Case Reports in Vascular Medicine最新文献

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Aortic Arch Floating Thrombus Complicated by Distal Embolization in a Patient with Malignancy. 恶性肿瘤主动脉弓漂浮血栓合并远端栓塞一例。
Case Reports in Vascular Medicine Pub Date : 2018-10-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2040925
Konstantinos Tigkiropoulos, Dimitrios Karamanos, Marianthi Tympanidou, Nikolaos Saratzis, Ioannis Lazaridis
{"title":"Aortic Arch Floating Thrombus Complicated by Distal Embolization in a Patient with Malignancy.","authors":"Konstantinos Tigkiropoulos,&nbsp;Dimitrios Karamanos,&nbsp;Marianthi Tympanidou,&nbsp;Nikolaos Saratzis,&nbsp;Ioannis Lazaridis","doi":"10.1155/2018/2040925","DOIUrl":"https://doi.org/10.1155/2018/2040925","url":null,"abstract":"<p><p>Free floating thrombus of aortic arch in a minimally atherosclerotic or nonaneurysmal aorta is a rare disease entity which carries a potential risk of distal embolization with catastrophic consequences. We present the case of a 52-years-old patient with ovarian cancer and aortic arch floating thrombus who initially managed with low molecular weight heparin and eventually undergone surgical thrombectomy of left external iliac and common femoral artery due to acute ischemia of left lower leg.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"2040925"},"PeriodicalIF":0.0,"publicationDate":"2018-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2040925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36625962","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: 2
Traumatic Penetrating Neck Injury with Right Common Carotid Artery Dissection and Stenosis Effectively Managed with Stenting: A Case Report and Review of the Literature. 外伤性穿透性颈部损伤伴右侧颈总动脉夹层狭窄的支架置入术治疗:1例报告及文献复习。
Case Reports in Vascular Medicine Pub Date : 2018-06-10 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4602743
Seidu A Richard, Chang Wei Zhang, Cong Wu, Wang Ting, Xie Xiaodong
{"title":"Traumatic Penetrating Neck Injury with Right Common Carotid Artery Dissection and Stenosis Effectively Managed with Stenting: A Case Report and Review of the Literature.","authors":"Seidu A Richard,&nbsp;Chang Wei Zhang,&nbsp;Cong Wu,&nbsp;Wang Ting,&nbsp;Xie Xiaodong","doi":"10.1155/2018/4602743","DOIUrl":"https://doi.org/10.1155/2018/4602743","url":null,"abstract":"<p><strong>Introduction: </strong>Penetrating neck injuries (PNI) are common and associated with arterial and other neuronal injuries. Although many authors have written on penetrating and blunt carotid artery injuries as a result of PNI or traumatic neck injuries, no one has reported a case or case series on PNI that resulted in blunt carotid dissection and stenosis.</p><p><strong>Case presentation: </strong>We present a case of 40-year-old building and construction male worker who slipped and fell on an iron rod that resulted in penetrating wound on the right side of the anterior neck a week prior to presenting at our facility. He pulled out the iron rod immediately. Computer tomography angiography (CTA) done revealed C2-C4 transverse process fractures on the right side and a fracture at the right lamina of C3 and right common carotid artery dissection with stenosis. He was successfully treated with stenting via endovascular approach.</p><p><strong>Conclusions: </strong>We adopt the view that patient should never pull out objects that result in PNI because of complex neurovascular architecture of the neck. The mortality rate of our patient will have doubled if the iron rode penetrated the common carotid artery. The gold standard treatment option for carotid artery dissection and stenosis is endovascular approaches.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"4602743"},"PeriodicalIF":0.0,"publicationDate":"2018-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4602743","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293999","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: 10
Endovascular Treatment of Thoracic Aortic Aneurysm Causing Life-Threatening Hemoptysis: Two Case Reports. 胸主动脉瘤致危及生命的咯血的血管内治疗2例。
Case Reports in Vascular Medicine Pub Date : 2018-05-15 eCollection Date: 2018-01-01 DOI: 10.1155/2018/7014170
Şükrü Oğuz, Süleyman Bekirçavuşoğlu, Zerrin Pulathan
