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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Sharp recanalization of chronic total venous occlusions using the TipsStar Steerable Cannula TipsStar导向套管对慢性全静脉阻塞的快速再通
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jvscit.2025.102005
Eric D. Cyphers DO, MS , David S. Shin MD , Ryan Murray MD , Matthew Abad-Santos MD , Eric J. Monroe MD , Jeffrey Forris Beecham Chick MD, MPH
{"title":"Sharp recanalization of chronic total venous occlusions using the TipsStar Steerable Cannula","authors":"Eric D. Cyphers DO, MS ,&nbsp;David S. Shin MD ,&nbsp;Ryan Murray MD ,&nbsp;Matthew Abad-Santos MD ,&nbsp;Eric J. Monroe MD ,&nbsp;Jeffrey Forris Beecham Chick MD, MPH","doi":"10.1016/j.jvscit.2025.102005","DOIUrl":"10.1016/j.jvscit.2025.102005","url":null,"abstract":"<div><div>Chronic total venous occlusions are challenging to recanalize due to anatomic complexity and limited directional control. This report describes the use of the TipsStar Steerable Cannula (BD) to facilitate sharp recanalization of chronic deep venous occlusions in five patients (3 males; 2 females; mean age, 47.2 ± 8.2 years) with symptomatic chronic total venous occlusions (mean length, 26.6 ± 13.9-mm). Indications included restoration of hemodialysis access (n = 2), relief of debilitating extremity symptoms (n = 2), and need for peripherally inserted central catheter for long-term antibiotics (n = 1). Technical success was 100%, requiring no more than three passes in all cases. There were no adverse events. The TipsStar Steerable Cannula represents a promising tool to facilitate sharp recanalization of chronic total venous occlusions.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102005"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468145","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}
引用次数: 0
Mixed reality-assisted physician-modified endograft fenestration for urgent repair of a complex infrarenal abdominal aortic aneurysm: First-in-the-world case 混合现实辅助医师改良的内移植体开窗术紧急修复复杂的腹主动脉瘤：世界首例
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-10-10 DOI: 10.1016/j.jvscit.2025.102001
Diego Ardiles MD , Jeison Peñuela MD , Carlos Timaran MD , Marcelo Lagos MD , Sebastián Alba MD, MBA , Manuel Espíndola MD
{"title":"Mixed reality-assisted physician-modified endograft fenestration for urgent repair of a complex infrarenal abdominal aortic aneurysm: First-in-the-world case","authors":"Diego Ardiles MD ,&nbsp;Jeison Peñuela MD ,&nbsp;Carlos Timaran MD ,&nbsp;Marcelo Lagos MD ,&nbsp;Sebastián Alba MD, MBA ,&nbsp;Manuel Espíndola MD","doi":"10.1016/j.jvscit.2025.102001","DOIUrl":"10.1016/j.jvscit.2025.102001","url":null,"abstract":"<div><div>Mixed reality-guided endovascular repair using physician-modified devices offers an innovative solution for urgent repair of complex abdominal aortic aneurysms. We present the first case treated in this manner in a 77-year-old man with a symptomatic infrarenal abdominal aortic aneurysm and hostile proximal neck. A three-dimensional aortic model obtained from computed tomography angiography was overlaid onto a Treo graft via a Meta Quest 3 headset for precise on-table ostial marking and fenestration. After modification and resheathing, the endograft was advanced using fusion and angiography guidance. The endograft was then deployed, demonstrating perfect matching between each fenestration and the target vessels. A final aortogram confirmed patency of visceral branches and absence of endoleak. Mixed reality guidance enables accurate, rapid customization when patient-specific company-manufactured devices are unavailable, offering a viable urgent alternative for fenestrated endovascular repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102001"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468147","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}
引用次数: 0
Brachial artery aneurysm secondary to repetitive axillary crutch trauma 重复腋窝拐杖外伤继发的肱动脉动脉瘤
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-10-21 DOI: 10.1016/j.jvscit.2025.102025
Marta Machado MD , Daniel Brandão MD , Pedro Brandão MD , Alexandra Canedo MD
{"title":"Brachial artery aneurysm secondary to repetitive axillary crutch trauma","authors":"Marta Machado MD ,&nbsp;Daniel Brandão MD ,&nbsp;Pedro Brandão MD ,&nbsp;Alexandra Canedo MD","doi":"10.1016/j.jvscit.2025.102025","DOIUrl":"10.1016/j.jvscit.2025.102025","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102025"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615393","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}
引用次数: 0
Open fixation of a migrated aortic covered endograft for the management of a traumatic retrohepatic inferior vena cava injury with cardiopulmonary bypass 游离主动脉覆盖内移植物开放固定治疗外伤性肝后下腔静脉损伤伴体外循环
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-10-28 DOI: 10.1016/j.jvscit.2025.102030
