Annals of vascular surgery. Brief reports and innovations最新文献_第9页

Resistant hypertension and mesenteric ischemia: A unique therapeutic journey 顽固性高血压和肠系膜缺血：一个独特的治疗之旅

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2024-12-01 DOI: 10.1016/j.avsurg.2024.100352

L.N. Klemperer, E. Rosenthal, B. Sheick-Yousif

引用次数: 0

Endovascular coil embolization of a symptomatic profunda femoris artery aneurysm in a patient with a complex vascular history through a transbrachial approach 经肱动脉入路栓塞症状性股深动脉瘤1例

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-01-19 DOI: 10.1016/j.avsurg.2025.100364

W.M. Yu , D.K. Shan , S.M. Saravitz , N. Udgiri

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Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn 4周龄新生儿严重急性肢体缺血的手术肢体保存

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-01-08 DOI: 10.1016/j.avsurg.2025.100362

Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , Dittmar Böckler

{"title":"Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn","authors":"Manuela Schulz , Johannes Hatzl , Katrin Meisenbacher , Christian Gille , Andreas S. Peters , Dittmar Böckler","doi":"10.1016/j.avsurg.2025.100362","DOIUrl":"10.1016/j.avsurg.2025.100362","url":null,"abstract":"<div><div>This case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb ischemia in childhood is very rare and, in selected cases, a fatal condition potentially associated with limb loss and lifelong mobility impairments. The most common cause of acute limb ischemia in newborns is catheter-associated thrombosis. Current clinical guidelines recommend primary conservative management with heparin administration (level of recommendation: Class 1C) for children under 2 years of age. If revascularization is needed and indicated, open surgical techniques are typically performed. The following case report describes successful surgical treatment of acute limb ischemia in the context of current literature on ALI in childhood, including clinical presentation, diagnosis, treatment, and follow-up.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139017","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}

引用次数: 0

Successful staged treatment of rapidly expanded thoracic aortic aneurysm following abdominal aortic aneurysm occlusion 腹主动脉瘤闭塞后快速扩张胸主动脉瘤的成功分期治疗

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1016/j.avsurg.2025.100372

Shigeshi Ono, Yutaka Takigawa, Hirotoshi Hasegawa

{"title":"Successful staged treatment of rapidly expanded thoracic aortic aneurysm following abdominal aortic aneurysm occlusion","authors":"Shigeshi Ono, Yutaka Takigawa, Hirotoshi Hasegawa","doi":"10.1016/j.avsurg.2025.100372","DOIUrl":"10.1016/j.avsurg.2025.100372","url":null,"abstract":"<div><div>We present the case of a 66-year-old man with aortoiliac occlusive disease (AIOD) complicated by mild abdominal aortic dilation and a thoracic aortic aneurysm (TAA). The patient first presented with intermittent claudication; imaging revealed bilateral common iliac artery stenosis with severe calcification and a dilated thoracic and abdominal aorta. The patient declined treatment and he was lost to follow-up for over two years. Upon returning to the hospital with worsening symptoms, imaging revealed aorto-bilateral iliac occlusion and significant progression of both thoracic and abdominal aortic dilation. Surgical intervention was again declined, and conservative management was continued. Three and a half years after the initial visit, the patient consented to a two-stage treatment. The first stage involved aorto-bifemoral bypass for the AIOD, which improved circulation and relieved symptoms. The second stage, performed three months later, involved thoracic endovascular aortic repair for the TAA. Both procedures were completed without complications, and the patient was discharged in stable condition. This case provides valuable insight into the progression of occlusive arteriosclerosis and aneurysms under conservative observation, highlighting the need for tailored, patient-centric approaches in vascular disease management.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550464","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}

引用次数: 0

Ruptured abdominal aortic aneurysm treated using infrarenal-occlusion-balloon technique with ENDURANT IIs ENDURANTⅱ治疗腹主动脉瘤破裂

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1016/j.avsurg.2025.100373

Shuhei Azuma, Yuki Asada, Ryo Shimada, Shigeru Nakamura

引用次数: 0

Hybrid Repair of a Thoracoabdominal Aortic Aneurysm as a Bailout Option from Open Repair 胸腹主动脉瘤混合修复术作为开放性修复术的救助选择

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.1016/j.avsurg.2024.100353

Camila Esquetini-Vernon, Houssam Farres, Mohamed Rajab, Christopher Jacobs, Young Erben

