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

{"title":"Surgical management of superficial arteriovenous malformations: resection through healthy tissue planes for safer outcomes","authors":"Doha AR-REYOUCHI ,&nbsp;Ghita Cherkaoui Belmaati ,&nbsp;Mustapha Maaroufi ,&nbsp;Benzirar Adnane ,&nbsp;Kamaoui Imane ,&nbsp;Ayat Allah Oufkir","doi":"10.1016/j.avsurg.2025.100409","DOIUrl":"10.1016/j.avsurg.2025.100409","url":null,"abstract":"<div><h3>Background</h3><div>Superficial arteriovenous malformations (sAVMs) are rare fast-flow vascular anomalies that can lead to both functional impairment and aesthetic deformities.</div></div><div><h3>Methods</h3><div>This retrospective study included seven patients treated surgically for sAVMs between 2021 and 2023. Diagnosis was confirmed by imaging, and preoperative embolization was selectively performed based on lesion characteristics.</div></div><div><h3>Results</h3><div>Surgical excision was carried out through healthy anatomical planes, avoiding direct manipulation of the nidus. Outcomes were favorable in most cases, with good scar quality and preserved function.</div></div><div><h3>Conclusion</h3><div>Imaging-guided surgical excision, supported by selective embolization, is a safe and effective strategy for managing sAVMs, minimizing complications and recurrence</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100409"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417564","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}

{"title":"Use of intravascular ultrasound (IVUS) in lower limb angioplasty: A single centre experience","authors":"Aubrey Ding Rui Ng ,&nbsp;Jing Hong Loo ,&nbsp;Julene Hui Wun Ong ,&nbsp;Kalpana Vijaykumar ,&nbsp;Jia Sheng Tay","doi":"10.1016/j.avsurg.2025.100410","DOIUrl":"10.1016/j.avsurg.2025.100410","url":null,"abstract":"<div><h3>Objective</h3><div>Digital subtraction angiography (DSA), the gold standard for endovascular imaging, has limitations in precision and safety. Intravascular ultrasound (IVUS) provides greater accuracy with detailed cross-sectional images, particularly useful for guiding percutaneous revascularisation. However, most IVUS data focuses on coronary interventions, with limited research on its application in lower limb procedures, especially in Asian populations.</div></div><div><h3>Methods</h3><div>A retrospective observational study of IVUS-guided lower limb angioplasty cases at Sengkang General Hospital, Singapore, analysed data from 65 Asian patients between January 2022 and June 2023. Assessing mean arterial diameters(MAD) and comparing them with reference vessel diameters (RVD) from European populations, locally derived RVDs, and post-intervention measurements. A multivariate analysis examined the relationships between arterial diameters and factors such as demographics and comorbidities.</div></div><div><h3>Results</h3><div>Significantly smaller artery diameters for below-the-knee (BTK) vessels in the study population than in Europe. The anterior tibial artery measured 3.25 mm vs. 3.37 mm (<em>p</em> = .031), the peroneal artery 2.74 mm vs. 3.03 mm (<em>p</em> = .001), and the posterior tibial artery 2.79 mm vs. 3.10 mm (<em>p</em> &lt; .001). Above the knee, arteries were larger than local RVD, with the common femoral artery (CFA) at 7.8 mm vs. 6 mm (<em>p</em> &lt; .001), the popliteal artery at 5.43 mm vs. 4 mm (<em>p</em> = .043) and the superficial femoral artery (SFA) at 6.38 mm vs. 5 mm (<em>p</em> = .145). Multivariate analysis revealed associations between arterial diameters and factors like race, gender, smoking status, coronary artery disease, diabetes, and hypertension.</div></div><div><h3>Conclusion</h3><div>Despite a small sample size, this study suggests that demographic factors may influence arterial size, impacting clinical decision-making and outcomes in peripheral arterial intervention. This highlights the importance of incorporating IVUS into routine practice for lower limb angioplasty in diverse populations. Further research with larger samples is needed to expand on these findings.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325425","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}

{"title":"Surgical approach to symptomatic dolichoarteriopathy causing severe stenosis in a 79-year-old female patient","authors":"Tijen Alkan-Bozkaya ,&nbsp;Halide Rengin Bilgen Akdeniz ,&nbsp;Feyza Aksu ,&nbsp;Gazanfer Ekinci ,&nbsp;Zeynep Fırat ,&nbsp;Murat Aydın Sav ,&nbsp;Cemil Selim İsbir","doi":"10.1016/j.avsurg.2025.100408","DOIUrl":"10.1016/j.avsurg.2025.100408","url":null,"abstract":"<div><div>Dolichoarteriopathy of the internal carotid artery (ICA) is characterized by abnormal elongation, kinking, and coiling of the extracranial segment of the ICA, leading to significant cerebrovascular events. This condition is increasingly recognized as a key cause of acute ischemic stroke with advances in clinical and radiological assessment. This report describes a surgical intervention performed on a 79-year-old woman admitted with acute ischemic stroke due to severe stenosis and bilateral dolichoarteriopathy of the ICAs. Following successful surgery, the patient demonstrated significant recovery. This case highlights the importance of early diagnosis and timely surgical intervention. The patient had significant comorbidities, including hypertension and a history of heavy smoking, which are commonly associated with severe bilateral dolichoarteriopathy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268329","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}

