Vascular Specialist International最新文献_第9页

Infected False Aneurysm of Brachiocephalic Trunk - Rare but Highly Lethal Cause of Dyspnea. 感染的假头臂干动脉瘤-罕见但高度致命的呼吸困难的原因。

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Vascular Specialist International Pub Date : 2023-05-31 DOI: 10.5758/vsi.230023

Marek Hudák, Martin Koščo, Mária Rašiová

引用次数: 0

Multimodality Assessment of Nutcracker Syndrome in a Young Patient. 一位年轻患者胡桃夹子综合征的多模态评估。

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Vascular Specialist International Pub Date : 2023-05-30 DOI: 10.5758/vsi.230034

Nikolaos Galanakis, Nikolaos Kontopodis, Nikolas Matthaiou, Dimitrios Tsetis, Elias Kehagias

{"title":"Multimodality Assessment of Nutcracker Syndrome in a Young Patient.","authors":"Nikolaos Galanakis, Nikolaos Kontopodis, Nikolas Matthaiou, Dimitrios Tsetis, Elias Kehagias","doi":"10.5758/vsi.230034","DOIUrl":"https://doi.org/10.5758/vsi.230034","url":null,"abstract":"A 17-year-old female presented to University Hospital of Heraklion with symptoms of intermittent hematuria and moderate left lumbar pain. She denied a history of trauma and hematological and kidney diseases. She received no regular medications. Laboratory examinations were normal, and the patient underwent computed tomographic angiography (CTA). CTA demonstrated left renal vein (LRV) stenosis between the superior mesenteric artery (SMA) and aorta and post-stenotic LRV dilatation (Fig. 1). Moreover, a significantly reduced aortic-SMA angle was found (15°-20°). These findings suggest the presence of nutcracker syndrome (NCS). However, because of the patient’s young age and possible complications of surgical treatment, further evaluation with selective digital subtraction angiography (DSA) of the LRV was performed through percutaneous right common femoral vein access. However, it did not reveal any significant LRV stenosis (Fig. 2). Intravascular ultrasound (IVUS, Visions PV.035; Philips Volcano) was performed and demonstrated severe luminal narrowing in the proximal LRV (Fig. 3). Moreover, a significant pressure gradient (approximately 6 mmHg) between LRV and inferior Im ge of Vacular Srgery Multimodality Assessment of Nutcracker Syndrome in a Young Patient","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"11"},"PeriodicalIF":0.9,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/c3/vsi-39-11.PMC10227710.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553036","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

Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female. 血管内治疗高龄女性巨大肠系膜上动脉瘤1例。

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Vascular Specialist International Pub Date : 2023-05-15 DOI: 10.5758/vsi.230020

Ryo Okubo, Shinsuke Kikuchi, Norifumi Otani, Masahiro Tsutsui, Hiroyuki Kamiya

引用次数: 0

The Results of Femorofemoral Bypass Using a Saphenous Vein Graft as an Alternative to PTFE Grafts. 用隐静脉移植物替代聚四氟乙烯移植物进行股股分流的结果。

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Vascular Specialist International Pub Date : 2023-03-31 DOI: 10.5758/vsi.220060

Gibeom Kwon, Ki Hyuk Park, Sang Gyu Kwak, Jaehoon Lee

{"title":"The Results of Femorofemoral Bypass Using a Saphenous Vein Graft as an Alternative to PTFE Grafts.","authors":"Gibeom Kwon, Ki Hyuk Park, Sang Gyu Kwak, Jaehoon Lee","doi":"10.5758/vsi.220060","DOIUrl":"https://doi.org/10.5758/vsi.220060","url":null,"abstract":"Purpose: This study aimed to report the results of femorofemoral bypass (FFB) using a great saphenous vein (GSV) graft as an alternative to polytetrafluoroethylene (PTFE) grafts.Materials and methods: From January 2012 to December 2021, 168 patients who underwent FFB (PTFE, 143; GSV, 25) were included. The patients' demographic features and surgical intervention results were retrospectively reviewed.Results: There were no intergroup differences in patients' demographic features. In GSV vs. PTFE grafts, the superficial femoral artery provided statistically significant inflow and outflow (P<0.001 for both), and redo bypass was more common (P=0.021). The mean follow-up duration was 24.7±2.3 months. The primary patency rates at 3 and 5 years were 84% and 74% for PTFE grafts and 82% and 70% for GSV grafts, respectively. There was no significant intergroup difference in primary patency (P=0.661) or clinically driven target lesion revascularization (CD-TLR)-free survival (P=0.758). Clinical characteristics, disease details, and procedures were analyzed as risk factors for graft occlusion. Multivariate analysis revealed that none of the factors was associated with an increased risk of FFB graft occlusion.Conclusion: FFB using PTFE or GSV grafts is a useful method with an approximately 70% 5-year primary patency rate. The GSV and PTFE grafts showed no difference in primary patency or CD-TLR-free survival during follow-up; however, FFB using GSV may be an option in selective situations.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"7"},"PeriodicalIF":0.9,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/42/vsi-39-7.PMC10064113.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230022","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

