Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Hepatorenal bypass as a salvage strategy after occlusion following branched endovascular aortic repair","authors":"Tainá Curado Gomes de Barros MD ,&nbsp;Dilson Pimentel MS ,&nbsp;Ana Beatriz Madeira Boffa MD ,&nbsp;Tayrine Mazotti de Moraes MD ,&nbsp;Grace Carvajal Mulatti MD, PhD ,&nbsp;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}

{"title":"Quantitative intra-arterial fluorescence angiography for direct monitoring of peripheral revascularization effects","authors":"Harry G.M. Vaassen MSc ,&nbsp;Daan J. Lips PhD ,&nbsp;Robert H. Geelkerken MD ,&nbsp;Bryan Wermelink PhD","doi":"10.1016/j.jvscit.2025.101770","DOIUrl":"10.1016/j.jvscit.2025.101770","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the feasibility of quantitative fluorescence angiography with intra-arterial dye injection (Q-iaFA) for intraoperative guidance during revascularization procedures in patients with chronic limb-threatening ischemia (CLTI).</div></div><div><h3>Methods</h3><div>In this observational cohort study, 14 patients with CLTI undergoing endovascular intervention were included. Q-iaFA was performed directly before and after revascularization. The parameters time to peak (TTP) and normalized peak slope (PS_norm) were derived from intensity-time curves that were measured on the plantar side of the foot in five regions of interest. The main outcome was defined as the change in these Q-iaFA parameters between pre- and postoperative measurements in the region of interest with the most inferior preoperative value. Expected impact of revascularization was classified into strong, moderate or absent, based on intraoperative radiographic imaging and the Trans-Atlantic Inter-Society II standards.</div></div><div><h3>Results</h3><div>Q-iaFA was successful without complications in all patients. Revascularization impact was classified as strong in 8 (57%), moderate in 5 (36%), and as absent in 1 (7%) patients. In the strong impact group, a significant decrease in TTP and increase in PS_norm was observed (<em>P</em> = .004). The same trend was less pronounced in the moderate impact group, without statistical significance (<em>P</em> = .104 and <em>P</em> = .094). Conversely, in the patient with no expected revascularization impact, TTP increased and PS_norm decreased.</div></div><div><h3>Conclusions</h3><div>Q-iaFA is a feasible technique to evaluate peripheral tissue perfusion during vascular interventions. The extracted perfusion parameters are directly affected by revascularization of arterial lesions in patients with CLTI. This finding suggests that Q-iaFA may be useful to guide intraoperative decision making. Work is required to refine quantification strategies and relate Q-iaFA parameters to clinical outcomes.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101770"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760988","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":"Percutaneous aortoiliac thromboendarterectomy with Inari ClotTriever system for chronic juxtarenal aortoiliac occlusion","authors":"Laurencia Villalba MD, FRACS ,&nbsp;Erin C. Saricilar BMed, MD, MM, MS ,&nbsp;Nicolas J. Mouawad MD, MPH, MBA, FSVS, FACS, FRCS, RPVI","doi":"10.1016/j.jvscit.2025.101774","DOIUrl":"10.1016/j.jvscit.2025.101774","url":null,"abstract":"<div><div>This case describes a percutaneous thromboendarterectomy using the Inari ClotTriever system to treat a chronic juxtarenal aortoiliac occlusion in a 55-year-old man with critical limb ischemia and a single kidney. The procedure was fast, safe, and effective with no complications. There was no need for balloon angioplasty or stenting. This case demonstrates the expanding indications for large bore thrombectomy devices offering minimally invasive options.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101774"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748620","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":"Component use of the GORE TAG thoracic branch endoprosthesis, GORE TAG conformable thoracic stent graft, GORE EXCLUDER thoracoabdominal branch endoprosthesis, and GORE EXCLUDER iliac branch endoprosthesis for the treatment of an extent II thoracoabdominal aortic aneurysm","authors":"Grayson S. Pitcher MD,&nbsp;Michael C. Stoner MD,&nbsp;Doran Mix MD","doi":"10.1016/j.jvscit.2025.101778","DOIUrl":"10.1016/j.jvscit.2025.101778","url":null,"abstract":"<div><div>We report the first published component use of the GORE TAG thoracic branch endoprosthesis, GORE TAG conformable thoracic stent graft, GORE EXCLUDER thoracoabdominal branch endoprosthesis (TAMBE), and GORE EXCLUDER iliac branch endoprosthesis together in a 77-year-old woman who underwent repair of an extent II thoracoabdominal aortic aneurysm. The retrograde left subclavian artery branch portal of the GORE TAG thoracic branch endoprosthesis was used to facilitate fenestrated-branched endovascular repair in this case.