Annals of vascular surgery. Brief reports and innovations最新文献

{"title":"Surgical management of midaortic syndrome in children with renovascular hypertension: Over a quarter of century experience","authors":"Afksendiyos Kalangos ,&nbsp;Murat Ugurlucan ,&nbsp;Didem Melis Oztas ,&nbsp;Panagiotis Sfyridis ,&nbsp;Gino Gemayel ,&nbsp;Yilmaz Zorman ,&nbsp;Nataliia Shatelen","doi":"10.1016/j.avsurg.2025.100396","DOIUrl":"10.1016/j.avsurg.2025.100396","url":null,"abstract":"<div><h3>Background</h3><div>If left untreated, mid-aortic syndrome with renovascular hypertension can lead to life-threatening complications due to refractory hypertension. We aimed to analyze the medium- and long-term outcomes in a pediatric population that underwent surgery over the past 25 years.</div></div><div><h3>Methods</h3><div>A review of eight children with mid-aortic syndrome resulting in renovascular hypertension due to renal arterial stenosis has been conducted over the past 25 years. Children diagnosed with Takayasu arteritis were excluded. Primary outcomes were survival, reoperations, and interventional procedures.</div></div><div><h3>Results</h3><div>Eight children, with a median age of 12.5 years (ranging from 4 to 17 years old), were included in the study period. One patient had Neurofibromatosis type I, while another was diagnosed with Williams-Beuren syndrome. Seven children had involvement of one or both renal arteries, and most of them were affected by visceral abdominal aortic branches: celiac trunk (<em>n</em> = 3) and/or superior mesenteric artery (<em>n</em> = 2), which required reimplantation. The procedure to alleviate the stenotic abdominal aortic segment employed a lateral-to-end aorto-aortic bypass tube graft, with or without renal or visceral arterial bypass. There were no early or late deaths during the follow-up period. One patient experienced a postoperative thrombosis of the venous graft between the aortic bypass graft and the right renal artery, necessitating a thrombectomy. One patient required dilation of the right renal artery due to stenosis in the reimplanted artery 18 months after the initial repair, while another patient needed dilation of the superior mesenteric artery at the anastomosis with the saphenous vein graft after 19 months. In the remaining patients, imaging revealed no significant residual stenosis, and all patients were tapered off anti-hypertensive medications by the last follow-up appointment.</div></div><div><h3>Conclusions</h3><div>Surgical repair of the mid-aortic syndrome can be performed with low operative and late morbidity in experienced hands. Long-term follow-up is associated with complete resolution of renal hypertension. Patients require regular follow-up because of the risk of visceral aortic branch and renal artery anastomotic restenosis. However, revascularization using short saphenous vein graft segments is durable, and if stenosis occurs, it can be easily managed percutaneously.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665867","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":"Aneurysmal degeneration after drug-eluting stent implantation in lower limb arteries: A systematic review and case reports","authors":"Angela Luongo ,&nbsp;Nicola Cantile ,&nbsp;Davide Turchino ,&nbsp;Abdul Karim Markabaoui ,&nbsp;Raffaele Serra ,&nbsp;Umberto Marcello Bracale","doi":"10.1016/j.avsurg.2025.100395","DOIUrl":"10.1016/j.avsurg.2025.100395","url":null,"abstract":"<div><h3>Background</h3><div>Paclitaxel-eluting stents (DES) are widely used in the treatment of femoropopliteal peripheral arterial disease (PAD) due to their ability to inhibit neointimal hyperplasia and reduce restenosis rates. However, recent observational data have raised concerns about delayed complications, particularly aneurysmal degeneration of the treated arterial segments.</div></div><div><h3>Objectives</h3><div>To systematically review the incidence, anatomical distribution, mechanisms, and clinical outcomes of aneurysmal degeneration following implantation of paclitaxel-eluting stents in lower limb arteries, define its incidence, anatomical distribution, proposed mechanisms, diagnostic criteria, and therapeutic approaches and to present a representative case requiring open surgical revision 12 months post-Eluvia implantation.</div></div><div><h3>Methods</h3><div>A PRISMA-compliant systematic review was performed including randomized trials, observational studies, and case reports describing aneurysmal degeneration after DES implantation. Data were extracted regarding stent type, lesion location, diagnostic methods, follow-up, and clinical outcomes. A clinical case of aneurysmal degeneration of the common femoral artery (CFA) following Eluvia implantation was integrated.