Yoshihiko Onishi, Akihiro Sasahara, Saya Ishikawa, Kenjiro Sakaki, Ko Shibata, Masaki Nie, Kuniyoshi Ohara
{"title":"Distal Radial Artery Aneurysm of the Dorsal Branch with Ulnar Artery Occlusion: A Case Report.","authors":"Yoshihiko Onishi, Akihiro Sasahara, Saya Ishikawa, Kenjiro Sakaki, Ko Shibata, Masaki Nie, Kuniyoshi Ohara","doi":"10.3400/avd.cr.25-00064","DOIUrl":"10.3400/avd.cr.25-00064","url":null,"abstract":"<p><p>We report a rare case of a radial artery aneurysm associated with ulnar artery occlusion in an 80-year-old female. Preoperative imaging showed poor visualization of the palmar arch and absent ulnar flow, prompting aneurysmectomy and radial artery reconstruction using a vein graft. Intraoperative findings revealed good retrograde flow, suggesting preserved distal perfusion. This case highlights the importance of accurate preoperative assessment of hand arterial anatomy, particularly the palmar arch, in determining the need for revascularization in radial artery aneurysms with compromised collateral circulation.</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/PMC12950523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347218","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 Aortic Aneurysm Following Blunt Trauma in a Patient with a Monoallelic <i>SLC2A10</i> Variant: A Case Report.","authors":"Satoshi Uesugi, Naoyuki Kimura, Shogo Saito, Mamoru Arakawa, Arata Muraoka, Yasushi Imai, Koji Kawahito","doi":"10.3400/avd.cr.25-00135","DOIUrl":"10.3400/avd.cr.25-00135","url":null,"abstract":"<p><p>A female in her early 40s with no skeletal abnormalities was incidentally found to have a 45-mm saccular aneurysm at the aortic isthmus during evaluation for pharyngitis. She had sustained blunt trauma 20 years earlier, resulting in multiple fractures and pneumothorax. Her family history included premature vascular or sudden death and scoliosis. Imaging showed no arterial tortuosity. She underwent successful open surgical repair. Histologic examination revealed disorganized elastic fibers with irregular thickening and partial loss of lamellar architecture. Postoperative genetic testing identified a heterozygous missense variant in <i>SLC2A10</i>, suggesting a possible association between monoallelic variants and vascular fragility.</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/PMC12956473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363648","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 Heparin Dose Adjustment in Chronic Limb-Threatening Ischemia Associated with Antiphospholipid Syndrome: A Case Report.","authors":"Toru Kikuchi, Yohei Yamamoto, Natsuho Maekawa, Kazuki Tsukuda, Ai Kazama, Yoshiki Wada, Tsuyoshi Ichinose, Toshifumi Kudo","doi":"10.3400/avd.cr.26-00090","DOIUrl":"10.3400/avd.cr.26-00090","url":null,"abstract":"<p><p>Antiphospholipid syndrome (APS) is an autoimmune prothrombotic disorder characterized by recurrent arterial and venous thrombosis, as well as pregnancy complications. Laboratory findings often show prolongation of activated partial thromboplastin time, which complicates monitoring during heparin therapy. We present the case of a 69-year-old woman with APS who developed chronic limb-threatening ischemia. She underwent successful bilateral lower-extremity open surgical revascularizations guided by a preoperatively obtained heparin-activated clotting time (ACT) titration curve to define individualized intraoperative anticoagulation targets. This method offered a straightforward and dependable strategy for personalized anticoagulation management and may enhance the safety of peripheral arterial revascularization in patients with APS.