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

{"title":"Crossing the mesh of multilayer stents to treat ostial stenosis in aortic side branches","authors":"Ivo Petrov,&nbsp;Zoran Stankov,&nbsp;Petar Polomski","doi":"10.1016/j.avsurg.2025.100385","DOIUrl":"10.1016/j.avsurg.2025.100385","url":null,"abstract":"<div><div>Concerns exist whether the mesh of previously implanted multilayer stents can be crossed with existing interventional devices to treat endovascularly de novo stenotic lesions in covered aortic side branches. We describe the endovascular procedures used to treat three symptomatic patients (two male, one female; mean age: 69 years) who had undergone treatment for thoracoabdominal aortic aneurysms with multilayer stents a mean of 40 months earlier. The procedure involved six general steps: 1) using a brachial approach to navigate a 6 Fr Judkins Right guiding catheter close to the target branch ostium; 2) crossing the stent’s mesh covering the targeted side-branch ostium with a high-torque soft-tip guidewire; 3) advancing a low-profile, semicompliant 2-mm coronary balloon across the mesh and dilating it; 4) exchanging the 2-mm for a 3- or 4-mm noncompliant coronary balloon, and applying the balloon anchor technique to advance the guiding catheter across the mesh to engage it in the branch artery; 5) treating the stenotic lesion with balloon predilatation; and 6) implanting a low-profile, high-radial force stent through the mesh with the side branch stent protruding into the aorta. All target lesions were successfully treated without complications and patent at six-month follow-up. This case series demonstrates that the mesh of previously implanted multilayer stents can be crossed safely with readily available interventional devices using the balloon anchor technique. Endovascular treatment of multilayer stent-covered visceral and renal arteries is possible without the need for open surgery. These findings should be validated in larger studies with longer follow-up.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100385"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144211912","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":"Concomitant presentation and surgical management of bilateral serotonin-producing carotid body tumor and thyroid carcinoma","authors":"Astrid Varela-Arzate ,&nbsp;Carlos D. Franco-Gonzalez ,&nbsp;Aliberth Bonilla-Salas ,&nbsp;Osvaldo A. Gamboa-Abundis ,&nbsp;Rafael H. Pérez-Soto ,&nbsp;Hugo Laparra-Escareno ,&nbsp;Javier E. Anaya-Ayala","doi":"10.1016/j.avsurg.2025.100381","DOIUrl":"10.1016/j.avsurg.2025.100381","url":null,"abstract":"<div><div>Carotid body tumors (CBTs) are rare neuroendocrine neoplasms, and approximately 2% are catecholamine and dopamine producers. While CBTs may coexist with other neck neoplasms, the presence of a serotonin-producing CBT with malignancies, such as papillary thyroid carcinoma, is uncommon, with limited published data. We present the case of a 66-year-old woman with progressive weight loss who was found to have bilateral palpable neck masses. A comprehensive evaluation led to the diagnosis of a bilateral serotonin-producing carotid body tumor and papillary thyroid carcinoma. The initial surgical intervention included a total thyroidectomy and resection of the right CBT with our retrocarotid dissection technique. Eight months later, our vascular surgery team performed the resection of the contralateral CBT. At seventeen months of follow-up serotonin levels gradually decreased until reaching normal values. This case illustrates a rare clinical occurrence and successful management of bilateral serotonin-producers CBTs with papillary thyroid carcinoma.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943052","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":"Idiopathic brachial artery true aneurysm in 28-year-old female","authors":"Sujay Edavalapati ,&nbsp;Charles Hamilton ,&nbsp;Steve I. Curtiss","doi":"10.1016/j.avsurg.2025.100386","DOIUrl":"10.1016/j.avsurg.2025.100386","url":null,"abstract":"<div><h3>Background</h3><div>True brachial artery aneurysms (BAA) are considerably rare dilatations of the brachial artery, including all three layers of the vessel wall, which can have potentially devastating limb-threatening complications.⁴ The gold standard of treatment remains as open surgical resection, oftentimes requiring the utilization of autogenous or prosthetic conduit. We present a case of idiopathic true left brachial aneurysm in a 28-year-old female treated with excision and primary repair.