Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Transdermal laser associated with sclerotherapy in tumescent anesthesia for the treatment of telangiectatic matting","authors":"Dominique Rodas Costa MD","doi":"10.1016/j.jvscit.2025.102029","DOIUrl":"10.1016/j.jvscit.2025.102029","url":null,"abstract":"<div><div>Telangiectatic matting refers to the proliferation of fine vessels with less than 0.2 mm diameter, often occurring as a secondary effect of sclerotherapy using hypertonic glucose or foam. It is one of the most aesthetically distressing and challenging complications of reticular vein and telangiectasia treatments, with spontaneous resolution reported between 3 to 12 months. The 1064-nm Nd:YAG transdermal laser holds a level 2b recommendation for treating matting, although various strategies have been explored due to the complexity of this condition. This case report presents the successful management of persistent matting using transdermal laser associated with sclerotherapy and tumescent anesthesia.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102029"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569346","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":"Staged endovascular and open surgical repair of an aortoenteric fistula with complex autologous lower extremity revascularization","authors":"Mark S. Zemela MD ,&nbsp;Benjamin Feng MD ,&nbsp;Abigail Clark MD ,&nbsp;Katherine McMackin MD ,&nbsp;Joseph V. Lombardi MD, MBA","doi":"10.1016/j.jvscit.2025.102067","DOIUrl":"10.1016/j.jvscit.2025.102067","url":null,"abstract":"<div><div>A 72-year-old female presented to an outside hospital after her legs gave out and she fell at home. Computed tomography angiography revealed an aortoenteric fistula. Given her extensive and complex revascularization history, including an aortobifemoral bypass, femoral-femoral bypass, and multiple lower extremity revascularizations, she was transferred to our facility for further management and definitive repair. She underwent staged endovascular exclusion of the aortoenteric fistula followed by definitive open aortic repair and lower extremity revascularization 3 days later. Her postoperative course was uneventful, and she was discharged on hospital day 10.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102067"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736326","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":"Pseudoaneurysm of the abdominal aorta due to brucella infection: Next-generation sequencing diagnosis and endovascular treatment","authors":"Rui Li ,&nbsp;Songliang Yao MS ,&nbsp;Xin Li MD","doi":"10.1016/j.jvscit.2025.102032","DOIUrl":"10.1016/j.jvscit.2025.102032","url":null,"abstract":"<div><div>Primary infective pseudoaneurysm of the abdominal aorta caused by Brucella is an uncommon clinical condition. In this report, we describe a case in which the etiological diagnosis established through direct sampling of blood from the pseudoaneurysm cavity via a single catheter, followed by next-generation sequencing The patient was treated with endovascular abdominal aortic repair combined with catheter-mediated local perfusion through the same catheter. Our experience demonstrated that direct sampling from the lesion effectively reduced the false-negative rate associated with peripheral blood testing. Furthermore, the combination of endovascular aneurysm repair and targeted local antibiotic delivery exhibited considerable clinical efficacy in the management of this infectious pseudoaneurysm, offering a valuable approach to the treatment of similar cases.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102032"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615391","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":"Early clinical experiences with AI-based EVAR planning using the Endoleak Risk Index support its value for individualized decision-making and education","authors":"Paula Rosalie Keschenau MD, FEBVS ,&nbsp;Mats Döring ,&nbsp;Sharif Elshafei MD ,&nbsp;Daniel Palacios MD ,&nbsp;Mirja Stark MD ,&nbsp;Mohammed Ghazal MD ,&nbsp;Jean-Noël Albertini MD ,&nbsp;Johannes Kalder MD","doi":"10.1016/j.jvscit.2025.102037","DOIUrl":"10.1016/j.jvscit.2025.102037","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to evaluate our first experience with the use of the artificial intelligence-based Endoleak Risk Index (ERI) in the planning of infrarenal endovascular aortic repair with special regard on its impact on clinical decision-making.</div></div><div><h3>Methods</h3><div>This single-center study evaluated two patient groups treated with Endurant endovascular aortic repair (EVAR). Group 1 comprised a retrospective cohort with at least 3 years of follow-up. The ERI was calculated for this group from preoperative computed tomography angiography scans and compared with the actual outcome. The prospective group 2 included patients scheduled for elective EVAR from March 2024 to March 2025, with preoperative AI-based simulations for endograft sizing including ERI calculation for type 1a endoleak (EL1a) risk prediction. The influence of ERI on clinical decision-making was assessed. Patients with noncontrast computed tomography scans or scans with slice thickness greater than 3 mm were excluded.</div></div><div><h3>Results</h3><div>Twenty patients were included, with 10 in each group and a median age of 70 years (range, 59-81 years) in group 1 and 72 years (range, 60-84 years) in group 2. In group 1, the ERI was elevated in six of 10 cases, with four patients experiencing perioperative or late EL1as during follow-up. Notably, two patients with elevated ERI did not develop EL1a over follow-up periods of 93 and 44 months, whereas all patients with low ERI remained free of endoleaks. Two patients in group 2 had low ERI and no EL1a, whereas two had elevated ERI for at least one simulated endograft size, leading to a change in treatment (larger endograft) for one patient. The remaining six patients had elevated ERI for all simulated sizes, with one case being unsuitable for infrarenal EVAR. Despite elevated ERI, the initial treatment plan remained unchanged for four patients, one of whom died due to cardiac reasons before implantation. Overall, no patients in group 2 developed EL1a during a median follow-up of 3 months (range, 1-12 months).</div></div><div><h3>Conclusions</h3><div>This pilot study suggests that ERI calculation can be valuable even in straightforward cases, emphasizing the importance of education in the EVAR planning process. With further validation from larger datasets and advancements in technology, artificial intelligence-based EL1a risk prediction has the potential to significantly enhance EVAR planning in the future, promoting patient safety by providing tailored treatment strategies and supporting the surgeon in his decision-making.