Pub Date : 2025-12-26DOI: 10.1016/j.jvscit.2025.102112
Grayson S. Pitcher MD
{"title":"Best of 2025—abdominal aortic and iliac aneurysm","authors":"Grayson S. Pitcher MD","doi":"10.1016/j.jvscit.2025.102112","DOIUrl":"10.1016/j.jvscit.2025.102112","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102112"},"PeriodicalIF":0.7,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978903","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 : 2025-12-26DOI: 10.1016/j.jvscit.2025.102117
Jennifer Canonge MD, MSc , Jana Hammoud MD , Cecile Champy MD , Jean Senemaud MD, PhD , Joseph Touma MD, PhD , Pascal Desgranges MD, PhD
Severe iliac calcifications may preclude standard renal transplantation (RT) because of hostile vascular access. We report a technique of iliac endovascular preparation using Viabahn stent-grafts (W. L. Gore & Associates) as arterial landing zones for RT in five high-risk patients. Endoclamping and arteriotomy and prosthotomy enabled direct anastomosis through the stent and artery. All grafts remained patent with no vascular complications or stenosis. This minimally invasive strategy avoids major bypass surgery and facilitates RT in patients previously considered ineligible. Although early outcomes are encouraging, strict patient selection and experienced surgical teams are essential. Larger studies are needed to validate long-term efficacy and safety.
严重的髂骨钙化可能会阻碍标准肾移植（RT），因为血管通路不良。我们报道了一项髂血管内准备技术，使用Viabahn支架移植物（W. L. Gore & Associates）作为5例高危患者的动脉着陆区进行RT。内夹及动脉切开术和假体切开术使支架与动脉直接吻合。所有移植物保持通畅，无血管并发症或狭窄。这种微创策略避免了大搭桥手术，并促进了以前认为不适合的患者的RT。尽管早期结果令人鼓舞，但严格的患者选择和经验丰富的手术团队至关重要。需要更大规模的研究来验证长期疗效和安全性。
{"title":"Endovascular iliac preparation for renal transplant using Viabahn stenting","authors":"Jennifer Canonge MD, MSc , Jana Hammoud MD , Cecile Champy MD , Jean Senemaud MD, PhD , Joseph Touma MD, PhD , Pascal Desgranges MD, PhD","doi":"10.1016/j.jvscit.2025.102117","DOIUrl":"10.1016/j.jvscit.2025.102117","url":null,"abstract":"<div><div>Severe iliac calcifications may preclude standard renal transplantation (RT) because of hostile vascular access. We report a technique of iliac endovascular preparation using Viabahn stent-grafts (W. L. Gore & Associates) as arterial landing zones for RT in five high-risk patients. Endoclamping and arteriotomy and prosthotomy enabled direct anastomosis through the stent and artery. All grafts remained patent with no vascular complications or stenosis. This minimally invasive strategy avoids major bypass surgery and facilitates RT in patients previously considered ineligible. Although early outcomes are encouraging, strict patient selection and experienced surgical teams are essential. Larger studies are needed to validate long-term efficacy and safety.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102117"},"PeriodicalIF":0.7,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978905","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 2 endoleaks remain a significant clinical concern after thoracic endovascular aneurysm repair, potentially leading to aneurysm sac enlargement or rupture. A rare but clinically significant source of these endoleaks is patent ductus arteriosus (PDA). This article presents two unique cases of aortic dissection with an associated PDA. It reviews the limited available literature to comment on the background, pathophysiology, presentation, diagnostic evaluation, and management strategies of PDA-associated type 2 endoleaks after thoracic endovascular aneurysm repair.