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101778"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800110","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":"Evaluation of possible sources of polymer embolization after fenestrated aortic repairs mimicking spinal cord ischemia","authors":"Pierce Massie MD ,&nbsp;Kristin Markle BS, MS ,&nbsp;Amos Zimmermann MD ,&nbsp;Mueez Rehman MD ,&nbsp;Hillary Elwood MD ,&nbsp;Muhammad Ali Rana MD ,&nbsp;Ross Clark MD, MBA","doi":"10.1016/j.jvscit.2025.101765","DOIUrl":"10.1016/j.jvscit.2025.101765","url":null,"abstract":"<div><div>Hydrophilic polymer embolization (HPE) syndrome after fenestrated endovascular aortic repair is a rare and devastating complication. Currently, no data exist linking clinical HPE to specific candidate endovascular devices from which the polymer may have arisen. We report two cases of HPE in patients who underwent fenestrated endovascular aortic repairs. Using a dermal biopsy sample and 18 routinely used devices, scanning electron microscopy and energy dispersive x-ray spectroscopy established matches in elemental signature between the devices and embolized material located in dermal capillaries. Using a carbon to oxygen ratio of approximately 1.5, we identified eight devices with polymer material suspected to be the source of the embolization.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101765"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738433","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":"Effective management of femoral artery infection using lateral femoral bypass","authors":"Kotaro Mukasa MD,&nbsp;Yasunori Yakita MD, PhD,&nbsp;Ryosuke Marushima MD,&nbsp;Musashi Tsuda MD,&nbsp;Shinichiro Abe MD, PhD,&nbsp;Soichi Asano MD, PhD","doi":"10.1016/j.jvscit.2025.101771","DOIUrl":"10.1016/j.jvscit.2025.101771","url":null,"abstract":"<div><div>Infections of the groin present significant challenges for both infection control and limb salvage. This case report describes a patient with a history of penile cancer treated with radiation therapy, who developed a femoral artery infection following thromboendarterectomy. A lateral femoral bypass was performed, combined with thorough debridement and reconstruction using a rectus abdominis myocutaneous flap. This approach was effective for wound management, infection control, and revascularization. Although this procedure is rarely performed, it can serve as a valuable option for limb salvage in complex cases involving infection and previous radiation exposure.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101771"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738436","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":"Successful resection of a massive intrathoracic subclavian artery aneurysm via upper partial sternotomy","authors":"Kazuki Mori MD,&nbsp;Satoshi Takebayashi PhD,&nbsp;Masato Morita MD,&nbsp;Masazumi Kume MD","doi":"10.1016/j.jvscit.2025.101769","DOIUrl":"10.1016/j.jvscit.2025.101769","url":null,"abstract":"<div><div>This case report describes the successful surgical resection of a massive right subclavian artery aneurysm in a 76-year-old male. Preoperative imaging revealed a 46-mm saccular aneurysm with no evidence of other aneurysms. Surgical access was facilitated via a right supraclavicular incision, which was extended with a partial upper sternotomy. After successful resection of the aneurysm, a direct end-to-end anastomosis was performed. Subclavian artery aneurysms are a relatively uncommon subtype of peripheral artery aneurysms, necessitating individualized surgical strategies based on their location.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101769"},"PeriodicalIF":0.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738434","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":"We don’t know what we don’t know, until we do","authors":"Thomas G. Lynch MD","doi":"10.1016/j.jvscit.2025.101766","DOIUrl":"10.1016/j.jvscit.2025.101766","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101766"},"PeriodicalIF":0.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725484","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":"Delayed bridging stent placement for rescue of spinal cord ischemia during complex endovascular repair of thoracoabdominal aortic aneurysms","authors":"Michael H. Parker MD ,&nbsp;Michael C. Soult MD ,&nbsp;Carlos F. Bechara MD","doi":"10.1016/j.jvscit.2025.101764","DOIUrl":"10.1016/j.jvscit.2025.101764","url":null,"abstract":"<div><div>Spinal cord ischemia remains a significant cause of patient morbidity in the repair of thoracoabdominal aortic aneurysms. We present a three-case series of delayed bridging stent placement in patients who had significant neuromonitoring changes during index aneurysm repair. To prevent spinal cord ischemia, we delayed placement of the final bridging stent in each case for 4 to 8 weeks. The final stent was then placed under local anesthesia with the patient moving their lower extremities throughout the procedure and a 10- to 15-minute balloon occlusion test to ensure adequate spinal perfusion. All patients tolerated the procedure well without evidence of spinal cord ischemia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101764"},"PeriodicalIF":0.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738432","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":"Are hybrid operating rooms the best place for vascular trauma management and the role of multimodality imaging?","authors":"Lina Holmberg MD, PhD ,&nbsp;Kevin Mani MD, PhD ,&nbsp;Fredrik Linder MD, PhD ,&nbsp;Giuseppe Asciutto MD, PhD","doi":"10.1016/j.jvscit.2025.101762","DOIUrl":"10.1016/j.jvscit.2025.101762","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101762"},"PeriodicalIF":0.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679943","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}