Masao Takahashi, Koichiro Matsuura, Ken Nakazawa, Yoko Usami, Shunsuke Yamada, Satoru Mochida, Cho Konjo, Kaiji Inoue, Eito Kozawa
{"title":"Successful Treatment for a Huge Pulmonary Pseudoaneurysm in the Interlobar Segment with Coil Embolization: A Case Report.","authors":"Masao Takahashi, Koichiro Matsuura, Ken Nakazawa, Yoko Usami, Shunsuke Yamada, Satoru Mochida, Cho Konjo, Kaiji Inoue, Eito Kozawa","doi":"10.3400/avd.cr.25-00132","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00132","url":null,"abstract":"<p><p>A 62-year-old male with empyema underwent an attempted pleural drainage, which resulted in iatrogenic pseudoaneurysm formation of the right pulmonary artery in the interlobar segment. Endovascular treatment was favored over surgical intervention due to the presence of empyema. The pulmonary artery in the interlobar segment was embolized with metallic coils, with inevitable occlusion of blood perfusion in the middle and lower lobes. Despite the perfusion loss in a large lung territory, the patient eventually required no supplemental oxygenation. Coil embolization can be a favorable alternative to stent-grafting for pseudoaneurysm even in the interlobar segment, despite the potential risk of post-procedure hypoxemia.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269652","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":"Short- and Mid-Term Outcomes of Bovine Pericardial Patch vs. Saphenous Vein Patch in Femoral Endarterectomy.","authors":"Takashi Harada, Daisuke Futagami, Yuki Echie, Saeki Watanabe, Hironobu Morimoto, Keijiro Katayama, Shogo Mukai, Masahito Taniguchi","doi":"10.3400/avd.oa.25-00146","DOIUrl":"10.3400/avd.oa.25-00146","url":null,"abstract":"<p><strong>Objectives: </strong>Femoral endarterectomy often requires patch angioplasty, and saphenous vein patch (SVP) was the standard. However, bovine pericardial patch (BPP) provides potential advantages, including no requirement for vein harvest, use of the access site for concomitant endovascular procedures, and favorable handling characteristics. We compared the short- and mid-term outcomes of BPP and SVP in femoral endarterectomy.</p><p><strong>Methods: </strong>This retrospective, single-center study included 42 patients (49 limbs) who underwent elective femoral endarterectomy with patch closure between September 2016 and January 2025. The patients were grouped by patch type as follows: 28 limbs with BPP and 21 limbs with SVP. Primary endpoints included patency and freedom from target lesion revascularization at the endarterectomy site. Secondary endpoints included perioperative complications, limb salvage, and intraoperative arterial clamp time.</p><p><strong>Results: </strong>No patch-site restenosis or re-intervention occurred in either group. There were no patch infections, and the perioperative complications were similar. Limb salvage at 40 months was 87.5% with BPP vs. 95.0% with SVP (p = 0.42). Intraoperative arterial clamp time was significantly shorter in the BPP group (55.0 vs. 69.5 min, p = 0.01).</p><p><strong>Conclusions: </strong>BPP represents a safe and valuable alternative option for femoral endarterectomy.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12864046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117661","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 Fatal Case of Acute Pulmonary Embolism after Cyanoacrylate Closure for Varicose Veins.","authors":"Kenichi Chatani, Hiroyuki Ihori, Kazumasa Ohara, Makoto Nonomura, Tomoki Kameyama, Hiroshi Inoue","doi":"10.3400/avd.cr.25-00113","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00113","url":null,"abstract":"<p><p>An 81-year-old female with bilateral small saphenous vein varicosities (CEAP, C2s, Ep, As, Pr) underwent cyanoacrylate closure (CAC) and stab avulsion under general anesthesia. Fourteen days later, she developed severe dyspnea and was diagnosed with pulmonary embolism (PE) and deep vein thrombosis. Despite anticoagulation, cardiopulmonary support, and catheter-directed thrombectomy, she died 24 days after admission. Adequate heparin dosing with activated partial thromboplastin time monitoring is important. Prolonged procedures under general anesthesia may increase PE risk. Early ambulation, compression therapy, and follow-up ultrasonography beyond 24 hours may help detect delayed thrombus formation and reduce life-threatening complications after CAC.