Vascular and endovascular surgery最新文献

{"title":"Hybrid Lower Extremity Revascularization Avoiding Groin Re-Exploration in a Morbidly Obese Patient With Acute Limb Ischemia After Failed Femoral-Popliteal PTFE Bypass: A Case Report and Literature Review.","authors":"Diego Sanchez Calderin, Houssam Farres, Young Erben","doi":"10.1177/15385744261455561","DOIUrl":"10.1177/15385744261455561","url":null,"abstract":"<p><p>IntroductionWe present a case of acute limb ischemia (ALI) in a morbidly obese patient with prior femoro-popliteal artery PTFE bypass occlusion successfully treated with a hybrid femoral-to-posterior tibial artery bypass utilizing the previously occluded graft.Case ReportA 69-year-old morbidly obese woman presented with acute left leg pain and numbness with preserved motor function. Computed tomography angiography (CTA) demonstrates chronic superficial femoral artery and femoro-popliteal PTFE bypass occlusion with a new native popliteal artery thrombosis and loss of tibial runoffs. After systemic heparinization, the leg was revascularized through a small medial thigh incision and a jump PTFE bypass to the posterior tibial artery. The previously occluded femoro-popliteal artery bypass was accessed to re-establish proximal flow through a retrograde endovascular construction using a 7 mm by 25 cm Viabahn (Gore, Flagstaff, AZ) stent. This stent was used as a bridge with distal deployment within a new 6 mm PTFE graft, which was then anastomosed in an end to side fashion to a Linton patch of the posterior tibial artery. There were no postoperative complications, and the ankle-brachial-index was measured to be 0.98 with a CTA with runoffs confirming bypass patency.DiscussionALI in the setting of a prior bypass occlusion in a morbidly obese patient reflects the typical contemporary patient and disease complexity, which demands corrective revascularization with appropriate mitigation/prevention of other postoperative complications. A limited thigh exposure to access a previously occluded bypass can successfully restore in-line flow in these high-risk patients.ConclusionHybrid lower extremity revascularization is an alternative surgical modality to restore in-line flow to a lower extremity as a limb salvage option while avoiding groin re-exploration in a previously accessed groin for bypass construction in a morbidly obese patient.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"712-719"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007692","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":"Diagnosis and Treatment Strategies for Femoral Vein Extramembranous Cysts: A Case Analysis and Literature Review.","authors":"Huan-Huan Song, Wei-Kang Guan, Li Xiang, Cun-Liang Zeng, Li Zhang","doi":"10.1177/15385744261448669","DOIUrl":"10.1177/15385744261448669","url":null,"abstract":"<p><p>IntroductionFemoral vein adventitial cystic disease is an exceedingly rare vascular disorder characterized by mucin-filled cysts within the venous wall, leading to potential luminal obstruction and clinical symptoms. This case highlights the diagnostic challenges and management of this uncommon condition.Case PresentationA 58-year-old male presented with a 2-month history of progressive left lower extremity swelling and discomfort. Physical examination revealed pitting edema along the calf. Duplex ultrasound demonstrated a hypoechoic cystic lesion compressing the femoral vein. Contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) confirmed a 3.1 cm × 1.4 cm × 2.1 cm cystic mass within the adventitial layer of the femoral vein, with partial luminal stenosis. No evidence of deep vein thrombosis or malignancy was observed.Intervention and OutcomeSurgical exploration via groin incision identified a translucent cyst arising from the femoral vein adventitia. Complete excision was performed with venous reconstruction. Histopathology confirmed a benign adventitial cyst with mucinous content and a single-layer endothelial lining. Postoperative recovery was uneventful, with resolution of symptoms and no recurrence at 3-month follow-up.ConclusionAdventitial cysts of the femoral vein, though rare, should be considered in patients with unexplained limb swelling. Multimodal imaging is critical for differential diagnosis, and complete surgical excision remains the definitive treatment. This case underscores the importance of recognizing atypical venous pathologies to prevent misdiagnosis and ensure optimal outcomes.