Case Reports in Vascular Medicine最新文献_第2页

Peripheral Arteriovenous Malformation Embolization Using Squid. 鱿鱼栓塞治疗外周动静脉畸形。

Case Reports in Vascular Medicine Pub Date : 2023-09-30 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8858656

Saima Ahmad, Moeez Uddin

{"title":"Peripheral Arteriovenous Malformation Embolization Using Squid.","authors":"Saima Ahmad, Moeez Uddin","doi":"10.1155/2023/8858656","DOIUrl":"10.1155/2023/8858656","url":null,"abstract":"Materials and methods: Between January 2018 and December 2020, twenty patients (7 men and 13 women) with peripheral high-flow arteriovenous malformations who were treated primarily with arterial embolization using squid were retrospectively included. Anatomical sites being treated included the head and neck (16), extremities (2), uterus (1), and pelvis (1). Squid was used as the sole embolic agent in 15 patients, and transarterial embolization was employed in all cases except one where direct puncture embolization was used. Treatments were delivered over one or two sessions, with or without surgery. A total of 27 sessions were carried out with an interval time ranging from 6 to 36 months between sessions.Results: Technical success was achieved in all cases. In those patients treated with squid alone, 13 exhibited total devascularization following embolization, and a further 4 required surgical excision to achieve complete obliteration of the arteriovenous malformation. There were no major complications, cases of microcatheter entrapment, or dimethyl sulfoxide-related pain recorded. On follow-up, one patient reported persistent pain, and another patient developed a garlicky taste. All other patients reported complete resolution of symptoms following treatment.Conclusion: This study demonstrates the successful use of squid in managing peripheral arteriovenous malformations with low complication rates and long-term stable results, therefore validating its efficacy when used alone or in combination with other embolic agents. Squid may be the preferred embolic agent in any interventional radiologist's armamentarium as it offers formulations with varying viscosities (squid-18 and squid-12). We conclude that squid should be considered as a first-line embolic agent in the management of peripheral arteriovenous malformations.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2023 ","pages":"8858656"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41100920","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

Relapsing TIPIC Syndrome after Administration of an mRNA-Based COVID-19 Vaccine. 施用基于mRNA的新冠肺炎疫苗后的复发性TIPIC综合征。

Case Reports in Vascular Medicine Pub Date : 2023-09-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6679200

Georgiana C Sandu, Gregor Weisser, Stefan Krämer, Matthias Reinhard

引用次数: 0

Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device. 采用真空辅助取栓和旋转取栓装置联合入路去除壁挂式下腔静脉血栓。

Case Reports in Vascular Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/5178998

Julius Kaemmel, Roland Heck, Pia Lanmüller, Volkmar Falk, Christoph Starck

引用次数: 0

Penile Livedoid Vasculopathy: First Reported Case. 阴茎活体样血管病变:首例报道。

Case Reports in Vascular Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/6920383

Ahmad Hallak, William Bennett, Mohammed Adib Tanbir, Supriya R Donthamsetty, Bethaney Vincent

{"title":"Penile Livedoid Vasculopathy: First Reported Case.","authors":"Ahmad Hallak, William Bennett, Mohammed Adib Tanbir, Supriya R Donthamsetty, Bethaney Vincent","doi":"10.1155/2023/6920383","DOIUrl":"https://doi.org/10.1155/2023/6920383","url":null,"abstract":"Livedoid vasculopathy is a thromboocclusive cutaneous vasculopathy manifested by livedoid changes, atrophie blanche, and ulceration. The pathogenesis is speculated to involve increasing coagulation or impaired thrombolysis leading to the occlusion of dermal blood vessels with fibrin thrombi. Livedoid vasculopathy is known to primarily affect the lower extremities. We report the first case of livedoid vasculopathy affecting the penis. A 60-year-old male was evaluated for a split urine stream with associated irritation and peeling of the skin of the glans penis. His penile ulcer continued to enlarge despite steroids and antibiotics. Due to diagnostic uncertainty, a biopsy was performed which revealed hyaline thrombi within the lumens of small vessels within the upper to mid dermis, fibrinoid material in the walls of these blood vessels and within the perivascular stroma with overlying and adjacent epidermal spongiosis, and mild perivascular lymphocytic infiltrate with a few scattered neutrophils most consistent with livedoid vasculitis. He was started on aspirin and pentoxifylline with limited improvement and was later started on apixaban with near-complete resolution in 6 months. Penile livedoid vasculopathy has not been previously reported in the English literature. Early diagnosis and treatment are imperative to limit morbidity.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2023 ","pages":"6920383"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10192802","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

May-Thurner Syndrome Presenting with Pelvic Hemorrhage in the Setting of Blunt Trauma. May-Thurner综合征在钝性创伤中表现为盆腔出血。

Case Reports in Vascular Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9003408

Dan F Laney, Alexandra H Fairchild

引用次数: 0

An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess. 一例感染的非冠状动脉裸金属支架出现右腹股沟脓肿。

Case Reports in Vascular Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/6777086

Madiha Khan, Youssef Mourad, Alan Zeitlin, Martine Alice Louis, Syed Ali Rizvi, Kelly L Cervellione

