{"title":"The use of stent grafts for management of junctional vascular injuries: Is this accepted practice?","authors":"Ilenia D'Alessio MD , Valerio Tolva MD , Ailin Belloni MD , Sandro Lepidi MD , Mario D'Oria MD","doi":"10.1016/j.jvscit.2025.101725","DOIUrl":"10.1016/j.jvscit.2025.101725","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101725"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349244","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}
Marianna Pavlyha MD, Steven Farley MD, Wesley S. Moore MD
{"title":"Recurrent carotid artery stenosis successfully and safely treated with drug-coated balloon angioplasty under flow reversal","authors":"Marianna Pavlyha MD, Steven Farley MD, Wesley S. Moore MD","doi":"10.1016/j.jvscit.2025.101728","DOIUrl":"10.1016/j.jvscit.2025.101728","url":null,"abstract":"<div><div>Carotid artery restenosis after index carotid artery revascularization reduces its stroke prevention benefit. A 73-year-old woman presented with recurrent right carotid artery restenosis following two carotid endarterectomies with patch angioplasty and in-sent restenosis after subsequent transcarotid artery revascularization. We performed in-stent paclitaxel-coated balloon angioplasty under flow reversal with resolution of the lesion on imaging and improvement in symptoms. Patient remains asymptomatic with no evidence of restenosis 16 months after treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101728"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349245","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}
Anthony Wong BS , Noah Nigh BS , Kyle Cunningham DO , Mark Saatzer MD , Brian Beeman MD
{"title":"Management of plaque protrusion in transcarotid artery revascularization with stent-in-stent technique","authors":"Anthony Wong BS , Noah Nigh BS , Kyle Cunningham DO , Mark Saatzer MD , Brian Beeman MD","doi":"10.1016/j.jvscit.2025.101733","DOIUrl":"10.1016/j.jvscit.2025.101733","url":null,"abstract":"<div><div>Transcarotid artery revascularization (TCAR) has emerged as a promising alternative to carotid endarterectomy as an intervention for high risk carotid artery stenosis patients. TCAR provides superior neuroprotection as compared with transfemoral carotid stenting, as well as similar outcomes to carotid endarterectomy. Plaque prolapse (PP) through the stent while rare poses a significant risk of ischemic complications during TCAR. The patient presented with a left internal carotid artery stenosis that was inaccessible surgically. During TCAR, angiography revealed PP through the stent. A second stent was deployed with excellent results. This case highlights TCAR's advantage in managing PP with flow reversal. TCAR's enhanced neuroprotection offers a valuable option for addressing this complication, providing benefits that may not be fully achieved with transfemoral carotid stenting.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101733"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421807","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":"Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia","authors":"Vashisht Madabhushi MD, MPH, Eleanor Dunlap CRNP, Khanjan Nagarsheth MD","doi":"10.1016/j.jvscit.2025.101738","DOIUrl":"10.1016/j.jvscit.2025.101738","url":null,"abstract":"<div><div>Inflow and outflow are the foundational principles of vascular surgery. This especially holds true in patients with peripheral arterial disease with chronic limb-threatening ischemia, who have a long segment occlusion of the superficial femoral artery and infrageniculate disease with inadequate distal targets for a bypass. Percutaneous transmural arterial bypass (PTAB) has demonstrated excellent results the endovascular management of femoropopliteal occlusive disease.<sup>1</sup> However, without adequate outflow, the PTAB will not stay patent. Deep venous arterialization has shown promise in patients with inadequate outflow to the foot.<sup>2</sup> Herein, we describe the first known experience of concomitant PTAB and deep venous arterialization to treat CTLI.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101738"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427792","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}
Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Elisa Lazzeri MD, Giulia Casilli MD, Gianmarco de Donato MD
{"title":"Unconventional retrieval of a guidewire fragment from the pulmonary district following retrograde access for chronic limb-threating ischemia","authors":"Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Elisa Lazzeri MD, Giulia Casilli MD, Gianmarco de Donato MD","doi":"10.1016/j.jvscit.2025.101732","DOIUrl":"10.1016/j.jvscit.2025.101732","url":null,"abstract":"<div><div>Intraprocedural endovascular device fracture and migration is an uncommon complication, with potential catastrophic outcomes. In a 75-year-old woman, retrograde puncture of the superficial femoral artery led to accidental femoral vein puncture and wire coating fragmentation. The fragment migrated up to a sublobar branch of the left pulmonary artery, and again to the right pulmonary artery during the first retrieval attempt. The final retrieval was performed by twisting three 0.014″ wires around the fragment, together with the support provided by the thromboaspiration Indigo-Penumbra catheter. The triple wire twisting technique supported by an aspiration catheter seems to be safe and effective for this serious pulmonary complication.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101732"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387275","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}
Nicolas A. Stafforini MD, Matthew C. Smith MD, PhD
