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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Parallel endograft repair of an aortic anastomotic pseudoaneurysm in a patient with middle aortic syndrome
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-25 DOI: 10.1016/j.jvscit.2024.101718
Arash Fereydooni MD, MS, MHS, Marcos T. Kuroki MD, PhD, Jason T. Lee MD
{"title":"Parallel endograft repair of an aortic anastomotic pseudoaneurysm in a patient with middle aortic syndrome","authors":"Arash Fereydooni MD, MS, MHS,&nbsp;Marcos T. Kuroki MD, PhD,&nbsp;Jason T. Lee MD","doi":"10.1016/j.jvscit.2024.101718","DOIUrl":"10.1016/j.jvscit.2024.101718","url":null,"abstract":"<div><div>A 66-year-old female, with a history of middle aortic syndrome, who had been treated with aorto-iliac bypass, presented 47 years later with a pseudoaneurysm at the distal anastomosis. She was treated with parallel grafting and preservation of a large lumbar artery via periscope approach. This case highlights the challenges and considerations in managing aortic anastomotic pseudoaneurysms, particularly in patients with complex surgical histories with extra-anatomic debranching bypasses.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101718"},"PeriodicalIF":0.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081586","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}
引用次数: 0
Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-25 DOI: 10.1016/j.jvscit.2024.101717
Saurabh Gupta MD , Joshua Plant MD , Javaneh Jabbari MD , Arian Savadkohi , Shahab Toursavadkohi MD
{"title":"Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique","authors":"Saurabh Gupta MD ,&nbsp;Joshua Plant MD ,&nbsp;Javaneh Jabbari MD ,&nbsp;Arian Savadkohi ,&nbsp;Shahab Toursavadkohi MD","doi":"10.1016/j.jvscit.2024.101717","DOIUrl":"10.1016/j.jvscit.2024.101717","url":null,"abstract":"<div><div>Total transfemoral endovascular repair of thoracoabdominal aneurysms is feasible with physician-modified endografts. We present our technique for exclusively delivering the Gore Excluder thoracoabdominal branch endoprosthesis (W. L. Gore &amp; Associates) via transfemoral access. A 16 Fr steerable sheath is positioned outside the partially deployed thoracoabdominal branch endoprosthesis device, and the preloaded wires are individually snared, allowing for a stable 8 Fr coaxial system to cannulate and deliver stents to target vessels. This technique avoids upper extremity access and maintains all wires within the descending thoracic aorta, allowing implantation in patients with challenging aortic arch configurations and potentially mitigating stroke risk.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101717"},"PeriodicalIF":0.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143161760","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}
引用次数: 0
Tactful with Stat Tacks – inferior epigastric artery pseudoaneurysm post-hernia repair
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-24 DOI: 10.1016/j.jvscit.2024.101716
Alexandra Sim MD , David Evans BSc, MBBS, FRACS , Thomas M. Warburton BMed, MTrauma , Wingtung M. Ma BMed
{"title":"Tactful with Stat Tacks – inferior epigastric artery pseudoaneurysm post-hernia repair","authors":"Alexandra Sim MD ,&nbsp;David Evans BSc, MBBS, FRACS ,&nbsp;Thomas M. Warburton BMed, MTrauma ,&nbsp;Wingtung M. Ma BMed","doi":"10.1016/j.jvscit.2024.101716","DOIUrl":"10.1016/j.jvscit.2024.101716","url":null,"abstract":"<div><div>Pseudoaneurysm is a rarely reported but recognized complication of abdominal surgery. We present the workup and endovascular intervention of an inferior epigastric artery (IEA) pseudoaneurysm that developed 5 years after a laparoscopic hernia repair using a Stat Tacks (Medtronic) mesh fixation device.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101716"},"PeriodicalIF":0.7,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081590","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}
引用次数: 0
Successful management of mycotic visceral aneurysms in a LVAD patient and navigating LVAD postoperative challenges
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-24 DOI: 10.1016/j.jvscit.2024.101715
Kendall Wermine MD , Salman Gohar MD , Rusty Milhoan MD , Bryan Youree MD , Vivek Ramarathnam MD , Mohammad Alqaim MD
