Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"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}

{"title":"Procedural decisions in the context of vascular substrate vulnerability: Lessons from vascular Ehlers-Danlos syndrome","authors":"Sherene Shalhub MD, MPH, FACS, DFSVS","doi":"10.1016/j.jvscit.2025.101823","DOIUrl":"10.1016/j.jvscit.2025.101823","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101823"},"PeriodicalIF":0.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231951","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":"Arteriovenous fistula following radial artery cannulation in a patient with vascular Ehlers-Danlos syndrome","authors":"Gabrielle Gionet MD ,&nbsp;Félix H. Savoie-White MD, MSc ,&nbsp;Ievgen Gegiia MD, MSc ,&nbsp;Sara Sédillot-Daniel MD, MSc ,&nbsp;Violaine Dalens MD ,&nbsp;Pascal Rhéaume MD","doi":"10.1016/j.jvscit.2025.101822","DOIUrl":"10.1016/j.jvscit.2025.101822","url":null,"abstract":"<div><div>Vascular Ehlers-Danlos syndrome (VEDS) increases the risk of complications following invasive procedures owing to vascular fragility. This case report details a patient with VEDS who developed two arteriovenous fistulas after radial line placement for an emergency endovascular procedure. Effective management required ligation of the radial artery feeding both two arteriovenous fistulas, underscoring the need to minimize invasive procedures and ensure thorough follow-ups in patients with VEDS. Regular imaging and proactive monitoring are essential for the early detection and management of complications, thereby improving patient outcomes and decreasing long-term risks.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101822"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116281","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":"Multimodality therapy for management of acute on chronic central vein occlusion to maintain patency of upper arm arteriovenous fistula","authors":"Daniel Nguyen MD,&nbsp;Scott S. Berman MD, MHA, RVT, FACS, DFSVS","doi":"10.1016/j.jvscit.2025.101826","DOIUrl":"10.1016/j.jvscit.2025.101826","url":null,"abstract":"<div><div>Central venous occlusive disease (CVOD) is a challenging problem that frequently leads to the abandonment of an otherwise functional hemodialysis access. Prior central venous access, including tunneled dialysis catheters, are a common predisposing factor. CVOD is typically preceded by an interval period of stenosis and often amenable to simple balloon angioplasty. Occasionally, the use of aggressive techniques, including sharp recanalization and percutaneous thrombectomy, is necessary to restore patency. We describe a case of acute CVOD involving the left axillary, subclavian, and brachiocephalic vein outflow of an upper extremity arteriovenous fistula that required a multimodality approach, including sharp recanalization of a chronic occlusion, large-bore percutaneous thrombectomy system, balloon angioplasty, and stenting to restore patency and salvage the access site.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101826"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167202","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":"Drug-associated abdominal aortitis and retroperitoneal fibrosis after treatment with nivolumab","authors":"Naomi Wedel MD, BSc ,&nbsp;Benjamin Wajda MD, BSc ,&nbsp;Richard Cormack MD, FRCPC ,&nbsp;Kenton Rommens MD, FRCSC","doi":"10.1016/j.jvscit.2025.101824","DOIUrl":"10.1016/j.jvscit.2025.101824","url":null,"abstract":"<div><div>A 60-year-old man with metastatic supraglottic laryngeal cancer treated with nivolumab, an immune checkpoint inhibitor (ICI), developed abdominal aortitis and retroperitoneal fibrosis. The nivolumab was discontinued and no steroids were initiated. A literature search found 19 other cases of ICI-associated aortitis. The evidence is limited and conflicting on the optimal management of these rare but serious adverse events. With increasing application in the treatment of a multitude of cancer types, physicians must remain aware of aortitis as an adverse event and consider the potential risks vs benefits before initiating ICI treatment for their patient.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101824"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116282","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":"Combining fusion-imaging and intravascular ultrasound guidance to facilitate transcatheter electrosurgical septostomy through preexisting entry tears during endovascular repair of dissecting aneurysms","authors":"Michele Piazza MD,&nbsp;Elda Chiara Colacchio MD,&nbsp;Marco James Bilato MD,&nbsp;Francesco Squizzato MD,&nbsp;Michele Antonello MD, PhD","doi":"10.1016/j.jvscit.2025.101818","DOIUrl":"10.1016/j.jvscit.2025.101818","url":null,"abstract":"<div><div>Transcatheter electrosurgical septotomy aids the adequate expansion of fenestrated or branched endografts in patients with a postdissection thoracoabdominal aortic aneurysm and a narrow true lumen. Still, the intraprocedural identification of preexisting reentry tears in the septum can be challenging and time consuming. We report four cases of post-dissection thoracoabdominal aortic aneurysms endovascular treatment, where computed tomography angiography fusion imaging was used during transcatheter electrosurgical septotomy in association with intravascular ultrasound examination, to improve precision in septum tear cannulation and favor procedural length and radiation exposure reduction.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101818"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124753","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":"Peripheral arterial bypass in pediatric patients: Literature review and a case of complex trauma in a 5-year-old boy","authors":"Fabrizio Minelli MD, PhD ,&nbsp;Francesco Sposato MD ,&nbsp;Marta Minucci MD ,&nbsp;Francesca De Nigris MD ,&nbsp;Giovanni Tinelli MD ,&nbsp;Yamume Tshomba MD","doi":"10.1016/j.jvscit.2025.101821","DOIUrl":"10.1016/j.jvscit.2025.101821","url":null,"abstract":"<div><div>Peripheral arterial bypass in pediatric patients is a rare but essential surgical intervention, often performed in cases of trauma, congenital abnormalities, or severe vascular occlusion. Unlike adults, children present unique anatomical and physiological challenges owing to their smaller vessel size, rapid growth, and different responses to vascular injury and repair. This review aims to provide an overview of current knowledge, surgical techniques, and outcomes of peripheral arterial bypass in pediatric patients, with a focus on trauma-induced vascular injuries. Additionally, we present a case study involving a 5-year-old patient with a complex traumatic injury requiring arterial bypass.