Case Reports in Vascular Medicine最新文献_第5页

Off-Label Use of a Double-Layer Micromesh Carotid Stent for Hybrid Treatment of Popliteal Artery Aneurism Complicated by Chronic Distal Embolization. 超说明书使用双层微孔颈动脉支架混合治疗腘动脉动脉瘤合并慢性远端栓塞。

Case Reports in Vascular Medicine Pub Date : 2021-06-21 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5546194

Sorin Barat, Dumitru Casian

{"title":"Off-Label Use of a Double-Layer Micromesh Carotid Stent for Hybrid Treatment of Popliteal Artery Aneurism Complicated by Chronic Distal Embolization.","authors":"Sorin Barat, Dumitru Casian","doi":"10.1155/2021/5546194","DOIUrl":"https://doi.org/10.1155/2021/5546194","url":null,"abstract":"We report our initial experience in off-label use of the double-layer micromesh (DLM) Roadsaver® stent for the hybrid treatment of a fusiform popliteal artery aneurism complicated by distal embolization and chronic limb threatening ischemia in a COVID-19-positive young male. A 36-year-old male patient was admitted with chronic limb threatening ischemia of the left lower limb. The duplex ultrasound and computer tomography angiography (CTA) demonstrated a fusiform popliteal artery aneurism with a maximal diameter of 14 mm and distal occlusion of peroneal and both tibial arteries. Urgent hybrid intervention was performed, starting with an open thrombectomy from the distal posterior tibial artery via a retromalleolar access followed by percutaneous deployment of the DLM Roadsaver® stent (Terumo, Tokyo, Japan) for the exclusion of the popliteal artery aneurism. The flow diverting effect was observed immediately with contrast stagnation in the asymmetrical part of the aneurism sac (grade C2 of the O'Kelly-Marotta flow diversion scale). The procedure was uneventful, with the regaining of an adequate foot perfusion and palpable pulse at the posterior tibial artery. On the 2nd postoperative day, the patient was diagnosed with a symptomatic form of COVID-19 infection and transferred to a dedicated facility. At a one-month follow-up, the patient had no symptoms of limb ischemia and CTA showed complete thrombosis of the aneurism sac, absence of endoleaks, and patency of the treated arterial segment. This case demonstrates the possibility of off-label use of the DLM Roadsaver® stent for hybrid treatment of popliteal artery aneurism complicated by distal embolization and critical limb ischemia.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"5546194"},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39166127","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

Isolated Persistent Left Superior Vena Cava Revealed by an Associated Asthma. 与哮喘相关的孤立持续性左上腔静脉。

Case Reports in Vascular Medicine Pub Date : 2021-06-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5597105

I Bachouch, N Belloumi, M Attia, F Chermiti Ben Abdallah, S Hantous Zannad, S Fenniche

{"title":"Isolated Persistent Left Superior Vena Cava Revealed by an Associated Asthma.","authors":"I Bachouch, N Belloumi, M Attia, F Chermiti Ben Abdallah, S Hantous Zannad, S Fenniche","doi":"10.1155/2021/5597105","DOIUrl":"https://doi.org/10.1155/2021/5597105","url":null,"abstract":"Background: Persistent left superior vena cava (PLSVC) is a rare anomaly of the thoracic venous system. Case Report. We present a case of a patient with isolated asymptomatic PLSVC, who was diagnosed because of dyspnea revealing an associated asthma. An 18-year-old male patient complained of paroxystic sibilant dyspnea. He did not have any anomaly in physical examination. The chest X-ray revealed cardiomegaly with a widening of lower mediastinum. The electrocardiogram does not show any anomaly. Echocardiography showed the PLSVC. The thoracic contrast computed tomography of the chest showed ecstasies of the right cardiac cavities and a double superior vena cava. The patient did not have similar family cases. Respiratory functional explorations led to the diagnosis of an associated asthma. Currently, he is followed up periodically. Asthma was improved with inhaled corticosteroid treatment.Conclusion: PLSVC is rare but can have important clinical implications. Associated severe cardiac malformations must be systematically sought.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"5597105"},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39166128","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

