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

{"title":"Management of an infected native aortic aneurysm secondary to an extremely rare pathogen - Cutibacterium acnes infection","authors":"Drake Giese ,&nbsp;Buddhi P Hatharaliyadda ,&nbsp;Tiziano Tallarita ,&nbsp;Noora Jabeen ,&nbsp;Yasser Almadani ,&nbsp;Jason Beckermann ,&nbsp;Indrani Sen","doi":"10.1016/j.avsurg.2025.100398","DOIUrl":"10.1016/j.avsurg.2025.100398","url":null,"abstract":"<div><div>A 76-year-old male was treated for an incidentally diagnosed 6.6 cm infective native aortic aneurysm (INAA). He reported significant chronic back pain; but had no other clinical or radiological features of an infective or inflammatory aneurysm. He underwent open repair; aortic tissue culture was positive for <em>Cutibacterium acnes</em>. C. Acnes (previously known as Propionibacterium acnes) is an extremely rare etiology for INAA, there are no reports of long-term outcomes after open repair.^1-4 He was treated with 6 weeks of IV ceftriaxone and remains on oral amoxicillin for chronic suppression with no reinfection on imaging and improvement in back pain.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680320","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":"A rare case of dorsalis pedis artery pseudoaneurysm: Surgical management and review of the literature","authors":"Giulia Maria Piermarini ,&nbsp;Corrado Cirielli ,&nbsp;Gennaro Restaino ,&nbsp;Massimiliano Missere ,&nbsp;Mario Nocerino ,&nbsp;Luca Mascellari ,&nbsp;Pietro Modugno","doi":"10.1016/j.avsurg.2025.100394","DOIUrl":"10.1016/j.avsurg.2025.100394","url":null,"abstract":"<div><h3>Introduction</h3><div>Aneurysms of the dorsalis pedis artery (DPA) are a rare condition but their management is essential to prevent significant complications, such as rupture or foot ischemia^2,3,4. Despite the evolution of therapeutic techniques in recent decades, the current literature shows a predominant use of surgical treatments, with limited recourse to endovascular options. This study presents a clinical case of DPA pseudoaneurysm and offers a review of current therapeutic approaches.</div></div><div><h3>Methods</h3><div>We performed a systematic review of the literature using PubMed and Scopus, analyzing articles published from 1955 to the present. We focused on studies that addressed etiology, clinical presentation, diagnostic methods, and treatment outcomes.</div></div><div><h3>Results</h3><div>In our review, trauma (25 %) and iatrogenic causes (18.75 %) were the most frequent etiologies of DPA aneurysms. The typical clinical presentation was a pulsatile mass, and Doppler ultrasound was the most common diagnostic tool. Surgery, especially resection and ligation of feeding vessels (50 %), was the most frequently used treatment. Endovascular treatments, including embolization, were rare. No significant complications were reported ⁴⁴.</div></div><div><h3>Discussion</h3><div>Surgical treatment remains the primary approach for DPA aneurysms, resulting in good outcomes when performed promptly. Despite the advancements in endovascular techniques, their application to DPA aneurysms remains limited, with only one case reported in the literature.⁴⁴</div></div><div><h3>Conclusions</h3><div>Despite the rarity of DPA aneurysms, surgical treatment remains effective and safe when promptly applied.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100394"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513997","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":"Aortoiliac graft occlusion presenting as lumbar plexopathy: a report of reversible neurological deficit","authors":"Andrea Muniz,&nbsp;Houssam Farres,&nbsp;Camilo Polania-Sandoval,&nbsp;Young Erben","doi":"10.1016/j.avsurg.2025.100399","DOIUrl":"10.1016/j.avsurg.2025.100399","url":null,"abstract":"<div><div>Ischemic lumbar plexopathy is a rare and challenging neurological complication resulting from vascular insufficiency. Its clinical presentation varies, making diagnosis difficult and often leading to it being overlooked. Although it has been documented following aortic reconstruction procedures, complete neurologic recovery after revascularization has not previously been reported. We present the case of a 79-year-old male patient with a history of EVAR for the treatment of an infrarenal abdominal aortic aneurysm utilizing an aortouniiliac endograft and a left-to-right femoral-femoral bypass, who presented with acute left lower extremity pain and progressive weakness of bilateral lower extremities. Evaluation revealed acute occlusion of both the endograft and femoral-femoral bypass. He underwent left external iliac artery thrombectomy and a left axillary-to-femoral artery bypass, a redo left-to-right femoral-femoral bypass, and a left common femoral to above-knee popliteal artery bypass. This revascularization resulted in immediate sensory and motor function improvement. A review of fifteen published cases involving lumbar plexopathy after aortic interventions revealed typical presentation in the early postoperative period. Management was predominantly conservative, with nearly all patients receiving physical therapy, and one was treated with surgical revascularization via bypass. Despite these efforts, most patients experienced persistent motor deficits, with only one patient achieving full neurologic recovery through physical therapy alone. Ischemic lumbar plexopathy secondary to aortic graft