Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome","authors":"Caroline E. Minnick BS,&nbsp;Lindsay Lynch MD,&nbsp;Kevin Chang MD,&nbsp;Ashlee Stutsrim MD,&nbsp;Julie Freischlag MD,&nbsp;Matthew Goldman MD","doi":"10.1016/j.jvscit.2025.101839","DOIUrl":"10.1016/j.jvscit.2025.101839","url":null,"abstract":"<div><div>Arterial thoracic outlet syndrome is a rare condition characterized by subclavian artery compression, leading to occlusion, poststenotic dilation, aneurysm formation, and distal embolization. We present the case of a 21-year-old collegiate volleyball player with arterial thoracic outlet syndrome and chronic limb-threatening ischemia owing to bilateral cervical ribs. Initially misdiagnosed as Raynaud's phenomenon, she experienced progressive ischemic symptoms. A staged surgical approach included thoracic outlet decompression followed by axillary-to-radial artery bypass without the need for axillosubclavian arterial reconstruction. She returned to collegiate athletics with successful arterial remodeling and graft patency.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101839"},"PeriodicalIF":0.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261598","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":"Simplified above-knee amputation with short operation time and minimal blood loss for ultra-high-risk patients under nerve block and local anesthesia","authors":"Marin Mimura MD ,&nbsp;Yu Kagaya MD, PhD ,&nbsp;Hikaru Kono MD ,&nbsp;Toshiki Furukawa MD ,&nbsp;Tetsu Kojima MD ,&nbsp;Fumio Onishi MD, PhD","doi":"10.1016/j.jvscit.2025.101840","DOIUrl":"10.1016/j.jvscit.2025.101840","url":null,"abstract":"<div><h3>Background</h3><div>Above-knee amputation (AKA) is not suitable for certain ultra-high-risk patients owing to its surgical invasiveness and accompanying anesthesia. We developed a simple technique for AKA under nerve block and local anesthesia, which is quick and associated with little blood loss compared with conventional AKA. We report our experience with this procedure.</div></div><div><h3>Methods</h3><div>The affected extremity was provided analgesia with a combination of nerve block (femoral and sciatic nerve block) and local anesthesia of a low concentration. Our amputation method comprises two key stages: an initial knee disarticulation and a subsequent supracondylar osteotomy. The muscles were cut at the tendon, the artery was ligated at the popliteal fossa, and subperiosteal dissection for amputation of the femoral condyle was minimized. The wound was closed roughly without osteomyodesis. We included 12 consecutive patients on whom the procedure was performed (7 with chronic limb-threatening ischemia and 5 with acute limb ischemia) while they were taking anticoagulant or antiplatelet drugs. All the patients had an American Society of Anesthesiologists physical status of class III or higher (class III: severe systemic disease with substantive functional limitations [n = 6]; class IV: severe systemic disease that is a constant threat to life [n = 6]).</div></div><div><h3>Results</h3><div>All the surgeries were successfully completed. The mean ± standard deviation operation time was 36.0 ± 8.4 minutes, and blood loss was 52.1 ± 37.5 mL. Minor perioperative wound complications occurred in only two cases. The patients' activities of daily living after the operation were the same as before surgery in each case.</div></div><div><h3>Conclusions</h3><div>The presented method is a potential treatment for severe lower limb necrosis in ultra-high-risk patients for whom traditional AKA is impossible owing to intolerance for general anesthesia and invasive surgery. However, the long-term results are as yet unknown.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101840"},"PeriodicalIF":0.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239561","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":"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":"Protected retrieval of a detached iliac branch device nosecone","authors":"Leonardo Pasquetti MD,&nbsp;Edoardo Pasqui MD,&nbsp;Giuseppe Galzerano MD,&nbsp;Bruno Gargiulo MD,&nbsp;Cecilia Molino MD,&nbsp;Gianmarco de Donato MD","doi":"10.1016/j.jvscit.2025.101835","DOIUrl":"10.1016/j.jvscit.2025.101835","url":null,"abstract":"<div><div>The detachment of components of endovascular devices is a rare but potentially harmful complication. This report describes a clinical case of nosecone detachment from an iliac branch device delivery system during an aortoiliac aneurysm exclusion in a 73-year-old male patient. After correct deployment, the iliac branch device nosecone detached during the removal of the delivery system. The guidewire was snared from the contralateral side, and two long sheaths were advanced to trap and protect the fractured piece, ensuring nice alignment and enabling its safe removal. This case highlights key strategies for managing serious complications encountered during endovascular aortic repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101835"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184301","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":"Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm","authors":"Kentaro Kasa MD,&nbsp;Takao Ohki