A 40-year-old man with a type B aortic dissection from the distal left subclavian to right common iliac artery, involving the renal arteries, underwent an endovascular repair complicated with distal malperfusion owing to true lumen compression. A cheese-wire fenestration was done distal to the stent graft down to the aortic bifurcation with bilateral femoral thrombectomy. At postoperative 57 month, he developed a dissection flap in the distal ascending aorta that was repaired with a 28-mm Terumo Gelweave graft. True lumen compression from a reentry tear distal to a stent graft can be managed acutely with a cheese-wire endovascular fenestration with minimal specialized instruments.
{"title":"Distal true lumen compression after thoracic endovascular aortic repair for aortic dissection treated with endovascular fenestration","authors":"Harsimran Panesar MD , Ruchi Raval BS , Gregory Simonian MD , David O'Connor MD","doi":"10.1016/j.jvscit.2025.102055","DOIUrl":"10.1016/j.jvscit.2025.102055","url":null,"abstract":"<div><div>A 40-year-old man with a type B aortic dissection from the distal left subclavian to right common iliac artery, involving the renal arteries, underwent an endovascular repair complicated with distal malperfusion owing to true lumen compression. A cheese-wire fenestration was done distal to the stent graft down to the aortic bifurcation with bilateral femoral thrombectomy. At postoperative 57 month, he developed a dissection flap in the distal ascending aorta that was repaired with a 28-mm Terumo Gelweave graft. True lumen compression from a reentry tear distal to a stent graft can be managed acutely with a cheese-wire endovascular fenestration with minimal specialized instruments.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102055"},"PeriodicalIF":0.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736325","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}
Type II endoleaks are a common occurrence after endovascular repair of aortic aneurysm, with a significant subset requiring treatment. There are a significant subset of type II endoleaks that are not amenable to established treatment routes, such as transarterial, transcaval, or translumbar. We report two cases of a successful transgraft approach to type II endoleak embolization using the Powerwire radiofrequency guidewire. The use of the radiofrequency guidewire to accomplish transgraft embolization has not been previously reported. This is a useful technique to have in the arsenal for treating type II endoleaks.
{"title":"Endograft fenestration using a radiofrequency wire for embolization of type 2 endoleaks","authors":"Ciaran O'Brien MD , Kevin Eddinger MD , Shang Loh MD","doi":"10.1016/j.jvscit.2025.102056","DOIUrl":"10.1016/j.jvscit.2025.102056","url":null,"abstract":"<div><div>Type II endoleaks are a common occurrence after endovascular repair of aortic aneurysm, with a significant subset requiring treatment. There are a significant subset of type II endoleaks that are not amenable to established treatment routes, such as transarterial, transcaval, or translumbar. We report two cases of a successful transgraft approach to type II endoleak embolization using the Powerwire radiofrequency guidewire. The use of the radiofrequency guidewire to accomplish transgraft embolization has not been previously reported. This is a useful technique to have in the arsenal for treating type II endoleaks.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102056"},"PeriodicalIF":0.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736329","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}
Pub Date : 2025-11-12DOI: 10.1016/j.jvscit.2025.102039
Wade Hopper DO , Hunter Row MD , Carter West BS , Ossama Reslan MD
Objective
Absent common carotid artery (ACCA) is a rare condition, with less than 125 cases reported in the literature. Trends in symptoms, treatments, and outcomes related to ACCA are largely unknown.
Methods
We present a case of ACCA in a 77-year-old man who also had asymptomatic severe atherosclerotic stenosis of the ipsilateral internal carotid artery (ICA). Carotid revascularization was performed via transposition of the ipsilateral internal to external carotid artery. The case was successful, and he recovered without complication. We also performed a systematic review of EMBASE and PubMed databases for clinical presentations and treatment outcomes of ACCA. Literature quality was assessed according to the Joanna Briggs Institute case report checklist.
