Pub Date : 2025-02-01DOI: 10.1016/j.jvscit.2024.101680
Kirran Bakhshi MD, MSc , Ayman Ahmed MD
{"title":"Radiation-induced injury in endovascular surgery: How long is too long?","authors":"Kirran Bakhshi MD, MSc , Ayman Ahmed MD","doi":"10.1016/j.jvscit.2024.101680","DOIUrl":"10.1016/j.jvscit.2024.101680","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101680"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jvscit.2024.101683
Andreea Slavescu MBBS , Fernando Picazo Pineda MD, FEBVS (Hons), FRACS (Vascular) , Joseph Hockley MD, FRACS (Vascular)
A 2-day-old neonate was referred to the vascular surgery service owing to concerns of limb perfusion after entrapment of a microcatheter in the middle cerebral artery. The catheter was inserted via the umbilical artery to treat a vein of Galen arteriovenous malformation. This catheter inadvertently became entrapped owing to device failure, was cut at the insertion site, and left in situ for 3 months. At this stage, the decision was made to remove the distal portion of the catheter via right common carotid arteriotomy. This intervention was straightforward, effective and safe, and the patient had no complications at 6 months.
{"title":"Removal of microcatheter entrapped in the middle cerebral artery in a neonate via common carotid arteriotomy","authors":"Andreea Slavescu MBBS , Fernando Picazo Pineda MD, FEBVS (Hons), FRACS (Vascular) , Joseph Hockley MD, FRACS (Vascular)","doi":"10.1016/j.jvscit.2024.101683","DOIUrl":"10.1016/j.jvscit.2024.101683","url":null,"abstract":"<div><div>A 2-day-old neonate was referred to the vascular surgery service owing to concerns of limb perfusion after entrapment of a microcatheter in the middle cerebral artery. The catheter was inserted via the umbilical artery to treat a vein of Galen arteriovenous malformation. This catheter inadvertently became entrapped owing to device failure, was cut at the insertion site, and left in situ for 3 months. At this stage, the decision was made to remove the distal portion of the catheter via right common carotid arteriotomy. This intervention was straightforward, effective and safe, and the patient had no complications at 6 months.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101683"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jvscit.2024.101652
Madeleine Carroll MD, Deena B. Chihade MD, Thomas J. Vandermeer MD, Anthony Feghali MD
A 77-year-old male presented for an incidental 5-cm gastroduodenal artery aneurysm (GDAA). He underwent an endovascular GDAA coil embolization with 6 months of no aneurysmal growth on surveillance imaging. His 12-month scan revealed aneurysmal growth from 5 cm to 7.5 cm involving the hepatic confluence. He underwent successful open aneurysm resection and primary anastomosis of the hepatic artery. Although less invasive interventions are recommended for GDAAs, many vascular surgeons prefer to proceed with an open repair. Continued GDAA enlargement after perceived endovascular success demonstrates the importance of long-term surveillance and viability of open intervention, sparing patients from a potentially fatal rupture.
{"title":"Gastroduodenal artery aneurysm degeneration after coiling necessitating open repair","authors":"Madeleine Carroll MD, Deena B. Chihade MD, Thomas J. Vandermeer MD, Anthony Feghali MD","doi":"10.1016/j.jvscit.2024.101652","DOIUrl":"10.1016/j.jvscit.2024.101652","url":null,"abstract":"<div><div>A 77-year-old male presented for an incidental 5-cm gastroduodenal artery aneurysm (GDAA). He underwent an endovascular GDAA coil embolization with 6 months of no aneurysmal growth on surveillance imaging. His 12-month scan revealed aneurysmal growth from 5 cm to 7.5 cm involving the hepatic confluence. He underwent successful open aneurysm resection and primary anastomosis of the hepatic artery. Although less invasive interventions are recommended for GDAAs, many vascular surgeons prefer to proceed with an open repair. Continued GDAA enlargement after perceived endovascular success demonstrates the importance of long-term surveillance and viability of open intervention, sparing patients from a potentially fatal rupture.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101652"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-31DOI: 10.1016/j.jvscit.2025.101745
Ben Li MD , Matthew R. Smeds MD
{"title":"An introduction to the journal review and editorial process","authors":"Ben Li MD , Matthew R. Smeds MD","doi":"10.1016/j.jvscit.2025.101745","DOIUrl":"10.1016/j.jvscit.2025.101745","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101745"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helicobacter cinaedi is primarily seen and diagnosed in immunocompromised patients. We present cases of primary mycotic aortitis in three immunocompetent and one immunocompromised patient caused by H cinaedi. Bacterial identification was made through perioperative samples using 16S rRNA gene sequencing, as routine culture techniques were negative owing to the slow turnaround time of H cinaedi. Successful management was achieved with a neoaortoiliac system and prolonged intravenous antibiotic therapy. All four patients had a history of having sex with men, highlighting the need to further investigate the transmission of H cinaedi in immunocompetent patients and its association with aortitis.
