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Ischemic Complication of a Rare Traumatic True Brachial Artery Aneurysm: A Case Report. 罕见外伤性真性肱动脉瘤的缺血性并发症：病例报告。
IF 0.9
Vascular Specialist International Pub Date : 2024-02-05 DOI: 10.5758/vsi.230100
Ricardo Grande-Garcia, Javier E Anaya-Ayala, Luis Barragán-Galindo, Renata Vera, Hugo Laparra-Escareno, Astrid Varela-Arzate, Mónica Chapa-Ibargüengoitia, Carlos A Hinojosa
{"title":"Ischemic Complication of a Rare Traumatic True Brachial Artery Aneurysm: A Case Report.","authors":"Ricardo Grande-Garcia, Javier E Anaya-Ayala, Luis Barragán-Galindo, Renata Vera, Hugo Laparra-Escareno, Astrid Varela-Arzate, Mónica Chapa-Ibargüengoitia, Carlos A Hinojosa","doi":"10.5758/vsi.230100","DOIUrl":"10.5758/vsi.230100","url":null,"abstract":"<p><p>True brachial artery aneurysms are rare. We present the case of a 47-year-old male who was referred to our clinic for the evaluation of progressive right arm claudication. He had suffered a gunshot wound in the right elbow 16 years before his symptoms. Computed tomography angiography revealed a thrombosed true brachial artery aneurysm. The patient was placed in the operating room, and aneurysm resection and reconstruction were performed using an interposition saphenous vein graft. His postoperative period was uneventful, and 1 year after the procedure, he remained asymptomatic. True brachial artery aneurysms associated with remote traumas are rare. This case illustrates the clinical presentation and successful management of arterial reconstruction using an autologous vein graft.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"40 ","pages":"4"},"PeriodicalIF":0.9,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693534","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
Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report. 被误诊为间质瘤的主动脉分叉处巨大假性动脉瘤：病例报告。
IF 0.9
Vascular Specialist International Pub Date : 2024-02-02 DOI: 10.5758/vsi.230096
Jae Hyun Park, Hye Young Woo, Seung-Kee Min
{"title":"Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report.","authors":"Jae Hyun Park, Hye Young Woo, Seung-Kee Min","doi":"10.5758/vsi.230096","DOIUrl":"10.5758/vsi.230096","url":null,"abstract":"<p><p>Aortic pseudoaneurysms (PA) vary in size and may remain asymptomatic. PAs may be caused by vascular injury, such as trauma or surgery, or other non-traumatic causes, such as Bechet disease, infection, or penetrating atherosclerotic ulcers. The diagnosis of PAs may have been delayed for decades. We present a case of a PA detected incidentally in a male patient who experienced traumatic bowel perforation due to blunt abdominal trauma 30 years before presentation. Computed tomography (CT) displayed a 9.2 cm mass in the pelvis, initially considered a neoplasm of small bowel origin. Further analysis of the CT images suggested a thrombosed PA at the aortic bifurcation, which was confirmed via surgical exploration. Graft interposition was performed using a Dacron 16-8 mm graft and the patient recovered without any complications. This case highlights the importance of a high index of suspicion for the diagnosis of a thrombosed aortic PA.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"40 ","pages":"3"},"PeriodicalIF":0.9,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10835026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673636","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
Surgical Strategies and Long-Term Outcomes for Complex Coral Reef Aorta with Multisegmental Involvement: A Case Report. 多节段受累的复杂珊瑚礁主动脉的手术策略和长期疗效：病例报告。
IF 0.8
Vascular Specialist International Pub Date : 2024-01-23 DOI: 10.5758/vsi.230112
Hyung-Kee Kim, Suehyun Park, Deokbi Hwang, Woo-Sung Yun, Seung Huh
