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

A ruptured giant femoral artery aneurysm presents as DVT 巨大股动脉瘤破裂表现为深静脉血栓

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.avsurg.2025.100418

Stuthi Iyer , Edward Oh , Yash Pandya , Ulka Sachdev

引用次数: 0

Retrograde conduit-assisted hybrid repair for tandem common carotid and subclavian lesions 逆行导管辅助复合修复颈总动脉及锁骨下病变

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-02-28 DOI: 10.1016/j.avsurg.2026.100435

Marisa Doran , Carter Colwell , Mamata Tokala , Daniel Zumsteg , Esmaeel Dadashzadeh , Joshua Adams

{"title":"Retrograde conduit-assisted hybrid repair for tandem common carotid and subclavian lesions","authors":"Marisa Doran , Carter Colwell , Mamata Tokala , Daniel Zumsteg , Esmaeel Dadashzadeh , Joshua Adams","doi":"10.1016/j.avsurg.2026.100435","DOIUrl":"10.1016/j.avsurg.2026.100435","url":null,"abstract":"<div><h3>Background</h3><div>Tandem occlusive disease involving both the common carotid artery (CCA) and subclavian artery (SCA) presents a unique technical challenge. Open bypass procedures remain durable but carry significant morbidity, particularly in patients with prior sternotomy or hostile arch anatomy. We describe a novel hybrid technique that combines retrograde stenting via a prosthetic conduit anastomosed between the CCA and SCA, allowing single-incision revascularization while avoiding the aortic arch.</div></div><div><h3>Methods</h3><div>Patients who underwent retrograde conduit-assisted hybrid repair between January 2019 and December 2024 were retrospectively identified. Data collected included demographics, comorbidities, intraoperative details, and postoperative outcomes. Patency was confirmed by duplex ultrasound at follow-up.</div></div><div><h3>Results</h3><div>Six patients (mean age 71 years, 4 female) underwent this hybrid procedure for combined CCA and SCA occlusive disease. Four had prior sternotomy or anticipated cardiac surgery precluding open arch exposure. All procedures were performed via a single supraclavicular incision using a Hemashield ® graft as a conduit for retrograde stenting, followed by anastomosis to the SCA. Technical success and 30-day graft patency were achieved in all patients, with no perioperative strokes or deaths. Complications included one pulmonary embolism and one chyle leak. Long-term patency was maintained over one year in all patients.</div></div><div><h3>Conclusions</h3><div>Retrograde conduit-assisted hybrid repair enables safe, durable revascularization of tandem carotid and subclavian lesions through a single incision. By avoiding sternotomy and arch manipulation, this approach offers a practical solution for patients with complex anatomy or prior thoracic surgery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100435"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396404","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}

引用次数: 0

KILT Syndrome associated with congenital agenesis of the brachiocephalic trunk and right common carotid artery: an incidental combination expanding the polymalformative spectrum 与先天性头臂干和右颈总动脉发育不全相关的KILT综合征：扩大多发性畸形谱的偶然组合

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-02-25 DOI: 10.1016/j.avsurg.2026.100433

