Aneurysms in the extremity arteries are rare and usually occur as pseudoaneurysms secondary to trauma or iatrogenic interventions. True spontaneous non-traumatic aneurysms in the extremities are extremely rare with no consensus on their aetiology or optimum management strategy. Here, we discuss a case of a young man with an isolated spontaneous non-traumatic ulnar artery aneurysm presenting with acute pain and discomfort.
{"title":"Non-traumatic ulnar artery aneurysm in a middle-aged male","authors":"N. Gunawansa, Prasath Subramaniyam","doi":"10.5603/AA.2020.0022","DOIUrl":"https://doi.org/10.5603/AA.2020.0022","url":null,"abstract":"Aneurysms in the extremity arteries are rare and usually occur as pseudoaneurysms secondary to trauma or iatrogenic interventions. True spontaneous non-traumatic aneurysms in the extremities are extremely rare with no consensus on their aetiology or optimum management strategy. Here, we discuss a case of a young man with an isolated spontaneous non-traumatic ulnar artery aneurysm presenting with acute pain and discomfort.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48591847","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}
Unilateral limb edema is a common diagnostic problem. Apart from the most common pathologies, i.e. chronic venous insufficiency and lymphedema, differential diagnosis should include unusual causes of asymmetric extremity edema. We presented a case of 41-year-old man with suspicion of lymphedema of the left calf, who reported to a lymphology clinic. We discuss subsequent steps of the diagnostic procedure in case of the calf edema. In our patient, neurogenic muscle hypertrophy was found to be the cause of the calf enlargement. The diagnosis was confirmed by results of ultrasound, magnetic resonance, computed tomography, lymphoscintigraphy and electromyography examinations. Neurogenic muscle hypertrophy is a very rare and unusual cause of the calf enlargement. Nevertheless, it should be taken into account in the differential diagnosis.
{"title":"Neurogenic muscle hypertrophy as an uncommon case of the calf enlargement — a case report and literature review","authors":"A. Kujawa, A. Szuba, R. Małecki","doi":"10.5603/AA.2020.0016","DOIUrl":"https://doi.org/10.5603/AA.2020.0016","url":null,"abstract":"Unilateral limb edema is a common diagnostic problem. Apart from the most common pathologies, i.e. chronic venous insufficiency and lymphedema, differential diagnosis should include unusual causes of asymmetric extremity edema. We presented a case of 41-year-old man with suspicion of lymphedema of the left calf, who reported to a lymphology clinic. We discuss subsequent steps of the diagnostic procedure in case of the calf edema. In our patient, neurogenic muscle hypertrophy was found to be the cause of the calf enlargement. The diagnosis was confirmed by results of ultrasound, magnetic resonance, computed tomography, lymphoscintigraphy and electromyography examinations. Neurogenic muscle hypertrophy is a very rare and unusual cause of the calf enlargement. Nevertheless, it should be taken into account in the differential diagnosis.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42306926","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}
T. Grochowiecki, Michał Macech, T. Jakimowicz, M. Jędrasik, S. Nazarewski
Introduction: Groin lymphatic complications after femoral artery operations are rare, but if developed, they could be a source of severe complications that could be potentially fatal. The novel technique of combining compression and application of Tisseel sealant (Baxter AG, Vienna, Austria) to treat lymphatic fistulas in the groin region after common femoral artery exposure was evaluated. Material and methods: Twelve groins from eleven patients with groin lymphatic complications were enrolled into the study. Patients had femoral artery exposure during one of the following procedures: endovascular aortic aneurysm repair, thrombendarterectomy or extra-anatomic by-pass. Postoperatively, average lymphatic drainage through the drain was 140 ± 60 (range 48–300) mL per day. Intervention was performed at a median of 12 (9–23) days after operation. The drain was cut off close to the skin, a thin double-channel catheter was introduced as deep as possible through the drain and sealant was injected into the wound. Simultaneously, the remaining part of the drain was removed, the orifice in the skin was sutured and a compression dressing was kept in place for 24 hours. The median patient observation period was 13 months (range 2.5–23) and surveillance of the groin was performed using ultrasonography. Results: Early outcomes showed full technical success. None of the patients were readmitted due to lymphorrhea, infection or poor wound healing during follow-up. No lymphoceles were detected by ultrasonography. Conclusion: Fibrin glue injection augmented by compression is an effective method for treating postoperative lymphatic fistulas and to prevent lymphorrhagia and lymphocele formation in the groin region after femoral artery exposure.