{"title":"Surgical Strategies and Long-Term Outcomes for Complex Coral Reef Aorta with Multisegmental Involvement: A Case Report.","authors":"Hyung-Kee Kim, Suehyun Park, Deokbi Hwang, Woo-Sung Yun, Seung Huh","doi":"10.5758/vsi.230112","DOIUrl":"10.5758/vsi.230112","url":null,"abstract":"<p><p>Coral reef aorta (CRA) is a rare condition characterized by the distribution of rock-hard calcifications in the visceral part of the aorta, leading to potentially life-threatening symptoms, such as hypertension, congestive heart failure, and limb and visceral ischemia. The patient was a 54-year-old female who presented with leg claudication and was diagnosed with CRA using computed tomography. CRA affected the descending thoracic and abdominal aortas, including the visceral portion, leading to reduced perfusion of both limbs and the left kidney. The surgical intervention involved bypass surgery from the descending thoracic aorta proximal to the CRA to the aortic bifurcation, including reimplantation of the left renal artery. Postoperative recovery was successful and the symptoms resolved. However, the patient experienced decreased right renal function due to CRA progression three years postoperatively. Given the uncertainty regarding the optimal surgical approach for CRA, long-term considerations are crucial for its management.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"40 ","pages":"2"},"PeriodicalIF":0.8,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520591","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
Inverted Ovation iX Limb to Treat an Isolated Common Iliac Artery Aneurysm. 用倒置的 Ovation iX 肢体治疗孤立的髂总动脉瘤。
IF 0.9
Vascular Specialist International Pub Date : 2024-01-08 DOI: 10.5758/vsi.230086
Said Ashkar, Philippe Charbonneau, Stephane Elkouri
{"title":"Inverted Ovation iX Limb to Treat an Isolated Common Iliac Artery Aneurysm.","authors":"Said Ashkar, Philippe Charbonneau, Stephane Elkouri","doi":"10.5758/vsi.230086","DOIUrl":"10.5758/vsi.230086","url":null,"abstract":"<p><p>In recent years, endovascular aneurysm repair has become the predominant method of managing abdominal aortic and common iliac artery aneurysms. Off-label use of different endovascular devices has allowed them to remain a viable option in many cases of atypical anatomy. Some studies have reported the use of iliac devices in an upside-down configuration when the common iliac artery aneurysm has a reverse-tapered morphology. However, the use of the Ovation iX (Endologix) limb in an upside-down configuration has not yet been reported. This limb offers a 14 mm distal end when inverted and offers good patency in the tortuous iliac morphology. This case report describes and illustrates the precise deployment of an inverted Ovation iX limb to treat an isolated common iliac artery aneurysm.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"40 ","pages":"1"},"PeriodicalIF":0.9,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378800","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 Interventional Radiology for the Treatment of Various Lymphatic Leakages: Lymphatic Intervention and Embolization. 治疗各种淋巴管渗漏的新型介入放射学：淋巴介入和栓塞。
IF 0.9
Vascular Specialist International Pub Date : 2023-12-29 DOI: 10.5758/vsi.230082
Saebeom Hur
{"title":"Novel Interventional Radiology for the Treatment of Various Lymphatic Leakages: Lymphatic Intervention and Embolization.","authors":"Saebeom Hur","doi":"10.5758/vsi.230082","DOIUrl":"10.5758/vsi.230082","url":null,"abstract":"<p><p>Little progress has been made in modern lymphatic medicine since Dr. Kinmonth first described pedal lymphangiography in the 1950s. The clinical need for an effective treatment modality for managing lymphatic leakage greatly increased only after intranodal lymphangiography, which enabled the depiction of the exact location of the leakage. This review introduces five hypotheses that have been proposed while addressing various clinical scenarios involving lymphatic leakage: (1) various embolization techniques can be used to prevent lymphatic leakage; (2) lymph node embolization can treat postoperative pelvic lymphoceles that are refractory to sclerotherapy; (3) the technical success rate of thoracic duct cannulation can be improved by using retrograde thoracic duct access as a bail-out method; (4) non-traumatic chylothorax can be managed by understanding the underlying pathophysiology; and (5) chylous ascites can be managed by understanding the underlying pathophysiology. Five retrospective observational studies, one randomized prospective clinical trial, and two case reports (letters to the editor) were published after the hypotheses were validated. We provide a new systematic approach to lymphatic intervention by describing the process of the current comprehensive research.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"42"},"PeriodicalIF":0.9,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059070","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
