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

{"title":"A rare case of bilateral internal carotid artery and right vertebral artery occlusion","authors":"Eleni Georgiadi,&nbsp;Georgios S. Sfyroeras,&nbsp;Georgia Papavassileiou,&nbsp;John D. Kakisis","doi":"10.1016/j.avsurg.2024.100332","DOIUrl":"10.1016/j.avsurg.2024.100332","url":null,"abstract":"<div><h3>Introduction</h3><p>Bilateral internal carotid artery (ICA) occlusion is a rare type of cerebrovascular disease that carries a high risk for recurrent transient ischemic attacks.</p></div><div><h3>Case report</h3><p>We report a case involving a 67-year-old man presenting with bilateral internal carotid artery (ICA) occlusion, along with an additional occlusion in the right vertebral artery. Imaging revealed adequate collateral flow through the posterior circulation and external carotid artery (ECA) collaterals. He was treated with antiplatelet therapy. During follow up, neurologic examination showed no focal deficits.</p></div><div><h3>Conclusion</h3><p>While bilateral ICA occlusion can have devastating clinical outcomes, it may be a relatively benign condition if there is sufficient collateral circulation.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100332"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000849/pdfft?md5=4bef47bb607421e7c18266c7cdc98e78&pid=1-s2.0-S2772687824000849-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164453","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":"Extracorporeal membrane oxygenation (ECMO) for open thoracoabdominal aortic aneurysm repair (TAAA): How we do it","authors":"Mohamed Rajab ,&nbsp;Basar Sareyyupoglu ,&nbsp;Camilo Polania-Sandoval ,&nbsp;Houssam Farres ,&nbsp;Young Erben","doi":"10.1016/j.avsurg.2024.100331","DOIUrl":"10.1016/j.avsurg.2024.100331","url":null,"abstract":"<div><p>Open thoracoabdominal aortic aneurysm (TAAA) repair remains associated with significant morbidity and mortality rates despite advancements in surgical techniques. In our technique, we describe partial aortic clamping for debranching of the visceral and renal arteries and the use of extracorporeal membrane oxygenation (ECMO) as an alternative perfusion strategy. The advantage of using our technique is the reduced need for heparinization, a less inflammatory response, no need for cooling of the patient, the reduction of cardiac overload and limited ischemia time to all intra-abdominal organs and lower extremities.</p></div><div><h3>Central message</h3><p>ECMO and abdominal debranching with partial thoracic clamping during TAAA repair are ideal for reducing ischemia.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100331"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000837/pdfft?md5=48476515bf1d0ba10d6ed860c48a7902&pid=1-s2.0-S2772687824000837-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136260","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 novel strategy for reconstruction of the renal vein and inferior vena cava (IVC) after resection of IVC leiomyosarcoma-a case report","authors":"Chentao LV ,&nbsp;Chao Gu ,&nbsp;Jiongyuan Wang ,&nbsp;Junyi He ,&nbsp;Jiajia Zheng ,&nbsp;Jing Xu ,&nbsp;Yong Zhang ,&nbsp;Hanxing Tong ,&nbsp;Weiqi Lu","doi":"10.1016/j.avsurg.2024.100329","DOIUrl":"10.1016/j.avsurg.2024.100329","url":null,"abstract":"<div><p>A 30-year-old male patient diagnosed leiomyosarcoma originating from level II of inferior vena cava (IVC). The tumor involved IVC, right renal vein, the confluence of left renal vein and IVC, and the dorsal part of pancreatic head. An enbloc resection was performed and multiviscera including involving IVC, right renal vein, the inferior wall of confluence of left renal vein and IVC, and pancreaticoduodenum were resected with tumor. To ensure the patency of the left renal vein and avoid serious vascular complications of vascular reconstruction after pancreaticoduodenectomy, a segment of distal IVC, as long as 2 cm, was excised to bridge right renal vein and the proximal end of IVC. The patient recovered smoothly after the operation. we named the strategy of vascular reconstruction as “sacrificing a rook to save the king.”