Ahmad Tabatabaeishoorijeh BS , Bright Benfor MD , Simon J. Montelongo DO , Eric K. Peden MD
{"title":"A rare case of spontaneous carotid sheath abscess presenting as a painful neck mass","authors":"Ahmad Tabatabaeishoorijeh BS , Bright Benfor MD , Simon J. Montelongo DO , Eric K. Peden MD","doi":"10.1016/j.jvscit.2024.101591","DOIUrl":"10.1016/j.jvscit.2024.101591","url":null,"abstract":"<div><p>Infections of the carotid arteries and sheath without any underlying etiology are extremely uncommon. In this article, we report the successful open repair of a right carotid sheath abscess in a 71-year-old woman with multiple comorbidities. The repair consisted of excision of the affected carotid segment and reconstruction by interposition of a reversed great saphenous vein graft. Postoperative Doppler ultrasound examination showed patent right carotid artery, and the patient demonstrated no recurrence postoperatively. This case suggests that, although rare, spontaneous carotid sheath remains a possible cause of neck mass, warranting high suspicion index for optimal treatment in a timely manner to avoid further complications.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001758/pdfft?md5=9b91f20b69840c6a533eca35934e14d4&pid=1-s2.0-S2468428724001758-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098818","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}
Garrett Ruff BS , Louis Iannuzzi DPT , Frank Ross MD
{"title":"Treating a case of diabetic stump ulceration after Chopart's amputation with total contact casting","authors":"Garrett Ruff BS , Louis Iannuzzi DPT , Frank Ross MD","doi":"10.1016/j.jvscit.2024.101589","DOIUrl":"10.1016/j.jvscit.2024.101589","url":null,"abstract":"<div><p>Chopart's amputation is a limb length-preserving amputation that retains function but often suffers from stump ulcerations. We report a case of a 68-year-old male patient with poorly controlled type 2 diabetes mellitus and peripheral arterial disease who underwent left Chopart's amputation, presenting subsequently with nonhealing ulcers at the Chopart stump and heel for >1 year. Total contact casting was initiated, resulting in rapid wound healing without further interventions. This case highlights total contact casting's effectiveness in managing ulcerations post-Chopart's amputation, potentially preventing revision amputations, and extending its usefulness to complex foot anatomy in patients with diabetes and peripheral arterial disease.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001734/pdfft?md5=2fa4afdd56a7c447d35bf156f61654b4&pid=1-s2.0-S2468428724001734-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098817","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}
Samuel Paci MD , Vincent Narvaez MD , Yana Etkin MD
{"title":"Proximalization of arterial inflow with adjunctive arterial pressure measurements for management of hemodialysis access-induced distal ischemia","authors":"Samuel Paci MD , Vincent Narvaez MD , Yana Etkin MD","doi":"10.1016/j.jvscit.2024.101590","DOIUrl":"10.1016/j.jvscit.2024.101590","url":null,"abstract":"<div><p>Hemodialysis access-induced distal ischemia (<em>HAIDI</em>) is an uncommon, yet potentially devastating, complication of hemodialysis access surgery. Management of HAIDI depends on the access' volume flow and may involve banding, proximalization of arterial inflow, revision using distal inflow, distal revascularization interval ligation, or access ligation. Various adjunctive techniques have been used to confirm improved distal arterial flow intraoperatively. Here, we present a case of a patient with grade 3 HAIDI treated with proximalization of arterial inflow technique with the adjunctive use of intra-arterial pressure gradient measurements.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001746/pdfft?md5=a321e4aab3bab599aaced7f885c5a757&pid=1-s2.0-S2468428724001746-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151967","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}
Travis G. Hughes MD , Mark A. Wurth MD, PhD , Mary B. Sheppard MD
{"title":"Tissue plasminogen activator associated pulmonary hemorrhage in patient with ACTA2-associated arteriopathy","authors":"Travis G. Hughes MD , Mark A. Wurth MD, PhD , Mary B. Sheppard MD","doi":"10.1016/j.jvscit.2024.101558","DOIUrl":"10.1016/j.jvscit.2024.101558","url":null,"abstract":"<div><p>Pulmonary hemorrhage after administration of tissue plasminogen activator (tPA) is a rare complication. We present a 15-year-old boy with a heterozygous pathogenic variant in <em>ACTA2</em> who presented with right brachial artery aneurysm thrombosis treated initially with tPA, resulting in pulmonary hemorrhage. We hypothesize that the underlying pulmonary abnormalities caused by the pathogenic <em>ACTA2</em> variant may be a risk factor for pulmonary hemorrhage after tPA administration.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001424/pdfft?md5=24767bcdbfba2f049b38eb9ac63f33fc&pid=1-s2.0-S2468428724001424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840602","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}
