD
{"title":"Vascular management of Hurthle cell carcinoma with internal jugular vein encasement and innominate vein invasion","authors":"Samantha Fountain MMedSci , Sally Tan MD , Helen Liu DO , Scott Schubach MD , John Allendorf MD , Alec Vaezi MD , Reese Wain MD","doi":"10.1016/j.jvscit.2025.101863","DOIUrl":"10.1016/j.jvscit.2025.101863","url":null,"abstract":"<div><div>We present a case highlighting innominate vein reconstruction for resection of Hurthle cell carcinoma with complex vascular invasion. A 69-year-old man presented with a rapidly enlarging neck mass, dysphagia and dysphonia. Workup demonstrated a 11.2 × 7.0 × 6.5 cm Hurthle cell carcinoma invading the oropharynx and superior mediastinum. We proceeded with left thyroid lobectomy and modified left radical neck dissection. Median sternotomy, resection of the left clavicular head, and partial resection of the left manubrium were performed to circumferentially expose the innominate vein. Tumor thrombus was extruded from the innominate vein followed by patch angioplasty, which remains patent 14 months postoperatively.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101863"},"PeriodicalIF":0.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330001","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":"Genotype/phenotype correlation in a patient with multiple abdominal and popliteal aneurysms","authors":"Mateus Picada Correa MD , Camila Biedler Giordani MD , Renan Camargo Puton MD , Jaber Nashat Saleh MD , Elizabeth Lemos Silveira Lucas PhD","doi":"10.1016/j.jvscit.2025.101855","DOIUrl":"10.1016/j.jvscit.2025.101855","url":null,"abstract":"<div><div>An aneurysm is a localized arterial dilation that can occur in various body segments; multisegmented aneurysms are rare. This case report discusses a 55-year-old male with incidental multisegmented abdominal and popliteal aneurysms. He underwent popliteal aneurysmectomy and endovascular treatment for abdominal aneurysms. Genetic testing revealed a pathogenic <em>LTBP3</em> variant linked to systemic aneurysms, epilepsy, and cancer. Additionally, two benign variants in the <em>FBN1</em> and <em>MYLK</em> genes, associated with thoracic aortic disease, were found. These findings emphasis the importance of genetic counseling and further research into genotype-phenotype correlations.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101855"},"PeriodicalIF":0.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329513","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":"Entry closure using the Najuta stent graft without supra-aortic vessel revascularization of a chronic type B aortic dissection with an aberrant right subclavian artery","authors":"Sho Takagi MD, PhD, Yoshihiro Goto MD, Junji Yanagisawa MD, Yui Ogihara MD, Yasuhide Okawa MD","doi":"10.1016/j.jvscit.2025.101850","DOIUrl":"10.1016/j.jvscit.2025.101850","url":null,"abstract":"<div><div>We report a case of entry closure using the Najuta fenestrated stent graft without supra-aortic vessel revascularization in a patient with chronic type B aortic dissection and an aberrant right subclavian artery. The Najuta fenestrated stent graft was inserted and deployed at zone 0. Complete preservation of the neck vessels and entry closure were achieved. This approach is a less invasive yet effective option for treating chronic type B aortic dissection with an aberrant subclavian artery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101850"},"PeriodicalIF":0.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271280","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":"Innovative left internal carotid stenting via right brachial access in a high-risk patient","authors":"Saad Balamane MD , Trissa Babrowski MD, FACS","doi":"10.1016/j.jvscit.2025.101852","DOIUrl":"10.1016/j.jvscit.2025.101852","url":null,"abstract":"<div><div>Carotid artery stenosis in patients with complex comorbidities, severe calcification, and prior surgical interventions presents significant procedural challenges. Traditional access routes for stenting, such as transfemoral or transcarotid, may be unfeasible in such cases, requiring innovative alternatives. A 79-year-old man with symptomatic high-grade left internal carotid artery stenosis, severe aortoiliac occlusive disease, and a history of failed transfemoral stenting was treated successfully with left internal carotid artery stenting via right brachial artery access. The patient's complex vascular anatomy, including a bovine arch, calcified carotid bifurcation, and postradiation fibrosis, made conventional approaches impractical. Shockwave intravascular lithotripsy and embolic protection device were used to modify calcified plaque and prevent embolization. This case demonstrates that right brachial artery access provides a viable and innovative solution for carotid artery stenting in high-risk patients with challenging vascular anatomy. When traditional access routes are contraindicated, this approach expands treatment options, offering a safe and effective alternative for complex carotid interventions.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101852"},"PeriodicalIF":0.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330002","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":"Trainee engagement in quality improvement and research with the Vascular Quality Initiative and other databases","authors":"Andrea Alonso MD, Jeffrey J. Siracuse MD, MBA","doi":"10.1016/j.jvscit.2025.101848","DOIUrl":"10.1016/j.jvscit.2025.101848","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101848"},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330000","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}
Kelly Feng MBChB , Russell Bourchier MBChB, FRACS , Andrew Holden ONZM, MBChB, FRANZCR, EBIR , Anastasia Dean MBBS, BA, FRACS
{"title":"A novel endovascular perfusion branch strategy to reduce the risk of spinal cord ischemia in complex thoracoabdominal aortic aneurysm repair","authors":"Kelly Feng MBChB , Russell Bourchier MBChB, FRACS , Andrew Holden ONZM, MBChB, FRANZCR, EBIR , Anastasia Dean MBBS, BA, FRACS","doi":"10.1016/j.jvscit.2025.101846","DOIUrl":"10.1016/j.jvscit.2025.101846","url":null,"abstract":"<div><div>We present the case of a 39-year-old woman with Turner syndrome and a 65-mm postdissection type 2 thoracoabdominal aortic aneurysm, with a coarctation and extremely narrow true lumen. The patient underwent thoracic and abdominal debranching followed by endograft placement from the ascending aorta to the infrarenal aorta through the false lumen. Self-expanding stents were deployed from the iliosplenic graft, through the dissected celiac artery, and into the aortic true lumen to reduce the risk of spinal cord ischemia. Four weeks later, after test occlusion of the perfusion branch under local anesthesia, the stent was occluded with a vascular plug.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101846"},"PeriodicalIF":0.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329494","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}
