{"title":"Information for Readers","authors":"","doi":"10.1016/S2468-4287(25)00040-1","DOIUrl":"10.1016/S2468-4287(25)00040-1","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101758"},"PeriodicalIF":0.7,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579006","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":"Events of Interest","authors":"","doi":"10.1016/S2468-4287(25)00041-3","DOIUrl":"10.1016/S2468-4287(25)00041-3","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101759"},"PeriodicalIF":0.7,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579007","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}
Cole E. Ogrydziak MD (CPT) , Robert C. McMurray MD (MAJ) , Anthony Katras MD
{"title":"Septic thromboembolism of the femoral artery from mitral valve endocarditis","authors":"Cole E. Ogrydziak MD (CPT) , Robert C. McMurray MD (MAJ) , Anthony Katras MD","doi":"10.1016/j.jvscit.2025.101781","DOIUrl":"10.1016/j.jvscit.2025.101781","url":null,"abstract":"<div><div>Acute limb ischemia (ALI) demands prompt diagnosis and intervention to prevent irreversible tissue damage. Although ALI is more common in older patients, especially due to atrial fibrillation, younger patients with ALI require a broader differential to determine the specific cause. This case report describes a 19-year-old male presenting with ALI from septic thromboembolism due to methicillin-sensitive <em>Staphylococcus epidermidis</em> infective endocarditis, and it highlights a few unique management considerations. Specifically, an atypical presentation of ALI should place an infectious etiology higher on the differential, as the presence of infection impacts conduit choice in the event of creating an arterial bypass. Additionally, the vessels involved in the septic thromboembolism can become extremely friable and inflamed, as in this case, to the point that they may not be amenable to an endovascular approach and, even with an open mechanical thrombectomy, still necessitate bypass. Finally, optimal management of this complex case relied on the coordinated efforts of multiple medical specialties, highlighting the importance of a multidisciplinary team approach.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101781"},"PeriodicalIF":0.7,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748622","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}
Karissa M. Wang MD , Nicolas A. Stafforini MD , Jonathan G. Sham MD, MBEE , Jake F. Hemingway MD
{"title":"Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair","authors":"Karissa M. Wang MD , Nicolas A. Stafforini MD , Jonathan G. Sham MD, MBEE , Jake F. Hemingway MD","doi":"10.1016/j.jvscit.2025.101780","DOIUrl":"10.1016/j.jvscit.2025.101780","url":null,"abstract":"<div><div>A 36-year-old male, with a prior history of an abdominal gunshot wound requiring duodenojejunostomy and inferior vena cava (IVC) repair, complicated by subsequent IVC occlusion requiring stent placement, presented 13 years after his initial injuries with abdominal pain and septic shock secondary to erosion of the IVC stent into the duodenum, forming a duodenal-caval fistula, resulting in bacteremia and fungemia. He underwent successful partial IVC stent explant and duodenal repair. Although rare, the possibility of IVC stent erosion into adjacent structures should be considered as a potential complication following IVC stent reconstruction in reoperative fields.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101780"},"PeriodicalIF":0.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748619","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":"Acute upper limb ischemia secondary to crutch-induced brachial artery aneurysm","authors":"Durr Al-Hakim BSc , Meghan McGillivray MD , Farhad R. Udwadia MBE, MD , Jonathan Misskey MD, MHPE, FRCSC , Kirk Lawlor MD, MEd, FRCSC, FACS","doi":"10.1016/j.jvscit.2025.101782","DOIUrl":"10.1016/j.jvscit.2025.101782","url":null,"abstract":"<div><div>Presentation of upper limb ischemia in patients with long-term crutch use warrants suspicion of proximal aneurysmal degeneration with distal thromboembolization. We present a case of a 63-year-old man with a history of chronic axillary crutch use due to childhood poliomyelitis who presented with acute left-hand ischemia. Computed tomography angiography identified a left brachial artery aneurysm, which was determined to be the etiology of the thromboembolic event. The aneurysm was successfully excluded with an axillary-to-brachial artery bypass using the greater saphenous vein. He recovered well without complications and transitioned to ergonomic gait aids to prevent recurrent aneurysmal degeneration and subsequent embolization.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101782"},"PeriodicalIF":0.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760989","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}
Simar Goyal BA , Ethan Vieira MS , Charles A. West Jr. MD , John L. Crawford MD , Marty Knott DO, PhD
