{"title":"Bail Out of Complications during Endovascular Surgery.","authors":"Koji Maeda","doi":"10.3400/avd.ra.26-00062","DOIUrl":"10.3400/avd.ra.26-00062","url":null,"abstract":"<p><p>Serious complications due to remote control often may occur during endovascular surgery. Therefore, it is necessary to know what complications are likely to occur or how to bail out those complications. Herein, we explain complications related to endovascular surgery and their bail-out procedures. (This is a translation of Jpn J Vasc Surg 2024; 33: 131-136.).</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013206","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":"TEVAR-Only Management of Abdominal Aortic Aneurysm Rupture Caused by Acute Type B Aortic Dissection after EVAR: A Case Report.","authors":"Toshinori Takahashi, Osamu Namura, Shinya Mimura","doi":"10.3400/avd.cr.26-00009","DOIUrl":"10.3400/avd.cr.26-00009","url":null,"abstract":"<p><p>Type B aortic dissection after endovascular aneurysm repair (EVAR) is a rare late complication and may cause rupture of a previously stable abdominal aortic aneurysm (AAA). A 79-year-old male developed acute Stanford type B aortic dissection 12 years after EVAR, with distal extension into an infrarenal AAA resulting in rupture and circulatory collapse. A large primary entry tear was located in the descending thoracic aorta. Emergency thoracic endovascular aortic repair (TEVAR) was performed to seal the entry tear, achieving rapid hemodynamic stabilization without abdominal intervention. This case suggests that AAA rupture secondary to acute type B aortic dissection after EVAR can be managed with TEVAR alone in selected acute settings.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697216","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 Treatment for a Huge Celiac Artery Aneurysm: 13-Year Follow-Up.","authors":"Shigeo Ichihashi, Shinichi Iwakoshi, Katsuhiko Taira, Ayano Takeda, Toshihiro Tanaka","doi":"10.3400/avd.cr.26-00083","DOIUrl":"10.3400/avd.cr.26-00083","url":null,"abstract":"<p><p>Celiac artery aneurysms are rare and carry a substantial risk of rupture. A 64-year-old woman was incidentally found to have a 38-mm celiac artery aneurysm on computed tomography. The left gastric and common hepatic arteries arising from the aneurysm were coil-embolized, and a 6 × 59-mm balloon-expandable covered stent was deployed from the celiac artery to the splenic artery. Postoperative imaging confirmed aneurysm exclusion and preserved splenic perfusion. At 13-year follow-up, computed tomography showed sustained stent patency and aneurysm shrinkage from 38 to 31 mm without complications, supporting the long-term durability of endovascular treatment in anatomically suitable patients.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817166","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}
Nadeem Ahmed Siddiqui, Mohammad Zakriya, Muhammad Anees, Farhala Baloch, Kashmala Hussain, Fareed Ahmed Shaikh, Zia Ur Rehman
{"title":"Impact of Arteriovenous Access Formation on Cardiac Structure and Function in Hemodialysis Patients.","authors":"Nadeem Ahmed Siddiqui, Mohammad Zakriya, Muhammad Anees, Farhala Baloch, Kashmala Hussain, Fareed Ahmed Shaikh, Zia Ur Rehman","doi":"10.3400/avd.oa.25-00112","DOIUrl":"10.3400/avd.oa.25-00112","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to determine echocardiographic changes following arteriovenous fistula (AVF) creation and identify predictors of major adverse cardiac events (MACE) in end-stage renal disease (ESRD) patients.</p><p><strong>Methods: </strong>A retrospective study of ESRD patients who underwent AVF creation between 2014 and 2022 was conducted at a tertiary care center. Cardiac echocardiograms performed within 3 months before and at least 6 months after surgery were compared using paired t-tests. Predictors of MACE were assessed using Cox regression, with results reported as hazard ratios (HR).</p><p><strong>Results: </strong>A total of 119 patient records were included. Mean age was 58.2 ± 13.6 years, and 66 (55.5%) patients were male. Following the procedure, left atrial volume index (LAVI) increased (34.339 ± 10.361 vs. 37.964 ± 9.739, p = 0.001), whereas E' velocity (0.052 ± 0.018 vs. 0.047 ± 0.016, p = 0.011) and left-ventricular ejection fraction (50.798 ± 11.442 vs. 47.374 ± 12.277, p <0.001) decreased significantly. Ejection fraction was maintained in 81 patients (68.07%), improved in 12 (10.08%), and declined in 26 (21.85%). Cox regression showed a significant association between preoperative atrial fibrillation (p = 0.019) and severe left ventricular dysfunction (p = 0.026) with MACE.