{"title":"Fibrin sealant injection through the drain with adjuvant compression as a treatment of groin lymphatic complications after vascular operation","authors":"T. Grochowiecki, Michał Macech, T. Jakimowicz, M. Jędrasik, S. Nazarewski","doi":"10.5603/AA.2020.0015","DOIUrl":"https://doi.org/10.5603/AA.2020.0015","url":null,"abstract":"Introduction: Groin lymphatic complications after femoral artery operations are rare, but if developed, they could be a source of severe complications that could be potentially fatal. The novel technique of combining compression and application of Tisseel sealant (Baxter AG, Vienna, Austria) to treat lymphatic fistulas in the groin region after common femoral artery exposure was evaluated. Material and methods: Twelve groins from eleven patients with groin lymphatic complications were enrolled into the study. Patients had femoral artery exposure during one of the following procedures: endovascular aortic aneurysm repair, thrombendarterectomy or extra-anatomic by-pass. Postoperatively, average lymphatic drainage through the drain was 140 ± 60 (range 48–300) mL per day. Intervention was performed at a median of 12 (9–23) days after operation. The drain was cut off close to the skin, a thin double-channel catheter was introduced as deep as possible through the drain and sealant was injected into the wound. Simultaneously, the remaining part of the drain was removed, the orifice in the skin was sutured and a compression dressing was kept in place for 24 hours. The median patient observation period was 13 months (range 2.5–23) and surveillance of the groin was performed using ultrasonography. Results: Early outcomes showed full technical success. None of the patients were readmitted due to lymphorrhea, infection or poor wound healing during follow-up. No lymphoceles were detected by ultrasonography. Conclusion: Fibrin glue injection augmented by compression is an effective method for treating postoperative lymphatic fistulas and to prevent lymphorrhagia and lymphocele formation in the groin region after femoral artery exposure.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388518","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}
Introduction: Generally, risk factors for deep vein thrombosis (DVT) include advanced age, surgery, fractures, pregnancy, puerperium, use of oral contraceptives, hormone replacement therapy, cancer and genetics associated with the hemostatic system in influencing thrombotic risk. The aim of this study was to evaluate routine complete blood count parameters, the clinical and genetic data of patients with diagnosis of DVT in our hospital and to contribute to the literature with our results. Material and methods: This retrospective study included a total of 152 patients (67 males and 85 females) diagnosed with DVT between January 2016 and September 2019. The history, clinical findings, venous doppler ultrasonography and genetic analysis results of patients were evaluated. Results: The study included 152 DVT patients. When the lower extremity venous doppler ultrasonography (VDU) results were evaluated, venous insufficiency was detected in 126 patients (82.9%), 57 of whom were male and 69 were female. Genetic results of F2 G20210A, FVL G1691A, MTHFR C677T and MTHFR A1298C were examined. FLV gene distributions were statistically different between genders (38.8% of men; 16.5% of women). This difference was also statistically significant (p = 0.003). Conclusion: The hemogram parameters were found to be insufficient markers. VDU was seen to be a clinically necessary marker in diagnosis; and genetic outcomes were important in initiating appropriate treatment in the early period. These results also show that there are differences according to gender in determining thrombotic risk.