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"700-706"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793699","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":"Predictors for Type 2 Endoleak Requiring Embolization: Large Inferior Mesenteric Artery, Multiple Lumbar Arteries, and Anticoagulation.","authors":"Camila Esquetini Vernon, Houssam Farres, Camilo Polania Sandoval, Charles Ritchie, Christopher Jacobs, Beau Toskich, Ricardo Paz Fumagalli, Young Erben","doi":"10.1177/15385744261450590","DOIUrl":"10.1177/15385744261450590","url":null,"abstract":"<p><p>IntroductionEndovascular abdominal aortic aneurysm repair (EVAR) is the primary treatment for abdominal aortic aneurysm (AAA). Despite favorable early outcomes, lifelong surveillance is essential as endoleaks remain a major cause of reintervention. Among these, type II endoleaks (T2E) remain controversial regarding optimal management. This study aimed to identify factors associated with intervention for T2E using time-to-event analysis and predefined anatomic thresholds. Secondary objectives included comparing outcomes between T2E patients with (intT2E) and without (nointT2E) intervention.MethodsA retrospective review of EVAR procedures from 2011-2024 was performed. Patients with newly diagnosed or persistent T2E were identified on completion and follow-up CT angiography. Patients were categorized as intT2E or nointT2E. Multivariable Cox regression evaluated time to first intervention, and logistic regression served as sensitivity analysis. Kaplan-Meier curves assessed freedom from intervention by inferior mesenteric artery (IMA) size.ResultsAmong 207 EVAR patients, 78 (37.6%) developed T2E over a mean 3.4 ± 2.4 years. Nineteen (24.3%) required intervention. IntT2E patients were younger (74.9 ± 6.8 vs 78.3 ± 7.9 years, <i>P</i> = 0.02), had more frequent anticoagulation use (47.4% vs 20.3%, <i>P</i> = 0.02), larger IMAs (4.2 ± 0.6 vs 3.3 ± 0.7 mm, <i>P</i> < 0.01), and more lumbar arteries (6.0 ± 1.2 vs 5.0 ± 1.3, <i>P</i> = 0.02). IMAs >4 mm occurred in 68.4% of intT2E vs 8.5% of nointT2E (<i>P</i> < 0.01). Mean sac growth was greater in intT2E (9.7 ± 5.3 mm vs -1.9 ± 6.5 mm, <i>P</i> < 0.01). Thirty-day complications following the index EVAR procedure, mid-term reinterventions, and overall mortality were similar between groups. Post-embolization, T2E resolved in 36.9%, with sac regression in 63.1%. Among embolized patients, 26.3% required a second embolization and one patient required 3 attempts without achieving resolution. IMA >4 mm independently predicted intervention (HR 7.18, 95% CI 1.97-26.16, <i>P</i> < 0.01). Logistic regression confirmed IMA >4 mm (OR 23.4, 95% CI 6.17-88.6, <i>P</i> < 0.01), >6 lumbar arteries (OR 4.2, 95% CI 1.10-15.98, <i>P</i> = 0.02), and anticoagulation (OR 3.4, 95% CI 1.17-10.6, <i>P</i> = 0.02) as predictors.ConclusionsApproximately one-quarter of T2E patients required embolization. IMA >4 mm was the strongest predictor of intervention, while anticoagulation and increased lumbar artery number also increased risk. Management should prioritize risk-stratified surveillance and selective intervention.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"664-674"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848189","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 Repair of Intraoperative Penetrating Injury to the Subclavian Vein: Case Report, Technical Considerations and Literature Review.","authors":"Dimitrios A Chatzelas, Apostolos G Pitoulias, Theodosia N Zampaka, Georgios V Tsamourlidis, Georgios A Pitoulias","doi":"10.1177/15385744261447465","DOIUrl":"10.1177/15385744261447465","url":null,"abstract":"<p><p>Penetrating injury to the subclavian vein is an uncommon, but potentially life-threatening event. Surgical repair is technically demanding due to the vessel's deep location beneath the clavicle, the narrow operative field, and the proximity of vital structures. Reported experience on endovascular techniques for subclavian venous injuries (SVI) remains limited. We present the case of a 60-year-old woman who sustained iatrogenic injury of the left subclavian vein during lateral cervical lymph node dissection for invasive thyroid carcinoma. Attempts at open hemostasis