</div></div><div><h3>Methods</h3><div>A 28-year-old female initially presents with an incidentally found pulsatile mass in her left arm. She was asymptomatic and incidentally noticed a lump which was found to be the aneurysm on further imaging workup. There was no other abnormal pulsatility noticed concerning aneurysms of other sites i.e., femoral, popliteal, abdominal, contra brachial. She denied a history of trauma to the area and injection and denied a family history of connective tissue disorder. Further workup, including duplex ultrasound and MRA, confirmed a true brachial artery aneurysm without evidence of aneurysms in the remainder of the body. The aneurysm was treated with surgical excision and primary repair with pathology negative for any connective tissue disorder.</div></div><div><h3>Results</h3><div>Postoperatively, the patient recovered well and was discharged on post-op day 2. Pathology report was negative for any connective tissue abnormalities and genetic testing without causative factors. On follow-up, the patient has been doing well on an aspirin with palpable distal pulses.</div></div><div><h3>Conclusions</h3><div>True brachial artery aneurysms are estimated to have an incidence of 0.17 %⁵ and represent an exceedingly uncommon cause of limb-threatening sequelae if not treated. Those identified should undergo thorough investigation, including genetic testing and imaging for other aneurysms. Surgical excision and repair with or without a conduit (autogenous or prosthetic) remain the gold standard of treatment with documented good outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100386"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194459","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 case of arterial reconstruction for multiple hepatic artery aneurysms complicated by hereditary hemorrhagic telangiectasia","authors":"Yasutake Momokawa,&nbsp;Koji Maeda","doi":"10.1016/j.avsurg.2025.100378","DOIUrl":"10.1016/j.avsurg.2025.100378","url":null,"abstract":"<div><div>Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant genetic disorder that manifests as mucous telangiectasia and arteriovenous malformations (AVMs) in the major organs. Although HHT type 2 often involves intrahepatic AVMs or aneurysms, which lead to high output and portal hypertension, extrahepatic aneurysm is a rare condition. Herein, we report a case of successful surgical intervention for an extrahepatic aneurysm in a patient with HHT type 2. Pathological findings of the resected aneurysm included hypoplasia of the media and absence of the intimal elastic lamina without atherosclerotic change. We believe that surgical resection is a favorable procedure for a patient with hepatic artery aneurysms concomitant with HHT.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848424","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 common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature","authors":"Ezaz Ahmed ,&nbsp;Aamir Mohammad ,&nbsp;Saifullah Khalid ,&nbsp;Syed Shamayal Rabbani ,&nbsp;Mohd Azam Haseen ,&nbsp;Areeba Khursheed","doi":"10.1016/j.avsurg.2025.100377","DOIUrl":"10.1016/j.avsurg.2025.100377","url":null,"abstract":"<div><h3>Introduction</h3><div>Arteriovenous fistulas may be due to trauma or due to iatrogenic causes. These patients present with non specific symptoms such as high output heart failure years later after the development of the fistula. Formation of the fistula in an acute setting immediately after the trauma is a rare occurrence. Here we present a case of a 19 year old boy who presented with a fistula a few hours after the trauma.</div></div><div><h3>Case Summary</h3><div>A 19 year old boy with history of firearm injury to the left side of the neck presented with a palpable thrill and an audible bruit over the site of injury. CT Angiography was done which showed multiple pseudo aneurysms arising from the left common carotid artery(CCA) and a communication with the adjacent internal jugular vein(IJV). Endovascular embolisation of the fistula was done and a stent was placed across the fistula. On check angiography, no fistulous communication was noted between the left CCA and IJV post procedure and the patient was discharged under stable conditions.</div></div><div><h3>Conclusion</h3><div>Traumatic AVFs involving the common carotid artery and internal jugular veins is not uncommon but usually presents after a period of time with added morbidity, and has been not been reported frequently. Also, the fistulas present much later unlike in this case report which presented very early. Ultrasound or CT angiogram may aid in diagnosis. However, conventional angiogram is the gold standard for diagnosis with interventional techniques available for managing these high flow fistulas with a good technical success and acceptable safety profile.