{"title":"Endovascular Treatment of Thoracic Aortic Aneurysm Causing Life-Threatening Hemoptysis: Two Case Reports.","authors":"Şükrü Oğuz,&nbsp;Süleyman Bekirçavuşoğlu,&nbsp;Zerrin Pulathan","doi":"10.1155/2018/7014170","DOIUrl":"https://doi.org/10.1155/2018/7014170","url":null,"abstract":"<p><strong>Purpose: </strong>To describe two patients presenting life-threatening hemoptysis with saccular thoracic aortic aneurysm penetrating lung parenchyma and its endovascular treatment.</p><p><strong>Case report: </strong>We present two cases of 73- and 74-year-old men with massive hemoptysis secondary to saccular thoracic aortic aneurysm ruptured lung parenchyma who were successfully treated with endovascular approach with 3rd month's imaging follow-up.</p><p><strong>Conclusion: </strong>Thoracic aortic aneurysm is one of the rarest causes of hemoptysis and thoracic endovascular aortic repair (TEVAR) and can be used for an effective and problem-solving treatment approach.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"7014170"},"PeriodicalIF":0.0,"publicationDate":"2018-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7014170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36189055","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: 3
Corrigendum to "A Rare Anatomical Variation of the Termination of Right and Left Cephalic Veins". “一种罕见的左右头静脉末端解剖变异”的勘误表。
Case Reports in Vascular Medicine Pub Date : 2018-05-14 eCollection Date: 2018-01-01 DOI: 10.1155/2018/6735978
Raymond Saa-Eru Maalman, Yaw Otchere Donkor, Ali M Ayamba, Jubilant Kwame Abledu
{"title":"Corrigendum to \"A Rare Anatomical Variation of the Termination of Right and Left Cephalic Veins\".","authors":"Raymond Saa-Eru Maalman,&nbsp;Yaw Otchere Donkor,&nbsp;Ali M Ayamba,&nbsp;Jubilant Kwame Abledu","doi":"10.1155/2018/6735978","DOIUrl":"https://doi.org/10.1155/2018/6735978","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2018/5809656.].</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"6735978"},"PeriodicalIF":0.0,"publicationDate":"2018-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6735978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40438924","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
Sandwich EVAR occludes Celiac and Superior Mesenteric Artery for Infected Suprarenal Abdominal Aortic Aneurysm Treatment. 夹心EVAR闭塞腹腔和肠系膜上动脉治疗感染的肾上主动脉瘤。
Case Reports in Vascular Medicine Pub Date : 2018-05-10 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4037683
Supatcha Prasertcharoensuk, Narongchai Wongkonkitsin, Parichat Tunmit, Su-A-Pa Theeragul, Anucha Ahooja
{"title":"Sandwich EVAR occludes Celiac and Superior Mesenteric Artery for Infected Suprarenal Abdominal Aortic Aneurysm Treatment.","authors":"Supatcha Prasertcharoensuk,&nbsp;Narongchai Wongkonkitsin,&nbsp;Parichat Tunmit,&nbsp;Su-A-Pa Theeragul,&nbsp;Anucha Ahooja","doi":"10.1155/2018/4037683","DOIUrl":"https://doi.org/10.1155/2018/4037683","url":null,"abstract":"<p><p><i>Introduction</i>. Infected aortoiliac aneurysms are rare, representing only 1% to 2% of all aortic aneurysms; we present a case of infected suprarenal aortic aneurysm with a nearly occluded celiac artery and superior mesenteric artery treated using an endovascular technique to preserve collateral in the retroperitoneal space from the inferior mesenteric artery for supplying visceral organs.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"4037683"},"PeriodicalIF":0.0,"publicationDate":"2018-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4037683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36189054","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: 2
Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs. 间歇按摩作为下肢栓子切除术后筋膜室综合征的治疗选择。
Case Reports in Vascular Medicine Pub Date : 2018-05-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/2679358
José Maria Pereira de Godoy, Maria de Fátima Guerreiro Godoy
