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

{"title":"Blunt thoracic aortic injuries from falls at the United States–Mexico Border: A case series","authors":"Hoi Yee Annie Lo ,&nbsp;William Johnston ,&nbsp;Jane J Keating ,&nbsp;Allison E Berndtson ,&nbsp;Ann C Gaffey","doi":"10.1016/j.avsurg.2025.100406","DOIUrl":"10.1016/j.avsurg.2025.100406","url":null,"abstract":"<div><h3>Background</h3><div>Following executive order 13,767, the United States border wall height was nearly doubled to 30-feet (9.1 meters). Touted as “unclimbable,” the structure has led to an increase in fall-related trauma. Since 2019, our level 1 trauma center has noted a rise in blunt aortic injuries (BAI) from border wall falls. We aimed to characterize these injuries and their management.</div></div><div><h3>Method</h3><div>We performed a retrospective review of the University of California, San Diego level 1 trauma center registry, capturing patients from San Diego and Imperial Counties who sustained BAI due to border wall falls (2015–2024). Institutional review board exemption was granted.</div></div><div><h3>Results</h3><div>No BAIs were recorded from border wall falls before 2019. Since then, three cases have occurred. One patient sustained a grade I BAI and was managed non-operatively. Two patients had grade III BAI requiring emergent thoracic endovascular aortic repair (TEVAR). Both suffered multiple system injuries and required prolonged hospitalization and ultimate discharge to rehabilitation facilities.</div></div><div><h3>Conclusions</h3><div>BAIs from border wall falls emerged only after the wall height increase of 2019. The need for complex vascular intervention underscores the severe injury burden. Awareness of this mechanism is critical for timely diagnosis and intervention.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159152","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":"Endovascular repair of a primary aortoenteric fistula with staged open aortoplasty and omentopexy with duodenal repair","authors":"Amir R. Akhavan ,&nbsp;Charles A. West Jr. ,&nbsp;Jonathan S. Deitch ,&nbsp;John L. Crawford","doi":"10.1016/j.avsurg.2025.100407","DOIUrl":"10.1016/j.avsurg.2025.100407","url":null,"abstract":"<div><div>Primary aortoenteric fistulas (AEFs) are rare and life-threatening. We report the successful hybrid management of a 60-year-old man who presented in hemorrhagic shock from a primary aortoduodenal fistula arising from an unsuspected abdominal aortic aneurysm. The patient underwent emergent endovascular aneurysm repair (EVAR) followed by early, staged open aortoplasty and duodenal repair with omental flap reinforcement two days later. This case illustrates the successful use of a non-traditional approach to management of a primary AEF in an unstable patient. Few reports describing this technique have been found in the literature.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100407"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121287","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":"Early to mid-term outcomes of axillo-bifemoral bypass using T-shaped heparin-bonded expanded polytetrafluoroethylene grafts","authors":"Yusuke Nakata,&nbsp;Hikaru Uchiyama,&nbsp;Kazuyuki Miyamoto","doi":"10.1016/j.avsurg.2025.100404","DOIUrl":"10.1016/j.avsurg.2025.100404","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to evaluate the early to mid-term outcomes of axillo-bifemoral bypass (AxBF) using T-shaped heparin-bonded expanded polytetrafluoroethylene (HB-ePTFE) grafts for bilateral aorto-iliac occlusive disease.</div></div><div><h3>Materials and Methods</h3><div>This was a retrospective, observational, and descriptive case series. Between February 2014 and October 2023, ten patients with abdominal aortic to iliac artery lesions underwent AxBF for bilateral aorto-iliac occlusive disease. Before June 2018, nine patients underwent aortic-bilateral femoral artery bypass (AoB) via the open abdomen approach for bilateral aorto-iliac occlusive disease. We investigated the reintervention rate, survival rate, and cause of death of the patients in the AxBF and AoB groups.</div></div><div><h3>Results</h3><div>During the observation period, reintervention was performed for other graft occlusions or residual lesions in more distal vessels in two patients in the AxBF group and for occlusion due to lower extremity thrombosis in one patient from the AoB group. These events were managed appropriately, with no procedure-related mortality.