Vascular and endovascular surgery最新文献_第9页

Endovascular Treatment of Complex Aorto-Iliac Atherosclerotic Occlusive Disease With Chimney Covered Endovascular Reconstruction of Aortic Bifurcation. 主动脉分叉处烟囱覆盖血管内重建术治疗复杂的主动脉-髂动脉粥样硬化闭塞症

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-10-14 DOI: 10.1177/15385744241291083

May Dvir, Fahad Shuja, Indrani Sen, Carmelina Gurrieri, Thomas Carmody, Tiziano Tallarita

{"title":"Endovascular Treatment of Complex Aorto-Iliac Atherosclerotic Occlusive Disease With Chimney Covered Endovascular Reconstruction of Aortic Bifurcation.","authors":"May Dvir, Fahad Shuja, Indrani Sen, Carmelina Gurrieri, Thomas Carmody, Tiziano Tallarita","doi":"10.1177/15385744241291083","DOIUrl":"10.1177/15385744241291083","url":null,"abstract":"Treatment of atherosclerotic occlusive disease of the infrarenal aorta poses several challenges. Traditionally, open surgery has been the preferred method of treatment in standard risk patients, although, it is burdened by high morbidity and mortality. There are many classifications to establish the patient risk for surgery. Among the most common is the American College of Cardiology (ACC)/American Heart Association (AHA) classification. ACC/AHA high-risk patients benefit from the increase in endovascular technology and skills. The treatment modality of atherosclerotic aortic disease has shifted towards a minimally invasive approach, including kissing stents, covered endovascular reconstruction of the aortic bifurcation (CERAB) and, aorto-uniiliac stent grafts. When there is an involvement of vital branches such as the inferior mesenteric (with concomitant occluded superior mesenteric artery) or the renal arteries, Chimney- CERAB technique has been successfully utilized to overcome this challenge. We present three patients with aortoiliac occlusive disease (AIOD) successfully treated with the chimney- CERAB technique to preserve a large inferior mesenteric artery in the setting of occlusion/near occlusion of the other mesenteric vessels.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"331-337"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484812","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}

引用次数: 0

Study Protocol for a Focus Group Discussion About the Patients' Perspective on Carotid Endarterectomy. 关于患者对颈动脉内膜剥脱术看法的焦点小组讨论研究方案。

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-09-21 DOI: 10.1177/15385744241286585

M S Marsman, G G Koning, B P W Jansen, M M P J Reijnen, M Habibovic, P W H E Vriens

{"title":"Study Protocol for a Focus Group Discussion About the Patients' Perspective on Carotid Endarterectomy.","authors":"M S Marsman, G G Koning, B P W Jansen, M M P J Reijnen, M Habibovic, P W H E Vriens","doi":"10.1177/15385744241286585","DOIUrl":"10.1177/15385744241286585","url":null,"abstract":"Introduction: The outcomes of carotid surgery are commonly evaluated using parameters such as mortality and stroke. The importance of these parameters is based on doctors' and scientific perspectives. Presently, patient centered health care aims to value the evaluation from patients' perspective, mostly using Patient-Reported Outcomes (PROs). The true significance of outcomes of carotid surgery that matter most to the patients is largely unknown. The aim of this study is to identify and verify the patients' perspective on carotid surgery for patients with a symptomatic and significant carotid stenosis.Methods and outcomes: An exploratory semi-structured focus group discussion will be used, as a quality research method. Three groups consisting of 8 patients (n = 24), who underwent the carotid endarterectomy because of a significant and symptomatic stenosis of the internal carotid artery, will be enrolled. If data saturation is not reached, the sample size will be expanded. An expert medical psychologist will lead the focus group discussions. The interviews will be recorded, transcribed 'verbatim' and analyzed after each session. Items valuable to patients regarding their surgery and recovery will be discussed. This protocol will be published prior to the start of the Focus Group Discussion.Discussion: Patients' perspective on outcomes regarding their carotid surgery will be explored and tried to be identified. The results of the focus group discussions may fuel the ongoing global discussion on improving evidence based and patient reported outcome measures and will help the clinical physician to 'understand' their patients better. Focus group discussions may aid in the purpose of verification of PROs and PROMs.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305368","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}

