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

{"title":"Editorial: Original work by women","authors":"Linda M Harris (Professor of Surgery Program Director, Vascular Surgery Residency and Fellowship)","doi":"10.1016/j.avsurg.2024.100297","DOIUrl":"10.1016/j.avsurg.2024.100297","url":null,"abstract":"","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100297"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000497/pdfft?md5=03b33def82471d271daea72b95abdb83&pid=1-s2.0-S2772687824000497-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278868","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 urgent thoracoabdominal aortic pathologies with physician-modified abdominal aortic extension","authors":"Dimitrios David Papazoglou,&nbsp;Islam Kourampi,&nbsp;Drosos Kotelis,&nbsp;Vladimir Makaloski","doi":"10.1016/j.avsurg.2024.100303","DOIUrl":"10.1016/j.avsurg.2024.100303","url":null,"abstract":"<div><p>Urgent thoracoabdominal aortic (TAA) pathologies pose a major clinical challenge, where physician-modified endografts offer a rapid, off-the-shelf and patient-customized solution. We illustrate the treatment of different urgent thoracoabdominal aortic pathologies with physician-modified abdominal aortic extensions. Due to its short endograft length, modification and re-sheathing can be performed fast and deployment with a high precision. Furthermore, keeping the tip capture closed, target vessel cannulation is enhanced from a femoral access. These features possibly lead to improved clinical outcomes.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100303"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000552/pdfft?md5=4ec5c85a000467ec3b2c315dd8c42ac3&pid=1-s2.0-S2772687824000552-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274545","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":"Repair of inflammatory celiac artery aneurysm presenting with insidious onset of abdominal pain: A case report","authors":"Kristen Kent ,&nbsp;Christopher Noty ,&nbsp;Maria Camila Castello Ramirez","doi":"10.1016/j.avsurg.2024.100300","DOIUrl":"10.1016/j.avsurg.2024.100300","url":null,"abstract":"<div><h3>Background</h3><p>Visceral artery aneurysms (VAAs) are rare but potentially devastating given the high mortality associated with rupture. Current Society of Vascular Surgery guidelines recommend repair of these at 2.5 cm. Surgical intervention includes endovascular embolization and/or stenting versus open revascularization. This case presents a patient with a large celiac artery aneurysm (CAA) who underwent open ligation of the celiac artery at the origin. Splenectomy was performed given the need for ligation of the splenic artery. He had a replaced right hepatic artery from the SMA; thus, no revascularization was needed. Ultimately, the aneurysm was found to be inflammatory in etiology.</p></div><div><h3>Case report</h3><p>A 41-year old male with history of seizure disorder, smoking, and newly diagnosed hypertension presented with abdominal pain for six months. His-laboratory work was significant for a leukocytosis of 17, 740, mildly elevated C- Reactive Protein (CRP) at 1.63, and normal erythrocyte sedimentation rate (ESR). CT angiogram revealed a 5.2 × 4.2 cm celiac artery aneurysm with stranding. Given its appearance and concern for infection, he underwent emergent laparotomy and ligation. Blood cultures and intraoperative tissues revealed no microorganism growth. Pathology was remarkable only for periarterial abscess with acute and chronic inflammation and focal tissue necrosis, compatible with aneurysm.</p></div><div><h3>Conclusion</h3><p>This case report presents a rare inflammatory CAA, which presented with six months of abdominal pain, and its subsequent management with open intervention. In this case, his vessel anatomy was favorable for open repair with ligation of the celiac axis due to the presence of a replaced right hepatic artery. This also highlights the importance of anatomic vessel variants when making surgical decisions.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100300"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000527/pdfft?md5=23719afaec26b9bc21b16dc146b3a821&pid=1-s2.0-S2772687824000527-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275630","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":"Thoracic endovascular aneurysm repair of a ruptured zone 0 mycotic thoracic aortic aneurysm","authors":"Valentyna Kostiuk ,&nbsp;Prashanth Vallabhajosyula ,&nbsp;Naiem Nassiri ,&nbsp;Britt H. Tonnessen","doi":"10.1016/j.avsurg.2024.100302","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100302","url":null,"abstract":"<div><p>A 48-year-old woman presented with an acute type B aortic dissection. Despite medical management with anti-impulse therapy in intensive care, she continued to have chest and back pain and underwent aortic arch debranching and thoracic endovascular aneurysm repair (TEVAR). Her post-operative course was complicated by sternal and mediastinal infection. Several weeks later, the patient developed acute onset chest pain and computed tomography angiogram revealed contrast extravasation just proximal to the endograft. Emergent zone 0 TEVAR was performed with exclusion of hemorrhage and continued filling of the debranched vessels. Post-operatively, fevers continued despite 6 weeks of antibiotic treatment and phage therapy was prescribed for 5 days. At 2-year follow-up, there was no recurrence of infection.