{"title":"Hybrid Repair of a Thoracoabdominal Aortic Aneurysm as a Bailout Option from Open Repair","authors":"Camila Esquetini-Vernon, Houssam Farres, Mohamed Rajab, Christopher Jacobs, Young Erben","doi":"10.1016/j.avsurg.2024.100353","DOIUrl":"10.1016/j.avsurg.2024.100353","url":null,"abstract":"<div><h3>Introduction</h3><div>Thoracoabdominal aortic aneurysm (TAAA) repair remains associated with considerable morbidity and mortality. An endovascular repair offers a less invasive alternative but is limited by the availability of devices and anatomical constraints. A hybrid approach, combining open visceral debranching with endovascular exclusion, is a viable option for high-risk patients unsuitable for complete open repair.</div></div><div><h3>Clinical summary</h3><div>We report a three-stage hybrid repair of a type IV TAAA in a 62-year-old male with a history of hypertension, hyperlipidemia, seizures, and severe aortic stenosis post-transcatheter aorta valve replacement (TAVR). This repair was initially planned for a single-stage operation. However, due to significant inflammatory findings at the time of the surgical intervention, a staged repair was performed. The inflammation caused significant difficulty in the aorta and vessel dissection and acute blood loss, making this staged approach the safest and most feasible option. On the initial operation, the patient underwent visceral debranching, followed by endovascular thoracic aortic stent placement and a final, physician-modified endograft addressing the right renal artery and exclusion of the aortic aneurysm.</div></div><div><h3>Conclusion</h3><div>This case illustrates the successful use of a staged hybrid approach for TAAA repair when the initial operation cannot be completed as planned due to inflammatory features found at the time of aortic exposure. It demonstrates a pivot to the initial surgical plan yielding a favorable outcome with the preservation of renal function in a high-risk and complex patient.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100353"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139031","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}

引用次数: 0

Outcome of retrograde approach in management of chronic arterial occlusive disease of lower extremities 逆行入路治疗下肢慢性动脉闭塞性疾病的疗效

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2024-12-25 DOI: 10.1016/j.avsurg.2024.100357

Tran Minh Bao Luan , Luong Viet Thang , Viet Huan Le

{"title":"Outcome of retrograde approach in management of chronic arterial occlusive disease of lower extremities","authors":"Tran Minh Bao Luan , Luong Viet Thang , Viet Huan Le","doi":"10.1016/j.avsurg.2024.100357","DOIUrl":"10.1016/j.avsurg.2024.100357","url":null,"abstract":"<div><h3>Introduction</h3><div>Peripheral arterial disease or chronic arterial occlusive disease of lower extremities is a common problem, and in the advanced stages of the disease, if not re-vascularized, the rate of amputation and mortality can be as high as 43 % and 25 % respectively. Many studies also show that the rate of successful revascularization with an antegrade approach has a failure rate of 10–20 %. Therefore, the retrograde intervention technique was developed to increase the success rate of revascularization.</div></div><div><h3>Objectives</h3><div>Morphological classification of lesions and results of retrograde approach in the treatment of chronic arterial occlusive disease in lower extremities.</div></div><div><h3>Method</h3><div>Retrospective descriptive study. <em>Thirty-five</em> patients with 39 limbs received intervention with the retrograde approach at the Department of Thoracic and Vascular Surgery, University Medical Center. Ho Chi Minh City from February 2017 to December 2021.</div></div><div><h3>Results</h3><div>Most of the patients had multiple risk factors, including hypertension, diabetes, high grade on the Rutherford scale (79.5 % with Rutherford 5), and diffuse vascular disease (89.8 % GLASS III). Recanalization was technically successful in 84.6 % (33/39) limbs, and the patients with limb preservation rate at 6 months after intervention 88.5 %. Results at 12 and 24 months also confirm the procedure's feasibility and positive outlook. The local complication rate was low 7.7 % (3/39). There was 1 case that died 3 weeks after the intervention, not directly related to the procedure.</div></div><div><h3>Conclusion</h3><div>The retrograde technique is safe and effective in managing chronic total arterial occlusive disease of the lower limbs.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100357"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139036","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}

引用次数: 0

Thoracic aorta to inferior mesenteric artery bypass for treatment of chronic mesenteric ischemia 胸主动脉至肠系膜下动脉搭桥治疗慢性肠系膜缺血

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1016/j.avsurg.2025.100360

Marjorie R. Liggett , Margaret A. Reilly , Nidhi Reddy , Nicholas S. Lysak , Heron Rodriguez , Neel A. Mansukhani