Results
We identified 64 cases of ACCA from 61 reports. Over 50% of patients with ACCA presented with cerebrovascular-related symptoms, including 21 (33%) presenting acutely with transient ischemia attack or cerebrovascular accident. Incidence of intracranial aneurysm was disproportionately high, occurring in 10 cases (16%). Hypoplasia or absence of the ipsilateral ICA was seen in 22 cases (35%). Treatment for carotid stenosis or intracranial aneurysm was reported in 12 cases (20%), with no reports of complication or mortality. Only four reports (7%) documented patient race or ethnicity, and 19 (31%) did not describe clinical management.
Conclusions
We recommend diagnostic head imaging to detect intracranial aneurysm in adult patients found to have ACCA and hypoplasia or tortuosity of the ipsilateral ICA. We also recommend carotid revascularization in patients found to have severe stenosis of the ipsilateral ICA, and this can safely be performed with open or endovascular methods. Current ACCA case report literature is of low quality and would benefit from improved reporting of patient demographics and clinical management strategies.
{"title":"Systematic review of clinical literature for absent common carotid artery","authors":"Wade Hopper DO , Hunter Row MD , Carter West BS , Ossama Reslan MD","doi":"10.1016/j.jvscit.2025.102039","DOIUrl":"10.1016/j.jvscit.2025.102039","url":null,"abstract":"<div><h3>Objective</h3><div>Absent common carotid artery (ACCA) is a rare condition, with less than 125 cases reported in the literature. Trends in symptoms, treatments, and outcomes related to ACCA are largely unknown.</div></div><div><h3>Methods</h3><div>We present a case of ACCA in a 77-year-old man who also had asymptomatic severe atherosclerotic stenosis of the ipsilateral internal carotid artery (ICA). Carotid revascularization was performed via transposition of the ipsilateral internal to external carotid artery. The case was successful, and he recovered without complication. We also performed a systematic review of EMBASE and PubMed databases for clinical presentations and treatment outcomes of ACCA. Literature quality was assessed according to the Joanna Briggs Institute case report checklist.</div></div><div><h3>Results</h3><div>We identified 64 cases of ACCA from 61 reports. Over 50% of patients with ACCA presented with cerebrovascular-related symptoms, including 21 (33%) presenting acutely with transient ischemia attack or cerebrovascular accident. Incidence of intracranial aneurysm was disproportionately high, occurring in 10 cases (16%). Hypoplasia or absence of the ipsilateral ICA was seen in 22 cases (35%). Treatment for carotid stenosis or intracranial aneurysm was reported in 12 cases (20%), with no reports of complication or mortality. Only four reports (7%) documented patient race or ethnicity, and 19 (31%) did not describe clinical management.</div></div><div><h3>Conclusions</h3><div>We recommend diagnostic head imaging to detect intracranial aneurysm in adult patients found to have ACCA and hypoplasia or tortuosity of the ipsilateral ICA. We also recommend carotid revascularization in patients found to have severe stenosis of the ipsilateral ICA, and this can safely be performed with open or endovascular methods. Current ACCA case report literature is of low quality and would benefit from improved reporting of patient demographics and clinical management strategies.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102039"},"PeriodicalIF":0.7,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684350","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}
Retroperitoneal sarcomas rarely invade major vessels, with arterial rupture as a presenting symptom being exceptionally uncommon. Retroperitoneal undifferentiated pleomorphic sarcoma presenting with right common iliac artery rupture and inferior vena cava thrombosis is described. A 46-year-old female presented with right common iliac artery rupture requiring emergency endovascular aneurysm repair. Further workup revealed retroperitoneal sarcoma invading the inferior vena cava and bilateral common iliac veins. En bloc tumor resection with vascular reconstruction was performed, including right renal vein reconstruction using autologous superficial femoral vein and aortobifemoral bypass with prosthetic graft. Undifferentiated pleomorphic sarcoma was confirmed histopathologically. This exceptionally rare presentation was completely resected.