{"title":"Investigation of clinical and genetic factors in patients with deep vein thrombosis. A retrospective study","authors":"N. Inandiklioğlu, H. Uzun, F. Çiçekçioğlu","doi":"10.5603/AA.2020.0017","DOIUrl":"https://doi.org/10.5603/AA.2020.0017","url":null,"abstract":"Introduction: Generally, risk factors for deep vein thrombosis (DVT) include advanced age, surgery, fractures, pregnancy, puerperium, use of oral contraceptives, hormone replacement therapy, cancer and genetics associated with the hemostatic system in influencing thrombotic risk. The aim of this study was to evaluate routine complete blood count parameters, the clinical and genetic data of patients with diagnosis of DVT in our hospital and to contribute to the literature with our results. Material and methods: This retrospective study included a total of 152 patients (67 males and 85 females) diagnosed with DVT between January 2016 and September 2019. The history, clinical findings, venous doppler ultrasonography and genetic analysis results of patients were evaluated. Results: The study included 152 DVT patients. When the lower extremity venous doppler ultrasonography (VDU) results were evaluated, venous insufficiency was detected in 126 patients (82.9%), 57 of whom were male and 69 were female. Genetic results of F2 G20210A, FVL G1691A, MTHFR C677T and MTHFR A1298C were examined. FLV gene distributions were statistically different between genders (38.8% of men; 16.5% of women). This difference was also statistically significant (p = 0.003). Conclusion: The hemogram parameters were found to be insufficient markers. VDU was seen to be a clinically necessary marker in diagnosis; and genetic outcomes were important in initiating appropriate treatment in the early period. These results also show that there are differences according to gender in determining thrombotic risk.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":"26 1","pages":"96-101"},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44174548","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}
Due to a great number of endovascular interventions, conducted over the last decades, a huge percentage of obese patients and administration of double antiplatelet therapy, manual compression (MC) is more and more frequently replaced by a vascular closure device of which the most common is Angio-Seal. The study presents a case of a 63-year old female patient with recurrent hemorrhages of the common femoral artery (CFA), originally closed after an endovascular intervention of a popliteal artery aneurysm with the use of Angio-Seal VIP. After around 3 weeks following the original surgery, the patient at first developed a pseudoaneurysm and then septic inflammation of the femoral artery, manifested with recurrent hemorrhages from the groin. The patient was operated on many times and an implantation of an ilio-femoral bypass from the femoral vein turned out to be an effective solution. Staphylococcus epidermidis MRSA was cultured in the femoral artery wall and a histopathological examination confirmed infectious arteritis. The presented case of a rare septic complication after the application of a closure device shows that it is essential to carefully monitor surgical approach areas in patients who are quickly discharged from hospital after surgical interventions, to select treatment methods tailored for individual patients as well as implement particular surgical management.
{"title":"Infectious arteritis of the femoral artery as a cause of recurrent hemorrhage after endovascular treatment of thrombosed popliteal artery aneurysm.","authors":"W. Woźniak, P. Ciostek","doi":"10.5603/AA.2020.0018","DOIUrl":"https://doi.org/10.5603/AA.2020.0018","url":null,"abstract":"Due to a great number of endovascular interventions, conducted over the last decades, a huge percentage of obese patients and administration of double antiplatelet therapy, manual compression (MC) is more and more frequently replaced by a vascular closure device of which the most common is Angio-Seal. The study presents a case of a 63-year old female patient with recurrent hemorrhages of the common femoral artery (CFA), originally closed after an endovascular intervention of a popliteal artery aneurysm with the use of Angio-Seal VIP. After around 3 weeks following the original surgery, the patient at first developed a pseudoaneurysm and then septic inflammation of the femoral artery, manifested with recurrent hemorrhages from the groin. The patient was operated on many times and an implantation of an ilio-femoral bypass from the femoral vein turned out to be an effective solution. Staphylococcus epidermidis MRSA was cultured in the femoral artery wall and a histopathological examination confirmed infectious arteritis. The presented case of a rare septic complication after the application of a closure device shows that it is essential to carefully monitor surgical approach areas in patients who are quickly discharged from hospital after surgical interventions, to select treatment methods tailored for individual patients as well as implement particular surgical management.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46918026","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}
