Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Vascular segmental exclusion for recurrent vulvar squamous cell carcinoma invading the femoral vessels","authors":"Andrew W. Schwartz BS ,&nbsp;Masoud Azodi MD ,&nbsp;Jonathan Cardella MD ,&nbsp;Cassius Iyad Ochoa Chaar MD, MPH, MS","doi":"10.1016/j.jvscit.2025.101753","DOIUrl":"10.1016/j.jvscit.2025.101753","url":null,"abstract":"<div><div>A 55-year-old woman presented with a recurrent left inguinal necrotic mass caused by locally invasive vulvar carcinoma. Computed tomography of the abdomen pelvis showed compression of the femoral vein and superficial femoral artery. The patient underwent a left axillary to popliteal artery bypass with left superficial femoral artery embolization in preparation for possible wide resection. Subsequent resection was aborted because of extensive local invasion and rapid spread. Three-month follow-up revealed a patent graft. The patient died after 4 months from progression of oncologic disease and an unresectable tumor in the groin that eroded through the blood vessels without bleeding or lower limb ischemia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101753"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679942","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":"Pediatric axillary artery aneurysm","authors":"Thomas Boland BS ,&nbsp;Bernadette Aulivola MD, MS","doi":"10.1016/j.jvscit.2025.101754","DOIUrl":"10.1016/j.jvscit.2025.101754","url":null,"abstract":"<div><div>Nonaortic aneurysms are rare in the pediatric patient population with axillary artery aneurysms accounting for &lt;5% of these. The most common cause of pediatric nonaortic aneurysm is trauma followed by arterial dysplasia. There are only 14 reported cases of idiopathic true axillary aneurysm in the pediatric patient. We present a rare case of an idiopathic isolated right axillary artery aneurysm in a 13-year-old girl, managed with surgical repair with autogenous venous interposition. A thorough workup should be performed in pediatric patients with peripheral aneurysms to determine the etiology, which may guide the clinical management.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101754"},"PeriodicalIF":0.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643230","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":"A practical technique for optimal visualization of popliteal artery in patients with prior knee arthroplasty","authors":"Sachinder Singh Hans MD","doi":"10.1016/j.jvscit.2025.101755","DOIUrl":"10.1016/j.jvscit.2025.101755","url":null,"abstract":"<div><div>A practical technique to visualize popliteal artery in patients with prior knee arthroplasty is described using ipsilateral lateral knee flexion and contralateral oblique position of the image intensifier. This position is well-tolerated without any risk of kinking of the femoral sheath.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101755"},"PeriodicalIF":0.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636649","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":"Revascularization of chronic occluded celiac artery for gastroduodenal coil embolization in massive upper gastrointestinal bleed","authors":"Esther H. Shim MD ,&nbsp;Ryan Lydon MD ,&nbsp;Stephanie S. Hyon MD ,&nbsp;Robert J. Plummer MD ,&nbsp;Thomas Y. Lee MD ,&nbsp;Hal Ginsberg MD","doi":"10.1016/j.jvscit.2025.101750","DOIUrl":"10.1016/j.jvscit.2025.101750","url":null,"abstract":"<div><div>Upper gastrointestinal bleeding is a serious condition often linked to peptic ulcer disease, contributing to significant morbidity and mortality. A 78-year-old male presented with upper gastrointestinal bleeding that required blood product transfusions despite multiple endoscopic interventions. Although embolization or surgical ligation of the gastroduodenal artery was considered, angiography revealed celiac trunk occlusion, which would increase the risk of hepatic ischemia. Recanalization and stenting of the celiac trunk was performed, facilitating successful embolization of the gastroduodenal artery. This case illustrates the importance of considering anatomical variations and patient risk factors for visceral arterial occlusions, reducing morbidity and mortality.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101750"},"PeriodicalIF":0.