Gulaï Sahin-Erdogan, Elena-Mihaela Cordeanu, Dominique Stephan

{"title":"KILT Syndrome associated with congenital agenesis of the brachiocephalic trunk and right common carotid artery: an incidental combination expanding the polymalformative spectrum","authors":"Gulaï Sahin-Erdogan, Elena-Mihaela Cordeanu, Dominique Stephan","doi":"10.1016/j.avsurg.2026.100433","DOIUrl":"10.1016/j.avsurg.2026.100433","url":null,"abstract":"<div><h3>Background</h3><div>KILT syndrome (Kidney and Inferior vena cava abnormalities with Leg Thrombosis) is a rare congenital condition combining inferior vena cava (IVC) agenesis, renal anomalies, and deep vein thrombosis (DVT). It typically affects young adults with unprovoked or recurrent DVT. No previous report has described its coexistence with supra-aortic trunk agenesis.</div></div><div><h3>Case Presentation</h3><div>A 35-year-old male presented with acute left iliofemoral DVT, six months after an inadequately treated right proximal DVT. He had a known solitary left kidney. CT venography confirmed infrarenal IVC agenesis with extensive collateral drainage, establishing KILT syndrome. CT angiography revealed agenesis of the brachiocephalic trunk and right common carotid artery, with a slender right internal carotid artery reconstituted via the external carotid territory. The right subclavian artery origin was absent, with post-vertebral collateral reconstitution. Despite a 32 mmHg inter-arm systolic pressure gradient, the patient was asymptomatic with adequate intracranial compensation.</div></div><div><h3>Conclusions</h3><div>This case documents an incidental combination of KILT syndrome with brachiocephalic trunk and carotid agenesis. While this arterial anomaly does not warrant routine screening in all KILT patients, recognizing such combinations has implications for cerebrovascular risk assessment and procedural planning. This case also underscores the importance of lifelong anticoagulation from the first DVT episode in IVC agenesis.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100433"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396557","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}

引用次数: 0

Hybrid repair with thoracic branch endoprosthesis for Kommerell’s diverticulum exclusion in an aberrant right subclavian artery 胸支假体复合修复右锁骨下动脉异常Kommerell憩室排除

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.1016/j.avsurg.2026.100425

Eyal Rosenthal , Nivin Samara , Foad Azem , Basheer Shieck-Yousif

{"title":"Hybrid repair with thoracic branch endoprosthesis for Kommerell’s diverticulum exclusion in an aberrant right subclavian artery","authors":"Eyal Rosenthal , Nivin Samara , Foad Azem , Basheer Shieck-Yousif","doi":"10.1016/j.avsurg.2026.100425","DOIUrl":"10.1016/j.avsurg.2026.100425","url":null,"abstract":"<div><h3>Background</h3><div>Aberrant right subclavian artery (ARSA) with Kommerell’s diverticulum (KD) is a rare but clinically significant aortic arch anomaly. Symptomatic or aneurysmal KD carries risks of compression and rupture. Hybrid repair combining surgical revascularization with thoracic endovascular aortic repair (TEVAR) has reduced morbidity; however, conventional TEVAR often requires left subclavian artery (LSA) coverage and additional bypass. The thoracic branch endoprosthesis (TBE) allows preservation of LSA perfusion during zone 2 TEVAR.</div></div><div><h3>Case Report</h3><div>A 41-year-old woman presented with chest pain and exertional dyspnea. Computed tomography angiography demonstrated an aberrant right subclavian artery with a 20-mm Kommerell’s diverticulum compressing the esophagus. Given symptoms and planned pregnancy, intervention was recommended. A staged hybrid approach was performed, consisting of right carotid–subclavian transposition followed by zone 2 TEVAR using a Gore Thoracic Branch Endoprosthesis, achieving exclusion of the diverticulum while preserving LSA flow.</div></div><div><h3>Results</h3><div>Completion angiography confirmed patency of all supra-aortic branches and complete exclusion of the diverticulum without endoleak. The patient had an uncomplicated recovery and was discharged on postoperative day 3. Follow-up imaging demonstrated durable exclusion and branch patency. The patient subsequently achieved an uncomplicated pregnancy and remains clinically well.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the feasibility of using a thoracic branch endoprosthesis as part of a hybrid repair for Kommerell’s diverticulum associated with ARSA. Preservation of LSA perfusion simplified the procedure and avoided additional surgical bypass. Branched thoracic endografting represents a promising minimally invasive option for selected patients with complex arch anatomy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189054","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}

引用次数: 0

Direct rubbing technique: A simple and effective method for applying aquabrid® for anastomotic hemostasis 直接摩擦法：一种简单有效的应用aquabrid®用于吻合口止血的方法

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-02-01 DOI: 10.1016/j.avsurg.2026.100426