{"title":"An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess.","authors":"Madiha Khan, Youssef Mourad, Alan Zeitlin, Martine Alice Louis, Syed Ali Rizvi, Kelly L Cervellione","doi":"10.1155/2023/6777086","DOIUrl":"https://doi.org/10.1155/2023/6777086","url":null,"abstract":"Bare metal stent infections complicating peripheral endovascular stenting are rare but can be associated with devastating morbidities. The current standard of care necessitates explantation and extra-anatomical bypass of the affected limb. We report the case of a patient presenting with a right groin abscess with draining sinuses secondary to an infected common femoral and right external iliac artery bare metal stent. In addition, a portion of the stent was explanted into the subcutaneous tissues instead of where it was placed intravascularly one year prior. The patient was not an ideal candidate for explantation and bypass due to significant medical comorbidities and underwent local debridement and long-term antibiotic management instead. His postoperative course was uncomplicated, and he had a successful outcome with management utilizing antibiotics and debridement. We aim to highlight the importance of recognizing bare metal stent infections along with their deceptive cutaneous manifestations in order to prevent the development of significant morbidity and mortality.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2023 ","pages":"6777086"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10089672","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

May-Thurner Syndrome-a Rare Cause of Extensive Pelvic DVT, but Is there More to Know? 梅-瑟纳综合征——广泛盆腔深静脉血栓的罕见病因，但还有更多需要了解的吗?

Case Reports in Vascular Medicine Pub Date : 2022-10-25 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7978470

Vikash Kumar, Michelle Koifman, Bhavyakumar Vachhani, Dhir Gala, Sumeet Bahl

引用次数: 0

A Rare Cardiac Cavernous Hemangioma Treated with Radiotherapy. 用放射疗法治疗一例罕见的心脏海绵状血管瘤。

Case Reports in Vascular Medicine Pub Date : 2022-09-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5698475

Pule Wang, Daniel Chapman, Farzan Siddiqui

{"title":"A Rare Cardiac Cavernous Hemangioma Treated with Radiotherapy.","authors":"Pule Wang, Daniel Chapman, Farzan Siddiqui","doi":"10.1155/2022/5698475","DOIUrl":"https://doi.org/10.1155/2022/5698475","url":null,"abstract":"Background: Although cardiac hemangiomas, as rare benign cardiac tumors, have been described in previous case reports, the role of radiation therapy in an unresectable cardiac hemangioma in adult has not been reported. We present a case report of a rare unresectable cardiac cavernous hemangioma treated with radiotherapy. Case Presentation. A 45-year-old female with new onset of coughing and worsening shortness of breath was found to have a biopsy proven cardiac cavernous hemangioma. Surgery was aborted due to excessive bleeding, and she was then treated with radiotherapy. A total dose of 30 Gy in 15 fractions was given using intensity-modulated radiation therapy (IMRT) to the mass with a modified 1 cm margin. Complete clinical symptomatic relief was achieved with reduction of the mass posttreatment. Ten-year follow-up revealed a stable, reduced hemangioma with no recurrence of symptoms.Conclusions: This is a rare example of cardiac hemangioma that developed in the right ventricle and compressed several major vessels. Radiotherapy may be safely used for treatment of unresectable cardiac hemangioma.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"5698475"},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40359284","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

Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients. 血管喷射系统在治疗亚块状肺栓塞中的应用:附2例报告。

Case Reports in Vascular Medicine Pub Date : 2022-08-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6867338

Jinbo Liu, Tianrun Li, Wei Huang, Na Zhao, Hongwei Zhao, Hongyu Wang

{"title":"Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients.","authors":"Jinbo Liu, Tianrun Li, Wei Huang, Na Zhao, Hongwei Zhao, Hongyu Wang","doi":"10.1155/2022/6867338","DOIUrl":"https://doi.org/10.1155/2022/6867338","url":null,"abstract":"Background: Massive or submassive pulmonary embolism (PE) carries a high mortality. Percutaneous mechanical thrombectomy using the Angiojet system is accepted for the treatment of PE. Here, we reported two submassive PE cases who were treated with the Angiojet system successfully, to provide some advice for the therapy of submassive PE.Method: Two patients with suffocation were admitted to our hospital. One patient was accompanied by lower blood pressure (20% lower than basal blood pressure) and higher pulmonary artery pressure (89 mmHg); the other patient had larger right ventricular transverse diameter (46 mm), decreased left ventricular end diastolic anteroposterior diameter (34 mm), and higher heartbeats (107 heartbeats per minute). Pulmonary artery computed tomography angiography showed bilateral pulmonary embolism.Result: The Angiojet system with a high-pressure jet spray pattern (urokinase 25 wiu + sodium chloride injection 50 ml) was used. Intravascular thrombolysis by urokinase (100 wiu/day for 1 day) was done after being back in the ward. And low molecular weight heparin was used in hospitalization, and rivaroxaban was used after discharge. Both patients were treated successfully. However, the level of platelet was significantly lower in one patient after Angiojet system usage and recovered to the preoperative level the next day. Another patient suffered from bradyarrhythmias during the usage of Angiojet, and bradyarrhythmias disappeared when the Angiojet system stopped. Pulmonary embolism was cured after 3 months in both patients.Conclusion: Angiojet could be a simple, safe, and well-tolerated treatment for massive or submassive PE. And hematocrit, platelet, kidney function, and heart rhythm should be monitored during perioperation.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":" ","pages":"6867338"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40340689","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

Lingual Raynaud's Phenomenon after Surgical and Radiotherapeutic Intervention for Oral Squamous Cell Carcinoma. 口腔鳞状细胞癌手术及放疗后的舌雷诺现象。

Case Reports in Vascular Medicine Pub Date : 2022-08-19 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1567581

Nicholas J Murphy, Loay S Kabbani, Alexander D Shepard, Farzan Siddiqui

引用次数: 1