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Differences in In-Hospital and Follow-Up Outcomes Between Non-A Non-B Aortic Dissection and Type B Aortic Dissection Treated by Endovascular Based Treatment Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-04-23 Gen Li, Jun Li, Hongping Deng, Xiang Wei, Na Li
ObjectivesNon-A non-B aortic dissection (AD) is a rare and life-threatening medical emergency, and it has been controversial whether it should be managed as type B aortic dissection (TBAD). The study aims to compare in-hospital and follow-up outcomes between patients with non-A non-B AD and those with TBAD treated by endovascular based treatment (EBT).MethodsFrom January 2017 to December 2021, 96 consecutive
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Carotid Artery Aneurysm-Induced Mediastinal Hematoma Leading to Airway Compression—A Rare Complication of Internal Jugular Vein Puncture Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-04-22 Linlin Xiao, Xiaoying Chen, Dan Zhang
Carotid artery puncture is a common complication of internal jugular vein (IJV) catheterization. However, there are few reports about an aneurysm from the carotid artery that can develop into an occult mediastinal hematoma, leading to airway compression. In this case study, we present the case of a 71-year-old male who experienced an aneurysm and delayed mediastinal hematoma, ultimately resulting in
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Robotic Renal Vein Bypass: A Novel Technique for Treating a Challenging Case of Nutcracker Syndrome Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-04-20 Asad Choudhry, Daniel DeNoble, Gennady Bratslavsky, Anthony Feghali
This case report highlights the successful application of a robotic-assisted surgical approach in managing Nutcracker syndrome. The patient, a 36-year-old female presented with severe symptoms and underwent robotic left renal vein transposition after failing conservative management. The procedure was performed through a minimally invasive approach utilizing the Da Vinci robotic system™ which offers
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Pharmacological Thromboprophylaxis for VTE Post-Endovenous Ablation of Varicose Veins: Network Meta-Analysis Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-04-13 Daniel Westby, Sara Gasior, Mark Twyford, Megan Power Foley, Aoife Lowery, Stewart R. Walsh
ObjectiveEndovenous ablation has revolutionized treatment of varicose vein surgery but is associated with a risk of venous thromboembolism. There is no consensus regarding anticoagulation protocols for these patients. This network meta-analysis (NMA) aims to identify which anticoagulant is optimal in this cohort for clot prevention with minimal risk of adverse bleeding events.MethodsLibrary databases
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Analysis of Aortic Arch Hemodynamics With Simulated Bird’s Beak Effects Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-04-12 Mauricio Gonzalez-Urquijo, Gerardo Alejandro Fumagal González, Héctor Manuel Cárdenas Castro, Arnulfo Alejandro Morales Guzman, Alan Alejandro Guzman Valladares, Danielle Catherine MacDonald, Marcos David Moya Bencomo, Israel Botello Arredondo, Mario Alejandro Fabiani
ObjectiveThe objective of this study was to investigate the flow effects in different degrees of thoracic aortic stent graft protrusion extension by creating bird beak effect simulations using accurate 3D geometry and a realistic, nonlinear, elastic biomechanical model using computer-aided software SolidWorks.MethodsSegmentation in 3D of an aortic arch from a computed tomography (CT) scan of a real-life
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Letter re: Misidentification of Transcarotid Artery Revascularization by Current Procedural Terminology Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-25 Renxi Li, Adham Qurashi, Anton Sidawy, Bao-Ngoc Nguyen
In this letter, we discussed the selection of patients undergoing Transcarotid Artery Revascularization (TCAR) using the Current Procedural Terminology (CPT) codes. We examined a previous study using CPT code 37215 to identify TCAR cases using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. As an ACS-NSQIP participating site, we have complete access
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Use of the GORE comfortable Excluder Device in Highly Angulated Aortic Neck Anatomy: Mid-term Outcomes Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-25 Raja GnanaDev, Aldin Malkoc, Jeffrey Hsu, Jason Behseresht, Majid Tayyarah, Trung D. Vo, Iden Andacheh
IntroductionPatients with complex aortic anatomy require meticulous surgical planning to optimize intraoperative and postoperative outcomes. The GORE Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis (CEXC Device, WL Gore and Associates, Flagstaff, AZ) allows for endovascular treatment of highly angulated and short proximal neck abdominal aortic aneurysms (AAA). Owing to its recent approval
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Anterograde Aortic Bypass Technique for Renal Preservation in Aneurysmal Repair With Horseshoe Kidney: A Novel Approach With Reduced Renal Ischemic Time Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-21 Mickael Palmier, Myriam Cherel, Didier Plissonnier
The purpose of this article is to highlight an innovative technique in the surgical management of aortic aneurysms in the presence of a horseshoe kidney. The technique involves an anterograde aortic bypass from the distal thoracic aorta to the major renal artery with the primary advantage to a significant reduction in renal ischemia time.
