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Inflammatory brachial artery aneurysm with amyloidosis due to nontuberculous mycobacterial infection: a case report 非结核性分枝杆菌感染引起的炎症性臂动脉瘤伴淀粉样变1例
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-18 DOI: 10.1016/j.jvscit.2025.101742
Atsushi Guntani PhD, MD , Morishige Takeshita PhD , Chikao Yasunaga PhD , Ken Nakayama PhD , Shinsuke Mii PhD , Kimihiro Komori PhD
{"title":"Inflammatory brachial artery aneurysm with amyloidosis due to nontuberculous mycobacterial infection: a case report","authors":"Atsushi Guntani PhD, MD ,&nbsp;Morishige Takeshita PhD ,&nbsp;Chikao Yasunaga PhD ,&nbsp;Ken Nakayama PhD ,&nbsp;Shinsuke Mii PhD ,&nbsp;Kimihiro Komori PhD","doi":"10.1016/j.jvscit.2025.101742","DOIUrl":"10.1016/j.jvscit.2025.101742","url":null,"abstract":"<div><div>The patient was a 72-year-old man with a history of kidney transplantation and long-term administration of methylprednisolone and immunosuppressants who underwent resection and reconstruction of a brachial artery aneurysm. A pathological examination confirmed mycobacteria, indicating an inflammatory aneurysm with amyloid kappa light chain deposition caused by intracellular nontuberculous mycobacterium. To our knowledge, this is the first demonstration of an inflammatory brachial artery aneurysm with amyloidosis caused by nontuberculous mycobacterial infection. When a nontuberculous mycobacterial infection is diagnosed, it is important to take into account the potential development of aneurysms at locations outside of the lungs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101742"},"PeriodicalIF":0.7,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421808","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}
引用次数: 0
Endovascular repair of type A dissection using thoracic stent graft with innominate artery flaring to correct for length mismatch 无名动脉扩张胸椎支架血管内修复A型夹层长度不匹配的研究
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101727
Aidin Baghbani-Oskouei MD , Lucas Ruiter Kanamori MD , Safa Savadi MD , Steven Maximus MD , Thanila A. Macedo MD , Anthony Estrera MD , Salman A. Arain MD , Gustavo S. Oderich MD
{"title":"Endovascular repair of type A dissection using thoracic stent graft with innominate artery flaring to correct for length mismatch","authors":"Aidin Baghbani-Oskouei MD ,&nbsp;Lucas Ruiter Kanamori MD ,&nbsp;Safa Savadi MD ,&nbsp;Steven Maximus MD ,&nbsp;Thanila A. Macedo MD ,&nbsp;Anthony Estrera MD ,&nbsp;Salman A. Arain MD ,&nbsp;Gustavo S. Oderich MD","doi":"10.1016/j.jvscit.2025.101727","DOIUrl":"10.1016/j.jvscit.2025.101727","url":null,"abstract":"<div><div>Type A aortic dissection is the most common aortic catastrophe posing challenges for endovascular repair owing to the fragile aortic wall, proximity to the aortic valve, coronaries, and supra-aortic trunks. While open surgical repair remains the gold standard, endovascular repair is considered in select high-risk patients who meet anatomical criteria, including more than 10 mm length between sinotubular junction to primary tear, aortic diameter of less than 40 mm, and suitable length between sinotubular junction and innominate artery. This illustrated video and case presentation address a modified technique using stent graft flaring of the innominate artery to adjust for length mismatch in the ascending aorta.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101727"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839344","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}
引用次数: 0
Double preloaded internal up-and-over technique for total transfemoral four vessel thoracoabdominal multibranch endoprosthesis with temporary aortic balloon occlusion for ruptured complex abdominal aortic aneurysm 经股四血管胸腹多支假体充填术联合临时主动脉球囊封堵治疗复杂腹主动脉瘤破裂
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101737
Sukgu M. Han MD, MS , Imani McElroy MD , Gustavo S. Oderich MD
{"title":"Double preloaded internal up-and-over technique for total transfemoral four vessel thoracoabdominal multibranch endoprosthesis with temporary aortic balloon occlusion for ruptured complex abdominal aortic aneurysm","authors":"Sukgu M. Han MD, MS ,&nbsp;Imani McElroy MD ,&nbsp;Gustavo S. Oderich MD","doi":"10.1016/j.jvscit.2025.101737","DOIUrl":"10.1016/j.jvscit.2025.101737","url":null,"abstract":"<div><div>The thoracoabdominal multibranch endoprosthesis (TAMBE) is the first off-the-shelf, four-vessel branched endograft to obtain US Food and Drug Administration commercial approval for the treatment of complex abdominal and thoracoabdominal aortic aneurysms. Total transfemoral TAMBE approaches, previously described, may benefit patients with challenging aortic arch anatomy. This report presents a further refinement of the internal up-and-over total transfemoral TAMBE technique with temporary aortic balloon occlusion, applied in the setting of a ruptured pararenal abdominal aortic aneurysm.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101737"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376592","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}