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363406","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":"Staged Endovascular and Surgical Management of Pediatric Tracheo-Innominate Artery Fistula: A Case Report.","authors":"Yuchen Cao, Masaaki Koide, Masafumi Yashima, Hisashi Sugiyama, Yasumi Nakashima, Arika Matsushita, Kotaro Ishida, Yusuke Okui","doi":"10.3400/avd.cr.25-00087","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00087","url":null,"abstract":"<p><p>Tracheo-innominate artery fistula (TIF) is rare but potentially fatal, especially in pediatric patients. We present a case treated by emergency endovascular stenting followed by elective open surgery. Stent grafting achieved immediate hemostasis and served as a lifesaving bridge, but its limitations-including risks of infection, rebleeding, and graft mismatch due to somatic growth-made definitive surgery necessary. Laryngoscopic findings revealed intratracheal graft exposure, prompting timely graft removal and tracheal repair. This staged strategy highlights both the value of stenting as bridging therapy and the importance of early multidisciplinary planning in pediatric TIF.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269638","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":"Endovascular Repair of Thoracoabdominal Aortic Aneurysm under Locoregional Anesthesia.","authors":"Kenichi Kato, Tsuyoshi Shibata, Yutaka Iba, Tomohiro Nakajima, Junji Nakazawa, Ayaka Arihara, Shigeki Komatsu, Masato Yonemori","doi":"10.3400/avd.cr.25-00152","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00152","url":null,"abstract":"<p><p>An 80-year-old female presented with a thoracoabdominal aortic aneurysm (TAAA) that had progressively enlarged to a diameter of 58 mm. She was scheduled for TAAA repair; however, she had a severe obstructive ventilatory disorder, which posed significant risks. Both open repair and general anesthesia were deemed to carry a high risk of respiratory complications. Consequently, an endovascular TAAA repair was performed using a physician-modified inner-branched endograft under locoregional anesthesia. This approach successfully treated the TAAA without any major complications. This strategy opens up the possibility of treating TAAA in patients with severe comorbidities that were previously challenging to treat.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363416","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 Aortic Repair with Reverse Aortic Arch Debranching Technique for Ascending Aortic Pseudoaneurysm.","authors":"Hiroki Tada, Keiwa Kin, Tsubasa Mikami, Kazuma Handa, Junya Yokoyama, Yukitoshi Shirakawa","doi":"10.3400/avd.cr.25-00128","DOIUrl":"10.3400/avd.cr.25-00128","url":null,"abstract":"<p><p>Ascending aortic pseudoaneurysm is a rare but life-threatening complication after cardiac surgery, typically requiring redo open repair with substantial risk. We report a 58-year-old male with an incidental 85-mm ascending pseudoaneurysm discovered during evaluation for recurrent hepatocellular carcinoma. Due to prior sternotomy, cirrhosis, and urgent oncologic need, open surgery was deemed prohibitive. He successfully underwent thoracic endovascular repair with reverse extra-anatomical aortic arch debranching technique. He recovered uneventfully and proceeded to cancer treatment without delay. This case highlights the feasibility of hybrid endovascular strategies for ascending aortic pathology in high-risk patients.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12885761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155854","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 Cyanoacrylate Granuloma Following Cyanoacrylate Closure for Varicose Veins in a Patient with Immune Modulation: A Case Report.","authors":"Takahiro Imai, Daisuke Harada, Yoichi Mizutani, Soutarou Katsui","doi":"10.3400/avd.cr.25-00144","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00144","url":null,"abstract":"<p><p>We report a case of severe cyanoacrylate granuloma (CAG) that developed shortly after cyanoacrylate closure (CAC) in a patient receiving dupilumab. A 74-year-old female had an uneventful postoperative course until the day before initiation of dupilumab; however, on postoperative day (POD) 16, 1 day after starting dupilumab, she developed fever and painful inguinal nodules. Computed tomography revealed multiple subcutaneous nodules without abscess formation. Despite systemic corticosteroids and antihistamines, the lesions progressed, requiring repeated bilateral excisions through POD 93. This case suggests that immune modulation at the time of cyanoacrylate exposure may influence the severity and progression of granulomatous inflammation after CAC.