Case Reports in Vascular Medicine最新文献_第7页

Hybrid Solution for Mycotic Pseudoaneurysm of Carotid Bifurcation. 颈动脉分枝真菌性假性动脉瘤混合液的研究。

Case Reports in Vascular Medicine Pub Date : 2020-10-19 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8815524

Giuseppe Deiana, Antonio Baule, Genadi Genadiev Georgiev, Mario Moro, Francesco Spanu, Flavia Urru, Stefano Camparini

引用次数: 0

Carotid Thrombosis in a Crack Cocaine Smoker Woman. 吸食可卡因女性颈动脉血栓形成。

Case Reports in Vascular Medicine Pub Date : 2020-10-06 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4894825

Mattia Cosenza, Luigi Panza, Anna Paola Califano, Carolina Defendini, Maria D'Andria, Roberto Romiti, Antonio Fabio Massimo Vainieri, Sergio Morelli

引用次数: 2

Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage. 双侧腘动脉夹持综合征:一种诊断和抢救方法。

Case Reports in Vascular Medicine Pub Date : 2020-09-18 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2403280

Aman Berry Williams

{"title":"Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage.","authors":"Aman Berry Williams","doi":"10.1155/2020/2403280","DOIUrl":"https://doi.org/10.1155/2020/2403280","url":null,"abstract":"Popliteal artery entrapment syndrome (PAES) is a rare cause of limb-threatening vascular disease. Usually, it arises from aberrant embryological development or acquired dysfunctionality of the popliteal artery and its surrounding musculotendinous structures in the popliteal fossa. Here, we present a case report of a young woman with relatively sudden-onset short-distance claudication and paraesthesia affecting her right leg primarily. She had no recent traumatic history and no atherosclerotic risk factors and was otherwise previously very active. She had a feeble right popliteal artery pulse and no foot pulses. Nerve conduction studies demonstrated no electrophysiological abnormalities. Following computed tomography angiography and magnetic resonance imaging, it was determined she had type 2 PAES. Subsequently, the patient underwent surgical division of a lateralised head of her medial gastrocnemius, resection of her fibrosed popliteal artery, and repair with a reversed long saphenous vein interposition graft. Following surgery, her symptoms resolved, and she remains on aspirin and ultrasound surveillance.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"2403280"},"PeriodicalIF":0.0,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/2403280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38452358","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

Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization. 特发性左肝动脉假性动脉瘤破裂危及生命，血管内线圈栓塞成功治疗。

Case Reports in Vascular Medicine Pub Date : 2020-09-09 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8835573

Jorge E Sandelis-Pérez, Andrés Córdova-Toro, Steven García-Santiago, Erica G Otero-Cárdenas, Pedro Gil de Rubio-Cruz, Suheiry Márquez-Márquez, Mary J Rodríguez-Malavé, Arelis Febles-Negrón, José A Colon-Márquez, Alejandro Hidalgo-Ríos

{"title":"Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization.","authors":"Jorge E Sandelis-Pérez, Andrés Córdova-Toro, Steven García-Santiago, Erica G Otero-Cárdenas, Pedro Gil de Rubio-Cruz, Suheiry Márquez-Márquez, Mary J Rodríguez-Malavé, Arelis Febles-Negrón, José A Colon-Márquez, Alejandro Hidalgo-Ríos","doi":"10.1155/2020/8835573","DOIUrl":"https://doi.org/10.1155/2020/8835573","url":null,"abstract":"Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"8835573"},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8835573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38509263","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

Use of Edoxaban for the Treatment of Heparin-Induced Thrombocytopenia. 应用依多沙班治疗肝素诱导的血小板减少症。

Case Reports in Vascular Medicine Pub Date : 2020-09-07 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2367095

Ryo Kanamoto, Shinichi Hiromatsu, Tomoyuki Anegawa, Kanako Sakurai, Shohei Yoshida, Yusuke Shintani, Hiroyuki Otsuka, Satoru Tobinaga, Hiroyuki Tanaka