引用次数: 0
Management of plaque protrusion in transcarotid artery revascularization with stent-in-stent technique 经颈动脉血管重建术中支架内支架技术治疗斑块突出
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101733
Anthony Wong BS , Noah Nigh BS , Kyle Cunningham DO , Mark Saatzer MD , Brian Beeman MD
{"title":"Management of plaque protrusion in transcarotid artery revascularization with stent-in-stent technique","authors":"Anthony Wong BS ,&nbsp;Noah Nigh BS ,&nbsp;Kyle Cunningham DO ,&nbsp;Mark Saatzer MD ,&nbsp;Brian Beeman MD","doi":"10.1016/j.jvscit.2025.101733","DOIUrl":"10.1016/j.jvscit.2025.101733","url":null,"abstract":"<div><div>Transcarotid artery revascularization (TCAR) has emerged as a promising alternative to carotid endarterectomy as an intervention for high risk carotid artery stenosis patients. TCAR provides superior neuroprotection as compared with transfemoral carotid stenting, as well as similar outcomes to carotid endarterectomy. Plaque prolapse (PP) through the stent while rare poses a significant risk of ischemic complications during TCAR. The patient presented with a left internal carotid artery stenosis that was inaccessible surgically. During TCAR, angiography revealed PP through the stent. A second stent was deployed with excellent results. This case highlights TCAR's advantage in managing PP with flow reversal. TCAR's enhanced neuroprotection offers a valuable option for addressing this complication, providing benefits that may not be fully achieved with transfemoral carotid stenting.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101733"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421807","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}
引用次数: 0
The use of stent grafts for management of junctional vascular injuries: Is this accepted practice? 使用支架移植治疗结膜血管损伤：这是可接受的做法吗？
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101725
Ilenia D'Alessio MD , Valerio Tolva MD , Ailin Belloni MD , Sandro Lepidi MD , Mario D'Oria MD
{"title":"The use of stent grafts for management of junctional vascular injuries: Is this accepted practice?","authors":"Ilenia D'Alessio MD ,&nbsp;Valerio Tolva MD ,&nbsp;Ailin Belloni MD ,&nbsp;Sandro Lepidi MD ,&nbsp;Mario D'Oria MD","doi":"10.1016/j.jvscit.2025.101725","DOIUrl":"10.1016/j.jvscit.2025.101725","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101725"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349244","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}
引用次数: 0
Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal 血流逆转下药物包被球囊血管成形术成功、安全地治疗复发性颈动脉狭窄
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101728
Marianna Pavlyha MD, Steven Farley MD, Wesley S. Moore MD
{"title":"Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal","authors":"Marianna Pavlyha MD,&nbsp;Steven Farley MD,&nbsp;Wesley S. Moore MD","doi":"10.1016/j.jvscit.2025.101728","DOIUrl":"10.1016/j.jvscit.2025.101728","url":null,"abstract":"<div><div>Carotid artery restenosis after index carotid artery revascularization reduces its stroke prevention benefit. A 73-year-old woman presented with recurrent right carotid artery restenosis following two carotid endarterectomies with patch angioplasty and in-sent restenosis after subsequent transcarotid artery revascularization. We performed in-stent paclitaxel-coated balloon angioplasty under flow reversal with resolution of the lesion on imaging and improvement in symptoms. Patient remains asymptomatic with no evidence of restenosis 16 months after treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101728"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349245","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}
引用次数: 0
Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia 同时经皮经壁动脉搭桥和深静脉动脉化治疗危重肢体缺血
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101738
Vashisht Madabhushi MD, MPH, Eleanor Dunlap CRNP, Khanjan Nagarsheth MD
{"title":"Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia","authors":"Vashisht Madabhushi MD, MPH,&nbsp;Eleanor Dunlap CRNP,&nbsp;Khanjan Nagarsheth MD","doi":"10.1016/j.jvscit.2025.101738","DOIUrl":"10.1016/j.jvscit.2025.101738","url":null,"abstract":"<div><div>Inflow and outflow are the foundational principles of vascular surgery. This especially holds true in patients with peripheral arterial disease with chronic limb-threatening ischemia, who have a long segment occlusion of the superficial femoral artery and infrageniculate disease with inadequate distal targets for a bypass. Percutaneous transmural arterial bypass (PTAB) has demonstrated excellent results the endovascular management of femoropopliteal occlusive disease.<sup>1</sup> However, without adequate outflow, the PTAB will not stay patent. Deep venous arterialization has shown promise in patients with inadequate outflow to the foot.<sup>2</sup> Herein, we describe the first known experience of concomitant PTAB and deep venous arterialization to treat CTLI.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101738"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427792","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}