{"title":"Management of type 2 endoleaks following endovascular thoracic aortic dissection repair associated with patent ductus arteriosus: A report of two cases in patients with Marfan syndrome","authors":"Joshua Burk MD, MBA , Clément Batteux MD , Reda Jerrari MD , Dominque Fabre MD, PhD , Sebastien Hascoet MD, PhD , Stéphan Haulon MD, PhD","doi":"10.1016/j.jvscit.2025.102114","DOIUrl":"10.1016/j.jvscit.2025.102114","url":null,"abstract":"<div><div>Type 2 endoleaks remain a significant clinical concern after thoracic endovascular aneurysm repair, potentially leading to aneurysm sac enlargement or rupture. A rare but clinically significant source of these endoleaks is patent ductus arteriosus (PDA). This article presents two unique cases of aortic dissection with an associated PDA. It reviews the limited available literature to comment on the background, pathophysiology, presentation, diagnostic evaluation, and management strategies of PDA-associated type 2 endoleaks after thoracic endovascular aneurysm repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102114"},"PeriodicalIF":0.7,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978904","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 : 2025-12-24DOI: 10.1016/j.jvscit.2025.102116
Guilherme B. Lima MD, PhD, Randall R. DeMartino MD, MS, Bernardo C. Mendes MD
{"title":"Endovascular repair of an intercostal patch aneurysm in a patient with previous open thoracoabdominal aortic aneurysm repair","authors":"Guilherme B. Lima MD, PhD, Randall R. DeMartino MD, MS, Bernardo C. Mendes MD","doi":"10.1016/j.jvscit.2025.102116","DOIUrl":"10.1016/j.jvscit.2025.102116","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102116"},"PeriodicalIF":0.7,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978899","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 : 2025-12-22DOI: 10.1016/j.jvscit.2025.102113
Dora Z. Zatyko MD , Ponraj Chinnadurai MMST , Adam Bardoczi MD , Alan B. Lumsden MD , Charudatta S. Bavare MD
Type II endoleaks are frequent after endovascular aortic repair, and recurrent endovascular failures may require open repair with high morbidity. We report a 73-year-old patient with a persistent type II endoleak managed by targeted robot-assisted retroperitoneal ligation of lumbar arteries. Dynamic computed tomography-based three-dimensional reconstructions of target vessels provided intraoperative navigation, enabling precise localization through a minimally invasive robotic approach, while minimizing procedural complications and effective management. This case demonstrates the feasibility of combining advanced imaging and robotic technology, highlighting the potential advantages of image-guided robotic surgery for complex vascular pathologies requiring innovative, definite treatment options.
{"title":"Dynamic CTA image guidance for targeted robotic ligation of type II aortic endoleak","authors":"Dora Z. Zatyko MD , Ponraj Chinnadurai MMST , Adam Bardoczi MD , Alan B. Lumsden MD , Charudatta S. Bavare MD","doi":"10.1016/j.jvscit.2025.102113","DOIUrl":"10.1016/j.jvscit.2025.102113","url":null,"abstract":"<div><div>Type II endoleaks are frequent after endovascular aortic repair, and recurrent endovascular failures may require open repair with high morbidity. We report a 73-year-old patient with a persistent type II endoleak managed by targeted robot-assisted retroperitoneal ligation of lumbar arteries. Dynamic computed tomography-based three-dimensional reconstructions of target vessels provided intraoperative navigation, enabling precise localization through a minimally invasive robotic approach, while minimizing procedural complications and effective management. This case demonstrates the feasibility of combining advanced imaging and robotic technology, highlighting the potential advantages of image-guided robotic surgery for complex vascular pathologies requiring innovative, definite treatment options.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102113"},"PeriodicalIF":0.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940082","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 : 2025-12-22DOI: 10.1016/j.jvscit.2025.102115
Pablo Kurzan BA , Perry Kerner MD , Eva Urrechaga MD , Gina Sisti MD , Venkat Kalapatapu MD
We report a rare case of open repair of an inferior pancreaticoduodenal artery (IPDA) aneurysm with a celiac artery occlusion. A 38-year-old woman with no past medical history developed a 2.1 × 2.1 cm saccular inferior pancreaticoduodenal artery aneurysm with a chronic celiac artery occlusion. Given her young age and vascular anatomy, open repair was performed with a supraceliac aorta to common hepatic artery bypass and aneurysm excision and ligation. Recovery was uneventful, and follow-up computed tomography scan demonstrated a patent bypass and no residual aneurysm. This case underscores the need for tailored surgical planning in complex visceral artery aneurysms when endovascular repair options are limited.
