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

{"title":"Late effect of an embolized coronary stent in the lower extremities","authors":"Mauricio Gonzalez-Urquijo,&nbsp;Francisco Valdes,&nbsp;Leopoldo Marine,&nbsp;Jose Francisco Vargas,&nbsp;Michel Bergoeing","doi":"10.1016/j.avsurg.2025.100382","DOIUrl":"10.1016/j.avsurg.2025.100382","url":null,"abstract":"<div><h3>Purpose</h3><div>To report a late complication involving an embolized stent that migrated into the peripheral circulation during an emergency coronary intervention.</div></div><div><h3>Case Report</h3><div>A 69-year-old man with a history of myocardial infarction 12 years prior, during which he experienced prolonged cardiac arrest following a failed coronary stenting attempt and subsequent aorto-coronary bypass surgery, presented to the emergency department with acute limb ischemia in the right lower limb. A CT angiogram revealed complete occlusion of the popliteal artery and a hyperdense image at the tibioperoneal trunk. Popliteal artery exploration and embolectomy successfully restored proximal blood flow; however, a firm occlusion at the tibioperoneal trunk necessitated an arteriotomy. This procedure uncovered a coronary stent adhered to the endothelium, which was removed via endarterectomy. The patient was prescribed rivaroxaban for six months. At a six-year follow-up, he remains well and asymptomatic, continuing on aspirin and a reduced dose of rivaroxaban.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of monitoring long-term complications following coronary interventions and highlights the need for vigilance in managing patients at risk for device embolization.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069948","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":"Comparing the outcomes of femoral vein transposition versus lower extremity arteriovenous graft in dialysis patients with exhausted upper extremity access","authors":"Hossein Hemmati ,&nbsp;Mohammad Taghi Ashoobi ,&nbsp;Seyyed Mostafa Zia Ziabari ,&nbsp;Habib Eslami Kenarsari ,&nbsp;Mohaya Farzin ,&nbsp;Sepideh Atef Rad","doi":"10.1016/j.avsurg.2025.100387","DOIUrl":"10.1016/j.avsurg.2025.100387","url":null,"abstract":"<div><h3>Introduction</h3><div>Finding suitable vascular access for dialysis is a significant challenge in advanced kidney failure. Patients with end-stage renal disease (ESRD) need urgent lower extremity vascular access. This study compares the outcomes of Femoral vein transposition (FVT) and Arterovenous Grafts (AVG) in patients without viable upper limb access, in alignment with KDOQI guidelines and individualized Life Plan strategies.</div></div><div><h3>Materials and Methods</h3><div>A retrospective study involving 52 patients with end-stage renal disease (ESRD) and no suitable upper extremity access, including those with suitable femoral veins or adequate lower extremity vasculature, analyzed either FVT (<em>n</em> = 26) or lower extremity AVG (<em>n</em> = 26) over a one-year period. The procedure involved freeing the femoral vein, transferring it to a subcutaneous tunnel in the thigh, and connecting it to the femoral artery. Outcomes measured were success rate, complications, and primary and secondary patency rates over nine months.</div></div><div><h3>Results</h3><div>In our study, 26 patients were evaluated, comprising 14 (53.8 %) males and 12 (46.2 %) females. The mean age of the patients was 60.32 years. At the 9-month follow-up, successful dialysis was achieved in 92.3 % of FVT cases compared to 53.8 % of AVG cases (<em>p</em> = 0.001). Primary patency was significantly higher in FVT (84.6 %) than AVG (50 %) (<em>p</em> = 0.01). Notably, no thrombosis or infection occurred in FVT patients, whereas the AVG group experienced 26.9 % thrombosis and 11.5 % infection. Wound healing complications were more frequent in the FVT group (42.3 % vs. 15.4 %, <em>p</em> = 0.032), though all resolved with conservative</div></div><div><h3>Discussion</h3><div>The FVT procedure has shown a high success rate and low complication rate, making it a viable option for patients lacking upper extremity vascular access. However, its complexity and limited familiarity among practitioners have hindered broader adoption. Our findings confirm that with proper training, FVT can significantly benefit patients with advanced chronic kidney disease (CKD) who need reliable dialysis access, highlighting its potential to the medical community.</div></div><div><h3>Conclusion</h3><div>Our study demonstrated that AVG remains a viable option when FVT is contraindicated. FVT is a low-complication and reliable method for establishing dialysis access in patients with no upper extremity vascular access.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 2","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239693","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 transverse sinus stenosis. Clinical and angiographic classification and endovascular therapy: A case series","authors":"Alfredo Pedroza ,&nbsp;William Escobar ,&nbsp;Santiago Pedroza Gómez ,&nbsp;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":"2025-03-01","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}

