Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"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}

{"title":"Retroperitoneal undifferentiated pleomorphic sarcoma with aortic and inferior vena cava involvement presenting as right common iliac artery rupture","authors":"Daichi Ito MD ,&nbsp;Koichi Morisaki MD, PhD ,&nbsp;Kentaro Inoue MD, PhD ,&nbsp;Chiemi Oishi MD ,&nbsp;Yoshinao Oda MD, PhD ,&nbsp;Tomoharu Yoshizumi MD, PhD","doi":"10.1016/j.jvscit.2025.102053","DOIUrl":"10.1016/j.jvscit.2025.102053","url":null,"abstract":"<div><div>Retroperitoneal sarcomas rarely invade major vessels, with arterial rupture as a presenting symptom being exceptionally uncommon. Retroperitoneal undifferentiated pleomorphic sarcoma presenting with right common iliac artery rupture and inferior vena cava thrombosis is described. A 46-year-old female presented with right common iliac artery rupture requiring emergency endovascular aneurysm repair. Further workup revealed retroperitoneal sarcoma invading the inferior vena cava and bilateral common iliac veins. En bloc tumor resection with vascular reconstruction was performed, including right renal vein reconstruction using autologous superficial femoral vein and aortobifemoral bypass with prosthetic graft. Undifferentiated pleomorphic sarcoma was confirmed histopathologically. This exceptionally rare presentation was completely resected.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102053"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939652","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":"A duodenocaval fistula due to erosion of a covered vena cava stent after 10 years","authors":"Danique J.I. Heuvelings MD, PhD ,&nbsp;Diba Demir MD ,&nbsp;Mariëlle M.E. Coolsen MD, PhD ,&nbsp;Marc H.A. Bemelmans MD, PhD ,&nbsp;Anna Prent MD ,&nbsp;Jorinde H.H. van Laanen MD","doi":"10.1016/j.jvscit.2025.102081","DOIUrl":"10.1016/j.jvscit.2025.102081","url":null,"abstract":"<div><div>A 58-year-old man developed a rare duodenocaval fistula a decade after cavo-bi-iliac stenting placed for chronic iliocaval occlusion after prior inferior vena cava (IVC) ligation. He presented with fever, polymicrobial bacteremia, and thrombus within the IVC stent. Imaging and endoscopy showed an infected covered stent eroding into the duodenum, creating a fistulous tract. A two-stage surgical approach repaired the damaged duodenum and removed the infected stent, followed by IVC closure using fascia lata. Extensive collateral circulation made reconstruction unsuitable. This case highlights the severe long-term risks of covered IVC stents, particularly in patients with complex venous histories.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102081"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939649","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":"Baker's cyst leading to complete popliteal artery occlusion","authors":"Taylor Nordan MD ,&nbsp;Amber B. Kernodle MD, PhD, MPH ,&nbsp;Jeffrey Lange MD ,&nbsp;Zachary Feldman MD ,&nbsp;Matthew T. Menard MD","doi":"10.1016/j.jvscit.2025.102103","DOIUrl":"10.1016/j.jvscit.2025.102103","url":null,"abstract":"<div><div>Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102103"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939647","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":"Physician-modified vascular plug for entry closure of a chronic aneurysmal aortic dissection","authors":"Ryo Nishide MD,&nbsp;Takao Ohki MD, PhD,&nbsp;Kota Shukuzawa MD, PhD,&nbsp;Soichiro Fukushima MD,&nbsp;Hirotsugu Ozawa MD, PhD,&nbsp;Kentaro Kasa MD","doi":"10.1016/j.jvscit.2025.102100","DOIUrl":"10.1016/j.jvscit.2025.102100","url":null,"abstract":"<div><div>For patients with a chronic aneurysmal aortic dissection (CAAD), closure of all entries and reentries, leading to complete exclusion of the false lumen, likely results in shrinkage of the false lumen and aortic remodeling. One technique to interrupt the false lumen blood flow and achieve complete exclusion is to occlude the entry with a vascular plug. However, depending on the size and location of the target entry, sufficient occlusion of the entry and resolution of false lumen blood flow may not be achieved even if the vascular plug is placed in the expected position due to the porous nature of the plug. Herein, we present a technique for entry closure in CAAD using a physician-modified vascular plug, which combines the Amplatzer Vascular Plug and an expanded polytetrafluoroethylene prosthetic patch to create a water-tight seal. This technique enables effective and reliable entry closure in CAAD, even when the entry site is close to a vital side branch, such as the arch vessels and the mesenteric artery, and standard stent graft use is not possible.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102100"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939699","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":"Case report of the management of intravascular leiomyomatosis including uterine surgery, vascular surgery, hormonal management, and in vitro fertilization","authors":"Sarah C. Rubin MD ,&nbsp;Rachel Stern MD ,&nbsp;Carolyn Robb BA ,&nbsp;Martin Keltz MD","doi":"10.1016/j.jvscit.2025.102097","DOIUrl":"10.1016/j.jvscit.2025.102097","url":null,"abstract":"<div><div>Intravascular leiomyomatosis (IVL) is a rare smooth muscle tumor extending into uterine veins and beyond, usually treated with hysterectomy. We present a 33-year-old Gravida (G) 2 Para (P) 0 patient with suspected uterine sarcoma on imaging, later diagnosed intraoperatively with IVL during abdominal myomectomy. Postoperatively, pulmonary embolism required thrombectomy, followed by long-term gonadotropin-releasing hormone (GnRH) agonist therapy that reduced tumor burden until open vascular resection of the inferior vena cava was completed. Two embryo banking cycles with preimplantation genetic testing for aneuploidy were performed, leading to autologous transfer of a euploid embryo and live birth, complicated by placenta accreta requiring cesarean hysterectomy. Fertility preservation with multimodal IVL management is feasible.