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Trans-arterial omental flap protection for infected femoral artery aneurysm in a patient with Parkes-Weber syndrome 经动脉网膜瓣保护帕克斯-韦伯综合征患者感染的股动脉动脉瘤
IF 0.7 Q4 SURGERY Pub Date : 2024-10-22 DOI: 10.1016/j.jvscit.2024.101654
Natsumi Iijima MD , Ryosuke Taniguchi MD, PhD , Masaru Kimura MD, PhD , Takuro Shirasu MD, PhD , Toshio Takayama MD, PhD , Katsuyuki Hoshina MD, PhD
We report a case of a 75-year-old man diagnosed with Parkes-Weber syndrome with an infected common femoral artery aneurysm secondary to chronic venous ulcers and groin infection. Given the symptomatic and rapid enlargement of the aneurysm, emergency aneurysmectomy and crossover femoro-femoral bypass were performed with an omental flap routed intraluminally through the aneurysm of the ipsilateral external iliac artery. The transarterial route enabled the short-cutting of the omental flap and the potential prevention of infection in the adjacent external iliac artery. The patient’s condition was uneventful 9 months postoperatively.
我们报告了一例被诊断为帕克斯-韦伯综合征的 75 岁男性病例,他因慢性静脉溃疡和腹股沟感染继发感染性股总动脉动脉瘤。鉴于动脉瘤症状明显且迅速增大,医生紧急实施了动脉瘤切除术和股-股交叉旁路手术,并在同侧髂外动脉的动脉瘤内穿入网膜瓣。经动脉途径可以缩短网膜瓣的切割时间,并防止邻近的髂外动脉发生感染。术后 9 个月,患者病情无异常。
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引用次数: 0
Epithelioid hemangioendothelioma involving the superficial femoral artery and femoral vein 累及股浅动脉和股静脉的上皮样血管内皮瘤
IF 0.7 Q4 SURGERY Pub Date : 2024-10-22 DOI: 10.1016/j.jvscit.2024.101645
Rachad Wehbe MD, Xi Wang BMed, Karina A. Newhall MD, MS, Michael C. Stoner MD, Doran S. Mix MD, Grayson S. Pitcher MD
Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor. We present the case of a 64-year-old woman who presented with new-onset claudication and an atypical vascular mass involving the superficial femoral artery and femoral vein. En bloc resection and vascular reconstruction was performed which revealed a G1 EHE involving the walls of the superficial femoral artery and femoral vein with tumor cells positive for ERG-, CD31, and CAMTA-1. We discuss the preoperative workup for atypical vascular masses and the challenges associated with EHE.
上皮样血管内皮瘤(EHE)是一种罕见的血管肿瘤。我们介绍了一例 64 岁女性的病例,她因新发跛行和累及股浅动脉和股静脉的非典型血管肿块而就诊。该患者的股浅动脉和股静脉壁均受累,肿瘤细胞的ERG-、CD31和CAMTA-1均呈阳性。我们讨论了非典型血管肿块的术前检查以及与 EHE 相关的挑战。
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引用次数: 0
Plaque morphological changes after drug-coated balloon angioplasty according to underlying plaque components 药物涂层球囊血管成形术后斑块形态变化与潜在斑块成分有关
IF 0.7 Q4 SURGERY Pub Date : 2024-10-22 DOI: 10.1016/j.jvscit.2024.101651
Naoki Fujisawa MD, Takenobu Shimada MD, Kenichiro Otsuka MD, PhD, Takanori Yamazaki MD, PhD, Daiju Fukuda MD, PhD
A 52-year-old man with a short chronic total occlusion in the left superficial femoral artery underwent drug-coated balloon (DCB) angioplasty. Evaluation using integrated backscatter intravascular ultrasound revealed that the plaque volume of fibrosis was compressed just after treatment (from 494.67 mm3 to 398.36 mm3) and was further decreased at 1 month after treatment (to 362.07 mm3). The plaque volume of the lipid pool was not changed at follow-up compared with that just after DCB dilation. These integrated backscatter intravascular ultrasound findings suggest that the effect of DCB angioplasty may differ depending on the type of underlying plaque components.