were unsuccessful, due to the depth and extent of the injury. Emergency endovascular repair with rapid deployment of an 11 × 50 mm Viabahn® self-expanding stent-graft resulted in immediate exclusion of the injury. The patient recovered uneventfully, and was discharged on postoperative day 3, under anticoagulation with direct oral anticoagulant at therapeutic dosage. Follow-up colored Duplex ultrasonography demonstrated good stent-graft patency. Contrast-enhanced computed tomography venography at 12 months confirmed the durable results, without thrombosis, stenosis, or migration. At 2-year follow-up, the patient remains asymptomatic, with a fully patent venous stent-graft. This case highlights the feasibility, safety, and durability of endovascular repair in managing SVI, and underscores the importance of rapid decision-making, proper anticoagulation, and rigorous postoperative surveillance in these rare but critical scenarios.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"679-684"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793683","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":"Management of a Malpositioned Ascyrus Medical Dissection Stent: Hybrid and Sequential Approach.","authors":"Guillaume Le Fevere de Ten Hove, Arnaud Colle, Laurent de Kerchove, Maxime Elens","doi":"10.1177/15385744261447462","DOIUrl":"10.1177/15385744261447462","url":null,"abstract":"<p><p>BackgroundAcute type A aortic dissection (ATAAD) is a life-threatening emergency requiring urgent surgical repair. The Ascyrus Medical Dissection Stent (AMDS) has been introduced as an adjunct to facilitate true lumen expansion and promote positive aortic remodeling. However, device-related complications such as malposition and persistent false lumen perfusion can lead to aneurysmal degeneration and reintervention.Case PresentationWe report the case of a 53-year-old male patient with an ATAAD with an entry tear at the aortic root extending to the iliac arteries. Emergency repair included ascending aortic replacement with AMDS implantation, and brachiocephalic trunk reimplantation. Early postoperative imaging showed incomplete AMDS expansion and a perfused false lumen, with rapid aneurysmal progression of the descending aorta. A hybrid reintervention combining intrathoracic debranching and thoracic endovascular aortic repair (TEVAR) was performed successfully. At 18 months follow-up, further enlargement of the aortic arch (from 69 × 64 mm to 78 × 70 mm) was observed due to retrograde false lumen perfusion. A TEVAR extension with false lumen occlusion using a occluder was undertaken, achieving complete sealing and favorable postoperative recovery.ConclusionsAMDS malposition and persistent false lumen perfusion following ATAAD repair can be managed by hybrid and endovascular reinterventions, including false lumen occlusion techniques. Lifelong imaging surveillance and multidisciplinary management in specialized aortic centers are essential to ensure early detection of complications and optimize long-term outcomes.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"694-699"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793724","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":"Open Surgical Management of Celiac Trunk and Hepatic Artery Aneurysms: A Case Series.","authors":"Asen Todorov, Margaret Dimova, Ioanna Lineva","doi":"10.1177/15385744261447882","DOIUrl":"10.1177/15385744261447882","url":null,"abstract":"<p><p>BackgroundVisceral artery aneurysms (VAAs) are uncommon vascular lesions, representing less than 2% of all arterial aneurysms, yet they carry significant clinical relevance owing to their frequently silent course and potential for catastrophic rupture. Within this group, celiac trunk aneurysms (CTAAs) and hepatic artery aneurysms (HAAs) constitute a minority of cases but pose distinct diagnostic and therapeutic challenges. Endovascular therapy has gained prominence in recent years; however, open surgical repair remains an essential treatment modality, particularly in complex anatomical settings or when endovascular options are unsuitable.MethodsWe present a case series of 3 patients managed at our institution: 2 with CTAAs and 1 with an HAA. All patients underwent open surgical repair using tailored vascular reconstruction strategies, including splenic artery interposition, aorto-hepato-splenic