{"title":"Retroperitoneal undifferentiated pleomorphic sarcoma with aortic and inferior vena cava involvement presenting as right common iliac artery rupture","authors":"Daichi Ito MD , Koichi Morisaki MD, PhD , Kentaro Inoue MD, PhD , Chiemi Oishi MD , Yoshinao Oda MD, PhD , Tomoharu Yoshizumi MD, PhD","doi":"10.1016/j.jvscit.2025.102053","DOIUrl":"10.1016/j.jvscit.2025.102053","url":null,"abstract":"<div><div>Retroperitoneal sarcomas rarely invade major vessels, with arterial rupture as a presenting symptom being exceptionally uncommon. Retroperitoneal undifferentiated pleomorphic sarcoma presenting with right common iliac artery rupture and inferior vena cava thrombosis is described. A 46-year-old female presented with right common iliac artery rupture requiring emergency endovascular aneurysm repair. Further workup revealed retroperitoneal sarcoma invading the inferior vena cava and bilateral common iliac veins. En bloc tumor resection with vascular reconstruction was performed, including right renal vein reconstruction using autologous superficial femoral vein and aortobifemoral bypass with prosthetic graft. Undifferentiated pleomorphic sarcoma was confirmed histopathologically. This exceptionally rare presentation was completely resected.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102053"},"PeriodicalIF":0.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939652","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}
Pub Date : 2025-11-10DOI: 10.1016/j.jvscit.2025.102052
David A. Lieb II MD , William Tracy MD , Sarvar Oreizi-Esfahani MD , Adana Campbell-Wright MD , Hruday Patel PA , Johnathan Allen PA , Tomas Heimann MD , Rajiv K. Chander MD
Visceral artery aneurysms, particularly those of the superior mesenteric artery, are rare entities that can present with thrombosis and subsequent mesenteric ischemia. Most such aneurysms are classically associated with inflammatory and/or infectious etiologies, atherosclerosis, and connective tissue diseases. We present a case of an otherwise healthy 45-year-old male patient with no significant medical history or risk factors presenting with several months of abdominal pain who was subsequently found to have a symptomatic superior mesenteric artery aneurysm. Following discovery, the patient received systemic anticoagulation and later underwent open repair with an uncomplicated postoperative course.
{"title":"Superior mesenteric artery aneurysm associated with chronic mesenteric ischemia in absence of identifiable risk factors and review of current literature","authors":"David A. Lieb II MD , William Tracy MD , Sarvar Oreizi-Esfahani MD , Adana Campbell-Wright MD , Hruday Patel PA , Johnathan Allen PA , Tomas Heimann MD , Rajiv K. Chander MD","doi":"10.1016/j.jvscit.2025.102052","DOIUrl":"10.1016/j.jvscit.2025.102052","url":null,"abstract":"<div><div>Visceral artery aneurysms, particularly those of the superior mesenteric artery, are rare entities that can present with thrombosis and subsequent mesenteric ischemia. Most such aneurysms are classically associated with inflammatory and/or infectious etiologies, atherosclerosis, and connective tissue diseases. We present a case of an otherwise healthy 45-year-old male patient with no significant medical history or risk factors presenting with several months of abdominal pain who was subsequently found to have a symptomatic superior mesenteric artery aneurysm. Following discovery, the patient received systemic anticoagulation and later underwent open repair with an uncomplicated postoperative course.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102052"},"PeriodicalIF":0.7,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188633","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}
Pub Date : 2025-11-04DOI: 10.1016/j.jvscit.2025.102043
Tara Zielke MD, Jack Sansone BS, Mackenzie Madison MD, Hanaa Aridi MD, Alok Gupta MD, Raghu Motaganahalli MD
A 65-year-old male with a history of right nephrectomy after a gunshot wound during childhood presented with an aortocaval fistula and fistula between the right renal artery stump and inferior vena cava. Given the risk of high-output heart failure, the patient was offered intervention. The fistula was repaired with a combination of coil embolization, placement of an Amplatzer plug, and a Palmaz stent. Surveillance imaging for 9 years following his operation demonstrated continued exclusion of the fistula with no opacification of the venous system.
