{"title":"Evaluating the feasibility of contrast-enhanced ultrasound for detecting after preemptive coiling endoleaks in endovascular aortic aneurysm repair: A pilot study","authors":"Marco Panagrosso MD , Qasam Ghulam MD , Stevo Duvnjak MD , Timothy Resch MD, PhD","doi":"10.1016/j.jvscit.2024.101563","DOIUrl":"10.1016/j.jvscit.2024.101563","url":null,"abstract":"<div><p>Endovascular aortic aneurysm repair is widely used for the treatment of abdominal aortic aneurysm (AAA), but has a 10% to 40% incidence of type II endoleak during follow-up. There are various techniques to treat these endoleaks in the case of enlarging of the AAA, but the clinical effectiveness is low. In recent years, preemptive AAA sac embolization has shown some encouraging results with significant AAA shrinkage. However, the presence of embolic material can complicate continued endoleak detection making assessment of treatment outcome difficult. We investigate the ability of contrast-enhanced-ultrasound examination to detect endoleaks in patients undergoing preemptive coil embolization of the AAA sac.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001473/pdfft?md5=46c4e1ccf3bb940b64f446abe1690d1d&pid=1-s2.0-S2468428724001473-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711044","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 classic article that has never been read in English","authors":"Emmanouil Pappou MD, PhD , Rebecca Sorber MD , Thomas Reifsnyder MD","doi":"10.1016/j.jvscit.2024.101564","DOIUrl":"10.1016/j.jvscit.2024.101564","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001485/pdfft?md5=4439b74e59b0265caf42e1c011705c73&pid=1-s2.0-S2468428724001485-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709339","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}
Pierfrancesco Antonio Annuvolo MD , Ottavia Borghese MD , Tommaso Donati MD , Giovanni Tinelli MD , Yamume Tshomba MD
{"title":"Physician-modified endograft for symptomatic zone 2 penetrating ulcer of the aortic arch without bridging stenting of the left subclavian artery for vertebral preservation","authors":"Pierfrancesco Antonio Annuvolo MD , Ottavia Borghese MD , Tommaso Donati MD , Giovanni Tinelli MD , Yamume Tshomba MD","doi":"10.1016/j.jvscit.2024.101557","DOIUrl":"10.1016/j.jvscit.2024.101557","url":null,"abstract":"<div><p>We report the case of a 65-year-old male patient who was deemed unfit for open surgery and underwent zone 0 endovascular repair with a physician-modified fenestrated endograft for a symptomatic penetrating ulcer. A thoracic stent graft was modified creating a large fenestration for the innominate artery and the left common carotid artery, and a second small fenestration for the left subclavian artery and the left vertebral artery, which had a common origin. No bridging stent was used for the left subclavian artery to avoid coverage of the left vertebral artery. The postoperative course was uneventful, and no leaks nor other complications were detected on postoperative computed tomography angiography. Although long-term durability needs to be better assessed, our experience suggests that physician-modified fenestrated endografts are a feasible option for the emergent treatment of aortic arch lesions in unfit patients and provide satisfactory results in the short term.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001412/pdfft?md5=24a4ef3de7395d65f161db1ae2b311f9&pid=1-s2.0-S2468428724001412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699506","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}
Bright Benfor MD, Jacob B. Watson MD, Tarundeep Singh MD, Eric K. Peden MD
{"title":"Successful mechanical thrombectomy of an intermediate-high risk acute pulmonary embolism using the Alpha Vac aspiration catheter","authors":"Bright Benfor MD, Jacob B. Watson MD, Tarundeep Singh MD, Eric K. Peden MD","doi":"10.1016/j.jvscit.2024.101560","DOIUrl":"10.1016/j.jvscit.2024.101560","url":null,"abstract":"<div><p>Large-bore aspiration thrombectomy is emerging as a promising alternative for thrombus removal in acute pulmonary embolism (PE). In this article, we report a successful case with the newly approved AlphaVac F18<sup>85</sup> device in a 76-year-old patient presenting with an intermediate- to high-risk acute PE. Preoperative imaging demonstrated bilateral PE with a modified miller index of 30 and an right ventricle-to-left ventricle ratio of 2.1. Mechanical thrombectomy was performed under local anesthesia with mild sedation. The pulmonary artery pressures decreased from 85/27 to 46/13 immediately after thrombectomy. The postoperative course was notable for marked symptom improvement and repeat imaging showed a 63% decrease in clot burden with a decrease in right ventricle-to-left ventricle ratio to 1.3.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001448/pdfft?md5=0b29e7ac43a0a8ec03587f0d2db7cb29&pid=1-s2.0-S2468428724001448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712094","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}
Mohammad M. Zagzoog MD , Sean A. Crawford MD , Jean-Michel Davaine MD, PhD
{"title":"Complicated type B aortic dissection in a pregnant woman with Marfan syndrome","authors":"Mohammad M. Zagzoog MD , Sean A. Crawford MD , Jean-Michel Davaine MD, PhD","doi":"10.1016/j.jvscit.2024.101561","DOIUrl":"10.1016/j.jvscit.2024.101561","url":null,"abstract":"<div><p>Marfan syndrome is a rare inherited connective tissue disorder that can result in significant morbidity and mortality. We report a case of a 29-year-old pregnant woman presenting with an acute type B aortic dissection. Owing to cardiopulmonary decompensation and intestinal malperfusion, she underwent an emergency cesarean section followed by left subclavian to carotid transposition and thoracic endovascular aortic repair that was complicated by a retrograde type A aortic dissection and was managed surgically. Molecular testing confirmed the diagnosis of Marfan syndrome. This case highlights that multidisciplinary and hybrid management of challenging cases of acute aortic syndromes can result in a favorable outcome.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246842872400145X/pdfft?md5=e703e9036d0be1f690a5959649fa6d63&pid=1-s2.0-S246842872400145X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707726","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}
