Journal of Vascular Surgery Cases Innovations and Techniques最新文献

{"title":"Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia","authors":"Vashisht Madabhushi MD, MPH,&nbsp;Eleanor Dunlap CRNP,&nbsp;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.¹ However, without adequate outflow, the PTAB will not stay patent. Deep venous arterialization has shown promise in patients with inadequate outflow to the foot.² 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}

{"title":"Management of a patient with arterial thoracic outlet syndrome and Srb anomaly","authors":"Nicolas A. Stafforini MD,&nbsp;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":"Unconventional retrieval of a guidewire fragment from the pulmonary district following retrograde access for chronic limb-threating ischemia","authors":"Leonardo Pasquetti MD,&nbsp;Edoardo Pasqui MD,&nbsp;Giuseppe Galzerano MD,&nbsp;Elisa Lazzeri MD,&nbsp;Giulia Casilli MD,&nbsp;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}

{"title":"Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta","authors":"Akio Shimoji MD,&nbsp;Naoto Fukunaga MD, PhD,&nbsp;Tatsuto Wakami MD,&nbsp;Otohime Mori MD,&nbsp;Kosuke Yoshizawa MD,&nbsp;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}

{"title":"Management of a traumatic superior mesenteric artery injury using superselective angioembolization","authors":"Martha Ennis MD,&nbsp;Jurgienne Umali MD,&nbsp;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}

{"title":"A case of mycotic common iliac aneurysm in a patient with ventriculoperitoneal shunt","authors":"Joseph DiBello MD ,&nbsp;Justin Smith MD ,&nbsp;Michael Sheehan MD ,&nbsp;Daniel Lamb MD ,&nbsp;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,&nbsp;Reiko Kemmochi MD,&nbsp;Taiichiro Matsumoto MD,&nbsp;Noriyuki Tokunaga MD, PhD,&nbsp;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}

{"title":"Abdominal aortic aneurysm classification based on dynamic intraluminal thrombus analysis during cardiac cycle","authors":"Alice Guest PhD ,&nbsp;Arianna Forneris PhD ,&nbsp;Alessandro Satriano PhD ,&nbsp;Randy D. Moore MD ,&nbsp;Elena S. Di Martino PhD","doi":"10.1016/j.jvscit.2025.101736","DOIUrl":"10.1016/j.jvscit.2025.101736","url":null,"abstract":"<div><div>The major complication of abdominal aortic aneurysm (AAA) is sudden rupture with an associated high mortality rate. The only clinical classifier for the risk of AAA rupture is the size of the aneurysm or its maximum diameter. We reviewed the role of intraluminal thrombus (ILT) by investigating the motion of both the lumen and wall surfaces of ILT throughout the cardiac cycle. We hypothesize that the response of the thrombus to the cyclic blood pressure provides insight into the state of the thrombus and its propensity to rupture, akin to what could be obtained from a mechanical compression test. Patients were selected from two studies: patients who underwent surgical intervention and patients from a retrospective study of AAA growth. Patients were selected to provide a wide range of AAA behaviors leading to a disease progression. Multiphase computed tomographic images of 14 patients were obtained from Peter Lougheed Hospital in Calgary, Canada. The geometries of the aortic wall and lumen were segmented from the images, and thrombus volume was determined at ten evenly spaced phases of the cardiac cycle. Where possible, the results were matched to known ex vivo mechanical properties, growth, and clinical outcomes for each AAA. The relative changes of wall, lumen, and thrombus volumes throughout the cardiac cycle classified AAAs into four types: (1) type I, aneurysms with a minimal wall movement, negative lumen expansion, and positive ILT expansion, (2) type II, aneurysms whose lumen undergoes small expansion, while the expansion is accommodated by the ILT and wall, (3) type III, a transition type characterized by lumen, wall, and thrombus expansions, and (4) type IV, characterized by lumen expansion matching or exceeding wall expansion, while the thrombus exhibits very small or negative deformation. This last behavior leads to an over-pressurized thrombus, which could enable the formation of permeable channels, often observable in medical images obtained in patients experiencing aneurysm rupture. By providing insight into thrombus behavior and the likelihood of channel development in the thrombus, AAA classification can improve the assessment of clinical risk for aneurysms: type I is associated with a stiff aneurysm wall that resists thrombus deformation and may be related to the risk of dissection, type II and type III are transition types, and type IV is associated with the formation of permeable channels and thrombus cracks which may indicate possible risk of rupture.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101736"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427646","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 novel hybrid approach to treatment of multiple mesenteric aneurysms in a patient with celiac artery occlusion from Suspected chronic median arcuate ligament syndrome","authors":"Prashanth S. Iyer MD ,&nbsp;Vamsi K. Potluri MD ,&nbsp;Jennifer L. Worsham MD ,&nbsp;Christine L. Shokrzadeh MD ,&nbsp;Zulfiqar Cheema MD ,&nbsp;Charlie Cheng MD ,&nbsp;Michael B. Silva Jr. MD","doi":"10.1016/j.jvscit.2025.101730","DOIUrl":"10.1016/j.jvscit.2025.101730","url":null,"abstract":"<div><div>The management of visceral artery aneurysms is evolving with endovascular coiling and covered stent placement used as alternatives to open repair. Celiac artery occlusion or compression complicates ablative endovascular management. The purpose of this report was to discuss the etiology of this uncommon phenomenon and describe a novel hybrid approach to treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101730"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464821","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":"Hybrid approach for recurrence nutcracker syndrome involving left renal vein stenting with laparoscopic stent external fixation","authors":"Mattia Mirandola MD ,&nbsp;Bruno Migliara MD ,&nbsp;Gaetano Grosso MD ,&nbsp;Rossella Bertoloni MD ,&nbsp;Andrea Griso MD ,&nbsp;Daniele Bissacco MD","doi":"10.1016/j.jvscit.2025.101739","DOIUrl":"10.1016/j.jvscit.2025.101739","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101739"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349246","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}