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Unstable Carotid Artery Thrombus in a Patient With COVID-19 Infection Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-18 Patrick J. Kato, Jesse Kato, Jarred A. Napier, Rhami Khorfan, Abdulhameed Aziz
We present a case of an unvaccinated, 43-year-old African American female patient with COVID-19 infection and clinical evidence of a left hemispheric stroke. A non-occlusive thrombus with a radiographic target lesion was identified on computed tomography angiography (CTA). A multi-disciplinary discussion regarding concern for embolization was provided due to its unstable nature, as well as evidence
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Endovascular Therapy for Vascular Graft Infection After Multiple Bypass Surgeries for Aorto-Iliac Occlusive Disease Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-16 Kensuke Fujioka, Yuji Nishida, Yuya Eguchi, Takashi Fujita, Katsuharu Uchiyama, Manabu Fujimoto
BackgroundVascular graft infection is a very complex disease. Although complete excision of the infected grafts with extra-anatomic bypass or in situ reconstruction is a general treatment strategy, some concerns including reinfection in the new graft remain.Case ReportAn 88 year-old man presented to the hospital with abdominal swelling and bleeding. The patient had undergone revascularization for aorto-iliac
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Access Site Complication Rates Following Peripheral Artery Revascularization in patients With End-Stage Renal Disease: A Comparison of Vascular Closure Devices and Manual Compression Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-03-13 Yu-Ying Lu, Ying-Chang Tung, Ming-Yun Ho, Jih-Kai Yeh, Cheng-Hung Lee, Hsin-Fu Lee, Shing-Hsien Chou, Chao-Yung Wang, Chun-Chi Chen, Ming-Lung Tsai
ObjectivesManual compression (MC) or vascular closure devices (VCDs) are used to achieve hemostasis after percutaneous transluminal angioplasty (PTA). However, limited data on the comparative safety and effectiveness of VCDs vs MC in patients with end-stage renal disease (ESRD) undergoing PTA are available. Accordingly, this study compared the safety and effectiveness of VCD and MC in patients with
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Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-02-29 Panagiotis Theodoridis, Aouatif E. El Kanty, Islam Kourampi, Nikolaos Iatrou, Christos Dimopoulos, Theodosios Bisdas
Arteriovenous fistulas (AVFs) of the lower extremity are uncommon. The main causes are traumatic or iatrogenic, with 15% of traumatic AVFs occurring in the popliteal vessels. Herein, we present a 60-year–old female with a traumatic AVF caused after a car accident 40 years ago. The patient presented with right leg venous claudication and symptoms of congestive heart failure. Duplex ultrasound of lower
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Unsuspected Limitations of 3D Printed Model in Planning of Complex Aortic Aneurysm Endovascular Treatment Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-02-09 Stefano Bonvini, Igor Raunig, Libertario Demi, Nicola Spadoni, Sebastiano Tasselli
ObjectiveStatic 3-dimensional (3D) printing became attractive for operative planning in cases that involve difficult anatomy. An interactive (low cost, fast) 3D print allowing deliberate surgical practice can be used to improve interventional simulation and planning.BackgroundEndovascular treatment of complex aortic aneurysms is technically challenging, especially in case of narrow aortic lumen or
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Contemporary Review of Traumatic Axillary and Subclavian Artery Injuries at an Urban Level One Trauma Center Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-29 Sellers Boudreau, Jessica Schucht, Abindra Sigdel, Amit J. Dwivedi, Erik J. Wayne
ObjectiveTraumatic axillary and subclavian artery injuries are uncommon. Limited data are available regarding patient and injury characteristics, as well as management strategies and outcomes.MethodsRetrospective chart review was performed on patients presenting to University of Louisville Hospital, an urban Level One Trauma Center, with traumatic axillary and subclavian artery injuries from 2015-2021
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Retrieval of a Greenfield Inferior Vena Cava Filter Indwelling for 29 Years Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-27 Dipesh M Patel, John F Di Capua, Mohammad Reza Rouhezamin, Raul N Uppot, Sanjeeva P Kalva
Inferior vena cava (IVC) filters are used to prevent fatal and nonfatal pulmonary embolism in patients who otherwise cannot receive anticoagulation for venous thrombosis. While generally safe and effective, complications can arise, especially after prolonged implantation. Timely retrieval is essential once the indication for insertion has resolved. However, encountering patients with long-standing
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Characteristics and Trends in Median Arcuate Ligament Syndrome (MALS) Associated Visceral Artery Aneurysms: A Systematic Descriptive Review of the Literature Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-25 Eleftherios Karanasios, Zeyad Ragab, Harry Cavenagh, Philip Stather, Tariq Ali