一名 52 岁的男子因左侧股浅动脉短时间慢性全闭塞而接受了药物涂层球囊(DCB)血管成形术。使用血管内综合反向散射超声波进行的评估显示,纤维化斑块的体积在治疗刚结束时被压缩(从 494.67 立方毫米缩小到 398.36 立方毫米),在治疗后 1 个月进一步缩小(缩小到 362.07 立方毫米)。随访时,脂质池的斑块体积与 DCB 刚扩张时相比没有变化。这些血管内超声背向散射综合研究结果表明,DCB血管成形术的效果可能因潜在斑块成分的类型而异。
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引用次数: 0
Moderate hypothermic circulatory arrest with antegrade cerebral perfusion for the open repair of juxtarenal abdominal aortic aneurysm repair with shaggy aorta 中度低体温循环骤停与逆行脑灌注用于开放式修补伴主动脉蓬松的并子叶腹主动脉瘤修补术
IF 0.7 Q4 SURGERY Pub Date : 2024-10-17 DOI: 10.1016/j.jvscit.2024.101643
Yamini Vyas MD , Jane M. Chung MD , Yakov L. Elgudin MD, PhD , Jae S. Cho MD
Shaggy aorta is severe luminal surface degeneration of the aorta leading to an increased risk of plaque destabilization and embolization to the peripheral or visceral vessel beds. It represents a challenging clinical entity for both endovascular and open repair owing to potential atheroembolization, increased early morbidity and mortality, and poor long-term survival. Patients may be denied repair owing to its high risks. Herein, we present a novel approach to open repair of a juxtarenal abdominal aortic aneurysm with shaggy aorta using moderate hypothermic circulatory arrest with antegrade cerebral perfusion and concurrent flow modification to mitigate the risk of atheroma embolism.
长毛主动脉是主动脉严重的管腔表面变性,导致斑块失稳和栓塞外周或内脏血管床的风险增加。由于可能发生动脉粥样栓塞、早期发病率和死亡率增加以及长期存活率低,这种主动脉畸形对血管内修复和开放式修复都是一种挑战。由于其高风险,患者可能被拒绝修复。在此,我们介绍了一种开放式修复腹主动脉瘤并伴有毛糙主动脉瘤的新方法,该方法采用中度低体温循环停滞、前向脑灌注并同时改变血流以降低动脉粥样斑块栓塞的风险。
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引用次数: 0
Double thoracic branch endoprosthesis to repair type IA endoleak after zone 2 thoracic branch endoprosthesis 用双胸支内膜修复 2 区胸支内膜后的 IA 型内漏
IF 0.7 Q4 SURGERY Pub Date : 2024-09-26 DOI: 10.1016/j.jvscit.2024.101641
Kenneth Han BA, Alyssa J. Pyun MD, Elizabeth Miranda MD, MPH, Fernando Fleischman MD, Sukgu M. Han MD, MS
Thoracic endovascular aortic repair has become the first-line treatment modality for descending thoracic aortic diseases. Coverage of the aortic arch branches is often required to extend the proximal seal zones during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE) is the first US Food and Drug Administration-approved branched device for thoracic endovascular repair allowing for incorporation of the left subclavian artery. Type IA endoleak after zone 2 TBE as well as its rescue options have not been well-described. In this report, we describe two cases of failed zone 2 TBE with a type IA endoleak, rescued with proximal extension zone 0 TBE to create a sandwiched double TBE configuration. Technical considerations as well as the limitations of this technique are discussed.
胸腔内主动脉修补术已成为降主动脉疾病的一线治疗方式。在胸腔内主动脉修补术中,通常需要覆盖主动脉弓分支以扩大近端密封区。胸腔分支内假体(TBE)是首个获得美国食品药品管理局批准的用于胸腔内血管修复的分支装置,可纳入左锁骨下动脉。2 区 TBE 术后的 IA 型内漏及其抢救方案尚未得到很好的描述。在本报告中,我们描述了两例 2 区 TBE 失败并伴有 IA 型内漏的病例,这些病例通过近端延伸 0 区 TBE 进行抢救,形成了夹层双 TBE 结构。本文讨论了该技术的技术考虑因素和局限性。
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引用次数: 0
Withdrawal notice to: Utilization of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields [J Vasc Surg Cases Innov Tech (2023) 101104] 撤回通知:在受污染或感染的腹腔内利用动脉转位进行血管重建 [J Vasc Surg Cases Innov Tech (2023) 101104]
IF 0.7 Q4 SURGERY Pub Date : 2024-09-21 DOI: 10.1016/j.jvscit.2024.101639
Richard S. Whitlock MD , Vivek A. Patel MD , Joseph L. Mills Sr. MD , Zachary S. Pallister MD , Ramyar Gilani MD
This article has been withdrawn at the request of the editor and publisher.
The publisher regrets that an error occurred which led to the premature publication of this paper. This error bears no reflection on the article or its authors. The publisher apologizes to the authors and the readers for this unfortunate error.
The full Elsevier Policy on Article Withdrawal can be found at (https://www.elsevier.com/about/policies/article-withdrawal).
