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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Intraoperative rescue of a dislodged renal stent during fenestrated endovascular aortic repair for treatment of type 1A endoleak 开窗主动脉腔内修复术中肾支架移位的抢救治疗1A型内漏。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101688
Mario D’Oria MD , Filippo Griselli MD , Cristiano Calvagna MD , Sandro Lepidi MD
In the past 15 years, fenestrated-branched endovascular aortic repair (F-BEVAR) has progressively become the first-line option for management of most complex abdominal aortic aneurysms (AAAs); with increasing experience, as well as persistent technological refinements, F-BEVAR indications have been expanded to include rescue of failures after prior EVAR. Despite the feasibility and effectiveness, F-BEVAR procedures in the presence of prior infrarenal endografts may come with higher technical complexity that should be properly anticipated, and several anatomical challenges can be expected. Among these, presence of suprarenal bare stents from prior EVAR device are certainly a frequent scenario and may sometimes make target vessel cannulation more difficult because of encroachment on the target vessel origins. In this manuscript, we report a case intraoperative rescue of a dislodged renal stent during FEVAR for treatment of type 1 endoleak with the aim of showing the culprit of the complication, how to recognize it, and the off-label solution that was devised to solve it.
在过去的15年中，开孔分支血管内主动脉修复术（F-BEVAR）逐渐成为治疗大多数复杂腹主动脉瘤（AAAs）的一线选择；随着经验的增加，以及持续的技术改进，F-BEVAR适应症已经扩大到包括先前EVAR后失败的抢救。尽管F-BEVAR具有可行性和有效性，但在存在先前的肾下内移植物的情况下，可能会带来更高的技术复杂性，这应该得到适当的预期，并且可以预期一些解剖学上的挑战。其中，从先前的EVAR装置中取出的裸支架当然是一种常见的情况，有时可能会因为侵犯目标血管起源而使目标血管插管变得更加困难。在这篇文章中，我们报告了一例在FEVAR治疗1型肾内漏的术中抢救肾脏支架移位的病例，目的是显示并发症的罪魁祸首，如何识别它，以及为解决它而设计的超说明书解决方案。
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引用次数: 0
Middle aortic syndrome in childhood-onset Takayasu arteritis 儿童高须动脉炎的中主动脉综合征。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101678
Andres I. Gutierrez-Malacara MD, Diego Piccolo-Greenwood MD, Ramon Garcia-Alva MD, Jennifer J. Alarcón-López MD, Adriana Torres-Machorro MD
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引用次数: 0
Delayed surgical management of an Amplatzer device migration into the aortoiliac bifurcation Amplatzer装置迁移到主动脉髂分叉的延迟手术处理。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101681
David Gadoin MD, Florent Porez MD, Antoine Gaudin MD, Thomas Le Houerou MD, Stephan Haulon MD, PhD, Dominique Fabre MD, PhD
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引用次数: 0
Info for Authors
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/S2468-4287(25)00004-8
Peter Gloviczki, Peter F. Lawrence (Editors)
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引用次数: 0
Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia 急性肢体缺血的臂血栓栓塞切除术和逆行无名动脉支架置入术。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101675
Rachel Bernardo BS , Hamda Almaazmi MD , Shawn Sarin MD, MBA , Salim Lala MD, MBA, FACS, FRCSI
Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery and a nonocclusive mobile thrombus in the innominate artery. The patient underwent urgent brachial artery thromboembolectomy and subsequent retrograde innominate artery stenting via right open transcarotid approach. The retrograde approach was chosen to minimize stroke risk associated with embolization. The successful resolution of the arterial thrombus and restoration of arterial patency underscore the importance of individualized management strategies in complex vascular emergencies.
急性肢体缺血是一种严重的血管急症，通常由栓塞源引起，需要及时干预以防止显著的发病率和死亡率。本文报告了一例74岁的女性，由于远端肱动脉血栓栓塞和无名动脉非闭塞性移动血栓而导致急性肢体缺血。患者接受了紧急肱动脉血栓栓塞切除术和随后经右开颈动脉入路逆行无名动脉支架置入术。选择逆行入路是为了将栓塞相关的卒中风险降至最低。动脉血栓的成功解决和动脉通畅的恢复强调了在复杂的血管紧急情况下个性化管理策略的重要性。
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引用次数: 0
Hybrid surgery for imminent rupture of superior mesenteric artery aneurysms 复合式手术治疗肠系膜上动脉瘤急症破裂。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101665
Yuta Miyano MD, Hiroshi Mitsuoka PhD, Takahiro Suzuki MD
A case of a superior mesenteric artery aneurysm presented with an impending rupture. The aneurysm was located in the right side branch of the superior mesenteric artery. The patient underwent an emergency hybrid procedure, which included aneurysm embolization and exclusion of the aneurysm with an endoluminal stent graft. The blood supply to the right side branch was restored by bypass grafting with an autologous vein graft. The postoperative course was uneventful with no evidence of mesenteric ischemia. Postoperative computed tomography angiography confirmed complete aneurysm exclusion and sac size reduction, as well as patency of the stent graft and bypass.