{"title":"Aortic thromboendarterectomy and patch aortoplasty as the treatment of choice for severe blunt abdominal aortic injury in children with aortic occlusion","authors":"Simar Goyal BA , Ethan Vieira MS , Charles A. West Jr. MD , John L. Crawford MD , Marty Knott DO, PhD","doi":"10.1016/j.jvscit.2025.101776","DOIUrl":"10.1016/j.jvscit.2025.101776","url":null,"abstract":"<div><div>Blunt abdominal aortic injury is described infrequently in children. We report the successful surgical treatment of a 13-year-old boy who initially presented with an infrarenal abdominal aortic dissection that progressed to acute aortic occlusion after sustaining a blunt seat belt injury from a motor vehicle accident when restrained as a backseat passenger. Our case demonstrates the utility and durability of longitudinal aortotomy and thromboendarectomy with patch aortoplasty for the treatment of pediatric patients with blunt abdominal aortic injury resulting in aortic occlusion. This procedure can be performed expeditiously and may prove to be the technique of choice in patients who sustain such injuries.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101776"},"PeriodicalIF":0.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748621","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":"Feasibility study to evaluate the MMI Symani robotic system for microsurgical techniques in an in-vitro circulation model","authors":"Melanie Rusch MD , Grischa Hoffmann MD, PhD , Rouven Berndt MD, PhD , René Rusch MD, PhD","doi":"10.1016/j.jvscit.2025.101767","DOIUrl":"10.1016/j.jvscit.2025.101767","url":null,"abstract":"<div><div>The Symani Surgical System is a novel robotic microsurgical platform. This study investigated its feasibility for arterial reconstructive techniques in an in vitro model. Two senior surgeons without preliminary expertise in robotic surgery performed different techniques in a porcine artery circulation model (bypass, patch plastic, and direct closure of arteriotomy). There was an overall improvement in procedure times with a minor leakage rate and upper range values in the qualitative assessment of anastomoses. In this model, the Symani Surgical System seems to be suitable for the robotic-assisted conductance of microsurgical procedures on arterial vessels.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101767"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738435","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}
Daniel Oar BS , Ryan P. Lydon MD , Patrick Riggs MD , Cameron Hall MD , Tania Flink PhD
{"title":"Endovascular repair of a ruptured ascending aortic pseudoaneurysm with concomitant pericardiocentesis","authors":"Daniel Oar BS , Ryan P. Lydon MD , Patrick Riggs MD , Cameron Hall MD , Tania Flink PhD","doi":"10.1016/j.jvscit.2025.101775","DOIUrl":"10.1016/j.jvscit.2025.101775","url":null,"abstract":"<div><div>Aneurysms and pseudoaneurysms of the ascending thoracic aorta are serious vascular conditions. Open surgical repair is the treatment of choice; however, some patients are deemed unfit for such invasive procedures. Endovascular repair can offer an invaluable and lifesaving treatment option, especially in emergent situations. We describe a case of a successful endovascular repair of a ruptured ascending aortic pseudoaneurysm in an 85-year-old man with cardiac tamponade who was not a candidate for traditional open surgery. Future innovations and applications of endovascular ascending aortic repair could lead to more favorable prognoses in patients with urgent surgical indications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101775"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143714941","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}
Juliet Blakeslee-Carter MD, Claire Motyl MD, C. Adam Banks MD, Adam W. Beck MD, FACS
{"title":"The value and structure of writing a vascular surgery case report: A student's guide","authors":"Juliet Blakeslee-Carter MD, Claire Motyl MD, C. Adam Banks MD, Adam W. Beck MD, FACS","doi":"10.1016/j.jvscit.2025.101773","DOIUrl":"10.1016/j.jvscit.2025.101773","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101773"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738437","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}
Tainá Curado Gomes de Barros MD , Dilson Pimentel MS , Ana Beatriz Madeira Boffa MD , Tayrine Mazotti de Moraes MD , Grace Carvajal Mulatti MD, PhD , Nelson De Luccia MD, PhD
{"title":"Hepatorenal bypass as a salvage strategy after occlusion following branched endovascular aortic repair","authors":"Tainá Curado Gomes de Barros MD , Dilson Pimentel MS , Ana Beatriz Madeira Boffa MD , Tayrine Mazotti de Moraes MD , Grace Carvajal Mulatti MD, PhD , Nelson De Luccia MD, PhD","doi":"10.1016/j.jvscit.2025.101772","DOIUrl":"10.1016/j.jvscit.2025.101772","url":null,"abstract":"<div><div>A 63-year-old male patient with chronic dilated aortic dissection post-dissection aneurysm (maximum diameter, 110 mm) underwent staged endovascular surgical correction. Initially, thoracic endoprosthesis implantation was performed in 2020, with coverage of the proximal tear in the descending aorta. Later, in 2022, with the subsequent dilfation of the thoracoabdomial portion, a Cook TBranch endoprosthesis was implanted, using covered balloon-expandable stents for the visceral and the right renal artery. The left renal artery suffered a perforation in this procedure, and the branch was occluded with an Amplatzer plug. In 2024, he suddenly developed acute renal failure, requiring dialysis, and underwent a angiotomography computed tomography angiography that identified occlusion of the right renal branch. Renal scintigraphy confirmed the anatomical and functional viability of the right kidney. Subsequently, revascularization of the right renal artery was carried out by dissecting and distally sectioning it immediately after the occluded stent, followed by reimplantation into a branch of the right hepatic artery in a nearby location with an end-to-side anastomosis. The procedure was performed via xiphopubic laparotomy with superior rotation of the stomach and small intestine to the left. The patient progressed satisfactorily, exhibiting 800 mL of diuresis within the first 24 hours postoperatively, with progressive and gradual improvement in renal function and hypertension. At present, the patient remains independent of dialysis therapy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101772"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705474","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}