{"title":"Long-term outcome following endovascular repair of complex aortocaval fistula after nephrectomy","authors":"Tara Zielke MD, Jack Sansone BS, Mackenzie Madison MD, Hanaa Aridi MD, Alok Gupta MD, Raghu Motaganahalli MD","doi":"10.1016/j.jvscit.2025.102043","DOIUrl":"10.1016/j.jvscit.2025.102043","url":null,"abstract":"<div><div>A 65-year-old male with a history of right nephrectomy after a gunshot wound during childhood presented with an aortocaval fistula and fistula between the right renal artery stump and inferior vena cava. Given the risk of high-output heart failure, the patient was offered intervention. The fistula was repaired with a combination of coil embolization, placement of an Amplatzer plug, and a Palmaz stent. Surveillance imaging for 9 years following his operation demonstrated continued exclusion of the fistula with no opacification of the venous system.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102043"},"PeriodicalIF":0.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615387","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}
Pub Date : 2025-11-04DOI: 10.1016/j.jvscit.2025.102042
Michael A. Curi MD, MPA , Ernest E. Moore MD , Nicholas Namias MD , Rishi Kundi MD , Ying Wei Lum MD , Charles J. Fox MD , Ilya Goldin MD , Sophia Bou-Ghannam PhD , Mauricio Berdugo MD, MPH , Zakaria Khondker PhD , Shamik Parikh MD , Laura E. Niklason MD, PhD
Background
In cases of arterial injury, use of autologous vein for arterial repair is sometimes not feasible. We previously reported the short-term (ie, 30-day) outcomes of the Acellular Tissue Engineered Vessel (Symvess) in treating extremity vascular injuries. This study evaluates the long-term safety, efficacy, and mechanical durability of Symvess in patients with arterial trauma.
Methods
This prospective analysis focused on patients from the CLN-PRO-V005 clinical study who sustained noniatrogenic vascular injuries to the extremities, and for whom saphenous vein was not feasible for use. Patients received Symvess and were followed for up to 36 months. Primary outcomes include graft patency, limb salvage, adverse events, and mechanical durability, as assessed through clinical evaluation, imaging, and independent adjudication. Long-term patency, limb salvage, patient survival and infection rates were analyzed by the Kaplan-Meier method.
Results
This study evaluated 54 patients who underwent extremity vascular repair with Symvess and were followed for up to 36 months. Mechanisms of injury were primarily penetrating (57%) or blast-related. Follow-up ranged from 1 day to 42 months (median, 10.7 months), totaling 59.5 patient-years. Primary patency was 58.3%, and secondary patency was 65.7% at month 12; limb salvage at month 12 was 87.3%. Infection-free rates remained at 92.9% from months 3 through 36, with no infections after day 37. All deaths (n = 6; 11.1%) occurred within the first 6 months. No deaths or amputations were attributed to the Symvess conduit. Adverse events and serious adverse events declined over time, and no cases of immune-mediated rejection were observed. There were no cases of unprovoked, spontaneous Symvess rupture or mechanical failure.
Conclusions
Symvess use for arterial reconstruction in setting of limb threatening arterial injury is associated with low infection rates, and acceptable limb salvage outcomes over 36 months in a high-risk trauma population when use of saphenous vein was not feasible. These results suggest Symvess represents a new alternative when autologous vein is not feasible for arterial reconstruction in extremity trauma.