{"title":"Use of Edoxaban for the Treatment of Heparin-Induced Thrombocytopenia.","authors":"Ryo Kanamoto, Shinichi Hiromatsu, Tomoyuki Anegawa, Kanako Sakurai, Shohei Yoshida, Yusuke Shintani, Hiroyuki Otsuka, Satoru Tobinaga, Hiroyuki Tanaka","doi":"10.1155/2020/2367095","DOIUrl":"https://doi.org/10.1155/2020/2367095","url":null,"abstract":"Heparin-induced thrombocytopenia (HIT) is a life-threatening adverse drug reaction of heparin therapy, which increases a patient's risk of developing venous and/or arterial thromboembolism. HIT should be treated through discontinuation of heparin and administration of nonheparin anticoagulants such as argatroban. For long-term anticoagulation, parenteral nonheparin anticoagulants are generally converted to oral treatment with a vitamin K antagonist such as warfarin. Although administration of warfarin is recommended to overlap with a nonheparin anticoagulant for a minimum of 5 days, overlapping with argatroban and warfarin presents high risks of bleeding. We describe a case of HIT treated with edoxaban. A 78-year-old man underwent surgery for esophageal cancer and was administered heparin perioperatively. After surgery, he was diagnosed with HIT and venous thromboembolism. We immediately stopped heparin and initiated parenteral argatroban. The patient was subsequently started on edoxaban without any overlap between the two drugs. The treatment was successful. The treatment of edoxaban following argatroban for HIT could reduce bleeding complications and shorten the length of hospital stay. To the best of our knowledge, this is the first report of the use of edoxaban for HIT treatment.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"2367095"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/2367095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38509262","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

Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism. 血管内平滑肌瘤病是一种罕见的非血栓性肺栓塞的病因。

Case Reports in Vascular Medicine Pub Date : 2020-07-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6084061

Julie Van Maercke, Anne-Sophie Van Rompuy, Willy Poppe, Tom Verbelen, Marion Delcroix, Catharina Belge

{"title":"Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism.","authors":"Julie Van Maercke, Anne-Sophie Van Rompuy, Willy Poppe, Tom Verbelen, Marion Delcroix, Catharina Belge","doi":"10.1155/2020/6084061","DOIUrl":"https://doi.org/10.1155/2020/6084061","url":null,"abstract":"Intravascular leiomyomatosis (IVL) is a very rare condition. It is characterized by the proliferation of benign smooth muscle cells within vascular structures without invasion of these tissues. Symptoms depend on the site of origin and the extent of invasion. Rarely, this neoplasm is located in the inferior vena cava or in the pulmonary vasculature potentially causing symptoms of dyspnea, chest pain, or syncope. We report the case of a 53-year-old woman who was referred to our hospital with extensive pulmonary embolism comprising of a subtotal occlusion of the right pulmonary artery with extension into the left pulmonary artery. Due to persistent dyspnea (New York Heart Association class II) despite anticoagulation, after a six-week period, imaging was repeated and showed stable findings. As she was not responding to adequate anticoagulant therapy, intima sarcoma of the pulmonary artery was suspected, and a pulmonary endarterectomy (PEA) was performed. A smooth, white, intravascular mass was easily and completely removed. Analysis demonstrated a lesion consisting of cells without atypia, showing expression of alpha-smooth muscle actin (alpha SMA) and desmin with partial expression of estrogen receptor (ER) and progesterone receptor (PR), leading to the diagnosis of intravascular leiomyomatosis. The patient fully recovered. Complete surgical removal of the intravascular tumor is recommended to relieve symptoms and prevent possible complications. Clinicians have to be aware that in unresolved pulmonary embolism, nonthrombotic and rare causes, like an intima sarcoma or intravascular leiomyomatosis, should be considered.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"6084061"},"PeriodicalIF":0.0,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6084061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38213378","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

Cyclist Endofibrosis (Exercise-Induced Arterial Endofibrosis) Treated by Drug-Coated Balloon Angioplasty. 药物包被球囊血管成形术治疗自行车内源性纤维化(运动性动脉内源性纤维化)。

Case Reports in Vascular Medicine Pub Date : 2020-07-07 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4290271

Ahmed S Zugail, Hossam I Shaabi, Slimane Idir, Jean-Pierre Becquemin

引用次数: 0

A Spontaneous Isolated Superior Mesenteric Artery Dissection Associated with Cocaine Abuse: A Pathomechanistic Association. 与可卡因滥用相关的自发性孤立性肠系膜上动脉夹层:一种病理机制关联。

