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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Integration of high-resolution mixed reality models into resident training 将高分辨率混合现实模型融入住院医师培训。
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2026-01-05 DOI: 10.1016/j.jvscit.2026.102133
Chaitanya Dandu MD , Brandon Creisher MD , Melissa Davis MD, MBA , MingDe Lin PhD , Stefan Schenke MScCS , Edouard Aboian MD
{"title":"Integration of high-resolution mixed reality models into resident training","authors":"Chaitanya Dandu MD ,&nbsp;Brandon Creisher MD ,&nbsp;Melissa Davis MD, MBA ,&nbsp;MingDe Lin PhD ,&nbsp;Stefan Schenke MScCS ,&nbsp;Edouard Aboian MD","doi":"10.1016/j.jvscit.2026.102133","DOIUrl":"10.1016/j.jvscit.2026.102133","url":null,"abstract":"<div><h3>Background</h3><div>Historically, surgical anatomy presented visualization and spatial awareness challenges for surgical trainees. The development of spatial computing provided a new avenue for anatomy and image visualization. We present a case of novel application of mixed reality headset in the emergent vascular care.</div></div><div><h3>Methods</h3><div>A retrospective analysis of the emergent endovascular repair of an aortoenteric fistula was performed using an Apple Vision Pro headset and Visage Ease application. A three-dimensional (3D) rendering of chest computed tomography scan using Visage Ease was performed. Ease of use, anatomical visualization, and spatial awareness were evaluated.</div></div><div><h3>Results</h3><div>A 3D model demonstrated the location of stent erosion into the aorta. Rotating, the model in 3D space using gesture-based controls was intuitive, responsive, and easy. The operator learning curve was minimal. Spatial awareness appeared superior to standard picture archiving and communication system workstation-based anatomical visualization.</div></div><div><h3>Conclusions</h3><div>Mixed reality based on spatial computing provides a new avenue for student and resident training in anatomy and radiology. It allows for superb visualization and better spatial awareness than when viewed on a workstation platform and ultimately may provide better case execution.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102133"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167146","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
Complex aortic reconstruction using double-barrel frozen elephant trunks 用双桶冷冻象鼻重建复杂主动脉
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1016/j.jvscit.2026.102140
Neel A. Mansukhani MD, MS , Andre Y. Son MD, MS , Eric B. Pillado MD, MBA , Beth Whippo MSN , Andrew W. Hoel MD , Christopher K. Mehta MD
{"title":"Complex aortic reconstruction using double-barrel frozen elephant trunks","authors":"Neel A. Mansukhani MD, MS ,&nbsp;Andre Y. Son MD, MS ,&nbsp;Eric B. Pillado MD, MBA ,&nbsp;Beth Whippo MSN ,&nbsp;Andrew W. Hoel MD ,&nbsp;Christopher K. Mehta MD","doi":"10.1016/j.jvscit.2026.102140","DOIUrl":"10.1016/j.jvscit.2026.102140","url":null,"abstract":"<div><div>We present a complex aortic reconstruction for a 60-year-old patient presented with chronic type B aortic dissection, with a large proximal entry tear in zone 3, aneurysmal degeneration in the distal arch, and a small true lumen with a calcified septum. Endovascular options were limited by a poor proximal landing zone, difficulty excluding the arch pseudoaneurysm while maintaining true and false lumen flow, lack of septal fenestrations, and a calcified septum. Open extent 2 thoracoabdominal repair carried a significantly higher risk compared with sternotomy and ascending aortic and arch replacement due to the patient size and underlying chronic obstructive pulmonary disease. The patient was not tested for connective tissue disease given age, comorbid conditions, absence of a family history of aortopathy, and no stigmata of connective tissue disease. We describe a hybrid arch reconstruction with “double-barrel” frozen elephant trunks and extension thoracic endovascular aortic repair to address a complex chronic aortic dissection. This technique may be useful in select cases of complex aortic dissection.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102140"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078608","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