{"title":"Helicobacter cinaedi as a cause of primary aortic infections and the challenges of diagnosis and optimal treatment","authors":"Rose Gorak Savard BSc , Félix H. Savoie-White MD, MSc , Ievgen Gegiia MD, MSc , Isabelle Lafrance MD , Maxime-Antoine Tremblay MD , Pascal Rhéaume MD","doi":"10.1016/j.jvscit.2025.101744","DOIUrl":"10.1016/j.jvscit.2025.101744","url":null,"abstract":"<div><div><em>Helicobacter cinaedi</em> is primarily seen and diagnosed in immunocompromised patients. We present cases of primary mycotic aortitis in three immunocompetent and one immunocompromised patient caused by <em>H cinaedi</em>. Bacterial identification was made through perioperative samples using 16S rRNA gene sequencing, as routine culture techniques were negative owing to the slow turnaround time of <em>H cinaedi</em>. Successful management was achieved with a neoaortoiliac system and prolonged intravenous antibiotic therapy. All four patients had a history of having sex with men, highlighting the need to further investigate the transmission of <em>H cinaedi</em> in immunocompetent patients and its association with aortitis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101744"},"PeriodicalIF":0.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-19DOI: 10.1016/j.jvscit.2025.101743
Karan Chawla MD, Bernadette Aulivola MD
Superficial temporal artery aneurysms (STAAs) are rare vascular lesions that typically occur after a minor head trauma. The superficial temporal artery is susceptible to injury due to the anatomical position of this vessel over the frontal bone with only relatively thin muscles, the temporalis and frontalis muscles, providing underlying protection. STAAs most commonly present as a painless pulsatile mass. Here we present a case of traumatic STAA presenting in delayed fashion after impact of the head on a nightstand when the patient fell out of bed during a nightmare. Work-up included duplex ultrasound, which depicted focal 8 mm aneurysmal dilatation of the proximal superficial temporal artery. The artery measured 2.0 mm in the adjacent segment, representing a 3.7× size increase. The patient was treated with ligation and excision. We further discuss management options for management of STAAs.
{"title":"Nightmare accident leads to superficial temporal artery aneurysm","authors":"Karan Chawla MD, Bernadette Aulivola MD","doi":"10.1016/j.jvscit.2025.101743","DOIUrl":"10.1016/j.jvscit.2025.101743","url":null,"abstract":"<div><div>Superficial temporal artery aneurysms (STAAs) are rare vascular lesions that typically occur after a minor head trauma. The superficial temporal artery is susceptible to injury due to the anatomical position of this vessel over the frontal bone with only relatively thin muscles, the temporalis and frontalis muscles, providing underlying protection. STAAs most commonly present as a painless pulsatile mass. Here we present a case of traumatic STAA presenting in delayed fashion after impact of the head on a nightstand when the patient fell out of bed during a nightmare. Work-up included duplex ultrasound, which depicted focal 8 mm aneurysmal dilatation of the proximal superficial temporal artery. The artery measured 2.0 mm in the adjacent segment, representing a 3.7× size increase. The patient was treated with ligation and excision. We further discuss management options for management of STAAs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101743"},"PeriodicalIF":0.7,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-18DOI: 10.1016/j.jvscit.2025.101741
Peter Osztrogonacz MD , Micah Thomas BS , Bahar Alasti BS , Rebecca Barnes MT , Alan B. Lumsden MD , Maham Rahimi MD, PhD
This model gives residents and fellows practice in the surgical repair of a type B aortic dissection using thoracic endovascular aortic repair implantation by the Provisional Extension To Induce Complete Attachment (PETTICOAT) technique. A human cadaveric model was created to simulate the procedure. A Dacron graft was pulled into the aorta distal to the left subclavian artery using two glidewires. Imaging confirmed the creation of a second lumen by the graft positioned within the aorta to simulate an aortic dissection. The PETTICOAT technique was then implemented with the implantation of a Cook Dissection stent. This proved the method to be a reproducible means to train residents and fellows in type B aortic dissection repair using the PETTICOAT technique.
{"title":"Cadaveric training model for the management of type B aortic dissection using thoracic endovascular aortic repair along with the PETTICOAT technique","authors":"Peter Osztrogonacz MD , Micah Thomas BS , Bahar Alasti BS , Rebecca Barnes MT , Alan B. Lumsden MD , Maham Rahimi MD, PhD","doi":"10.1016/j.jvscit.2025.101741","DOIUrl":"10.1016/j.jvscit.2025.101741","url":null,"abstract":"<div><div>This model gives residents and fellows practice in the surgical repair of a type B aortic dissection using thoracic endovascular aortic repair implantation by the Provisional Extension To Induce Complete Attachment (PETTICOAT) technique. A human cadaveric model was created to simulate the procedure. A Dacron graft was pulled into the aorta distal to the left subclavian artery using two glidewires. Imaging confirmed the creation of a second lumen by the graft positioned within the aorta to simulate an aortic dissection. The PETTICOAT technique was then implemented with the implantation of a Cook Dissection stent. This proved the method to be a reproducible means to train residents and fellows in type B aortic dissection repair using the PETTICOAT technique.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101741"},"PeriodicalIF":0.7,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric major thoracic vascular trauma is a rare occurrence, with the majority of cases being related to blunt trauma to the chest. We present a hybrid management of a 13-year-old boy who was stabbed with a knife, resulting in an injury to the descending thoracic aorta. The patient was managed using a thoracic endovascular aortic repair technique (using a 24 mm × 82 mm iliac limb stent). There were no major complications encountered intraoperatively or postoperatively.
