Jonathan P. Kerr BS, ADN , Emily L. Unrue DO , Robert W. Abdu DO , Gregory G. Salzler MD , Evan J. Ryer MD , James R. Elmore MD
{"title":"Symptomatic arteriovenous malformation and peripheral arterial disease treated with intra-vascular lithotripsy and coil embolization","authors":"Jonathan P. Kerr BS, ADN , Emily L. Unrue DO , Robert W. Abdu DO , Gregory G. Salzler MD , Evan J. Ryer MD , James R. Elmore MD","doi":"10.1016/j.jvscit.2025.101802","DOIUrl":"10.1016/j.jvscit.2025.101802","url":null,"abstract":"<div><div>An 87-year-old male presented with a painful, pulsatile mass on the left leg, diagnosed as a high-flow arteriovenous malformation (AVM) with an occluded, calcified popliteal artery. The AVM was sustained by collateral flow from the anterior tibial and peroneal arteries. To enable catheter access to feeding tibial vessels and restore distal perfusion via the dominant posterior tibial artery, intravascular lithotripsy and balloon angioplasty were performed before coil embolization. Completion angiography confirmed successful popliteal revascularization, restored tibial flow, and AVM resolution. This case highlights the importance of addressing arterial inflow before AVM embolization in patients with peripheral arterial occlusive disease.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101802"},"PeriodicalIF":0.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936528","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":"Radiation-free complex endovascular aortic repair: The future is now?","authors":"Joshua Burk MD, MBA , Stéphan Haulon MD, PhD","doi":"10.1016/j.jvscit.2025.101804","DOIUrl":"10.1016/j.jvscit.2025.101804","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101804"},"PeriodicalIF":0.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906132","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}
Nabil Saouti MD, PhD , Stijn Hazenberg MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Michel W.A. Verkroost MD , Foeke J. Nauta MD, PhD , Wilson L. Li MD , Josst A. van Herwaarden MD, PhD , Robin H. Heijmen MD, PhD
{"title":"Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution","authors":"Nabil Saouti MD, PhD , Stijn Hazenberg MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Michel W.A. Verkroost MD , Foeke J. Nauta MD, PhD , Wilson L. Li MD , Josst A. van Herwaarden MD, PhD , Robin H. Heijmen MD, PhD","doi":"10.1016/j.jvscit.2025.101800","DOIUrl":"10.1016/j.jvscit.2025.101800","url":null,"abstract":"<div><div>We describe a patient treated with thoracic endovascular aortic repair and false lumen (FL) occluder for chronic type B aortic dissection. We noticed during open surgery for contained rupture that the distal unstented sleeve of the FL occluder crossed from the false into the true lumen through an intimal reentry (used for its introduction into the FL) potentially obstructing true lumen-originating renovisceral arteries.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101800"},"PeriodicalIF":0.7,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906438","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}
Sahil Patel MD , Shahabal Khan BA , Tripti Mathur MBBS , Camille Jackson MD , Shahram Aarabi MD
{"title":"A delayed venous repair strategy after penetrating vascular trauma","authors":"Sahil Patel MD , Shahabal Khan BA , Tripti Mathur MBBS , Camille Jackson MD , Shahram Aarabi MD","doi":"10.1016/j.jvscit.2025.101799","DOIUrl":"10.1016/j.jvscit.2025.101799","url":null,"abstract":"<div><div>We describe a patient with an external iliac artery and vein injury managed initially with arterial shunting and vein ligation because of hemodynamic instability. The patient underwent a delayed interposition bypass grafts of both external iliac artery and vein. Long-term outcomes were good despite development of postoperative venous thromboembolism. Although it is thought that venous ligation, often completed in a damage-control scenario, precludes venous repair, this case shows a staged approach to venous repair may decrease postoperative morbidity. Further investigation is needed to determine the role of delayed venous repair in improving outcomes.