血管与腔内血管外科杂志最新文献

{"title":"Aortic and coeliac axis compression by the median arcuate ligament","authors":"Nada Y Elzefzaf, Y. Oskui, Kathryn E. Lee, R. Narlawar, H. Badri, G. Antoniou","doi":"10.59037/hjves.v4i4.11","DOIUrl":"https://doi.org/10.59037/hjves.v4i4.11","url":null,"abstract":"Median arcuate ligament syndrome is a clinical condition in which the cause of gastrointestinal symptoms is thought to be compression of the coeliac trunk by the median arcuate ligament. We report a case of a 25-year-old woman with compression of the supra-coeliac aorta and the coeliac trunk by the median arcuate ligament. The patient was successfully treated with open surgical decompression. Median arcuate ligament syndrome is poorly understood, and surgical management is highly variable in its outcome.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"18 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72391070","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}

{"title":"When even luck matters: a compendium of all possible complications during hybrid repair of a dissecting TAAA occurred in a single patient","authors":"Federico Pascucci, Giovanni Mastrangelo, Vincenzo Palazzo","doi":"10.59037/hjves.v5i2.49","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.49","url":null,"abstract":"Purpose. A 73-year-old woman, already submitted to repair of the ascending aorta and subsequently to aortic valve substitution in redo sternotomy, presented to our attention with a dissecting TAAA with a distal aortic arch diameter of 6 cm. Our goal was to offer this extremely fragile patient the least invasive surgical treatment as possible. Technique. We treated this patient in two stages. In the first stage we performed a carotid-carotid-subclavian bypass. In the second stage we performed a TEVAR in zone 1, extending from the brachiocephalic artery to the celiac trunk. Left subclavian artery was previously occluded with a plug. CSFD was not adopted by default. Conclusion. This patient reported some extremely rare and unexpected complications that brought us to report this case. Hybrid techniques represent an extremely appealing opportunity to treat fragile patients affected by complex aortic diseases with relatively little invasive strategies, however, serious complications can occur.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771548","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}

{"title":"Bilateral axillary aneurysm repair by open surgery: A case report","authors":"Laura Isabel Inga Távara, Giuseppe Corte, Jorge Bartolomé Cuenca Manteca","doi":"10.59037/hjves.v5i2.50","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.50","url":null,"abstract":"Axillary aneurysms are rare pathologies and although most of them are the result of traumatic events, there is a percentage that is due to atherosclerotic disease or is the result of a degenerative process over time. Once the aneurysm develops, it can cause distal ischemic events and/or neurological symptoms related to embolism or compression. Therefore, the diagnosis and treatment of axillary aneurysms is crucial for the patient. Most of them can be treated effectively by surgical excision and vascular grafting. We present a case of a patient with bilateral axillary aneurysms diagnosed after embolic complications.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771540","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}

{"title":"Covered Endovascular Reconstruction of Ιnternal Ιliac Bifurcation (CERIΙB)","authors":"Konstantinos Spanos, Athanasios Chaidoulis, Konstantinos Dakis, George Kouvelos, Metaxia Bareka, Eleni Arnaoutoglou, Miltiadis Matsagkas Miltiadis Matsagkas","doi":"10.59037/hjves.5i2.39","DOIUrl":"https://doi.org/10.59037/hjves.5i2.39","url":null,"abstract":"Purpose: The aim is to present a case of bilateral internal iliac artery aneurysms (IIAAs) endovascular repair without proper distal landing zone using an off the shelf technique of Covered Endovascular Reconstruction of Internal Iliac Bifurcation (CERIIB). Technique: A 67- year-old male had a known history of open surgical repair of an infrarenal AAA 12 years ago. During follow up, computed tomography angiography (CTA) revealed bilateral internal iliac artery aneurysms (30 mm of diameter). We used a technique deploying firstly a balloon expandable covered stent (BXCS) in the proximal part of the IIA, and then two parallel BXCS in the two main outflow branches of each IIA. In the left side additional a kissing stent technique was undertaken (BXCS in external and a balloon into the IIA). The postoperative course of the patient was uneventful and was he discharged at second post-operative day, while the first-month CTA demonstrated optimal outcome.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"479 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771542","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}