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101821"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167206","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":"Optimizing cadaveric models for endovascular training through effective preparation techniques","authors":"Christopher Ibarra MD ,&nbsp;Alex D. Contreras MS ,&nbsp;Samantha Cervantes MS ,&nbsp;Rebecca Barnes MBS ,&nbsp;Stuart J. Corr PhD ,&nbsp;Alan B. Lumsden MD ,&nbsp;Maham Rahimi MD","doi":"10.1016/j.jvscit.2025.101820","DOIUrl":"10.1016/j.jvscit.2025.101820","url":null,"abstract":"<div><h3>Objective</h3><div>This study highlights how a thorough preparation process is crucial to achieving successful cadaveric models for endovascular training. By sharing our descriptive report of procedural experiments and detailed preparation techniques, we demonstrate the importance of this process in creating high-fidelity models that enhance training effectiveness.</div></div><div><h3>Methods</h3><div>Two fresh frozen cadavers (FFCs) were prepared for a high-fidelity vascular training model. Frozen at −20 °F, they were transported under refrigerated conditions and thawed over 3 days at 60 to 65 °F. Vascular patency was assessed using robotic C-arm imaging. A motorized pump simulated arterial hemodynamics, whereas manual perfusion enhanced cerebral visualization. Vascular access was established via femoral, carotid, and radial/ulnar arteries under ultrasound guidance. Procedures were performed in a hybrid operating room with advanced imaging. The model’s effectiveness was evaluated through pulmonary thrombectomy in one cadaver and simulated ruptured abdominal aortic aneurysm repair in the other.</div></div><div><h3>Results</h3><div>The cadaveric models demonstrated significant versatility, allowing for the successful replication of both a pulmonary embolism and a ruptured abdominal aortic aneurysm. High-quality visualization of major and distal arterial branches, including the Circle of Willis, was also achieved. Integrating manual perfusion and motorized pumping systems ensured vascular patency and realistic blood flow dynamics, making the models suitable for simulating real-life endovascular interventions. The study enhances the model’s capability to support complex procedures, emphasizing its practical application in advanced training.</div></div><div><h3>Conclusions</h3><div>This study establishes that preparing FFCs is promising for developing versatile and optimized models for endovascular training. Sharing our preparation techniques will allow other institutions to replicate these models to enhance their training programs. Continued improvements could make FFC models essential tools for training the next generation of endovascular specialists. Prior models have been created, and our institutional experience highlights the foundation of these techniques, whereas future studies will aim to test these models in trainees.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101820"},"PeriodicalIF":0.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116278","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":"Resection of hilar renal artery aneurysm after coil embolization in 10-year-old girl","authors":"Kento Shinzato MD,&nbsp;Yosuke Inoue MD,&nbsp;Yojiro Koda MD,&nbsp;Takayuki Shijo MD,&nbsp;Yoshimasa Seike MD,&nbsp;Hitoshi Matsuda MD, PhD","doi":"10.1016/j.jvscit.2025.101812","DOIUrl":"10.1016/j.jvscit.2025.101812","url":null,"abstract":"<div><div>Coil embolization is a common treatment for visceral artery aneurysms. However, it is unknown whether it is effective or not for hilar renal artery aneurysms, and the coil itself can cause imaging artifacts, complicating the diagnosis of sac re-expansion. This report describes a 10-year-old girl who underwent open surgical repair for a left hilar renal artery aneurysm that reexpanded up to 50 mm 5 years after embolization. The left kidney was exposed via an extraperitoneal approach through the ninth anterolateral to pararectal incision. The aneurysm was resected along with the coils, and the renal artery was reconstructed using a saphenous vein graft. The procedure preserved renal function, and no recurrence was observed at 1 year postoperatively.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101812"},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239560","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":"Acute pulmonary embolism with inferior vena caval thrombus following radiofrequency ablation of the great saphenous vein despite early ultrasound surveillance","authors":"Mitali Doshi MD,&nbsp;Juan Carlos Jimenez MD, MBA","doi":"10.1016/j.jvscit.2025.101825","DOIUrl":"10.1016/j.jvscit.2025.101825","url":null,"abstract":"<div><div>The reported incidence of pulmonary embolism in the published literature after radiofrequency ablation of the great saphenous vein is exceedingly rare. Recent societal clinical practice guidelines recommend against routine postprocedural ultrasound screening for ablation-related thrombus extension in asymptomatic average-risk patients. However, screening is recommended for asymptomatic high-risk patients. We present the case of a 69-year-old woman with multiple risk factors for the development of venous thromboembolism who developed bilateral pulmonary emboli despite early postprocedural ultrasound screening. As highlighted in this paper, surveillance ultrasound cannot be solely relied upon to detect and prevent pulmonary embolus after great saphenous vein radiofrequency ablation.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101825"},"PeriodicalIF":0.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116279","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}