</div></div><div><h3>Results</h3><div>Thirteen studies were included, comprising 1 randomized controlled trial, 6 observational cohorts, 1 case series, and 5 case reports. The incidence of aneurysmal degeneration ranged from 0 % to 15.7 %, with the superficial femoral artery (SFA) being the most affected site. Conservative management was common, although some cases required open surgical treatment. Our patient underwent aneurysmectomy and bypass for CFA degeneration 12 months after DES placement.</div></div><div><h3>Conclusions</h3><div>Aneurysmal degeneration after femoropopliteal DES implantation may be underdiagnosed and clinically relevant. Given the variability in diagnostic criteria and long-term risk, systematic surveillance and further investigation are warranted, particularly in off-label stent applications.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633089","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":"Symptomatic pseudoaneurysm of the superficial temporal artery: three case reports","authors":"Pietro Modugno ,&nbsp;Mario Nocerino ,&nbsp;Francesco Maria Modugno ,&nbsp;Veronica Picone ,&nbsp;Lucia Scurto ,&nbsp;Alessandra Paolini ,&nbsp;Carmen Pediliggieri ,&nbsp;Corrado Cirielli","doi":"10.1016/j.avsurg.2025.100393","DOIUrl":"10.1016/j.avsurg.2025.100393","url":null,"abstract":"<div><div>We present a series of three cases of symptomatic pseudoaneurysms of the superficial temporal artery (STA) following non-concussive head trauma. All patients developed a superficial hematoma associated with a pulsatile swelling, painful on both palpation and spontaneously. Diagnosis was promptly made with color Doppler ultrasound, supplemented by a non-contrast head computed tomography (CT) scan to rule out cranial fractures or cerebral hemorrhages. Management involved ligating the STA both upstream and downstream of the pseudoaneurysm, followed by its excision. This approach effectively resolved the local and regional symptoms through a quick, safe, and minimally invasive procedure.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502270","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":"Abdominal aortic aneurysm endovascular repair in a patient after lung transplantation","authors":"Claudiomar Zardo de Oliveira,&nbsp;Júlia Scussiato de Oliveira,&nbsp;Éverton Macedo","doi":"10.1016/j.avsurg.2025.100390","DOIUrl":"10.1016/j.avsurg.2025.100390","url":null,"abstract":"<div><div>We present a unique case of a 72-year-old man who underwent endovascular repair of a ruptured abdominal aneurysm. This patient has received a unilateral left lung transplant for cystic fibrosis 14 months prior to this event. He was being treated with cyclosporine, azathioprine and prednisone as immunosuppressive therapy. Among the studies published to date, this is the first case of a ruptured abdominal aortic aneurysm treated endovascularly after lung transplantation. We noted that prior to the transplant the patient had a small abdominal aortic aneurysm, but that after the transplant the aneurysm evolved rapidly, culminating in rupture.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306508","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":"A rare case of dorsalis pedis artery pseudoaneurysm: Surgical management and review of the literature","authors":"Giulia Maria Piermarini ,&nbsp;Corrado Cirielli ,&nbsp;Gennaro Restaino ,&nbsp;Massimiliano Missere ,&nbsp;Mario Nocerino ,&nbsp;Luca Mascellari ,&nbsp;Pietro Modugno","doi":"10.1016/j.avsurg.2025.100394","DOIUrl":"10.1016/j.avsurg.2025.100394","url":null,"abstract":"<div><h3>Introduction</h3><div>Aneurysms of the dorsalis pedis artery (DPA) are a rare condition but their management is essential to prevent significant complications, such as rupture or foot ischemia^2,3,4. Despite the evolution of therapeutic techniques in recent decades, the current literature shows a predominant use of surgical treatments, with limited recourse to endovascular options. This study presents a clinical case of DPA pseudoaneurysm and offers a review of current therapeutic approaches.</div></div><div><h3>Methods</h3><div>We performed a systematic review of the literature using PubMed and Scopus, analyzing articles published from 1955 to the present. We focused on studies that addressed etiology, clinical presentation, diagnostic methods, and treatment outcomes.</div></div><div><h3>Results</h3><div>In our review, trauma (25 %) and iatrogenic causes (18.75 %) were the most frequent etiologies of DPA aneurysms. The typical clinical presentation was a pulsatile mass, and Doppler ultrasound was the most common diagnostic tool. Surgery, especially resection and ligation of feeding vessels (50 %), was the most frequently used treatment. Endovascular treatments, including embolization, were rare. No significant complications were reported ⁴⁴.