Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Events of Interest","authors":"","doi":"10.1016/S2468-4287(25)00112-1","DOIUrl":"10.1016/S2468-4287(25)00112-1","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101830"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912756","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)00111-X","DOIUrl":"10.1016/S2468-4287(25)00111-X","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101829"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912755","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":"Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair","authors":"Kotaro Mukasa MD,&nbsp;Yasunori Yakita MD, PhD,&nbsp;Musashi Tsuda MD,&nbsp;Shinichiro Abe MD, PhD,&nbsp;Soichi Asano MD, PhD","doi":"10.1016/j.jvscit.2025.101809","DOIUrl":"10.1016/j.jvscit.2025.101809","url":null,"abstract":"<div><div>Type II endoleak-like bleeding after open abdominal aortic aneurysm (AAA) repair is extremely rare. We report a case of aneurysm sac re-expansion in a 71-year-old man 13 years after open AAA repair. The wrapped aneurysm expanded from 55 mm to 70 mm, with a computed tomography scan showing contrast medium inflow from the aneurysm wall. Reoperation revealed diffuse bleeding without discrete branch vessel hemorrhage. This case demonstrates that type II endoleak-like bleeding can occur as a late complication after open AAA repair, even without bleeding from the branch vessels, highlighting the importance of long-term surveillance.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101809"},"PeriodicalIF":0.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922072","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":"A protocolized approach to chyle leaks to mitigate prosthetic graft infection","authors":"John Kucera MD ,&nbsp;Katie F. Lee MD ,&nbsp;Erin Koelling MD, FACS ,&nbsp;Jonathan Jay Sexton MD, FACS","doi":"10.1016/j.jvscit.2025.101808","DOIUrl":"10.1016/j.jvscit.2025.101808","url":null,"abstract":"<div><div>A 63-year-old man presented to the vascular surgery clinic with an enlarging left subclavian artery aneurysm owing to proximal compression by the anterior scalene muscle. He underwent open repair with a rifampin-soaked Dacron graft and developed a postoperative chyle leak. We describe our management and propose a protocolized deployment of surgical, dietary, pharmacological, and interventional techniques to resolve chyle leaks rapidly and prevent infections in the presence of a prosthetic vascular graft.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101808"},"PeriodicalIF":0.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936526","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":"Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: A case study","authors":"Pete H. Gueldner BS ,&nbsp;Katherine E. Kerr BSBME ,&nbsp;Nathan Liang MD ,&nbsp;Timothy K. Chung PhD ,&nbsp;Tiziano Tallarita MD ,&nbsp;Joe Wildenberg MD ,&nbsp;Jason Beckermann MD ,&nbsp;David A. Vorp PhD ,&nbsp;Indrani Sen MD","doi":"10.1016/j.jvscit.2025.101806","DOIUrl":"10.1016/j.jvscit.2025.101806","url":null,"abstract":"<div><div>Analyzing aortic biomechanical wall stresses for abdominal aortic aneurysms remains challenging. Clinical applications of biomechanical and morphological image-based analysis protocols have limited adoption owing to the time and expertise required. Our multidisciplinary and multi-institute team has demonstrated the feasibility of expediting advanced aortic image analysis on a single patient tracked longitudinally. We also demonstrate the utility of a previously trained artificial intelligence-based classifier that accurately predicts patient outcomes, a potential alternative to serial surveillance. This paper describes the overall workflow and processes performed in a 70-year-old man who was incidentally diagnosed to have a 5.4-cm juxtarenal aortic aneurysm in 2016 with successful fenestrated endovascular repair in 2023.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101806"},"PeriodicalIF":0.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936530","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":"Acute medullary ischemia as clinical presentation of an intact infrarenal abdominal aortic aneurysm","authors":"Nicola Troisi PhD,&nbsp;Valentina Scarati MD,&nbsp;Giulia Bertagna MD,&nbsp;Raffaella Berchiolli PhD","doi":"10.1016/j.jvscit.2025.101805","DOIUrl":"10.1016/j.jvscit.2025.101805","url":null,"abstract":"<div><div>Abdominal aortic aneurysms (AAAs) are usually asymptomatic. Abdominal and/or low back pain are signs of rupture or impending rupture. We report the case of an 88-year-old man with unusual symptoms of clinical presentation for an AAA. He was admitted to our hospital with low back pain associated with bilateral lower extremity paresis. Examination revealed an abdominal pulsatile mass, and palpable peripheral pulses. Computed tomography angiography detected a 65-mm intact infrarenal AAA with neither signs of fissure or rupture nor lower extremity arterial disease. Magnetic resonance imaging demonstrated low-intensity signals at L1-L2 in the middle of the conus medullaris (acute medullary ischemia). The patient was managed conservatively with monoantiplatelet therapy, and low-weight-molecular heparin. Symptoms were resolved completely after 3 days. The final decision was to not treat the AAA.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101805"},"PeriodicalIF":0.7,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936521","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":"Single-center experience in hybrid approach for subclavian vein effort thrombosis","authors":"Maksym Katelenets MD,&nbsp;Victor Ginzburg MD,&nbsp;Anatoly Leytzin MD,&nbsp;Dmitry Shepovalov MD,&nbsp;Abu Kush Nahel MD,&nbsp;George Greenberg MD","doi":"10.1016/j.jvscit.2025.101797","DOIUrl":"10.1016/j.jvscit.2025.101797","url":null,"abstract":"<div><h3>Objective</h3><div>Effort thrombosis of the subclavian vein (SCV) is one of the forms of deep vein thrombosis in the upper extremity and plays the leading role in venous thoracic outlet syndrome. This condition affects predominantly young and active people and can lead to extremity functional deterioration and long-term consequences. Despite the apparent clinical importance, no consensus or accepted protocol regarding optimal treatment exists. The main aim of this study was to present our local treatment protocol and to assess its effectiveness, safety, and functional impact.