</div></div><div><h3>Conclusion</h3><div>AxBF using T-shaped HB-ePTFE grafts was technically feasible and performed safety, without procedure-related mortality, in this series of high-risk patients with bilateral aorto-iliac occlusive disease. These observations support the viability and perioperative safety of the approach. However, given the retrospective design, small sample size, and selective patient inclusion, these results should be interpreted as descriptive observations, and further prospective studies are warranted to confirm their clinical significance.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097897","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":"Left internal mammary artery supplying collateral circulation to the epigastric arteries is circumvented with axillofemoral bypass permitting coronary artery bypass grafting and mitral valve repair","authors":"Brady Antolick ,&nbsp;Andrew D. Vogel ,&nbsp;Schafer Paladichuk ,&nbsp;Melissa Obmann ,&nbsp;Christopher Demaioribus ,&nbsp;Tyler J. Wallen","doi":"10.1016/j.avsurg.2025.100405","DOIUrl":"10.1016/j.avsurg.2025.100405","url":null,"abstract":"<div><h3>Introduction</h3><div>Aortoiliac occlusive disease (AIOD) is a subset of peripheral artery disease (PAD) characterized by occlusion of the infrarenal aorta and iliac arteries. Patients with AIOD may develop collateral circulation through the internal thoracic artery–inferior epigastric artery (ITA-IEA) pathway to maintain lower extremity perfusion. Coronary artery disease (CAD) often necessitates coronary artery bypass grafting (CABG), where the left internal mammary artery (LIMA) is the preferred conduit for revascularizing the left anterior descending (LAD) artery. In patients with AIOD, disruption of ITA-IEA collaterals during CABG poses a risk of exacerbating lower extremity ischemia.</div></div><div><h3>Case description</h3><div>We report a case of a 65-year-old female with severe multivessel CAD, mitral valve regurgitation (MVR), and AIOD with ITA-IEA collaterals supplying the lower extremities. Preoperative imaging revealed an occluded distal aorta with inadequate venous conduits. To preserve lower extremity perfusion, the patient underwent axillary-femoral and femoral-femoral bypasses before CABG. A two-vessel CABG was performed using the LIMA to the LAD and the radial artery to the obtuse marginal artery, along with mitral valve replacement. The patient recovered well and was discharged 11 days postoperatively without complications.</div></div><div><h3>Discussion</h3><div>This case highlights the complexities of managing concurrent AIOD and CAD, emphasizing the importance of preserving collateral circulation. Preoperative imaging enabled strategic surgical planning to balance myocardial revascularization and lower extremity perfusion. The successful use of alternative conduits, such as the radial artery, underscores the necessity of flexibility in graft selection. Multidisciplinary collaboration and individualized surgical planning are crucial in managing patients with AIOD and CAD.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100405"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097896","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":"Iatrogenic femoral complex pseudoaneurysm: A case report","authors":"Rupendra Nath Saha ,&nbsp;Bhanu Duggal ,&nbsp;Raghuraj Chawla ,&nbsp;Shubham Rawat","doi":"10.1016/j.avsurg.2025.100403","DOIUrl":"10.1016/j.avsurg.2025.100403","url":null,"abstract":"<div><div>An iatrogenic complex femoral pseudoaneurysm, though rare, is associated with much comorbidity. We want to bring up a case of a complex pseudoaneurysm created after a percutaneous angioplasty, which was finally repaired using a surgical technique. The danger of rupture, embolisation, and infection are associated with complex femoral pseudoaneurysms. Though there are various ways of managing such a condition, an ideal approach should be tailored to each patient, considering their comorbidities. Surgical repair is still a practical and successful therapeutic option for these lesions, especially when endovascular or a conservative intervention is not advised or has not worked.