</div></div><div><h3>Discussion</h3><div>Surgical treatment remains the primary approach for DPA aneurysms, resulting in good outcomes when performed promptly. Despite the advancements in endovascular techniques, their application to DPA aneurysms remains limited, with only one case reported in the literature.⁴⁴</div></div><div><h3>Conclusions</h3><div>Despite the rarity of DPA aneurysms, surgical treatment remains effective and safe when promptly applied.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100394"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513997","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":"Evolution of the management of symptomatic carotid artery stenosis with free floating thrombus","authors":"Jonathan Sexton,&nbsp;Kennedy Nye","doi":"10.1016/j.avsurg.2025.100392","DOIUrl":"10.1016/j.avsurg.2025.100392","url":null,"abstract":"<div><div>Free floating carotid thrombus (FFCT) is an infrequent but dangerous finding of symptomatic carotid stenosis. Definitive management for FFCT is not well defined and the risk of stroke after endarterectomy comes with almost a threefold increase in stroke risk. Initial anticoagulation will usually resolve the thrombus on its own and allow for traditional management. In those that persist, there remains a low chance of recurrent stroke at 30 days with continued anticoagulation. For patients who have persistent disease, or recurrent symptoms, Transcarotid Artery Revascularization (TCAR) with Percutaneous Mechanical Thrombectomy (PMT) appears to be a safer alternative option to Carotid Endarterectomy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306509","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":"Traumatic pseudoaneurysm of internal mammary artery with fistula of internal mammary vein treated minimally invasive: A case report","authors":"Kasilingam Kiritharan,&nbsp;Srikumaran Sivamainthan,&nbsp;Vengadasalam Sutharshan,&nbsp;Murugavel Mayuran,&nbsp;Satchithanantham Vinojan","doi":"10.1016/j.avsurg.2025.100391","DOIUrl":"10.1016/j.avsurg.2025.100391","url":null,"abstract":"<div><h3>Background</h3><div>Pseudoaneurysms involving the internal mammary artery/internal thoracic artery (IMA/ITA) are rare occurrences, and the presentation and treatment approaches for such cases can be variable. Due to the potentially life-threatening risk of rupture, leading to conditions like haemothorax, it is important to have a comprehensive understanding of safe and effective diagnostic and therapeutic techniques. We present a case of IMA/ITA artery pseudoaneurysm complicated with fistula formation with the vein.</div></div><div><h3>Case presentation</h3><div>A 36-year-old male presented to the surgical casualty after one week with bleeding from the laceration he had in left chest following a motor vehicle accident. CT angiogram of the chest revealed a pseudoaneurysm formation in the internal mammary artery and a fistula to the internal mammary vein.</div></div><div><h3>Intervention and Outcome</h3><div>He underwent coil embolization, and subsequent post-procedure angiograms confirmed the effective occlusion of the left IMA/ITA, with no further visualization of the pseudoaneurysm.</div></div><div><h3>Conclusion</h3><div>Targeted coil embolization is favoured over surgical repair due to its lower complication rates and favourable outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331074","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":"Functional popliteal artery entrapment syndrome in an athletic adolescent: a case report and surgical insights","authors":"Eden Z Gebreselassie ,&nbsp;Virgile Omnes ,&nbsp;Karima Houasli ,&nbsp;Gwenaelle Duchemin ,&nbsp;Eva Madeleine ,&nbsp;Marine Gaudry","doi":"10.1016/j.avsurg.2025.100389","DOIUrl":"10.1016/j.avsurg.2025.100389","url":null,"abstract":"<div><div>Popliteal artery entrapment syndrome (PAES) is a rare but significant cause of lower limb claudication in young, otherwise healthy individuals. This case describes a 16-year-old athletic patient presenting with bilateral calf pain, initially evaluated by cardiology. While initial arterial Doppler ultrasound was unremarkable, calf contraction elicited a complete interruption of arterial flow. Angio-CT confirmed dynamic compression of the popliteal artery, consistent with functional popliteal entrapment syndrome. Surgical intervention was performed, involving resection of the medial gastrocnemius muscle and tendon release. The patient experienced full symptom resolution postoperatively. This report highlights the importance of considering PAES in the differential diagnosis of claudication in young patients, underscores the role of dynamic imaging and surgical management, and addresses postoperative recurrence risk.