Vascular Specialist International最新文献

{"title":"Type Ic Endoleak after LifeStream Balloon-Expandable Stent Graft and Zenith Iliac Branch Device Placement.","authors":"Hyeon Ju Kim,&nbsp;Woo-Sung Yun,&nbsp;Hyung-Kee Kim","doi":"10.5758/vsi.230002","DOIUrl":"https://doi.org/10.5758/vsi.230002","url":null,"abstract":"<p><p>Considering the recent advancements in endovascular management of aortoiliac aneurysms, the use of an iliac branch device (IBD) to preserve pelvic blood flow and reduce complications caused by embolization of the internal iliac artery (IIA) is recommended by various guidelines. Although the outcomes reported following IBD placement are mainly positive and durable, IBD-specific complications such as a type Ic endoleak and associated reintervention may occur. Moreover, only one IBD device and one type of balloon-expandable bridging stent graft for IIA are currently available on the domestic market. Here we present two cases of type Ic endoleak following IBD placement. In both cases, IIA diameter was slightly larger than the basic instructions for use. Notably, the initial procedures were considered successful; however, type Ic endoleaks were detected on 1-month follow-up imaging. This finding emphasizes the need for a precise preoperative evaluation, intraoperative manipulation, and postoperative follow-up.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"2"},"PeriodicalIF":0.9,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/ea/vsi-39-2.PMC9986725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856711","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":"Endovascular Management of Hepatic Artery Pseudoaneurysms: A Case Series.","authors":"Pui Lam Cheung,&nbsp;Yat Sing Lee,&nbsp;Chong Boon Tan,&nbsp;Hin Yue Lau,&nbsp;Chi Wai Siu,&nbsp;Chik Xing Chan,&nbsp;Wai Tat Chan,&nbsp;Cheuk Him Ho","doi":"10.5758/vsi.220053","DOIUrl":"https://doi.org/10.5758/vsi.220053","url":null,"abstract":"<p><p>Although rare, hepatic artery aneurysms are associated with a high morbidity and mortality, necessitating a prompt diagnosis. A significant proportion of hepatic artery aneurysms are pseudoaneurysms, and the major risk factors of which have already been identified in previous literatures. Presentation can be variable, but diagnosis almost relies entirely on computed tomography and digital subtraction angiography. The endovascular approach has progressively become the preferred option due to its better performance when compared to the traditional surgical approach. However, formulation of an endovascular treatment plan for these lesions remains difficult as multiple factors should be considered to identify the best endovascular treatment modality. Five cases of pseudoaneurysm due to recent Whipple operation, hepatobiliary infections, and underlying malignancy are presented in this article to illustrate the effectiveness and complexity of endovascular treatment in this disease entity.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"1"},"PeriodicalIF":0.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/2a/vsi-39-1.PMC9925290.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792993","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":"Bilateral Iliac Endobypass Solution in Iliac Artery Rupture during TEVAR Procedure: A Case Report and Review of the Literature.","authors":"Diego Moniaci,&nbsp;Francesco Maiorano,&nbsp;Federica Corrado","doi":"10.5758/vsi.220042","DOIUrl":"https://doi.org/10.5758/vsi.220042","url":null,"abstract":"<p><p>Iliac artery rupture is a demanding complication that can occur during endovascular procedures, particularly when large-caliber introducers are required. We present the first case in the literature on the endobypass technique, a quick and effective reconstruction method for the iliofemoral axis. This clinical case highlights that thoracic endovascular aortic repair procedures require large-caliber introducers into the femoral and iliac arteries to allow passage of the delivery system. These arteries may be diseased, representing a high risk of rupture. In our case, placing a 20 Fr introducer, the iliac artery ruptured bilaterally. Therefore, we performed an endobypass deploying Viabahn stent-grafts into the common iliac artery and manually performed distal anastomosis on the femoral bifurcation.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"35"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/f7/vsi-38-35.PMC9806451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10502334","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":"Deep Vein Thrombosis after COVID-19 mRNA Vaccination in a Young Man with Inferior Vena Cava Anomaly Leading to Recurrent Deep Vein Thrombosis.","authors":"So Yun Nam,&nbsp;Hyunseok Roh,&nbsp;Kyunglim Koo,&nbsp;Woo Sung Yun,&nbsp;Hyun Chul Kim","doi":"10.5758/vsi.220045","DOIUrl":"https://doi.org/10.5758/vsi.220045","url":null,"abstract":"<p><p>Severe side effects of adenoviral-vectored-DNA COVID-19 vaccines such as thrombosis have been reported. Herein, we report a case of sudden massive deep vein thrombosis (DVT) in a young man with inferior vena cava anomaly 20 hours after the second dose of the mRNA vaccine for COVID-19. There was recurrence of iliofemoral DVT after one year, despite complete resolution and administration of prophylactic anticoagulants. We suggest that the sudden episode was triggered by the vaccine rather than the venous anomaly, which can be associated with recurrence due to inadequate venous return through the small and tortuous infrarenal veins or increased venous pressure and stasis. There are no standard guidelines for the management of DVT following mRNA vaccination. However, we highlight the importance of initial workups, regular follow-ups, and standard treatment options, including the continuous administration of prophylactic anticoagulants which should be considered to prevent recurrence.