{"title":"Iatrogenic femoral complex pseudoaneurysm: A case report","authors":"Rupendra Nath Saha ,&nbsp;Bhanu Duggal ,&nbsp;Raghuraj Chawla ,&nbsp;Shubham Rawat","doi":"10.1016/j.avsurg.2025.100403","DOIUrl":"10.1016/j.avsurg.2025.100403","url":null,"abstract":"<div><div>An iatrogenic complex femoral pseudoaneurysm, though rare, is associated with much comorbidity. We want to bring up a case of a complex pseudoaneurysm created after a percutaneous angioplasty, which was finally repaired using a surgical technique. The danger of rupture, embolisation, and infection are associated with complex femoral pseudoaneurysms. Though there are various ways of managing such a condition, an ideal approach should be tailored to each patient, considering their comorbidities. Surgical repair is still a practical and successful therapeutic option for these lesions, especially when endovascular or a conservative intervention is not advised or has not worked.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121288","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}

{"title":"Blunt thoracic aortic injuries from falls at the United States–Mexico Border: A case series","authors":"Hoi Yee Annie Lo ,&nbsp;William Johnston ,&nbsp;Jane J Keating ,&nbsp;Allison E Berndtson ,&nbsp;Ann C Gaffey","doi":"10.1016/j.avsurg.2025.100406","DOIUrl":"10.1016/j.avsurg.2025.100406","url":null,"abstract":"<div><h3>Background</h3><div>Following executive order 13,767, the United States border wall height was nearly doubled to 30-feet (9.1 meters). Touted as “unclimbable,” the structure has led to an increase in fall-related trauma. Since 2019, our level 1 trauma center has noted a rise in blunt aortic injuries (BAI) from border wall falls. We aimed to characterize these injuries and their management.</div></div><div><h3>Method</h3><div>We performed a retrospective review of the University of California, San Diego level 1 trauma center registry, capturing patients from San Diego and Imperial Counties who sustained BAI due to border wall falls (2015–2024). Institutional review board exemption was granted.</div></div><div><h3>Results</h3><div>No BAIs were recorded from border wall falls before 2019. Since then, three cases have occurred. One patient sustained a grade I BAI and was managed non-operatively. Two patients had grade III BAI requiring emergent thoracic endovascular aortic repair (TEVAR). Both suffered multiple system injuries and required prolonged hospitalization and ultimate discharge to rehabilitation facilities.</div></div><div><h3>Conclusions</h3><div>BAIs from border wall falls emerged only after the wall height increase of 2019. The need for complex vascular intervention underscores the severe injury burden. Awareness of this mechanism is critical for timely diagnosis and intervention.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100406"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159152","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}

{"title":"Traumatic pseudoaneurysm of internal mammary artery with fistula of internal mammary vein treated minimally invasive: A case report","authors":"Kasilingam Kiritharan,&nbsp;Srikumaran Sivamainthan,&nbsp;Vengadasalam Sutharshan,&nbsp;Murugavel Mayuran,&nbsp;Satchithanantham Vinojan","doi":"10.1016/j.avsurg.2025.100391","DOIUrl":"10.1016/j.avsurg.2025.100391","url":null,"abstract":"<div><h3>Background</h3><div>Pseudoaneurysms involving the internal mammary artery/internal thoracic artery (IMA/ITA) are rare occurrences, and the presentation and treatment approaches for such cases can be variable. Due to the potentially life-threatening risk of rupture, leading to conditions like haemothorax, it is important to have a comprehensive understanding of safe and effective diagnostic and therapeutic techniques. We present a case of IMA/ITA artery pseudoaneurysm complicated with fistula formation with the vein.</div></div><div><h3>Case presentation</h3><div>A 36-year-old male presented to the surgical casualty after one week with bleeding from the laceration he had in left chest following a motor vehicle accident. CT angiogram of the chest revealed a pseudoaneurysm formation in the internal mammary artery and a fistula to the internal mammary vein.</div></div><div><h3>Intervention and Outcome</h3><div>He underwent coil embolization, and subsequent post-procedure angiograms confirmed the effective occlusion of the left IMA/ITA, with no further visualization of the pseudoaneurysm.</div></div><div><h3>Conclusion</h3><div>Targeted coil embolization is favoured over surgical repair due to its lower complication rates and favourable outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331074","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}