{"title":"Long-term safety and efficacy outcomes of the Acellular Tissue Engineered Vessel (ATEV) in extremity arterial trauma repair","authors":"Michael A. Curi MD, MPA , Ernest E. Moore MD , Nicholas Namias MD , Rishi Kundi MD , Ying Wei Lum MD , Charles J. Fox MD , Ilya Goldin MD , Sophia Bou-Ghannam PhD , Mauricio Berdugo MD, MPH , Zakaria Khondker PhD , Shamik Parikh MD , Laura E. Niklason MD, PhD","doi":"10.1016/j.jvscit.2025.102042","DOIUrl":"10.1016/j.jvscit.2025.102042","url":null,"abstract":"<div><h3>Background</h3><div>In cases of arterial injury, use of autologous vein for arterial repair is sometimes not feasible. We previously reported the short-term (ie, 30-day) outcomes of the Acellular Tissue Engineered Vessel (Symvess) in treating extremity vascular injuries. This study evaluates the long-term safety, efficacy, and mechanical durability of Symvess in patients with arterial trauma.</div></div><div><h3>Methods</h3><div>This prospective analysis focused on patients from the CLN-PRO-V005 clinical study who sustained noniatrogenic vascular injuries to the extremities, and for whom saphenous vein was not feasible for use. Patients received Symvess and were followed for up to 36 months. Primary outcomes include graft patency, limb salvage, adverse events, and mechanical durability, as assessed through clinical evaluation, imaging, and independent adjudication. Long-term patency, limb salvage, patient survival and infection rates were analyzed by the Kaplan-Meier method.</div></div><div><h3>Results</h3><div>This study evaluated 54 patients who underwent extremity vascular repair with Symvess and were followed for up to 36 months. Mechanisms of injury were primarily penetrating (57%) or blast-related. Follow-up ranged from 1 day to 42 months (median, 10.7 months), totaling 59.5 patient-years. Primary patency was 58.3%, and secondary patency was 65.7% at month 12; limb salvage at month 12 was 87.3%. Infection-free rates remained at 92.9% from months 3 through 36, with no infections after day 37. All deaths (n = 6; 11.1%) occurred within the first 6 months. No deaths or amputations were attributed to the Symvess conduit. Adverse events and serious adverse events declined over time, and no cases of immune-mediated rejection were observed. There were no cases of unprovoked, spontaneous Symvess rupture or mechanical failure.</div></div><div><h3>Conclusions</h3><div>Symvess use for arterial reconstruction in setting of limb threatening arterial injury is associated with low infection rates, and acceptable limb salvage outcomes over 36 months in a high-risk trauma population when use of saphenous vein was not feasible. These results suggest Symvess represents a new alternative when autologous vein is not feasible for arterial reconstruction in extremity trauma.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102042"},"PeriodicalIF":0.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684348","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}
Pub Date : 2025-11-04DOI: 10.1016/j.jvscit.2025.102038
Francisco Lasanta-Gorbea MD , Ricardo Lorenzo-Cerra MD , Jose Ortiz-Fullana MPH, MD , Jorge Martinez-Trabal MD, FACS, RPVI, FSVS
A 44-year-old female was referred to our clinic for a 20-year history of an enlarging upper back mass. After further evaluation with computed tomography angiography, we diagnosed her with a thoracic aorta arteriovenous malformation. This malformation originated from the aorta and drained into her intercostal veins. A thoracic endovascular aortic repair was done to cover all but one of the feeding arteries. The case was uneventful, and the patient was discharged on postoperative day 1. An aortic arteriovenous malformation is extremely rare; thoracic endovascular aortic repair was helpful in this case to prevent further enlargement of this anomaly.
