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

Balloon-Assisted Percutaneous Thrombin Injection for Treatment of Iatrogenic Left Subclavian Artery Pseudoaneurysm in a Critically Ill COVID-19 Patient. 球囊辅助经皮注射凝血酶治疗1例危重患者医源性左锁骨下动脉假性动脉瘤

Case Reports in Vascular Medicine Pub Date : 2021-10-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4245484

Hassan Al-Thani, Ahmed Hussein, Ahmed Sadek, Ali Barah, Ayman El-Menyar

{"title":"Balloon-Assisted Percutaneous Thrombin Injection for Treatment of Iatrogenic Left Subclavian Artery Pseudoaneurysm in a Critically Ill COVID-19 Patient.","authors":"Hassan Al-Thani, Ahmed Hussein, Ahmed Sadek, Ali Barah, Ayman El-Menyar","doi":"10.1155/2021/4245484","DOIUrl":"https://doi.org/10.1155/2021/4245484","url":null,"abstract":"Background Central venous catheter represents an important tool in the management of critically ill patient. In this report, we described a COVID-19-positive case who had COVID-related complications and iatrogenic left subclavian artery pseudoaneurysm after central venous catheter insertion. Case Presentation. A 58-year-old male patient presented with a high-grade fever, myalgia, and shortness of breath due to COVID-19 infection. He required mechanical ventilation support and hemodialysis. He also developed uneventful deep vein thrombosis and myocardial infarction. As a complication of central line insertion, the patient developed pseudoaneurysm that originated from the subclavian artery with significant bleeding and large hematoma. Balloon-assisted percutaneous thrombin injection was done under ultrasound guidance. The patient was extubated 2 days later with no evidence of flow in the pseudoaneurysm. However, he lost movement in the left arm secondary to the compression of the brachial plexus from the pseudoaneurysm/hematoma, and therefore, 1.5 litres of the hematoma was evacuated in the operating room through a lateral left chest wall incision along the anterior axillary line to relieve the compression over the brachial plexus. The patient declined surgical reconstruction of the brachial plexus, and the flaccid paralysis of the arm did not recover during the follow-up. Conclusion This is a case of unusual complications of COVID infection and iatrogenic left subclavian artery pseudoaneurysm postcentral vein cannulation. Balloon-assisted percutaneous thrombin injection for treatment of left subclavian artery pseudoaneurysm is feasible; however, delayed diagnosis could be associated with long-term or permanent disability.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"4245484"},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39529132","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

Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases. 模拟腹股沟疝的腹壁浅静脉血栓性动脉瘤2例报告。

Case Reports in Vascular Medicine Pub Date : 2021-10-04 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2418863

Eleni Skandalou, Panagiotis Papadopoulos, Marianthi Kavelidou, Stavros Kalfadis, Theodoros Tzigkalidis, Ioannis Skandalos

{"title":"Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases.","authors":"Eleni Skandalou, Panagiotis Papadopoulos, Marianthi Kavelidou, Stavros Kalfadis, Theodoros Tzigkalidis, Ioannis Skandalos","doi":"10.1155/2021/2418863","DOIUrl":"https://doi.org/10.1155/2021/2418863","url":null,"abstract":"Aim: Presentation of two cases of superficial epigastric vein aneurysm simulating inguinal hernia. To our knowledge, only one other case is reported in the literature. Case presentation. The first case was a 34-year-old female with left inguinal pain and swelling which was clinically diagnosed as inguinal hernia. The second case was a 28-year-old female with inguinal pain and swelling, depicted with triplex ultrasonography and computed tomography, and was suspected to have inguinal hernia or enlarged inguinal lymph node. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. The superficial epigastric vein was ligated, and the venous aneurysms (6 × 4 × 3 and 2 × 3 × 2.5 cm, respectively) were excised. Histological examination of the thrombosed aneurysm showed complete replacement of the vascular wall by fibrous tissue, thrombosis, and an inflammatory reaction. There were no postoperative complications, and both patients were discharged on the second postoperative day. The 3-month and 1-year follow-up examination, respectively, was uneventful.Conclusion: Although venous aneurysms in the inguinal area are rare, they should be included in the differential diagnosis of a groin swelling.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"2418863"},"PeriodicalIF":0.0,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8505084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39516156","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