Introduction: Median Arcuate Ligament Syndrome (MALS) is associated with true aneurysms, mainly of both the pancreaticoduodenal artery (PDA) and gastroduodenal artery (GDA). Although rare, their potential for rupture and adverse clinical outcomes warrants analysis. Prior studies suggest high rupture rates even for smaller aneurysms under 2 cm in this setting. We performed a systematic literature review
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Effect of False Lumen Occlusion Treatment With AFX VELATM, Candy-Plug Technique for Chronic Aortic Dissection Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-23 Kiyomitsu Yasuhara, Tamiyuki Obayashi, Satoshi Ohki, Shuichi Okonogi, Ayako Nagasawa, Ryo Yamaguchi, Yusuke Kato, Takao Miki, Tomonobu Abe
IntroductionWe sought to examine midterm results and remodeling effect of false-lumen occlusion treatment using AFX VELA in case of chronic dissection repair.Material and MethodsFrom June 2019 to May 2022, we performed false lumen occlusion treatment using a modified Candy-Plug technique with AFX VELA on 8 chronic aortic dissection patients with a patent false lumen. We collected operative data, short-term
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Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-22 Kai Zhang, Shuqin Cheng, Yunxiao Zhi, Lin Lu, Mingsheng Yi, Shihong Cui
ObjectiveTo evaluate the application of different uterine artery embolization procedures under balloon occlusion of the abdominal aorta in patients with Placenta Accreta Spectrum (PAS) undergoing cesarean section.Materials and MethodsA retrospective analysis was performed on clinical data from 72 patients who underwent uterine artery embolization for hemostasis during cesarean section with PAS. The
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Defining the Parameters for Endovenous Microwave Ablation to Achieve Equivalence With Endovenous Laser Ablation, Using the Porcine Liver Model Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-19 Anjali Bachetta, Simon Cheung, Emma R. Moore, Danny Nguyen, Melissa J. Kiely, Mark S. Whiteley
AimsEndovenous microwave ablation (EMWA) is an endovenous thermoablation (EVTA) system to ablate incompetent truncal veins. Early results suggest that EMWA uses more power than endovenous laser ablation (EVLA) to get the same results. We aimed to define the parameters for EMWA, which give the same tissue ablation as EVLA, using the validated porcine liver model.MethodsEVLA (1470 nm 600 micron radial
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A Novel Microsnare and Microwire Coil Retrieval Technique Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-19 Taylor Beal, Conrad Say, Mohammad Ghasemi Rad, David Leon
Coil migration during endovascular embolization is a complication that can result in thromboembolic occlusion leading to potentially large infarcts if not removed. Microsnares are commonly used to remove migrated coils. Current techniques, however, struggle in cases where the microsnare is unable to loop over and secure a free end of the coil. We present a case in which a microsnare combined with a
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Inferior Vena Cava Filter Long Term Complications and Retrieval Techniques: A Case Series and Literature Review Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-10 Christopher Montoya, Jorge Rey, Camilo A. Polania-Sandoval, Arash Bornak, Tony Shao, Stefan Kenel-Pierre
Introduction and ImportanceLong-term mechanical complications after inferior vena cava (IVC) filter placement include embedded or tilted filters, erosion of the vena cava, filter thrombosis. In the setting of caval thrombosis, patients may subsequently develop venous hypertension and post-thrombotic syndrome (PTS). Here we present three unique cases of IVC filter complications and surgical management
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Single Center Outcomes of Percutaneous Deep Vein Arterialization in Patients with End-Stage Peripheral Artery Disease Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-02 Krystina N. Choinski, Ajit G. Rao, Prakash Krishnan, Rami O. Tadros, Raman Sharma, Peter L. Faries
Background: Peripheral artery disease (PAD) can present as chronic limb threatening ischemia (CLTI) with ischemic pain and tissue loss. Progression of distal disease can lead to a “no option” or end-stage disease without traditional open or endovascular revascularization due to lack of pedal targets. Innovations in endovascular technology allow for the use of percutaneous deep vein arterialization
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Endovascular Management of Aortic Stump Blowout by Parallel Grafting and Coil Embolization of Visceral Aorta Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2024-01-02 Hana Shafique, Kofi Quaye, Mitchell W. Cox, Chandler A. Long, Zachary F. Williams