{"title":"Measuring consistency: The reliability of pedal acceleration time measurements across and within raters","authors":"Odette Hart ,&nbsp;Philip Allan ,&nbsp;Bridget August ,&nbsp;Grant Abbott ,&nbsp;Catherine Evans ,&nbsp;Manar Khashram","doi":"10.1016/j.avsurg.2025.100400","DOIUrl":"10.1016/j.avsurg.2025.100400","url":null,"abstract":"<div><h3>Objectives</h3><div>Pedal acceleration time (PAT) is a novel non-invasive lower limb perfusion assessment tool. However, the test-retest reliability between and within raters has not been examined. The aim of this pilot study was to assess the inter- and intra-rater reliability of PAT measurements.</div></div><div><h3>Methods</h3><div>Ten patients with diabetic foot and/or chronic limb threatening ischaemia underwent three repeated PAT measurements across three pedal arteries in a single limb by three trained sonographers. Inter-rater reliability was assessed as the contribution to variance by patients, raters, and replicates. Intra-rater reliability was quantified by the within-subject coefficient of variation (CV). The effects of raters and repeat measures was summarised using the intraclass correlation coefficient (ICC).</div></div><div><h3>Results</h3><div>Inter-rater reliability showed little contribution to variance at only ≤0.4 %, with ≥88.1 % of variance being that driven by patient variability. Intra-rater reliability as assessed by CV ranged between 10.8 %-12.2 %. The combined effect of raters and repeat measures assessed by ICC was 0.88–0.99 (good-to-excellent reliability).</div></div><div><h3>Conclusions</h3><div>This pilot study suggests PAT can be reliably measured by trained sonographers with good-to-excellent inter- and intra-rater reliability.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100400"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864112","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}

{"title":"Functional popliteal artery entrapment syndrome in an athletic adolescent: a case report and surgical insights","authors":"Eden Z Gebreselassie ,&nbsp;Virgile Omnes ,&nbsp;Karima Houasli ,&nbsp;Gwenaelle Duchemin ,&nbsp;Eva Madeleine ,&nbsp;Marine Gaudry","doi":"10.1016/j.avsurg.2025.100389","DOIUrl":"10.1016/j.avsurg.2025.100389","url":null,"abstract":"<div><div>Popliteal artery entrapment syndrome (PAES) is a rare but significant cause of lower limb claudication in young, otherwise healthy individuals. This case describes a 16-year-old athletic patient presenting with bilateral calf pain, initially evaluated by cardiology. While initial arterial Doppler ultrasound was unremarkable, calf contraction elicited a complete interruption of arterial flow. Angio-CT confirmed dynamic compression of the popliteal artery, consistent with functional popliteal entrapment syndrome. Surgical intervention was performed, involving resection of the medial gastrocnemius muscle and tendon release. The patient experienced full symptom resolution postoperatively. This report highlights the importance of considering PAES in the differential diagnosis of claudication in young patients, underscores the role of dynamic imaging and surgical management, and addresses postoperative recurrence risk.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280426","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}

{"title":"Evolution of the management of symptomatic carotid artery stenosis with free floating thrombus","authors":"Jonathan Sexton,&nbsp;Kennedy Nye","doi":"10.1016/j.avsurg.2025.100392","DOIUrl":"10.1016/j.avsurg.2025.100392","url":null,"abstract":"<div><div>Free floating carotid thrombus (FFCT) is an infrequent but dangerous finding of symptomatic carotid stenosis. Definitive management for FFCT is not well defined and the risk of stroke after endarterectomy comes with almost a threefold increase in stroke risk. Initial anticoagulation will usually resolve the thrombus on its own and allow for traditional management. In those that persist, there remains a low chance of recurrent stroke at 30 days with continued anticoagulation. For patients who have persistent disease, or recurrent symptoms, Transcarotid Artery Revascularization (TCAR) with Percutaneous Mechanical Thrombectomy (PMT) appears to be a safer alternative option to Carotid Endarterectomy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306509","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}

{"title":"Symptomatic pseudoaneurysm of the superficial temporal artery: three case reports","authors":"Pietro Modugno ,&nbsp;Mario Nocerino ,&nbsp;Francesco Maria Modugno ,&nbsp;Veronica Picone ,&nbsp;Lucia Scurto ,&nbsp;Alessandra Paolini ,&nbsp;Carmen Pediliggieri ,&nbsp;Corrado Cirielli","doi":"10.1016/j.avsurg.2025.100393","DOIUrl":"10.1016/j.avsurg.2025.100393","url":null,"abstract":"<div><div>We present a series of three cases of symptomatic pseudoaneurysms of the superficial temporal artery (STA) following non-concussive head trauma. All patients developed a superficial hematoma associated with a pulsatile swelling, painful on both palpation and spontaneously. Diagnosis was promptly made with color Doppler ultrasound, supplemented by a non-contrast head computed tomography (CT) scan to rule out cranial fractures or cerebral hemorrhages. Management involved ligating the STA both upstream and downstream of the pseudoaneurysm, followed by its excision. This approach effectively resolved the local and regional symptoms through a quick, safe, and minimally invasive procedure.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502270","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}