Jay N. Patel MD , Danny Nguyen MD , Muhammad S. Ghauri MS , Aldin Malkoc MD , Elias Wassel MD , Samuel Schwartz MD
{"title":"Open fixation of a migrated aortic covered endograft for the management of a traumatic retrohepatic inferior vena cava injury with cardiopulmonary bypass","authors":"Jay N. Patel MD ,&nbsp;Danny Nguyen MD ,&nbsp;Muhammad S. Ghauri MS ,&nbsp;Aldin Malkoc MD ,&nbsp;Elias Wassel MD ,&nbsp;Samuel Schwartz MD","doi":"10.1016/j.jvscit.2025.102030","DOIUrl":"10.1016/j.jvscit.2025.102030","url":null,"abstract":"<div><div>We report a case of a gunshot wound retrohepatic inferior vena cava injury treated with an aortic endograft that subsequently migrated into the right atrium, which was successfully treated with right atrial opening and stent fixation under cardiopulmonary bypass. This case highlights the potential utility of off-label aortic endografts in managing complex retrohepatic inferior vena cava injuries as a highly effective alternative to the historically morbid atriocaval Schrock shunt. The high location of the injury, near the right atrium, underscores the technical difficulty and need for multidisciplinary collaboration to achieve a successful outcome.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102030"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615389","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}
引用次数: 0
Angioscopy-assisted thoracic endovascular aortic repair for chronic type B aortic dissection: Optimizing stent graft coverage and left subclavian artery coil embolization 血管镜辅助下的慢性B型主动脉夹层胸椎血管内主动脉修复：优化支架覆盖和左锁骨下动脉线圈栓塞
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-21 DOI: 10.1016/j.jvscit.2025.102058
Yukihisa Ogawa MD, PhD, FJCR , Hiroyuki Nishi MD, PhD , Hidekazu Furuya MD , Ryuichi Tamimoto MD , Satoru Takahashi MD , Shunsuke Kamei MD
{"title":"Angioscopy-assisted thoracic endovascular aortic repair for chronic type B aortic dissection: Optimizing stent graft coverage and left subclavian artery coil embolization","authors":"Yukihisa Ogawa MD, PhD, FJCR ,&nbsp;Hiroyuki Nishi MD, PhD ,&nbsp;Hidekazu Furuya MD ,&nbsp;Ryuichi Tamimoto MD ,&nbsp;Satoru Takahashi MD ,&nbsp;Shunsuke Kamei MD","doi":"10.1016/j.jvscit.2025.102058","DOIUrl":"10.1016/j.jvscit.2025.102058","url":null,"abstract":"<div><div>We report the case of a 69-year-old man with chronic type B aortic dissection and progressive aneurysmal dilatation. Zone 2 thoracic endovascular aortic repair was performed with carotid-subclavian bypass. Nonobstructive general angioscopy identified additional tiny entry tears in the descending aorta, guiding adequate stent graft coverage. Subsequent left subclavian artery coil embolization under balloon occlusion revealed satisfactory packing on fluoroscopy, but angioscopy revealed residual flow through coil gaps, prompting additional coil placement. Blood flow cessation was confirmed by angioscopy. Completion angiography revealed no antegrade false lumen flow or endoleaks. Follow-up computed tomography at 3 months showed favorable aortic remodeling with complete thoracic false lumen thrombosis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102058"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736328","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}
引用次数: 0
In situ fenestration of a frozen elephant trunk prosthesis to recanalize the left subclavian artery 冷冻象鼻假体原位开窗再通左锁骨下动脉
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-21 DOI: 10.1016/j.jvscit.2025.102059
George Apostolidis MD, MSc , Petroula Nana PhD , Daour Yousef al Sarhan MD , Lennart Bax MD , Tilo Kölbel PhD , Giuseppe Panuccio PhD
{"title":"In situ fenestration of a frozen elephant trunk prosthesis to recanalize the left subclavian artery","authors":"George Apostolidis MD, MSc ,&nbsp;Petroula Nana PhD ,&nbsp;Daour Yousef al Sarhan MD ,&nbsp;Lennart Bax MD ,&nbsp;Tilo Kölbel PhD ,&nbsp;Giuseppe Panuccio PhD","doi":"10.1016/j.jvscit.2025.102059","DOIUrl":"10.1016/j.jvscit.2025.102059","url":null,"abstract":"<div><div>Maintaining left subclavian artery (LSA) patency is essential for preventing spinal cord ischemia before extensive aortic coverage. We present a case of in situ fenestration on a zone 2 frozen elephant trunk graft to restore the native LSA perfusion after a prior LSA bypass occlusion. Fenestration was performed using the electrified wire technique, followed by balloon-expandable covered stent implantation. The procedure was completed with distal thoracic extensions. The postoperative imaging confirmed LSA patency. This approach offers a feasible, reproducible solution for selected patients requiring LSA recanalization after frozen elephant trunk.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102059"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736331","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}
引用次数: 0
Staged open surgical repair of an aortic esophageal fistula in the setting of an aortic dissection 在主动脉夹层的情况下，分阶段开放式手术修复食管主动脉瘘
