Austėja Račytė MD , Luis H. Arzola MD , Anders Wanhainen MD, PhD , Giuseppe Asciutto MD, PhD , Marek Kuzniar MD, PhD , Kevin Mani MD, PhD
{"title":"Left subclavian artery bridging stent fracture after in-situ laser fenestration during emergent thoracic endovascular aortic repair","authors":"Austėja Račytė MD , Luis H. Arzola MD , Anders Wanhainen MD, PhD , Giuseppe Asciutto MD, PhD , Marek Kuzniar MD, PhD , Kevin Mani MD, PhD","doi":"10.1016/j.jvscit.2024.101550","DOIUrl":"10.1016/j.jvscit.2024.101550","url":null,"abstract":"<div><p>In-situ laser fenestration (ISLF) has been described as a viable option for urgent thoracic aortic aneurysm cases involving supra-aortic vessels. There are, however, limited data on its durability. Here, we present a case of a 70-year-old man with a symptomatic 13-cm thoracic aortic aneurysm extending proximally to the origin of the left subclavian artery (LSA). Emergent thoracic endovascular aortic repair with chimney stenting of the left common carotid artery and ISLF for the LSA was successfully performed. During the follow-up, a compression of the bridging stent to the LSA progressed to a stent fracture needing realignment. Despite ISLF’s reported technical success, this case highlights the risk of bridging stent complications, emphasizing the need for a close follow-up.</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/S2468428724001345/pdfft?md5=e62eb06ac616c5258a23d3567c2b5cdd&pid=1-s2.0-S2468428724001345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401773","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":"Anaphylactoid reactions during implantation of polymer-filled ring stent grafts for treatment of abdominal aortic aneurysms","authors":"Félix H. Savoie-White MD, MSc , Caroline Marchand MD , Ievgen Gegiia MD, MSc , Yves Lachance-Lemay MD , Nathalie Gilbert MD , Julien Bernatchez MD, MSc , Ghislain Nourissat MD, MSc","doi":"10.1016/j.jvscit.2024.101551","DOIUrl":"10.1016/j.jvscit.2024.101551","url":null,"abstract":"<div><p>Polymer ring stent grafts from Endologix are reliable to treat challenging abdominal aortic aneurysm anatomy (hostile neck and tortuous or narrow iliac arteries). Rare cases of anaphylactoid reactions have been reported during the filing time of the graft rings due to polymer leakage. Management with amines, an antihistamine drug, and supportive care quickly stabilized both of our patients, which permitted the continuation and completion of their surgery. In our experience, there was no death-related events nor negative impact on patients surgical and clinical outcomes. We report on polymer leakage using the Ovation IX and ALTO stent grafts resulting in an anaphylactoid reaction.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001357/pdfft?md5=98c519521736f1b081e7f86f157ec068&pid=1-s2.0-S2468428724001357-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411172","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}
Marcos M. Fonseca MD, Faberson J. Mocelin MD, Lara R. Poltronieri MD, Jose L. Guimaraes Filho MD
{"title":"Treatment of varicose veins using the Cryo laser after foam technique","authors":"Marcos M. Fonseca MD, Faberson J. Mocelin MD, Lara R. Poltronieri MD, Jose L. Guimaraes Filho MD","doi":"10.1016/j.jvscit.2024.101549","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101549","url":null,"abstract":"<div><p>Sclerotherapy is the treatment of choice for telangiectasias and reticular veins. The most common side effects of this procedure are hyperpigmentation and matting, which are feared owing to their aesthetic damage and difficulty of treatment. Combined treatments with laser and hypertonic glucose sclerotherapy have been described with excellent results, but limited to treatment of veins of ≤2 mm in diameter. Cryo laser after foam sclerotherapy is a procedure to treat reticular veins in the lower extremities that utilizes first foam sclerotherapy with polidocanol than immediately followed by transdermal Nd:YAG 1064 laser treatment and we can treat veins ≤5 mm. This report presents a successful case of varicose vein treatment using combined transdermal laser and sclerotherapy with foam sclerotherapy with polidocanol to treat veins >2.5 mm in diameter.