</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100329"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000813/pdfft?md5=07ce0284e7f3076a3d74addec0e8e9a6&pid=1-s2.0-S2772687824000813-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148981","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 removal of a knotted Swan-Ganz catheter inadvertently placed in the common carotid artery","authors":"Marco Coli ,&nbsp;Federica Ruggiero ,&nbsp;Cesare Battocchio ,&nbsp;Elisabetta Giorni ,&nbsp;Adriana Toncelli ,&nbsp;Giovanni Melina ,&nbsp;Maurizio Taurino ,&nbsp;Pasqualino Sirignano","doi":"10.1016/j.avsurg.2024.100328","DOIUrl":"10.1016/j.avsurg.2024.100328","url":null,"abstract":"<div><p>A Swan-Ganz catheter is an intravenous device used for the invasive measurement of pulmonary capillary wedge pressure and other cardiovascular measurements often utilized in major surgical procedures and critical care units. Several device-related complications were reported in literature - arterial puncture, pneumothorax, inadvertent arterial catheter insertion due to non-ultrasound-guided placement, and formation of knots. This paper presents a case of inadvertent left carotid artery insertion of a Swan-Ganz catheter, complicated by a knot formation requiring surgical intervention to successfully remove the catheter.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100328"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000801/pdfft?md5=9016515e7d99b809c2bd25b7875aea87&pid=1-s2.0-S2772687824000801-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142077492","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":"Single access physician-modified fenestrated branched endovascular aortic repair for post-dissection thoracoabdominal aortic aneurysm with unilateral iliac occlusion","authors":"Kenneth Han ,&nbsp;Herbert James III ,&nbsp;Alyssa Pyun,&nbsp;Jason Hong,&nbsp;Jacquelyn Paige,&nbsp;Sukgu Han","doi":"10.1016/j.avsurg.2024.100327","DOIUrl":"10.1016/j.avsurg.2024.100327","url":null,"abstract":"<div><p>Fenestrated Branched Endovascular Aortic Repair (FBEVAR) typically requires placement of large sheaths into bilateral femoral arteries. However, for patients with hostile iliofemoral arteries due to small caliber, severe occlusive disease, or high tortuosity, various endovascular and open adjunctive techniques have been described. Here, we describe a case in which a femoral conduit was utilized to enable FBEVAR through a single access point, adding to the armamentarium of adjunctive access techniques.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100327"},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000795/pdfft?md5=5dba6143bd83a9bdd10630932fa21dcf&pid=1-s2.0-S2772687824000795-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006344","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":"Unusual iatrogenic common femoral artery injury during penile prosthesis placement in gender-confirming surgery","authors":"Elena Giacomelli ,&nbsp;Marianna Peruffo ,&nbsp;Andrea Cocci ,&nbsp;Marta Pezzoli ,&nbsp;Raffaele Pulli ,&nbsp;Walter Dorigo","doi":"10.1016/j.avsurg.2024.100324","DOIUrl":"10.1016/j.avsurg.2024.100324","url":null,"abstract":"<div><h3>Introduction</h3><p>Gender dysphoria refers to the distress or discomfort experienced when a person's gender identity does not align with the sex assigned at birth. While many transgender individuals affirm their gender identity without surgical intervention, an increasing number undergo gender-confirming surgery. It is essential to recognize and promptly treat vascular complications that can arise during these procedures. There are no previous reports addressing arterial injuries during the implantation of penile prostheses for gender-confirming surgery.</p></div><div><h3>Case presentation</h3><p>A 33-year-old patient with gender dysphoria underwent female-to-male surgical interventions for gender confirmation. During the latest urologic procedure, which involved the implantation of a three-piece inflatable penile prosthesis, a vascular complication occurred, resulting in injury to the right common femoral artery. Given the extent of the injury and the difficulty in repairing the arterial wall, vascular surgeons resected the damaged artery segment and performed an end-to-end anastomosis. Intraoperative duplex ultrasound at the conclusion of the surgery showed a triphasic waveform in the distal vessels. The urologist decided to postpone the implantation of the penile prosthesis. The patient was discharged on the sixth postoperative day without systemic or local complications and was prescribed single antiplatelet therapy.</p></div><div><h3>Conclusions</h3><p>With the increasing number of transgender individuals seeking gender-affirming surgery, it is important to conduct a multidisciplinary preoperative evaluation to minimize complications that could affect their quality of life.