{"title":"Supraceliac aortohepatic bypass for an inferior pancreaticoduodenal artery aneurysm with an associated celiac artery occlusion","authors":"Pablo Kurzan BA , Perry Kerner MD , Eva Urrechaga MD , Gina Sisti MD , Venkat Kalapatapu MD","doi":"10.1016/j.jvscit.2025.102115","DOIUrl":"10.1016/j.jvscit.2025.102115","url":null,"abstract":"<div><div>We report a rare case of open repair of an inferior pancreaticoduodenal artery (IPDA) aneurysm with a celiac artery occlusion. A 38-year-old woman with no past medical history developed a 2.1 × 2.1 cm saccular inferior pancreaticoduodenal artery aneurysm with a chronic celiac artery occlusion. Given her young age and vascular anatomy, open repair was performed with a supraceliac aorta to common hepatic artery bypass and aneurysm excision and ligation. Recovery was uneventful, and follow-up computed tomography scan demonstrated a patent bypass and no residual aneurysm. This case underscores the need for tailored surgical planning in complex visceral artery aneurysms when endovascular repair options are limited.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102115"},"PeriodicalIF":0.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978906","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 : 2025-12-19DOI: 10.1016/j.jvscit.2025.102106
Thomas J. Perry II MD, Ryan Ellis MD, Ali Khalifeh MD
Hereditary exostosis is an autosomal-dominant condition characterized by multiple osteochondromas. A 54-year-old woman presented with 2 months of myalgias, fevers, and deep bone pain in her right lower extremity. Computed tomography angiography demonstrated a 6 × 4 cm popliteal artery aneurysm. She underwent femoral to popliteal artery bypass with the greater saphenous vein. Intraoperatively, a bony prominence was seen protruding into the aneurysm sac and resected. Blood cultures grew Streptococcus mitis, a common oral microbe that may have translocated after dental cleaning. The patient recovered well with a patent bypass and normal PVR at the 2-year follow-up.
{"title":"Mycotic popliteal artery aneurysm due to exostosis treated by excision and bypass","authors":"Thomas J. Perry II MD, Ryan Ellis MD, Ali Khalifeh MD","doi":"10.1016/j.jvscit.2025.102106","DOIUrl":"10.1016/j.jvscit.2025.102106","url":null,"abstract":"<div><div>Hereditary exostosis is an autosomal-dominant condition characterized by multiple osteochondromas. A 54-year-old woman presented with 2 months of myalgias, fevers, and deep bone pain in her right lower extremity. Computed tomography angiography demonstrated a 6 × 4 cm popliteal artery aneurysm. She underwent femoral to popliteal artery bypass with the greater saphenous vein. Intraoperatively, a bony prominence was seen protruding into the aneurysm sac and resected. Blood cultures grew <em>Streptococcus mitis</em>, a common oral microbe that may have translocated after dental cleaning. The patient recovered well with a patent bypass and normal PVR at the 2-year follow-up.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102106"},"PeriodicalIF":0.7,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939656","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 : 2025-12-19DOI: 10.1016/j.jvscit.2025.102110
Jayer Chung MD, MSc
{"title":"Selected publications regarding lower extremity chronic ischemia and the diabetic foot from the Journal of Vascular Surgery: Cases and Innovative Reports 2025, Volume 11","authors":"Jayer Chung MD, MSc","doi":"10.1016/j.jvscit.2025.102110","DOIUrl":"10.1016/j.jvscit.2025.102110","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102110"},"PeriodicalIF":0.7,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978902","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 : 2025-12-19DOI: 10.1016/j.jvscit.2025.102107
Georges Jreij MD, Sarina Maini BS, Antariksh Tulshyan BS, Vashisht Madabhushi MD, Eleanor Dunlap DNP, Khanjan Nagarsheth MD, MBA
Lipomas are benign tumors composed of mature adipocytes; however, their occurrence within the venous system is rare. Intravascular lipomas are often discovered incidentally, although larger lesions may cause symptoms of venous obstruction or thrombosis. Their origin remains uncertain, with hypotheses suggesting either intraluminal or perivascular development. Treatment is individualized, with surgical excision indicated for symptomatic or obstructive cases. We present the case of a 58-year-old man with left-sided neck swelling found to have an intraluminal lipomatous mass at the junction of the left subclavian and internal jugular veins.