Lauren M. Heyda MD , Kai Hata MD , Erin Koelling MD , Brandon Propper MD , Jonathan Jay Sexton MD
{"title":"A technique for prevention of posterior stroke during urgent revascularization of an acutely ischemic left upper extremity","authors":"Lauren M. Heyda MD , Kai Hata MD , Erin Koelling MD , Brandon Propper MD , Jonathan Jay Sexton MD","doi":"10.1016/j.jvscit.2024.101559","DOIUrl":"10.1016/j.jvscit.2024.101559","url":null,"abstract":"<div><p>Upper extremity acute limb ischemia (ALI) owing to obstruction proximal to the vertebral artery poses the risk of posterior stroke during intervention. We describe a case of upper extremity ALI secondary to thrombosis of the proximal left subclavian artery with thromboembolic occlusion at the brachial bifurcation. The patient underwent a hybrid procedure of open thromboembolectomy with endovascular vertebral artery embolic protection. The patient's distal pulses and upper extremity function returned to baseline, without evidence of posterior stroke. A literature review revealed limited reports of the use of cerebral embolic protection in the setting of emergent thromboembolectomy for upper extremity ALI.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001436/pdfft?md5=e93a3deefd6d5679cc8d18f5148122a8&pid=1-s2.0-S2468428724001436-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699652","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}
Mark Awad MD , Nicholas Schaper BS , Saideep Bose MD , Matthew R. Smeds MD
{"title":"Treating deep venous insufficiency with a novel implantable device","authors":"Mark Awad MD , Nicholas Schaper BS , Saideep Bose MD , Matthew R. Smeds MD","doi":"10.1016/j.jvscit.2024.101554","DOIUrl":"10.1016/j.jvscit.2024.101554","url":null,"abstract":"<div><p>Chronic venous insufficiency (CVI) is increasing in prevalence on a global scale. Current treatment options are limited to improving venous return, ablation of refluxing veins, and reducing outflow obstruction. A new bioprosthetic device, the VenoValve, may bridge the gap of treatment for patients with chronic venous insufficiency who have failed prior treatment. We demonstrate the treatment of a 72-year-old man with bilateral venous insufficiency and leg wounds using this device in his left femoral vein via an open anterior surgical approach. The patient had no postoperative complications, and a patent valve at 6 months. The VenoValve may be a viable option for patients with advanced chronic venous insufficiency.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001382/pdfft?md5=9d961cb4d28bca8971a8753e121dc572&pid=1-s2.0-S2468428724001382-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731788","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":"Thirty-nine-year-old woman with a right renal artery aneurysm: Technique for open repair","authors":"","doi":"10.1016/j.jvscit.2024.101555","DOIUrl":"10.1016/j.jvscit.2024.101555","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001394/pdfft?md5=2c2633dbe2b95fe55c6956cb558d7b95&pid=1-s2.0-S2468428724001394-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390014","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":"Delayed abdominal aortic aneurysm sac rupture after open repair","authors":"","doi":"10.1016/j.jvscit.2024.101552","DOIUrl":"10.1016/j.jvscit.2024.101552","url":null,"abstract":"<div><p>Open surgical repair of abdominal aortic aneurysm (AAA) is often regarded as a near-permanent operation with little long-term complications. Reported herein is a case of delayed rupture of an enlarging AAA sac after open repair requiring re-exploration in a patient presenting with flank pain and ipsilateral hydronephrosis. The natural history of a large, excluded aneurysm sac after open AAA repair, hypothesized etiology for this rare occurrence, and proposed diagnostic and therapeutic algorithm are described.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001369/pdfft?md5=3308b8b3dbbb17b2b2bff3a327368b81&pid=1-s2.0-S2468428724001369-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411954","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}
Ada Dajci MD, Alireza Mohseni MS, Alessia Di Girolamo MD, Pier Giorgio Nardis MD, Luca di Marzo MD, PhD, Wassim Mansour MD, PhD
{"title":"Percutaneous gluteal artery access to embolize false lumen of type B aortic dissection in marfan patient","authors":"Ada Dajci MD, Alireza Mohseni MS, Alessia Di Girolamo MD, Pier Giorgio Nardis MD, Luca di Marzo MD, PhD, Wassim Mansour MD, PhD","doi":"10.1016/j.jvscit.2024.101553","DOIUrl":"10.1016/j.jvscit.2024.101553","url":null,"abstract":"<div><p>This case study presents an innovative endovascular approach using percutaneous gluteal artery access for embolizing the false lumen of a type B aortic dissection in a patient with Marfan syndrome. Following multiple complex surgeries, the patient developed an enlarging thoraco-abdominal aneurysm, necessitating an urgent intervention branched endoprosthesis despite persisting false lumen perfusion. Doppler ultrasound-guided percutaneous gluteal access was utilized for spiral-coil embolization of the false lumen. Successful embolization and exclusion of the aneurism, confirmed by follow-up angiography and computed tomography scans, demonstrated the technique’s efficacy and safety. This approach underscores the need for innovative solutions addressing complex vascular pathologies in patients with Marfan.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001370/pdfft?md5=b83a0f9f6583df444ef226fcc33f2f41&pid=1-s2.0-S2468428724001370-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415900","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}