occlusion is extremely rare. This case highlights the need to consider ischemic lumbar plexopathy in patients with complex vascular histories. Timely revascularization, even in a high-risk patient, led to meaningful neurological recovery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694769","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":"Carotid body tumor presenting with acute internal carotid artery occlusion: Case report and review of the literature","authors":"Abdulrahman Saad Aldakkan","doi":"10.1016/j.avsurg.2025.100397","DOIUrl":"10.1016/j.avsurg.2025.100397","url":null,"abstract":"<div><div>Carotid body tumors are the most common paragangliomas of the head and neck. Although stroke is a known potential complication following surgical resection, it is a very unusual presenting symptom. We present the fourth case in the literature of a carotid body tumor presenting with a stroke. A 37 year old male with acute right internal carotid artery occlusion in the presence of ipsilateral carotid body tumor. He was managed with endovascular thrombectomy. The clinical presentation, imaging findings and management are presented.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723659","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 management of midaortic syndrome in children with renovascular hypertension: Over a quarter of century experience","authors":"Afksendiyos Kalangos ,&nbsp;Murat Ugurlucan ,&nbsp;Didem Melis Oztas ,&nbsp;Panagiotis Sfyridis ,&nbsp;Gino Gemayel ,&nbsp;Yilmaz Zorman ,&nbsp;Nataliia Shatelen","doi":"10.1016/j.avsurg.2025.100396","DOIUrl":"10.1016/j.avsurg.2025.100396","url":null,"abstract":"<div><h3>Background</h3><div>If left untreated, mid-aortic syndrome with renovascular hypertension can lead to life-threatening complications due to refractory hypertension. We aimed to analyze the medium- and long-term outcomes in a pediatric population that underwent surgery over the past 25 years.</div></div><div><h3>Methods</h3><div>A review of eight children with mid-aortic syndrome resulting in renovascular hypertension due to renal arterial stenosis has been conducted over the past 25 years. Children diagnosed with Takayasu arteritis were excluded. Primary outcomes were survival, reoperations, and interventional procedures.</div></div><div><h3>Results</h3><div>Eight children, with a median age of 12.5 years (ranging from 4 to 17 years old), were included in the study period. One patient had Neurofibromatosis type I, while another was diagnosed with Williams-Beuren syndrome. Seven children had involvement of one or both renal arteries, and most of them were affected by visceral abdominal aortic branches: celiac trunk (<em>n</em> = 3) and/or superior mesenteric artery (<em>n</em> = 2), which required reimplantation. The procedure to alleviate the stenotic abdominal aortic segment employed a lateral-to-end aorto-aortic bypass tube graft, with or without renal or visceral arterial bypass. There were no early or late deaths during the follow-up period. One patient experienced a postoperative thrombosis of the venous graft between the aortic bypass graft and the right renal artery, necessitating a thrombectomy. One patient required dilation of the right renal artery due to stenosis in the reimplanted artery 18 months after the initial repair, while another patient needed dilation of the superior mesenteric artery at the anastomosis with the saphenous vein graft after 19 months. In the remaining patients, imaging revealed no significant residual stenosis, and all patients were tapered off anti-hypertensive medications by the last follow-up appointment.</div></div><div><h3>Conclusions</h3><div>Surgical repair of the mid-aortic syndrome can be performed with low operative and late morbidity in experienced hands. Long-term follow-up is associated with complete resolution of renal hypertension. Patients require regular follow-up because of the risk of visceral aortic branch and renal artery anastomotic restenosis. However, revascularization using short saphenous vein graft segments is durable, and if stenosis occurs, it can be easily managed percutaneously.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665867","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":"Catheter-directed aspiration thrombectomy of the IVC/renal vein for acute renal vein thrombosis in a patient with nephrotic syndrome: A Case Report","authors":"Neil K. Jain ,&nbsp;Hernoor Athwal ,&nbsp;Michael Abramson","doi":"10.1016/j.avsurg.2025.100371","DOIUrl":"10.1016/j.avsurg.2025.100371","url":null,"abstract":"","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633308","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":"Aneurysmal degeneration after drug-eluting stent implantation in lower limb arteries: A systematic review and case reports","authors":"Angela Luongo ,&nbsp;Nicola Cantile ,&nbsp;Davide Turchino ,&nbsp;Abdul Karim Markabaoui ,&nbsp;Raffaele Serra ,&nbsp;Umberto Marcello Bracale","doi":"10.1016/j.avsurg.2025.100395","DOIUrl":"10.1016/j.avsurg.2025.100395","url":null,"abstract":"<div><h3>Background</h3><div>Paclitaxel-eluting stents (DES) are widely used in the treatment of femoropopliteal peripheral arterial disease (PAD) due to their ability to inhibit neointimal hyperplasia and reduce restenosis rates. However, recent observational data have raised concerns about delayed complications, particularly aneurysmal degeneration of the treated arterial segments.