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121288","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":"Use of diverging buddy wires to aid in precise endovascular stent placement at an arterial branch point","authors":"Thane Gehring,&nbsp;Joshua Gierman","doi":"10.1016/j.avsurg.2025.100402","DOIUrl":"10.1016/j.avsurg.2025.100402","url":null,"abstract":"<div><div>Endovascular stent placement at or near arterial branch points requires precision to avoid complications, including stent jumping or mal-deployment, with potential jailing of adjacent branch ostia. Here we describe the novel use of diverging buddy wires to ensure precise endovascular stent deployment in the innominate artery in a bovine arch initially managed by surgical primary repair. The use of divergent buddy wires provided stability in the complex anatomy, facilitating precise deployment at the arterial branch point with embolic protection in the carotid artery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100402"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050769","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":"Stent occlusion after catheter-directed thrombolysis and iliac vein stenting in May-Thurner syndrome with iliofemoral deep vein thrombosis: A case report and literature review","authors":"Haijun Huang,&nbsp;Zuoyi Yao,&nbsp;Ke Guo,&nbsp;Yunping Liu,&nbsp;Qian Zhang,&nbsp;Wei Wei,&nbsp;Kan Zhao","doi":"10.1016/j.avsurg.2025.100401","DOIUrl":"10.1016/j.avsurg.2025.100401","url":null,"abstract":"<div><h3>Background</h3><div>Stent occlusion following endovascular management of May-Thurner syndrome (MTS) with iliofemoral deep vein thrombosis (DVT) remains a significant clinical challenge. This case report and literature review examines mechanical, procedural, and patient-specific determinants of stent failure in chronic venous disease.</div></div><div><h3>Case Presentation</h3><div>A 78-year-old female with acute left iliofemoral DVT post-hip arthroplasty underwent catheter-directed thrombolysis (CDT) and iliac vein stenting. Despite initial technical success and rivaroxaban therapy, stent occlusion occurred at 1-month follow-up, necessitating secondary stenting. Venography revealed residual thrombus at the inflow tract and incomplete coverage of the iliocaval confluence as likely contributors.</div></div><div><h3>Literature Review</h3><div>Analysis of 29 studies identified critical factors influencing stent patency:</div><div>Mechanical determinants: Larger stent diameter (≥16 mm) and optimized iliocaval confluence coverage reduced restenosis risk. In-stent shear rate &gt;100 s⁻¹ and inflow luminal area &gt;125 mm² correlated with patency.</div><div>Thrombotic risk: Chronic post-thrombotic lesions (residual thrombus &gt;30 %) and antiphospholipid syndrome increased occlusion risk.</div><div>Anticoagulation: Combined anticoagulant/antiplatelet regimens reduced stent malfunction by 72 % (HR=0.28), while extended anticoagulation (6–12 months) showed no superiority over shorter durations in recent cohorts.</div></div><div><h3>Conclusion</h3><div>This case highlights the multifactorial nature of venous stent failure. Key recommendations include:</div><div>Aggressive thrombus clearance during CDT (&lt;30 % residual burden)</div><div>IVUS-guided stent sizing to achieve optimal shear dynamics</div><div>Tailored anticoagulation incorporating thrombophilia screening</div><div>Anatomic precision in iliocaval confluence coverage</div><div>Prospective studies are needed to validate biomechanical thresholds and pharmacogenetic approaches in venous stent management.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100401"},"PeriodicalIF":0.0,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050768","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":"Measuring consistency: The reliability of pedal acceleration time measurements across and within raters","authors":"Odette Hart ,&nbsp;Philip Allan ,&nbsp;Bridget August ,&nbsp;Grant Abbott ,&nbsp;Catherine Evans ,&nbsp;Manar Khashram","doi":"10.1016/j.avsurg.2025.100400","DOIUrl":"10.1016/j.avsurg.2025.100400","url":null,"abstract":"<div><h3>Objectives</h3><div>Pedal acceleration time (PAT) is a novel non-invasive lower limb perfusion assessment tool. However, the test-retest reliability between and within raters has not been examined. The aim of this pilot study was to assess the inter- and intra-rater reliability of PAT measurements.