{"title":"Hybrid management of a 13-year-old boy with a descending thoracic aortic injury from an impaled knife","authors":"Lefa Shelile MBCHB, Siphumelele Ngema MBCHB, FCS(SA), Mmed, Tshenolo Kgopane MBCHB, FCS(SA), Mmed, Mohammed Docrat MBCHB, FCS(SA), Mmed, Mosimanegape Pule MBCHB, FCS(SA), Mmed","doi":"10.1016/j.jvscit.2025.101740","DOIUrl":"10.1016/j.jvscit.2025.101740","url":null,"abstract":"<div><div>Pediatric major thoracic vascular trauma is a rare occurrence, with the majority of cases being related to blunt trauma to the chest. We present a hybrid management of a 13-year-old boy who was stabbed with a knife, resulting in an injury to the descending thoracic aorta. The patient was managed using a thoracic endovascular aortic repair technique (using a 24 mm × 82 mm iliac limb stent). There were no major complications encountered intraoperatively or postoperatively.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101740"},"PeriodicalIF":0.7,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The patient was a 72-year-old man with a history of kidney transplantation and long-term administration of methylprednisolone and immunosuppressants who underwent resection and reconstruction of a brachial artery aneurysm. A pathological examination confirmed mycobacteria, indicating an inflammatory aneurysm with amyloid kappa light chain deposition caused by intracellular nontuberculous mycobacterium. To our knowledge, this is the first demonstration of an inflammatory brachial artery aneurysm with amyloidosis caused by nontuberculous mycobacterial infection. When a nontuberculous mycobacterial infection is diagnosed, it is important to take into account the potential development of aneurysms at locations outside of the lungs.
{"title":"Inflammatory brachial artery aneurysm with amyloidosis due to nontuberculous mycobacterial infection: a case report","authors":"Atsushi Guntani PhD, MD , Morishige Takeshita PhD , Chikao Yasunaga PhD , Ken Nakayama PhD , Shinsuke Mii PhD , Kimihiro Komori PhD","doi":"10.1016/j.jvscit.2025.101742","DOIUrl":"10.1016/j.jvscit.2025.101742","url":null,"abstract":"<div><div>The patient was a 72-year-old man with a history of kidney transplantation and long-term administration of methylprednisolone and immunosuppressants who underwent resection and reconstruction of a brachial artery aneurysm. A pathological examination confirmed mycobacteria, indicating an inflammatory aneurysm with amyloid kappa light chain deposition caused by intracellular nontuberculous mycobacterium. To our knowledge, this is the first demonstration of an inflammatory brachial artery aneurysm with amyloidosis caused by nontuberculous mycobacterial infection. When a nontuberculous mycobacterial infection is diagnosed, it is important to take into account the potential development of aneurysms at locations outside of the lungs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101742"},"PeriodicalIF":0.7,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-15DOI: 10.1016/j.jvscit.2025.101737
Sukgu M. Han MD, MS , Imani McElroy MD , Gustavo S. Oderich MD
The thoracoabdominal multibranch endoprosthesis (TAMBE) is the first off-the-shelf, four-vessel branched endograft to obtain US Food and Drug Administration commercial approval for the treatment of complex abdominal and thoracoabdominal aortic aneurysms. Total transfemoral TAMBE approaches, previously described, may benefit patients with challenging aortic arch anatomy. This report presents a further refinement of the internal up-and-over total transfemoral TAMBE technique with temporary aortic balloon occlusion, applied in the setting of a ruptured pararenal abdominal aortic aneurysm.
{"title":"Double preloaded internal up-and-over technique for total transfemoral four vessel thoracoabdominal multibranch endoprosthesis with temporary aortic balloon occlusion for ruptured complex abdominal aortic aneurysm","authors":"Sukgu M. Han MD, MS , Imani McElroy MD , Gustavo S. Oderich MD","doi":"10.1016/j.jvscit.2025.101737","DOIUrl":"10.1016/j.jvscit.2025.101737","url":null,"abstract":"<div><div>The thoracoabdominal multibranch endoprosthesis (TAMBE) is the first off-the-shelf, four-vessel branched endograft to obtain US Food and Drug Administration commercial approval for the treatment of complex abdominal and thoracoabdominal aortic aneurysms. Total transfemoral TAMBE approaches, previously described, may benefit patients with challenging aortic arch anatomy. This report presents a further refinement of the internal up-and-over total transfemoral TAMBE technique with temporary aortic balloon occlusion, applied in the setting of a ruptured pararenal abdominal aortic aneurysm.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101737"},"PeriodicalIF":0.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143376592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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