</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/PMC13526911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863436","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 for Aortic Arch Aneurysms Using Physician-Modified Endovascular Graft with Pre-Crossing Cannulated Wires for the Left Common Carotid Artery Aortic Arch Aneurysms.","authors":"Shotaro Higa, Takaaki Nagano, Shogo Niizaki, Keita Miyaishi, Moriyasu Nakaema, Kojiro Furukawa","doi":"10.3400/avd.nmt.26-00007","DOIUrl":"10.3400/avd.nmt.26-00007","url":null,"abstract":"<p><p>Regarding thoracic endovascular aortic repair involving the aortic arch, fenestration is occasionally employed to maintain blood flow to aortic branches. Pre-cannulation can mitigate the risk of misalignment between the left subclavian artery fenestration and arch branches. However, the left common carotid artery is located in a tortuous area of the arch, making fenestration alignment difficult. We employed a novel pre-cannulation technique to prevent such misalignment in a 73-year-old patient. This technique represents a systematic approach to left common carotid artery fenestration alignment in thoracic endovascular aortic repair, with potential reproducibility in selected cases. This approach requires validation in larger cohorts.</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/PMC13557850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918075","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":"Early Postoperative Simultaneous Occlusion of the Internal and External Iliac Artery Limbs after GORE Excluder Iliac Branch Endoprosthesis Implantation.","authors":"Akito Kuwano, Hisashi Sato, Akito Setoguchi, Junji Yunoki","doi":"10.3400/avd.cr.26-00078","DOIUrl":"10.3400/avd.cr.26-00078","url":null,"abstract":"<p><p>An 85-year-old man underwent endovascular repair using the Excluder iliac branch endoprosthesis (IBE) for an abdominal aortic aneurysm with a left internal iliac artery aneurysm. He was discharged uneventfully but returned on postoperative day 16 with acute left limb occlusion. Imaging revealed complete occlusion of both the internal and external iliac limbs of the IBE, requiring emergent thrombectomy. Intraoperative assessment demonstrated mechanical compression of the external iliac limb by the internal iliac limb, causing stenosis and thrombosis. This rare complication highlights the importance of meticulous preoperative planning to prevent limb-related events, particularly in patients treated outside the device's indications.</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/PMC13529437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872718","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 Rare Case of Right Subclavian Artery Aneurysm Caused by Intimomedial Mucoid Degeneration at the Vertebral Artery Origin.","authors":"Hideyuki Harada, Koji Kagawa, Tomoyuki Yokoyama, Daita Kobayashi, Takamitsu Tatsukawa, Nobuyuki Akasaka","doi":"10.3400/avd.cr.26-00080","DOIUrl":"10.3400/avd.cr.26-00080","url":null,"abstract":"<p><p>To our knowledge, this is the first reported case in Japan of a right subclavian artery aneurysm caused by intimomedial mucoid degeneration at the vertebral artery origin, successfully treated by surgical resection, with intraoperative stump pressure and cerebral oxygenation monitoring enabling safe vertebral artery ligation without reconstruction.</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/PMC13601719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036142","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":"Ex Vivo Evaluation of Endothelial and Adventitial Temperature during Endovenous Laser Ablation Using a 1470-nm Radial 2ring Slim Fiber: Porcine Jugular Vein Model.","authors":"Osamu Suzuki","doi":"10.3400/avd.oa.26-00017","DOIUrl":"10.3400/avd.oa.26-00017","url":null,"abstract":"<p><strong>Objectives: </strong>Endovenous laser ablation (EVLA) using a 1470-nm radial 2-ring slim fiber is widely performed, but optimal ablation settings remain empirical. This ex vivo study aimed to evaluate the effects of ablation conditions on endothelial and adventitial temperature dynamics, providing insights into both treatment efficacy and safety.</p><p><strong>Methods: </strong>Porcine jugular veins were used in an ex vivo model. EVLA was performed using a 1470-nm diode laser with the 2-ring slim fiber under 2 conditions: 5W with a linear endovenous energy density (LEED) of 25 J/cm and 6.5W with a LEED of 65 J/cm. Endothelial and adventitial temperatures were continuously measured at 0.1-second intervals. Cumulative durations with endothelial temperature ≥70°C and adventitial temperature ≥43°C were assessed.</p><p><strong>Results: </strong>Endothelial temperatures reached ≥70°C under both conditions, with a longer duration observed at 6.5W. Cumulative adventitial exposure ≥43°C was prolonged at 6.5W, whereas it remained minimal at 5W.