{"title":"Single stem visceral debranching for complex aortic disease","authors":"Jimmy Davaine, Jérémie Jayet, L. Oiknine, Garance Martin, T. Couture, D. Verscheure, J. Gaudric, L. Chiche, Fabien Koskas","doi":"10.59037/hjves.v5i2.30","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.30","url":null,"abstract":"What this paper adds Treatment of complex aortic diseases including thoracoabdominal aortic aneurysms and aortic dissection is highly challenging. Hybrid repair may be useful in some situations wherein anatomy, the need of emergent repair or patient comorbidities preclude the use of total endovascular or direct open reconstruction. This paper details an original hybrid repair in which a single branch is used to reroute all visceral vessels. Abstract: Objective: Hybrid treatment of complex aortic disease has been described with various techniques of retrograde visceral bypass. The use of a single branch to revascularize all renal and visceral vessels may be less cumbersome than multiple synthetic branches and may seems to be efficient in terms of patency. Methods: We retrospectively included 15 patients between 2013 and 2021. Indication was aortic dissection (AD) (type A, acute or chronic type B), thoracoabdominal aortic aneurysms (TAA), visceral occlusive disease. Surgery consisted in median laparotomy, visceral vessel debranching from native aorta or from an aortic graft. In case of AD, surgical fenestration was performed. Additional TEVAR completed the treatment when indicated, during the same procedure or later on Results: Mean age was 60 years. 9 (60%) patients were treated for AD, 3 (20%) for TAA, 3 (20%) for occlusive disease. A total of 65 target vessels were debranched through the single stem retrograde vascular graft (SSRVG) technique. Aortic surgical fenestrations were performed in 8 cases and TEVAR in 4 cases. In the postoperative course, 3 TAA patients died,7 patients developed renal insufficiency (47%), 4 patients presented pneumonia (27%) and 3 colonic ischemia (20%). After a mean follow up of 21 months, all vessels (but 2 IMAs) were patent and no endoleak was noted. Conclusion: SSRVG technique offers a feasible and safe solution in various complex aortic diseases. The use of a single graft makes the technique straightforward by reducing the volume of multiple branch assembly in the retroperitoneal space with satisfying patency rates. Further studies with larger patient sample size and longer follow up are needed to elucidated the efficacy and durability of the technique.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771537","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}

{"title":"Chimney technique for left subclavian artery restoration -Two cases presentations-","authors":"Konstantinos Maltezos, Sotirios Giannakakis, Anna Pachi, Apostolos Chaveles, Stavros Kerasidis, Chysostomos Maltezos","doi":"10.59037/hjves.v5i2.27","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.27","url":null,"abstract":"Introduction: Left subclavian artery revascularization (LSAR) is performed in the setting of thoracic endovascular repair (TEVAR). In recent years, the chimney technique is an effective method of LSAR. Cases: Two case reports analyze our experience in the chimney technique for the LSAR. In the first case, a young male underwent in a TEVAR due to an aortic isthmus rupture. In the second case, a male underwent in elective endovascular repair of thoracic aortic aneurysm and in the second time he underwent in an endovascular abdominal aortic aneurysm repair. In 3 months postoperatively, the second man’s follow-up CTA showed that the stents were well formed and no obvious endoleak was noticed. Conclusion: The LSAR in patients who underwent in TEVAR decreases the risk of stroke and upper limb ischemia. Several minimally invasive procedures have been employed to manage this, one of them is the chimney graft technique.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771538","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}

{"title":"Perioperative Management of Antiplatelet and Anticoagulation Therapy in Vascular Surgery","authors":"Slobodan Tanaskovic, Jovan Petrovic, Milorad Sevkovic, Bojan Vucurevic, Andriana Bucic, Danica Bajcetic, Nenad Ilijevski, Petar Dabic","doi":"10.59037/hjves.v5i2.47","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.47","url":null,"abstract":"Treatment of patients taking anticoagulant therapy (ACT) and antiplatelet therapy (APT) is a daily challenge for doctors of all specialities, and a special problem is the adequate care of these patients in the immediate perioperative period during vascular surgical procedures. This paper presents the current findings and recommendations on the perioperative use of ACT and APT and considerations of therapeutic modalities in frequent clinical cases of vascular patients. An overview of the most commonly used anticoagulant and antiplatelet drugs in clinical practice is also presented. Vascular surgical patients represent a population of patients in whom platelet coagulation and aggregation mechanism are dysregulated in many cases. There is still no broad consensus and unequivocal evidence that can direct the physician towards the right modality of therapy. The final decision rests with the physician, who should, based on the individual assessment of each patient, determine the risk and thus determine the modality of anticoagulant and antiplatelet therapy.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771541","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}