{"title":"Congenital arteriovenous malformation of the thoracic aorta treated with thoracic endovascular aortic repair (TEVAR)","authors":"Francisco Lasanta-Gorbea MD , Ricardo Lorenzo-Cerra MD , Jose Ortiz-Fullana MPH, MD , Jorge Martinez-Trabal MD, FACS, RPVI, FSVS","doi":"10.1016/j.jvscit.2025.102038","DOIUrl":"10.1016/j.jvscit.2025.102038","url":null,"abstract":"<div><div>A 44-year-old female was referred to our clinic for a 20-year history of an enlarging upper back mass. After further evaluation with computed tomography angiography, we diagnosed her with a thoracic aorta arteriovenous malformation. This malformation originated from the aorta and drained into her intercostal veins. A thoracic endovascular aortic repair was done to cover all but one of the feeding arteries. The case was uneventful, and the patient was discharged on postoperative day 1. An aortic arteriovenous malformation is extremely rare; thoracic endovascular aortic repair was helpful in this case to prevent further enlargement of this anomaly.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102038"},"PeriodicalIF":0.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615388","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}
Pub Date : 2025-11-04DOI: 10.1016/j.jvscit.2025.102041
Andrea Molinari MD, Francesca Miceli MD, Marta Ascione MD, Rocco Cangiano MD, Wassim Mansour MD, PhD, Luca di Marzo MD
The Nellix graft has been withdrawn from the market for the early graft failures associated with sac enlargement and rupture. To manage this complication, open conversion has been described as the main solution. However, we report the case of an 85-year-old female patient admitted with a type IA endoleak on a Nellix graft, with 70-mm aneurysmal sac, and treated with a custom-made device manufactured by Cook, to fit the peculiar graft conformation and patient’s anatomy. In this case, accurate prosthesis design and surgical planning were essential to complete the procedure with no intraoperative complications.
{"title":"A nonstandard custom-made device to treat a type IA endoleak 6 years after Nellix implantation","authors":"Andrea Molinari MD, Francesca Miceli MD, Marta Ascione MD, Rocco Cangiano MD, Wassim Mansour MD, PhD, Luca di Marzo MD","doi":"10.1016/j.jvscit.2025.102041","DOIUrl":"10.1016/j.jvscit.2025.102041","url":null,"abstract":"<div><div>The Nellix graft has been withdrawn from the market for the early graft failures associated with sac enlargement and rupture. To manage this complication, open conversion has been described as the main solution. However, we report the case of an 85-year-old female patient admitted with a type IA endoleak on a Nellix graft, with 70-mm aneurysmal sac, and treated with a custom-made device manufactured by Cook, to fit the peculiar graft conformation and patient’s anatomy. In this case, accurate prosthesis design and surgical planning were essential to complete the procedure with no intraoperative complications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102041"},"PeriodicalIF":0.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839179","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}
Pub Date : 2025-11-03DOI: 10.1016/j.jvscit.2025.102040
Shreef Said MD , Benjamin Crews BS , Cecilia Lee BS , Anand Brahmandam MD , Aditi M. Kapil MD , Cassius Iyad Ochoa Chaar MD, MPH, MS, FACS
Gastroduodenal artery aneurysm (GDAA) is a very rare vascular condition with a high risk of fatal rupture. Coil embolization is the recommended treatment for GDAA. This is a unique case of a 57-year-old woman with autosomal recessive polycystic kidney disease requiring renal transplantation, and Caroli disease who presented with hemorrhage related to enteric fistulization of a GDAA 17 years after coil embolization. Unsuccessful endoscopic and endovascular management necessitated open surgical resection and omental patching. The patient had an uneventful recovery and is still alive without recurrence 3 years later.
{"title":"Open resection of gastroduodenal artery aneurysm with fistulization into the duodenum 17 years after coil embolization in a patient with Caroli disease","authors":"Shreef Said MD , Benjamin Crews BS , Cecilia Lee BS , Anand Brahmandam MD , Aditi M. Kapil MD , Cassius Iyad Ochoa Chaar MD, MPH, MS, FACS","doi":"10.1016/j.jvscit.2025.102040","DOIUrl":"10.1016/j.jvscit.2025.102040","url":null,"abstract":"<div><div>Gastroduodenal artery aneurysm (GDAA) is a very rare vascular condition with a high risk of fatal rupture. Coil embolization is the recommended treatment for GDAA. This is a unique case of a 57-year-old woman with autosomal recessive polycystic kidney disease requiring renal transplantation, and Caroli disease who presented with hemorrhage related to enteric fistulization of a GDAA 17 years after coil embolization. Unsuccessful endoscopic and endovascular management necessitated open surgical resection and omental patching. The patient had an uneventful recovery and is still alive without recurrence 3 years later.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 1","pages":"Article 102040"},"PeriodicalIF":0.7,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615461","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号