An Elegant Solution to a Ruptured Right Aberrant Subclavian Artery after Oesophageal Stent Removal. 食管支架移除后右侧异常锁骨下动脉破裂的优雅解决方案。

Case Reports in Vascular Medicine Pub Date : 2021-04-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8891012

Daniel Thompson, Sophie Cerutti, Muhammad Peerbux, Anna Ikponmwosa, Hansraj Bookun, Yahya Lahham

引用次数: 0

Antegrade Hybrid Chimney TEVAR Endograft in a Patient with Blunt Aortic Injury: A Challenging Case with Technical Success but Unfavorable Result. 顺行混合型烟囱TEVAR内移植物在钝性主动脉损伤患者中的应用:技术成功但结果不理想的挑战案例。

Case Reports in Vascular Medicine Pub Date : 2021-04-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6380428

Fotios Eforakopoulos, Maria Giovani, Petros Zampakis, Christina Kalogeropoulou, Fotini Fligou, Nikolaos Charoulis, Efstratios Koletsis, Dimitrios Dougenis

{"title":"Antegrade Hybrid Chimney TEVAR Endograft in a Patient with Blunt Aortic Injury: A Challenging Case with Technical Success but Unfavorable Result.","authors":"Fotios Eforakopoulos, Maria Giovani, Petros Zampakis, Christina Kalogeropoulou, Fotini Fligou, Nikolaos Charoulis, Efstratios Koletsis, Dimitrios Dougenis","doi":"10.1155/2021/6380428","DOIUrl":"https://doi.org/10.1155/2021/6380428","url":null,"abstract":"Thoracic Endovascular Aortic Repair (TEVAR) has modified aortic medicine, particularly in patients with traumatic aortic injury (TAI). Conventional repair of TAI in the aortic arch is technically demanding as it requires cardiopulmonary bypass and deep hypothermic arrest with still a significant number of complications. Despite recent improvements in endovascular techniques, many patients have been excluded from endovascular repair due to unfavorable anatomy. To increase the feasibility of endovascular repair, adjunctive open extra-anatomical bypasses may be required to provide an adequate proximal landing zone. Several methods, for instance, chimney technique, hybrid technique, and fenestrated or branched stent-grafts, have been proposed as options to preserve the supra-aortic branches, each with its own advantages and disadvantages. We herein present a patient with complex anatomical features and blunt aortic injury, who underwent antegrade chimney stent-graft deployment through the ascending aorta, not otherwise amenable to standard retrograde delivery because of severe peripheral artery disease. The remarkable aspect, in this case, is that both stents were placed antegrade, through the ascending aorta.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"6380428"},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38873996","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

Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss. 医源性右颈总动脉完全性横断伴节段性血管丧失后的经验教训。

Case Reports in Vascular Medicine Pub Date : 2021-03-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8812870

Shamir O Cawich, Wendell Dwarika, Fawwaz Mohammed, Michael J Ramdass, Vindra Ragoonanan, Megan Augustus, Dave Harnanan, Vijay Naraynsingh, Richard Spence

引用次数: 1

Spontaneous Resolution of Cystic Adventitial Disease of the Popliteal Artery. 腘动脉囊性外膜病的自然消退。

Case Reports in Vascular Medicine Pub Date : 2021-03-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8863682

Georges Ibrahim, Sami Nabhani, Michel Feghaly, Georges Baaklini

引用次数: 2

Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter. 静脉造影和射频消融导管选择性消融治疗术后复发静脉曲张。

Case Reports in Vascular Medicine Pub Date : 2021-03-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6687450