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100302"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000540/pdfft?md5=3f0a62b34bd305551cb0a387c533c03f&pid=1-s2.0-S2772687824000540-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141241874","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":"Left common carotid urgent reperfusion after inadvertent TEVAR coverage","authors":"Carolyn Postol,&nbsp;Eanas Yassa","doi":"10.1016/j.avsurg.2024.100301","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100301","url":null,"abstract":"<div><p>Type B aortic dissections can carry significant morbidity and mortality when not promptly treated. Although anti-impulse control remains the mainstay treatment of type B aortic dissection, they may often require repair when the dissection becomes complicated or develops high risk features. Thoracic endovascular aortic repair (TEVAR) has been successful for those who require repair but still carry associated procedural risks. Inadvertent coverage of a branch vessel is a rare but serious complication. We describe a case report of a patient with accidental proximal TEVAR deployment resulting in left common carotid artery partial coverage and malperfusion necessitating prompt carotid revascularization with stent placement adjacent to TEVAR.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100301"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000539/pdfft?md5=278fd1367f216154d7b15d613a0cffc9&pid=1-s2.0-S2772687824000539-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239950","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":"First-in-human Implantation of a 3D-printing Fully Bioresorbable Drug Eluting Stent for Treatment of Superficial Femoral Artery Disease","authors":"Hai Feng ,&nbsp;Xuebin Wang ,&nbsp;Mingyuan Liu ,&nbsp;Bin Liu ,&nbsp;Zhong Chen ,&nbsp;Xueming Chen","doi":"10.1016/j.avsurg.2024.100299","DOIUrl":"10.1016/j.avsurg.2024.100299","url":null,"abstract":"<div><h3>Background</h3><p>Bioresorbable stent (BRS) is ideal treatment for superficial femoral artery (SFA) arteriosclerosis obliterans, allowing the target vessel to return to its normal state. A 3D-printing Fully Bioresorbable Drug Eluting Stent (PERISORB® BRS) was implanted for a successful first-in-human treatment of a SFA obstruction.</p></div><div><h3>Methods</h3><p>A 57-year-old female patient suffered from intermittent claudication Rutherford-Becker category 3, the ankle-brachial index (ABI) was 0.70. Pre-procedure CTA showed a calcified 50 mm long severe stenosis in the distal segment of the left SFA.</p></div><div><h3>Results</h3><p>The lesion was dilated with a diameter of 5 mm balloon, no relevant residual stenosis but a local dissection was seen during control-angiograms, the dissection was treated by implantation of a 5 mm × 76 mm 3D-printing biodegradable drug-eluting peripheral stent (PERISORB® BRS). The patient returned for follow-up visits, color duplex ultrasonography (CDUS) and digital subtraction angiography (DSA) was performed at 6-month and 16-month follow-up. No perioperative complications were found. At 16-month follow-up, ultrasonography showed stent patency and no stenosis. The Rutherford-Becker category was 1 and the ABI improved to 0.85.</p></div><div><h3>Conclusion</h3><p>A successful first-in-human implantation was performed with the 3D-printing biodegradable drug-eluting peripheral stent (PERISORB® BRS).</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 3","pages":"Article 100299"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000515/pdfft?md5=0fae83e5a2a73148de9489355961ba05&pid=1-s2.0-S2772687824000515-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278463","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":"In-situ repair of a mycotic thoracoabdominal aortic aneurysm caused by MRSA bacteremia using cryopreserved artery and autogenous vein","authors":"Dar Chung ,&nbsp;Eanas Yassa","doi":"10.1016/j.avsurg.2024.100296","DOIUrl":"10.1016/j.avsurg.2024.100296","url":null,"abstract":"<div><p>Mycotic aortic aneurysm (MAA) is a rare disease process associated with high morbidity and mortality, especially if left untreated. Currently, there is no consensus on optimal management for MAA but early diagnosis is vital for improving chances of survival. Treatment with antibiotics is recommended followed by surgical repair. We present the unique case of a 33-year-old male who presented with a mycotic thoracoabdominal aneurysm that was treated via open <em>in-situ</em> repair with cryopreserved artery, celiac and superior mesenteric artery bypasses, and ligation of bilateral renal arteries. The patient subsequently underwent a successful kidney transplant several years later and currently remains dialysis free. CT imaging at 1-year and 5-years demonstrated patent bypasses without evidence of re-infection or aneurysmal changes to the cryopreserved arterial graft. This case underscores the myriad of challenges associated with managing MAA, while also presenting the opportunities to surmount these challenges through a personalized and multidisciplinary treatment approach.