Aortic graft and endograft infections remain a significant source of morbidity and mortality after abdominal aortic aneurysm repair. With graft excision and extra-anatomic bypass, an infrarenal aortic stump remains which can have suture line dehiscence and catastrophic stump blowout. Treatment of this is extremely challenging, especially for severely co-morbid patients who cannot undergo major surgery
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Hemolytic Anemia Caused by Graft Kinking Following Ascending Aortic Replacement: Endovascular Treatment With a Palmaz XL Stent. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-29 Hiroaki Kato,Noriyuki Kato,Takafumi Ouchi,Takatoshi Higashigawa,Saki Bessho,Yu Shomura,Yasutaka Ichikawa,Hajime Sakuma
A 66-year-old man presented with hemolytic anemia, which required frequent blood transfusion, 6 months after surgical repair of an ascending aortic pseudoaneurysm. Hemolysis was attributed to luminal stenosis caused by graft kinking by laboratory test, CT and four-dimensional magnetic resonance imaging. First, an Excluder cuff was placed at the stenotic site under rapid pacing, but it migrated distally
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Tips and Tricks to Facilitate the Combined Iliofemoral Endarterectomy With Stenting for Heavily Calcified Common Femoral Artery Atherosclerosis With Involvement of the External Iliac Artery. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-29 Efstratios Georgakarakos,Konstantinos Dimitriadis,Stavros Parisidis,Nikolaos Triantafyllou,Christos Argyriou,George S Georgiadis
BACKGROUND Management of a heavily calcified atherosclerotic occlusive disease involving the common femoral artery (CFA) and external iliac artery (EIA), poses a surgical challenge. Though the current guidelines recommend open surgical therapy for such lesions, this approach is neither easy nor represents the current real-life practice. PURPOSE To describe tips and tricks facilitating the hybrid technique
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Intraoperative Bivalirudin Use in Patient Undergoing Femoral Endarterectomy with Heparin-Induced Thrombocytopenia: Case Report and Review of the Literature. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-28 Zachary J Haffler,Travis G Hughes,Lauren S Yeager
PURPOSE To describe the intraoperative use of bivalirudin during lower extremity revascularization in the setting of heparin-induced thrombocytopenia (HIT). CASE SUMMARY A 65 year-old man presented with left common iliac, external iliac, and femoral artery occlusion necessitating revascularization with left femoral endarterectomy and common and external iliac stent angioplasty. Three months before
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Letter re: Machine Learning to Predict Outcomes Following Endovascular Aortic Aneurysm Repair. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-27 Fabien Lareyre,Juliette Raffort
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Weekend Admission is Associated with Higher Kidney Failures after Thoracic Endovascular Aneurysm Repair for Stanford Type B Aortic Dissection. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-18 Renxi Li,Qianyun Luo,Derrick Green,Stephen J Huddleston
BACKGROUND Weekend effect characterized by worse perioperative outcomes has been demonstrated in some surgery patients admitted on weekends, as opposed to weekdays. This study aimed to examine weekend effect on open surgical repair or thoracic endovascular aneurysm repair (TEVAR) for Stanford Type B Aortic Dissection (TBAD). METHODS Patients who underwent TBAD repair were identified in National/Nationwisde
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Venous Anomalies Complicating Anterior Lumbar Interbody Fusion Exposures. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-18 Anas M Abbas,Bongseok Jung,Alex Ngan,Richard Tan,Robert E Carrier,Alexandra C Echevarria,Mark Kissin,Rohit B Verma
The effects of anomalous vasculature impeding optimal exposure to an anterior lumbar interbody fusion approach are limited in literature. We present five individual, unique cases of vascular anomalies in patients undergoing two-stage anterior-posterior lumbar interbody fusion. Cases 1, 2, 4, and 5 have yet to be described in literature in context of anterior lumbar interbody fusions. Case 3 presents
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Successful Removal of a Fractured Desilets-Hoffman Sheath in a Patient With a Loop Arteriovenous Graft: Balloon-Supported Retrieval Technique. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-18 Yoon Seo Choi,Chang Hoon Oh
INTRODUCTION While a Desilets-Hoffman sheath rarely fractures, when it does, the presence of an intravenous foreign body can cause various complications. CASE PRESENTATION A 74-year-old woman receiving hemodialysis for end-stage renal disease via a left forearm arteriovenous graft (AVG) was referred to the interventional radiology department following thrombotic occlusion of the AVG. A corrective procedure
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Nonspecific Presentation of an Infected Aorto-Iliac Artery Stent Following Endovascular Revision and Stent Insertion. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-17 Mohammed Ayyad,Laith A Ayasa,Sara Shbaita,Ahmad Qozat,Jörg Tessarek
