{"title":"Clinical Outcomes of the \"Endovascular Aneurysm Repair-First\" Protocol for Ruptured Abdominal Aortic Aneurysms: A 10-Year Single-Center Retrospective Study.","authors":"Yutaka Kobayashi, Atsushi Kawakami","doi":"10.3400/avd.oa.26-00049","DOIUrl":"10.3400/avd.oa.26-00049","url":null,"abstract":"<p><strong>Objectives: </strong>The treatment of ruptured abdominal aortic aneurysms (rAAAs) remains associated with high morbidity and mortality. While endovascular aortic repair (EVAR) has shown promising results in elective settings, the evidence supporting its use as the primary treatment for patients with rAAA remains controversial. We aimed to evaluate both the clinical outcomes and the inherent advantages and disadvantages of our \"EVAR-first\" protocol for patients with rAAA over a 10-year period.</p><p><strong>Methods: </strong>A retrospective review of data extracted from medical records identified 93 consecutive patients with rAAA who underwent EVAR from January 2014 to January 2024. All patients were treated using the \"EVAR-first\" protocol. Initially, percutaneous puncture of the bilateral common femoral arteries and the left brachial artery was performed. General anesthesia was then induced with the endovascular balloon control and EVAR was performed.</p><p><strong>Results: </strong>EVAR was successfully performed in all patients with rAAA. The mean follow-up period was 1386.5 ± 1171.1 days. After the 30-day period, no new complications were observed. Endovascular re-interventions were performed in 9 patients (9.7%). The overall survival rates at 30 days, 1 year, and 3 years for the entire cohort were 87.1%, 70.9%, and 60.5%, respectively.</p><p><strong>Conclusions: </strong>This single-center experience suggests favorable outcomes for adopting the \"EVAR-first\" policy for all rAAA 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/PMC13572578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966226","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":"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":0.5,"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":"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":0.5,"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":"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":"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":0.5,"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":"Discrepancy between the Radiographic Screening by Magnetic Resonance Imaging and Histopathologic Diagnosis of Vascular Malformations.","authors":"Makoto Shiraishi, Kou Fujisawa, Yoichi Yasunaga, Yuta Moriwaki, Yukako Shibasaki, Haesu Lee, Tetsuo Ushiku, Osamu Abe, Mutsumi Okazaki","doi":"10.3400/avd.oa.26-00079","DOIUrl":"10.3400/avd.oa.26-00079","url":null,"abstract":"<p><strong>Objectives: </strong>Although magnetic resonance imaging (MRI) is widely used to evaluate extracranial vascular anomalies (VAs), its diagnostic accuracy remains uncertain.</p><p><strong>Methods: </strong>We retrospectively assessed MRI accuracy for VAs and identified nonvascular lesions mimicking them. Patients who underwent surgical resection for suspected VAs at a tertiary referral center in Japan between April 2019 and June 2025 were analyzed.</p><p><strong>Results: </strong>A total of 172 patients met the inclusion criteria (mean age 34.9 ± 18.8 years; 62.8% female). Lesions were most commonly located in the extremities (54.1%), followed by the head and neck (32.6%) and the trunk (13.4%). Histopathology identified venous malformations (VMs) as the most frequent subtype (73.8%), followed by arteriovenous malformations (AVMs; 11.0%) and lymphatic malformations (LMs; 6.4%). MRI showed moderate sensitivity and high specificity: AVM sensitivity 0.68 and specificity 0.99; VM sensitivity 0.70 and specificity 0.98; LM sensitivity 0.80 and specificity 0.98. Seven cases (4.1%) were ultimately diagnosed as non-VA lesions despite MRI findings suggestive of VAs. Common mimickers included angioleiomyoma and myopericytoma.</p><p><strong>Conclusions: </strong>MRI demonstrates moderate sensitivity and strong specificity for VAs, although false-positive interpretations remain an important consideration.</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/PMC13494577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787480","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":"Use of EN Snare Device for Successful Retrieval of a Pigtail Catheter Straightener after Iliac Artery Stent Placement: A Case Report.","authors":"Takeshi Wada, Katsutoshi Takayama, Kaoru Myouchin","doi":"10.3400/avd.cr.26-00068","DOIUrl":"10.3400/avd.cr.26-00068","url":null,"abstract":"<p><p>Percutaneous retrieval is a well-established, minimally invasive method for removing foreign bodies from blood vessels. We experienced a 77-year-old man in whom a radiolucent pigtail catheter straightener had been mis-inserted into the abdominal aorta and was successfully retrieved using an EN Snare device. This report demonstrates that operators must remain aware of the risk of accidentally inserting pigtail catheter straighteners into blood vessels.</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/PMC13585484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001009","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":"Infected Superior Mesenteric Artery Aneurysm following <i>Streptococcus gallolyticus</i> Bacteremia Associated with Cecal Cancer: A Case Report.","authors":"Shintaro Kikuchi, Sosei Kuma, Kazuomi Iwasa, Kippei Ohgaki, Toshihiro Onohara","doi":"10.3400/avd.cr.26-00139","DOIUrl":"https://doi.org/10.3400/avd.cr.26-00139","url":null,"abstract":"<p><p><i>Streptococcus gallolyticus</i> bacteremia is associated with colorectal malignancy and infective endocarditis, whereas infected superior mesenteric artery aneurysm (SMAA) is rare. A 94-year-old woman with cecal cancer developed <i>S. gallolyticus</i> sepsis that improved with intravenous antibiotics. Two months later, contrast-enhanced computed tomography revealed a newly developed 17-mm distal SMAA, suggesting an infected aneurysm secondary to the prior bacteremia. Because of the high risk of rupture, urgent aneurysmectomy and ileocecal resection were performed. This rare case highlights an infected SMAA as a potential vascular complication of <i>S. gallolyticus</i> bacteremia, particularly in patients with underlying colorectal malignancy.</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/PMC13657687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178338","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":"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":0.5,"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}
{"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":"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":0.5,"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":"Aseptic Venous Abscess Caused by a Foreign Body Granuloma Following Cyanoacrylate Glue Embolization for Chronic Great Saphenous Vein Reflux: A Case Report.","authors":"Takasumi Goto, Hironobu Fujimura, Shigeru Miyagawa","doi":"10.3400/avd.cr.26-00004","DOIUrl":"10.3400/avd.cr.26-00004","url":null,"abstract":"<p><p>This report describes the case of an 88-year-old male who underwent cyanoacrylate glue embolization (CAE) for right great saphenous vein (GSV) reflux. Three months postoperatively, the patient presented with phlebitis and a subcutaneous abscess along the occluded right GSV. Surgical removal of the GSV and associated skin fistula was successful. Cultures of the excised tissue showed no evidence of bacterial infection. Histological analysis demonstrated a foreign body granuloma and phlebitis complicated by an aseptic abscess. The postoperative course was uneventful, with no recurrence at 1.5 years postoperatively. Careful surveillance remains necessary to detect late complications following CAE.</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/PMC13184831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980150","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}