Pseudoaneurysm formation in the setting of segmental arterial mediolysis with arterial embolization and angioplasty 假性动脉瘤在动脉栓塞和血管成形术的节段性动脉中形成
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-11-28 DOI: 10.1016/j.jvscit.2025.102070
Courtney Brown BS , Kendall Stalls BS , Rowdy Fitzpatrick BS , Carmen Piccolo III DO
{"title":"Pseudoaneurysm formation in the setting of segmental arterial mediolysis with arterial embolization and angioplasty","authors":"Courtney Brown BS ,&nbsp;Kendall Stalls BS ,&nbsp;Rowdy Fitzpatrick BS ,&nbsp;Carmen Piccolo III DO","doi":"10.1016/j.jvscit.2025.102070","DOIUrl":"10.1016/j.jvscit.2025.102070","url":null,"abstract":"<div><div>Segmental arterial mediolysis (SAM) is a rare, noninflammatory disease process that leads to disruption of the arterial media. As the disease develops, it can lead to vascular aneurysm and dissection. This case follows a 39-year-old woman presenting with epigastric abdominal pain secondary to SAM and consequent pseudoaneurysm formation in the celiac artery. In this case, surgical intervention was a beneficial treatment when paired with antiplatelet therapy. Further documentation of SAM is necessary to broaden understanding of proper endovascular therapy and create adequate treatment protocols to improve patient outcomes.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102070"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145845530","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
Selected publications regarding lower extremity chronic ischemia and the diabetic foot from the Journal of Vascular Surgery: Cases and Innovative Reports 2025, Volume 11 关于下肢慢性缺血和糖尿病足的出版物选自《血管外科杂志：病例和创新报告2025》第11卷
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-19 DOI: 10.1016/j.jvscit.2025.102110
Jayer Chung MD, MSc
{"title":"Selected publications regarding lower extremity chronic ischemia and the diabetic foot from the Journal of Vascular Surgery: Cases and Innovative Reports 2025, Volume 11","authors":"Jayer Chung MD, MSc","doi":"10.1016/j.jvscit.2025.102110","DOIUrl":"10.1016/j.jvscit.2025.102110","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102110"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978902","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
Atypical presentation of symptomatic type III popliteal artery entrapment syndrome with resultant popliteal artery pseudoaneurysm formation 有症状的III型腘动脉夹闭综合征的不典型表现，并由此形成腘动脉假性动脉瘤
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-08 DOI: 10.1016/j.jvscit.2025.102090
Jennifer Grimm MD , Tania Gupta BS , Amanda Filiberto MD , Jarrad Rowse MD
{"title":"Atypical presentation of symptomatic type III popliteal artery entrapment syndrome with resultant popliteal artery pseudoaneurysm formation","authors":"Jennifer Grimm MD ,&nbsp;Tania Gupta BS ,&nbsp;Amanda Filiberto MD ,&nbsp;Jarrad Rowse MD","doi":"10.1016/j.jvscit.2025.102090","DOIUrl":"10.1016/j.jvscit.2025.102090","url":null,"abstract":"<div><div>Popliteal artery entrapment syndrome can cause lower extremity claudication, paresthesia, and pain. This case describes a 68-year-old man presenting with a large popliteal artery pseudoaneurysm secondary to type III popliteal artery entrapment syndrome, resulting in pain, reduced knee flexion, and lower leg paresthesia. He underwent open surgical debulking of the pseudoaneurysm sac and popliteal artery repair via a reversed great saphenous vein interposition bypass. Postoperatively, he had triphasic pedal arterial signals with improvement of his pain, paresthesia, and ambulation. This case represents a rare presentation of an uncommon condition, highlighting the importance of surgical intervention once the condition is diagnosed correctly.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102090"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978901","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