Over the last few decades, the use of covered stent grafts became increasingly popular; as it plays a pivotal role in the management of various atherosclerotic diseases that are rising in both incidence and prevalence. Subsequently, vascular stent infections, although rare, are becoming a well-recognized complication with possibly devastating consequences, owing to the difficulties associated with
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Successful Endovascular Salvage of Viabahn Stent Release Malfunction Using a Cutting Balloon: A Case Report. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-17 Yusheng Wang,Xiaosong Zhang,Da Li
In the past two decades, the method of endovascular therapy, particularly utilizing covered stents, has been widely employed to treat arteriovenous fistulas (AVF) following traumatic injury. In this report, we present a case study of a patient with post-traumatic femoral arteriovenous fistula treated using a Viabahn endoprosthesis, during which a rare occurrence of stent deployment obstruction was
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Hybrid Clampless Anastomosis in Antegrade Aorto-Superior Mesenteric Artery Bypass. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-17 Elisabetta Tanda,Sara Zappadu,Gabriele De Donno,Salvatora Dettori,Sandro Ciccarello,Franco Piredda,Gian Franco Fadda
BACKGROUND Bypass surgery in severe aorto-iliac calcifications is a complex procedure. Aortic clamping can be highly risky and endovascular approach can be unsuccessful. We report our experience describing three cases of chronic mesenteric ischemia. In all three cases the preoperative computed tomography angiography revealed an ostial occlusion of the celiac trunk and of the superior mesenteric artery
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Endovascular Coil Embolization of an Enlarging Gastroduodenal Artery Aneurysm. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-15 Naveed A Rahman,Kayla R Lieb,Asad Choudhry,Deena B Chihade,Anthony Feghali
Gastroduodenal artery aneurysms are a rare type of visceral aneurysm that can lead to rupture and death. We present a 75-year-old male with history of hypertension, diabetes, and hyperlipidemia with an incidental finding of a 3.2 × 3.7 cm gastroduodenal aneurysm found on abdominal computed tomography angiography (CTA). After refusing surgical intervention, he was seen two years later and presented
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A Novel Hybrid Approach to Management of KD: Role of Robotic Surgery. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-15 Dipankar Mukherjee,Ramesh Singh,Michael Weyant,Benjamin Paolucci,Liam Ryan
The management of Kommerell's Diverticulum (KD) has been evolving from open repair to a hybrid of open and endovascular repair. While there is no consensus regarding the optimal strategy, the need for less invasive treatment with less morbidity early recovery, and improved quality of life is a common goal for both the patient and the provider.
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Case Series on Double-Barrel Stenting for the Renal Arteries Associated With Fenestrated Repair (FEVAR) of Complex Anatomy Aortic Aneurysms. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-14 Vivian Carla Gomes,Federico Ezequiel Parodi,Elad Ohana,Mark A Farber
The double-barrel stenting (DBS) is a technique in which 2 parallel stents are simultaneously deployed through the same reinforced fenestration, into 2 adjacent target vessels. Prior reports describe the application of this technique for the treatment of superior mesenteric artery dissection with aneurysmal degeneration, coronary artery bifurcations, aortic arch branches, and intracranial aneurysms
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Masson's Tumor as an Uncommon Cause of Neck Mass: A Case Presentation. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-14 Ehab M Abdo,Nehal Farouk,Waleed E Elshinawy,Eman Mohamed Ahmed,Mona A Raafat,Walaa Husien Abdo,Maisa A Abdel Wahab,Sameh E Elimam,Mohammed Alsagheer Alhewy
BACKGROUND Masson's tumor, commonly referred to as intravascular papillary endothelial hyperplasia (IPEH), is an uncommon growth of endothelial cells within a vessel wall that is frequently assumed to indicate an abnormal resolution of thrombosis. IPEH is most typically found in the extremities however it is rare for IPEH to appear as a neck tumor. The issue with IPEH is that it could clinically, radiologically
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Bladder-Induced Compression of the External Iliac Veins: Recognition and Implications for Treatment. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-14 Joshua Cornman-Homonoff,Ashwin P Deshmukh,Juan Carlos Perez Lozada,Hamid Mojibian
The effect of changes in bladder volume on the caliber of adjacent veins is underappreciated but essential to recognize to avoid complications such as unnecessary stenting or clot migration causing pulmonary embolism. Here the authors illustrate the importance of this finding in 3 cases using venographic and endovascular sonographic imaging: the first in which BPH-induced chronic bladder outlet obstruction