bypass with a great saphenous vein graft, and superficial femoral artery interposition. Patient selection and operative planning were guided by preoperative imaging, aneurysm morphology, and comorbid conditions.ResultsThere was no perioperative mortality. Major postoperative complications occurred in 2 cases, including gastric ischemia requiring total gastrectomy and postoperative hematoma requiring re-exploration. At 1-year follow-up, all patients demonstrated 100% graft patency and preserved end-organ perfusion.ConclusionsThis experience highlights the importance of individualized surgical decision-making in the management of VAAs. While the rarity of these lesions limits large-scale comparative studies, our series reinforces that open surgical repair remains a safe and durable option when tailored to patient-specific anatomy. In the era of endovascular techniques, elective open surgical repair remains associated with low mortality and high technical success when performed by an experienced surgical team, offering satisfactory early and mid-term outcomes.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"685-693"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793697","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":"Mycotic Pseudoaneurysm of the Internal Carotid Artery After a 'Common Cold': A Rare Case Report.","authors":"Predrag Matić, Enes Ljatifi, Igor Atanasijević, Slobodan Pešić","doi":"10.1177/15385744261447463","DOIUrl":"10.1177/15385744261447463","url":null,"abstract":"<p><p>IntroductionWe present a rare case of mycotic pseuodaneurysm in elderly patient following a previously untreated upper respiratory tract infection.Case ReportA 78 year old gentleman complaining of hoarseness and abrupt formation of pulsatile neck mass was admitted to vascular surgery department. Three weeks earlier he exprienced symptoms of upper respiratory tract infection (\"common cold\") for which he did not seek medical attention. A contrast computed tomography scan (CT) revealed pseduoaneurysm of left internal carotid artery (ICA) compressing the laryngeal wall. Surgical excision of the pseudoaneurysm was performed with restoration of blood flow using a saphenous vein graft interposition. Microbilogical report confirmed bacterial infection caused by <i>Pseudomonas oryzihabitans</i>.DiscussionMycotic pseudoaneurysms of the extracranial ICA are rare and challenging to manage. In our case, presumed mechanism of pseudoaneurysm formation was direct microorganism invasion of arterial wall via periarterial lymphatics and vasa vasorum. To our knowledge, this is the first reported case describing the opportunistic bacterium <i>Pseudomonas oryzihabitans</i> as a causative agent.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"675-678"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793653","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":"Peripheral Artery Disease Burden in Different Development Regions: Based on GBD 2021.","authors":"Hongjie Cui, Yingfeng Wu","doi":"10.1177/15385744261447961","DOIUrl":"10.1177/15385744261447961","url":null,"abstract":"<p><p>BackgroundPeripheral artery disease (PAD) is a major global health problem with marked regional disparities. Updated estimates are needed to better characterize these differences and inform priority-setting in prevention and management.MethodsUsing GBD 2021 data, we estimated PAD prevalence, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) in High-income North America (HINA), the Caribbean, and Sub-Saharan Africa (SSA). Outcomes were reported as counts, crude rates, and age-standardized rates (ASRs), with stratification by sex, socio-demographic index (SDI), and age. Temporal trends from 1990 to 2021 and risk factor-attributable DALYs were also assessed.ResultsFrom 1990 to 2021, PAD cases increased by 72% in HINA, 127% in the Caribbean, and 137% in SSA, while DALYs increased by 84%, 168%, and 203%, respectively. Prevalence and DALY ASRs declined slightly in HINA, increased moderately in the Caribbean, and rose more markedly in SSA. Women showed higher prevalence and YLD burden, whereas men had higher YLL and mortality. Tobacco use and high fasting plasma glucose contributed more prominently to the attributable burden in HINA and the Caribbean, whereas high systolic blood pressure and kidney dysfunction were more prominent in SSA. PAD burden increased substantially after age 60 and peaked in the oldest age groups.ConclusionPAD burden continues to rise, with SSA showing the least favorable age-standardized trends. These findings highlight substantial regional heterogeneity and may help identify priorities for earlier detection, risk-factor control, and long-term PAD management, particularly in lower-resource settings.