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100296"},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000485/pdfft?md5=4e373830d88440077574699d160af513&pid=1-s2.0-S2772687824000485-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143507","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":"Axillary and brachial artery aneurysm associated with a longstanding arteriovenous fistula","authors":"Grace Yu,&nbsp;Luis Rodriguez Cartagena,&nbsp;Yana Etkin","doi":"10.1016/j.avsurg.2024.100293","DOIUrl":"10.1016/j.avsurg.2024.100293","url":null,"abstract":"<div><p>Upper extremity true arterial aneurysms are rare and often present as a pulsatile mass with associated pain and paresthesia from peripheral nerve compression, and can lead to acute limb ischemia from thromboembolic sequela. History of arteriovenous dialysis access and immunosuppression after renal transplantation may contribute to the development of true aneurysms.</p><p>This report describes the management of a patient with end-stage renal disease (ESRD) with multiple left upper extremity dialysis access who presented with an axillary and brachial artery aneurysm.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100293"},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277268782400045X/pdfft?md5=e24f116dc87f25265217e33021818df7&pid=1-s2.0-S277268782400045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141398","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":"Severe limb ischemia after dialysis access intervention","authors":"Litton F Whitaker ,&nbsp;Alisha Daroch ,&nbsp;Samuel Paci ,&nbsp;Sarit Sandowski-Pizow ,&nbsp;Yana Etkin","doi":"10.1016/j.avsurg.2024.100294","DOIUrl":"10.1016/j.avsurg.2024.100294","url":null,"abstract":"<div><p>Endovascular stent placement is commonly used to treat vascular stenosis/occlusions to maintain hemodialysis access patency. These procedures are generally safe and associated with low incidence of serious complications, including stent infection, migration, fracture, and erosion. We present a case of venous stent erosion causing acute limb ischemia in a patient with an arteriovenous fistula for dialysis.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100294"},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000461/pdfft?md5=dd2ba50fffdd02618551b77aacbe518a&pid=1-s2.0-S2772687824000461-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145719","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":"Extra anatomical cryopreserved homograft solution for recurrent femoropopliteal bypass infection","authors":"Alberto M Settembrini ,&nbsp;Leonardo Foresti ,&nbsp;Giuseppe Cannizzo ,&nbsp;Silvia Romagnoli ,&nbsp;Daniele Bissacco ,&nbsp;Santi Trimarchi","doi":"10.1016/j.avsurg.2024.100292","DOIUrl":"https://doi.org/10.1016/j.avsurg.2024.100292","url":null,"abstract":"<div><p><strong>Introduction</strong> Vascular graft infections (VGIs) are challenging and potentially life-threatening complications following femoropopliteal bypasses. The treatments of choice in peripheral VGIs are antimicrobial therapy, surgical excision, and in-situ reconstruction with an autologous superficial vein. An extraanatomical homograft bypass and antimicrobial therapy could be resolutive in patients presenting with recurrent VGIs and unavailable autologous veins.</p><p><strong>Case Report</strong> We present the case of a 74-year-old Caucasian man with a history of a below-the-knee (BTK) right femoropopliteal bypass using polytetrafluoroethylene (PTFE) for chronic peripheral artery disease (Rutherford Grade 3). He presented at the emergency department with septic arthritis of the right knee involving the previous PTFE femoropopliteal bypass. The graft was excised, and an insitu saphenous vein BTK femoropopliteal bypass was performed. Due to multiple recurrences of graft infection of the proximal anastomosis, an extra-anatomical cryopreserved arterial homograft reconstruction from the external iliac artery to the profunda femoral artery was necessary as a definitive treatment. At three years follow-up the patient is alive, with patency of both vascular reconstructions.</p><p><strong>Conclusion</strong> Despite aggressive treatment, managing vascular graft infections can be challenging, typically requiring a blend of surgical and medical interventions. Patient-specific surgical approaches, such as graft removal, infected tissue debridement andextra-anatomical reconstruction with biological grafts is crucial. In those patients with unavailable autologous veins, consideration could be given to a cryopreserved homograft due to its resistance against infections.</p></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"4 2","pages":"Article 100292"},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772687824000448/pdfft?md5=dcd3a54894a11aaa62f43297e35fc98c&pid=1-s2.0-S2772687824000448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090028","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}