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"40"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/e2/vsi-38-40.PMC9812686.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524324","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":"Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula.","authors":"Tiago F Ribeiro,&nbsp;Rita S Ferreira,&nbsp;Alberto Henrique,&nbsp;Carlos Amaral","doi":"10.5758/vsi.220056","DOIUrl":"https://doi.org/10.5758/vsi.220056","url":null,"abstract":"Trauma is a major health concern, and despite the development of solid trauma systems, the associated morbidity and mortality continue to rise [1]. Cervical trauma, in particular, is notoriously difficult to treat, mainly because of the complex anatomy in a narrow anatomic space. Due to its multiple mechanisms and locations, surgical techniques can also be highly variable. In Zone II cervical vascular injuries, open surgical repair is the norm due to its feasibility, ability to explore other cervical structures and relatively low risks when compared to other proximal or distal locations [2,3]. However, in highly-unstable patients, a lengthy procedure with risks of severe hemorrhage can offset a successful outcome, when compared to an endovascular approach. We describe the case of a 56-year-old male admitted in critical care for septic shock due to severe pneumonia, along with acute renal failure. After an inadvertent right carotid puncture during an attempt to place a temporary dialysis catheter in the internal jugular vein, he developed sudden hemodynamic and ventilatory deterioration. He also presented a carotid bruit and neck engorgement. Ultrasound revealed a right common carotid–internal jugular arteriovenous fistula and allowed precise location marking, as well as the measurement of the diameter and proximal and distal seal lengths (proximal to the carotid bifurcation). Due to the unfavorable neck anatomy and high surgical risk, endovascular treatment was preferred. Right femoral access was used, and unfractionated heparin administered. After selective catheterization of the innominate artery and angiographic marking the fistula and carotid side branches (Fig. 1A), a covered stentgraft 9 mm×38 mm (Advanta V12; Atrium Medical Corp., Hudson, NH, USA) was successfully deployed, covering the fistula without branch compromise (Fig. 1B). The procedure required 25 minutes and 20 mL of iodinated contrast. The patient experienced immediate relief of the hemodynamic and ventilatory burden of the fistula; however, he was unable to withstand the severity of his underlying pathology and died after a prolonged hospitalization (41 days). Im ge of Vacular Srgery Endovascular Stent Graft Treatment of an Iatrogenic Symptomatic Extracranial Carotid-Jugular Arteriovenous Fistula","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"39"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/03/vsi-38-39.PMC9808494.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512755","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":"Endovascular Reintervention for Stent-Graft Dislocation after Open Surgical Conversion for Thoracoabdominal Aortic Aneurysm Treated by Thoracic Endovascular Aortic Repair.","authors":"Tomoki Nakatsu,&nbsp;Shinsuke Kikuchi,&nbsp;Hiroyuki Miyamoto,&nbsp;Fumiaki Kimura","doi":"10.5758/vsi.220049","DOIUrl":"https://doi.org/10.5758/vsi.220049","url":null,"abstract":"<p><p>Complex anatomical restrictions can lead to further interventions after the emergence of a postoperative aneurysm enlargement in thoracic endovascular aortic repair (TEVAR) for a thoracoabdominal aortic aneurysm (TAAA). A 75-year-old male underwent a TEVAR for a Crawford extent I TAAA. The main device and the distal extension were placed using a fenestrated technique, outside of the instructions for use. The aneurysm expanded because of an endoleak and stent graft migration; and was surgically repaired by fully salvaging the previous endografts 38 months after the first TEVAR. However, the distal extension, which was the proximal anastomosis site with a prosthetic graft, became completely dislocated from the main device eight months after the open surgical conversion, resulting again in the enlargement of the aneurysm. An additional TEVAR was successfully performed to correct the dislocated stent graft. An appropriate treatment strategy is crucial to prevent multiple reinterventions for TAAA with complex anatomical restrictions.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"38"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/71/vsi-38-38.PMC9808497.