引用次数: 0

Intravascular lipoma with extravascular extension, a rare phenomena and review of the literature 血管内脂肪瘤伴血管外延伸，罕见现象及文献回顾

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.1016/j.avsurg.2025.100370

Mennatalla Hegazi , Charlene Yuan , Nii-Kabu Kabutey , Roy M Fujitani , Hari Keshava , Ali Mahtabifard , Anthony H Chau

{"title":"Intravascular lipoma with extravascular extension, a rare phenomena and review of the literature","authors":"Mennatalla Hegazi , Charlene Yuan , Nii-Kabu Kabutey , Roy M Fujitani , Hari Keshava , Ali Mahtabifard , Anthony H Chau","doi":"10.1016/j.avsurg.2025.100370","DOIUrl":"10.1016/j.avsurg.2025.100370","url":null,"abstract":"<div><div>Lipomas are the most common soft tissue tumors, accounting for half of all soft tissue masses. However, intravascular lipomas (IVLs) are rare. IVLs have been described in case reports in the various major veins. They are often asymptomatic and found incidentally. Given the risk of malignancy, as liposarcomas are the second most common soft tissue sarcoma in adults and account for 1 % of all malignancies, histological differentiation is important, and surgical excision remains the mainstay of treatment in the literature. We present the case of a 61-year-old male who presented with left chest pain that radiated to his left shoulder and arm. On further evaluation, the patient endorsed left-hand swelling and weakness and increased prominence of veins in the left upper extremity. He underwent a CT scan that showed a hypodense mass with fat attenuation in the left innominate vein extending extra-vascularly and into the left internal jugular vein, measuring 2.3 × 2.0 × 5.2 cm. Successful surgical excision and reconstruction of the innominate vein with reimplantation of the left internal jugular vein was performed through median sternotomy and left cervical incision. The postoperative course was unremarkable, and the patient recovered well. The clinical presentation of an intravascular lipoma in a large caliber vessel can be subtle and nonspecific. This case report characterizes this rare vascular tumor and includes a contemporary literature review, summarizing the diagnosis and treatment options.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453840","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}

引用次数: 0

Ultrasound-guided percutaneous aspiration as an alternative method of treatment for Adventitial Cystic Disease: A case series 超声引导下经皮穿刺作为治疗外膜囊性疾病的一种替代方法：一个病例系列

Annals of vascular surgery. Brief reports and innovations Pub Date : 2025-03-01 Epub Date: 2024-12-28 DOI: 10.1016/j.avsurg.2024.100358

Nikolaos Patelis , Ioannis Tsagkos , Alia Madi , Vasiliki Bakalaki , Maria Psarrou , Bahaa Arefai

{"title":"Ultrasound-guided percutaneous aspiration as an alternative method of treatment for Adventitial Cystic Disease: A case series","authors":"Nikolaos Patelis , Ioannis Tsagkos , Alia Madi , Vasiliki Bakalaki , Maria Psarrou , Bahaa Arefai","doi":"10.1016/j.avsurg.2024.100358","DOIUrl":"10.1016/j.avsurg.2024.100358","url":null,"abstract":"<div><h3>Introduction</h3><div>Adventitial cystic disease (ACyD) is a rare vascular condition, first documented in 1947, representing approximately 0.1 % of vascular disorders, most commonly affecting the popliteal artery. The condition presents primarily with symptoms of intermittent claudication. Traditional treatment options include cyst excision, arterial segment removal with vein graft reconstruction, or percutaneous aspiration.</div></div><div><h3>Materials and Methods</h3><div>This publication reports on the results of three patients diagnosed with ACyD (males 66 %, mean age 46 years old) and treated with ultrasound-guided percutaneous aspiration (UGPA) as the initial approach. The patients were recruited over a five-year period in two private hospitals and their main symptom was claudication (Rutherford 2 and 3). The main symptom was intermittent claudication.</div></div><div><h3>Results</h3><div>All three patients were succesfully treated with UGPA (100 % technical success) and reported immediate increase of their walking distance and total resolution of claudication. All patients remain symptom-free at 15.7 months (range 7-30). No additional procedures were necessary.</div></div><div><h3>Conclusion</h3><div>Ultrasound-guided percutaneous aspiration for ACyD appears to be a safe and effective initial treatment that restores blood flow in affected vessels. Further long-term follow-up is necessary to establish the durability of the treatment outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 1","pages":"Article 100358"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138677","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}

引用次数: 0