{"title":"Management of a patient with arterial thoracic outlet syndrome and Srb anomaly","authors":"Nicolas A. Stafforini MD, Matthew C. Smith MD, PhD","doi":"10.1016/j.jvscit.2025.101731","DOIUrl":"10.1016/j.jvscit.2025.101731","url":null,"abstract":"<div><div>Thoracic outlet syndrome (TOS) is a group of disorders characterized by the compression of neurovascular structures at the thoracic outlet. Arterial TOS, the least common but most severe form, carries significant thromboembolic risks and has a known association with cervical ribs. Synostosis of a complete first and second rib, termed the Srb anomaly, is rare and occurs in approximately 0.2% of the population. Here, we present a unique case of a 17-year-old boy with right upper extremity claudication owing to arterial TOS from an Srb anomaly. This case emphasizes the successful management of an uncommon condition, the importance of accurate diagnosis and timely intervention.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101731"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453866","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":"Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta","authors":"Akio Shimoji MD, Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2025.101729","DOIUrl":"10.1016/j.jvscit.2025.101729","url":null,"abstract":"<div><div>A 38-year-old man visited the otolaryngology department because of sudden onset of hoarseness a few days ago. A fiberoptic laryngoscopy revealed paralytic left vocal cord, indicating the left recurrent laryngeal nerve paralysis. Computed tomography angiography revealed a 44-mm aortic pseudoaneurysm with thrombus originating at the left subclavian artery. At total aortic arch replacement, an intimal defect was found at the origin of the left subclavian artery, where the pseudoaneurysm originated. A longitudinal ulcer-like lesion of intima was noticed. Pathology of the aortic wall revealed undifferentiated intimal sarcoma of the aorta. The aortic pseudoaneurysm developed owing to invasion of intimal sarcoma.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101729"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349101","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}
Martha Ennis MD, Jurgienne Umali MD, David Pace MD, FRCSC
{"title":"Management of a traumatic superior mesenteric artery injury using superselective angioembolization","authors":"Martha Ennis MD, Jurgienne Umali MD, David Pace MD, FRCSC","doi":"10.1016/j.jvscit.2025.101726","DOIUrl":"10.1016/j.jvscit.2025.101726","url":null,"abstract":"<div><div>We report the successful use of angioembolization to treat mesenteric bleeding in a patient who sustained blunt abdominal trauma. Angiography revealed extravasation from a distal branch of the right colic or ileocolic artery. Interventional radiology superselectively embolized a distal arterial branch supplying the ileum. Total hospital stay was 4 days. Laparotomy is the standard treatment for active mesenteric bleeding. This case highlights the usefulness of superselective embolization to mitigate the need for surgical intervention in a patient with active mesenteric bleeding. Treatment outcomes depend on close clinical monitoring for intestinal ischemia and patient counselling on the potential for surgical intervention.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101726"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403346","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}
Joseph DiBello MD , Justin Smith MD , Michael Sheehan MD , Daniel Lamb MD , Joseph McShannic MD
{"title":"A case of mycotic common iliac aneurysm in a patient with ventriculoperitoneal shunt","authors":"Joseph DiBello MD , Justin Smith MD , Michael Sheehan MD , Daniel Lamb MD , Joseph McShannic MD","doi":"10.1016/j.jvscit.2025.101734","DOIUrl":"10.1016/j.jvscit.2025.101734","url":null,"abstract":"<div><div>Aortoiliac mycotic aneurysm is an uncommon and deadly condition associated with significant perioperative morbidity. We present a case of common iliac mycotic pseudoaneurysm managed with debridement, vessel ligation, and extra-anatomic reconstruction owing to systemic illness. Notably, the patient had an implanted ventriculoperitoneal shunt for a history of cerebral aneurysm and resulting hydrocephalus. This report discusses the ultimately successful management of a large aortoiliac mycotic aneurysm. The patient did contend with bacterial meningitis postoperatively, likely owing to an ascending infection of the aforementioned shunt.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101734"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387274","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":"Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta","authors":"Kosuke Ujihira MD, Reiko Kemmochi MD, Taiichiro Matsumoto MD, Noriyuki Tokunaga MD, PhD, Mitsuaki Matsumoto MD, PhD","doi":"10.1016/j.jvscit.2025.101735","DOIUrl":"10.1016/j.jvscit.2025.101735","url":null,"abstract":"<div><div>Type A aortic dissection after thoracic endovascular aortic repair is a life-threatening complication. We present a case of acute type A aortic dissection that occurred after zone 0 stent grafting with a physician-modified inner branch in the ascending aorta. We performed additional endovascular aortic repair using the sandwich technique, which involved placing a chimney stent graft for the brachiocephalic artery and a main aortic stent graft covered by a shortened outer stent graft in the ascending aorta. This technique minimized device diameter, preventing over-dilatation of the true lumen, with sufficient overlap of the stent grafts.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101735"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376593","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}