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.jvscit.2025.102051
Sneha Thandra BS , Olivia Fuson MD , Victor Pretorius MBChB , Mark Onaitis MD , Mark Kearns MD, FRCSC , Ann Gaffey MD, MS
{"title":"Staged open surgical repair of an aortic esophageal fistula in the setting of an aortic dissection","authors":"Sneha Thandra BS ,&nbsp;Olivia Fuson MD ,&nbsp;Victor Pretorius MBChB ,&nbsp;Mark Onaitis MD ,&nbsp;Mark Kearns MD, FRCSC ,&nbsp;Ann Gaffey MD, MS","doi":"10.1016/j.jvscit.2025.102051","DOIUrl":"10.1016/j.jvscit.2025.102051","url":null,"abstract":"<div><div>Aortoesophageal fistula is a rare but fatal complication commonly arising from thoracic aortic aneurysms or secondarily from thoracic endovascular aortic repair. Management remains challenging with few reports of durable repair. We present a 52-year-old woman with prior type A aortic dissection repair who developed persistent pain requiring arch replacement and thoracic endovascular aortic repair. She presented 4 months later with sepsis and imaging revealing extraluminal gas consistent with aortoesophageal fistula. She underwent graft explantation, debridement, and esophageal resection with delayed esophagostomy. Thirty months postoperatively, she remains stable. This case highlights early recognition and aggressive staged surgical management as critical for favorable outcomes.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102051"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736438","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}
引用次数: 0
Pressurized iliac artery aneurysm causing atypical May-Thurner syndrome 加压髂动脉动脉瘤引起非典型梅-瑟纳综合征
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.jvscit.2025.102077
Aidan P. Wiley BA, Georges Jreij MD, Sarah Rosenberger MS, CRNP, Shahab Toursavadkohi MD
{"title":"Pressurized iliac artery aneurysm causing atypical May-Thurner syndrome","authors":"Aidan P. Wiley BA,&nbsp;Georges Jreij MD,&nbsp;Sarah Rosenberger MS, CRNP,&nbsp;Shahab Toursavadkohi MD","doi":"10.1016/j.jvscit.2025.102077","DOIUrl":"10.1016/j.jvscit.2025.102077","url":null,"abstract":"<div><div>An 84-year-old man previously treated with endovascular aneurysm repair had enlargement of a right iliac artery aneurysm sac from 3.5 to 4.3 cm over 1 year. Two years later, he presented to the clinic with a weeklong history of severe swelling in his left leg. Computed tomography scan revealed left iliac vein compression by an enlarging, 4.8-cm iliac artery aneurysm sac. Intravascular ultrasound examination confirmed near complete occlusion of the left iliac vein without thrombosis. This was treated with a 16 × 10 mm venous stent and postdilated with a 16 × 20 mm balloon. The patient reported relief of symptoms within 24 hours postoperatively.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102077"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839181","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}
引用次数: 0
Below-knee popliteal-artery injury due to open-wedge high-tibial osteotomy 开式楔形胫骨高位截骨术致膝下腘动脉损伤
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-24 DOI: 10.1016/j.jvscit.2025.102060
Hisato Takagi MD, PhD
{"title":"Below-knee popliteal-artery injury due to open-wedge high-tibial osteotomy","authors":"Hisato Takagi MD, PhD","doi":"10.1016/j.jvscit.2025.102060","DOIUrl":"10.1016/j.jvscit.2025.102060","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102060"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790009","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}
引用次数: 0
Radiofrequency wire-assisted recanalization of chronic venous stent occlusions 慢性静脉支架闭塞的射频导线辅助再通
IF 0.7
Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jvscit.2025.102057
Mark L. Lessne MD, FSIR , Charles Y. Kim MD, FSIR
{"title":"Radiofrequency wire-assisted recanalization of chronic venous stent occlusions","authors":"Mark L. Lessne MD, FSIR ,&nbsp;Charles Y. Kim MD, FSIR","doi":"10.1016/j.jvscit.2025.102057","DOIUrl":"10.1016/j.jvscit.2025.102057","url":null,"abstract":"<div><div>Venous in-stent reocclusion can result in recurrent obstructive symptoms. Occlusions that are recalcitrant to traditional crossing techniques are inaccessible to effective therapies. However, radiofrequency-assisted recanalization techniques can mitigate the risk of therapy failure and allow treatment of previously untreatable lesions. The feature of automatic disabling of the radiofrequency wire upon metal contact can be exploited to increase the safety of crossing by ensuring intraluminal traversal and avoidance of unintended perforation of adjacent structures.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102057"},"PeriodicalIF":0.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790011","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}
引用次数: 0
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