</p><p><strong>Conclusions: </strong>In this ex vivo model, 6.5W with a LEED of 65 J/cm tended to produce more sustained endothelial and adventitial thermal exposure, whereas 5W with a LEED of 25 J/cm tended to produce lower adventitial exposure. Although further clinical validation is required, segment-specific settings may be reasonable.</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/PMC13616591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073468","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":"Extended Endarterectomy Across the Inguinal Ligament Using Inguinal-Lifting in the Surgery for Critical Limb Ischemia.","authors":"Anna Tsuji, Shun-Ichiro Sakamoto, Motohiro Maeda, Tomohiro Murata, Atsushi Hiromoto, Kenji Suzuki, Yoshiyuki Watanabe, Yosuke Ishii","doi":"10.3400/avd.cr.25-00122","DOIUrl":"10.3400/avd.cr.25-00122","url":null,"abstract":"<p><p>This case report presents a case of lower extremity peripheral arterial disease (PAD) with severe calcified lesions extending from the external iliac artery to the bifurcation of the superficial femoral artery, involving the groin region. Owing to the complexity and risk of complications, such as infections and delayed wound healing, revascularization was performed with extensive endarterectomy. The inguinal-lifting technique (ILT) was used to provide safe surgical access and minimize complications. The procedure resulted in successful revascularization with no major wound-related issues. The ILT proved to be an effective approach for safe, extensive endarterectomy in complex PAD cases.</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/PMC12826795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146050016","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":"Efficacy of Virtual Imaging for Abdominal Aortic Aneurysm Repair Complicated with Horseshoe Kidney.","authors":"Taiki Kakiuchi, Kenichi Kamiya, Yuji Matsubayashi, Haruna Ide, Yasuo Kondo, Tomoaki Suzuki","doi":"10.3400/avd.cr.25-00111","DOIUrl":"10.3400/avd.cr.25-00111","url":null,"abstract":"<p><p>Herein, we report the case of a 75-year-old male diagnosed with an infrarenal abdominal aortic aneurysm complicated by a horseshoe kidney. Coexistence of a horseshoe kidney and abdominal aortic aneurysm is a rare entity that presents a technical challenge to vascular surgeons regarding the surgical approach and reconstruction of the accessory renal arteries. Accurate and detailed preoperative studies are required to optimize surgical procedures. 3-dimensional images reconstructed from computed tomography data may be useful for visualizing complex anatomies. Open surgical repair of the aneurysm was successfully performed using virtual imaging.</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/PMC13175766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961971","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":"Early Detection of Thromboembolism during Open Repair for Complex Aortoiliac Aneurysms Using Continuous Noninvasive Lower Limb Oximetry.","authors":"Naoto Fukunaga, Taiki Takanishi, Tatsuto Wakami, Akio Shimoji, Otohime Mori, Kenta Imai, Tadashi Ikeda, Nobushige Tamura","doi":"10.3400/avd.cr.26-00048","DOIUrl":"10.3400/avd.cr.26-00048","url":null,"abstract":"<p><p>A 71-year-old man was referred to our department for open surgery for complex aortoiliac aneurysms. Computed tomography angiography demonstrated aneurysms of the abdominal aorta, bilateral common iliac arteries, and the left internal iliac artery. After stent graft placement in bilateral internal iliac arteries, we planned open surgery. Before cross-clamping the aorta, regional saturation of oxygenation in the left lower limb suddenly decreased from approximately 60% to 30%, despite being stable in the right lower limb. Intraoperative angiography revealed occlusion at the popliteal artery level, for which thromboembolectomy was successfully performed. After that, the aortoiliac aneurysms were replaced. The postoperative course was uneventful.</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/PMC13318500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148366644","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}