Richard S. Whitlock MD , Vivek A. Patel MD , Joseph L. Mills Sr. MD , Zachary S. Pallister MD , Ramyar Gilani MD
{"title":"Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields","authors":"Richard S. Whitlock MD , Vivek A. Patel MD , Joseph L. Mills Sr. MD , Zachary S. Pallister MD , Ramyar Gilani MD","doi":"10.1016/j.jvscit.2024.101570","DOIUrl":"10.1016/j.jvscit.2024.101570","url":null,"abstract":"<div><p>Intra-abdominal arterial reconstructions in the setting of reoperative, contaminated, or frankly infected fields can be a challenging undertaking for even the most experienced vascular surgeons. Open surgical arterial transpositions have been less commonly performed than other methods of reconstruction in the current era of vascular surgery despite many historical reports of successful outcomes. Autologous artery transpositions represent a viable option in the case of an infected or a contaminated operative field. We have described the cases of three patients treated at our institution who had required intra-abdominal revascularization in a contaminated or frankly infected surgical field. All three patients were successfully treated using open native visceral artery transposition procedures. These cases presented multiple challenges secondary to the ongoing infections, infected operative field, and, sometimes, a history of multiple vascular bypasses involving the aorta and visceral arteries. In such circumstances, we have demonstrated the effectiveness of native visceral arterial transposition as a feasible technique.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001540/pdfft?md5=3e687cf19e98ce9f90a286edb1afc05d&pid=1-s2.0-S2468428724001540-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849396","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}
Julia Fayanne Chen MD, MPH , Kong Teng Tan MD , Thomas F. Lindsay MD
{"title":"Retrograde type B aortic dissection after fenestrated-branched endovascular aortic aneurysm repair","authors":"Julia Fayanne Chen MD, MPH , Kong Teng Tan MD , Thomas F. Lindsay MD","doi":"10.1016/j.jvscit.2024.101586","DOIUrl":"10.1016/j.jvscit.2024.101586","url":null,"abstract":"<div><div>Retrograde type B aortic dissection after perivisceral aortic endograft placement is a rare occurrence, not well described in literature. A handful of case reports describe this complication after infrarenal endovascular aortic aneurysm repair (EVAR). We have identified retrograde type B aortic dissection after fenestrated-branched EVAR (F/BEVAR) as a rare, but real complication. We describe diagnosis and management of 4 such occurrences in the context of 344 F/BEVARs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849451","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":"Surgical management of infected endovascular aortic stent graft secondary to Coxiella burnetii infection","authors":"Sai Konda MD , Daniel Ihnat MD , Paul Orecchia MD","doi":"10.1016/j.jvscit.2024.101581","DOIUrl":"10.1016/j.jvscit.2024.101581","url":null,"abstract":"<div><p>The management of an endograft infection with <em>Coxiella burnetti</em> (Q fever) is presented. In this case report, we describe a unique case of an endovascular aneurysm repair (EVAR) that was originally placed for a 6.4-cm abdominal aortic aneurysm with an aorto-left renal vein fistula. In retrospect, the abdominal aortic aneurysm was most likely infected at the time of EVAR. The patient presented 2 years later with a virulent infection of the stent graft requiring explantation and reconstruction. This case highlights surgical management of an infected EVAR with homograft reconstruction and subsequent antibiotic management.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001655/pdfft?md5=52f73c52993d9915d7de581783a313a8&pid=1-s2.0-S2468428724001655-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843794","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}
Tariq Alanezi MBBS , Abdulhakim Ibrahim Bin Onayq MBBS , Mohammed Al-Omran MD, MSc