</p><p><strong>Conclusion: </strong>AVF creation was associated with increased LAVI and decreased E' velocity. Preoperative atrial fibrillation and severe left ventricular dysfunction were associated with increased risk of postoperative MACE.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760297","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":"Metachronous Bilateral Ruptured True Deep Femoral Artery Aneurysms: A Case Report.","authors":"Takehiro Suzuki, Naoki Toya, Yuri Murakami, Takao Ohki","doi":"10.3400/avd.cr.26-00070","DOIUrl":"10.3400/avd.cr.26-00070","url":null,"abstract":"<p><p>Deep femoral artery aneurysm (DFAA) is rare, and metachronous bilateral occurrence is extremely rare. An 83-year-old man presented with right thigh pain and swelling. He had undergone left DFAA repair at another hospital 13 years earlier, with no contralateral lesion at that time. CT revealed a ruptured right DFAA with hematoma and contrast extravasation. Emergency surgery was performed, and the proximal DFA was ligated without reconstruction due to distal occlusion. The postoperative course was uneventful. Ligation alone may be feasible in selected cases, and long-term follow-up is essential.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597762","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 Salvage Hybrid Reconstruction Using Covered Stents for Internal Iliac Artery Preservation during Endovascular Aneurysm Repair in a Patient with an Extremely Short Common Iliac Artery: A Case Report.","authors":"Akihito Ohkawa, Kyousuke Miki, Naomi Yasuda, Hitoki Hashiguchi","doi":"10.3400/avd.cr.25-00149","DOIUrl":"10.3400/avd.cr.25-00149","url":null,"abstract":"<p><p>The anatomy of the short common iliac artery (CIA) limits distal sealing during endovascular aneurysm repair (EVAR) and often necessitates internal iliac artery (IIA) embolization. We report the case of a 73-year-old man with an infrarenal abdominal aortic aneurysm and an extremely short right CIA that precluded open repair and application of iliac branch devices. As a salvage approach, EVAR was combined with the placement of a covered stent from the right external iliac artery to the IIA and a femorofemoral bypass. Follow-up imaging at 21 months demonstrated preserved pelvic circulation, absence of aneurysm sac enlargement, and sustained graft patency without limb ischemia.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961973","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}
Ryo Taguchi, Rin Itokawa, Kaito Muramatsu, Kazuo Ito, Norihiro Kondo
{"title":"Ensuring Reproducibility in Endovascular Aneurysm Repair: Clinical Impact of Prophylactic Branch Embolization in a Low-Volume Setting.","authors":"Ryo Taguchi, Rin Itokawa, Kaito Muramatsu, Kazuo Ito, Norihiro Kondo","doi":"10.3400/avd.oa.26-00060","DOIUrl":"10.3400/avd.oa.26-00060","url":null,"abstract":"<p><strong>Objectives: </strong>Although prophylactic branch embolization is known to reduce Type II endoleak after endovascular aneurysm repair (EVAR), its reproducibility and clinical value in low-volume regional centers remain under-discussed. This study evaluated the efficacy of an anatomy-guided embolization strategy for improving long-term sac behavior.</p><p><strong>Methods: </strong>This retrospective, single-center cohort study included 132 patients who underwent elective EVAR. Prophylactic embolization (Coil+ group, n = 30) was performed based on standardized anatomical criteria, while 102 patients underwent standard EVAR (Coil- group). Preoperative anatomical risks and mid-term clinical outcomes, including sac expansion and re-intervention rates, were compared.</p><p><strong>Results: </strong>Preoperatively, the Coil+ group showed significantly higher anatomical risk than the Coil- group, including a higher prevalence of a patent inferior mesenteric artery (IMA) (90.0% vs. 69.6%; <i>p</i> = 0.031) and a greater mean IMA diameter (3.18 ± 0.73 mm vs. 2.76 ± 0.77 mm; <i>p</i> = 0.011). The Coil+ group achieved a 0% sac expansion rate at 24 months. Notably, the 5-year re-intervention rate was 0% (0/30) in the Coil+ group compared to 10.8% (11/102) in the Coil- group, representing a trend toward superior mid-term durability (<i>p</i> = 0.069).</p><p><strong>Conclusions: </strong>Standardized prophylactic branch embolization was associated with durable sac stability. This proactive approach may offer a rational pathway for optimizing long-term outcomes, even in low-volume centers.