Serkan Guneyli, Celal Cinar, Halil Bozkaya, Mustafa Parildar, Ismail Oran, Yigit Akin
{"title":"Successful transcatheter closure of a congenital high-flow portosystemic venous shunt with the Amplatzer vascular plug II.","authors":"Serkan Guneyli, Celal Cinar, Halil Bozkaya, Mustafa Parildar, Ismail Oran, Yigit Akin","doi":"10.1177/1531003513496850","DOIUrl":"https://doi.org/10.1177/1531003513496850","url":null,"abstract":"<p><p>Congenital portosystemic venous shunt is extremely rare and should be treated. Advances in treatment techniques allow for patients to be treated safely. We present a 9-year-old boy with a large congenital portosystemic venous shunt. The shunt was occluded interventionally with the Amplatzer vascular plug II. Our case was unique with its clinical manifestation, the use of a 22-mm Amplatzer vascular plug II, and the presence of the patient's 1-year follow-up. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"202-5"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513496850","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31606434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marat Fudim, Kelly Daniel Green, Joseph L Fredi, Mark A Robbins, David Zhao
{"title":"Peripheral vascular complications during transcatheter aortic valve replacement: management and potential role of chronic steroid use.","authors":"Marat Fudim, Kelly Daniel Green, Joseph L Fredi, Mark A Robbins, David Zhao","doi":"10.1177/1531003513491985","DOIUrl":"https://doi.org/10.1177/1531003513491985","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of a major vascular complication during transcatheter aortic valve replacement (TAVR) and the endovascular management thereof. Additionally, we discuss a possible correlation with long-term steroid use.</p><p><strong>Case report: </strong>A 79-year-old woman with a history of critical aortic stenosis underwent elective TAVR. Her procedure was complicated by rupture of her right iliac artery, life-threatening retroperitoneal hemorrhage, and thrombus extending into the distal right lower extremity. This case was emergently managed by stent placement, thrombectomy, and tissue plasminogen activator via a percutaneous approach.</p><p><strong>Conclusions: </strong>Peripheral vascular complications are common during percutaneous TAVR, and chronic steroid use may predispose patients. Endovascular management is often possible and may potentially save valuable time in emergent situations.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"206-9"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513491985","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31620298","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":"Popliteal artery occlusion secondary to exostosis of the femur.","authors":"Dean Wang, Brian G DeRubertis","doi":"10.1177/1531003513491984","DOIUrl":"https://doi.org/10.1177/1531003513491984","url":null,"abstract":"<p><p>Osteochondromas are the most common benign tumors of the bone and are usually asymptomatic. In rare cases, they can present as a cause of lower extremity vascular injury in young patients. We report a case of a 24-year-old man who presented with an acute onset of exercise-induced lower extremity claudication and was found to have a popliteal artery occlusion secondary to a femoral exostosis. The patient underwent an excision of the exostosis and resection of the occluded segment with primary reanastomosis of the popliteal and superficial femoral arteries. Successful treatment of patients with vascular complications secondary to osteochondromas has generally required early surgical intervention. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"217-20"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513491984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31620296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad A Rana, Peter Gloviczki, Gustavo S Oderich
{"title":"Endovascular stenting with open surgery for reconstructions of the ascending aorta and the aortic arch: a review of indications and results of hybrid techniques.","authors":"Muhammad A Rana, Peter Gloviczki, Gustavo S Oderich","doi":"10.1177/1531003513497984","DOIUrl":"https://doi.org/10.1177/1531003513497984","url":null,"abstract":"<p><p>Hybrid approaches for repair of aneurysms involving the ascending aorta and the aortic arch have been developed to avoid or reduce duration of cardiopulmonary bypass and circulatory arrest and to decrease operative time, blood loss, hospital stay, morbidity, and mortality. These include ascending aorta-based debranching or cervical extra-anatomical bypasses followed by stent-grafting. In patients with associated descending aortic aneurysms, the elephant trunk technique is used followed by stent-grafting of the descending thoracic aorta. A review of the literature of hybrid aortic arch reconstructions, published over past 7 years, reveals perioperative mortalities from 0% to 13%, stroke from 0% to 10%, and spinal cord injury in 0% to 13%. The outcomes are comparable to contemporary results from total open and total endovascular reconstructions in spite of the fact that the hybrid approach is generally taken in patients with high surgical risk for open repair and with prohibitive anatomy for total endovascular repair. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"184-92"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513497984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31657947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anahita Dua, Bhavin Patel, SreyRam Kuy, Gary R Seabrook, Nader Tondravi, Kellie R Brown, Brian D Lewis, Peter J Rossi
{"title":"Asymptomatic 50% to 75% internal carotid artery stenosis in 288 patients: risk factors for disease progression and ipsilateral neurological symptoms.","authors":"Anahita Dua, Bhavin Patel, SreyRam Kuy, Gary R Seabrook, Nader Tondravi, Kellie R Brown, Brian D Lewis, Peter J Rossi","doi":"10.1177/1531003513491986","DOIUrl":"https://doi.org/10.1177/1531003513491986","url":null,"abstract":"<p><strong>Introduction: </strong>This study identified characteristics of patients with moderate internal carotid artery stenosis that are at increased risk for disease progression.</p><p><strong>Methods: </strong>Patients with asymptomatic moderate internal carotid disease correlating to 50% to 75% diameter reduction were followed for 3 years. Progression to greater than 75% diameter reduction or presentation with focal neurological symptoms was documented. Descriptive statistics and χ(2) testing provided statistical analysis.</p><p><strong>Results: </strong>During follow-up, 26 (9%) developed symptoms or had an asymptomatic increase in diameter reduction to >75%. The rate of disease progression and/or development of symptoms was 5.5% at 12 months and increased to 7.2% by 24 months. Comorbidities with the highest associated event incidences were coronary artery disease (8.1%), hyperlipidemia (7.3%), and hypertension (6.7%).</p><p><strong>Conclusion: </strong>Male patients with coronary artery disease, hyperlipidemia, and hypertension are at increased risk and are candidates for frequent screening and/or early intervention.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"165-70"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513491986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31537138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Spinelli, Filippo Benedetto, Domenico Spinelli, Francesco Stilo, Salvatore Lentini
{"title":"Surgery for aortic aneurysms: how to reduce tension on the anastomosis.","authors":"Francesco Spinelli, Filippo Benedetto, Domenico Spinelli, Francesco Stilo, Salvatore Lentini","doi":"10.1177/1531003513499409","DOIUrl":"https://doi.org/10.1177/1531003513499409","url":null,"abstract":"<p><p>We describe a simple technique we use in our institution during surgery for aortic aneurysms to reduce tension on the anastomosis when there is a discrepancy between the remnant portion of the native aorta and the vascular prosthesis. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"210-1"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513499409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31678116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jill K Johnstone, Mark D Fleming, Mark G Costopoulos, Haraldur Bjarnason
{"title":"Percutaneous removal of a Bard Simon nitinol permanent inferior vena cava filter.","authors":"Jill K Johnstone, Mark D Fleming, Mark G Costopoulos, Haraldur Bjarnason","doi":"10.1177/1531003513492824","DOIUrl":"https://doi.org/10.1177/1531003513492824","url":null,"abstract":"<p><p>Inferior vena cava (IVC) filters are used to treat thromboembolic disease when there is a contraindication to anticoagulation or failure of therapeutic anticoagulation therapy. Although there are retrievable IVC filters available, permanent IVC filters remain the most commonly placed IVC filters worldwide. Permanent IVC filters have been associated with long-term complications such as IVC thrombosis and obstruction, migration, and erosion into surrounding structures. Such complications may require removal of permanent IVC filters, which has been previously described with open surgery involving venotomy of the IVC. We report a case of a Bard Simon Nitinol permanent IVC filter that was removed by using percutaneous endovascular techniques. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"198-201"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513492824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31550274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Himanshu Verma, Niranjan Hiremath, Shreesha Maiya, Robbie K George, Ramesh K Tripathi