引用次数: 0
Management of a patient with arterial thoracic outlet syndrome and Srb anomaly 动脉胸廓出口综合征合并Srb异常1例的处理
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101731
Nicolas A. Stafforini MD, Matthew C. Smith MD, PhD
{"title":"Management of a patient with arterial thoracic outlet syndrome and Srb anomaly","authors":"Nicolas A. Stafforini MD,&nbsp;Matthew C. Smith MD, PhD","doi":"10.1016/j.jvscit.2025.101731","DOIUrl":"10.1016/j.jvscit.2025.101731","url":null,"abstract":"<div><div>Thoracic outlet syndrome (TOS) is a group of disorders characterized by the compression of neurovascular structures at the thoracic outlet. Arterial TOS, the least common but most severe form, carries significant thromboembolic risks and has a known association with cervical ribs. Synostosis of a complete first and second rib, termed the Srb anomaly, is rare and occurs in approximately 0.2% of the population. Here, we present a unique case of a 17-year-old boy with right upper extremity claudication owing to arterial TOS from an Srb anomaly. This case emphasizes the successful management of an uncommon condition, the importance of accurate diagnosis and timely intervention.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101731"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453866","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}
引用次数: 0
Unconventional retrieval of a guidewire fragment from the pulmonary district following retrograde access for chronic limb-threating ischemia 慢性肢体缺血后逆行从肺区取出导丝碎片的非常规方法
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101732
Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Elisa Lazzeri MD, Giulia Casilli MD, Gianmarco de Donato MD
{"title":"Unconventional retrieval of a guidewire fragment from the pulmonary district following retrograde access for chronic limb-threating ischemia","authors":"Leonardo Pasquetti MD,&nbsp;Edoardo Pasqui MD,&nbsp;Giuseppe Galzerano MD,&nbsp;Elisa Lazzeri MD,&nbsp;Giulia Casilli MD,&nbsp;Gianmarco de Donato MD","doi":"10.1016/j.jvscit.2025.101732","DOIUrl":"10.1016/j.jvscit.2025.101732","url":null,"abstract":"<div><div>Intraprocedural endovascular device fracture and migration is an uncommon complication, with potential catastrophic outcomes. In a 75-year-old woman, retrograde puncture of the superficial femoral artery led to accidental femoral vein puncture and wire coating fragmentation. The fragment migrated up to a sublobar branch of the left pulmonary artery, and again to the right pulmonary artery during the first retrieval attempt. The final retrieval was performed by twisting three 0.014″ wires around the fragment, together with the support provided by the thromboaspiration Indigo-Penumbra catheter. The triple wire twisting technique supported by an aspiration catheter seems to be safe and effective for this serious pulmonary complication.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101732"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387275","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}
引用次数: 0
Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta 由主动脉内膜肉瘤引起的主动脉假性动脉瘤引起的奥特纳综合征
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI: 10.1016/j.jvscit.2025.101729
Akio Shimoji MD, Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD
{"title":"Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta","authors":"Akio Shimoji MD,&nbsp;Naoto Fukunaga MD, PhD,&nbsp;Tatsuto Wakami MD,&nbsp;Otohime Mori MD,&nbsp;Kosuke Yoshizawa MD,&nbsp;Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2025.101729","DOIUrl":"10.1016/j.jvscit.2025.101729","url":null,"abstract":"<div><div>A 38-year-old man visited the otolaryngology department because of sudden onset of hoarseness a few days ago. A fiberoptic laryngoscopy revealed paralytic left vocal cord, indicating the left recurrent laryngeal nerve paralysis. Computed tomography angiography revealed a 44-mm aortic pseudoaneurysm with thrombus originating at the left subclavian artery. At total aortic arch replacement, an intimal defect was found at the origin of the left subclavian artery, where the pseudoaneurysm originated. A longitudinal ulcer-like lesion of intima was noticed. Pathology of the aortic wall revealed undifferentiated intimal sarcoma of the aorta. The aortic pseudoaneurysm developed owing to invasion of intimal sarcoma.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101729"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349101","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}
引用次数: 0
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