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607662","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":"Successful Surgical Treatment for Large Common Hepatic Arterial Aneurysm Incidentally Discovered during Evaluation for Mallory-Weiss Syndrome.","authors":"Daichi Mizushima, Tsutomu Doita, Sayaka Yuzawa, Takayuki Uramoto, Naoya Kuriyama, Yuri Yoshida, Atsuhiro Koya, Mishie Tanino, Shinsuke Kikuchi, Nobuyoshi Azuma","doi":"10.3400/avd.cr.25-00151","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00151","url":null,"abstract":"<p><p>Although both open and endovascular repair are available for hepatic artery aneurysms (HAAs), the optimal treatment strategy remains controversial, particularly in anatomically complex cases. In the present case, a large common HAA measuring 100 × 49 mm with a short proximal neck posed significant challenges for both modalities. To ensure intraoperative hemostasis, a hybrid approach was adopted: open surgical ligation combined with prophylactic balloon occlusion at the aneurysmal neck. This strategy enabled safe exclusion of the aneurysm without hepatic ischemia. The case underscores the importance of selecting open, endovascular, or hybrid techniques based on individual anatomical complexity to optimize outcomes in HAA management.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363590","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":"Association between Changes in Stent Graft Volume and Type II Endoleaks after Endovascular Aneurysm Repair.","authors":"Satoshi Yamamoto, Takuya Hashimoto, Takashi Endo, Masaya Sano, Osamu Sato, Juno Deguchi","doi":"10.3400/avd.oa.25-00136","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00136","url":null,"abstract":"<p><strong>Objectives: </strong>Type II endoleaks (T2ELs) after endovascular aneurysm repair (EVAR) are associated with delayed adverse events. This study evaluated the association between changes in stent graft volume (SgV) and T2EL after EVAR.</p><p><strong>Methods: </strong>This study included 127 patients who underwent EVAR for abdominal aortic aneurysms between 2010 and 2022. SgVs were calculated using computed tomography, and SgV ratios were calculated by dividing SgV 2 years after EVAR by SgV immediately after EVAR. The association between the SgV ratio and T2EL 2 years after EVAR was evaluated.</p><p><strong>Results: </strong>T2ELs were detected in 62 patients (49%) 2 years after EVAR. Univariate analysis revealed that age, number of patent lumbar arteries, expanded polytetrafluoroethylene (ePTFE) stent grafts, and the SgV ratio were significantly correlated with T2EL. Multivariate analysis showed that age ≥80 years, patent lumbar arteries ≥4, ePTFE stent graft, and SgV ratio ≤1.23 were independently associated with T2EL. In both the ePTFE (80 patients) and polyester (47 patients) stent graft groups, the SgV ratio was independently associated with T2EL.</p><p><strong>Conclusions: </strong>The SgV ratio was significantly correlated with T2EL and may improve T2EL surveillance after EVAR.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147466809","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}
Noman Shahzad, Muhammad Asad Moosa, Nadeem Ahmed Siddiqui, Fareed Ahmed Shaikh
{"title":"Ligation Versus Repair of Isolated Traumatic Peripheral Venous Injury: A Systematic Review and Meta-Analysis.","authors":"Noman Shahzad, Muhammad Asad Moosa, Nadeem Ahmed Siddiqui, Fareed Ahmed Shaikh","doi":"10.3400/avd.ra.25-00107","DOIUrl":"https://doi.org/10.3400/avd.ra.25-00107","url":null,"abstract":"<p><p>There are no guidelines to suggest repair versus ligation for traumatic deep venous injuries. We aimed to compare the outcomes after reconstruction versus ligation of isolated traumatic venous injuries. This systematic review and meta-analysis (PROSPERO Registration Number: CRD42019143136) included all literature reported on the management of isolated venous injuries in adult trauma patients, excluding case reports from 1950 to 2020. Primary outcomes were mortality and amputation, while compartment syndrome, chronic venous hypertension, deep venous thrombosis, and pulmonary embolism were the secondary outcomes. PubMed, Google Scholar, Cochrane database, and Web of Science were searched. Study selection and synthesis were done following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 25 studies were included. All the studies were observational, with the majority being retrospective in nature. Results of our meta-analysis show that ligation is significantly associated with higher rates of amputation (odds ratio [OR] = 1.73, 95% confidence interval [CI] = 1.20-2.48, p = 0.003) and mortality (OR = 1.50, 95% CI = 1.09-2.06, p = 0.01), whereas there is no significant difference in the rates of chronic venous insufficiency, deep venous thrombosis, and pulmonary embolism. There is insufficient data to analyze various types of venous repair, as well as to account for clinical severity at the time of presentation. Our results favor repair over ligation.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760276","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}