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

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Immediate endovascular bailout of an unexpected intraoperative endoleak during evar: Video presentation and case report 术中意外腔内漏的立即腔内救助：视频介绍和病例报告
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-20 DOI: 10.1016/j.avsurg.2026.100483
Dragos Cornea, Salomé Kuntz, Anne Lejay, Nabil Chakfé
{"title":"Immediate endovascular bailout of an unexpected intraoperative endoleak during evar: Video presentation and case report","authors":"Dragos Cornea,&nbsp;Salomé Kuntz,&nbsp;Anne Lejay,&nbsp;Nabil Chakfé","doi":"10.1016/j.avsurg.2026.100483","DOIUrl":"10.1016/j.avsurg.2026.100483","url":null,"abstract":"<div><div>Unexpected endoleaks detected during completion angiography following endovascular abdominal aortic aneurysm repair (EVAR) require prompt intraoperative assessment and management. We report the case of an 82-year-old man who developed an unexpected intraoperative endoleak during standard EVAR. Angiographic findings suggested a device-related endoleak, although a proximal sealing defect could not be definitively excluded. Balloon endoclamping guided the intraoperative decision to perform immediate proximal aortic cuff relining,w resulting in complete aneurysm exclusion without conversion to open repair. This report, supported by an operative video, highlights a practical endovascular bailout strategy and emphasizes the importance of systematic completion angiography and structured intraoperative decision-making.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100483"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148854419","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
Case series: Curious cases of symptomatic carotid artery compression 病例系列：奇怪的症状性颈动脉压迫病例
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-17 DOI: 10.1016/j.avsurg.2026.100481
Kaitlyn Dickinson, Brian Cervenka, Susan M Nikels, Tamas Seres, Ryan Gupta, Max V Wohlauer
{"title":"Case series: Curious cases of symptomatic carotid artery compression","authors":"Kaitlyn Dickinson,&nbsp;Brian Cervenka,&nbsp;Susan M Nikels,&nbsp;Tamas Seres,&nbsp;Ryan Gupta,&nbsp;Max V Wohlauer","doi":"10.1016/j.avsurg.2026.100481","DOIUrl":"10.1016/j.avsurg.2026.100481","url":null,"abstract":"<div><h3>Objective</h3><div>Carotid artery entrapment is a rare phenomenon often caused by anatomic abnormalities. This case series describes two patients with carotid artery entrapment who presented with atypical pathologies.</div></div><div><h3>Methods</h3><div>Our first patient is a 62-year-old female with severe, presyncopal symptoms when rotating head. CTA revealed near-complete occlusion of the ICA by the superior cornu of the thyroid cartilage. Second patient is a 66-year-old female with transient dysarthria found on CTA to have a dynamic hyoid bone that changed position in relation to the ICA with head rotation. Both opted for surgical management in conjunction with otorhinolaryngology.</div></div><div><h3>Results</h3><div>In case 1, an elongated suspensory, calcified thyrohyoid ligament, and an elongated superior cornu were identified extending across the internal carotid artery. Post-operative CTA neck showed patent right ICA in symptomatic and asymptomatic position. In case 2, the thyrohyoid ligament and hyoid bone extended across the left ICA. Post-operative CTA neck showed improved luminal caliber of the left internal carotid.</div></div><div><h3>Discussion</h3><div>Carotid artery entrapment is a rare condition with diverse pathology. We describe two unique compressions of carotid arteries by the lateral thyrohyoid ligament, superior cornu impingement, and/or the hyoid bone where surgical resection was an effective treatment due to the mechanical nature of the compressions.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100481"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148854420","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
Retroperitoneal trans-inguinal-ligament bypass for device-related infected femoral pseudoaneurysm 腹膜后经腹股沟韧带旁路术治疗器械相关感染股假性动脉瘤
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-29 DOI: 10.1016/j.avsurg.2026.100485