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Rapid Carotid Screening by Duplex: A Prospective Single Centre Assessment. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-13 Alison S Phair,Steven K Rogers,Jonathan Ghosh,Craig J Smith,Charles N McCollum
OBJECTIVE A novel carotid quick scan (CQS) protocol was developed to rapidly screen for carotid atherosclerosis greater than 50% stenosis in a vascular outpatient setting. This study assessed accuracy and time saved. MATERIAL & METHODS The CQS was developed by consensus agreement between vascular surgeons and accredited clinical vascular scientists through a modified Delphi technique. The protocol
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Emergency Endovascular Repair of Thoracic Aorta Via a Percutaneous Popliteal Approach Following an Iatrogenic Injury. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-10 Uyen G Vo,Robert Ma,Joseph Hockley,Shirley Jansen
Iatrogenic arterial injuries are rare but well-recognised complications of spinal surgery. This paper presents a case of an iatrogenic arterial injury during a total en bloc spondylectomy resulting in significant haemorrhage and the patient's haemodynamic instability. The devastating complication was successfully treated with an emergency thoracic endovascular aortic repair via a percutaneous popliteal
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Acute Thrombosis of an Aneurysm of the Small Saphenous Vein: A Case Report. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-09 Rémy Hamdan,Calin Gheorge Precup,Catherine Falchero,Anne-Laure Baldassini,Christine Castillo
BACKGROUND A venous aneurysm (VA) is a focal dilatation of a nonvariceal vein (diameter increased by at least 1.5 times compared to the adjacent upstream or downstream venous segment), which carries a risk of venous thromboembolism (VTE) when located in the deep veins of the lower limbs but also when it affects the veins above the muscle fascia. CASE We report the case of a 40-year-old woman who presented
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Rare Case of Abdominal Aortic and Multiple Visceral Aneurysms in a Pediatric Patient With PIK3CA Mutation and Vasculitis. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-09 Vivian Carla Gomes,Federico Ezequiel Parodi,Jacob C Wood,Fernando Motta,Mark A Farber
Abdominal aortic aneurysms (AAA) are most commonly observed in elderly male patients and are particularly rare in children. Among the pediatric population, they are usually diagnosed in the context of connective tissue disorders, genetic mutations, or vasculitis. The same is true of visceral arteries aneurysms. This case report describes the staged management of an 11-year-old patient presenting PIK3CA
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Stereolithographic (SLA) 3D Printing for Preprocedural Planning in Endovascular Aortic Repair of a Thoracic Aneurysm. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-09 Mauricio Gonzalez-Urquijo,Elnaz Hosseinzadeh,Alan Aguirre-Soto,Mario Alejandro Fabiani
BACKGROUND When treating aortic aneurysm patients with complex anatomical features, preprocedural planning aided by 3D-printed models offers valuable insights for endovascular intervention. This study highlights the use of stereolithographic (SLA) 3D printing to fabricate a phantom of a challenging aortic arch aneurysm with a complex neck anatomy. CLINICAL CASE A 75-year-old female presented with a
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Case Report: Successful Treatment of Aberrant Left Subclavian Artery With a Right-Sided Aortic Arch. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-09 Rishabh Matta,Anil Shah,Harmanpreet Bandesha,Shruthi Thiagarajasubramanian,Satish Muluk
Right sided aortic arches with concomitant aberrant left subclavian arteries are exceedingly rare anatomical variants. We present a case of a 45 year old male that presented with symptoms consistent with dysphagia and known right sided aortic arch with an aberrant left subclavian artery. Though previous reports of repair have indeed been reported, we confirm that a hybrid approach to these anatomic
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Management of Acute Lower Limb Ischemia Without Surgical Revascularization - A Population-Based Study. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-08 Stefan Acosta,Andrea Kulezic,Moncef Zarrouk,Anders Gottsäter
OBJECTIVES To evaluate outcomes of management without surgical revascularization in patients with acute lower limb ischemia (ALI) in a population-based setting. DESIGN Retrospective observational population-based study. MATERIALS Patients from Malmö, Sweden, hospitalized for ALI between 2015 and 2018. METHODS In-hospital, surgical, radiological, and autopsy registries were scrutinized for descriptive
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Impact of Accessory Renal Artery Embolization on Renal Deterioration Under Endovascular Aortic Repair. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-02 Wataru Tatsuishi,Kei Shibuya,Yasunobu Konishi,Naoki Konno,Atsushi Oi,Kazuki Tamura,Yusuke Kato,Tomonobu Abe