引用次数: 0

GPT-4o's Accuracy in Diagnosing Aortic Aneurysms and EVAR Complications. GPT-4o 在诊断主动脉瘤和 EVAR 并发症方面的准确性。

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-09-30 DOI: 10.1177/15385744241290004

Muhammed Said Beşler

引用次数: 0

Use of Branched EVAR in Treatment of Juxtarenal Aortic Aneurysm and Essential Accessory Renal Artery: Another Tool on the Shelf? A Case Report. 使用分支EVAR治疗并arenal主动脉瘤和重要肾动脉：货架上的另一种工具？病例报告。

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-10-04 DOI: 10.1177/15385744241290011

Donatas Opulskis, Imam T P Ritonga, Philipp Franke, Martin J Austermann, Marco Virgilio Usai

{"title":"Use of Branched EVAR in Treatment of Juxtarenal Aortic Aneurysm and Essential Accessory Renal Artery: Another Tool on the Shelf? A Case Report.","authors":"Donatas Opulskis, Imam T P Ritonga, Philipp Franke, Martin J Austermann, Marco Virgilio Usai","doi":"10.1177/15385744241290011","DOIUrl":"10.1177/15385744241290011","url":null,"abstract":"Objective: We present the case of a 58-year-old male patient referred to our department from a smaller facility for further evaluation and treatment strategy regarding the choice between open or endovascular surgery. The patient was diagnosed with a 6 cm asymptomatic juxtarenal aortic aneurysm and a 5 mm diameter accessory renal artery (ARA) supplying the lower half of left kidney. Further diagnostic assessments indicated that the left ARA was perfusing over 40% of the left kidney.Methods: Given the patient's significant pre-existing medical conditions and elevated perioperative risk, the decision was made to proceed with minimally invasive endovascular surgery using a custom-made 5-branches stent graft (BEVAR).Results: In the early postoperative period, the patient reported left flank pain. A subsequent CT scan identified a partial infarction in the left kidney due to the occlusion of an early small branch from the upper left renal artery. However, laboratory results showed no significant change in renal function compared to preoperative values. The patient was discharged 6 days post-surgery, with no additional complications observed during the early postoperative period.Conclusion: This case report demonstrates that BEVAR is acceptable technique with satisfactory early postoperative outcomes for treating juxtarenal aortic aneurysms with an accessory renal artery in patients who are high-risk candidates for open repair and anatomically unsuitable for FEVAR or Ch-EVAR procedures.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373977","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}

引用次数: 0

Successful Pedal Bypass in a Patient With Pseudoxanthoma Elasticum. 成功为一名假黄瘤患者实施迂回手术

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-10-13 DOI: 10.1177/15385744241290007

Suvi Väärämäki, Olli Hautero, Vesa Rajala, Pasi Nevalainen

{"title":"Successful Pedal Bypass in a Patient With Pseudoxanthoma Elasticum.","authors":"Suvi Väärämäki, Olli Hautero, Vesa Rajala, Pasi Nevalainen","doi":"10.1177/15385744241290007","DOIUrl":"10.1177/15385744241290007","url":null,"abstract":"Objectives: Pseudoxanthoma elasticum (PXE) is a rare metabolic disease, causing calcification in the arterial media layer and further peripheral artery disease (PAD). A high rate of failure has been reported after endovascular and open surgical management of PAD among patients with PXE. Critical limb ischemia (CLI) rarely develops in PXE, and there are only few reports of its treatment.Methods: We present a case report of a 57 year-old female diagnosed with pseudoxanthoma elasticum (PXE). She presented with critical limb ischemia (CLI) and was successfully treated with pedal bypass using the great saphenous vein.Results: Despite obtaining suboptimal outcomes through the initial approach of percutaneous transluminal angioplasty to treat critical limb ischemia, the subsequent bypass operation proved to be a success. At the first follow-up appointment at 1 month, the patient was asymptomatic and the ulceration had almost healed. The patient underwent an ultrasound examination at 3, 6, 12, and 24 months after discharge, and the surveillance was uncomplicated.Conclusions: With a clear indication for surgery, limb-threatening ischemia can be successfully treated with distal bypass, if necessary, in patients with PXE similarly to atherosclerotic PADs. Appropriate diagnostic and surveillance imaging and the utilization of a multidisciplinary team are key components for effective management of PAD in patients with PXE.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"315-319"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484818","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}