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859836","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 sepsis resulting from an aorto-appendicular fistula","authors":"K.W. Roskamp,&nbsp;H.S.M. Ammerlaan,&nbsp;J. Nederend,&nbsp;I.H.J.T. de Hingh","doi":"10.1016/j.avsurg.2025.100380","DOIUrl":"10.1016/j.avsurg.2025.100380","url":null,"abstract":"<div><div>A 75-year-old patient with a history of endovascular aorta repair, low anterior bowel resection and small bowel resection presented with episodes of recurrent sepsis. Radiological imaging and laparotomy revealed an aortoenteric fistula connecting the appendix to the aneurysmatic aorta as the cause of the recurrent sepsis. Surgical removal of the appendix and dismantling of the fistula allowed the patient to recover.</div><div>The patient in this report consented to the publication of anonymised case details and images.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864287","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":"Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature","authors":"Prateek Sharma ,&nbsp;Kristin Schafer ,&nbsp;Richard J. Hankins ,&nbsp;Jonathan R. Thompson ,&nbsp;Jason R. Cook","doi":"10.1016/j.avsurg.2025.100376","DOIUrl":"10.1016/j.avsurg.2025.100376","url":null,"abstract":"<div><div>Bacillus Calmette-Guérin (BCG), a live attenuated form of <em>Mycobacterium bovis,</em> is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endograft infection in a 72- year-old man, who underwent intravesical BCG treatment four years ago that was diagnosed utilizing next generation sequencing technique via the Karius test™ enabling earlier diagnosis and treatment start compared to conventional microbiological diagnostic tools. The morbidity and mortality from aortic graft infections remain high, therefore prompt diagnosis and multidisciplinary approach is paramount.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837928","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":"Common hepatic artery true aneurysm: Case report and review of the literature","authors":"Ismaïl Ben Ayad ,&nbsp;Luis Carlos Silva Corten ,&nbsp;Cabri Mathieu ,&nbsp;Vincent Scavee","doi":"10.1016/j.avsurg.2025.100383","DOIUrl":"10.1016/j.avsurg.2025.100383","url":null,"abstract":"<div><h3>Background</h3><div>Hepatic artery aneurysms (HAAs) are rare but potentially life-threatening vascular conditions that can be life-threatening. Their natural history remains poorly understood, and management guidelines are based on limited evidence due to their rarity.</div></div><div><h3>Case Report</h3><div>We describe the case of a 70-year-old male diagnosed incidentally with a saccular HAA during an oncologic workup for right colon adenocarcinoma. Due to aneurysm's size, its inherent risk of rupture, and the patient's history of carotid artery dissection, surgical intervention was indicated. A multidisciplinary approach was adopted, prioritizing right hemicolectomy, followed by open aneurysmectomy and primary vascular reconstruction. Histopathology confirmed an atherosclerotic aneurysm with no signs of vasculopathy. The patient recovered well after surgery.</div></div><div><h3>Discussion</h3><div>HAAs’ most frequent etiology is atherosclerosis, with other etiologies including infections, connective tissue disorders, and trauma. Most HAAs are asymptomatic and therefore are detected incidentally. Rupture is the primary concern since it carries high mortality. Current SVS guidelines recommend intervention for symptomatic HAAs of any size and those exceeding 2 cm. While an “endovascular first” approach is preferred due to multiple benefits, open surgery remains essential in complex cases, particularly when anatomical variations pose technical challenges.</div></div><div><h3>Conclusion</h3><div>The management of HAAs requires individualized decision-making. In our case, open surgery allowed for the simultaneous treatment of two pathologies and addressed anatomical constraints. A collaborative, multidisciplinary strategy is key to achieving the best outcomes. Further case reporting of this rare condition is essential to refine current management strategies.