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

{"title":"Successful staged treatment of rapidly expanded thoracic aortic aneurysm following abdominal aortic aneurysm occlusion","authors":"Shigeshi Ono,&nbsp;Yutaka Takigawa,&nbsp;Hirotoshi Hasegawa","doi":"10.1016/j.avsurg.2025.100372","DOIUrl":"10.1016/j.avsurg.2025.100372","url":null,"abstract":"<div><div>We present the case of a 66-year-old man with aortoiliac occlusive disease (AIOD) complicated by mild abdominal aortic dilation and a thoracic aortic aneurysm (TAA). The patient first presented with intermittent claudication; imaging revealed bilateral common iliac artery stenosis with severe calcification and a dilated thoracic and abdominal aorta. The patient declined treatment and he was lost to follow-up for over two years. Upon returning to the hospital with worsening symptoms, imaging revealed aorto-bilateral iliac occlusion and significant progression of both thoracic and abdominal aortic dilation. Surgical intervention was again declined, and conservative management was continued. Three and a half years after the initial visit, the patient consented to a two-stage treatment. The first stage involved aorto-bifemoral bypass for the AIOD, which improved circulation and relieved symptoms. The second stage, performed three months later, involved thoracic endovascular aortic repair for the TAA. Both procedures were completed without complications, and the patient was discharged in stable condition. This case provides valuable insight into the progression of occlusive arteriosclerosis and aneurysms under conservative observation, highlighting the need for tailored, patient-centric approaches in vascular disease management.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550464","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}

{"title":"Ruptured abdominal aortic aneurysm treated using infrarenal-occlusion-balloon technique with ENDURANT IIs","authors":"Shuhei Azuma,&nbsp;Yuki Asada,&nbsp;Ryo Shimada,&nbsp;Shigeru Nakamura","doi":"10.1016/j.avsurg.2025.100373","DOIUrl":"10.1016/j.avsurg.2025.100373","url":null,"abstract":"<div><div>Rapid and effective cessation of bleeding is the most important step in the treatment of ruptured abdominal aortic aneurysms (rAAAs) and should be achieved before endovascular abdominal aneurysm repair (EVAR). In this study, we assessed the infrarenal-occlusion-balloon technique using ENDURANT Ⅱs for rAAAs. Our technique involves dilating the occlusion balloon in ENDURANT Ⅱs just below the renal artery, which helps avoid damage to the native aorta and the risk of organ ischemia. Additionally, the ability to perform continuous EVAR with bleeding control is another major advantage. We analyzed 12 consecutive patients with rAAAs who were treated using our infrarenal-occlusion-balloon technique with ENDURANT Ⅱs between March 2016 and December 2024. The average time from the start of surgery until hemostasis was 20 min, with a 30-day mortality rate of 16.7 %. Our infrarenal-occlusion-balloon technique using ENDURANT Ⅱs can be considered a faster, safer, and more effective method for treating rAAAs.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550465","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}

{"title":"Intravascular lipoma with extravascular extension, a rare phenomena and review of the literature","authors":"Mennatalla Hegazi ,&nbsp;Charlene Yuan ,&nbsp;Nii-Kabu Kabutey ,&nbsp;Roy M Fujitani ,&nbsp;Hari Keshava ,&nbsp;Ali Mahtabifard ,&nbsp;Anthony H Chau","doi":"10.1016/j.avsurg.2025.100370","DOIUrl":"10.1016/j.avsurg.2025.100370","url":null,"abstract":"<div><div>Lipomas are the most common soft tissue tumors, accounting for half of all soft tissue masses. However, intravascular lipomas (IVLs) are rare. IVLs have been described in case reports in the various major veins. They are often asymptomatic and found incidentally. Given the risk of malignancy, as liposarcomas are the second most common soft tissue sarcoma in adults and account for 1 % of all malignancies, histological differentiation is important, and surgical excision remains the mainstay of treatment in the literature. We present the case of a 61-year-old male who presented with left chest pain that radiated to his left shoulder and arm. On further evaluation, the patient endorsed left-hand swelling and weakness and increased prominence of veins in the left upper extremity. He underwent a CT scan that showed a hypodense mass with fat attenuation in the left innominate vein extending extra-vascularly and into the left internal jugular vein, measuring 2.3 × 2.0 × 5.2 cm. Successful surgical excision and reconstruction of the innominate vein with reimplantation of the left internal jugular vein was performed through median sternotomy and left cervical incision. The postoperative course was unremarkable, and the patient recovered well. The clinical presentation of an intravascular lipoma in a large caliber vessel can be subtle and nonspecific. This case report characterizes this rare vascular tumor and includes a contemporary literature review, summarizing the diagnosis and treatment options.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453840","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}