Thoracoabdominal multibranch endograft repair of type Ia endoleak after laser in situ fenestration and chimney endovascular repair for pararenal aortic aneurysm 激光原位开窗烟囱血管内修复术治疗肾旁主动脉瘤后胸腹多支腔内修复术
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-06 DOI: 10.1016/j.jvscit.2025.102087
Samuel Nofsinger MA , Anne Marker BA , Uttara Nag MD , Steven Cheung MD , Todd R. Vogel MD , Jonathan Bath MD
{"title":"Thoracoabdominal multibranch endograft repair of type Ia endoleak after laser in situ fenestration and chimney endovascular repair for pararenal aortic aneurysm","authors":"Samuel Nofsinger MA ,&nbsp;Anne Marker BA ,&nbsp;Uttara Nag MD ,&nbsp;Steven Cheung MD ,&nbsp;Todd R. Vogel MD ,&nbsp;Jonathan Bath MD","doi":"10.1016/j.jvscit.2025.102087","DOIUrl":"10.1016/j.jvscit.2025.102087","url":null,"abstract":"<div><div>Failure after endovascular aneurysm repair (EVAR) often presents unique challenges in terms of definitive repair and is often associated with more extensive coverage of the descending thoracic aorta combined with a solution for the visceral aortic branches. Failure after a fenestrated or branched EVAR presents an even greater technical challenge and often requires conversion to open explantation and thoracoabdominal repair. We present a case of a 64-year-old woman who failed EVAR owing to aortic neck dilatation leading to symptomatic type Ia endoleak and underwent laser in situ fenestrated endograft repair with bilateral renal chimney stenting. Owing to aneurysm sac expansion and continued type Ia endoleak, she consented to urgent thoracoabdominal multibranched endoprosthesis with left iliac branched endoprosthesis for definitive repair. The patient consented to publication of this case report.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102087"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939648","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
Mycotic popliteal artery aneurysm due to exostosis treated by excision and bypass 外生性真菌性腘动脉动脉瘤切除及旁路治疗
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-19 DOI: 10.1016/j.jvscit.2025.102106
Thomas J. Perry II MD, Ryan Ellis MD, Ali Khalifeh MD
{"title":"Mycotic popliteal artery aneurysm due to exostosis treated by excision and bypass","authors":"Thomas J. Perry II MD,&nbsp;Ryan Ellis MD,&nbsp;Ali Khalifeh MD","doi":"10.1016/j.jvscit.2025.102106","DOIUrl":"10.1016/j.jvscit.2025.102106","url":null,"abstract":"<div><div>Hereditary exostosis is an autosomal-dominant condition characterized by multiple osteochondromas. A 54-year-old woman presented with 2 months of myalgias, fevers, and deep bone pain in her right lower extremity. Computed tomography angiography demonstrated a 6 × 4 cm popliteal artery aneurysm. She underwent femoral to popliteal artery bypass with the greater saphenous vein. Intraoperatively, a bony prominence was seen protruding into the aneurysm sac and resected. Blood cultures grew <em>Streptococcus mitis</em>, a common oral microbe that may have translocated after dental cleaning. The patient recovered well with a patent bypass and normal PVR at the 2-year follow-up.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102106"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939656","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
Radiofrequency wire-assisted recanalization of a chronically occluded common femoral vein after intravenous drug use 静脉吸毒后慢性闭塞股总静脉的射频导线辅助再通
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-12-12 DOI: 10.1016/j.jvscit.2025.102091
Kathleen Gibson MD , Sooyeon Kim MD , Kush Desai MD