{"title":"Endovascular exclusion of complex postsurgical aortic arch pseudoaneurysm using vascular plug devices and a review of vascular plugs.","authors":"Himanshu Verma, Niranjan Hiremath, Shreesha Maiya, Robbie K George, Ramesh K Tripathi","doi":"10.1177/1531003513501203","DOIUrl":"https://doi.org/10.1177/1531003513501203","url":null,"abstract":"<p><p>We report the management of a patient presenting with haemoptysis due to aortobronchial fistula. He had previously undergone emergency exclusion bypass of a ruptured pseudoaneurysm developing post-aortic coarctation repair. Computed tomography scan showed persistent filling of pseudoaneurysm sac from proximal and distal aortic ligature sites tied during previous exclusion bypass surgery. Successful exclusion of aneurysm was achieved by using 3 vascular plug devices (1 Amplatzer plug II and 2 Amender patent ductus arteriosus occluder devices). We also review types of Amplatzer vascular plugs and their use in peripheral vascular interventions. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"193-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513501203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31746593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manju Kalra, Evan J Ryer, Gustavo S Oderich, Audra A Duncan, Thomas C Bower, Peter Gloviczki
{"title":"Contemporary results of treatment of acute arterial mesenteric thrombosis: has endovascular treatment improved outcomes?","authors":"Manju Kalra, Evan J Ryer, Gustavo S Oderich, Audra A Duncan, Thomas C Bower, Peter Gloviczki","doi":"10.1177/1531003513490033","DOIUrl":"https://doi.org/10.1177/1531003513490033","url":null,"abstract":"<p><p>Acute mesenteric ischemia is an uncommon but highly complex clinical problem and carries a high mortality. Traditional treatment has yielded only modest improvements in mortality and an endovascular first treatment paradigm has been adopted by selected centers over the past decade. However, the technique does not allow for immediate assessment of intestinal viability and availability of the expertise and equipment is mostly limited to tertiary referral centers. Experience gained with endovascular treatment thus far suggests that careful patient selection, procedure planning, and meticulous technique are the key to further improving results. Most important, prolonged attempts at percutaneous intervention should not be allowed to delay laparotomy and bowel assessment. In patients requiring urgent laparotomy, intraoperative retrograde superior mesenteric artery recanalization remains an attractive option and should be given due consideration. Liberal use of second-look laparotomy is to be encouraged for continued bowel assessment and eventual reestablishment of bowel continuity. Early recognition of the problem with expeditious implementation of the appropriate treatment is likely to improve outcomes of this challenging problem in the future. </p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 4","pages":"171-6"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513490033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31451651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endovascular treatment of an iatrogenic vertebrojugular fistula with a balloon-expandable covered stent: case report and review of the literature.","authors":"Panos Nikolopoulos, Miltiadis Krokidis, Stavros Spiliopoulos, Christos Lioupis, Panos Gkoutzios, Konstantinos Katsanos, Irfan Ahmed, Tarun Sabharwal","doi":"10.1177/1531003513482735","DOIUrl":"https://doi.org/10.1177/1531003513482735","url":null,"abstract":"<p><p>We report a case of a fistula between the vertebral artery and the internal jugular vein that occurred after the erroneous placement of a central venous catheter. The patient was presented with tinnitus. Endovascular treatment with a balloon expandable covered stent placed into the vertebral artery was performed. One year follow-up showed satisfactory exclusion of the fistula, patency of the stented vertebral artery, and resolution of the symptoms. Only few other similar cases are reported in the literature with the use of different types of stents.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":" ","pages":"149-54"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513482735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40233794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}