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101799"},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906440","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":"Mycotic aneurysm of superior mesenteric artery caused by Candida albicans in a patient with chronic aortic dissection: The utility of in situ right gastroepiploic artery","authors":"Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2025.101798","DOIUrl":"10.1016/j.jvscit.2025.101798","url":null,"abstract":"<div><div>Mycotic aneurysm of the superior mesenteric artery is a rare condition in the literature. Here, we present a case of mycotic aneurysm of the superior mesenteric artery induced by <em>Candida albicans</em>, for which we successfully performed an aneurysmectomy and in situ gastroepiploic artery bypass in a 60-year-old patient with chronic aortic dissection. Postoperative three-dimensional computed tomography angiography revealed the patency of the in situ gastroepiploic artery. Pathology verified the presence of <em>Candida albicans</em> in the aneurysmal wall. In situ gastroepiploic artery restored the antegrade blood supply to the superior mesenteric artery. In addition, use of in situ gastroepiploic artery does not need arterial inflow.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101798"},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906133","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 A. Amarneh MD, Kyung Kim MD, Raja Shaikh MD, Cindy L. Kerr CPNP, Horacio Padua MD, Gulraiz Chaudry MB, ChB, Ahmad I. Alomari MD
{"title":"Liposomal bupivacaine infiltration for postprocedural analgesia following interventional procedures for vascular anomalies","authors":"Mohammad A. Amarneh MD, Kyung Kim MD, Raja Shaikh MD, Cindy L. Kerr CPNP, Horacio Padua MD, Gulraiz Chaudry MB, ChB, Ahmad I. Alomari MD","doi":"10.1016/j.jvscit.2025.101796","DOIUrl":"10.1016/j.jvscit.2025.101796","url":null,"abstract":"<div><div>We describe the use and assess the safety of liposomal bupivacaine (LB) infiltration for prolonged postprocedural analgesia after procedures to treat vascular anomalies. This is a single-center prospective study. Consecutive patients aged ≥6 years undergoing painful interventions for vascular anomalies were included. Data collected included patient demographics, diagnosis, procedure details, LB dosage, periprocedural pain levels, side effects, and the use of additional analgesics. Follow-up extended through postprocedural day 5. LB was used in 26 procedures in 24 patients with mean age of 17.0 years (range, 6.0-33.0 years; median, 17.5 years). One patient was excluded owing to a lack of follow-up. Twenty patients did not require any pain medication in the recovery unit. The mean pain level was 4, 2, 2, and 2 on postoperative days 1, 2, 3, and 5, respectively. No side effects were noted. LB proved to be a safe and likely effective local anesthetic agent, providing prolonged postprocedural analgesia for patients undergoing painful treatments for vascular anomalies.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101796"},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911705","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}
Juan P. Cobar MD, MBA , Jeremy Fridling MD , Colin Cleary PhD , Edward Gifford MD , Ya-Huei Li PhD , Stephen Thompson PhD , Amir Ebadinejad MD , Elizabeth Aitcheson MD , Parth S. Shah MD , James Gallagher MD , Akhilesh Jain MD , Thomas Divinagracia MD , Owen Glotzer MD
{"title":"Interrupted pledgeted proximal anastomosis for open abdominal aortic aneurysm repair","authors":"Juan P. Cobar MD, MBA , Jeremy Fridling MD , Colin Cleary PhD , Edward Gifford MD , Ya-Huei Li PhD , Stephen Thompson PhD , Amir Ebadinejad MD , Elizabeth Aitcheson MD , Parth S. Shah MD , James Gallagher MD , Akhilesh Jain MD , Thomas Divinagracia MD , Owen Glotzer MD","doi":"10.1016/j.jvscit.2025.101789","DOIUrl":"10.1016/j.jvscit.2025.101789","url":null,"abstract":"<div><div>The proximal anastomosis is a crucial step during open repair of an abdominal aortic aneurysm. A technically sound anastomosis decreases intraoperative blood loss, as well as the operative time needed for suture line repair. Traditionally, a continuous running suture is used for the construction of this anastomosis. At the author's institution, the technique of an interrupted pledgeted proximal anastomosis is selectively used when the quality of the aortic tissue is suboptimal. This report describes the technique of the interrupted pledgeted proximal aortic anastomosis and compares outcomes to the traditional continuous technique. Among 60 pledgeted and 48 continuous anastomoses, we found equivalent clamp time, operative time, and intraoperative estimated blood loss for the two techniques. However, patients with a continuous anastomosis had higher risks of additional reinforcement during hospitalization (43.3% pledgeted vs 72.9% continuous; P = .002). The interrupted anastomotic technique presented here is a valuable option in open abdominal aortic aneurysm repair when faced with friable aortic tissue.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101789"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894579","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}