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001333/pdfft?md5=33c7db338fd4b117b32854a0335228f3&pid=1-s2.0-S2468428724001333-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481712","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":"Sutureless endovascular bypass technique in long femoropopliteal occlusions","authors":"Milton Sérgio Bohatch Júnior MD, Roberto Teodoro Beck MD","doi":"10.1016/j.jvscit.2024.101547","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101547","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246842872400131X/pdfft?md5=c5bbcb6b93c1fe2af1cdd93edfb06f77&pid=1-s2.0-S246842872400131X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592990","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}
Sarah Sternbach BS , John Taggert MD , William Raible MD , Yaron Sternbach MD , Kathleen Ozsvath MD
{"title":"Venous pseudoaneurysm in a dialysis patient","authors":"Sarah Sternbach BS , John Taggert MD , William Raible MD , Yaron Sternbach MD , Kathleen Ozsvath MD","doi":"10.1016/j.jvscit.2024.101548","DOIUrl":"https://doi.org/10.1016/j.jvscit.2024.101548","url":null,"abstract":"<div><p>We present a case of embolization for post-angioplasty pseudoaneurysm of the internal mammary vein. A 62-year-old male presented to the emergency department with right upper extremity edema. One month prior, he underwent angioplasty of right cephalic, subclavian, and innominate veins for similar symptoms but felt they had worsened. Computed tomography with intravenous contrast revealed pseudoaneurysm of the right internal mammary vein, and the patient was taken emergently to the operating room where embolization was successfully performed. Central venous pseudoaneurysm is a rare complication of angioplasty and the unique considerations of the anatomic region necessitate discussion of the optimal treatment modality.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001321/pdfft?md5=91528508deaa90e0572153b39280f8a8&pid=1-s2.0-S2468428724001321-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594585","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}
Erin Gaudette MD , Meshaal AlOtaibi MD , Claudia Cote MD, MHA , Christopher Lightfoot MD , Patrick Casey MD , Samuel Jessula MDCM, MSc, FRCSC
{"title":"Retroperitoneal approach for ilio-superior mesenteric artery bypass: Technique and case series","authors":"Erin Gaudette MD , Meshaal AlOtaibi MD , Claudia Cote MD, MHA , Christopher Lightfoot MD , Patrick Casey MD , Samuel Jessula MDCM, MSc, FRCSC","doi":"10.1016/j.jvscit.2024.101546","DOIUrl":"10.1016/j.jvscit.2024.101546","url":null,"abstract":"<div><p>In patients with chronic mesenteric ischemia, options for revascularization include endovascular angioplasty, stenting and open surgery, with the latter typically favored in patients who have failed or who are not candidates for endovascular intervention. Here we describe a retroperitoneal approach for open surgical revascularization in patients with a hostile abdomen. We present a case series of five patients from our institution. The median age was 72 years, the mean operative time was 143.6 minutes and 90-day mortality rate was 0. This case series demonstrates the technical feasibility, success, and safety of this approach in patients with anatomic factors that would render a traditional open surgical approach for revascularization technically difficult.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001308/pdfft?md5=4c1008bbadd76812bf22de21e2c1cdb1&pid=1-s2.0-S2468428724001308-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137311","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":"Acetabular and pelvic fracture repair complicated by phlegmasia cerulea dolens: A report of limb salvage with open thrombectomy and modified Palma procedure","authors":"Melissa C. Hetrick DO , Graham W. Long MD, FSVS","doi":"10.1016/j.jvscit.2024.101544","DOIUrl":"10.1016/j.jvscit.2024.101544","url":null,"abstract":"<div><p>A 57-year-old man presented after a fall, which resulted in acetabular and pelvic fractures. He underwent fracture fixation, which was complicated by iliac vein occlusion, leading to phlegmasia cerulea dolens. He underwent lower extremity surgical venous thrombectomy, contralateral iliac vein stent placement, and modified Palma procedure with an expanded polytetrafluoroethylene venous crossover bypass and arteriovenous fistula creation. His postoperative course was unremarkable and he regained full function of the extremity without significant stasis complications. The bypass and stent remain patent 3 years postoperatively. Although iliac vein injury during acetabular fracture repair is rare, prompt recognition and intervention prevent limb loss.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246842872400128X/pdfft?md5=b1cfdedc1ac9839cc3e34713b795ed25&pid=1-s2.0-S246842872400128X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143178","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}