</div></div><div><h3>Methods</h3><div>Ten patients with diabetic foot and/or chronic limb threatening ischaemia underwent three repeated PAT measurements across three pedal arteries in a single limb by three trained sonographers. Inter-rater reliability was assessed as the contribution to variance by patients, raters, and replicates. Intra-rater reliability was quantified by the within-subject coefficient of variation (CV). The effects of raters and repeat measures was summarised using the intraclass correlation coefficient (ICC).</div></div><div><h3>Results</h3><div>Inter-rater reliability showed little contribution to variance at only ≤0.4 %, with ≥88.1 % of variance being that driven by patient variability. Intra-rater reliability as assessed by CV ranged between 10.8 %-12.2 %. The combined effect of raters and repeat measures assessed by ICC was 0.88–0.99 (good-to-excellent reliability).</div></div><div><h3>Conclusions</h3><div>This pilot study suggests PAT can be reliably measured by trained sonographers with good-to-excellent inter- and intra-rater reliability.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100400"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864112","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":"Aortoiliac graft occlusion presenting as lumbar plexopathy: a report of reversible neurological deficit","authors":"Andrea Muniz,&nbsp;Houssam Farres,&nbsp;Camilo Polania-Sandoval,&nbsp;Young Erben","doi":"10.1016/j.avsurg.2025.100399","DOIUrl":"10.1016/j.avsurg.2025.100399","url":null,"abstract":"<div><div>Ischemic lumbar plexopathy is a rare and challenging neurological complication resulting from vascular insufficiency. Its clinical presentation varies, making diagnosis difficult and often leading to it being overlooked. Although it has been documented following aortic reconstruction procedures, complete neurologic recovery after revascularization has not previously been reported. We present the case of a 79-year-old male patient with a history of EVAR for the treatment of an infrarenal abdominal aortic aneurysm utilizing an aortouniiliac endograft and a left-to-right femoral-femoral bypass, who presented with acute left lower extremity pain and progressive weakness of bilateral lower extremities. Evaluation revealed acute occlusion of both the endograft and femoral-femoral bypass. He underwent left external iliac artery thrombectomy and a left axillary-to-femoral artery bypass, a redo left-to-right femoral-femoral bypass, and a left common femoral to above-knee popliteal artery bypass. This revascularization resulted in immediate sensory and motor function improvement. A review of fifteen published cases involving lumbar plexopathy after aortic interventions revealed typical presentation in the early postoperative period. Management was predominantly conservative, with nearly all patients receiving physical therapy, and one was treated with surgical revascularization via bypass. Despite these efforts, most patients experienced persistent motor deficits, with only one patient achieving full neurologic recovery through physical therapy alone. Ischemic lumbar plexopathy secondary to aortic graft occlusion is extremely rare. This case highlights the need to consider ischemic lumbar plexopathy in patients with complex vascular histories. Timely revascularization, even in a high-risk patient, led to meaningful neurological recovery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694769","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":"Carotid body tumor presenting with acute internal carotid artery occlusion: Case report and review of the literature","authors":"Abdulrahman Saad Aldakkan","doi":"10.1016/j.avsurg.2025.100397","DOIUrl":"10.1016/j.avsurg.2025.100397","url":null,"abstract":"<div><div>Carotid body tumors are the most common paragangliomas of the head and neck. Although stroke is a known potential complication following surgical resection, it is a very unusual presenting symptom. We present the fourth case in the literature of a carotid body tumor presenting with a stroke. A 37 year old male with acute right internal carotid artery occlusion in the presence of ipsilateral carotid body tumor. He was managed with endovascular thrombectomy. The clinical presentation, imaging findings and management are presented.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723659","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}