Annals of vascular surgery. Brief reports and innovations最新文献_第10页

The use of a prosthetic vascular conduit during transcarotid artery revascularization 在经颈动脉血管重建术中使用人工血管导管

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-29 DOI: 10.1016/j.avsurg.2024.100273

Michael Sabarese, Vincent Narvaez, Mohsen Bannazadeh, Gregg Landis

{"title":"The use of a prosthetic vascular conduit during transcarotid artery revascularization","authors":"Michael Sabarese, Vincent Narvaez, Mohsen Bannazadeh, Gregg Landis","doi":"10.1016/j.avsurg.2024.100273","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100273","url":null,"abstract":"<div><p>Transcarotid artery revascularization, or TCAR is an alternative to carotid endarterectomy for the surgical management of internal carotid artery stenosis. Not all patients with carotid disease are eligible for TCAR, as lesion anatomy must be compatible with current technology available for stent delivery. In this paper, we present two cases that utilized PTFE graft conduits to deliver a TCAR stent in patients who were not traditionally considered candidates for TCAR. In both patients, there was a short clavicle-to-bifurcation distance less than 5 cm, with one case having focally diseased access site requiring focal common carotid endarterectomy. Both of these cases were technical successes with no perioperative complications. Operative time was 138 min for the first case and 70 min for the second. Both patients were discharged on postoperative day 1 on dual antiplatelet therapy. The use of PTFE conduits to augment patient common carotid anatomy allows for safe and effective delivery of TCAR stents to patients with otherwise incompatible anatomy for TCAR.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100273"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000254/pdfft?md5=50ea4a8da516b32aa04ca288477d8a56&pid=1-s2.0-S2772687824000254-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350804","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}

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The Then and Now of Carotid Surgery 颈动脉手术的过去与现在

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-29 DOI: 10.1016/j.avsurg.2024.100271

Yana Etkin , Litton F Whitaker

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Should TCAR be accepted as the standard of care in carotid revascularization? 是否应将 TCAR 作为颈动脉血运重建的护理标准？

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-29 DOI: 10.1016/j.avsurg.2024.100279

Jeffrey Jim

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Transcarotid artery revascularization pearls and pitfalls 经颈动脉血管再通珍珠和陷阱

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-29 DOI: 10.1016/j.avsurg.2024.100275

Meghan Dermody , Sumaira Macdonald

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Flow-mediated protection for the treatment of tandem lesions via a transcarotid approach 通过经颈动脉方法治疗串联病变的血流介导保护技术

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-29 DOI: 10.1016/j.avsurg.2024.100278

Benjamin C. Ford, Michael C. Stoner

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Transcarotid Artery Revascularization (TCAR) using a micromesh technology Stent without blood flow reversal 使用微网孔技术支架进行经颈动脉血管重建术（TCAR），无需逆转血流

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-28 DOI: 10.1016/j.avsurg.2024.100276

Wojciech Haratym, Tomislav Stojanovic

{"title":"Transcarotid Artery Revascularization (TCAR) using a micromesh technology Stent without blood flow reversal","authors":"Wojciech Haratym, Tomislav Stojanovic","doi":"10.1016/j.avsurg.2024.100276","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100276","url":null,"abstract":"<div><h3>Background</h3><p>Transcarotid Artery Revascularization (TCAR) is a technique in which a stent is placed in the internal carotid artery (ICA) by directly puncturing the common carotid artery (CCA). This technique allows stent implantation in situations, such as extreme arch pathologies and/or previous surgery or radiation, where classic stenting and endarterectomy of the internal carotid artery would be associated with a high risk of complications. We present a clinical case of TCAR technique using the dual-layer micromesh stent without the use of blood flow reversal.</p></div><div><h3>Case</h3><p>A 75-year-old patient was diagnosed with a 90 % (The North American Symptomatic Carotid Endarterectomy Trial – NASCET) asymptomatic stenosis of the internal carotid artery (ICA) on the right side. On the same side of the neck, an extended tonsillectomy with partial resection of the pharynx and the base of the tongue was performed 13 years ago due to tonsil cancer. Due to the postoperative extremely scared tissue and unfavorable anatomical conditions, carotid endarterectomy and classic stent implantation were not feasible. Therefore, we performed the TCAR procedure with the implantation of a micro mesh stent to reduce the risk of peripheral embolization without blood flow reversal. The procedure was successful, and the patient was discharged on the third day after surgery.</p></div><div><h3>Conclusion</h3><p>The TCAR procedure is a viable alternative for patients for whom carotid endarterectomy or carotid stent implantation poses too high a risk which adds to the armamentarium of techniques in carotid revascularization. The use of a stent with micro mesh technology may enhance the safety of this procedure.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100276"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277268782400028X/pdfft?md5=16841b326e42f1580f77606401ea65ae&pid=1-s2.0-S277268782400028X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140345388","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

Management of iatrogenic carotid artery dissection during transcarotid artery revascularization 经颈动脉血运重建术中先天性颈动脉离断的处理方法