{"title":"Paget-Schroetter Syndrome secondary to anomalous right-sided aortic arch: A case report","authors":"Katrina Pardo ,&nbsp;Sofia Steger ,&nbsp;Edgar Galinanes ,&nbsp;Juan Carlos Pereda","doi":"10.1016/j.avsurg.2025.100368","DOIUrl":"10.1016/j.avsurg.2025.100368","url":null,"abstract":"<div><div>Thoracic Outlet Syndrome (TOS) is a rare condition, with an estimated prevalence of about 3 in 100,000 individuals.¹ Venogenic TOS, also referred to as Paget-Schroetter Syndrome (PSS), is rarer than neurogenic TOS with an estimated prevalence of 1 in 100,000.¹ In this case report, we present a rare case of PSS secondary to an anomalous right-sided aortic arch with branching anomalies, which are described poorly in the literature. The patient, a 41-year-old male with no significant past medical history, presented with classic PSS symptoms that include left neck swelling and pain, intermittent numbness, and swelling in the left arm. Following admission, a chest CT with contrast revealed a right-sided aortic arch along with a left common carotid artery and left subclavian artery that share a common trunk. Ultrasound revealed thrombosis of the left subclavian and innominate veins consistent with PSS. He underwent an aspiration thrombectomy and catheter-directed thrombolytic therapy. The patient is currently symptom-free and successfully managed in the short term with anticoagulation therapy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395651","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}

{"title":"Facial flushing can be a rare presentation of SVC syndrome","authors":"Claire Elizabeth Cassianni ,&nbsp;Noora Jabeen ,&nbsp;Tiziano Tallarita ,&nbsp;Michel K Barsoum ,&nbsp;Vaibhav R. Vaidya ,&nbsp;Indrani Sen","doi":"10.1016/j.avsurg.2025.100369","DOIUrl":"10.1016/j.avsurg.2025.100369","url":null,"abstract":"<div><div>Facial plethora is a rare presentation of superior vena cava syndrome (SVCS). We report facial plethora and feeling of fullness in the head and neck in a 37-year-old female with cardiomyopathy and implantable cardioverter defibrillator (ICD) placement. She remained undiagnosed for a year despite computed tomogram (CT) imaging. Based on her symptoms, a diagnosis of SVCS was suspected and confirmed with diagnostic venogram. Symptoms resolved transiently with initial venoplasty. She presented with recurrent incapacitating symptoms in a year. This required repeat venoplasty, lead extraction and placement of subcutaneous ICD. She remains asymptomatic a year after this procedure.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396219","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}

{"title":"Initial experience and early outcomes of treatment of complex deep vein thrombosis with flowtriever and clottriever mechanical thrombectomy systems in conjunction with protrieve sheath","authors":"Nicole Ilonzo,&nbsp;Dana Harrison,&nbsp;Olivia Watman,&nbsp;Gabriela Abril,&nbsp;Michael Segal,&nbsp;Rajesh Malik","doi":"10.1016/j.avsurg.2025.100367","DOIUrl":"10.1016/j.avsurg.2025.100367","url":null,"abstract":"<div><h3>Introduction</h3><div>The study aims to establish that the ClotTriever and/or Flowtriever Systems, used in conjunction with the Protrieve sheath, can safely remove large thrombus burden associated with complex DVT while, in pertinent cases, also preserving the structural integrity of the IVC filter during catheter deployment, thus minimizing complications and reducing case complexity.</div></div><div><h3>Methods</h3><div>A retrospective review of all patients who underwent mechanical thrombectomy for complex DVT at New York Presbyterian-Brooklyn Methodist Hospital from February 2022 to August 2024 was conducted. Patient demographics as well as baseline characteristics including comorbidities, presenting symptoms, and initial imaging findings were collected. Intraoperative and postoperative outcomes were analyzed.</div></div><div><h3>Results</h3><div>The mean age was 76.5 years old, and 60 % were female. Of the anatomical location of thrombus, 60 % of thrombi extended into in the IVC. Concomitant subsegmental pulmonary embolism was found in 85 % (6/7) of these patients. Native vein thrombectomy was successfully achieved in all cases using a Triever catheter in 90 % (9/10) of cases and a ClotTriever device in 40 % (4/10) of cases. The Protrieve sheath was used to capture intraprocedural emboli in 90 % (9/10) of cases. Thrombectomy of an IVC filter was performed in 40 % (4/10) cases. Intraoperative patency improvement of treated vessels was confirmed via imaging in 100 % of cases. No serious adverse events occurred. 90 % of patients had complete resolution of edema and pain.</div></div><div><h3>Conclusion</h3><div>The initial single-center experience with the Protrieve sheath used in combination with the FlowTriever and/or ClotTriever mechanical thrombectomy devices for the treatment of proximal DVT that is bilateral, involves thrombosis of the IVC, and/or thrombosed IVC filters appears safe and effective with 100 % flow restoration, no serious adverse events including iaotrogenic PE, and no rethrombosis during the follow-up period.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453841","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}

