Shreef Said MD , Emily Gu BA , Andrew X. Li MD , Sarah Ann Loh MD , Hamid Mojibian MD , Masoud Azodi MD , Cassius Iyad Ochoa Chaar MD
{"title":"The multidisciplinary management of a patient with infected iliocaval stents and uterine cancer invasion","authors":"Shreef Said MD , Emily Gu BA , Andrew X. Li MD , Sarah Ann Loh MD , Hamid Mojibian MD , Masoud Azodi MD , Cassius Iyad Ochoa Chaar MD","doi":"10.1016/j.jvscit.2026.102128","DOIUrl":"10.1016/j.jvscit.2026.102128","url":null,"abstract":"<div><div>Females with gynecological cancer have an increased risk of deep vein thrombosis related to hypercoagulability and mechanical compression on adjacent veins. This report discusses the multidisciplinary management of a patient with thrombosis and infection of iliocaval stents owing to recurrent uterine carcinoma invasion, requiring en bloc resection of the mass with curative oncological and infectious intent. A two-stage procedure was performed. The first stage involved an extra-anatomical left axillary to superficial femoral artery bypass and embolization of the left external iliac artery. The second stage entailed radical resection of the mass and left iliac vessels, including the infected stents.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102128"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167194","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}
Tyler Drummond BS, Jonathan Bennett BS, Pamela Zimmerman MD, Lakshmikumar Pillai MD, Matthew Cunningham-Hill MD
{"title":"Transradial left subclavian branch cannulation during thoracic branched endovascular repair: Feasibility and early to midterm outcomes from a single center","authors":"Tyler Drummond BS, Jonathan Bennett BS, Pamela Zimmerman MD, Lakshmikumar Pillai MD, Matthew Cunningham-Hill MD","doi":"10.1016/j.jvscit.2026.102146","DOIUrl":"10.1016/j.jvscit.2026.102146","url":null,"abstract":"<div><div>Fifteen consecutive patients underwent GORE TAG thoracic branch endoprosthesis repair (November 2022 to January 2024) with transradial left subclavian artery branch cannulation (14/15 [93%]; 60% urgent or emergent). Technical success was 100% and median operative time was 88 minutes. Thirty-day mortality was 0%, 73% were discharged home, and no permanent neurological deficits occurred. One intraoperative brachial artery occlusion was treated with open thrombectomy. Three reinterventions occurred within 1 year, and one non-aorta-related death occurred at 8 months; no late branch occlusions or stent graft failures were observed. Transradial branch cannulation is feasible with low early morbidity rates and acceptable midterm durability.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102146"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167221","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}
Ezra Y. Koh MD, Akiko Tanaka MD, PhD, Naveed U. Saqib MD, Anthony L. Estrera MD
{"title":"Explant of an infected aortic arch fenestrated stent graft with extra-anatomic reconstruction","authors":"Ezra Y. Koh MD, Akiko Tanaka MD, PhD, Naveed U. Saqib MD, Anthony L. Estrera MD","doi":"10.1016/j.jvscit.2025.102085","DOIUrl":"10.1016/j.jvscit.2025.102085","url":null,"abstract":"<div><div>Fenestrated and branched endovascular aortic repair has increasingly been implemented to treat aortic arch pathology. Infection of these endografts is a rare complication—and one that has not yet been described for fenestrated and branched endovascular aortic repair of the arch. We present a 61-year-old man who presented with an infection of a fenestrated arch endograft secondary to an aortoesophageal fistula. He underwent staged surgical treatment using extra-anatomic bypasses. His postoperative course was complicated by prolonged hypoxemic respiratory failure and the development of end-stage renal disease. The patient was readmitted and died 93 days postoperatively because of surgical complications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102085"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978900","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}
Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD
{"title":"Nickel allergy complicating iliac vein stent requiring explantation","authors":"Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD","doi":"10.1016/j.jvscit.2025.102093","DOIUrl":"10.1016/j.jvscit.2025.102093","url":null,"abstract":"<div><div>Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102093"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038727","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":"Interstitial pneumonitis following the implantation of a paclitaxel-eluting stent in a patient with peripheral arterial disease","authors":"Makoto Haga MD, PhD , Yuko Iwata MD, PhD , Jun Nitta MD, PhD , Junetsu Akasaka MD, PhD","doi":"10.1016/j.jvscit.2025.102096","DOIUrl":"10.1016/j.jvscit.2025.102096","url":null,"abstract":"<div><div>We report a case of interstitial pneumonitis after paclitaxel-eluting stent implantation for peripheral arterial disease in a 74-year-old man. Five weeks after the procedure, the patient developed dyspnea and bilateral ground-glass opacities, with a paclitaxel dose (1169 μg) exceeding the recommended limit (1034 μg). Hypersensitivity to paclitaxel likely caused interstitial pneumonitis, confirmed by elevated Krebs von den Lungen-6 levels and exclusion of other etiologies. Corticosteroid therapy improved symptoms. Clinicians should monitor for rare but serious paclitaxel-induced pulmonary hypersensitivity in patients with peripheral arterial disease.