{"title":"Pediatric carotid body tumors: A case report and systematic review","authors":"Tariq Alanezi MBBS , Abdulhakim Ibrahim Bin Onayq MBBS , Mohammed Al-Omran MD, MSc","doi":"10.1016/j.jvscit.2024.101584","DOIUrl":"10.1016/j.jvscit.2024.101584","url":null,"abstract":"<div><p>Carotid body tumors (CBTs), or chemodectomas, are rare, especially in the pediatric population. They often present with minimal symptoms, making timely diagnosis challenging. This case report and systematic review highlights a distinctive presentation and summarize the current evidence on pediatric CBTs. We report a case of a 13-year-old girl presenting with neck pain and a left-sided neck mass. After extensive evaluation, a Shamblin type III tumor was identified and removed surgically. Postoperatively, the patient experienced transient hypertension and significant dysphagia, both of which resolved within a few weeks with no permanent sequelae. Histology confirmed a benign paraganglioma. A systematic literature review of PubMed identified 29 cases from 23 published studies spanning from 1968 to 2024. The average age at diagnosis was 12.6 ± 3.6 years. The most common symptom was a neck mass or swelling, reported in 75% of cases (n = 21). Tumor sizes ranged from 1.3 to 8.0 cm, with Shamblin III being the most frequent classification. Gross total resection (n = 25 [89.3%]) alone or in combination with preoperative embolization (n = 10 [35.7%]) were the most common methods of management. In 62.1% of cases, there were no permanent complication or sequelae. The proximity to vital neurovascular structures and high vascularity in pediatric patients necessitates careful perioperative interdisciplinary management. Owing to their rarity and nonspecific presentation, CBTs often remain undiagnosed for years. They respond well to treatment, but can be fatal if untreated, underscoring the importance of including CBTs in the differential diagnosis of pediatric neck masses.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001680/pdfft?md5=d97f58d1385861bfad80f029c473aeb7&pid=1-s2.0-S2468428724001680-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845857","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}
Simon S. Park PhD , Lorela Weise MD , Carlos F. Bechara MD , Phillip J. DeChristopher MD, PhD , Michael C. Soult MD
{"title":"Intraoperative cell salvage technique in patients undergoing complex endovascular aortic repair","authors":"Simon S. Park PhD , Lorela Weise MD , Carlos F. Bechara MD , Phillip J. DeChristopher MD, PhD , Michael C. Soult MD","doi":"10.1016/j.jvscit.2024.101582","DOIUrl":"10.1016/j.jvscit.2024.101582","url":null,"abstract":"<div><p>Complex endovascular aortic repair (EVAR) requires the use of multiple small sheath cannulation inside a large sheath. Because the large sheath is not designed for multiple small sheath cannulation, large amounts of blood loss can be encountered in complex EVARs. Cell Saver can be used effectively in complex EVARs using a modified draping technique, allowing for increased cell salvage and autogenous transfusions as needed.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001667/pdfft?md5=a8a31ba112251342e654b5f9a5263cca&pid=1-s2.0-S2468428724001667-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848317","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}
Michele Antonello MD, PhD, Marco James Bilato MD, Sabrina Menara MD, Franco Grego MD, Michele Piazza MD, Francesco Squizzato MD
{"title":"Carbon dioxide cone-beam computed tomography for the technical assessment of endovascular aortic intervention","authors":"Michele Antonello MD, PhD, Marco James Bilato MD, Sabrina Menara MD, Franco Grego MD, Michele Piazza MD, Francesco Squizzato MD","doi":"10.1016/j.jvscit.2024.101580","DOIUrl":"10.1016/j.jvscit.2024.101580","url":null,"abstract":"<div><p>Cone-beam computed tomography (CBCT) is widely used for the technical assessment of standard and complex endovascular aortic interventions. Use of iodinated contrast in CBCT imaging might provide useful additional information; however, this also increases the procedural contrast dose, which may cause renal function deterioration, and the radiation exposure. We describe the technique and feasibility of carbon-dioxide (CO<sub>2</sub>)-enhanced CBCT for the technical assessment of standard and complex endovascular aortic repair. In our experience CO<sub>2</sub>-CBCT had no related adverse events and provided satisfactory imaging quality to assess endograft integrity, vessels patency, and was safely performed in case of severe chronic renal insufficiency.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001643/pdfft?md5=7af8306cfc3c8f60f72a8a796aac751f&pid=1-s2.0-S2468428724001643-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842147","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}