Jackie M. Zhang MD, Benjamin R. Zambetti MD, Mirnal A. Chaudhary MD, Swati Chaparala MD, Khanjan Nagarsheth MD
{"title":"Hybrid approach to deep vein arterialization as an adjunct for patients with severe medial calcinosis","authors":"Jackie M. Zhang MD, Benjamin R. Zambetti MD, Mirnal A. Chaudhary MD, Swati Chaparala MD, Khanjan Nagarsheth MD","doi":"10.1016/j.jvscit.2024.101545","DOIUrl":"10.1016/j.jvscit.2024.101545","url":null,"abstract":"<div><p>Patients with no-option chronic limb-threatening ischemia are not candidates for conventional revascularization options and will inevitably require major amputation. Deep venous arterialization (DVA) is a potential option for these patients. A complete endovascular system to perform DVA has recently received great acclaim and US Foor and Drug Administration approval. However, patients with severe tibial medial calcinosis such as those with diabetes or renal failure may not be candidates for this because most endovascular needles cannot penetrate severe calcium. Here we describe a novel hybrid approach to DVA that provided technical success in three patients with end-stage renal disease and severe medial calcinosis.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001291/pdfft?md5=63c09c576aad385042e31502d858d8d5&pid=1-s2.0-S2468428724001291-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140347","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 technique for H-shaped reinforcement of double-barreled aorta in surgical treatment of chronic aortic dissection","authors":"Shun-Ichiro Sakamoto MD, PhD , Atsushi Hiromoto MD , Kenji Suzuki MD, PhD , Takayoshi Matsuyama MD , Shin-ichi Osaka MD, PhD , Yosuke Ishii MD, PhD","doi":"10.1016/j.jvscit.2024.101543","DOIUrl":"10.1016/j.jvscit.2024.101543","url":null,"abstract":"<div><p>Anastomosis of the prosthetic graft to the double-barreled aorta with intimal flap fenestration is a useful technique in surgery for chronic aortic dissection. Conversely, anastomosis to the false lumen's outer wall is prone to complications such as pseudoaneurysms, but little is known about the technique of reinforcing the double-barreled aorta. In this report, we describe a surgical case of chronic aortic dissection in which an H-shaped prosthetic graft was sutured to both aortic lumens, including the intimal flap, to prevent complications at the anastomosis site.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001278/pdfft?md5=a028f750e637db44b7fc32da50d7f99c&pid=1-s2.0-S2468428724001278-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142960","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}
Sarah Pender MSc, DO , Alexander K. Lu DO , Sachinder S. Hans MD
{"title":"Squamous cell carcinoma arising in a below-knee stump of a patient with chronic lymphocytic leukemia","authors":"Sarah Pender MSc, DO , Alexander K. Lu DO , Sachinder S. Hans MD","doi":"10.1016/j.jvscit.2024.101537","DOIUrl":"10.1016/j.jvscit.2024.101537","url":null,"abstract":"<div><p>We report a case of localized squamous cell carcinoma arising in the ulceration at the site of a below-knee amputation in a patient with chronic lymphocytic leukemia on treatment with ibrutinib. The patient underwent local excision of the skin and soft tissue with histopathology showing a small focus of well-differentiated squamous cell carcinoma in the specimen. This case highlights the importance of clinical evaluation and histopathological review for underlying malignancy in the setting of amputation stump ulceration.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001217/pdfft?md5=8a2646a60e572818e0d57186b4f5dfed&pid=1-s2.0-S2468428724001217-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144457","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}