{"title":"Initial experience and early outcomes of treatment of complex deep vein thrombosis with flowtriever and clottriever mechanical thrombectomy systems in conjunction with protrieve sheath","authors":"Nicole Ilonzo,&nbsp;Dana Harrison,&nbsp;Olivia Watman,&nbsp;Gabriela Abril,&nbsp;Michael Segal,&nbsp;Rajesh Malik","doi":"10.1016/j.avsurg.2025.100367","DOIUrl":"10.1016/j.avsurg.2025.100367","url":null,"abstract":"<div><h3>Introduction</h3><div>The study aims to establish that the ClotTriever and/or Flowtriever Systems, used in conjunction with the Protrieve sheath, can safely remove large thrombus burden associated with complex DVT while, in pertinent cases, also preserving the structural integrity of the IVC filter during catheter deployment, thus minimizing complications and reducing case complexity.</div></div><div><h3>Methods</h3><div>A retrospective review of all patients who underwent mechanical thrombectomy for complex DVT at New York Presbyterian-Brooklyn Methodist Hospital from February 2022 to August 2024 was conducted. Patient demographics as well as baseline characteristics including comorbidities, presenting symptoms, and initial imaging findings were collected. Intraoperative and postoperative outcomes were analyzed.</div></div><div><h3>Results</h3><div>The mean age was 76.5 years old, and 60 % were female. Of the anatomical location of thrombus, 60 % of thrombi extended into in the IVC. Concomitant subsegmental pulmonary embolism was found in 85 % (6/7) of these patients. Native vein thrombectomy was successfully achieved in all cases using a Triever catheter in 90 % (9/10) of cases and a ClotTriever device in 40 % (4/10) of cases. The Protrieve sheath was used to capture intraprocedural emboli in 90 % (9/10) of cases. Thrombectomy of an IVC filter was performed in 40 % (4/10) cases. Intraoperative patency improvement of treated vessels was confirmed via imaging in 100 % of cases. No serious adverse events occurred. 90 % of patients had complete resolution of edema and pain.</div></div><div><h3>Conclusion</h3><div>The initial single-center experience with the Protrieve sheath used in combination with the FlowTriever and/or ClotTriever mechanical thrombectomy devices for the treatment of proximal DVT that is bilateral, involves thrombosis of the IVC, and/or thrombosed IVC filters appears safe and effective with 100 % flow restoration, no serious adverse events including iaotrogenic PE, and no rethrombosis during the follow-up period.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453841","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":"Paget-Schroetter Syndrome secondary to anomalous right-sided aortic arch: A case report","authors":"Katrina Pardo ,&nbsp;Sofia Steger ,&nbsp;Edgar Galinanes ,&nbsp;Juan Carlos Pereda","doi":"10.1016/j.avsurg.2025.100368","DOIUrl":"10.1016/j.avsurg.2025.100368","url":null,"abstract":"<div><div>Thoracic Outlet Syndrome (TOS) is a rare condition, with an estimated prevalence of about 3 in 100,000 individuals.¹ Venogenic TOS, also referred to as Paget-Schroetter Syndrome (PSS), is rarer than neurogenic TOS with an estimated prevalence of 1 in 100,000.¹ In this case report, we present a rare case of PSS secondary to an anomalous right-sided aortic arch with branching anomalies, which are described poorly in the literature. The patient, a 41-year-old male with no significant past medical history, presented with classic PSS symptoms that include left neck swelling and pain, intermittent numbness, and swelling in the left arm. Following admission, a chest CT with contrast revealed a right-sided aortic arch along with a left common carotid artery and left subclavian artery that share a common trunk. Ultrasound revealed thrombosis of the left subclavian and innominate veins consistent with PSS. He underwent an aspiration thrombectomy and catheter-directed thrombolytic therapy. The patient is currently symptom-free and successfully managed in the short term with anticoagulation therapy.