{"title":"Intermittent Massage as a Therapeutic Option for Compartment Syndrome after Embolectomy of the Lower Limbs.","authors":"José Maria Pereira de Godoy,&nbsp;Maria de Fátima Guerreiro Godoy","doi":"10.1155/2018/2679358","DOIUrl":"https://doi.org/10.1155/2018/2679358","url":null,"abstract":"<p><p>The case of a 54-year-old cardiac patient is reported, who was admitted to hospital with a complaint of sudden pain in the legs associated with edema, paresthesia, and coldness. Arterial embolism of the lower limbs was diagnosed and the patient was submitted to bilateral embolectomy. The patient evolved with a burning sensation, hypersensitivity in the right leg, swelling, and difficulty bending and stretching the sole of the foot and the knee. A physical examination detected edema and increased tension in the anterior, lateral, and posterior compartments. Treatment using intermittent massage of the leg during the evaluation of the patient was chosen in an attempt to stimulate lymphatic and venous drainage. After a few minutes of stimulation, there was significant improvement in the pain and edema. In 40 minutes, there was total reduction of the pain in the posterior and lateral compartments and improvement of over 50% in the anterior compartment. After this, the patient started to bend the knee without pain and bend the sole of the foot with slight pain. On the following day, the patient was walking around the hospital ward without difficulty. It seems that intermittent massage is a therapeutic option in selected cases of compartment syndrome.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"2679358"},"PeriodicalIF":0.0,"publicationDate":"2018-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2679358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36182749","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
"Bailout" Endovascular Treatment of Acute Aortic Occlusion. 急性主动脉闭塞的“紧急救助”血管内治疗。
Case Reports in Vascular Medicine Pub Date : 2018-04-30 eCollection Date: 2018-01-01 DOI: 10.1155/2018/6083802
Konstantinos Tigkiropoulos, Kyriakos Stavridis, Ioannis Lazaridis, Nikolaos Saratzis
{"title":"\"Bailout\" Endovascular Treatment of Acute Aortic Occlusion.","authors":"Konstantinos Tigkiropoulos,&nbsp;Kyriakos Stavridis,&nbsp;Ioannis Lazaridis,&nbsp;Nikolaos Saratzis","doi":"10.1155/2018/6083802","DOIUrl":"https://doi.org/10.1155/2018/6083802","url":null,"abstract":"<p><p>A 37-year-old man who had a recent history of acute myocardial infarction (AMI) 3 months ago presented to the emergency department with acute ischemia of lower limbs. A CT aortography was performed, where left ventricle thrombi and acute thromboembolic occlusion of aortoiliac bifurcation were depicted. He was urgently transferred to the operation theatre, where Fogarty embolectomy was initially unsuccessful. He was managed by primary deployment of balloon expandable (BE) covered stents in the aortic bifurcation followed by thrombectomy of the left ventricle (LV) under extracorporeal circulation by cardiothoracic surgeons 2 days after initial operation. He was discharged in good general condition after 20 days under warfarin and aspirin therapy.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"6083802"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6083802","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36182750","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: 1
Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak. IIIb型和Ia型合并AAA破裂的血管内修复。
Case Reports in Vascular Medicine Pub Date : 2018-04-24 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1502328
Konstantinos Ioannis Avgerinos, Nikolaos Melas, Athanasios Saratzis, Marianthi V Tympanidou, Nikolaos Saratzis, Ioannis Lazaridis
{"title":"Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak.","authors":"Konstantinos Ioannis Avgerinos,&nbsp;Nikolaos Melas,&nbsp;Athanasios Saratzis,&nbsp;Marianthi V Tympanidou,&nbsp;Nikolaos Saratzis,&nbsp;Ioannis Lazaridis","doi":"10.1155/2018/1502328","DOIUrl":"https://doi.org/10.1155/2018/1502328","url":null,"abstract":"<p><p>We report a case of a ruptured abdominal aortic aneurysm (AAA) caused by a combined type IIIb and Ia endoleak. Also, we propose the mechanism that resulted in this combined endoleak. Specifically, a 71-year old-man, with a previous history of endovascular aneurysm repair (EVAR) for an AAA, was diagnosed with a contained rupture. CT scan depicted a type Ia endoleak and a migrated Talent endograft. A proximal aortic cuff sealed the endoleak, but intraoperative angiography revealed that a type IIIb endoleak coexisted due to fabric tear close to the Talent bifurcation. A second aortic cuff could not seal the fabric tear; so, in-lay parallel limbs were sequentially deployed as a \"kissing endograft\" technique inside the cuff. Simultaneous treatment of combined type IIIb and Ia endoleaks has not yet been described. Maybe the type IIIb endoleak is the primary entity causing sac enlargement, neck recontouring, proximal migration, and ultimately type Ia endoleak, which leads to huge enlargement and rupture. Placement of an aortic cuff to seal the proximal endoleak/migration and kissing endografts limbs for the fabric tear seems a safe option in such patients.