{"title":"The ESVS 2023 guidelines on the management of atherosclerotic carotid and vertebral artery disease. What is new and what remains to be answered","authors":"John Kakisis, Stavros K. Kakkos","doi":"10.59037/hjves.v5i2.4","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.4","url":null,"abstract":"Κάτοχος της άδειας κυκλοφορίας: Bayer AG, 51368 Leverkusen, Γερμανία. Τοπικός αντιπρόσωπος του κατόχου αδείας κυκλοφορίας στην Ελλάδα: Bayer Ελλάς ABEE, Σωρού 18-20, 151 25 Μαρούσι. Τοπικός αντιπρόσωπος του κατόχου αδείας κυκλοφορίας στην Κύπρο: Novagem Ltd, Τηλ: 00357 22483858. Tμήμα Επιστημονικής Ενημέρωσης Τηλ: +30 210 6187742, Fax: +30 210 6187522 Email: medinfo.gr.cy@bayer.com ELPEN Α.Ε. ΦΑΡΜΑΚΕΥΤΙΚΗ ΒΙΟΜΗΧΑΝΙΑ Λεωφ. Μαραθώνος 95, 190 09 Πικέρμι Αττικής, Τηλ: 210 6039326 9, Fax: 210 6039300 ΓΡΑΦΕΙΑ ΕΠΙΣΤΗΜΟΝΙΚΗΣ ΕΝΗΜΕΡΩΣΗΣ Σεβαστείας 11, 115 28 Αθήνα, Τηλ: 210 7488711, Fax: 210 7488731 Εθν. Αντιστάσεως 114, 551 34 Θεσσαλονίκη, Τηλ: 2310 459920 1, Fax: 2310 459269 Εταιρεία συμπροώθησης PP -X AR -G R01 68 -1","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"479 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771539","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}

{"title":"Outpatient treatment of truncal veins insufficiency","authors":"Petros K. Chatzigakis, Aikaterini Karolina Zianika, Georgios Geropapas, Alexios Kalamaras, Vasileios Katsikas, Georgios C. Kopadis","doi":"10.59037/hjves.v5i2.45","DOIUrl":"https://doi.org/10.59037/hjves.v5i2.45","url":null,"abstract":"Abstract Introduction: Chronic venous disease is a common clinical problem with an increasing incidence that constitutes a financial burden for healthcare. Minimal invasive techniques and procedures in an outpatient basis may help decompressing the healthcare system. The aim of this study is to evaluate the effectiveness and safety of endovenous closure of the truncal veins with n butylcyanoacrylate adhesive on an outpatient basis. Methods: We treated 100 cases of venous insufficiency with endovenous NBCA glue closure of the truncal veins on an outpatient basis. Patients were usually admitted to the vascular surgery department at the time of the procedure. The surgery took place in the general operation room, under local anesthesia. We didn’t use compression stockings and patients were instructed to walk immediately after the operation. Results: There was a 100% successful obliteration of the target vein in day 0, 2weeks, 3-months and one year. The majority of patients (98%) reported improvement of the symptoms, whereas 60 patients (60%) had complete elimination of symptoms. The appearance of varicose veins improved in 96% of the cases. There were no major adverse effects observed during follow-up. A percentage of 28% presented erythema and tenderness along GSV and 15 of those patients were treated with anti-inflammatory drugs (Ibuprofen) and 5 with antibiotics (Amoxicillin-Clavulanic acid). Conclusion: Outpatient treatment of venous insufficiency with endovenous glue closure is a safe and efficient method. It increases patient satisfaction, permits rapid return to normal activities and reduces the risk of hospital transmission of infectious diseases and hospitalization costs.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135771543","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}

{"title":"IVUS Improves Outcomes with SUPERA Stents for the Treatment of Superficial Femoral-popliteal Artery Disease","authors":"P. Krishnan, Raman Sharma, S. Avadhani, A. Tarricone, Allen Gee, S. Farhan, H. Kamran, Annapoorna Kini, Samin Sharma","doi":"10.1101/2023.02.03.23285427","DOIUrl":"https://doi.org/10.1101/2023.02.03.23285427","url":null,"abstract":"Objectives: To determine the effect of intravenous ultrasound (IVUS) when used adjunctively with nitinol interwoven bare metal stents in the management of femoropopliteal lesions. Background: Nitinol interwoven bare metal stents represent an advancement in stent technology; however nominal deployment remains an area of focus. Intravascular Ultrasound (IVUS) has been shown to improve outcomes in both the coronary and peripheral vasculature by providing the operator with greater vessel detail. The use of adjunctive IVUS with Nitinol bare metal stents has not been widely studied. Methods: This study included a cohort of 200 consecutive patients with peripheral artery disease. All patients were treated with [≥]1 Supera bare metal stent, and 91 received adjunctive IVUS imaging prior to stent deployment. Deployment conditions of nominal, compressed, and elongated were measured and the primary clinical outcomes included target lesion reintervention, major and minor, below the knee amputation, and mortality. Results: The patients who received IVUS had a significantly greater number of nominally deployed stents (p<0.001). Patients who had IVUS imaging also had significantly lower reintervention rates compared to those who did not receive IVUS imaging (p=0.047). Conclusion: IVUS and angiography decreases clinically driven target lesion reintervention and increases nominal deployment compared to angiography alone in femoropopliteal lesions treated with interwoven bare metal nitinol stents.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"102 1","pages":"15266028231182226"},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72831743","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}