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-28 DOI: 10.1016/j.avsurg.2024.100274

Roberto G. Aru , Christopher J. Abularrage , Sumaira Macdonald , Caitlin W. Hicks

引用次数: 0

Computed tomography angiography alone cannot be used to accurately diagnose a disseminated renal tumor that closely resembles a renal artery aneurysm 仅靠计算机断层扫描血管造影无法准确诊断与肾动脉瘤极为相似的播散性肾肿瘤

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-27 DOI: 10.1016/j.avsurg.2024.100270

Atsuyuki Mitsuishi , Takashi Karashima , Rie Yoshimura , Satoshi Fukata , Shinkuro Yamamoto

{"title":"Computed tomography angiography alone cannot be used to accurately diagnose a disseminated renal tumor that closely resembles a renal artery aneurysm","authors":"Atsuyuki Mitsuishi , Takashi Karashima , Rie Yoshimura , Satoshi Fukata , Shinkuro Yamamoto","doi":"10.1016/j.avsurg.2024.100270","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100270","url":null,"abstract":"<div><p>A 74-year-old woman underwent robot-assisted left partial nephrectomy for left renal cell carcinoma (RCC) at another hospital 5 years ago. However, the tumor recurred, and transarterial embolization (TAE) and radiofrequency ablation were planned. At finding of recurrence tumor, computed tomography angiography (CTA) also showed a left renal artery aneurysm (RAA). However, it was actually a disseminated tumor of RCC fed by the capsular artery, which was diagnosed by catheter-based angiography. Combined segmental artery resection was safely performed under robotic assistance. The pathological diagnosis was a recurrence of RCC. No continuity with the renal artery wall was observed, and vascular invasion was not evident. CTA is very useful in diagnosing RAA. However, CTA alone may lead to misdiagnosis. This paper reveals the pitfalls when diagnosing RAA with CTA. For accurate diagnosis, a combination of CTA and catheter-based angiography should be used.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100270"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000229/pdfft?md5=a1d25c7befdcabdc27b77c6ce7ed4790&pid=1-s2.0-S2772687824000229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341099","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}

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Treatment of left common iliac vein occlusion and post-thrombotic syndrome with balloon venoplasty and stenting in a patient with complex congenital heart disease 用球囊静脉成形术和支架术治疗一名复杂先天性心脏病患者的左髂总静脉闭塞和血栓后综合征

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-24 DOI: 10.1016/j.avsurg.2024.100269

Griffin P. Stinson , Jonathan Krebs , Jeffrey P. Jacobs , Benjamin N. Jacobs

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Unusual cause of chest pain and dysphagia in a middle-aged woman with right aortic arch and aberrant left subclavian artery 一名右主动脉弓和左锁骨下动脉异常的中年女性胸痛和吞咽困难的异常原因

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-03-22 DOI: 10.1016/j.avsurg.2024.100268

Mehrzad Rahmanian , Reza Heydarzadeh , Mohammad Amin Gholami , Masoud Vafabin , HamidReza MalekHosseini , Maryam Mehrpouya , Roya Sattarzadeh Badkoubeh , Reza Golchin Vafa

{"title":"Unusual cause of chest pain and dysphagia in a middle-aged woman with right aortic arch and aberrant left subclavian artery","authors":"Mehrzad Rahmanian , Reza Heydarzadeh , Mohammad Amin Gholami , Masoud Vafabin , HamidReza MalekHosseini , Maryam Mehrpouya , Roya Sattarzadeh Badkoubeh , Reza Golchin Vafa","doi":"10.1016/j.avsurg.2024.100268","DOIUrl":"10.1016/j.avsurg.2024.100268","url":null,"abstract":"<div><p>The <em>aberrant subclavian artery</em> is an uncommon congenital anomaly in the aortic arch, which may have a variety of presentations, including dysphagia, dyspnea, and chest pain, depending on the anatomical site of the aberrant vessel. Treatment is individualized, and surgical management is only considered in symptomatic patients. Dysphagia is one of the most important symptoms for which clinicians should consider surgery. Here, we present an interesting case of a 49-year-old woman who first came with the presentation of acute coronary syndrome and underwent coronary angiography, which showed no sign of significant lesions but revealed a probable abnormal left subclavian artery and right aortic arch. The patient refused further evaluation at that time; however, she came back after three years with progressive chest pain and dysphagia as a new complaint. After a step-by-step work-up for the patient's dysphagia, including barium swallow and upper endoscopy, chest CT angiography was performed that demonstrated a <em>left aberrant subclavian artery</em> as the potential cause of her complaints. After the diagnosis became clear, surgical ligation of the aberrant left subclavian artery and release of the vascular ring around the esophagus were done for the patient, as well as anastomosis of the left carotid artery to the left subclavian artery by saphenous vein graft interposition.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100268"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000205/pdfft?md5=39f29039e0ce9f179528884025842192&pid=1-s2.0-S2772687824000205-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282383","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}

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