{"title":"Intravascular lipoma of the left jugular subclavian vein confluence","authors":"Georges Jreij MD, Sarina Maini BS, Antariksh Tulshyan BS, Vashisht Madabhushi MD, Eleanor Dunlap DNP, Khanjan Nagarsheth MD, MBA","doi":"10.1016/j.jvscit.2025.102107","DOIUrl":"10.1016/j.jvscit.2025.102107","url":null,"abstract":"<div><div>Lipomas are benign tumors composed of mature adipocytes; however, their occurrence within the venous system is rare. Intravascular lipomas are often discovered incidentally, although larger lesions may cause symptoms of venous obstruction or thrombosis. Their origin remains uncertain, with hypotheses suggesting either intraluminal or perivascular development. Treatment is individualized, with surgical excision indicated for symptomatic or obstructive cases. We present the case of a 58-year-old man with left-sided neck swelling found to have an intraluminal lipomatous mass at the junction of the left subclavian and internal jugular veins.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102107"},"PeriodicalIF":0.7,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978907","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 : 2025-12-19DOI: 10.1016/j.jvscit.2025.102111
Stephanie Carter MD , Brandon Creisher MD , Ocean Setia MD , Justin Blasberg MD , Jennifer Schwartz MD , David Strosberg MD
Thoracic outlet syndrome is caused by the compression of neurovascular structures in the thoracic outlet. We present an alternative approach to open treatment that uses single port laparoscopy. This minimally invasive technique allows for improved exposure and precise dissection and is more efficacious in morbidly obese patients. Additionally, this technique offers a smaller incision with the single port system and improved ergonomics with the laparoscopic instruments. In the standard open approach, it can be difficult to obtain full posterior/medial exposure safely, and there is risk of excess retraction that could result in neurovascular complications. In open approach only one person can look inside the field at any time, whereas laparoscopic visualization allows all surgeons to examine the operative field simultaneously and provide input. This novel approach represents a promising advancement in thoracic outlet syndrome management, offering patients a less invasive alternative.
{"title":"Single port endoscopic transaxillary first rib resection for thoracic outlet syndrome","authors":"Stephanie Carter MD , Brandon Creisher MD , Ocean Setia MD , Justin Blasberg MD , Jennifer Schwartz MD , David Strosberg MD","doi":"10.1016/j.jvscit.2025.102111","DOIUrl":"10.1016/j.jvscit.2025.102111","url":null,"abstract":"<div><div>Thoracic outlet syndrome is caused by the compression of neurovascular structures in the thoracic outlet. We present an alternative approach to open treatment that uses single port laparoscopy. This minimally invasive technique allows for improved exposure and precise dissection and is more efficacious in morbidly obese patients. Additionally, this technique offers a smaller incision with the single port system and improved ergonomics with the laparoscopic instruments. In the standard open approach, it can be difficult to obtain full posterior/medial exposure safely, and there is risk of excess retraction that could result in neurovascular complications. In open approach only one person can look inside the field at any time, whereas laparoscopic visualization allows all surgeons to examine the operative field simultaneously and provide input. This novel approach represents a promising advancement in thoracic outlet syndrome management, offering patients a less invasive alternative.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102111"},"PeriodicalIF":0.7,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940079","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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