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102097"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940076","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":"Intraoperative positioning system-guided antegrade in situ laser fenestration in an aortic model","authors":"Emily Burnett BA ,&nbsp;Emidio Germano MD ,&nbsp;Allie Olmstead DO ,&nbsp;Benjamin Samberg BS ,&nbsp;Robert Meisner MD ,&nbsp;Hannah Hofacker MS ,&nbsp;Michael Bronez BS ,&nbsp;Vikash Goel MS ,&nbsp;Animesh Rathore MD","doi":"10.1016/j.jvscit.2026.102124","DOIUrl":"10.1016/j.jvscit.2026.102124","url":null,"abstract":"<div><h3>Objective</h3><div>Fenestrated endovascular aneurysm repair (fEVAR) is routinely being used for visceral vessel incorporation in complex aneurysmal pathology; however, it is associated with prolonged procedure times, high radiation exposure, high contrast use, and multiple staged procedures. To combat these limitations, Centerline Biomedical developed the three-dimensional surgical navigation and visualization technology: intraoperative positioning system (IOPS). We previously presented our IOPS-guided antegrade in situ laser fenestration in a standard aortic model. This case report details our experience using IOPS guidance during a fEVAR procedure in a representative thoracoabdominal aortic aneurysm phantom model.</div></div><div><h3>Methods</h3><div>A silicone thoracoabdominal aortic segment was three-dimensional printed based on high-resolution computed tomography angiogram imaging of a patient with thoracoabdominal aortic aneurysm. An experimental fEVAR procedure was performed on the phantom through simulated vascular entry points in a heated water bath to simulate ambient body temperature. A thoracic endograft was deployed within the phantom, followed by in situ laser fenestrations using intraoperative positioning system guidance for each visceral vessel. Bridging stents were placed through the created fenestrations into the respective visceral vessels. Except for cannulation confirmation and completion images, there was minimal to no radiation used.</div></div><div><h3>Results</h3><div>Stent deployment was confirmed via a single shot radiograph. Cannulation times were 45 seconds for right renal artery, 96 seconds for the celiac artery, 51 seconds for the superior mesenteric artery, and 687 seconds for the left renal artery. Completion angiogram demonstrated widely patent renal arteries, celiac artery, superior mesenteric artery, and inferior mesenteric artery with accurately aligned stent grafts.</div></div><div><h3>Conclusions</h3><div>This benchtop phantom model demonstrates early feasibility of IOPS-guided in situ laser fenestration as a promising radiation-sparing technique with the added benefit of obviating a prestenting procedure and expediting fEVAR procedure times. However, research should be conducted to further evaluate the safety and efficacy of IOPS application in fEVAR in humans.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102124"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188722","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":"Best of 2025—abdominal aortic and iliac aneurysm","authors":"Grayson S. Pitcher MD","doi":"10.1016/j.jvscit.2025.102112","DOIUrl":"10.1016/j.jvscit.2025.102112","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102112"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978903","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":"Hybrid repair of Kommerell's diverticulum with aberrant subclavian artery","authors":"Christian H. Summa DO ,&nbsp;Christopher A. DeMaioribus MD ,&nbsp;Daniel Swink MD ,&nbsp;Joseph AbouAyash BS ,&nbsp;Shivprasad Nikam MD ,&nbsp;Boyoung Song MD ,&nbsp;Evan J. Ryer MD ,&nbsp;Melissa A. Obmann DO","doi":"10.1016/j.jvscit.2026.102129","DOIUrl":"10.1016/j.jvscit.2026.102129","url":null,"abstract":"<div><div>Kommerell's diverticulum (KD) is a rare aortic arch anomaly associated with aberrant subclavian arteries and risk of rupture. We present an 80-year-old woman with a right-sided aortic arch and aberrant left subclavian artery arising from a 5.0-cm KD. A staged hybrid repair was performed: right carotid-subclavian bypass, thoracic endovascular aortic repair, and embolization of the aberrant subclavian artery. Postoperative imaging confirmed complete exclusion of the diverticulum and a patent bypass graft. This case illustrates the safety and effectiveness of hybrid repair for KD in complex arch anatomy, offering a less invasive alternative to open surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102129"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038724","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":"In situ laser fenestration for endovascular aortic repair of infected endograft and juxtrarenal aortic aneurysm","authors":"Calvin L. Chao MD,&nbsp;Nidhi K. Reddy MD,&nbsp;Sara A. Gaines MD,&nbsp;Mark K. Eskandari MD,&nbsp;Neel A. Mansukhani MD, MS,&nbsp;Anand Brahmandam MD","doi":"10.1016/j.jvscit.2026.102132","DOIUrl":"10.1016/j.jvscit.2026.102132","url":null,"abstract":"<div><div>Infected aortic endografts and mycotic aneurysms are a significant source of morbidity and mortality. Many patients are not suitable for open repair with endograft explant and aortic reconstruction. Advances in endovascular approaches with standardization of antibiotic soaking protocols may provide a palliative treatment option for patients at prohibitive risk for open surgery. Here, we describe the treatment of a rapidly expanding symptomatic infected aortic aneurysm with in situ laser fenestrated endovascular aneurysm repair using a rifampin-soaked endograft and the associated outcome.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102132"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038723","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}