Endovascular Management of Thenar-Hypothenar Aneurysms: Two Case Reports and Review of Literature. Thenar-Hypothenar 动脉瘤的血管内治疗：两例病例报告和文献综述。
IF 0.9
Vascular Specialist International Pub Date : 2023-12-19 DOI: 10.5758/vsi.230093
Bhavesh Arun Popat, Karan Manoj Anandpara, Aniruddha Vidyadhar Kulkarni
{"title":"Endovascular Management of Thenar-Hypothenar Aneurysms: Two Case Reports and Review of Literature.","authors":"Bhavesh Arun Popat, Karan Manoj Anandpara, Aniruddha Vidyadhar Kulkarni","doi":"10.5758/vsi.230093","DOIUrl":"10.5758/vsi.230093","url":null,"abstract":"<p><p>Thenar-hypothenar arterial aneurysms are rare, presenting as either true aneurysms or pseudoaneurysms. Traditionally, surgical repair has been the mainstay of treatment for these aneurysms, with only isolated cases of endovascular management reported. In this study, we describe two cases of thenar-hypothenar aneurysms successfully managed with coil embolization, accompanied by a brief literature review. Our findings suggest that endovascular management is a feasible treatment option for these rare aneurysms.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"41"},"PeriodicalIF":0.9,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811178","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
Management of Spontaneous Aortic Thrombus Following Cisplatin-Based Chemotherapy in Urothelial Cancer: A Case Report. 泌尿系统癌症患者接受顺铂化疗后自发性主动脉血栓的处理：病例报告。
IF 0.9
Vascular Specialist International Pub Date : 2023-12-18 DOI: 10.5758/vsi.230091
Victoria Meijia Zheng, Yun Le Linn, Jack Kian Ch'ng, Siew Ping Chng
{"title":"Management of Spontaneous Aortic Thrombus Following Cisplatin-Based Chemotherapy in Urothelial Cancer: A Case Report.","authors":"Victoria Meijia Zheng, Yun Le Linn, Jack Kian Ch'ng, Siew Ping Chng","doi":"10.5758/vsi.230091","DOIUrl":"https://doi.org/10.5758/vsi.230091","url":null,"abstract":"<p><p>Spontaneous aortic thrombosis is exceedingly rare, and optimal treatment remains uncertain. We present an unusual case of a spontaneous aortic thrombus at the renal artery level in a patient undergoing active cisplatin treatment for urothelial carcinoma. Management included catheter-directed thrombolysis followed by thrombectomy. An open cutdown was performed on the left common femoral artery (CFA), with right groin access via a 6-Fr sheath. Clamping of the left superficial and deep femoral arteries, along with balloon occlusion of the right common iliac artery, prevented distal embolization. A Coda balloon introduced via direct left CFA puncture with a 20-Fr sheath was positioned above the aortic thrombus. After inflation, clots were trawled to the sheath, \"sandwiching\" the clots before removal of the balloon and sheath via the left groin. Post-operatively, the patient recovered well and received continued therapeutic anticoagulation.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"40"},"PeriodicalIF":0.9,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811191","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
Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review. 利用Altura支架在血管内修复Nellix内移植物近端封闭区失败一例报告及文献复习。
IF 0.9
Vascular Specialist International Pub Date : 2023-12-04 DOI: 10.5758/vsi.230076
Dimitrios A Chatzelas, Apostolos G Pitoulias, Georgios V Tsamourlidis, Theodosia N Zampaka, Anastasios G Potouridis, Maria D Tachtsi, Georgios A Pitoulias