S. Dragic, Danica Momčičević, Biljana Zlojutro, Milka Jandrić, T. Kovačević, V. Djajić, A. Gajić, G. Talić, P. Kovacevic
Introduction: There is a bulk of literature data on the physiological roles of nitric oxide (NO) and endothelin- 1 (ET-1), but many facts remain unknown, especially in certain diseases such as peripheral arterial disease. Material and methods: This is an observational cross-sectional study. The subjects were patients diagnosed with PAD. Serum levels of NO and ET-1 were determined for all patients, and statistical data processing was performed according to the set goals. Results: The study included 64 patients with mean age 60.2 ± 12.7 years, mostly in stage II PAD according to Fontain (46.9%). Statistical analysis failed to determine a significant difference in serum NO or ET-1 values with respect to disease stage, sex, and body mass index (BMI). Certain oscillations were found in the mean values of NO related to smoking and diabetes but without statistical significance. There were also oscillations in the values of ET-1, with higher levels found in women, smokers and non-diabetics in whom this difference reached statistical significance (p = 0.041). Conclusion: Serum levels of NO and ET-1 in this study show some causal relationship with certain risk factors for PAD such as diabetes and smoking, but additional research is needed to fully understand their effects and interactions.
{"title":"Impact of risk factors on serum levels of vasoactive substances in patients with peripheral arterial occlusive disease at different Fontaine’s stages","authors":"S. Dragic, Danica Momčičević, Biljana Zlojutro, Milka Jandrić, T. Kovačević, V. Djajić, A. Gajić, G. Talić, P. Kovacevic","doi":"10.5603/AA.2020.0008","DOIUrl":"https://doi.org/10.5603/AA.2020.0008","url":null,"abstract":"Introduction: There is a bulk of literature data on the physiological roles of nitric oxide (NO) and endothelin- 1 (ET-1), but many facts remain unknown, especially in certain diseases such as peripheral arterial disease. Material and methods: This is an observational cross-sectional study. The subjects were patients diagnosed with PAD. Serum levels of NO and ET-1 were determined for all patients, and statistical data processing was performed according to the set goals. Results: The study included 64 patients with mean age 60.2 ± 12.7 years, mostly in stage II PAD according to Fontain (46.9%). Statistical analysis failed to determine a significant difference in serum NO or ET-1 values with respect to disease stage, sex, and body mass index (BMI). Certain oscillations were found in the mean values of NO related to smoking and diabetes but without statistical significance. There were also oscillations in the values of ET-1, with higher levels found in women, smokers and non-diabetics in whom this difference reached statistical significance (p = 0.041). Conclusion: Serum levels of NO and ET-1 in this study show some causal relationship with certain risk factors for PAD such as diabetes and smoking, but additional research is needed to fully understand their effects and interactions.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":"26 1","pages":"102-107"},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48368980","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}
Introduction and purpose. The purpose of this study was to determine relationship between non-thrombotic iliac vein lesions and symptomatology of primary varicose veins (PVV). The identification of such association would be helpful in selecting patients with PVV for further diagnostic evaluation. Material and methods. Thirty-two patients with unilateral PVV scheduled for great saphenous vein high ligation and stripping were enrolled in the study. There were 25 (78%) women. The mean age of the patients was 48 years. The patients were asked about pain, oedema, night cramps, heaviness and a history of superficial thrombophlebitis in PVV limb. A clinical stage of CEAP classification was determined and Venous Clinical Severity Score (VCSS) was calculated. During the surgery right and left iliac venous axes were interrogated with an intravascular ultrasound with Volcano s5 Imaging System (Volcano Corporation, Rancho Cordova, CA, USA) and catheters Visions PV .035 minimal lumen area (MLA) and percentage of stenosis (%S) of examined veins were calculated. An association between clinical symptoms and signs in PVV limb and %S of ipsilateral common iliac vein (CIV) and external iliac vein (EIV) was statistically analysed. Results. Pain, oedema, night cramps, heaviness and history of superficial thrombophlebitis were reported by 14 (44%), 17 (53%), 11 (34%), 19 (59%) and 6 (19%) of patients respectively. Twenty-five (78%) limbs were classified as C2 and 7 (22%) limbs as C4a according to CEAP classification. The median VCSS was 4. The mean MLA and %S was 92,9 mm2 and 47% and 74,2 mm2 and 48% for CIV and EIV respectively. Neither smaller MLA nor greater %S of CIV and EIV were associated with symptoms, more advanced stage of CEAP classification or higher VCSS. Conclusions. Neither clinical symptoms nor severity of venous disease can identify non-thrombotic iliac vein lesions in patients with primary varicose veins.