Yusuke Enta, Makoto Saigan, Akiko Tanaka, Masaki Hata, Norio Tada

{"title":"Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter.","authors":"Yusuke Enta, Makoto Saigan, Akiko Tanaka, Masaki Hata, Norio Tada","doi":"10.1155/2021/6687450","DOIUrl":"https://doi.org/10.1155/2021/6687450","url":null,"abstract":"Recurrent varices after surgery (REVAS) is a common problem with no established treatment. Ultrasonography is a hard method to identify the source of veins that cause REVAS, especially in obese patients with thick thighs. Here, we report the case of a 64-year-old obese patient who previously underwent endothermal venous ablation for her right great saphenous vein. The patient presented with right leg swelling and venous ulceration due to REVAS. Although the source of REVAS was unclear because the patient had thick thighs on ultrasonography assessment, venography revealed that the source of REVAS was the incompetent perforator vein (IPV). Selective ablation for the IPV with radiofrequency ablation catheter was performed. We could ablate the target veins selectively so as not to ablate within the deep vein. The patient remains asymptomatic for 2 years after the procedure, and there has been no recurrence of her varicose veins. Venography allows better visualization of the source of REVAS than ultrasonography. With selective ablation, it is especially effective procedure in obese patients, in whom it is difficult to identify and access the source of REVAS with ultrasonography.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"6687450"},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25525983","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

Clostridium Difficile and COVID-19: Novel Risk Factors for Acute Portal Vein Thrombosis. 艰难梭菌和COVID-19:急性门静脉血栓形成的新危险因素。

Case Reports in Vascular Medicine Pub Date : 2021-02-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8832638

Venkata Ram Pradeep Rokkam, Gurusaravanan Kutti Sridharan, Rathnamitreyee Vegunta, Radhakrishna Vegunta, Umesha Boregowda, Babu P Mohan

{"title":"Clostridium Difficile and COVID-19: Novel Risk Factors for Acute Portal Vein Thrombosis.","authors":"Venkata Ram Pradeep Rokkam, Gurusaravanan Kutti Sridharan, Rathnamitreyee Vegunta, Radhakrishna Vegunta, Umesha Boregowda, Babu P Mohan","doi":"10.1155/2021/8832638","DOIUrl":"https://doi.org/10.1155/2021/8832638","url":null,"abstract":"The COVID-19 pandemic has created an unprecedented global health care crisis. COVID-19 patients are found to have increased thrombotic risk. Despite being on prophylactic anticoagulation, many develop serious arterial and venous thromboembolic events. Emerging reports indicate COVID-19 may be considered a novel risk factor for portal vein thrombosis. Although, intra-abdominal infections are identified as risk factors, clostridium difficile colitis has not been typically seen as a risk factor for PVT. We report a case of an elderly female with a recent diagnosis of COVID-19 and no prior history of cirrhosis or malignancy who presented with diarrhea due to clostridium difficile infection. She developed sudden onset severe abdominal pain during the course of hospitalization. Acute portal vein thrombosis was identified on CT imaging of the abdomen, and she improved well with therapeutic anticoagulation. Acute portal vein thrombosis usually results from a combination of local and systemic prothrombotic risk factors. The combination of local infection by clostridium difficile and COVID-19 coagulopathy led to development of portal vein thrombosis in our patient. To the best of our knowledge, this is the first case of portal vein thrombosis reported in a patient with clostridium difficile infection in the setting of COVID-19 coagulopathy. During the current pandemic, clinicians should strongly consider abdominal imaging in patients presenting with abdominal pain due to clostridium difficile infection in the setting of COVID-19 to rule out complications such as portal vein thrombosis. Early diagnosis and treatment of portal vein thrombosis prevent complications of portal hypertension and intestinal infarctions.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"8832638"},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25495684","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

Aortoenteric Fistula after Endovascular Aneurysm Repair. 血管内动脉瘤修复后主动脉肠瘘。

Case Reports in Vascular Medicine Pub Date : 2021-02-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8828838

Thilina Gunawardena, Balasubramanium Saseekaran, Sachith Abeywickrama, Rezni Cassim, Mandika Wijeyaratne

引用次数: 1

Congenital Coronary Artery Anomalies: Three Cases and Brief Review of the Literature. 先天性冠状动脉异常3例及文献复习。

Case Reports in Vascular Medicine Pub Date : 2021-01-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6612289

Nikolaos S Ioakeimidis, Dimitrios Valasiadis, Andreas Markou, Theodora Zaglavara

引用次数: 0