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"1502328"},"PeriodicalIF":0.0,"publicationDate":"2018-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1502328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36182748","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: 3
A Case of Atrioventricular Block Potentially Associated with Right Coronary Artery Lesion and Ticagrelor Therapy Mediated by the Increasing Adenosine Plasma Concentration. 可能与右冠状动脉病变相关的房室传导阻滞1例及替格瑞洛治疗介导的腺苷血药浓度升高。
Case Reports in Vascular Medicine Pub Date : 2018-04-19 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9385017
Xiaoye Li, Ying Xue, Hongyi Wu
{"title":"A Case of Atrioventricular Block Potentially Associated with Right Coronary Artery Lesion and Ticagrelor Therapy Mediated by the Increasing Adenosine Plasma Concentration.","authors":"Xiaoye Li,&nbsp;Ying Xue,&nbsp;Hongyi Wu","doi":"10.1155/2018/9385017","DOIUrl":"https://doi.org/10.1155/2018/9385017","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of atrioventricular block (AVB) which might be associated with the right coronary artery lesion and the novel oral antithrombotic drug ticagrelor mediated by the increasing adenosine plasma concentration (APC).</p><p><strong>Case report: </strong>A 65-year-old man was given loading dose of ticagrelor (180 mg) before coronary angiography with total thrombotic occlusion of right coronary artery and one stent was implanted. On second day after successful percutaneous coronary intervention, ECG monitoring showed second-degree (Mobitz type I) AVB with prolonged PR interval (299 ms). Hypothesis was drawn that elevated APC levels caused by ticagrelor would be the reason for AVB after excluding combination drugs or underlying disease. APC might be an indicator of this side effect caused by the P2Y12 receptor inhibitors. On fourth day after shifting to clopidogrel, the ECG showed normal sinus rhythm and PR interval depressed to 190 ms and APC dropped from 1.62 umol/L to 0.92 umol/L. The bradycardia and AVB did not occur in the three-month follow-up.</p><p><strong>Conclusion: </strong>It was important to take the ticagrelor induced bradycardia into account particularly with the myocardial infarction of right coronary artery, treated with atrioventricular block drugs after initiating ticagrelor. Also, we should shift ticagrelor to clopidogrel if AVB occurred.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"9385017"},"PeriodicalIF":0.0,"publicationDate":"2018-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9385017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36178630","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: 4
Anomalous Right Subclavian Artery-Esophageal Fistulae. 右锁骨下动脉异常-食管瘘。
Case Reports in Vascular Medicine Pub Date : 2018-03-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/7541904
Courtney Brooke Shires, Michael J Rohrer
{"title":"Anomalous Right Subclavian Artery-Esophageal Fistulae.","authors":"Courtney Brooke Shires,&nbsp;Michael J Rohrer","doi":"10.1155/2018/7541904","DOIUrl":"https://doi.org/10.1155/2018/7541904","url":null,"abstract":"<p><p>An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus. Given the technical challenge of approaches for this pathology, the patient was unfit for open surgical repair. Therefore, endovascular covered stent grafts were deployed spanning the segment of the subclavian artery in continuity with the esophagus, via a right brachial artery approach. Unfortunately, the patient died after successful placement of the grafts.</p>","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2018 ","pages":"7541904"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7541904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36036131","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: 6
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