{"title":"A rare case of acute arterial thrombosis revealing undifferentiated arterial leiomyosarcoma","authors":"Masato Tsuchimochi ,&nbsp;Shigeta Miyake ,&nbsp;Taisuke Akimoto ,&nbsp;Yuta Otomo ,&nbsp;Yasunobu Nakai ,&nbsp;Kotaro Oshio ,&nbsp;Tetsuya Yamamoto","doi":"10.1016/j.avsurg.2025.100365","DOIUrl":"10.1016/j.avsurg.2025.100365","url":null,"abstract":"<div><div>Aortic leiomyosarcoma, a rare and elusive malignancy, presents diagnostic and therapeutic dilemmas due to its nonspecific symptoms and aggressive course. We report a unique case where the incidental discovery of arterial leiomyosarcoma occurred during acute cerebral infarction management. A previously healthy 58-year-old woman, initially presenting with severe neurological deficits indicative of acute ischemic stroke, underwent prompt recanalization therapy that resulted in successful restoration. Unexpectedly, a histopathological examination of the extracted thrombus revealed arterial leiomyosarcoma. The diagnostic process involved immunohistochemistry and contrast-enhanced computed tomography, confirming the presence of leiomyosarcoma originating from the ascending aorta. Given the patient's severe disability, a palliative care approach was chosen to prioritize comfort and quality of life. This case underscores the diagnostic potential of acute recanalization therapy for functional recovery as well as histopathological examination, shedding light on rare diseases. Further case accumulation is essential to refine treatment strategies and improve prognostic outcomes for vascular sarcomas.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139032","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}

{"title":"Retroperitoneal approach for redo median arcuate ligament release","authors":"Matthew Fastiggi,&nbsp;Arash Bornak,&nbsp;Matthew Sussman,&nbsp;Hilene DeAmorim,&nbsp;Naixin Kang","doi":"10.1016/j.avsurg.2025.100366","DOIUrl":"10.1016/j.avsurg.2025.100366","url":null,"abstract":"<div><div>Median arcuate ligament syndrome (MALS) is a cause of chronic abdominal pain that can be difficult to diagnose and treat, as the pathophysiology is not completely understood and there is no definitive diagnostic and treatment algorithm. We present the case of a 39-year-old man with debilitating symptoms of MALS for 18 years. His symptoms began after a blunt abdominal and flank trauma. He had failed two transabdominal surgeries and was successfully treated at our institution with an open retroperitoneal median arcuate ligament release with relief of symptoms. This case adds open retroperitoneal MALS release as a surgical option for this complex disease. Future clinicians can draw on this case when faced with similar circumstances in patients with chronic, life-limiting abdominal pain from MALS.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139030","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}

{"title":"Recurrent disconnection of Gore Iliac Branch Endoprosthesis: Case report and review of contributing factors","authors":"Catherine Boudreau,&nbsp;Caroline Caradu,&nbsp;Xavier Bérard,&nbsp;Eric Ducasse","doi":"10.1016/j.avsurg.2025.100363","DOIUrl":"10.1016/j.avsurg.2025.100363","url":null,"abstract":"<div><h3>Introduction</h3><div>Iliac artery aneurysms (IAAs) which may coexist with abdominal aortic aneurysms (AAAs) or appear as isolated lesions, represent around 2 % of intra-abdominal aneurysms. Endovascular repair using iliac branch devices (IBDs) helps preserve internal iliac artery (IIA) perfusion, reducing complications like buttock claudication. However, device displacement and type III endoleaks are significant challenges, especially in tortuous anatomy.</div></div><div><h3>Report</h3><div>We report two cases of type III endoleak due to displacement of Gore Iliac Branch Endoprosthesis (IBE). In the first case, a 60-year-old male with a left IAA experienced immediate postoperative IBE migration and type III endoleak, necessitating urgent reintervention with bridging stents. In the second, a 74-year-old male treated for a right IAA had recurrent IBE displacements over four years, with repeated type III endoleaks, managed by repeated stenting. Severe iliac tortuosity contributed to both cases.</div></div><div><h3>Discussion</h3><div>These cases highlight the complexities of IAA endovascular repair with IBDs, particularly the risk of device migration and endoleaks, with severe iliac tortuosity, device properties (e.g. conformability, low friction coefficient), and response to cardiac pulsatility increasing migration risk. Future studies should address these challenges, focusing on device design improvements and predictive imaging techniques, including artificial intelligence, to enhance long-term outcomes in IAA repair.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139016","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}

{"title":"Endovascular coil embolization of a symptomatic profunda femoris artery aneurysm in a patient with a complex vascular history through a transbrachial approach","authors":"W.M. Yu ,&nbsp;D.K. Shan ,&nbsp;S.M. Saravitz ,&nbsp;N. Udgiri","doi":"10.1016/j.avsurg.2025.100364","DOIUrl":"10.1016/j.avsurg.2025.100364","url":null,"abstract":"<div><div>Profunda femoris artery (PFA) aneurysms, though rare, pose significant risks if untreated. Guidelines predominantly address femoral artery aneurysms as a whole, leaving gaps in management of PFA aneurysms. We present a case of a 65-year-old male with a ruptured 4.6 cm x 7.6 cm x 5.0 cm distal PFA aneurysm alongside proximal PFA and CFA aneurysms. Endovascular coil embolization successfully treated the aneurysm, with concurrent thigh fasciotomy for compartment syndrome. The patient's complex medical history influenced treatment selection. This underscores the importance of early recognition and tailored management, advocating for endovascular interventions in high-risk patients. Further research is imperative to establish consensus guidelines for optimal management of PFA aneurysms.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100364"},"PeriodicalIF":0.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139035","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}