{"title":"Clinical symptoms and signs and severity of venous disease are not associated with non-thrombotic iliac vein lesions in patients with primary varicose veins","authors":"R. Krzyżański, Ł. Kruszyna, Ł. Dzieciuchowicz","doi":"10.5603/AA.2020.0019","DOIUrl":"https://doi.org/10.5603/AA.2020.0019","url":null,"abstract":"Introduction and purpose. The purpose of this study was to determine relationship between non-thrombotic iliac vein lesions and symptomatology of primary varicose veins (PVV). The identification of such association would be helpful in selecting patients with PVV for further diagnostic evaluation. \u0000Material and methods. Thirty-two patients with unilateral PVV scheduled for great saphenous vein high ligation and stripping were enrolled in the study. There were 25 (78%) women. The mean age of the patients was 48 years. The patients were asked about pain, oedema, night cramps, heaviness and a history of superficial thrombophlebitis in PVV limb. A clinical stage of CEAP classification was determined and Venous Clinical Severity Score (VCSS) was calculated. During the surgery right and left iliac venous axes were interrogated with an intravascular ultrasound with Volcano s5 Imaging System (Volcano Corporation, Rancho Cordova, CA, USA) and catheters Visions PV .035 minimal lumen area (MLA) and percentage of stenosis (%S) of examined veins were calculated. An association between clinical symptoms and signs in PVV limb and %S of ipsilateral common iliac vein (CIV) and external iliac vein (EIV) was statistically analysed. \u0000Results. Pain, oedema, night cramps, heaviness and history of superficial thrombophlebitis were reported by 14 (44%), 17 (53%), 11 (34%), 19 (59%) and 6 (19%) of patients respectively. Twenty-five (78%) limbs were classified as C2 and 7 (22%) limbs as C4a according to CEAP classification. The median VCSS was 4. The mean MLA and %S was 92,9 mm2 and 47% and 74,2 mm2 and 48% for CIV and EIV respectively. Neither smaller MLA nor greater %S of CIV and EIV were associated with symptoms, more advanced stage of CEAP classification or higher VCSS. \u0000Conclusions. Neither clinical symptoms nor severity of venous disease can identify non-thrombotic iliac vein lesions in patients with primary varicose veins.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46334732","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}
Cryoglobulinemia is a rare disease caused by the specific antibodies which precipitate at low temperatures being present within the blood serum. It is observed in the course of disorders such as autoimmune diseases, lymphoproliferative neoplasms, and infectious diseases — mainly HCV infections. Three types of cryoglobulinemia have been identified, differing in the type of immunoglobulins involved and symptoms being manifested. We are presenting a case of a 61-year-old female patient with type I cryoglobulinemia related to Sjogren’s syndrome and complicated by monoclonal gammopathy of undetermined significance.