Hidenari Hasui, Tetsuya Sato, Hiroaki Shimizu, Koichi Tamai, Akiko Yokoyama, Satoshi Itoh
{"title":"Retroperitoneal trans-inguinal-ligament bypass for device-related infected femoral pseudoaneurysm","authors":"Hidenari Hasui,&nbsp;Tetsuya Sato,&nbsp;Hiroaki Shimizu,&nbsp;Koichi Tamai,&nbsp;Akiko Yokoyama,&nbsp;Satoshi Itoh","doi":"10.1016/j.avsurg.2026.100485","DOIUrl":"10.1016/j.avsurg.2026.100485","url":null,"abstract":"<div><div>An 85-year-old man developed a device-related infected femoral pseudoaneurysm after carotid artery stenting. Because rupture was feared, initial treatment consisted of minimal skin incision drainage and empiric intravenous antibiotics. After improvement in inflammatory markers and general condition, a salvage bypass from the distal external iliac artery to the mid-superficial femoral artery was created with a reversed great saphenous vein graft via a retroperitoneal trans-inguinal-ligament lateral groin route, followed by excision of infected arterial segments, serial debridement, and delayed contralateral rectus abdominis muscle flap coverage. At 16 months, bypass patency, limb perfusion, and infection control were maintained.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100485"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148934555","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
Mycobacterium haemophilum infection of a thoracic endoprosthesis complicated by aortoesophageal fistula: A case report 血友病分枝杆菌感染并发主动脉食管瘘1例
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-22 DOI: 10.1016/j.avsurg.2026.100484
Samie Cloutier, Marina Ibrahim, Cateline Sirois, Anny Godin, William Fortin, Guillaume Febrer
{"title":"Mycobacterium haemophilum infection of a thoracic endoprosthesis complicated by aortoesophageal fistula: A case report","authors":"Samie Cloutier,&nbsp;Marina Ibrahim,&nbsp;Cateline Sirois,&nbsp;Anny Godin,&nbsp;William Fortin,&nbsp;Guillaume Febrer","doi":"10.1016/j.avsurg.2026.100484","DOIUrl":"10.1016/j.avsurg.2026.100484","url":null,"abstract":"<div><div>TEVAR infection complicated by aortoesophageal fistula is rare and carries high morbidity. We report the case of a 71-year-old man with TEVAR infection caused by Mycobacterium haemophilum who underwent initial bridging TEVAR. Ten months later, he developed an aortoesophageal fistula and a suspected left aortobronchial fistula. Multidisciplinary surgical management included explantation of the endoprosthesis, rifampin-soaked Dacron reconstruction, resection of infected tissue including esophagectomy and left pulmonary wedge resection, and omental wrapping with an intercostal muscle flap. Postoperatively, recovery was favorable, and the patient’s blood cultures remained negative, supporting a curative approach in selected patients.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100484"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148934554","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
Dual-site, triple-modality exclusion of symptomatic aberrant right subclavian artery using thoracic endovascular aortic repair, vascular plug occlusion, and surgical ligation 双部位，三模态排除症状性异常右锁骨下动脉胸椎血管内主动脉修复，血管堵塞闭塞和手术结扎
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-10 DOI: 10.1016/j.avsurg.2026.100479
Ayman Soboh, Nicole Osterbrink, Tomislav Stojanovic
{"title":"Dual-site, triple-modality exclusion of symptomatic aberrant right subclavian artery using thoracic endovascular aortic repair, vascular plug occlusion, and surgical ligation","authors":"Ayman Soboh,&nbsp;Nicole Osterbrink,&nbsp;Tomislav Stojanovic","doi":"10.1016/j.avsurg.2026.100479","DOIUrl":"10.1016/j.avsurg.2026.100479","url":null,"abstract":"<div><h3>Introduction</h3><div>Aberrant right subclavian artery may cause dysphagia lusoria due to retroesophageal compression.</div></div><div><h3>Report</h3><div>We report a 45-year-old man with progressive solid-food dysphagia and retrosternal discomfort caused by a retroesophageal aberrant right subclavian artery without Kommerell diverticulum. He underwent single-stage hybrid repair with right carotid-subclavian bypass, thoracic endovascular aortic repair covering the aberrant vessel origin, Amplatzer Vascular Plug occlusion, and additional surgical ligation proximal to the vertebral artery origin. This dual-site, triple-modality exclusion strategy was selected to prevent persistent retrograde perfusion of the retroesophageal segment.