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100324"},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277268782400076X/pdfft?md5=4f5756c9f58e05432566f390aaef0a83&pid=1-s2.0-S277268782400076X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951862","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":"Transposition of an anomalous left vertebral artery followed by endovascular treatment of descending thoracic aortic aneurysm using a branched endoprosthesis","authors":"Rogério do Lago Franco ,&nbsp;Ualid Saleh Hatoum ,&nbsp;Johann Viktor Müller ,&nbsp;Miyoko Massago ,&nbsp;Luciano de Andrade","doi":"10.1016/j.avsurg.2024.100326","DOIUrl":"10.1016/j.avsurg.2024.100326","url":null,"abstract":"<div><p>The anomalous origin of the left vertebral artery from the aorta is the second most common anatomical alteration of the aortic arch. We present a case of a patient with a descending thoracic aortic aneurysm and an anomalous origin of a dominant left vertebral artery. The artery was treated by transposition to the left common carotid artery via a cervical approach, followed by endovascular correction of the thoracic aortic aneurysm using a subclavian branched thoracic endoprosthesis. The patient had a good postoperative recovery with complete occlusion of the aneurysm and patency of the carotid-vertebral shunt and left subclavian artery.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100326"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000783/pdfft?md5=9ecd88dbe5b7b92f997418038bee8cad&pid=1-s2.0-S2772687824000783-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951315","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":"Residual aneurysmal angiosarcoma diagnosed after pulmonary multiple nodules appeared post additional embolization for Type 2 Endoleak","authors":"Shuhei Azuma,&nbsp;Ryo Shimada,&nbsp;Kazuto Maeda,&nbsp;Shigeru Nakamura","doi":"10.1016/j.avsurg.2024.100323","DOIUrl":"10.1016/j.avsurg.2024.100323","url":null,"abstract":"<div><p>We report the case of a 66-year-old man diagnosed with multiple pulmonary angiosarcomas 4 years post-endovascular aneurysm repair (EVAR). The patient was healthy with a good postoperative course, besides requiring additional coil embolization for a lumbar artery type 2 endoleak (T2EL) 3 years post-EVAR. He presented to the emergency department with sudden respiratory distress and severe anemia. Computed tomography (CT) revealed multiple pulmonary nodules bilaterally. Thoracoscopic pulmonary nodule resection and pathological examination revealed angiosarcoma. The condition progressed rapidly, and the patient died 17 days post-admission. Postmortem pathological analysis demonstrated angiosarcomas of the primary residual aneurysmal mass post-EVAR, inferior vena cava invasion adjacent to the mass, and multiple pulmonary metastases bilaterally. Findings suggestive of angiosarcoma were found 6 months post-T2EL coil embolization when reviewing the annual positron emission tomography CT. We suspect that irradiation during T2EL treatment post-EVAR may have triggered angiosarcoma development. To the best of our knowledge, this is the first study to evaluate the relationship between T2EL and angiosarcoma.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100323"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000758/pdfft?md5=d66faced3f2763647b60892c1c9992eb&pid=1-s2.0-S2772687824000758-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846177","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":"Deep venous arterialization in critical limb-threatening ischemia (CLTI): Case series and literature review","authors":"Yaman Alsabbagh,&nbsp;Young Erben,&nbsp;Santh Prakash Lanka,&nbsp;Camilo Polania-Sandoval,&nbsp;Houssam Farres","doi":"10.1016/j.avsurg.2024.100325","DOIUrl":"10.1016/j.avsurg.2024.100325","url":null,"abstract":"<div><h3>Introduction</h3><p>Chronic Limb-Threatening Ischemia (CLTI) represents a severe form of peripheral arterial disease characterized by ischemic rest pain, non-healing wounds, and/or gangrene. Deep Venous Arterialization (DVA) is an option when there is inadequate distal inline flow to allow for wound healing (No Option CLTI). There is a paucity of data on DVA; which prompted our interest in presenting our experience with DVA.