</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective analysis of 27 patients hospitalized and treated in our department with effort SCV thrombosis from September 2005 to December 2022. The median length of follow-up was 92 months (range, 6-140 months). Evaluation of early and late stent patency and the assessment of chronic venous insufficiency, using the Villalta score and arm functional status using the QuickDASH-9 questionnaire, were performed.</div></div><div><h3>Results</h3><div>Of these 27 patients, 23 were treated using catheter-directed thrombolysis, first rib resection with subsequent endovascular repair of the SCV using a self-expanding stent. A total of 18 patients were assessed for vein patency and showed an early patency of 94.4% and a late patency of 83.3%. Four stents were found to be occluded. None of the treated patients has developed clinically significant chronic venous insufficiency, and the median Villalta score was 1 point. The median functional status of the arm measured by the QuickDASH-9 questionnaire was 2.75.</div></div><div><h3>Conclusions</h3><div>First rib resection is an integral part of the treatment approach and is prominent in releasing chronic bony compression of the SCV. Subsequent endovascular repair achieves unaffected prograde flow and excellent long-term vein patency. Despite surgical aggressiveness, the current approach shows promising results in the context of the safety and functional status of the affected limb.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101797"},"PeriodicalIF":0.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936529","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":"Shocking safely: Intravascular lithotripsy to under expanded interwoven stent","authors":"Vanessa Irvine MBBS ,&nbsp;Edward Choke Tieng Chek PhD, FRCS ,&nbsp;Darius Aw Kang Lie FRCS","doi":"10.1016/j.jvscit.2025.101795","DOIUrl":"10.1016/j.jvscit.2025.101795","url":null,"abstract":"<div><div>Calcified lesions pose formidable obstacles in managing patients with chronic limb-threatening ischemia. Calcification impedes stent expansion, a pivotal determinant in averting restenosis and stent thrombosis. While aggressive angioplasty may alleviate these obstacles, it often fails to achieve satisfactory luminal augmentation. Intravascular lithotripsy, supported by its established safety and efficacy in coronary intervention cases series and registries, has emerged as a novel solution for persistent stent underexpansion. We adopted the concept and performed late poststent deployment intravascular lithotripsy in an underexpanded interwoven stent placed within the popliteal artery of a patient with critical limb-threatening ischemia, highlighting its potential as a transformative therapeutic option.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101795"},"PeriodicalIF":0.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922073","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":"Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling","authors":"Michael Chaney MD ,&nbsp;Nicholas Stevens DO ,&nbsp;Samuel Coster DO ,&nbsp;Matthew Welter BS ,&nbsp;David Minnick DO ,&nbsp;Saad Shebrain MD","doi":"10.1016/j.jvscit.2025.101801","DOIUrl":"10.1016/j.jvscit.2025.101801","url":null,"abstract":"<div><div>Expedient recognition of arterial-enteric fistulas is important in optimizing patient outcomes. The most commonly described aortoenteric fistula is between the abdominal aorta and third portion of the duodenum that overlies it. This has historically been reported as a rare complication of open aortic aneurysm repair but also has been seen in endovascular repairs. Herein described is a case of a 77-year-old male with history of endovascular aortic repair and left hypogastric coiling for aneurysm who presented with a much rarer form of fistula between the residual sigmoid colon, status-post sigmoidectomy for diverticulitis, and the left hypogastric artery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101801"},"PeriodicalIF":0.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906439","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":"Fiber Optic RealShape (FORS) and three-dimensional overlay technology in preemptive segmental artery embolization to reduce the risk of spinal cord ischemia prior to fenestrated endovascular aortic aneurysm repair","authors":"C. Adam Banks MD,&nbsp;Adam W. Beck MD","doi":"10.1016/j.jvscit.2025.101803","DOIUrl":"10.1016/j.jvscit.2025.101803","url":null,"abstract":"<div><div>Branched/fenestrated endovascular aortic aneurysm repair (B/FEVAR) carries a risk of spinal cord ischemia (SCI), which increases along with increasing length of aortic luminal coverage of the repair. Pre-emptive coverage with first-stage thoracic endovascular aortic aneurysm repair or embolization of intercostal/lumbar vessels as a staging procedure to reduce the risk of SCI after repair has become commonplace. Intercostal/lumbar embolization can be a technically challenging procedure due to the number of vessels and multiple projections required for cannulation, leading to long procedure times and high radiation/contrast dosing, sometimes requiring multiple sessions to complete. Non-radiation-based imaging modalities such as Lumiguide Fiber Optic RealShape (FORS) by Philips has demonstrated reduction of contrast/fluoroscopy for performance of B/FEVAR and can be particularly useful for procedures requiring multiple imaging views and the resulting high fluoroscopy times/radiation dose. In this case report, we describe the successful utilization of three-dimensional overlay and FORS imaging software in preemptive segmental artery embolization before F/BEVAR to reduce the risk of SCI.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101803"},"PeriodicalIF":0.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936527","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}