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102096"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939650","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":"Multiple arterial aneurysms involving the thoracoabdominal aorta and renal arteries in a young patient with possible heritable etiology: Two-stage open surgical repair management","authors":"Annarita Santoro MD , Marian Broasca MD , Horatiu Moldovan MD , Fiorenza De Lisio MD , Francesca Sanvito MD , Germano Melissano MD","doi":"10.1016/j.jvscit.2025.102084","DOIUrl":"10.1016/j.jvscit.2025.102084","url":null,"abstract":"<div><div>Multilevel arterial aneurysm refers to aneurysms in multiple sites, such as the aorta, cerebral, or peripheral arteries, often caused by atherosclerosis, heritable thoracic aortic disease, inflammation, or infection. We report the case of a 48-year-old patient with multilevel arterial aneurysm managed with staged open surgical repair. The first surgery addressed an 11-cm abdominal aortic aneurysm and renal artery aneurysms, followed by thoracoabdominal aortic aneurysm repair. Both procedures were uneventful, with successful grafting and preserved organ perfusion. Six-month follow-up computed tomography scan showed no complications. Postoperative genetic testing revealed two variants of uncertain significance (PKD1, FBN1). Open surgical repair proved safe and effective in a high-volume center.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102084"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940077","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}
Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS
{"title":"Supraceliac aorta to superior mesenteric artery bypass with reimplantation of celiac artery into a single conduit—An alternative surgical approach for treatment of chronic mesenteric ischemia","authors":"Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS","doi":"10.1016/j.jvscit.2025.102094","DOIUrl":"10.1016/j.jvscit.2025.102094","url":null,"abstract":"<div><div>When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) and superior mesenteric artery (SMA) have been described. We present three low-risk patients with symptomatic chronic mesenteric ischemia and occlusion of both CA and SMA treated using an alternative open surgical technique: supraceliac aorta-to-SMA bypass with reimplantation of the CA into the side of the conduit (supraceliac aorta-SMA-CA bypass), with low morbidity and excellent clinical outcomes. There are few reports of the use of this procedure in the contemporary vascular literature.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102094"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940081","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}
Yaqub Ahmedfiqi BS , Michael Chaney MD , Nicholas Stevens DO , Chidambaram Nachiappan BS , Saad Shebrain MD , Sheldon Maltz MD
{"title":"Traumatic superior mesenteric artery pseudoaneurysm complicated by high-output arteriovenous fistula","authors":"Yaqub Ahmedfiqi BS , Michael Chaney MD , Nicholas Stevens DO , Chidambaram Nachiappan BS , Saad Shebrain MD , Sheldon Maltz MD","doi":"10.1016/j.jvscit.2025.102082","DOIUrl":"10.1016/j.jvscit.2025.102082","url":null,"abstract":"<div><div>Mesenteric pseudoaneurysms are uncommon vascular lesions most often resulting from trauma, iatrogenic injury, or local inflammation. Arteriovenous fistula formation following pseudoaneurysm development is a reported but exceedingly rare complication. Herein presented is the case of a 57-year-old male who sustained multiple injuries in a high-speed motor vehicle collision and was found to have a pseudoaneurysm of the superior mesenteric artery, further complicated by arteriovenous fistula formation. This presented clinically as persistent atrial fibrillation with rapid ventricular response, high output heart failure, and hemodynamic instability. This was repaired in an open fashion, resulting in immediate cardiac stabilization and an overall favorable outcome for the patient.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102082"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978895","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}
Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD
{"title":"Coil embolization for type IA endoleak after thoracic branched endoprosthesis placement in type B dissection","authors":"Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD","doi":"10.1016/j.jvscit.2025.102101","DOIUrl":"10.1016/j.jvscit.2025.102101","url":null,"abstract":"<div><div>Although the use of thoracic branched endoprosthesis to treat thoracic aortic pathologies is increasing, literature regarding the management of associated complications is limited. A large left subclavian artery infundibulum can lead to type IA endoleaks around the base of the graft branch/left subclavian artery due to a decreased seal zone along the greater aortic curvature. Here we present three cases of successful coil embolization to treat type IA endoleak after thoracic branched endoprosthesis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102101"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940078","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 case of intravascular leiomyomatosis with intracardiac extension","authors":"Crystal Jin-Yang Sia MBBS, Jack Kian Ch'ng FRCS","doi":"10.1016/j.jvscit.2025.102076","DOIUrl":"10.1016/j.jvscit.2025.102076","url":null,"abstract":"<div><div>Intravascular leiomyomatosis is a rare, histologically benign tumor that exhibits clinically aggressive behavior owing to its unique tendency to spread through the venous system resulting in life-threatening complications. Although complete surgical resection remains the cornerstone of treatment, it presents significant technical and perioperative challenges. This paper aims to outline key considerations essential for achieving a safe and complete resection.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102076"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886457","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}