{"title":"Successful management of mycotic visceral aneurysms in a LVAD patient and navigating LVAD postoperative challenges","authors":"Kendall Wermine MD ,&nbsp;Salman Gohar MD ,&nbsp;Rusty Milhoan MD ,&nbsp;Bryan Youree MD ,&nbsp;Vivek Ramarathnam MD ,&nbsp;Mohammad Alqaim MD","doi":"10.1016/j.jvscit.2024.101715","DOIUrl":"10.1016/j.jvscit.2024.101715","url":null,"abstract":"<div><div>This report presents a unique case of concurrent mycotic aneurysms in a 64-year-old male left ventricular assist device (LVAD) recipient. Initially admitted with odontogenic maxillary fungal sinusitis and fungemia, he later presented to our clinic with significant weight loss, fatigue, and LVAD complications. Imaging revealed a large complex mid-superior mesenteric artery aneurysm with multiple associated jejunal branches and a ruptured splenic aneurysm. Although these aneurysms were successfully managed, it is important to note the challenges in postoperative care, including anticoagulation-related complications such as post-splenectomy hematoma and intracranial bleeding. This case highlights the delicate balance between therapeutic interventions and managing LVAD-related complexities.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101715"},"PeriodicalIF":0.7,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081588","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}
引用次数: 0
Aberrant right renal perfusion from right internal mammary artery 右乳内动脉右肾灌注异常。
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-19 DOI: 10.1016/j.jvscit.2024.101713
Avkash J. Patel MD , Woosup Michael Park MD , Jirat Chenbhanich MD , Heather L. Gornik MD , Jae S. Cho MD
{"title":"Aberrant right renal perfusion from right internal mammary artery","authors":"Avkash J. Patel MD ,&nbsp;Woosup Michael Park MD ,&nbsp;Jirat Chenbhanich MD ,&nbsp;Heather L. Gornik MD ,&nbsp;Jae S. Cho MD","doi":"10.1016/j.jvscit.2024.101713","DOIUrl":"10.1016/j.jvscit.2024.101713","url":null,"abstract":"<div><div>Renal artery (RA) anomaly is common and may have significant clinical implications. We present a case of a 29-year-old man in whom the upper two-thirds of the right kidney were supplied by the right internal mammary artery and collateral network. Additionally, the superior left RA had proximal stenosis with a distal aneurysm. Renin sampling confirmed renovascular hypertension. He successfully underwent aorta-to-superior right RA bypass and primary repair of superior left RA aneurysm. This case adds to existing knowledge of RA anomalies, and underscores the importance of comprehensive evaluations for alternate renal blood supply for effective surgical management of renovascular hypertension.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101713"},"PeriodicalIF":0.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068580","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}
引用次数: 0
Novel approach to treating calcified infrarenal aortic stenosis using intravascular lithotripsy without stenting
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-18 DOI: 10.1016/j.jvscit.2024.101709
Sara Allievi MD, Igor Raunig MD, Sebastiano Tasselli MD, Stefano Bonvini MD, PhD
{"title":"Novel approach to treating calcified infrarenal aortic stenosis using intravascular lithotripsy without stenting","authors":"Sara Allievi MD,&nbsp;Igor Raunig MD,&nbsp;Sebastiano Tasselli MD,&nbsp;Stefano Bonvini MD, PhD","doi":"10.1016/j.jvscit.2024.101709","DOIUrl":"10.1016/j.jvscit.2024.101709","url":null,"abstract":"<div><div>This case report presents the use of intravascular lithotripsy (IVL) in a 68-year-old woman with disabling bilateral claudication owing to a heavily calcified subocclusive stenosis of the infrarenal aorta. The patient had a history of tobacco use, dyslipidemia, and chronic obstructive pulmonary disease, with absent femoral pulses and severe arterial calcification. A 12-mm Shockwave L6 lithotripsy catheter was employed to treat the aortic lesion, resulting in a significant decrease in the aortic pressure gradient without the need for stenting. The patient experienced complete symptom resolution postoperatively, and at 1 month, follow-up imaging confirmed vessel patency with no sign of restenosis. IVL, used here as a standalone treatment, demonstrated effectiveness in modifying calcified plaques and restoring vessel compliance, offering a less complex and potentially more cost-effective alternative to stent grafting in calcified aortic lesions. This case highlights the potential of IVL as a safe and effective treatment option in select patients with calcified infrarenal aortic stenosis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101709"},"PeriodicalIF":0.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048205","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}
引用次数: 0
Hybrid repair of aortic aneurysm in a patient with a congenital pelvic kidney
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-18 DOI: 10.1016/j.jvscit.2024.101708
Halli Krzyzaniak MD, BSc , Naomi Wedel MD, BSc , Ali Fatehi Hassanabad MD, PhD , Richard Cormack MD, FRCPC , Kenton Rommens MD, FRCSC
