The treatment of aortic pathologies is always challenging for vascular surgeons. Currently, thoracic endovascular aortic repair (TEVAR) is the first treatment option for thoracic aortic pathologies. Left subclavian artery (LSA) coverage during TEVAR can be selectively done; however, revascularization is preferred to reduce the risk of neurological or ischemic complications according to current guidelines. The chimney technique, hybrid operations, back table or in situ fenestrations are assistive TEVAR techniques. Herein, we present three different scenarios in zone 2 landing treated with surgeon-modified fenestrated stent graft (SMFSG). The use of SMFSG for LSA revascularization during TEVAR is feasible, cost-effective, fast, and effective. Durability is of great concern, and the most suitable treatment modality for zone 2 landing necessitates randomized-controlled studies and long-term durability issues.
{"title":"Zone 2 landing at different aortic pathologies: Surgeon-modified fenestrated stent graft","authors":"E. U. Ünal","doi":"10.9739/tjvs.2021.906","DOIUrl":"https://doi.org/10.9739/tjvs.2021.906","url":null,"abstract":"The treatment of aortic pathologies is always challenging for vascular surgeons. Currently, thoracic endovascular aortic repair (TEVAR) is the first treatment option for thoracic aortic pathologies. Left subclavian artery (LSA) coverage during TEVAR can be selectively done; however, revascularization is preferred to reduce the risk of neurological or ischemic complications according to current guidelines. The chimney technique, hybrid operations, back table or in situ fenestrations are assistive TEVAR techniques. Herein, we present three different scenarios in zone 2 landing treated with surgeon-modified fenestrated stent graft (SMFSG). The use of SMFSG for LSA revascularization during TEVAR is feasible, cost-effective, fast, and effective. Durability is of great concern, and the most suitable treatment modality for zone 2 landing necessitates randomized-controlled studies and long-term durability issues.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74440898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Correspondence: Nehir Selçuk, MD. Dr. Siyami Ersek Göğüs ve Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, 34668 Üsküdar, İstanbul, Türkiye. e-mail: ummunehir@hotmail.com 1Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey 2Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey 3Department of Anesthesiology and Reanimation, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
{"title":"Management of high-risk chronic thromboembolic pulmonary hypertension patients","authors":"G. Orhan","doi":"10.9739/tjvs.2021.949","DOIUrl":"https://doi.org/10.9739/tjvs.2021.949","url":null,"abstract":"Correspondence: Nehir Selçuk, MD. Dr. Siyami Ersek Göğüs ve Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, 34668 Üsküdar, İstanbul, Türkiye. e-mail: ummunehir@hotmail.com 1Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey 2Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey 3Department of Anesthesiology and Reanimation, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81571019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cuffed-tunneled hemodialysis catheter is a reliable and effective alternative treatment option in the cases where all the peripheral vascular access points become useless for operative procedures or reinterventions. In addition, imaging methods have become more important to identify or prevent possible complications during or after catheter insertion. In this article, we report two rare cases to emphasize the importance of f luoroscopy and venography in determination and treatment of catheter-related complications and dysfunctions.
{"title":"The importance of imaging methods in catheter dysfunction: Two rare cases and their management","authors":"E. Çelik","doi":"10.9739/tjvs.2021.982","DOIUrl":"https://doi.org/10.9739/tjvs.2021.982","url":null,"abstract":"Cuffed-tunneled hemodialysis catheter is a reliable and effective alternative treatment option in the cases where all the peripheral vascular access points become useless for operative procedures or reinterventions. In addition, imaging methods have become more important to identify or prevent possible complications during or after catheter insertion. In this article, we report two rare cases to emphasize the importance of f luoroscopy and venography in determination and treatment of catheter-related complications and dysfunctions.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89831655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complications of sclerotherapy","authors":"Malay D. Patel","doi":"10.9739/tjvs.2021.971","DOIUrl":"https://doi.org/10.9739/tjvs.2021.971","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74747812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of sex after elective thoracic endovascular aortic repair","authors":"Görkem Yiğit","doi":"10.9739/tjvs.2021.1081","DOIUrl":"https://doi.org/10.9739/tjvs.2021.1081","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80154883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcomes of covered versus bare balloon expandable versus self-expanding stents for the kissing stent treatment of aortoiliac bifurcation","authors":"E. Cakmak","doi":"10.9739/tjvs.2021.989","DOIUrl":"https://doi.org/10.9739/tjvs.2021.989","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84213354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The psychocognitive, biochemical, and electrophysiological effects of cerebral ischemia-reperfusion injury in patients undergoing carotid endarterectomy accompanied by cervical block","authors":"Ergi̇n Arslanoğlu","doi":"10.9739/tjvs.2021.1058","DOIUrl":"https://doi.org/10.9739/tjvs.2021.1058","url":null,"abstract":"","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80284487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aortocaval fistula is primarily arisen from necrotic aortic tissue with disrupted connective tissue and adherent to adjacent venous structures mostly in abdominal aortic aneurysms. The endoleak which appeared after endovascular aneurysm repairs can also cause this presentation. Thrill is possible to be felt in abdominal examination in aortocaval fistulas, and skin changes suggestive of venous hypertension usually occur in the body. Aortocaval fistula can cause high output cardiac failure, require an immediate intervention and endovascular methods are considered to be prior in its treatment. In this article, we present endovascular treatment of aortocaval fistula secondary to Type 3 endoleak.
{"title":"Aortocaval fistula and bluish red color skin change","authors":"Ş. Yurt","doi":"10.9739/tjvs.2021.915","DOIUrl":"https://doi.org/10.9739/tjvs.2021.915","url":null,"abstract":"Aortocaval fistula is primarily arisen from necrotic aortic tissue with disrupted connective tissue and adherent to adjacent venous structures mostly in abdominal aortic aneurysms. The endoleak which appeared after endovascular aneurysm repairs can also cause this presentation. Thrill is possible to be felt in abdominal examination in aortocaval fistulas, and skin changes suggestive of venous hypertension usually occur in the body. Aortocaval fistula can cause high output cardiac failure, require an immediate intervention and endovascular methods are considered to be prior in its treatment. In this article, we present endovascular treatment of aortocaval fistula secondary to Type 3 endoleak.","PeriodicalId":23982,"journal":{"name":"Turkish Journal of Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80055098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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