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679944","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":"Aortic rupture during transcatheter aortic valve replacement requiring emergent thoracic endovascular aortic repair and endograft infection requiring endograft explant","authors":"Ryan Wahidi MD ,&nbsp;Dan Kindell MD ,&nbsp;Puja Kachroo MD ,&nbsp;J.Westley Ohman MD","doi":"10.1016/j.jvscit.2025.101746","DOIUrl":"10.1016/j.jvscit.2025.101746","url":null,"abstract":"<div><div>Infection of endografts after thoracic endovascular aortic repair (TEVAR) is a catastrophic complication with dramatically high morbidity and mortality. We present the case of a 58-year-old gentleman who underwent TEVAR for aortic rupture during transcatheter aortic valve replacement, later presenting with TEVAR infection, endocarditis, and aortobronchial fistula who underwent TEVAR explantation, aortic valve replacement, and aortic reconstruction. The patient consented to publication of his operative course.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101746"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551270","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":"Adjunctive endovascular stent graft reinforcement of the common iliac vein for safer anterior lumbar interbody fusion","authors":"Anahita Shiva BS,&nbsp;Hilary Hayssen MD,&nbsp;Khanjan H. Nagarsheth MD,&nbsp;Eugene Y. Koh MD,&nbsp;Steven C. Ludwig MD,&nbsp;Shahab Toursavadkohi MD","doi":"10.1016/j.jvscit.2025.101747","DOIUrl":"10.1016/j.jvscit.2025.101747","url":null,"abstract":"<div><div>Anterior lumbar surgery is associated with risk of vascular complications that lead to termination of surgical goals. We present the case of a 52-year-old male sustaining injury to the left common iliac vein (CIV) during exploration of the retroperitoneum for revision L5-S1 anterior lumbar interbody fusion. One day after initial exploration and CIV repair, a thoracic endovascular stent graft was placed across the left CIV, allowing for completion of revision anterior lumbar interbody fusion. Adjunctive endograft placement can assist prevention of compounding iatrogenic venous injuries during anterior lumbar surgery. Patients at high risk of injury may benefit most after options are weighed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101747"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563850","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":"Right thoracotomy approach for the management of uncommon type II endoleak after thoracic endovascular aortic repair","authors":"Yoshiyuki Kobayashi MD ,&nbsp;Keiji Uchida MD, PhD ,&nbsp;Kaori Mori MD ,&nbsp;Kiyotaka Suzuki MD ,&nbsp;Aya Saito MD, PhD","doi":"10.1016/j.jvscit.2025.101749","DOIUrl":"10.1016/j.jvscit.2025.101749","url":null,"abstract":"<div><div>An 80-year-old male with a ruptured pseudoaneurysm after aortic dissection repair underwent thoracic endovascular aneurysm repair. The aneurysm expanded from 43 mm to 89 mm over 4 years because of type II endoleak, with computed tomography angiography revealing a patent right intercostobronchial trunk and left bronchial artery on the lesser curvature of the aortic arch. These arteries were successfully dissected via right thoracotomy. During the 2-year postoperative period, the aneurysm remained stable at 80 mm. Open surgical management of the culprit vessel may be effective for type II endoleaks following thoracic endovascular aneurysm repair when endovascular approaches are challenging.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101749"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534257","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":"Eagle’s syndrome complicates a carotid","authors":"Louis Nelson DO,&nbsp;Mark Delacure MD,&nbsp;Loren Masterson MD","doi":"10.1016/j.jvscit.2025.101748","DOIUrl":"10.1016/j.jvscit.2025.101748","url":null,"abstract":"<div><div>Eagle’s syndrome is an abnormal elongation of the styloid process. The abnormality can lead to orofacial pain. Treatment consists of surgical shortening of the styloid process. This report discusses an uncommon occurrence of symptomatic carotid disease in the setting of Eagle’s syndrome. A 73-year-old male presented to clinic with &gt;70% stenosis of the right internal carotid artery. Reviewing the computed tomography angiography revealed an enlarged styloid process superficial to the right internal carotid artery. Upon questioning, the patient related the orofacial pain of Eagle’s syndrome with chewing. In combination with plastic surgery, we performed resection of the styloid process and carotid endarterectomy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101748"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534256","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":"Case studies in heritable vascular disease: Proceedings of the UTHealth Houston