Mohammad Daher BS , Victor Percheron MD , Adrien Lampilas MD , Amer Sebaaly MD , Guillaume Riouallon MD , Stéphanie Bonhomme MD , Maxime Delrue MD, PhD
{"title":"Pulmonary cement embolism following cement-augmented pedicle screw fixation in a patient with metastatic vertebral compression fracture: A case report and management considerations","authors":"Mohammad Daher BS , Victor Percheron MD , Adrien Lampilas MD , Amer Sebaaly MD , Guillaume Riouallon MD , Stéphanie Bonhomme MD , Maxime Delrue MD, PhD","doi":"10.1016/j.jvscit.2025.101845","DOIUrl":"10.1016/j.jvscit.2025.101845","url":null,"abstract":"<div><div>We report the case of a 61-year-old female with metastatic rectal adenocarcinoma who underwent surgical fixation and laminectomy for an L3 vertebral compression fracture. Pedicle screws were augmented with cement. Follow-up computed tomography later detected an incidental pulmonary cement embolism in the right pulmonary artery. The patient remained asymptomatic and was managed with anticoagulation therapy. Subsequent gastrointestinal bleeding required temporary cessation of anticoagulation, but prophylactic anticoagulation was resumed due to the persistent embolus. At 6-month follow-up, the patient remained stable without hemorrhagic complications. In asymptomatic central pulmonary cement embolisms, anticoagulation may be appropriate but requires careful risk assessment and multidisciplinary management to balance the risks of thrombosis and bleeding.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101845"},"PeriodicalIF":0.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261614","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}
Zaid Nawaz DO , Nicholas Gilbert MD , Brendan Gontarz MD , Edward T. Gifford MD , Thomas Divinagracia MD , Owen Glotzer MD
{"title":"Suprahepatic inferior vena cava stent placement for anastomotic stenosis","authors":"Zaid Nawaz DO , Nicholas Gilbert MD , Brendan Gontarz MD , Edward T. Gifford MD , Thomas Divinagracia MD , Owen Glotzer MD","doi":"10.1016/j.jvscit.2025.101844","DOIUrl":"10.1016/j.jvscit.2025.101844","url":null,"abstract":"<div><div>A 61-year-old female with previous liver transplantation was volume overloaded, requiring intubation and veno-venous extracorporeal membrane oxygenation. Workup was significant for mitral valve stenosis, for which she underwent repair. This was complicated by injury to the inferior vena cava with avulsion from the liver, which was reconstructed with bovine pericardium. Postoperatively, hemodynamic monitoring suggested poor venous return. She was taken for a venogram, demonstrating stenosis of the suprahepatic inferior vena cava, which was treated with placement of a bare metal self-expanding stent. This case report demonstrates an endovascular salvage technique for suprahepatic inferior vena cava stenosis after reconstruction during cardiac surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101844"},"PeriodicalIF":0.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271142","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":"Navigating an atypical presentation of peripheral stent infection: A case report of successful surgical salvage","authors":"Mouhammad Halabi MD, Hassan Chamseddine MD, Hamzah Saleem MD, Jonathon Gould MD, Loay Kabbani MD, Mitchell Weaver MD","doi":"10.1016/j.jvscit.2025.101841","DOIUrl":"10.1016/j.jvscit.2025.101841","url":null,"abstract":"<div><div>Endovascular stent infections are a rare but potentially devastating complication that often present with nonspecific generalized signs and symptoms, leading to delayed diagnosis. We describe the case of a 46-year-old woman who developed progressive weakness and a diffuse rash of the left lower extremity 1 week after a left external iliac artery bare metal stent was placed for lifestyle-limiting claudication. Blood cultures were positive, and computed tomography angiography revealed fluid collection around the stent suggestive of infection. Despite targeted antibiotic therapy, her symptoms persisted, necessitating surgical stent explantation and arterial reconstruction with a cryograft. Postoperatively, she achieved full resolution of symptoms. This case underscores the diagnostic and therapeutic challenges of endovascular stent infections and highlights the importance of early recognition and intervention.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101841"},"PeriodicalIF":0.7,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329603","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}
Kirby Derek DO , Maraya Camazine MD , Todd R. Vogel MD, MPH
{"title":"An unusual presentation of component separation after percutaneous transmural arterial bypass (PTAB)","authors":"Kirby Derek DO , Maraya Camazine MD , Todd R. Vogel MD, MPH","doi":"10.1016/j.jvscit.2025.101838","DOIUrl":"10.1016/j.jvscit.2025.101838","url":null,"abstract":"<div><div>This case report details a percutaneous transmural arterial bypass for a long (20-25 cm) occlusive lesion causing intermittent rest pain in a patient with multiple comorbid conditions. Initial lower extremity intervention was without complication; however, 1 month postoperatively, the patient presented acutely with severe rest pain, a diminished ankle-brachial index of 0.35, and a swollen extremity. Computed tomography angiography findings demonstrated component separation, which was subsequently repaired with placement of a covered stent. Symptoms immediately improved, and the patient was discharged on postoperative day one. This case report illustrates methods of managing the unusual complication of component separation, which presented as acute limb ischemia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101838"},"PeriodicalIF":0.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239558","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}