The Ovation Alto stent graft is a unique endovascular abdominal aortic aneurysm repair device. A low-viscosity, radiopaque liquid polymer fills the rings located within the legs of the device. We reported a rare case of a patient diagnosed with an abdominal aortic aneurysm who was surgically treated using endovascular abdominal aortic aneurysm repair with an Ovation Alto stent graft. Polymer underfilling due to contralateral leg twisting of the stent graft’s main body resulted in limb occlusion. We highlighted the importance of avoiding the rotation of the Ovation Alto stent graft, thus preventing the potential twisting of this device within the sheath after the insertion of the stent graft’s main body.
{"title":"Leg occlusion of the Ovation Alto stent graft main body caused by twisting of the stent graft: a case report","authors":"Masaaki Naganuma MD, Yukihiro Hayatsu MD, Ryoichi Tsuruhara MD, Hayate Nomura MD, Naoya Terao MD, Kazuhiro Yamaya MD, Masaki Hata MD","doi":"10.1016/j.jvscit.2024.101625","DOIUrl":"10.1016/j.jvscit.2024.101625","url":null,"abstract":"<div><div>The Ovation Alto stent graft is a unique endovascular abdominal aortic aneurysm repair device. A low-viscosity, radiopaque liquid polymer fills the rings located within the legs of the device. We reported a rare case of a patient diagnosed with an abdominal aortic aneurysm who was surgically treated using endovascular abdominal aortic aneurysm repair with an Ovation Alto stent graft. Polymer underfilling due to contralateral leg twisting of the stent graft’s main body resulted in limb occlusion. We highlighted the importance of avoiding the rotation of the Ovation Alto stent graft, thus preventing the potential twisting of this device within the sheath after the insertion of the stent graft’s main body.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101625"},"PeriodicalIF":0.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423638","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 : 2024-09-14DOI: 10.1016/j.jvscit.2024.101629
Gregory A. Magee MD, MSc
{"title":"The past, present, and future of abdominal aortic aneurysm repair","authors":"Gregory A. Magee MD, MSc","doi":"10.1016/j.jvscit.2024.101629","DOIUrl":"10.1016/j.jvscit.2024.101629","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101629"},"PeriodicalIF":0.7,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432110","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 : 2024-09-13DOI: 10.1016/j.jvscit.2024.101630
Hani Shennib MD , Victor Huerta DO
Retropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revascularization (TCAR) has offered a promising alternative, integrating a hybrid surgical and endovascular approach. We present a case of an elderly patient with severe symptomatic stenosis of a retropharyngeal carotid artery treated with TCAR. We review the potential injuries reported with the use of transfemoral stenting and endarterectomy in this setting and suggest that TCAR may be a safer modality for its treatment.
{"title":"Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization","authors":"Hani Shennib MD , Victor Huerta DO","doi":"10.1016/j.jvscit.2024.101630","DOIUrl":"10.1016/j.jvscit.2024.101630","url":null,"abstract":"<div><div>Retropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revascularization (TCAR) has offered a promising alternative, integrating a hybrid surgical and endovascular approach. We present a case of an elderly patient with severe symptomatic stenosis of a retropharyngeal carotid artery treated with TCAR. We review the potential injuries reported with the use of transfemoral stenting and endarterectomy in this setting and suggest that TCAR may be a safer modality for its treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101630"},"PeriodicalIF":0.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438018","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 : 2024-09-12DOI: 10.1016/j.jvscit.2024.101628
Mohammed M. Chowdhury PhD, FRCS , Ali Navi PhD, FRCS , Ismail Vokshi FRCS , Ravi De Silva MD, FRCS , Simon M. Kreckler MD, FRCS , Shakil Farid FCPS, FRCS, MBA
Concurrent occurrence of coronary artery disease, aortic valve pathology, and abdominal aortic aneurysm presents a complex challenge for surgical intervention. Traditional staged approach bears considerable risks, including two major operations and potential aneurysm rupture during initial surgery. This case report outlines the procedural intricacies and successful outcome of a simultaneous approach to address all pathologies, offering insights into operative considerations.