OBJECTIVE The optimal management strategy for patients with accessory renal arteries undergoing endovascular aortic repair is unclear. This study aimed to investigate the impact of accessory renal artery (aRA) embolization on postoperative renal deterioration and to identify the predictors of postoperative renal deterioration in patients who underwent endovascular aortic repair (EVAR). METHODS A retrospective
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Impact of Integrated Vascular Surgery Residency on General Surgery Resident and Vascular Fellow Operative Volume: A National Analysis. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-11-02 Young Kim,Christina L Cui,Zachary F Williams,Chandler A Long
BACKGROUND The impact of integrated vascular surgery (VS) residency (0 + 5) programs on general surgery (GS) resident and VS fellow (5 + 2) operative volume has not been investigated on a national scale. METHODS Accreditation Council for Graduate Medical Education (ACGME) case logs were reviewed for GS resident, VS resident, and VS fellow operative volume from 2001-2021. Integrated VS resident data
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Open Management of an Asymptomatic 4.2 Cm Middle Colic Artery Aneurysm and Liteture Review. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-31 Konstantinos Dimitriadis,Michail Karanikas,Maria Eleni Malafi,Stavros Parisidis,Efstratios Georgakarakos
BACKGROUND Aneurysms of the middle colic artery (MCAA) and its branches are exceedingly rare accounting for <3% of total visceral aneurysms. Very few MCAA cases have been reported in the literature with only three cases accounting for a diameter >4 cm. METHOD We describe the successful open repair with ligation of a 4.2 cm asymptomatic MCAA in a female patient through the gastrohepatic ligament taking
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Chemotherapy Port Peal Away Sheath Embolisation and Removal With Endovascular Snaring. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-25 Pouya Tayebi,Naghmeh Ziaie
Chemotherapy port implantation is a common procedure for long-term intravenous access in cancer patients. While generally safe, complications can occasionally occur. This case report describes a rare complication of chemotherapy port placement, specifically peel away sheath embolisation, and its successful endovascular removal using snaring techniques. The purpose of this report is to highlight this
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Effect of Perioperative Stroke on Survival After Carotid Intervention. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-18 Tommaso Cambiaghi,Alexander Mills,Samuel Leonard,Regina Husman,Syed T Zaidi,Ezra Y Koh,Kourosh Keyhani,S Keisin Wang
OBJECTIVES Perioperative stroke is the most dreaded complication of carotid artery interventions and can severely affect patients' quality of life. This study evaluated the impact of this event on mortality for patients undergoing interventional treatment of carotid artery stenosis with three different modalities. METHODS Patients undergoing carotid revascularization at participating Memorial Hermann
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Carotid Endarterectomy With Simultaneous Proximal Common Carotid Endovascular Intervention is Beneficial for Symptomatic Stenosis and Likely Confers No Advantage for Asymptomatic Lesions. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-17 Grant Kolde,Ashley Penton,Ruojia Li,Lorela Weise,Vamsi Potluri,Mark F Conrad,Matthew Blecha
INTRODUCTION Carotid bifurcation stenosis may co-exist simultaneously with more proximal common carotid artery (CCA) atherosclerotic plaquing, primarily at the vessel origin in the aortic arch. This scenario is relatively infrequent and its' management does not have quality randomized data to support medical vs surgical treatment. It is logical to treat any high grade common carotid lesions proximal
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Is There a Role for Heli-FX Endoanchors in Treating Type 1B Common Iliac Artery Endoleaks? Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-14 Erin C Saricilar,Krystal Dinh,Juanita N Chui,Igor Banzic,Vikram Puttaswamy
OBJECTIVES The management of type 1B endoleaks following endovascular aortic aneurysm repair (EVAR) can be challenging. The Heli-FX Endoanchor system effectively treats proximal type 1A endoleaks but has not been used for type 1B common iliac artery endoleaks. This study demonstrates that it is both safe and effective in being used in the common iliac artery (CIA) limb of an EVAR. METHODS A retrospective
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Combination of Minimally Invasive Methods for the Treatment of Varicose Veins. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-06 Hongcheng Ren,Bin Wang,Changgang Shao,Guoqing Chi,Rui Liu,Yan Jiang,Yufeng Wang,Mingchao Ding,Huaming Wang