一例肠系膜上动脉动脉瘤表现为即将破裂。动脉瘤位于肠系膜上动脉右侧分支。患者接受了紧急混合手术，包括动脉瘤栓塞和腔内支架移植排除动脉瘤。采用自体静脉旁路移植术恢复右支血供。术后过程平稳，无肠系膜缺血迹象。术后ct血管造影证实动脉瘤完全排除，囊缩小，支架和搭桥通畅。
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引用次数: 0
Repair of symptomatic superior mesenteric artery pseudoaneurysm with arteriovenous fistula using physician-modified endograft 医师改良内移植物修复伴有动静脉瘘的症状性肠系膜上动脉假性动脉瘤。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101646
Olivia Fuson MD, Claire Janssen MD, Andrew Barleben MD, Ann Gaffey MD, MS
Superior mesenteric artery (SMA) pseudoaneurysm with superior mesenteric arteriovenous fistula (SMAVF) is a rare pathology associated with high rates of rupture and mortality. Known interventions for the treatment of SMA pseudoaneurysm with SMAVF include open repair or endovascular repair with coil embolization or covered stenting. To the best of our knowledge, this report is the first of physician-modified endograft for the treatment of SMA pseudoaneurysm with SMAVF after prior thrombosis, ligation, and coil embolization of the SMA. The patient recovered well and has 1 month of follow-up after the procedure.
肠系膜上动脉假性动脉瘤合并肠系膜上动静脉瘘（SMAVF）是一种罕见的病理，其破裂率和死亡率都很高。已知的SMAVF治疗SMA假性动脉瘤的干预措施包括开放修复或血管内修复与线圈栓塞或覆盖支架置入。据我们所知，本报告是第一个在SMA血栓形成、结扎和线圈栓塞后采用SMAVF改良内移植物治疗SMA假性动脉瘤的病例。患者恢复良好，术后随访1个月。
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引用次数: 0
Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis 闪电导管肺吸入性取栓术治疗纤维化性纵隔炎1例。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101672
Lucas Peclat MD , João Marcos Fonseca e Fonseca MD , Fernando Tebet Ramos Barreto MD , Rafael Peclat , Ana Paula Rolim Maia Peclat MD , Julio Peclat MD, PhD
We present the case of a 33-year-old patient with atypical pulmonary anatomy secondary to fibrosing mediastinitis who underwent pulmonary thrombectomy with the Lightning Flash aspiration catheter following a pulmonary embolism triggered by tibial osteomyelitis. Despite an inconclusive computed tomography angiography report, the diagnosis was made through clinical evaluation associated with electrocardiographic and echocardiographic changes. Angiography was crucial for diagnosis. The procedure was technically successful, resulting in immediate improvement in pulmonary artery systolic pressure and dyspnea. This case demonstrates the feasibility of aspiration thrombectomy in distorted anatomies and underscores the importance of early intervention in intermediate- to high-risk pulmonary embolism.
我们报告一例33岁的患者，其继发于纤维化性纵隔炎的肺解剖不典型，在胫骨骨髓炎引发肺栓塞后，他接受了闪电吸入导管的肺血栓切除术。尽管计算机断层血管造影报告不确定，但通过与心电图和超声心动图变化相关的临床评估进行了诊断。血管造影对诊断至关重要。手术在技术上是成功的，肺动脉收缩压和呼吸困难立即得到改善。本病例证明了畸形解剖下吸入性取栓的可行性，并强调了早期干预中高风险肺栓塞的重要性。
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引用次数: 0
Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection 2区弓置换术和完全性胸腔假体分阶段混合入路治疗急性逆行A型主动脉夹层。
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/j.jvscit.2024.101663
Nabil Saouti MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Sjoerd F.M. Jenniskens MD , Robin H. Heijmen MD, PhD
We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.
我们描述了一个逆行急性a型主动脉夹层的病例，采用混合的、分阶段的方法，包括2区弓置换和完成胸腔血管内主动脉修复手术，结合远端球囊辅助支架扩张，以防止逆行假腔流。与冷冻象鼻手术相比，这种技术可能是一种替代方法，而且更完整。此外，观察到整个胸主动脉的良好重塑。
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引用次数: 0
Information for Readers
IF 0.7 Q4 SURGERY
Journal of Vascular Surgery Cases Innovations and Techniques
Pub Date : 2025-02-01 DOI: 10.1016/S2468-4287(25)00003-6
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引用次数: 0
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