Justin York BS, Tiziano Tallarita MD, Noora Jabeen MBBS, Yasser Almadani MD, Jason Beckerman MD, Indrani Sen MBBS
{"title":"Slow growth rate in a rare isolated external iliac aneurysm","authors":"Justin York BS, Tiziano Tallarita MD, Noora Jabeen MBBS, Yasser Almadani MD, Jason Beckerman MD, Indrani Sen MBBS","doi":"10.1016/j.jvscit.2025.101791","DOIUrl":"10.1016/j.jvscit.2025.101791","url":null,"abstract":"<div><div>A 91-year-old man was referred for an asymptomatic saccular left external iliac aneurysm. Comorbidities included hypertension, hyperlipidemia, peripheral arterial disease, prior radical prostatectomy with bilateral pelvic lymphadenectomy for prostate cancer, left partial nephrectomy for small renal cell carcinoma, and fundoplication for Barrett's esophagus. Review of prior computed tomography scan of the abdomen revealed that the aneurysm had been present for the last 24 years (measuring 1.6 cm in 1999) with slow growth until 2023 (measuring 2 cm). On surveillance imaging the next year, the maximum diameter had increased to 2.8 cm. He was treated successfully with an endograft limb. Isolated external iliac artery aneurysms are extremely rare, and this single case report supports that these have a very slow growth rate.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101791"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873634","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}
Jordan Eng BS, Dean Klinger MD, Momodou L. Jammeh MD
{"title":"Cephalic to internal jugular vein bypass with external jugular vein conduit for rescue of a failing brachiocephalic arteriovenous fistula","authors":"Jordan Eng BS, Dean Klinger MD, Momodou L. Jammeh MD","doi":"10.1016/j.jvscit.2025.101793","DOIUrl":"10.1016/j.jvscit.2025.101793","url":null,"abstract":"<div><div>Central vein occlusion involving the subclavian or innominate veins is a common complication of hemodialysis access. This can lead to venous hypertension manifesting as severe extremity edema and insufficient clearance during dialysis. If left untreated, central venous occlusion may lead to access failure. Here, we present a case of subclavian vein occlusion on the ipsilateral side of a brachiocephalic fistula treated with cephalic vein to internal jugular vein bypass with external jugular vein conduit resulting in resolution of symptomatic venous hypertension and preservation of access for dialysis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101793"},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873635","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":"Gluteal ischemic gangrene due to chronic aortoiliac occlusive disease","authors":"Christos Pitros MD , Andreas Tsimpoukis MD , Melina S. Stathopoulou MD , Chrysanthi Papageorgopoulou MD, MSc, PhD , Francesk Mulita MD, MSc, PhD , Spyros Papadoulas MD, MSc, PhD","doi":"10.1016/j.jvscit.2025.101792","DOIUrl":"10.1016/j.jvscit.2025.101792","url":null,"abstract":"<div><div>Gluteal gangrene rarely complicates interventional procedures such as angiographic embolization in the pelvis or may develop postoperatively after open ligation or endovascular covering or embolization of one or mainly both internal iliac arteries in abdominal aortic surgery if collateral circulation is compromised. On the other hand, gluteal gangrene as a primary manifestation of chronic aortoiliac occlusive disease is very exceptional in literature. We present a patient with atherosclerotic aortoiliac obstruction and a necrotic eschar on her left buttock treated with aortobiiliac bypass after digital subtraction angiography. Internal iliac artery revascularization, even contralaterally, is crucial for the healing of necrotic tissue in these patients.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101792"},"PeriodicalIF":0.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886423","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}