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13572580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966279","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":"Characteristics of Cancer-Associated Thrombosis Based on Changes in Clinically Measurable Coagulation Factors and Coagulation/Fibrinolysis Markers in Patients with Cancer: A Multicenter Cross-Sectional Study.","authors":"Makoto Hiraide, Chikao Yasuda, Ryuji Kawaguchi, Masakatsu Paku, Nariaki Fukuchi, Yoshihiro Matsumoto, Toshiki Takemoto, Kohei Tatsumi","doi":"10.3400/avd.oa.26-00081","DOIUrl":"https://doi.org/10.3400/avd.oa.26-00081","url":null,"abstract":"<p><strong>Objectives: </strong>This exploratory, cross-sectional study aimed to examine the association between coagulation factor activity and coagulation/fibrinolysis markers and the presence of cancer-associated thrombosis (CAT).</p><p><strong>Methods: </strong>Patients diagnosed with cancer complicated by thrombosis and those without thrombosis between November 1, 2020, and December 31, 2022 were included. The clinical characteristics and values of each coagulation factor and coagulation/fibrinolysis marker in the CAT and non-CAT groups were compared.</p><p><strong>Results: </strong>Of the 117 patients analyzed, 22 (18.8%) had CAT and 95 (81.2%) did not have CAT. Fibrinogen/fibrin degradation product (FDP), D-dimer, alpha2-plasmin inhibitor-plasmin complex (PIC), fibrin monomer complex (FMC), thrombin-antithrombin complex (TAT), and soluble fibrin (SF) levels were significantly higher in the CAT group than that in the non-CAT group. Receiver operating characteristic curve analysis was performed, and the proportions of patients with CAT were 7.9% when the number of factors with a value higher than the cutoff was 0 among the 6 factors of FDP, D-dimer, PIC, FMC, TAT, and SF levels; 17.1% for factors 1-3 and 31.6% for factors 4-6.</p><p><strong>Conclusions: </strong>When hypercoagulability and hyperfibrinolysis coexist in patients with cancer, CAT is likely to be present, and it is necessary to confirm the presence of CAT at an early stage.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13581452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987687","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":"Intraoperative Detection of Distal True Lumen Collapse and Endovascular Salvage Following Frozen Elephant Trunk Repair for Acute Stanford Type A Intramural Hematoma.","authors":"Norimasa Haijima, Mikihiko Kudo, Satoru Murata, Takuma Aoki, Hideyuki Shimizu, Takashi Kunihara","doi":"10.3400/avd.cr.26-00026","DOIUrl":"10.3400/avd.cr.26-00026","url":null,"abstract":"<p><p>A 76-year-old female Jehovah's Witness presented with an acute Stanford type A intramural hematoma. To avoid transfusion, she underwent ascending aortic replacement with a frozen elephant trunk and total fenestration. During chest closure, she developed sudden bilateral lower-limb ischemia, with regional oxygen saturation declining from 70% to 40%. Transesophageal echocardiography confirmed patency of the frozen elephant trunk and revealed rapid collapse of the distal true lumen beyond the stented segment. Emergent angiography demonstrated severe true-lumen compression. Thoracic endovascular aortic repair with distal bare-metal stent support was performed urgently, restoring flow. Stent deployment began 50 min after ischemia onset, and complete reperfusion was achieved 82 min after onset. The patient was discharged on postoperative day 17 without neurologic or ischemic sequelae.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668207","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":"Ruptured Deep Femoral Artery Aneurysm Caused by Direct Infiltration of Diffuse Large B-Cell Lymphoma.","authors":"Tomoki Nakatsu, Takayuki Kadohama, Eijiro Hikasa, Hana Fukuta, Yuya Tamaru, Daichi Mizushima, Masahiko Narita, Nobuyuki Akasaka","doi":"10.3400/avd.cr.26-00025","DOIUrl":"10.3400/avd.cr.26-00025","url":null,"abstract":"<p><p>We report a rare case of a ruptured deep femoral artery aneurysm caused by direct infiltration of diffuse large B-cell lymphoma (DLBCL). An 82-year-old man presented with acute left thigh pain and a rapidly formed aneurysm revealed by imaging. Open aneurysmectomy and bypass grafting were performed. Histopathology demonstrated destruction of the elastic laminae and media with diffuse infiltration of atypical lymphoid cells, thus confirming DLBCL. The patient received the best supportive care. Further arterial ruptures developed, and the patient died 8 months after surgery. Malignancy should be considered in the differential diagnosis of rapidly progressive, peripheral aneurysms.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13318499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148366561","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}