</div></div><div><h3>Discussion</h3><div>Dysphagia resolved completely, and one-month computed tomography angiography confirmed bypass patency, complete thrombosis of the excluded segment, and absence of endoleak. This case highlights a practical hybrid strategy for complete exclusion of the aberrant right subclavian artery and prevention of persistent retrograde perfusion.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148854418","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
Type B aortic dissection in Loeys-Dietz syndrome and suspected heritable aortopathy: pregnancy, malperfusion, and whole-aorta repair in a three-patient case series Loeys-Dietz综合征和疑似遗传性主动脉病变的B型主动脉夹层：妊娠、灌注不良和全主动脉修复的3例病例系列
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-09-01 Epub Date: 2026-08-22 DOI: 10.1016/j.avsurg.2026.100482
Edouard Dekkers, Giorgia Romano, Charles Swaelens
{"title":"Type B aortic dissection in Loeys-Dietz syndrome and suspected heritable aortopathy: pregnancy, malperfusion, and whole-aorta repair in a three-patient case series","authors":"Edouard Dekkers,&nbsp;Giorgia Romano,&nbsp;Charles Swaelens","doi":"10.1016/j.avsurg.2026.100482","DOIUrl":"10.1016/j.avsurg.2026.100482","url":null,"abstract":"<div><div>Loeys-Dietz syndrome is an autosomal dominant connective tissue disorder within the spectrum of syndromic heritable thoracic aortic disease. We report three young women with Stanford type B aortic dissection in the setting of confirmed Loeys-Dietz syndrome or suspected heritable thoracic aortic disease. Presentations included pregnancy-associated acute dissection, chronic post-dissection thoracoabdominal aneurysmal degeneration, and acute complicated dissection with visceral and lower-limb malperfusion. Management required individualized combinations of medical therapy, endovascular repair, hybrid staging, and open thoracoabdominal reconstruction. These cases support early genetic assessment, multidisciplinary aortic care, and lifelong whole-aorta surveillance.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 3","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148934556","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
Open treatment of an isolated true aneurysm of the anterior tibial artery using the endo-aneurysmorrhaphy technique 应用动脉瘤内吻合术开放治疗胫骨前动脉孤立性真动脉瘤
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1016/j.avsurg.2026.100464
Charles A. West Jr , John L. Crawford , Gillian A. Northrup , Nana Kwadwo Okraku-Yirenkyi
{"title":"Open treatment of an isolated true aneurysm of the anterior tibial artery using the endo-aneurysmorrhaphy technique","authors":"Charles A. West Jr ,&nbsp;John L. Crawford ,&nbsp;Gillian A. Northrup ,&nbsp;Nana Kwadwo Okraku-Yirenkyi","doi":"10.1016/j.avsurg.2026.100464","DOIUrl":"10.1016/j.avsurg.2026.100464","url":null,"abstract":"<div><div>Isolated, true atherosclerotic aneurysms of the anterior tibial artery (AT) are rare. Open treatment is indicated for large, asymptomatic lesions or when these aneurysms present with pain due to compression, rupture with resulting compartment syndrome, distal emboli with limb-threatening ischemia, and when the remaining crural vessels have significant disease making revascularization of the AT imperative. We present the case of a 78-year-old man who presented with an isolated, painful atherosclerotic aneurysm of the AT treated by minimal dissection, and an endo-aneurysmorrhaphy technique using saphenous vein interposition grafting. To our knowledge, the use of this technique for the open treatment of a true aneurysm of the AT has not been previously reported.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 2","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184496","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
Effective infrarenal aortic endarterectomy with bovine patch angioplasty for near-occlusive Aortoiliac disease 牛血管贴片成形术联合肾下主动脉内膜切除术治疗近闭塞性髂主动脉疾病的疗效
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-06-01 Epub Date: 2026-05-17 DOI: 10.1016/j.avsurg.2026.100462