{"title":"Concomitant open aortic valve replacement, ascending aortic replacement, coronary artery bypass grafting and open infrarenal abdominal aortic aneurysm repair","authors":"Mohammed M. Chowdhury PhD, FRCS , Ali Navi PhD, FRCS , Ismail Vokshi FRCS , Ravi De Silva MD, FRCS , Simon M. Kreckler MD, FRCS , Shakil Farid FCPS, FRCS, MBA","doi":"10.1016/j.jvscit.2024.101628","DOIUrl":"10.1016/j.jvscit.2024.101628","url":null,"abstract":"<div><div>Concurrent occurrence of coronary artery disease, aortic valve pathology, and abdominal aortic aneurysm presents a complex challenge for surgical intervention. Traditional staged approach bears considerable risks, including two major operations and potential aneurysm rupture during initial surgery. This case report outlines the procedural intricacies and successful outcome of a simultaneous approach to address all pathologies, offering insights into operative considerations.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101628"},"PeriodicalIF":0.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530036","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 : 2024-09-12DOI: 10.1016/j.jvscit.2024.101631
Weida Li MD, Jian Wang PhD
The paper discusses a challenging medical case of a 29-year-old male patient who was diagnosed with a scrotal hemangioma in association with Klippel-Trénaunay syndrome (KTS). In this case, the patient experienced an increase in size and pain in the right scrotum, which was initially suspected to be a malignant tumor of the right testis based on B-ultrasound and magnetic resonance imaging findings. This case is particularly rare and notable because KTS involvement in the scrotum is uncommon in clinical practice, complicating the diagnostic process. The patient had a history of surgical intervention for KTS, which included high ligation of the right great saphenous vein. The case underscores the importance of clinicians being aware of the clinical features of KTS to ensure accurate diagnosis and appropriate management when presented with similar scrotal symptoms. This report serves to highlight the diagnostic challenges and considerations necessary in cases where symptoms may mimic those of more common conditions, such as testicular tumors.
本文讨论了一例具有挑战性的医学病例：一名 29 岁的男性患者被诊断为阴囊血管瘤，并伴有克利珀尔-特雷纳内综合征（KTS）。在该病例中，患者右侧阴囊增大并伴有疼痛，根据 B 超和磁共振成像结果，初步怀疑是右侧睾丸的恶性肿瘤。该病例尤为罕见和值得注意，因为KTS累及阴囊在临床实践中并不常见，这使得诊断过程更加复杂。患者曾因 KTS 接受过手术治疗，包括右大隐静脉高位结扎。该病例强调了临床医生了解 KTS 临床特征的重要性，以确保在出现类似阴囊症状时能准确诊断并采取适当的治疗措施。本报告旨在强调在症状可能与睾丸肿瘤等更常见疾病相似的病例中，诊断所面临的挑战和必要的注意事项。
{"title":"Scrotal hemangioma misdiagnosed as a malignant tumor in Klippel-Trénaunay syndrome: a case report and review of the literature","authors":"Weida Li MD, Jian Wang PhD","doi":"10.1016/j.jvscit.2024.101631","DOIUrl":"10.1016/j.jvscit.2024.101631","url":null,"abstract":"<div><div>The paper discusses a challenging medical case of a 29-year-old male patient who was diagnosed with a scrotal hemangioma in association with Klippel-Trénaunay syndrome (KTS). In this case, the patient experienced an increase in size and pain in the right scrotum, which was initially suspected to be a malignant tumor of the right testis based on B-ultrasound and magnetic resonance imaging findings. This case is particularly rare and notable because KTS involvement in the scrotum is uncommon in clinical practice, complicating the diagnostic process. The patient had a history of surgical intervention for KTS, which included high ligation of the right great saphenous vein. The case underscores the importance of clinicians being aware of the clinical features of KTS to ensure accurate diagnosis and appropriate management when presented with similar scrotal symptoms. This report serves to highlight the diagnostic challenges and considerations necessary in cases where symptoms may mimic those of more common conditions, such as testicular tumors.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101631"},"PeriodicalIF":0.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530038","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 : 2024-09-11DOI: 10.1016/j.jvscit.2024.101624
Alexander S. Misono MD, MBA, RPVI
Inferior vena cava (IVC) rupture secondary to IVC filter-associated occlusion is an extraordinarily rare and life-threatening condition. Here, a 51-year-old male with distant history of IVC filter placement presented with abdominal pain and mild leg swelling. Shortly after diagnosis of IVC thrombosis, he developed sudden, severe hemorrhagic shock and a large retroperitoneal hematoma due to IVC rupture. Rapid triage led to emergent venous thrombectomy and IVC recanalization, resulting in bleeding cessation and hemodynamic normalization. Patients with chronic indwelling IVC filters or IVC occlusion can present with IVC rupture. Endovascular thrombectomy and stenting may be the only viable treatment.