</p></div><div><h3>Methods</h3><p>We performed a retrospective review on all patients undergoing DVA from January 2022 through February 2024. The procedure was indicated for patients with CLTI as a last resort for limb salvage. Patient demographics, surgical techniques, and postoperative variables were recorded. Outcomes included were mortality, time to wound healing, minor and major amputations. All other operative complications were also recorded.</p></div><div><h3>Outcomes</h3><p>There were eleven patients with a total of thirteen DVAs performed. Two DVAs were performed on the same limb. The mean age was 67.4 ± 11.3 years, with seven patients (63.6 %) being male. Comorbidities included were hypertension in nine (81.8 %), coronary artery disease in seven (63.6 %), hyperlipidemia in six (54.5 %), and type 2 diabetes mellitus in three (27.3 %) patients, respectively. At a median follow-up of 112.5 days (range: 76- 742 days), limb salvage was achieved in eight (66.7 %) and complete wound healing in four limbs (33.3 %). Seven (58.3 %) limbs required minor amputations. Four (33.3 %) limbs required major amputation including two (16.7 %) due to occluded bypass and two (16.7 %) due to uncontrolled infection. Two (18.2 %) deaths were recorded during the follow-up period.</p></div><div><h3>Conclusion</h3><p>DVA has acceptable short outcomes with good limb salvage and wound healing rates. Timing to achieve mobility with associated deconditioning, quality of life, and cost are areas to be explored in larger studies in comparison to those patients undergoing primary amputation with immediate rehabilitation.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100325"},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000771/pdfft?md5=0c58e1a1fd4d4b5efef99b2a2a9d7d27&pid=1-s2.0-S2772687824000771-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850109","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":"Real-time monitoring of middle cerebral artery blood flow using intraoperative transcranial doppler during trans-carotid artery revascularization","authors":"Diana Husvethova,&nbsp;Adam Bardoczi,&nbsp;Paul Haddad,&nbsp;Charudatta S. Bavare,&nbsp;Alan B. Lumsden,&nbsp;Zsolt Garami","doi":"10.1016/j.avsurg.2024.100322","DOIUrl":"10.1016/j.avsurg.2024.100322","url":null,"abstract":"<div><h3>Objective</h3><p>Transcarotid artery revascularization (TCAR) has emerged as a safe and effective method for carotid revascularization, offering several key advantages over carotid endarterectomy (CEA) and carotid artery stenting (CAS). Intraoperative transcranial Doppler (TCD) monitoring plays a pivotal role in assessing cerebral hemodynamics and detecting embolic signals during TCAR at our institution.</p></div><div><h3>Methods</h3><p>This review synthesizes the current literature and provides guidance for TCD monitoring throughout the various phases of TCAR, from preoperative assessment to postoperative management. Key considerations include probe placement, waveform evaluation, interpreting monitoring parameters such as mean flow velocity (MFV), pulsatility index (PI), and percentage change in the MFV (Δ%). Techniques for maintaining the insonation of the middle cerebral artery (MCA) M1 segment and optimal parameter settings for intraoperative TCD monitoring are detailed.</p></div><div><h3>Results</h3><p>TCAR phases are highlighted, including transcarotid access and vessel control, sheath insertion, the establishment of flow reversal, pre-dilation, stent placement, post-dilation, and closure, while emphasizing the importance of real-time feedback provided by TCD monitoring in identifying embolic signals and assessing changes in cerebral perfusion. The review discusses limitations of TCD monitoring, such as inadequate temporal windows, incorrect vessel identification and reliability issues with automatic emboli detection counters. Furthermore, practical advice is provided on how to navigate common pitfalls encountered during intraoperative TCD monitoring.</p></div><div><h3>Conclusion</h3><p>By understanding the nuances of TCD monitoring and its application in TCAR, intraoperative TCD monitoring may aid to minimize the low but potential risk of intraprocedural embolic events, periprocedural hypoperfusion and postoperative hyperperfusion. Finally, we suggest opportunities for further research in embolization quantification and additional strategies to optimize quality control in TCAR.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100322"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000746/pdfft?md5=879842b2108dfe07393a7e1d0494c1c9&pid=1-s2.0-S2772687824000746-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844080","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}