Multidisciplinary Aortic Conference","authors":"Milan Jaiswal BA ,&nbsp;Lucas Ribe MD ,&nbsp;Rana O. Afifi MD ,&nbsp;Yuki Ikeno MD ,&nbsp;Alana C. Cecchi MS ,&nbsp;Bihong Zhao MD, PhD ,&nbsp;Akiko Tanaka MD, PhD ,&nbsp;Gustavo S. Oderich MD ,&nbsp;L. Maximilian Buja MD ,&nbsp;Dianna M. Milewicz MD, PhD ,&nbsp;Siddharth K. Prakash MD, PhD ,&nbsp;Anthony L. Estrera MD","doi":"10.1016/j.jvscit.2024.101684","DOIUrl":"10.1016/j.jvscit.2024.101684","url":null,"abstract":"<div><div>Heritable thoracic aortic disease is caused by dominantly inherited mutations in more than a dozen genes, including <em>TGFB2</em> mutations that cause Loeys-Dietz syndrome. McGovern Medical School at UTHealth Houston convenes a regular conference that includes cardiothoracic and vascular surgeons, cardiologists, geneticists, radiologists, and pathologists to formulate multidisciplinary approaches for the management of complex heritable thoracic aortic disease cases. In this report, we highlight the unique management of individuals with distinct presentations of Loeys-Dietz syndrome owing to <em>TGFB2</em> mutations.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101684"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932739","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":"Development and feasibility testing of a new device for home-based leg heat therapy in patients with lower extremity peripheral artery disease","authors":"Bohyun Ro MSc ,&nbsp;John P. Spence BBA ,&nbsp;Paul A. Spence MD ,&nbsp;Christian Buckley BS ,&nbsp;Raghu L. Motaganahalli MD ,&nbsp;Bruno T. Roseguini PhD","doi":"10.1016/j.jvscit.2024.101676","DOIUrl":"10.1016/j.jvscit.2024.101676","url":null,"abstract":"<div><div>People with symptomatic lower extremity peripheral artery disease (PAD) suffer from severe leg pain, walking impairment, and reduced quality of life, but few effective treatments are available. Emerging evidence suggests that regular heat therapy (HT) may improve cardiovascular and physical function in patients with PAD. However, the lack of accessible, practical modalities for unsupervised HT, especially for elderly individuals, has hindered clinical implementation. The goals of this study were to design and assess the feasibility of a portable leg HT system for elderly patients with PAD. Building on a cryotherapy water-circulating device used in sports recovery, we developed a new prototype system consisting of a single-touch controller unit integrating a heater, water pump, and air pump, and leg sleeves with inner-layer water-circulating pads and an outer layer of inflatable bladders. The system was designed to ensure efficient heat transfer through gentle pneumatic inflation, adapting to varying limb dimensions. Safety features included temperature sensors with auto shut-off and a built-in timer. The prototype's feasibility and safety were evaluated in a single-arm pilot trial with six symptomatic patients with PAD, who were asked to apply the therapy daily for 90 minutes for 12 weeks. Primary outcomes included completion rates, safety, and device usability. Secondary outcomes were changes in blood pressure, 6-minute walk distance, calf strength, sit-to-stand performance, and quality of life. Participants underwent a 90-minute supervised treatment session with the prototype HT units to assess the acute physiological responses before starting the 12-week intervention. Leg HT gradually increased leg skin temperature from 33.8 ± 0.8°C to 38.7 ± 0.7°C at 90 minutes and reduced arterial blood pressure, with mean reductions of 13 mm Hg in systolic and 12 mm Hg in diastolic blood pressure after treatment. All participants completed the 12-week program without serious adverse events, indicating that leg HT is safe and well-tolerated. The 6-minute walk distance improved by an average of 32 m, coupled with increased calf muscle strength and reduced time for the sit-to-stand test. Improvements were also observed in self-reported walking speed and quality of life. This study represents the first step in developing a portable leg heating system for elderly patients with PAD, demonstrating that home-based leg HT is feasible and safe. However, further engineering refinements are needed to enhance portability, simplify application, and encourage long-term adherence. Developing methods to track compliance with the treatment regimen will be crucial for the success of this unsupervised, home-based therapy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101676"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932832","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}