{"title":"Inferior vena cava rupture secondary to filter-associated thrombotic occlusion treated with mechanical thrombectomy","authors":"Alexander S. Misono MD, MBA, RPVI","doi":"10.1016/j.jvscit.2024.101624","DOIUrl":"10.1016/j.jvscit.2024.101624","url":null,"abstract":"<div><div>Inferior vena cava (IVC) rupture secondary to IVC filter-associated occlusion is an extraordinarily rare and life-threatening condition. Here, a 51-year-old male with distant history of IVC filter placement presented with abdominal pain and mild leg swelling. Shortly after diagnosis of IVC thrombosis, he developed sudden, severe hemorrhagic shock and a large retroperitoneal hematoma due to IVC rupture. Rapid triage led to emergent venous thrombectomy and IVC recanalization, resulting in bleeding cessation and hemodynamic normalization. Patients with chronic indwelling IVC filters or IVC occlusion can present with IVC rupture. Endovascular thrombectomy and stenting may be the only viable treatment.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101624"},"PeriodicalIF":0.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423640","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 : 2024-09-11DOI: 10.1016/S2468-4287(24)00205-3
{"title":"Events of Interest","authors":"","doi":"10.1016/S2468-4287(24)00205-3","DOIUrl":"10.1016/S2468-4287(24)00205-3","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 5","pages":"Article 101621"},"PeriodicalIF":0.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724002053/pdfft?md5=6b923651007a0c48133ce4e72bfe6e61&pid=1-s2.0-S2468428724002053-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167812","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}
This case describes the use of percutaneous mechanical thrombectomy to remove caval tumor thrombus in a 55-year-old male with renal cell carcinoma, using the Inari CloTriever system. The procedure was fast, safe, and effective, with complete tumor thrombus removal and no complications. This case demonstrates the expanding indications for large-bore thrombectomy devices offering minimally invasive options in place of high-risk open interventions.
{"title":"Mechanical thrombectomy for inferior vena cava tumor thrombus secondary to renal cell carcinoma","authors":"Calyb Austin MD, MS , Rohan McLachlan MD, BMS , Laurencia Villalba MD, FRACS","doi":"10.1016/j.jvscit.2024.101626","DOIUrl":"10.1016/j.jvscit.2024.101626","url":null,"abstract":"<div><div>This case describes the use of percutaneous mechanical thrombectomy to remove caval tumor thrombus in a 55-year-old male with renal cell carcinoma, using the Inari CloTriever system. The procedure was fast, safe, and effective, with complete tumor thrombus removal and no complications. This case demonstrates the expanding indications for large-bore thrombectomy devices offering minimally invasive options in place of high-risk open interventions.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101626"},"PeriodicalIF":0.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423639","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 : 2024-09-11DOI: 10.1016/S2468-4287(24)00204-1
{"title":"Information for Readers","authors":"","doi":"10.1016/S2468-4287(24)00204-1","DOIUrl":"10.1016/S2468-4287(24)00204-1","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 5","pages":"Article 101620"},"PeriodicalIF":0.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724002041/pdfft?md5=65d0b2160a8a9c7af421d9f308b247bb&pid=1-s2.0-S2468428724002041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167811","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 : 2024-09-07DOI: 10.1016/j.jvscit.2024.101627
Eric Pillado MD , Leigh Ann O’Banion MD
{"title":"The need for standardizing care for pediatric and geriatric vascular trauma patients","authors":"Eric Pillado MD , Leigh Ann O’Banion MD","doi":"10.1016/j.jvscit.2024.101627","DOIUrl":"10.1016/j.jvscit.2024.101627","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"10 6","pages":"Article 101627"},"PeriodicalIF":0.7,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423634","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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