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102037"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615464","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 simple and fast technique to cannulate the contralateral gate","authors":"Pekka Aho MD, PhD,&nbsp;Patrick Björkman MD, PhD,&nbsp;Sani Laukontaus MD, PhD,&nbsp;Maarit Venermo MD, PhD","doi":"10.1016/j.jvscit.2025.101991","DOIUrl":"10.1016/j.jvscit.2025.101991","url":null,"abstract":"<div><div>In challenging anatomy and large aneurysms, cannulation of the contralateral gate may be time-consuming and sometimes requires crossover approach with a snare. At Helsinki University Hospital, we have since 2016 used the so-called side-rail technique. This technique is described in detail in this paper including video material on the performance of the procedure. We have found this simple technique to be time and radiation sparing, and we now use it routinely in most endovascular aortic repair procedures.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 101991"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468151","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":"Utilization of Zenith Alpha Thoracic 2.0 to facilitate physician-modified triple retrograde inner branched endovascular repair of the aortic arch via a single percutaneous femoral access","authors":"Carrie Tackett DO,&nbsp;Kenneth Han BA,&nbsp;Gregory Estrera MD,&nbsp;Fernando Fleischman MD,&nbsp;Sukgu M. Han MD, MS","doi":"10.1016/j.jvscit.2025.102017","DOIUrl":"10.1016/j.jvscit.2025.102017","url":null,"abstract":"<div><div>Fenestrated and branched endovascular aortic repair offers a less invasive alternative to open surgery for complex aortic arch pathologies. However, access to dedicated total arch fenestrated and branched endovascular aortic repair devices remains limited. Physician-modified endografts represent a feasible and adaptable strategy in such cases. In this report, we describe the use of the Zenith Alpha Thoracic 2.0 (ZTA2) (Cook Medical) stent graft in the creation of a physician-modified, triple inner-branched device specifically designed for total endovascular repair of the aortic arch. Key device-specific modifications and procedural techniques that facilitate arch repair are discussed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102017"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520632","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":"Successful ultrasound-guided percutaneous embolization of splenic artery pseudoaneurysm with Glubran 2 cyanoacrylate glue: A case report","authors":"Mohammed S. Almasri MBBS ,&nbsp;Abdullah S. Almawi MBBS ,&nbsp;Fahad A. Almejrad MBBS ,&nbsp;Ibrahim M. Almutairi MBBS ,&nbsp;Salah M. Altwijri MBBS","doi":"10.1016/j.jvscit.2025.102023","DOIUrl":"10.1016/j.jvscit.2025.102023","url":null,"abstract":"<div><div>The current report presents a case of a 50-year-old female who developed worsening abdominal pain following the initiation of dual antiplatelet therapy for a recent diagnosis of non-ST elevation myocardial infarction. Clinical suspicion of intra-abdominal hemorrhage prompted computed tomography imaging, which revealed a splenic artery pseudoaneurysm at the splenic hilum, accompanied by hemoperitoneum. Subsequent angiography showed no active extravasation. The patient was treated successfully with transabdominal ultrasound-guided percutaneous embolization using a mixture of N-butyl cyanoacrylate and Lipiodol. The procedure was completed without complications and resulted in significant symptomatic improvement.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102023"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520633","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":"Endovascular aortic repair with iliac branch endoprosthesis for short common iliac aneurysm","authors":"Satoshi Sakakibara MD ,&nbsp;Kazuo Shimamura MD, PhD ,&nbsp;Yoshiki Watanabe MD, PhD ,&nbsp;Takashi Shirakawa MD, PhD ,&nbsp;Fumio Yamana MD ,&nbsp;Shigeru Miyagawa MD, PhD","doi":"10.1016/j.jvscit.2025.102066","DOIUrl":"10.1016/j.jvscit.2025.102066","url":null,"abstract":"<div><div>Iliac branch endoprosthesis is an effective method for preserving the internal iliac artery blood flow during endovascular aortic repair. We describe the case of a right common iliac artery aneurysm complicated by a left internal iliac artery occlusion in a 74-year-old man. To preserve perfusion of the right internal iliac artery in a patient with a short common iliac artery, an iliac branch endoprosthesis device was connected to the AFX and deployed 15 mm above the aortic bifurcation. The absence of an endoleak on postoperative computed tomography indicated technical success and potential effectiveness of the procedure.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102066"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839178","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":"Zone 3 resuscitative endovascular balloon occlusion of the aorta: Deflating doubts, one trauma at a time","authors":"Benson Law MSc ,&nbsp;Melissa Côté MSc ,&nbsp;Arielle Muyal BSc ,&nbsp;Ian Ball MD ,&nbsp;Shane Smith MD","doi":"10.1016/j.jvscit.2025.102069","DOIUrl":"10.1016/j.jvscit.2025.102069","url":null,"abstract":"<div><div>Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a controversial intervention for managing noncompressible torso hemorrhage in hemodynamically unstable trauma patients. This case highlights the ideal use of zone 3 REBOA in a patient who sustained severe pelvic trauma after a tree fell on him. Zone 3 REBOA was rapidly deployed as part of the institution's zone 3 REBOA protocol, leading to immediate hemodynamic improvement. Despite ongoing controversies around the use of REBOA in trauma, this case demonstrates how timely zone 3 REBOA, executed within an established trauma protocol by a clinician with sufficient training, can serve as a life-saving intervention.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102069"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839182","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":"Information for Authors","authors":"Matthew Smeds (Editor)","doi":"10.1016/j.jvscit.2026.102164","DOIUrl":"10.1016/j.jvscit.2026.102164","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102164"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022223","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}