{"title":"Hybrid repair of aortic aneurysm in a patient with a congenital pelvic kidney","authors":"Halli Krzyzaniak MD, BSc ,&nbsp;Naomi Wedel MD, BSc ,&nbsp;Ali Fatehi Hassanabad MD, PhD ,&nbsp;Richard Cormack MD, FRCPC ,&nbsp;Kenton Rommens MD, FRCSC","doi":"10.1016/j.jvscit.2024.101708","DOIUrl":"10.1016/j.jvscit.2024.101708","url":null,"abstract":"<div><div>We describe a patient with an asymptomatic infrarenal abdominal aortic aneurysm. Treatment decisions were complicated by the presence of a left congenital pelvic kidney supplied by two renal arteries originating from the proximal common iliac arteries bilaterally and respiratory status that was prohibitive to open repair. A hybrid surgical repair was performed with a bifurcated aortic endograft and parallel grafting to revascularize the pelvic renal arteries. This procedure was combined with a right common iliac endovascular occlusion and femoral-femoral bypass. This case adds to the limited reports of endovascular management of patients with concomitant aneurysmal disease and ectopic kidneys.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101708"},"PeriodicalIF":0.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068583","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}
引用次数: 0
Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-17 DOI: 10.1016/j.jvscit.2024.101707
Satoshi Sakakibara MD, Takashi Yamauchi MD, PhD
{"title":"Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair","authors":"Satoshi Sakakibara MD,&nbsp;Takashi Yamauchi MD, PhD","doi":"10.1016/j.jvscit.2024.101707","DOIUrl":"10.1016/j.jvscit.2024.101707","url":null,"abstract":"<div><div>A 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was anastomosed to bilateral axillary arteries. After clamping the left common carotid artery (LCCA), the regional cerebral oxygen saturation decreased notably. Therefore, we used selective cerebral perfusion using a roller pump with a filter to prevent embolization, a 24F sheath inserted into the left common femoral artery (drainage cannula), and a balloon perfusion catheter inserted into the LCCA (arterial cannula). This technique improved the rSO<sub>2</sub> and was continued during anastomosis of the graft to the LCCA. Thoracic endovascular aortic repair was performed after debranching from the right axillary artery to the LCCA and left axillary artery. The patient was discharged 7 days postoperatively without cerebral complications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101707"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061191","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}
引用次数: 0
Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-17 DOI: 10.1016/j.jvscit.2024.101714
Jack F. Donaghue BA , Kirthi S. Bellamkonda MD, MSc , Bjoern D. Suckow MD, MS , Jock N. McCullough MD
{"title":"Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection","authors":"Jack F. Donaghue BA ,&nbsp;Kirthi S. Bellamkonda MD, MSc ,&nbsp;Bjoern D. Suckow MD, MS ,&nbsp;Jock N. McCullough MD","doi":"10.1016/j.jvscit.2024.101714","DOIUrl":"10.1016/j.jvscit.2024.101714","url":null,"abstract":"<div><div>Intercostal artery pseudoaneurysm is an exceedingly rare complication seen after chest wall insult, either through trauma or operative procedures. We present a case of a 74-year-old man with mitral regurgitation and aortic stenosis who underwent aortic and mitral valve replacement via sternotomy. At the 1-month follow-up, a 1-cm pulsatile mass was noted adjacent to the left of the sternotomy in the sixth intercostal space. Concern for a pseudoaneurysm of the intercostal artery prompted evaluation with ultrasound, which demonstrated a pseudoaneurysm originating from an intercostal artery. This unusually located pseudoaneurysm was treated with ultrasound-guided thrombin injection with complete resolution.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101714"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143161759","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}
引用次数: 0
Physician modification of the Gore conformable endovascular aortic device using inner branches
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-17 DOI: 10.1016/j.jvscit.2024.101710
Mitri K. Khoury MD, Richard T. Rogers MD, Venkatesh Ramaiah MD, Hasan Aldailami MD
{"title":"Physician modification of the Gore conformable endovascular aortic device using inner branches","authors":"Mitri K. Khoury MD,&nbsp;Richard T. Rogers MD,&nbsp;Venkatesh Ramaiah MD,&nbsp;Hasan Aldailami MD","doi":"10.1016/j.jvscit.2024.101710","DOIUrl":"10.1016/j.jvscit.2024.101710","url":null,"abstract":"<div><div>Endovascular aortic repair has become the preferred treatment modality for patients with abdominal aortic aneurysms. However, there are no commercially available endovascular options in patients with infrarenal necks measuring &lt;4 mm. To address the limitations of commercially available options, physician-modified endografts became a technique used by vascular surgeons. In this report, we describe a case of a patient treated with a physician-modified Gore conformable endograft using inner branches along with how to perform the procedure.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101710"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387273","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}
引用次数: 0
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