MD, PhD,&nbsp;Kota Shukuzawa MD, PhD,&nbsp;Hirotsugu Ozawa MD, PhD,&nbsp;Takeshi Baba MD, PhD,&nbsp;Masayuki Hara MD","doi":"10.1016/j.jvscit.2025.101832","DOIUrl":"10.1016/j.jvscit.2025.101832","url":null,"abstract":"<div><div>We present a case of aortic intimal sarcoma mimicking a mycotic para-renal abdominal aortic aneurysm, treated with staged hybrid surgery. A 60-year-old female presented with complaints of nausea and back pain. Computed tomography showed a para-renal abdominal aortic aneurysm with irregular and multilobulated shape, without periaortic soft-tissue inflammation, occlusion of the celiac artery, and stenosis of the superior mesenteric artery. She underwent superior mesenteric artery stenting, followed by aortic resection and axillo-femoral bypass for suspicion of mycotic aortic aneurysm. Pathologic examination revealed aortic intimal sarcoma. Two years after surgery, she died of multiple organ failure due to sepsis during chemotherapy for bone metastases.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101832"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239559","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":"Aortoesophageal fistula following thoracic branch endoprosthesis for cryptogenic penetrating aortic ulcer in a patient on pembrolizumab","authors":"Sarah Kim BA ,&nbsp;Patrick D. Conroy MD ,&nbsp;Mark Zemela MD ,&nbsp;Bruce L. Tjaden Jr. MD","doi":"10.1016/j.jvscit.2025.101837","DOIUrl":"10.1016/j.jvscit.2025.101837","url":null,"abstract":"<div><div>Penetrating aortic ulcers are uncommon and life-threatening. We describe the case of a 67-year-old man who presented with fever and chills and was found on computed tomographic scan to have a thoracic penetrating aortic ulcer. The patient underwent placement of a thoracic branch endoprosthesis, with a postoperative course complicated by ileocolic pseudoaneurysm, progressive aortitis, and a fatal aortoesophageal fistula. The management of penetrating aortic ulcer in the setting of multiple confounding factors is discussed in the context of this patient’s complex medical presentation, with a focus on the potential role of pembrolizumab in his disease progression.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101837"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167203","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":"Feasibility of a sutureless anastomotic technique in robot-assisted vascular surgery","authors":"Balazs C. Lengyel MD ,&nbsp;Charudatta S. Bavare MD ,&nbsp;Rebecca G. Swann MT ,&nbsp;Ponraj Chinnadurai MBBS, MMST ,&nbsp;Alan B. Lumsden MD","doi":"10.1016/j.jvscit.2025.101836","DOIUrl":"10.1016/j.jvscit.2025.101836","url":null,"abstract":"<div><div>While other specialties embraced robotic technology, vascular surgery was revolutionized by endovascular techniques. The combination of open surgical techniques with endovascular solutions became standard practice; however, it is considered an unexplored frontier in the evolving field of robotic vascular procedures. One of the criticisms against robotics is the difficulty of vascular anastomosis. Hybrid grafts—although now discontinued—were once used for sutureless vascular anastomosis during open reconstructions. This article evaluates the feasibility of a sutureless anastomotic technique by reincarnating the idea of the hybrid vascular graft: a PTFE graft connected to a self-expanding covered stent.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101836"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167205","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":"Considerations for diversity, equity, and inclusion in vascular surgery research","authors":"Ruojia Debbie Li MD, MS ,&nbsp;Rana Afifi MD ,&nbsp;Bernadette Aulivola MD","doi":"10.1016/j.jvscit.2025.101833","DOIUrl":"10.1016/j.jvscit.2025.101833","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101833"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167201","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":"Delayed retrieval of a fractured radial artery catheter in a critically ill patient","authors":"Nicole Taylor MD ,&nbsp;Tian Sheng Ng MD ,&nbsp;Moqueet Qureshi MD, FSVS, FACS","doi":"10.1016/j.jvscit.2025.101834","DOIUrl":"10.1016/j.jvscit.2025.101834","url":null,"abstract":"<div><div>Radial artery catheters are commonly used for invasive blood pressure monitoring. Catheter fragmentation has been described; however, there are no guidelines on the appropriate timeline for intervention in the absence of limb-threatening symptoms. A 77-year-old female was admitted to the intensive care unit in septic shock secondary to pneumonia. During hospitalization, she tried to pull out her arterial line, resulting in a fragmented and retained radial artery catheter. To allow for treatment of her septic shock, catheter retrieval was delayed for 72 hours, and the patient was placed on a heparin drip. Intraoperative ultrasound and Fogarty balloon retrieval were utilized, avoiding additional arteriotomy when the catheter migrated proximally.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101834"},"PeriodicalIF":0.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167204","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}