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

{"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}

{"title":"Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn","authors":"Manuela Schulz ,&nbsp;Johannes Hatzl ,&nbsp;Katrin Meisenbacher ,&nbsp;Christian Gille ,&nbsp;Andreas S. Peters ,&nbsp;Dittmar Böckler","doi":"10.1016/j.avsurg.2025.100362","DOIUrl":"10.1016/j.avsurg.2025.100362","url":null,"abstract":"<div><div>This case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb ischemia in childhood is very rare and, in selected cases, a fatal condition potentially associated with limb loss and lifelong mobility impairments. The most common cause of acute limb ischemia in newborns is catheter-associated thrombosis. Current clinical guidelines recommend primary conservative management with heparin administration (level of recommendation: Class 1C) for children under 2 years of age. If revascularization is needed and indicated, open surgical techniques are typically performed. The following case report describes successful surgical treatment of acute limb ischemia in the context of current literature on ALI in childhood, including clinical presentation, diagnosis, treatment, and follow-up.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139017","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":"Takayasu arteritis beyond the young: What to consider?","authors":"Suci Indriani ,&nbsp;Averina Geffanie Suwana ,&nbsp;Suko Adiarto ,&nbsp;Taofan ,&nbsp;Ruth Grace Aurora ,&nbsp;Iwan Dakota","doi":"10.1016/j.avsurg.2025.100361","DOIUrl":"10.1016/j.avsurg.2025.100361","url":null,"abstract":"<div><h3>Background</h3><div>Takayasu arteritis (TA), also known as the pulseless disease, is a rare systemic inflammatory condition that damages medium and larger arteries. With an incidence rate of 2–6 per million, it predominantly affects individuals aged 20–40. Clinical manifestations vary from asymptomatic cases to severe vascular damage, often complicating diagnosis. This report aims to shed light on diagnosing Takayasu arteritis in older women.</div></div><div><h3>Case Summary</h3><div>A 57-year-old Southeast Asian woman presented with intermittent claudication of the upper and lower limbs. Examination revealed a significant systolic blood pressure discrepancy of 60 mmHg between the left and right leg, and vascular bruits over the subclavian arteries. Laboratory tests showed high inflammatory markers and positive ANA. Imaging with duplex ultrasound and CT scan revealed total occlusion of bilateral superficial femoral artery and stenosis of the subclavian arteries. Based on the findings, the patient was diagnosed with Takayasu arteritis. Treatment with high-dose corticosteroids and methotrexate (Methotrexate), along with antihypertensive and antiplatelet drugs, led to symptom improvement and no adverse events at the 1-year follow-up.</div></div><div><h3>Discussion</h3><div>Takayasu arteritis, while primarily affecting the young, can manifest in older individuals, presenting diagnostic challenges due to its rarity and non-specific symptoms. This case underscores the importance of including TA in the differential diagnosis for older patients with vascular symptoms. Individualized and tailored management of immunosuppressive therapy and regular monitoring are essential to control disease progression and improve outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139018","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":"Thoracic aorta to inferior mesenteric artery bypass for treatment of chronic mesenteric ischemia","authors":"Marjorie R. Liggett ,&nbsp;Margaret A. Reilly ,&nbsp;Nidhi Reddy ,&nbsp;Nicholas S. Lysak ,&nbsp;Heron Rodriguez ,&nbsp;Neel A. Mansukhani","doi":"10.1016/j.avsurg.2025.100360","DOIUrl":"10.1016/j.avsurg.2025.100360","url":null,"abstract":"<div><div>Despite the prevalence of mesenteric artery occlusive disease in the elderly population, revascularization for chronic mesenteric ischemia (CMI) accounts for &lt;2 % of revascularization procedures. We describe a case of a 72-year-old male with CMI who previously underwent SMA angioplasty and stenting, and supraceliac aorta to superior mesenteric artery (SMA) bypass that subsequently thrombosed. We performed a right common iliac to SMA bypass with initial improvement in his symptoms. However, at one month follow-up, he had symptom recurrence with imaging revealing occlusion of his bypass. We subsequently performed a distal thoracic aorta to inferior mesenteric artery (IMA) bypass via a thoracoabdominal retroperitoneal approach, resulting in resolution of his symptoms.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100360"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138675","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":"Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report","authors":"Alyssa J. Pyun,&nbsp;Ashley C. Hsu ,&nbsp;Sukgu M. Han,&nbsp;Fred A. Weaver,&nbsp;Gregory A. Magee","doi":"10.1016/j.avsurg.2024.100359","DOIUrl":"10.1016/j.avsurg.2024.100359","url":null,"abstract":"<div><div>Internal iliac artery aneurysms are frequently treated by embolization and stent graft coverage, however, retrograde flow from pelvic collaterals may lead to aneurysm progression that can be difficult to treat. We present the case of a 76-year-old male with an enlarging internal iliac artery aneurysm despite occlusion of the proximal internal iliac artery and no antegrade filling of the aneurysm sac. Through cross-pelvic retrograde access of the aneurysm sac via collaterals, we used a triaxial telescoping system for embolization of the aneurysm nidus, without major morbidity. This technique is a safe and effective option that can be used in cases where antegrade access is not feasible.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138678","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":"Ultrasound-guided percutaneous aspiration as an alternative method of treatment for Adventitial Cystic Disease: A case series","authors":"Nikolaos Patelis ,&nbsp;Ioannis Tsagkos ,&nbsp;Alia Madi ,&nbsp;Vasiliki Bakalaki ,&nbsp;Maria Psarrou ,&nbsp;Bahaa Arefai","doi":"10.1016/j.avsurg.2024.100358","DOIUrl":"10.1016/j.avsurg.2024.100358","url":null,"abstract":"<div><h3>Introduction</h3><div>Adventitial cystic disease (ACyD) is a rare vascular condition, first documented in 1947, representing approximately 0.1 % of vascular disorders, most commonly affecting the popliteal artery. The condition presents primarily with symptoms of intermittent claudication. Traditional treatment options include cyst excision, arterial segment removal with vein graft reconstruction, or percutaneous aspiration.</div></div><div><h3>Materials and Methods</h3><div>This publication reports on the results of three patients diagnosed with ACyD (males 66 %, mean age 46 years old) and treated with ultrasound-guided percutaneous aspiration (UGPA) as the initial approach. The patients were recruited over a five-year period in two private hospitals and their main symptom was claudication (Rutherford 2 and 3). The main symptom was intermittent claudication.</div></div><div><h3>Results</h3><div>All three patients were succesfully treated with UGPA (100 % technical success) and reported immediate increase of their walking distance and total resolution of claudication. All patients remain symptom-free at 15.7 months (range 7-30). No additional procedures were necessary.</div></div><div><h3>Conclusion</h3><div>Ultrasound-guided percutaneous aspiration for ACyD appears to be a safe and effective initial treatment that restores blood flow in affected vessels. Further long-term follow-up is necessary to establish the durability of the treatment outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138677","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}