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280426","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":"Crossing the mesh of multilayer stents to treat ostial stenosis in aortic side branches","authors":"Ivo Petrov,&nbsp;Zoran Stankov,&nbsp;Petar Polomski","doi":"10.1016/j.avsurg.2025.100385","DOIUrl":"10.1016/j.avsurg.2025.100385","url":null,"abstract":"<div><div>Concerns exist whether the mesh of previously implanted multilayer stents can be crossed with existing interventional devices to treat endovascularly de novo stenotic lesions in covered aortic side branches. We describe the endovascular procedures used to treat three symptomatic patients (two male, one female; mean age: 69 years) who had undergone treatment for thoracoabdominal aortic aneurysms with multilayer stents a mean of 40 months earlier. The procedure involved six general steps: 1) using a brachial approach to navigate a 6 Fr Judkins Right guiding catheter close to the target branch ostium; 2) crossing the stent’s mesh covering the targeted side-branch ostium with a high-torque soft-tip guidewire; 3) advancing a low-profile, semicompliant 2-mm coronary balloon across the mesh and dilating it; 4) exchanging the 2-mm for a 3- or 4-mm noncompliant coronary balloon, and applying the balloon anchor technique to advance the guiding catheter across the mesh to engage it in the branch artery; 5) treating the stenotic lesion with balloon predilatation; and 6) implanting a low-profile, high-radial force stent through the mesh with the side branch stent protruding into the aorta. All target lesions were successfully treated without complications and patent at six-month follow-up. This case series demonstrates that the mesh of previously implanted multilayer stents can be crossed safely with readily available interventional devices using the balloon anchor technique. Endovascular treatment of multilayer stent-covered visceral and renal arteries is possible without the need for open surgery. These findings should be validated in larger studies with longer follow-up.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100385"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144211912","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":"Idiopathic brachial artery true aneurysm in 28-year-old female","authors":"Sujay Edavalapati ,&nbsp;Charles Hamilton ,&nbsp;Steve I. Curtiss","doi":"10.1016/j.avsurg.2025.100386","DOIUrl":"10.1016/j.avsurg.2025.100386","url":null,"abstract":"<div><h3>Background</h3><div>True brachial artery aneurysms (BAA) are considerably rare dilatations of the brachial artery, including all three layers of the vessel wall, which can have potentially devastating limb-threatening complications.⁴ The gold standard of treatment remains as open surgical resection, oftentimes requiring the utilization of autogenous or prosthetic conduit. We present a case of idiopathic true left brachial aneurysm in a 28-year-old female treated with excision and primary repair.</div></div><div><h3>Methods</h3><div>A 28-year-old female initially presents with an incidentally found pulsatile mass in her left arm. She was asymptomatic and incidentally noticed a lump which was found to be the aneurysm on further imaging workup. There was no other abnormal pulsatility noticed concerning aneurysms of other sites i.e., femoral, popliteal, abdominal, contra brachial. She denied a history of trauma to the area and injection and denied a family history of connective tissue disorder. Further workup, including duplex ultrasound and MRA, confirmed a true brachial artery aneurysm without evidence of aneurysms in the remainder of the body. The aneurysm was treated with surgical excision and primary repair with pathology negative for any connective tissue disorder.</div></div><div><h3>Results</h3><div>Postoperatively, the patient recovered well and was discharged on post-op day 2. Pathology report was negative for any connective tissue abnormalities and genetic testing without causative factors. On follow-up, the patient has been doing well on an aspirin with palpable distal pulses.</div></div><div><h3>Conclusions</h3><div>True brachial artery aneurysms are estimated to have an incidence of 0.17 %⁵ and represent an exceedingly uncommon cause of limb-threatening sequelae if not treated. Those identified should undergo thorough investigation, including genetic testing and imaging for other aneurysms. Surgical excision and repair with or without a conduit (autogenous or prosthetic) remain the gold standard of treatment with documented good outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100386"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194459","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}