Hybrid Percutaneous Brachiofemoral Shunt and Open Abdominal Aortic Aneurysm Repair in a Kidney Transplant Recipient. 混合经皮肱股动脉分流术及开放式腹主动脉瘤修复一例肾移植受者。

Case Reports in Vascular Medicine Pub Date : 2021-07-31 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6655660

Javad Salimi, Sayed Alimohammad Sadat, Mohammad Javad Yavari Barhaghtalab, Hormat Rahimzadeh

{"title":"Hybrid Percutaneous Brachiofemoral Shunt and Open Abdominal Aortic Aneurysm Repair in a Kidney Transplant Recipient.","authors":"Javad Salimi, Sayed Alimohammad Sadat, Mohammad Javad Yavari Barhaghtalab, Hormat Rahimzadeh","doi":"10.1155/2021/6655660","DOIUrl":"https://doi.org/10.1155/2021/6655660","url":null,"abstract":"Abdominal aortic aneurysm (AAA) repair in kidney transplant recipients may cause ischemia in the transplanted kidney. As a result, various techniques have been described for protection of the renal allograft during AAA repair including temporary shunt, extracorporeal bypass, cold renal perfusion, endovascular aortic aneurysm repair (EVAR), and operation without renal allograft protection. We successfully treated a 56-year-old man, a case of kidney transplantation with AAA, using a temporary hybrid percutaneous brachiofemoral shunt using vascular prosthesis with a long 7-French (Fr) catheter sheath introducer (CSI) in the aortic arch via the right brachial artery and 8 Fr CSI in the right femoral artery that were connected together with a 7 Fr guiding catheter, before aortic cross-clamping and repair of AAA using a Dacron tube graft. The patient recovered well from the surgery without any complication and was discharged on the 6th postoperative day. To our knowledge, this is the first report of using a temporary hybrid percutaneous brachiofemoral shunt for renal allograft protection in AAA repair surgery in a patient with kidney transplantation, and we think that this temporary shunt is an easy, safe, and rapid method for renal allograft protection from ischemia.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"6655660"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302937","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

Acute Pulmonary Embolism Associated with Low-Dose Olanzapine in a Patient without Risk Factors for Venous Thromboembolism. 无静脉血栓栓塞危险因素患者与低剂量奥氮平相关的急性肺栓塞

Case Reports in Vascular Medicine Pub Date : 2021-07-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5138509

Vu Hoang Vu, Nguyen Duong Khang, Mai Thanh Thao, Le Minh Khoi

{"title":"Acute Pulmonary Embolism Associated with Low-Dose Olanzapine in a Patient without Risk Factors for Venous Thromboembolism.","authors":"Vu Hoang Vu, Nguyen Duong Khang, Mai Thanh Thao, Le Minh Khoi","doi":"10.1155/2021/5138509","DOIUrl":"https://doi.org/10.1155/2021/5138509","url":null,"abstract":"Background: Olanzapine is a second-generation antipsychotic drug commonly prescribed for certain mental/mood conditions such as schizophrenia and bipolar disorders. This agent has been considered a precipitating factor for venous thromboembolism formation. Most of the cases previously reported were associated with high-dose olanzapine therapy or in patients with high-risk factors for the development of thromboembolism. Case Presentation. We report a patient who developed pulmonary embolism after a long course of low-dose olanzapine. A 66-year-old female patient suffering from insomnia had been prescribed olanzapine 2.5 mg and paroxetine 10 mg for two years. The patient suddenly developed a syncopal episode at home and was immediately brought to the hospital. The diagnosis of pulmonary embolism was made by chance during the computerized tomography of coronary arteries. The patient made a full recovery under conventional treatment and was discharged in stable condition. The thoracic computed tomography taken two months after discharge showed a completely normal pulmonary arterial tree.Conclusion: Olanzapine-associated pulmonary embolism is a rare entity and might be missed if the physician in charge is not vigilant and well informed. Even low-dose olanzapine can be associated with pulmonary embolism in patients with low classic risk factors if the treatment is prolonged. Pulmonary embolism should be sought in patients taking olanzapine even though the presenting manifestations are nonspecific.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2021 ","pages":"5138509"},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8331313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39280522","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

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