{"title":"Endovascular Repair of a Failed Nellix Endograft Proximal Sealing Zone Using the Altura Stent-Graft: A Case Report and Literature Review.","authors":"Dimitrios A Chatzelas, Apostolos G Pitoulias, Georgios V Tsamourlidis, Theodosia N Zampaka, Anastasios G Potouridis, Maria D Tachtsi, Georgios A Pitoulias","doi":"10.5758/vsi.230076","DOIUrl":"10.5758/vsi.230076","url":null,"abstract":"<p><p>Endovascular aortic aneurysm sealing (EVAS) with the Nellix endograft was initially considered a groundbreaking and acceptable alternative to conventional endovascular aortic aneurysm repair, with encouraging initial results. However, long-term follow-up has revealed a high incidence of endograft-related complications, such as caudal migration and type Ia endoleaks, indicating the need for reintervention. Managing failed EVAS remains challenging and is an ongoing topic of discussion, especially for high-risk patients. We describe a 70-year-old female who initially underwent EVAS with a Nellix endograft and presented after 5 years of follow-up with caudal endograft migration and a type Ia endoleak. The patient was treated with endovascular implantation of an Altura stent-graft, a relatively new low-profile device with a similar double stent configuration. Device migration and endoleaks were undetectable at 12 months of follow-up, suggesting that the Altura might offer a safe and efficient approach in cases of Nellix proximal failure.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"39"},"PeriodicalIF":0.9,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479272","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
Infection of the Aortic Stent Graft to Treat Arterioureteral Fistula. 主动脉支架移植治疗动脉输尿管瘘的感染。
IF 0.9
Vascular Specialist International Pub Date : 2023-11-22 DOI: 10.5758/vsi.230072
Soomin Lee, Hyejin Mo, In Mok Jung
{"title":"Infection of the Aortic Stent Graft to Treat Arterioureteral Fistula.","authors":"Soomin Lee, Hyejin Mo, In Mok Jung","doi":"10.5758/vsi.230072","DOIUrl":"10.5758/vsi.230072","url":null,"abstract":"<p><p>Arterioureteral fistula is a rare but life-threatening condition. An endovascular treatment approach is commonly used; however, there is a potential risk of infection. We present a case in which a patient presented with abdominal pain and was diagnosed with a ruptured internal iliac artery aneurysm and a subsequent arterioureteral fistula. An aortic stent graft was inserted to treat the arterioureteral fistula, but it subsequently became infected, resulting in the patient's death. This case underscores the importance of early diagnosis and treatment of arterioureteral fistula and the possibility of graft infection.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"38"},"PeriodicalIF":0.9,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292385","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
Fistulized Pseudoaneurysm Associated with Hypothenar Hammer Syndrome to the Skin in a 12-Year-Old Patient: A Case Report. 12岁患者假性动脉瘤瘘伴鱼际下锤综合征:1例报告。
IF 0.9
Vascular Specialist International Pub Date : 2023-11-20 DOI: 10.5758/vsi.230070
Metin Onur Beyaz, Sefer Kaya, İbrahim Demir
{"title":"Fistulized Pseudoaneurysm Associated with Hypothenar Hammer Syndrome to the Skin in a 12-Year-Old Patient: A Case Report.","authors":"Metin Onur Beyaz, Sefer Kaya, İbrahim Demir","doi":"10.5758/vsi.230070","DOIUrl":"10.5758/vsi.230070","url":null,"abstract":"<p><p>In this case, we present a condition where the extension of the hamate hook in the Guyon canal can damage the ulnar artery or its branches, leading to the development of an aneurysm or pseudoaneurysm. The patient, a 12-year-old female, presented to our clinic with a complaint of an uncontrolled palm lump that has been growing for several months and began to bleed in a pulsatile manner after trauma. She was an amateur volleyball player who trained twice weekly for two hours. Color Doppler ultrasound examination revealed a 1.1×0.8 cm pseudoaneurysm in a branch of the ulnar artery. Aneurysmectomy and primary repair were performed. Timely diagnosis and treatment planning are crucial for ulnar artery pseudoaneurysms or aneurysms to prevent ischemic events in a later period.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"37"},"PeriodicalIF":0.9,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048445","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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