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395651","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":"Retroperitoneal approach for redo median arcuate ligament release","authors":"Matthew Fastiggi,&nbsp;Arash Bornak,&nbsp;Matthew Sussman,&nbsp;Hilene DeAmorim,&nbsp;Naixin Kang","doi":"10.1016/j.avsurg.2025.100366","DOIUrl":"10.1016/j.avsurg.2025.100366","url":null,"abstract":"<div><div>Median arcuate ligament syndrome (MALS) is a cause of chronic abdominal pain that can be difficult to diagnose and treat, as the pathophysiology is not completely understood and there is no definitive diagnostic and treatment algorithm. We present the case of a 39-year-old man with debilitating symptoms of MALS for 18 years. His symptoms began after a blunt abdominal and flank trauma. He had failed two transabdominal surgeries and was successfully treated at our institution with an open retroperitoneal median arcuate ligament release with relief of symptoms. This case adds open retroperitoneal MALS release as a surgical option for this complex disease. Future clinicians can draw on this case when faced with similar circumstances in patients with chronic, life-limiting abdominal pain from MALS.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139030","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":"Takayasu arteritis beyond the young: What to consider?","authors":"Suci Indriani ,&nbsp;Averina Geffanie Suwana ,&nbsp;Suko Adiarto ,&nbsp;Taofan ,&nbsp;Ruth Grace Aurora ,&nbsp;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":"2025-03-01","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}

{"title":"Internal carotid artery hypoplasia: A case report","authors":"Felipe Labaki Pavarino ,&nbsp;Adriano Carvalho Guimarães ,&nbsp;Halison Vilacorta Araujo de Sousa ,&nbsp;Fernanda Fagundes Ribeiro ,&nbsp;Zeferino Demartini Junior ,&nbsp;Laura Ziemba Araujo ,&nbsp;Ricardo Herkenhoff Moreira ,&nbsp;Walter Junior Boim de Araujo","doi":"10.1016/j.avsurg.2025.100374","DOIUrl":"10.1016/j.avsurg.2025.100374","url":null,"abstract":"<div><div>The internal carotid artery hypoplasia is a rare congenital anomaly that results in a diffuse narrowing of the arterial lumen, affecting the internal carotid artery from 1 to 2 centimeters above the bifurcation, continuing cranially. When clinically symptomatic, it can lead to cerebral ischemia or hemorrhage. This anomaly is often associated with some circle of Willis’ variations, increased intracranial aneurysm incidence, and an extensive compensation network of collateral vessels due to the decreased carotid flow. We report the case of a 59-year-old female patient with nonspecific complaints, whose investigations revealed unilateral hypoplasia of the left internal carotid artery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100374"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579144","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":"Cross-pelvic retrograde embolization of an enlarging proximally occluded internal iliac artery aneurysm: A case report","authors":"Alyssa J. Pyun,&nbsp;Ashley C. Hsu ,&nbsp;Sukgu M. Han,&nbsp;Fred A. Weaver,&nbsp;Gregory A. Magee","doi":"10.1016/j.avsurg.2024.100359","DOIUrl":"10.1016/j.avsurg.2024.100359","url":null,"abstract":"<div><div>Internal iliac artery aneurysms are frequently treated by embolization and stent graft coverage, however, retrograde flow from pelvic collaterals may lead to aneurysm progression that can be difficult to treat. We present the case of a 76-year-old male with an enlarging internal iliac artery aneurysm despite occlusion of the proximal internal iliac artery and no antegrade filling of the aneurysm sac. Through cross-pelvic retrograde access of the aneurysm sac via collaterals, we used a triaxial telescoping system for embolization of the aneurysm nidus, without major morbidity. This technique is a safe and effective option that can be used in cases where antegrade access is not feasible.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100359"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138678","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 the acute setting for embolic complication after endovascular procedure","authors":"Alejandra P. Rodriguez ,&nbsp;Antonio Solano ,&nbsp;Sofia K. Babool ,&nbsp;Suyue M. Zhang ,&nbsp;Lawrence A. Lavery ,&nbsp;Michael C. Siah","doi":"10.1016/j.avsurg.2024.100355","DOIUrl":"10.1016/j.avsurg.2024.100355","url":null,"abstract":"<div><div>We report a case of a patient that developed acute limb ischemia secondary to atherectomy related embolization that was rescued with a deep venous arterialization (DVA) procedure. For patients with critical limb-threatening ischemia, deep vein arterialization is a viable and crucial intervention for non-surgical candidates who present with wounds or rest pain. This case report underscores DVA's efficacy in addressing severe presentations even in the case of acute ischemia.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100355"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138676","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}