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"653-663"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793706","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":"A Large Superior Gluteal Artery Pseudoaneurysm Masquerading as a Pelvic Mass: When Not to Biopsy.","authors":"Parnavi Singh, Isabella Garganese, Nathan Gilmore, Joshua M Baker, Jonathan Sorkin, Raul E Herrera, Brian J Schiro","doi":"10.1177/15385744261453258","DOIUrl":"10.1177/15385744261453258","url":null,"abstract":"<p><p>A superior gluteal artery pseudoaneurysm is a rare vascular lesion that can mimic soft tissue masses, creating diagnostic uncertainty and posing significant risk during biopsy or intervention. This case describes a patient with a superior gluteal artery pseudoaneurysm and associated arteriovenous fistula (AVF) initially mistaken for a piriformis mass. We discuss the clinical presentation, emphasize the imaging findings that facilitated accurate diagnosis, and outline the endovascular techniques used to achieve occlusion of the pseudoaneurysm and associated AVF.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"707-711"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990589","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":"Symptomatic Superior Vena Cava Lipoma Causing Near-Complete Venous Obstruction: A Case Report and Literature Review.","authors":"Yasin Ozden, Ege Seferoglu","doi":"10.1177/15385744261501574","DOIUrl":"https://doi.org/10.1177/15385744261501574","url":null,"abstract":"<p><p>BackgroundLipomas are common benign mesenchymal tumors; however, intravascular localization is exceedingly rare. Superior vena cava (SVC) involvement represents an exceptional entity, with only a limited number of cases reported in the literature. Intravascular lipomas are frequently detected incidentally but may present with symptoms related to venous obstruction, including superior vena cava syndrome. We report a rare case of SVC-origin intravascular lipoma extending into the right brachiocephalic vein, accompanied by a focused review of previously published upper extremity cases.Case PresentationA 77-year-old male presented with facial and cervical edema, dyspnea exacerbated in the supine position, and distended cervical veins. Contrast-enhanced computed tomography revealed a 5-cm elongated, fat-attenuation mass within the SVC extending into the right brachiocephalic vein, causing near-total (approximately 99%) luminal occlusion. Transthoracic echocardiography supported the diagnosis. The patient underwent surgical resection via median sternotomy under cardiopulmonary bypass. Following longitudinal venotomy of the SVC extending to the brachiocephalic vein, the tumor-adherent to the posterior venous wall-was completely excised with preservation of vascular integrity. Primary venous repair was performed. The diagnosis of lipoma was histopathologically confirmed. The patient initially showed marked symptomatic improvement; however, on postoperative day 5, sudden-onset dyspnea necessitated reintubation, followed by multiorgan failure and death. The precise cause of the acute deterioration could not be definitively established.Literature review identified only 21 previously reported upper extremity intravenous lipomas, with this case representing the 16th involving the SVC and the oldest reported patient.ConclusionUpper extremity intravenous lipomas are rare and may lead to significant venous obstruction. Cross-sectional imaging is essential for diagnosis and surgical planning. In symptomatic patients, complete surgical excision provides definitive treatment and symptom relief. Management of incidentally detected asymptomatic cases remains controversial and should be individualized.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"15385744261501574"},"PeriodicalIF":0.7,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231349","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}