Journal of Vascular Surgery Cases Innovations and Techniques最新文献_第3页

Resection of iliac artery to sigmoid colon fistula in patient with prior bowel resection and endovascular aortic repair with hypogastric coiling 切除髂动脉至乙状结肠瘘管及胃下盘绕修复血管内主动脉

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-07 DOI: 10.1016/j.jvscit.2025.101801

Michael Chaney MD , Nicholas Stevens DO , Samuel Coster DO , Matthew Welter BS , David Minnick DO , Saad Shebrain MD

引用次数: 0

Fiber Optic RealShape (FORS) and three-dimensional overlay technology in preemptive segmental artery embolization to reduce the risk of spinal cord ischemia prior to fenestrated endovascular aortic aneurysm repair 光纤RealShape （FORS）和三维覆盖技术在先发制人的节段性动脉栓塞中降低开窗血管内动脉瘤修复前脊髓缺血的风险

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-07 DOI: 10.1016/j.jvscit.2025.101803

C. Adam Banks MD, Adam W. Beck MD

{"title":"Fiber Optic RealShape (FORS) and three-dimensional overlay technology in preemptive segmental artery embolization to reduce the risk of spinal cord ischemia prior to fenestrated endovascular aortic aneurysm repair","authors":"C. Adam Banks MD, Adam W. Beck MD","doi":"10.1016/j.jvscit.2025.101803","DOIUrl":"10.1016/j.jvscit.2025.101803","url":null,"abstract":"<div><div>Branched/fenestrated endovascular aortic aneurysm repair (B/FEVAR) carries a risk of spinal cord ischemia (SCI), which increases along with increasing length of aortic luminal coverage of the repair. Pre-emptive coverage with first-stage thoracic endovascular aortic aneurysm repair or embolization of intercostal/lumbar vessels as a staging procedure to reduce the risk of SCI after repair has become commonplace. Intercostal/lumbar embolization can be a technically challenging procedure due to the number of vessels and multiple projections required for cannulation, leading to long procedure times and high radiation/contrast dosing, sometimes requiring multiple sessions to complete. Non-radiation-based imaging modalities such as Lumiguide Fiber Optic RealShape (FORS) by Philips has demonstrated reduction of contrast/fluoroscopy for performance of B/FEVAR and can be particularly useful for procedures requiring multiple imaging views and the resulting high fluoroscopy times/radiation dose. In this case report, we describe the successful utilization of three-dimensional overlay and FORS imaging software in preemptive segmental artery embolization before F/BEVAR to reduce the risk of SCI.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101803"},"PeriodicalIF":0.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936527","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

Symptomatic arteriovenous malformation and peripheral arterial disease treated with intra-vascular lithotripsy and coil embolization 有症状的动静脉畸形和外周动脉疾病的血管内碎石和线圈栓塞治疗

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-07 DOI: 10.1016/j.jvscit.2025.101802

Jonathan P. Kerr BS, ADN , Emily L. Unrue DO , Robert W. Abdu DO , Gregory G. Salzler MD , Evan J. Ryer MD , James R. Elmore MD

引用次数: 0

Radiation-free complex endovascular aortic repair: The future is now? 无辐射复杂血管内主动脉修复：未来就是现在？

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-07 DOI: 10.1016/j.jvscit.2025.101804

Joshua Burk MD, MBA , Stéphan Haulon MD, PhD

引用次数: 0

Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution 假腔闭塞器远端套筒通过近端内膜再入移位可能导致内脏灌注不良：一个警告

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-05 DOI: 10.1016/j.jvscit.2025.101800

Nabil Saouti MD, PhD , Stijn Hazenberg MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Michel W.A. Verkroost MD , Foeke J. Nauta MD, PhD , Wilson L. Li MD , Josst A. van Herwaarden MD, PhD , Robin H. Heijmen MD, PhD

引用次数: 0

A delayed venous repair strategy after penetrating vascular trauma 穿透性血管创伤后延迟静脉修复策略

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-04 DOI: 10.1016/j.jvscit.2025.101799

Sahil Patel MD , Shahabal Khan BA , Tripti Mathur MBBS , Camille Jackson MD , Shahram Aarabi MD

引用次数: 0

Mycotic aneurysm of superior mesenteric artery caused by Candida albicans in a patient with chronic aortic dissection: The utility of in situ right gastroepiploic artery 慢性主动脉夹层白色念珠菌引起的肠系膜上动脉真菌性动脉瘤1例：原位右胃网膜动脉的应用

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-04 DOI: 10.1016/j.jvscit.2025.101798

Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD

引用次数: 0

Liposomal bupivacaine infiltration for postprocedural analgesia following interventional procedures for vascular anomalies 布比卡因脂质体浸润用于血管异常介入术后镇痛

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-04 DOI: 10.1016/j.jvscit.2025.101796

Mohammad A. Amarneh MD, Kyung Kim MD, Raja Shaikh MD, Cindy L. Kerr CPNP, Horacio Padua MD, Gulraiz Chaudry MB, ChB, Ahmad I. Alomari MD

{"title":"Liposomal bupivacaine infiltration for postprocedural analgesia following interventional procedures for vascular anomalies","authors":"Mohammad A. Amarneh MD, Kyung Kim MD, Raja Shaikh MD, Cindy L. Kerr CPNP, Horacio Padua MD, Gulraiz Chaudry MB, ChB, Ahmad I. Alomari MD","doi":"10.1016/j.jvscit.2025.101796","DOIUrl":"10.1016/j.jvscit.2025.101796","url":null,"abstract":"<div><div>We describe the use and assess the safety of liposomal bupivacaine (LB) infiltration for prolonged postprocedural analgesia after procedures to treat vascular anomalies. This is a single-center prospective study. Consecutive patients aged ≥6 years undergoing painful interventions for vascular anomalies were included. Data collected included patient demographics, diagnosis, procedure details, LB dosage, periprocedural pain levels, side effects, and the use of additional analgesics. Follow-up extended through postprocedural day 5. LB was used in 26 procedures in 24 patients with mean age of 17.0 years (range, 6.0-33.0 years; median, 17.5 years). One patient was excluded owing to a lack of follow-up. Twenty patients did not require any pain medication in the recovery unit. The mean pain level was 4, 2, 2, and 2 on postoperative days 1, 2, 3, and 5, respectively. No side effects were noted. LB proved to be a safe and likely effective local anesthetic agent, providing prolonged postprocedural analgesia for patients undergoing painful treatments for vascular anomalies.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101796"},"PeriodicalIF":0.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911705","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

Interrupted pledgeted proximal anastomosis for open abdominal aortic aneurysm repair 断质近端吻合术治疗腹主动脉瘤开放性

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-01 DOI: 10.1016/j.jvscit.2025.101789

Juan P. Cobar MD, MBA , Jeremy Fridling MD , Colin Cleary PhD , Edward Gifford MD , Ya-Huei Li PhD , Stephen Thompson PhD , Amir Ebadinejad MD , Elizabeth Aitcheson MD , Parth S. Shah MD , James Gallagher MD , Akhilesh Jain MD , Thomas Divinagracia MD , Owen Glotzer MD

{"title":"Interrupted pledgeted proximal anastomosis for open abdominal aortic aneurysm repair","authors":"Juan P. Cobar MD, MBA , Jeremy Fridling MD , Colin Cleary PhD , Edward Gifford MD , Ya-Huei Li PhD , Stephen Thompson PhD , Amir Ebadinejad MD , Elizabeth Aitcheson MD , Parth S. Shah MD , James Gallagher MD , Akhilesh Jain MD , Thomas Divinagracia MD , Owen Glotzer MD","doi":"10.1016/j.jvscit.2025.101789","DOIUrl":"10.1016/j.jvscit.2025.101789","url":null,"abstract":"<div><div>The proximal anastomosis is a crucial step during open repair of an abdominal aortic aneurysm. A technically sound anastomosis decreases intraoperative blood loss, as well as the operative time needed for suture line repair. Traditionally, a continuous running suture is used for the construction of this anastomosis. At the author's institution, the technique of an interrupted pledgeted proximal anastomosis is selectively used when the quality of the aortic tissue is suboptimal. This report describes the technique of the interrupted pledgeted proximal aortic anastomosis and compares outcomes to the traditional continuous technique. Among 60 pledgeted and 48 continuous anastomoses, we found equivalent clamp time, operative time, and intraoperative estimated blood loss for the two techniques. However, patients with a continuous anastomosis had higher risks of additional reinforcement during hospitalization (43.3% pledgeted vs 72.9% continuous; P = .002). The interrupted anastomotic technique presented here is a valuable option in open abdominal aortic aneurysm repair when faced with friable aortic tissue.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101789"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894579","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

Slow growth rate in a rare isolated external iliac aneurysm 罕见孤立性髂外动脉瘤生长缓慢

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Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-01 DOI: 10.1016/j.jvscit.2025.101791

Justin York BS, Tiziano Tallarita MD, Noora Jabeen MBBS, Yasser Almadani MD, Jason Beckerman MD, Indrani Sen MBBS

引用次数: 0