应编辑和出版商的要求,这篇文章已被撤回。出版商很遗憾出现了一个错误,导致这篇文章过早发表。出版商很遗憾出现了一个错误,导致这篇文章过早发表。这个错误并不影响文章或其作者。出版商就这一不幸的错误向作者和读者致歉。爱思唯尔撤稿政策全文请参阅 (https://www.elsevier.com/about/policies/article-withdrawal)。
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引用次数: 0
Rapid dilatation of mycotic aneurysm of dissecting aorta caused by Edwardsiella tarda 快速扩张由 Edwardsiella tarda 引起的剖腹主动脉霉菌性动脉瘤
IF 0.7 Q4 SURGERY Pub Date : 2024-09-21 DOI: 10.1016/j.jvscit.2024.101640
Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD
Edwardsiella tarda is a gram-negative bacillus that is typically found in freshwater environments and the feces of reptiles. A 48-year-old woman with Marfan's syndrome presented to our hospital with fever, nausea, and general fatigue. She had previously undergone a mechanical Bentall procedure and total aortic arch replacement for acute type A aortic dissection. E tarda was identified from the blood culture. Computed tomography scanning revealed a mycotic aneurysm of the dissecting descending aorta. Despite appropriate intravenous antibiotic therapy, the aneurysm dilated rapidly. Thus, an emergency surgery was performed to replace the descending aorta with a graft that was surrounded by a latissimus dorsi muscle flap. Her postoperative course was uneventful.
塔尔达爱德华氏菌(Edwardsiella tarda)是一种革兰氏阴性杆菌,通常存在于淡水环境和爬行动物的粪便中。一名患有马凡氏综合征的 48 岁女性因发烧、恶心和全身乏力到我院就诊。她曾因急性 A 型主动脉夹层接受过机械本塔尔手术和全主动脉弓置换术。从血液培养中发现了 E tarda。计算机断层扫描显示,夹层降主动脉上有一个霉菌性动脉瘤。尽管进行了适当的静脉抗生素治疗,动脉瘤还是迅速扩张。因此,医生为她进行了紧急手术,用背阔肌肌皮瓣环绕的移植物取代了降主动脉。她的术后恢复顺利。
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引用次数: 0
Iatrogenic arteriovenous fistula after endovenous mechanical thrombectomy 静脉内机械血栓切除术后的先天性动静脉瘘
IF 0.7 Q4 SURGERY Pub Date : 2024-09-19 DOI: 10.1016/j.jvscit.2024.101636
Ben Christopher Caputo MD , Lemuel Kirby MD
Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thrombectomy remains unknown. Herein, we report the case of an 85-year-old morbidly obese female with multiple comorbidities referred for an edematous, cyanotic, and pulseless left lower extremity secondary to an iatrogenic femorofemoral AVF. The AVF was successfully treated via a unique through-and-through access technique by ensnarement and subsequent flossing within the injured vein.
治疗急性髂股深静脉血栓越来越多地采用经皮机械和抽吸血栓切除技术。虽然手术并发症很少见,但静脉内机械血栓切除术后意外形成动静脉瘘(AVF)的发生率仍然未知。在此,我们报告了一例 85 岁的病态肥胖女性病例,她患有多种并发症,左下肢水肿、发绀、无脉,继发于先天性股股动静脉瘘。通过独特的穿刺入路技术,在受伤的静脉内进行穿刺并随后使用牙线,成功治疗了动静脉瘘。
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引用次数: 0
Early graft failure following lower extremity bypass 下肢搭桥术后早期移植失败
IF 0.7 Q4 SURGERY Pub Date : 2024-09-19 DOI: 10.1016/j.jvscit.2024.101642
Donald T. Baril MD
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引用次数: 0
The role of a distal forearm perforating vein and deep vein system in supporting patency of a snuffbox fistula – A case report 前臂远端穿孔静脉和深静脉系统在支持鼻咽管瘘管通畅中的作用--病例报告
IF 0.7 Q4 SURGERY Pub Date : 2024-09-19 DOI: 10.1016/j.jvscit.2024.101635
Maciej Gołębiowski , Mariusz Kusztal MD, PhD , Maciej Szymczak MD, PhD , Andrzej Konieczny MD, PhD , Mirosław Banasik MD, PhD , Dariusz Janczak MD, PhD , Pierre Bourquelot MD, PhD , Tomasz Gołębiowski MD, PhD
The purpose of this manuscript is to describe the clinical course of a 66-year-old patient with chronic kidney disease due to focal segmental glomerulosclerosis in whom an access arteriovenous fistula was created in the anatomical snuffbox. At discharge, the fistula thrill was normal. Two months later, a duplex examination revealed previously unrecognized obstruction of the mid-forearm segment of the cephalic vein; flow was maintained by a perforator into the deep venous system, which returned blood to the upper arm cephalic vein above the occlusion. A second, subsequent radiocephalic anastomosis was performed in the wrist to augment flow. The fistula was successfully cannulated after 12 weeks of maturation.
本手稿旨在描述一名因局灶节段性肾小球硬化症而患有慢性肾病的 66 岁患者的临床病程。出院时,动静脉瘘的蠕动正常。两个月后,双相检查发现头静脉前臂中段出现了之前未曾发现的阻塞;深静脉系统的穿孔器维持了血流,使血液回流到闭塞处上方的上臂头静脉。随后在手腕处进行了第二次放射吻合术,以增加血流量。瘘管在 12 周成熟后成功插管。
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引用次数: 0
期刊
Journal of Vascular Surgery Cases Innovations and Techniques
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