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947890","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":"Anterior lumbar interbody fusion in the setting of ectopic pelvic kidney","authors":"Antonio Ayerdi ,&nbsp;Austin G Helton ,&nbsp;Juan Ayerdi ,&nbsp;James E McGrory","doi":"10.1016/j.avsurg.2025.100379","DOIUrl":"10.1016/j.avsurg.2025.100379","url":null,"abstract":"<div><h3>Objective</h3><div>We present the case of a 69-year-old female with an ectopic pelvic kidney (EPK) who was indicated for an anterior lumbar interbody fusion (ALIF). We describe the use of a trans-abdominal transperitoneal approach with medial visceral rotation and the details of this patient’s unique renal anatomy.</div></div><div><h3>Summary of background data</h3><div>ALIF has been associated with decreased pain, enhanced recovery, and increased fusion rates compared with other lumbar fusion techniques. This approach involves dissection through the lower abdomen to the spine, requiring a thorough understanding of relevant anatomy and anatomic variations.</div></div><div><h3>Methods</h3><div>A 69-year-old female with an EPK presented with left lower extremity radicular pain. She had failed conservative management and an ALIF was recommended. Preoperative MRI and CT imaging delineated the unique location of the kidney and numerous renal vascular anatomic variations. However, other anomalous vascular and ureterovesical structures could not be excluded. For this reason, the authors opted to use a transabdominal transperitoneal approach.</div></div><div><h3>Results</h3><div>Our approach consisted of a midline-transabdominal-transperitoneal incision to include the skin, subcutaneous tissue, and linea alba. Once the peritoneum was entered, the omentum was packed cephalad, and the small bowel was wrapped and mobilized to the right. The EPK was rotated cephalo-medially and its three renal arteries were located, dissected, and carefully protected. After adequate exposure of the L4-L5 interbody space, a discectomy was performed, followed by implantation of a lumbar interbody fusion cage filled with allograft bone. The patient proceeded to have an uneventful recovery, with a mild increase in creatinine on postoperative day one, which normalized by her discharge on postoperative day four.</div></div><div><h3>Conclusion</h3><div>EPK is a congenital anomaly that can present with complex and variable anatomy. When planning to perform an ALIF in the setting of EPK, complex and anomalous vascular anatomy should be expected. Therefore, strong consideration may be given to imaging, though underlying vascular structure cannot be ruled out. We describe a trans-abdominal transperitoneal approach with medial visceral rotation, as this approach may provide the highest flexibility to avoid inadvertent complications during ALIF in patients with EPK.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874305","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 presentation of post COVID-19 inflammatory aortitis","authors":"Hoi Yee Annie Lo ,&nbsp;Pouria Parsa","doi":"10.1016/j.avsurg.2025.100388","DOIUrl":"10.1016/j.avsurg.2025.100388","url":null,"abstract":"<div><div>The COVID-19 pandemic has affected over 60 million individuals globally, resulting in &gt;15 million deaths. While the virus predominantly targets the respiratory system, it can also affect other organ systems, including the cardiovascular system. There have been limited reports on COVID-19-associated aortic pathology. We aim to contribute to the current literature by presenting the case of a 70-year-old female from Southern California with post-COVID-19 inflammatory aortitis.</div><div>The patient, who had been diagnosed with COVID-19 without respiratory symptoms, initially presented with failure to thrive. A comprehensive workup revealed rapidly progressing penetrating aortic ulcers involving the ascending and descending thoracic aorta as well as the infrarenal abdominal aorta. Within two weeks, these ulcers evolved into saccular aneurysms measuring up to 4 cm. After evaluating surgical repair versus medical therapy, the patient and family collectively elected to pursue nonoperative management with high-dose pulse corticosteroids with close observation. Under this regimen, the aneurysms showed slight growth but remained below 6 cm, with no immediate need for surgical intervention.</div><div>This case underscores the potential for life-threatening vascular complications of COVID-19 and highlights the importance of early recognition and individualized treatment strategies. As our understanding of COVID-19-associated vascular inflammation evolves, further studies are needed to refine management approaches and improve outcomes for affected patients.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100388"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231700","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}