Staged Treatment of Phlegmasia Cerulea Dolens in a Patient with Iliac Vein Compression Syndrome and Deep Vein Thrombosis: A Case Report. 分阶段治疗髂静脉压迫综合征合并深静脉血栓1例。

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Vascular Specialist International Pub Date : 2023-03-31 DOI: 10.5758/vsi.230006

Francine Eliza Faccin, Ana Paula Donadello Martins, Leonardo Henrique Bertolucci, Ledwyng David Gonzalez Patino, Oscar Rockenbach Pereira, Alfredo Augusto Schulte, Silvio Cesar Perini

{"title":"Staged Treatment of Phlegmasia Cerulea Dolens in a Patient with Iliac Vein Compression Syndrome and Deep Vein Thrombosis: A Case Report.","authors":"Francine Eliza Faccin, Ana Paula Donadello Martins, Leonardo Henrique Bertolucci, Ledwyng David Gonzalez Patino, Oscar Rockenbach Pereira, Alfredo Augusto Schulte, Silvio Cesar Perini","doi":"10.5758/vsi.230006","DOIUrl":"https://doi.org/10.5758/vsi.230006","url":null,"abstract":"Iliac vein compression syndrome (IVCS) is defined as extrinsic compression of the left common iliac vein (LCIV) between the overlying right common iliac artery and the lumbar vertebra. The most severe complication is phlegmasia cerulea dolens (PCD), a medical emergency that requires quick intervention to prevent irreversible limb ischemia. This article reports the case of a patient with PCD as the first manifestation of IVCS. The treatment included embolectomy and fasciotomy. Bilateral femoral iliac axis phlebography and cavography were performed 48 hours after the procedure. The IVCS was identified, and balloon predilatation of the lesions followed by implantation of self-expanding stents from the confluence of the LCIV with the inferior vena cava to the middle portion of the left external iliac vein was performed. Postprocedure phlebography demonstrated satisfactory final results, and a 12-month follow-up image showed patent stents and minimal intimal hyperplasia.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"8"},"PeriodicalIF":0.9,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/0f/vsi-39-8.PMC10068470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9602259","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

When Encountering a Rare Vascular Disease, Report and Share your Experience: Six Reasons to Publish a Case Report in VSI. 当遇到罕见的血管疾病，报告和分享你的经验:在VSI上发表病例报告的六个理由。

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Vascular Specialist International Pub Date : 2023-03-31 DOI: 10.5758/vsi.233911

Seung-Kee Min

{"title":"When Encountering a Rare Vascular Disease, Report and Share your Experience: Six Reasons to Publish a Case Report in VSI.","authors":"Seung-Kee Min","doi":"10.5758/vsi.233911","DOIUrl":"https://doi.org/10.5758/vsi.233911","url":null,"abstract":"Approximately 20 years ago, when I started my career as a vascular surgeon after fellowship training, I received an emergency call for a 52-year-old female with flu-like symptoms, fever, and painful swelling of her left neck and arm for 8 days. She had no history of trauma or central catheterization. Contrast-enhanced computed tomography revealed extensive acute thrombosis in the left internal jugular and subclavian veins. I had never seen such extensive venous thrombosis before. No one around me knew about this disease. I searched vascular textbooks; however, none were helpful. I proceeded to search the PubMed database using the search terms “thrombosis subclavian vein internal jugular vein.” It revealed more than 200 articles, the abstracts of which I read, concentrating on and searching for answers regarding diagnosis and treatment. Finally, I found an article dealing with Lemierre syndrome that exactly matched the clinical presentation of my patient. It took about 2 hours, and I left work with a happy heart after ordering antibiotics and anticoagulants. The following day, I attempted a more aggressive treatment approach via aspiration thrombectomy to obtain samples of infected thrombi for microbiological culture and to decrease the thrombus burden for earlier recanalization. However, the thrombi were thick and adhered to the vessel wall due to inflammation, and the retrieved thrombi revealed no microorganisms. After 6 weeks of antibiotics and 3 months of anticoagulant therapy, the veins completely recanalized, and her symptoms disappeared. Later, I realized that thrombolysis could be dangerous, causing multiple septic emboli, pneumonia, or systemic abscesses. After experiencing this rare case, I published a case report to share my knowledge [1]. This case report has been cited by at least 6 doctors and has helped more patients. Herein, I would like to summarize why case reports of rare vascular diseases are needed, and how to write a good case report.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"9"},"PeriodicalIF":0.9,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/f3/vsi-39-9.PMC10085818.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9658063","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}

