Annals of vascular surgery. Brief reports and innovations最新文献_第4页

Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn 4周龄新生儿严重急性肢体缺血的手术肢体保存

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-08 DOI: 10.1016/j.avsurg.2025.100362

Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , Dittmar Böckler

{"title":"Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn","authors":"Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , 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}

引用次数: 0

Takayasu arteritis beyond the young: What to consider? 高须动脉炎超越年轻人：该考虑什么？

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-07 DOI: 10.1016/j.avsurg.2025.100361

Suci Indriani , Averina Geffanie Suwana , Suko Adiarto , Taofan , Ruth Grace Aurora , Iwan Dakota

{"title":"Takayasu arteritis beyond the young: What to consider?","authors":"Suci Indriani , Averina Geffanie Suwana , Suko Adiarto , Taofan , Ruth Grace Aurora , 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}

引用次数: 0

Thoracic aorta to inferior mesenteric artery bypass for treatment of chronic mesenteric ischemia 胸主动脉至肠系膜下动脉搭桥治疗慢性肠系膜缺血

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-03 DOI: 10.1016/j.avsurg.2025.100360

Marjorie R. Liggett , Margaret A. Reilly , Nidhi Reddy , Nicholas S. Lysak , Heron Rodriguez , Neel A. Mansukhani

引用次数: 0

Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report 经盆腔逆行栓塞治疗增大的近端闭塞髂内动脉瘤1例

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-01-01 DOI: 10.1016/j.avsurg.2024.100359

Alyssa J. Pyun, Ashley C. Hsu , Sukgu M. Han, Fred A. Weaver, Gregory A. Magee

引用次数: 0

Ultrasound-guided percutaneous aspiration as an alternative method of treatment for Adventitial Cystic Disease: A case series 超声引导下经皮穿刺作为治疗外膜囊性疾病的一种替代方法：一个病例系列

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-28 DOI: 10.1016/j.avsurg.2024.100358

Nikolaos Patelis , Ioannis Tsagkos , Alia Madi , Vasiliki Bakalaki , Maria Psarrou , Bahaa Arefai

{"title":"Ultrasound-guided percutaneous aspiration as an alternative method of treatment for Adventitial Cystic Disease: A case series","authors":"Nikolaos Patelis , Ioannis Tsagkos , Alia Madi , Vasiliki Bakalaki , Maria Psarrou , 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}

引用次数: 0

Outcome of retrograde approach in management of chronic arterial occlusive disease of lower extremities 逆行入路治疗下肢慢性动脉闭塞性疾病的疗效

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-25 DOI: 10.1016/j.avsurg.2024.100357

Tran Minh Bao Luan , Luong Viet Thang , Viet Huan Le

{"title":"Outcome of retrograde approach in management of chronic arterial occlusive disease of lower extremities","authors":"Tran Minh Bao Luan , Luong Viet Thang , Viet Huan Le","doi":"10.1016/j.avsurg.2024.100357","DOIUrl":"10.1016/j.avsurg.2024.100357","url":null,"abstract":"<div><h3>Introduction</h3><div>Peripheral arterial disease or chronic arterial occlusive disease of lower extremities is a common problem, and in the advanced stages of the disease, if not re-vascularized, the rate of amputation and mortality can be as high as 43 % and 25 % respectively. Many studies also show that the rate of successful revascularization with an antegrade approach has a failure rate of 10–20 %. Therefore, the retrograde intervention technique was developed to increase the success rate of revascularization.</div></div><div><h3>Objectives</h3><div>Morphological classification of lesions and results of retrograde approach in the treatment of chronic arterial occlusive disease in lower extremities.</div></div><div><h3>Method</h3><div>Retrospective descriptive study. <em>Thirty-five</em> patients with 39 limbs received intervention with the retrograde approach at the Department of Thoracic and Vascular Surgery, University Medical Center. Ho Chi Minh City from February 2017 to December 2021.</div></div><div><h3>Results</h3><div>Most of the patients had multiple risk factors, including hypertension, diabetes, high grade on the Rutherford scale (79.5 % with Rutherford 5), and diffuse vascular disease (89.8 % GLASS III). Recanalization was technically successful in 84.6 % (33/39) limbs, and the patients with limb preservation rate at 6 months after intervention 88.5 %. Results at 12 and 24 months also confirm the procedure's feasibility and positive outlook. The local complication rate was low 7.7 % (3/39). There was 1 case that died 3 weeks after the intervention, not directly related to the procedure.</div></div><div><h3>Conclusion</h3><div>The retrograde technique is safe and effective in managing chronic total arterial occlusive disease of the lower limbs.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100357"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139036","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

The experience of a vascular service in the Anglo-Caribbean with COVID-19 associated arterial thrombosis- A case series 盎格鲁-加勒比地区与COVID-19相关动脉血栓形成的血管服务经验-病例系列

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-10 DOI: 10.1016/j.avsurg.2024.100356

Dave Harnanan , Kelly Ann Bobb , Lemuel Pran , Aruna Rampersad , Vijay Naraynsingh , Terrence Seemungal