Case Reports in Vascular Medicine Pub Date : 2020-06-06 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2514687

Rayan S El-Zein, Jeffrey Sobecki, Roy Greenberg, Michael Keleher, Robert A Palma

引用次数: 1

Successful Endovascular Repair of a Ruptured Popliteal Artery Aneurysm: A Case Report and Literature Review. 腘动脉动脉瘤破裂血管内修复术1例并文献复习。

Case Reports in Vascular Medicine Pub Date : 2020-03-16 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8745780

Duncan Muir, Sachin R Kulkarni

{"title":"Successful Endovascular Repair of a Ruptured Popliteal Artery Aneurysm: A Case Report and Literature Review.","authors":"Duncan Muir, Sachin R Kulkarni","doi":"10.1155/2020/8745780","DOIUrl":"https://doi.org/10.1155/2020/8745780","url":null,"abstract":"Introduction. It is rare for a popliteal artery aneurysm (PAA) to present with rupture. This case reports a longer-term success in the management of a large ruptured popliteal artery aneurysm with an endovascular approach, with a literature review of management of such cases. Case Report. An 80-year-old man presented to the accident and emergency department with pain and swelling behind the left knee and at the back of the thigh. An ultrasound scan and subsequent CT angiogram revealed a large 9.4 cm ruptured PAA. The patient had significant comorbidities deeming him unfit for a major surgical intervention of drainage of haematoma and exclusion bypass. Therefore, he underwent urgent endovascular treatment of the ruptured PAA with a covered stent graft. A follow-up duplex scan at 1 year showed a patent stent with no evidence of endoleak, and the patient remained asymptomatic. A clinical follow-up at 18- and 24-month postprocedure showed a patent stent graft and complete resolution of haematoma. Conclusion. Whilst open repair with exclusion bypass may still be a treatment of choice, an endovascular approach is both safe and effective in the management of a ruptured PAA in an unfit patient with an acceptable longer-term outcome.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"8745780"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8745780","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37808977","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

Endovascular Treatment of Venous Bypass Graft Pseudoaneurysm with the New Solaris Self-Expanding Covered Stent. 新型Solaris自膨胀覆膜支架血管内治疗静脉旁路移植性假性动脉瘤。

Case Reports in Vascular Medicine Pub Date : 2020-03-11 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4871814

Enrique M San Norberto, Liliana A Fidalgo-Domingos, Noelia Cenizo, Álvaro Revilla, James H Taylor, Carlos Vaquero

{"title":"Endovascular Treatment of Venous Bypass Graft Pseudoaneurysm with the New Solaris Self-Expanding Covered Stent.","authors":"Enrique M San Norberto, Liliana A Fidalgo-Domingos, Noelia Cenizo, Álvaro Revilla, James H Taylor, Carlos Vaquero","doi":"10.1155/2020/4871814","DOIUrl":"https://doi.org/10.1155/2020/4871814","url":null,"abstract":"Nonanastomotic pseudoaneurysm formation after vascular reconstruction is a rarely encountered problem. Covered stent graft constitutes a minimal approach. To our knowledge, the present study constitutes the first case of implantation of Solaris stent graft in Europe. A 69-year-old man with severe cardiac dysfunction presented a pseudoaneurysm of a popliteal to popliteal artery reversed saphenous vein bypass graft. The patient was successfully treated by the percutaneous placement of a Solaris self-expanding covered stent. The postimplantation arteriogram demonstrated exclusion of the pseudoaneurysm, complete apposition of the stent, and adequate runoff. No complications occurred, and the patient was discharged from the hospital one day later receiving 75 mg of clopidogrel. Endovascular exclusion by covered stent deployment offers a safe, rapid, and minimally invasive alternative to open surgical resection in patients with lower limb venous graft pseudoaneurysm. The Solaris covered stent provides a new catheter-based device with adequate navigability and exceptional accurate delivery system.","PeriodicalId":9632,"journal":{"name":"Case Reports in Vascular Medicine","volume":"2020 ","pages":"4871814"},"PeriodicalIF":0.0,"publicationDate":"2020-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4871814","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37788970","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