引用次数: 0

Primary Aortic Malignant Peripheral Nerve Sheath Tumor. 原发性主动脉恶性周围神经鞘瘤

Vascular and endovascular surgery Pub Date : 2025-04-01 Epub Date: 2024-09-30 DOI: 10.1177/15385744241290014

Hisaya Mori, Hisato Takagi

引用次数: 0

Surgical Treatment of Superior Vena Cava Syndrome in a Preterm Neonate. 早产新生儿上腔静脉综合征的手术治疗。

Vascular and endovascular surgery Pub Date : 2025-02-01 Epub Date: 2024-09-16 DOI: 10.1177/15385744241284881

Safak Alpat, Melih Alma

引用次数: 0

Successful Open Repair of a Thoracoabdominal Aortic Aneurysm After Multiple Failed Endovascular Treatments in a 22-Years-Old Individual With Loeys-Dietz Syndrome. 一名 22 岁的 Loeys-Dietz 综合征患者在多次血管内治疗失败后，成功开腹修补了胸腹主动脉瘤。

Vascular and endovascular surgery Pub Date : 2025-02-01 Epub Date: 2024-09-25 DOI: 10.1177/15385744241285112

Annarita Santoro, Mohamed Rizk, Laura Inga Tavara, Moh'd Shafiq Ramadan, Germano Melissano

引用次数: 0

Endovascular Recanalization in Patients With Vertebral Artery Stump Syndrome: A Single-Center Experience. 椎动脉残端综合征患者的血管内再通术：单中心经验

Vascular and endovascular surgery Pub Date : 2025-02-01 Epub Date: 2024-09-19 DOI: 10.1177/15385744241286603

Renjie Ji, Hanfeng Chen, Ziqi Xu, Benyan Luo

{"title":"Endovascular Recanalization in Patients With Vertebral Artery Stump Syndrome: A Single-Center Experience.","authors":"Renjie Ji, Hanfeng Chen, Ziqi Xu, Benyan Luo","doi":"10.1177/15385744241286603","DOIUrl":"10.1177/15385744241286603","url":null,"abstract":"Background: To evaluate the feasibility, success rate, and safety of endovascular revascularization of patients with vertebral artery stump syndrome (VASS).Methods: This single-center retrospective study analyzed clinical and imaging data from consecutive patients with VASS who underwent endovascular recanalization from January 2020 until June 2023.Results: Our study enrolled 30 patients [mean age 69 (range 51-84) years; 26 men]. The rate of successful technical revascularization was 96.7% (n = 29), and the rate of complications was 3.3% (n = 1). At the 6-month follow-up, the patients with successful endovascular revascularization of VASS did not have any neurological symptoms, and computed tomography angiography showed 3/29 (10.3%) re-occlusions and 4/29 (13.8%) restenosis of the stent, which was confirmed by digital subtraction angiography.Conclusions: Endovascular recanalization in patients with VASS is feasible in selected patients and has a high procedural success rate and low rate of complications. A large, multicenter, randomized study is warranted to confirm these findings.","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":" ","pages":"126-132"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305366","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}

引用次数: 0

Endovascular Embolization of Aneurysmal Renal Arteriovenous Malformation. 动脉瘤性肾动静脉畸形的血管内栓塞术

IF 0.7

Vascular and endovascular surgery Pub Date : 2025-02-01 Epub Date: 2024-09-20 DOI: 10.1177/15385744241286675

Jacob S Ghahremani, Michael A Chapek, S Shamtej Singh Rana, John Lee, Brent A Safran, David L Lau, Michael B Brewer

引用次数: 0