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519652","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":"Extra-Anatomic Bypass from Ascending Thoracic Aorta to Abdominal Aorta in Takayasu Arteritis with Middle Aortic Syndrome.","authors":"Hye Young Woo,&nbsp;Seung-Kee Min","doi":"10.5758/vsi.220058","DOIUrl":"https://doi.org/10.5758/vsi.220058","url":null,"abstract":"Middle aortic syndrome (MAS) is a rare disease causing steno-occlusion of mid-aorta (descending thoracic to abdominal aorta) due to Takayasu arteritis (TAK) [1]. Extraanatomic ascending aorto-abdominal aortic bypass with a prosthetic graft has been reported for the treatment of MAS with TAK [2]. We suggest a new graft pathway thru which graft passes posterior to liver left lobe, through lesser sac, to prevent bowel contact which might cause aortoenteric erosion or fistula [3]. A 23-year-old male was referred to vascular clinic due to uncontrolled hypertension. At the age of 3, he had hypertension due to both renal artery stenoses due to TAK. Repeated angioplasties of renal arteries and aorta were performed, however, despite of multiple medications, hyIm ge of Vacular Srgery Extra-Anatomic Bypass from Ascending Thoracic Aorta to Abdominal Aorta in Takayasu Arteritis with Middle Aortic Syndrome","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"43"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/70/vsi-38-43.PMC9826738.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554653","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":"Safety and Efficacy of Peripherally Inserted Central Catheter Placement by Surgical Intensivist-Led Vascular Access Team.","authors":"Byunghyuk Yu,&nbsp;Jihoon Hong","doi":"10.5758/vsi.220054","DOIUrl":"https://doi.org/10.5758/vsi.220054","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the safety and efficacy of bedside peripherally inserted central catheter (PICC) placement under ultrasonography (USG) guidance in the general ward by a surgical intensivist-led vascular access team versus that of PICC placement in the intensive care unit (ICU) or fluoroscopy unit.</p><p><strong>Materials and methods: </strong>We conducted this retrospective study of all patients who underwent PICC placement between March 2021 and May 2022. Clinical, periprocedural, and outcome data were compared for PICC placement in the ICU, general ward, and fluoroscopy unit groups, respectively.</p><p><strong>Results: </strong>A total of 354 PICC placements were made in 301 patients. Among them, USG-guided PICC placement was performed in 103 and 147 cases in the ICU and general ward, respectively, while fluoroscopy-guided PICC placement was performed in 104 cases. USG-guided PICC placement more often required post-procedural catheter repositioning than fluoroscopy-guided PICC placement (P<0.001), but there was no significant difference in any adverse events (P=0.796). In addition, USG-guided PICC placement in the general ward was more efficient than fluoroscopy-guided PICC placement (0.73 days vs. 5.73 days, respectively; P<0.001). In the multivariate analysis, previous PICC placement within 6 months was an independent risk factor for a PICC-associated bloodstream infection (odds ratio, 2.835; 95% confidence interval, 1.143-7.034; P=0.025).</p><p><strong>Conclusion: </strong>USG-guided PICC placement in the general ward by a surgical intensivist-led vascular access team has comparable safety and efficiency to that of USG-guided PICC placement in the ICU or fluoroscopy-guided PICC placement.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"41"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/2f/vsi-38-41.PMC9812687.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538925","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":"Renovascular Hypertension due to Median Arcuate Ligament Syndrome Treated by Open Bypass after Failed Endovascular Treatment.","authors":"Kwang Woo Choi,&nbsp;Seung-Kee Min","doi":"10.5758/vsi.220057","DOIUrl":"https://doi.org/10.5758/vsi.220057","url":null,"abstract":"Median arcuate ligament syndrome (MALS) is a rare condition in which the median arcuate ligament compresses the celiac artery (CA) and celiac ganglia, causing abdominal pain [1]. The superior mesenteric artery (SMA) is occasionally compressed because of anatomical variations [2,3]. We recently experienced a rare case of MALS that compressed the CA, SMA, and right renal artery (RA), resulting in renovascular hypertension. A 20-year-old male presented with uncontrolled hypertension. Four years earlier, he presented with high blood Im ge of Vacular Srgery Renovascular Hypertension due to Median Arcuate Ligament Syndrome Treated by Open Bypass after Failed Endovascular Treatment","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"42"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/7d/vsi-38-42.PMC9826740.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554652","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":"Late Type IIIb Endoleak after Low-Profile Endograft Implantation for Abdominal Aortic Aneurysm Treated by Hybrid Surgery.","authors":"Younghye Kim,&nbsp;Woo-Sung Yun,&nbsp;Hyung-Kee Kim","doi":"10.5758/vsi.220055","DOIUrl":"https://doi.org/10.5758/vsi.220055","url":null,"abstract":"A 71-year-old male presented with abdominal discom-fort for 7 days. His medical history included hypertension, coronary artery disease","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"38 ","pages":"37"},"PeriodicalIF":0.9,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/ea/vsi-38-37.PMC9808498.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512754","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}