</div></div><div><h3>Objectives</h3><div>To systematically review the incidence, anatomical distribution, mechanisms, and clinical outcomes of aneurysmal degeneration following implantation of paclitaxel-eluting stents in lower limb arteries, define its incidence, anatomical distribution, proposed mechanisms, diagnostic criteria, and therapeutic approaches and to present a representative case requiring open surgical revision 12 months post-Eluvia implantation.</div></div><div><h3>Methods</h3><div>A PRISMA-compliant systematic review was performed including randomized trials, observational studies, and case reports describing aneurysmal degeneration after DES implantation. Data were extracted regarding stent type, lesion location, diagnostic methods, follow-up, and clinical outcomes. A clinical case of aneurysmal degeneration of the common femoral artery (CFA) following Eluvia implantation was integrated.</div></div><div><h3>Results</h3><div>Thirteen studies were included, comprising 1 randomized controlled trial, 6 observational cohorts, 1 case series, and 5 case reports. The incidence of aneurysmal degeneration ranged from 0 % to 15.7 %, with the superficial femoral artery (SFA) being the most affected site. Conservative management was common, although some cases required open surgical treatment. Our patient underwent aneurysmectomy and bypass for CFA degeneration 12 months after DES placement.</div></div><div><h3>Conclusions</h3><div>Aneurysmal degeneration after femoropopliteal DES implantation may be underdiagnosed and clinically relevant. Given the variability in diagnostic criteria and long-term risk, systematic surveillance and further investigation are warranted, particularly in off-label stent applications.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633089","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":"Abdominal aortic aneurysm endovascular repair in a patient after lung transplantation","authors":"Claudiomar Zardo de Oliveira,&nbsp;Júlia Scussiato de Oliveira,&nbsp;Éverton Macedo","doi":"10.1016/j.avsurg.2025.100390","DOIUrl":"10.1016/j.avsurg.2025.100390","url":null,"abstract":"<div><div>We present a unique case of a 72-year-old man who underwent endovascular repair of a ruptured abdominal aneurysm. This patient has received a unilateral left lung transplant for cystic fibrosis 14 months prior to this event. He was being treated with cyclosporine, azathioprine and prednisone as immunosuppressive therapy. Among the studies published to date, this is the first case of a ruptured abdominal aortic aneurysm treated endovascularly after lung transplantation. We noted that prior to the transplant the patient had a small abdominal aortic aneurysm, but that after the transplant the aneurysm evolved rapidly, culminating in rupture.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 3","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306508","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":"Recurrent rupture of an infected femoral artery pseudoaneurysm secondary to a 35-year-old plated arthrodesis: A case report","authors":"Dan Y. Draytsel ,&nbsp;Deena B. Chihade ,&nbsp;Michael J. Costanza ,&nbsp;Anthony Feghali","doi":"10.1016/j.avsurg.2025.100375","DOIUrl":"10.1016/j.avsurg.2025.100375","url":null,"abstract":"<div><div>Femoral endarterectomy with patch angioplasty is the standard of care for patients suffering from chronic limb-threatening ischemia with significant inflow disease. Despite avoidance of prosthetic and increased use of biologicanalogs, graft infection remains a risk. We describe a patient with recurrent infected femoral artery pseudoaneurysm who underwent appropriate work-up that failed to implicate a source initially. This case highlights the dilemma of patch selection in the face of recurrent infection, the importance of collaborative efforts of three specialties to identify that source and the paucity of studies linking orthopedic hardware to infectious complications associated with vascular grafts.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785907","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":"Treatment of persistent sciatic artery with limb length discrepancy","authors":"Ramsey Sitta ,&nbsp;Emily Onufer ,&nbsp;Alexander Fairman","doi":"10.1016/j.avsurg.2025.100384","DOIUrl":"10.1016/j.avsurg.2025.100384","url":null,"abstract":"<div><div>This case report describes the treatment of a five-year-old male with a persistent sciatic artery and significant limb-length discrepancy due to chronic ischemia. The patient presented with asymptomatic hypertension and was found to have left renal artery stenosis, and a Pillet-Gauffre Type 2a incomplete persistent sciatic artery. Surgical intervention involved an iliac-femoral bypass using a cadaveric superficial femoral artery to restore normal blood flow. Post-operative care included anticoagulation and aspirin therapy, with follow-up ultrasounds confirming patency. The report highlights the rarity of a persistent sciatic artery, its classification, and the importance of surgical management in pediatric cases to mitigate long-term morbidity associated with limb length discrepancy. Further research is needed on long-term outcomes of cadaveric arterial reconstructions in children.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100384"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124651","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}