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Right Gastroepiploic Artery Transposition for a Common Hepatic Artery and Proper Hepatic Artery Aneurysm Repair. 右胃网膜动脉转位治疗肝总动脉及肝固有动脉动脉瘤。

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Vascular Specialist International Pub Date : 2023-03-30 DOI: 10.5758/vsi.230011

Deokbi Hwang, Hyeon Ju Kim, Hyung-Kee Kim, Seung Huh, Woo-Sung Yun

引用次数: 0

Late Type III Endoleak after Loss of Component Overlap after EVAR with AFX2 Device: A Case Report. 使用AFX2装置EVAR后部件重叠丢失后晚期III型内漏:1例报告。

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Vascular Specialist International Pub Date : 2023-03-30 DOI: 10.5758/vsi.230005

Myeonghyeon Ko, Sanghyun Ahn, Seung-Kee Min, Ahram Han

引用次数: 0

Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture. 外伤性胫腓骨骨折取栓后胫骨后动脉假性动脉瘤1例。

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Vascular Specialist International Pub Date : 2023-03-27 DOI: 10.5758/vsi.230015

Hyeon Ju Kim, Deokbi Hwang

{"title":"Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture.","authors":"Hyeon Ju Kim, Deokbi Hwang","doi":"10.5758/vsi.230015","DOIUrl":"https://doi.org/10.5758/vsi.230015","url":null,"abstract":"The frequency of vascular injury resulting from extremity trauma varies depending on an individual’s social or natural environment [1-4]. Traffic accidents appear to be a major threat to public safety in South Korea, where war-related or gunshot injuries are rare. Here, we present a trauma case of combined vascular and orthopedic injuries. A 77-year-old woman was brought to our emergency room as a pedestrian, who had been trapped under the wheel of a limousine. The crushed bones were exposed in both ankles, and the left leg had simultaneous fractures of the distal tibia and midshaft fibula (Fig. 1). There was no arterial pulse at the level of the ankle wound. Initial computed tomography (CT) angiography revealed an occluded anterior tibial artery (ATA) and diminished flow from the tibioperoneal trunk (TPT) (Fig. 2). Given its ease and combined degloving injury, we decided to repair the posterior tibial artery (PTA) first without exploring the ATA, which might have required a vein Im ge of Vacular Srgery Posterior Tibial Artery Pseudoaneurysm Following Thrombectomy in a Patient with Traumatic Tibiofibular Fracture","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"4"},"PeriodicalIF":0.9,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/36/vsi-39-4.PMC10041159.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9281305","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

Anesthetic, Sedation, and Analgesic Technique for Successful Local Anesthetic EndoSuture Aneurysm Repair. 成功的局部麻醉缝合动脉瘤修复术的麻醉、镇静和镇痛技术。

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Vascular Specialist International Pub Date : 2023-03-24 DOI: 10.5758/vsi.230003

Martin Hennessy, Keith Kelso Hussey

{"title":"Anesthetic, Sedation, and Analgesic Technique for Successful Local Anesthetic EndoSuture Aneurysm Repair.","authors":"Martin Hennessy, Keith Kelso Hussey","doi":"10.5758/vsi.230003","DOIUrl":"https://doi.org/10.5758/vsi.230003","url":null,"abstract":"Purpose: We aimed to describe our technique for and experience with elective endovascular aneurysm repair using EndoAnchors under local anesthesia.Materials and methods: We included seven patients with abdominal aortic aneurysms who underwent endovascular aneurysm repair using EndoAnchors with a standard regimen consisting of local anesthesia, intravenous sedation, and analgesia. The procedural and follow-up details were retrospectively reviewed.Results: Six out of seven infrarenal abdominal aortic aneurysms were successfully treated with endovascular aneurysm repair using primary EndoAnchors under local anesthesia. One patient was converted to general anesthesia due to acute aneurysm thrombosis independent of EndoAnchor deployment during the procedure. Remifentanyl infusions of up to 3.2 mg/min, morphine doses up to 6 mg (median, 0.5 mg), and midazolam doses of up to 4 mg (mean, 1.4 mg) were used. The mean theater time was 83 minutes (range, 60-130 minutes). Two patients were discharged on day 0, and the mean hospital stay was one day. All patients were alive between 484 and 1,128 days post-procedure, with no aneurysm-specific reintervention.Conclusion: The combination of local anesthesia, intravenous sedation, and analgesia is a viable strategy for timely and effective endovascular aneurysm repair using EndoAnchors. This technique may allow endovascular repair of more ruptured aneurysms using EndoAnchors with potential survival benefits.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"3"},"PeriodicalIF":0.9,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/8a/vsi-39-3.PMC10040298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9197246","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