{"title":"Type I cryoglobulinemia related to Sjögren’s syndrome and MGUS: a case report","authors":"K. Klimas, R. Małecki","doi":"10.5603/aa.2020.0013","DOIUrl":"https://doi.org/10.5603/aa.2020.0013","url":null,"abstract":"Cryoglobulinemia is a rare disease caused by the specific antibodies which precipitate at low temperatures being present within the blood serum. It is observed in the course of disorders such as autoimmune diseases, lymphoproliferative neoplasms, and infectious diseases — mainly HCV infections. Three types of cryoglobulinemia have been identified, differing in the type of immunoglobulins involved and symptoms being manifested. We are presenting a case of a 61-year-old female patient with type I cryoglobulinemia related to Sjogren’s syndrome and complicated by monoclonal gammopathy of undetermined significance.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45847654","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}
P. Myrcha, Dawid Siemieniuk, M. Kozak, D. Różański, T. Miłek, W. Woźniak, P. Ciostek
Retained neuroprotection filter after carotid stenting (CAS) is an extremely rare complication. We report the case of a 61-year old patient with an accidentally retained neuroprotection filter after urgent CAS. The patient did not consent to open surgical removal of the retained basket. We did not observe any flow disturbances in the filter and the patient remains asymptomatic in ten years follow-up. In some cases, the neuroprotection filter left in the internal carotid artery may not cause cerebral flow disturbances or occlusion of the stent. In case of the poor neurological or general condition of the patient, we can wait for its improvement or stenting.
{"title":"Retained neuroprotection filter after stenting of the internal carotid artery","authors":"P. Myrcha, Dawid Siemieniuk, M. Kozak, D. Różański, T. Miłek, W. Woźniak, P. Ciostek","doi":"10.5603/aa.2020.0014","DOIUrl":"https://doi.org/10.5603/aa.2020.0014","url":null,"abstract":"Retained neuroprotection filter after carotid stenting (CAS) is an extremely rare complication. We report the case of a 61-year old patient with an accidentally retained neuroprotection filter after urgent CAS. The patient did not consent to open surgical removal of the retained basket. We did not observe any flow disturbances in the filter and the patient remains asymptomatic in ten years follow-up. In some cases, the neuroprotection filter left in the internal carotid artery may not cause cerebral flow disturbances or occlusion of the stent. In case of the poor neurological or general condition of the patient, we can wait for its improvement or stenting.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44381601","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}
Isolated distal deep vein thrombosis (IDDVT) accounts for approximately 50% of all patients diagnosed with DVT. While the definitive management of patients with proximal deep vein thrombosis is fairly well defined, IDDVT remains shrouded uncertainty. The great majority of patients with IDDVT may remain with little or no symptoms and have spontaneous resolution of the thrombi. However, a small but significant fraction may show proximal thrombus extension and may proceed to cause pulmonary embolism or late deep venous reflux. Identification of this subgroup of patients with IDDVT who have a greater propensity for thrombus extension or further sequelae remains the cornerstone of individualized management for optimal results.
{"title":"Management of isolated distal deep vein thrombosis. A persistent conundrum?","authors":"N. Gunawansa, Thilina Gunawardena","doi":"10.5603/aa.2020.0011","DOIUrl":"https://doi.org/10.5603/aa.2020.0011","url":null,"abstract":"Isolated distal deep vein thrombosis (IDDVT) accounts for approximately 50% of all patients diagnosed with DVT. While the definitive management of patients with proximal deep vein thrombosis is fairly well defined, IDDVT remains shrouded uncertainty. The great majority of patients with IDDVT may remain with little or no symptoms and have spontaneous resolution of the thrombi. However, a small but significant fraction may show proximal thrombus extension and may proceed to cause pulmonary embolism or late deep venous reflux. Identification of this subgroup of patients with IDDVT who have a greater propensity for thrombus extension or further sequelae remains the cornerstone of individualized management for optimal results.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":"26 1","pages":"65-71"},"PeriodicalIF":0.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45821454","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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