Huan Nguyen, Crystal Garduno, Siwei Dong
{"title":"Effective infrarenal aortic endarterectomy with bovine patch angioplasty for near-occlusive Aortoiliac disease","authors":"Huan Nguyen,&nbsp;Crystal Garduno,&nbsp;Siwei Dong","doi":"10.1016/j.avsurg.2026.100462","DOIUrl":"10.1016/j.avsurg.2026.100462","url":null,"abstract":"<div><h3>Background</h3><div>Aortoiliac occlusive disease (AIOD) is most commonly managed with endovascular intervention or aortobifemoral bypass. Although less frequently performed in modern practice, aortic endarterectomy remains a viable option in select patients with focal disease.</div></div><div><h3>Case presentation</h3><div>39-year-old man with severe claudication and rest pain due to near-occlusive infrarenal aortic stenosis who was successfully treated with open infrarenal aortic endarterectomy and bovine pericardial patch angioplasty.</div></div><div><h3>Conclusion</h3><div>This case highlights aortic endarterectomy as an effective alternative to endovascular intervention or bypass in young patients with small-caliber vessels and localized disease.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 2","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184494","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
Endovascular salvage of iliac valve dislodgement during transfemoral TAVR using the endo-jail technique: a case report 经股TAVR术中应用腔内技术抢救髂瓣膜脱位1例
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-06-01 Epub Date: 2026-05-17 DOI: 10.1016/j.avsurg.2026.100461
Julieta Cruz Naranjo, Blaz Podgorsek, Arash Keyhani, Juan A. Abreu, Akiko Tanaka
{"title":"Endovascular salvage of iliac valve dislodgement during transfemoral TAVR using the endo-jail technique: a case report","authors":"Julieta Cruz Naranjo,&nbsp;Blaz Podgorsek,&nbsp;Arash Keyhani,&nbsp;Juan A. Abreu,&nbsp;Akiko Tanaka","doi":"10.1016/j.avsurg.2026.100461","DOIUrl":"10.1016/j.avsurg.2026.100461","url":null,"abstract":"<div><div>Valve dislodgement during transcatheter aortic valve replacement is rare and usually involves migration into the left ventricle or aorta. We report a 90-year-old man with symptomatic severe aortic stenosis who underwent elective transfemoral TAVR complicated by valve dislodgement into the external iliac artery after expandable sheath failure in a tortuous, focally diseased iliac segment. After unsuccessful retrieval attempts, a covered stent was deployed to jail the valve frame against the arterial wall, restoring flow and permitting completion of TAVR during the same procedure. This case highlights a rare iliac complication requiring rapid endovascular bailout when retrieval fails.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 2","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184495","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
Photon counting CT is superior to conventional CT in characterizing the true degree of carotid stenosis 光子计数CT在描述颈动脉狭窄的真实程度方面优于常规CT
Annals of vascular surgery. Brief reports and innovations Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1016/j.avsurg.2026.100463
Daniel Kaufman , Felix Diehn , Melinda S. Schaller
{"title":"Photon counting CT is superior to conventional CT in characterizing the true degree of carotid stenosis","authors":"Daniel Kaufman ,&nbsp;Felix Diehn ,&nbsp;Melinda S. Schaller","doi":"10.1016/j.avsurg.2026.100463","DOIUrl":"10.1016/j.avsurg.2026.100463","url":null,"abstract":"<div><div>In the case of carotid artery disease, improved evaluation of plaque morphology and better characterization of stenotic disease, particularly highly calcific or heterogenous lesions, is extremely important in making appropriate patient care decisions in the treatment of both symptomatic and asymptomatic disease. We present three cases here wherein repeating a CT angiogram with higher quality, photon-counting detector CT resulted in a more accurate measured degree of stenosis, more appropriate patient counseling, and a change in clinical management.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 2","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148184493","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
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