{"title":"The experience of a vascular service in the Anglo-Caribbean with COVID-19 associated arterial thrombosis- A case series","authors":"Dave Harnanan , Kelly Ann Bobb , Lemuel Pran , Aruna Rampersad , Vijay Naraynsingh , Terrence Seemungal","doi":"10.1016/j.avsurg.2024.100356","DOIUrl":"10.1016/j.avsurg.2024.100356","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to examine the characteristics and clinical outcomes of coronavirus (COVID-19) positive patients presenting with acute limb ischemia (ALI) during the coronavirus pandemic.</div></div><div><h3>Design and methods</h3><div>A multi-center, observational study was undertaken. It included patients from three tertiary parallel healthcare facilities in Trinidad and Tobago who were COVID-19 positive and had an acute thromboembolic event between August 2020 and April 2022. The data was collected in a prospectively maintained database.</div></div><div><h3>Results</h3><div>Over the 21 months, 24 patients with ALI and were infected with COVID-19 were evaluated, analyzing 25 consecutive limbs. The cohort's median age was 62.2 years (42–88 years), of which 62.5% were male. The most common comorbidities were diabetes (45.8%) and hypertension (33.3%). 12.5% (3/24) of patients’ initial manifestation was acute arterial ischemia, with the remaining patients (87.5%) developing signs of ALI during their hospitalization for their COVID-19 infection. Additionally, 12.5% (3/24) of patients were found to have had extremity thrombosis at multiple levels. Treatment arms were categorized as medical (N= 16), surgical (open surgery 7, and endovascular 2) management. There were no major adverse limb events in patients treated surgically. Non-surgical management was more prevalent in severe cases of Covid-19 disease in 37.5%. The in-hospital mortality was 41.7% (the leading cause of death being acute respiratory distress syndrome and multiorgan failure), all of whom were managed medically.</div></div><div><h3>Conclusion</h3><div>COVID-19 posed unique challenges in the management of ALI, with increased mortality and primary amputation rates. However, in patients who underwent surgical revascularization, there was a 100% major amputation-free survival at 24 months.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100356"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139034","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

Deep venous arterialization in the acute setting for embolic complication after endovascular procedure 血管内手术后栓塞并发症的急性深静脉动脉化

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-08 DOI: 10.1016/j.avsurg.2024.100355

Alejandra P. Rodriguez , Antonio Solano , Sofia K. Babool , Suyue M. Zhang , Lawrence A. Lavery , Michael C. Siah

引用次数: 0

Symptomatic transverse sinus stenosis. Clinical and angiographic classification and endovascular therapy: A case series 症状性横窦狭窄。临床和血管造影分类及血管内治疗：一个病例系列

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-05 DOI: 10.1016/j.avsurg.2024.100354

Alfredo Pedroza , William Escobar , Santiago Pedroza Gómez , Kemel A. Ghotme

{"title":"Symptomatic transverse sinus stenosis. Clinical and angiographic classification and endovascular therapy: A case series","authors":"Alfredo Pedroza , William Escobar , Santiago Pedroza Gómez , Kemel A. Ghotme","doi":"10.1016/j.avsurg.2024.100354","DOIUrl":"10.1016/j.avsurg.2024.100354","url":null,"abstract":"<div><h3>Background</h3><div>Transverse sinus stenosis is a treatable cause of idiopathic intracranial hypertension syndrome and intolerable pulsatile tinnitus syndrome. However, it is often underdiagnosed and left untreated. Stenting at the level of stenosis has emerged as an alternative therapy. This paper presents a clinical and angiographic classification, the technical outcome of the procedure, and the clinical and angiographic follow-up.</div></div><div><h3>Methods</h3><div>We present a case series of idiopathic intracranial hypertension syndrome and intolerable pulsatile tinnitus due to transverse sinus stenosis treated with endovascular angioplasty. We included patients with a pressure gradient ≥ 8 mm Hg across the transverse sinus stenosis with a minimum clinical and angiographic follow-up of 18 months.</div></div><div><h3>Results</h3><div>Twenty-four patients were eligible for this study and were classified into four clinical categories and two angiographic types. Twelve patients had a history of migraine with different clinical types for several years. All patients had satisfactory angioplasty with a single stent (Wallstent®) and complete resolution of idiopathic intracranial hypertension syndrome and intolerable tinnitus. Only one patient presented a complication (subdural hematoma) and required surgery. Twenty-two patients had an angiographic control five and ten months after angioplasty, showing a stable stent, with no stenosis, and with patent Labbé vein.</div></div><div><h3>Conclusion</h3><div>This case series reports excellent technical and clinical outcomes in all patients with idiopathic intracranial hypertension syndrome and intolerable pulsatile tinnitus due to transverse sinus stenosis treated with endovascular angioplasty. We propose a clinical and angiographic classification that will contribute to optimizing diagnosis and therapeutic decision-making processes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100354"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139033","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

Resistant hypertension and mesenteric ischemia: A unique therapeutic journey 顽固性高血压和肠系膜缺血：一个独特的治疗之旅

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-12-01 DOI: 10.1016/j.avsurg.2024.100352

L.N. Klemperer, E. Rosenthal, B. Sheick-Yousif

引用次数: 0