Shinji Miyamoto, Takashi Shuto, Takayuki Kawashima

{"title":"Direct rubbing technique: A simple and effective method for applying aquabrid® for anastomotic hemostasis","authors":"Shinji Miyamoto, Takashi Shuto, Takayuki Kawashima","doi":"10.1016/j.avsurg.2026.100426","DOIUrl":"10.1016/j.avsurg.2026.100426","url":null,"abstract":"<div><div>Various hemostatic agents are available for cardiovascular surgery, and their appropriate selection and application are essential for controlling anastomotic bleeding. Aquabrid® is a completely synthetic surgical sealant that reacts with water to form an elastic polymer and is particularly effective under wet or bloody operative conditions. Although several applications of Aquabrid® have been reported, optimal techniques for achieving uniform, ultra-thin application remain limited.</div><div>We describe a simple, practical, and reproducible technique for prophylactic hemostasis of aortic or vascular graft anastomoses using direct finger application of Aquabrid®. After completion of continuous or interrupted suturing under aortic clamping, without the use of felt or pledgets, approximately 0.2–0.25 mL of Aquabrid® is placed directly onto a dry gloved index finger. The material is gently rubbed circumferentially along the anastomotic line, beginning from the greater curvature side, and then spread into a thin, transparent film by lightly massaging between the index finger and thumb. This maneuver can be completed using a single finger, allowing precise control and even distribution.</div><div>Because Aquabrid® polymerizes slowly and remains elastic, sufficient time is available for manipulation, and additional suturing can be performed if necessary. Effective hemostasis is achieved within approximately one minute, permitting early declamping without waiting for complete polymerization. This felt-free approach preserves visibility of needle holes, facilitates targeted hemostasis, and may reduce postoperative adhesions during reoperation.</div><div>This direct rubbing technique enables efficient, ultra-thin application of Aquabrid® using a minimal amount of material and represents a useful adjunct for anastomotic hemostasis in aortic surgery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187901","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}

引用次数: 0

Three-channeled aortic dissection successfully excluded via false-lumen thoracic endovascular repair 通过假腔胸血管内修复成功排除三通道主动脉夹层

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-03-02 DOI: 10.1016/j.avsurg.2026.100434

Ryo Kawasumi, Keiwa Kin, Junya Yokoyama, Tomoyuki Obo, Naosumi Sekiya, Yukitoshi Shirakawa

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Open repair of an incidental internal carotid artery pseudoaneurysm discovered after cardiac arrest 心脏骤停后意外发现的颈内动脉假性动脉瘤的开放性修复

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-02-21 DOI: 10.1016/j.avsurg.2026.100431

Andrew Fok , Sai Mandalapu , Sean DuBois , Jacob Wilson , Michael J. Qaqish

引用次数: 0

Expanding the applications of Wrapsody™: A case series on aneurysm repair, aortoiliac disease, and venous outflow reconstruction 扩展Wrapsody™的应用：动脉瘤修复、主动脉髂疾病和静脉流出重建的病例系列

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2025-12-15 DOI: 10.1016/j.avsurg.2025.100419

Daniel Couto Guimarães

引用次数: 0

Post-traumatic superficial temporal artery arteriovenous malformation: A case report and surgical insight in Sub-Saharan Africa 创伤后颞浅动脉动静脉畸形：撒哈拉以南非洲的一例报告和外科见解

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2026-01-03 DOI: 10.1016/j.avsurg.2026.100422

Abdel Kémal Bori Bata , Eulalie Sansuamou , Ahmad Ibrahim , Tola Zounon , Caleb Gbegnide

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Recurrent innominate artery hemorrhage after stent erosion treated with embolization and subclavian bypass 支架侵蚀后复发性无名动脉出血经栓塞和锁骨下搭桥治疗

Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-03-01 Epub Date: 2025-12-26 DOI: 10.1016/j.avsurg.2025.100420

Sandra Iskandar , Silvana Iskandar , Benjamin Fegale

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