{"title":"Radiofrequency wire-assisted recanalization of a chronically occluded common femoral vein after intravenous drug use","authors":"Kathleen Gibson MD ,&nbsp;Sooyeon Kim MD ,&nbsp;Kush Desai MD","doi":"10.1016/j.jvscit.2025.102091","DOIUrl":"10.1016/j.jvscit.2025.102091","url":null,"abstract":"<div><div>Chronic common femoral vein occlusion presents a significant management challenge, particularly when associated with prior intravenous drug use. We report a 52-year-old woman, sober for 10 years, with symptomatic chronic common femoral vein occlusion after two failed recanalization attempts. Successful recanalization was achieved with a Baylis radiofrequency wire (Baylis Medical), followed by balloon venoplasty and placement of a 14-mm Abre venous stent (Medtronic). The patient experienced symptomatic improvement with preserved patency at 3 months. To our knowledge, this report is the first to describe radiofrequency wire-assisted crossing of a chronic common femoral vein occlusion in a patient with a history of intravenous drug use. We also highlight technique considerations unique to the femoral region—multiplanar venography and the use of arterial landmarks to avoid the femoral artery and femoral nerve—to enhance procedural safety.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102091"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939654","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
Extremely delayed brachial artery pseudoaneurysm occurring 25 years after a severe burn injury: A case report and literature review 严重烧伤后25年发生的极度迟发性臂动脉假性动脉瘤一例报告及文献复习
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.jvscit.2026.102154
Kazuyoshi Hatada MD , Toshihiro Ishikawa PhD , Keisuke Miyajima MD , Masao Takahashi PhD
{"title":"Extremely delayed brachial artery pseudoaneurysm occurring 25 years after a severe burn injury: A case report and literature review","authors":"Kazuyoshi Hatada MD ,&nbsp;Toshihiro Ishikawa PhD ,&nbsp;Keisuke Miyajima MD ,&nbsp;Masao Takahashi PhD","doi":"10.1016/j.jvscit.2026.102154","DOIUrl":"10.1016/j.jvscit.2026.102154","url":null,"abstract":"<div><div>Brachial artery pseudoaneurysms after burn injury are extremely rare. A 56-year-old man presented with a pulsatile mass in the right upper arm. Computed tomography revealed a 37-mm saccular aneurysm of the brachial artery. He had sustained a severe burn at the same site 25 years earlier, treated with skin grafting, without any history of trauma, arterial puncture, or infection. The lesion was resected and reconstructed with a 4-mm polytetrafluoroethylene graft. Histological examination demonstrated a fibrotic wall lacking normal arterial layers, consistent with a pseudoaneurysm. To our knowledge, such an extremely delayed presentation decades after burn injury is exceedingly rare.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102154"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188634","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
Aortic prosthetic graft thrombosis after bee sting-induced anaphylaxis 蜜蜂蜇伤致过敏反应后主动脉假体移植血栓形成
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-04-01 Epub Date: 2025-09-23 DOI: 10.1016/j.jvscit.2025.101990
Elena-Mihaela Cordeanu MD, PhD, Solène Brouder MD, Corina Mirea MD, Camille Zamperini MD, Dominique Stephan MD
{"title":"Aortic prosthetic graft thrombosis after bee sting-induced anaphylaxis","authors":"Elena-Mihaela Cordeanu MD, PhD,&nbsp;Solène Brouder MD,&nbsp;Corina Mirea MD,&nbsp;Camille Zamperini MD,&nbsp;Dominique Stephan MD","doi":"10.1016/j.jvscit.2025.101990","DOIUrl":"10.1016/j.jvscit.2025.101990","url":null,"abstract":"<div><div>Hymenoptera stings may cause severe cardiovascular events through direct prothrombotic venom effects and anaphylaxis-related hemodynamic collapse. We report the case of a 62-year-old male beekeeper with an infrarenal aortoaortic prosthetic graft who developed grade 3 anaphylaxis after a bee sting. Within 2 hours, he experienced bilateral lower limb paresthesia and severe pain. Computed tomography angiography revealed complete graft thrombosis extending into the left iliac axis. Emergency axillobifemoral bypass restored perfusion. Postoperative complications included compartment syndrome, acute kidney injury, and rhabdomyolysis, all resolving favorably. This case illustrates that hymenoptera venom can precipitate prosthetic graft occlusion through synergistic thrombogenic pathways, warranting preventive strategies and close monitoring in high-risk patients.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 101990"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188635","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
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