OBJECTIVE The aim of the study was to evaluate the efficacy and safety of the combination of minimally invasive methods for the treatment of incompetent great saphenous vein and perforating veins. METHODS Between December 2019 and October 2020, F-care radiofrequency ablation combined with ultrasound-guided foam sclerotherapy and residual perforator ligation and concomitant microphlebectomy were adopted
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The Preoperative Lymphocyte-To-Monocyte Ratio Predicts Mortality Among Patients Undergoing Endovascular Aortic Repair for Abdominal Aortic Aneurysm. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-10-03 Toshiya Nishibe,Masaki Kano,Shinobu Akiyama,Jun Koizumi,Alan Dardik
PURPOSE The purpose of this study was to investigate the preoperative lymphocyte-to-monocyte ratio (LMR) as a potential surrogate biomarker predictive of overall mortality in patients undergoing endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA). METHODS Data on patients with AAA treated by EVAR between March 2012 and December 2016 were obtained from a prospectively maintained EVAR
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Aberrant Right Subclavian Artery: Demographics, Morphological Features and Follow up CT Scans Dynamics. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-09-27 Maysam Shehab,Stanislav Kosykh,Ammie Wolf,Menashe Haddad,Simone Fajer,Roetm Sivan Hoffman,Adi R Bachar
Introduction: Aberrant right subclavian artery (ARSA) is the most common of the aortic arch anomalies, occurring in .5% to 1% of the population. There is no standardized follow up protocol, especially in the asymptomatic cases. The purpose of the present study was to evaluate the natural history of ARSA and the role of serial CT scans. Methods: This is a single-center retrospective study of patients
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Intraprocedural Use of the Novel Protrieve Sheath Removes Embolus During Mechanical Thrombectomy of a Complex Iliocaval Deep Vein Thrombosis. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-09-26 Kyle B Reynolds
Extension of proximal deep vein thrombosis (DVT) into the inferior vena cava (IVC) complicates treatment with mechanical thrombectomy, as the presence of IVC thrombus increases embolization risks. In the case of a 39-year-old man with left-sided iliocaval DVT, the novel Protrieve sheath (Inari Medical, Irvine, California) was intraprocedurally placed in the IVC to ensure such complications would not
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Novel Percutaneous Mechanical Thrombectomy Device for Treating Upper Extremity Deep Vein Thrombosis in Patient With Paget-Schroetter Syndrome. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-09-21 Mitul S Patel
Paget-Schroetter Syndrome (PSS) is a form of upper extremity deep vein thrombosis (DVT) caused by the external compression of the subclavian vein at the thoracic outlet. Here we describe a complex PSS case in a 43-year-old female who experienced multiple recurrent DVTs and a right-sided hemothorax following two continuous aspiration thrombectomy procedures and a first rib resection. Rapid and complete
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A Rare Case of Brachial Artery Aneurysm in a 9-Month-Old Infant. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-08-30 Chung Yan Vernon Lee,Ibrahim Natalwala,Nasim Tahir,Robert D Bains
An otherwise healthy 9-month-old infant was treated for a true aneurysm of the proximal brachial artery. The swelling was first noted at seven months of age. An ultrasound scan showed a 2 cm × 2 cm aneurysm of the left brachial artery at the level of the mid-upper arm. Whole-body magnetic resonance angiography (MRA) confirmed this was a true aneurysm of the brachial artery; there was good distal runoff
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Acute Type B Aortic Dissection Complicated With Spinal Cord Ischemia and Paraplegia Treated With Endovascular Scissor Technique. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-08-28 Alexandra Catasta,Antonio Freyrie,Alberto Bramucci,Claudio Bianchini Massoni,Paolo Perini
Spinal cord ischemia leading to paraplegia is a rare, life-limiting complication of acute type B aortic dissection. We report a case of spinal cord ischemia occurred in a young woman treated with endovascular scissor technique in urgent setting. The patient had an uneventful post-procedural course. After 4 months, computed tomography angiography confirmed false lumen reperfusion and major symptoms
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Pancreaticoduodenal Artery Aneurysm Complicated by Median Arcuate Ligament Syndrome. Vasc. Endovasc. Surg. (IF 0.9) Pub Date : 2023-08-27 Sean Hamlin,Stephen R Gallo,Jameson Petrochko,Jacob Wilson,Sharvil Sheth
PURPOSE To highlight median arcuate ligament syndrome as a potential cause for celiac artery stenosis and pancreaticoduodenal artery aneurysm, and describe treatment options in this setting. CASE REPORT A 63-year-old male presented with a pancreaticoduodenal artery aneurysm and concomitant celiac artery stenosis that was treated with celiac artery stenting and aneurysm coiling. He subsequently developed