We report a case of interstitial pneumonitis after paclitaxel-eluting stent implantation for peripheral arterial disease in a 74-year-old man. Five weeks after the procedure, the patient developed dyspnea and bilateral ground-glass opacities, with a paclitaxel dose (1169 μg) exceeding the recommended limit (1034 μg). Hypersensitivity to paclitaxel likely caused interstitial pneumonitis, confirmed by elevated Krebs von den Lungen-6 levels and exclusion of other etiologies. Corticosteroid therapy improved symptoms. Clinicians should monitor for rare but serious paclitaxel-induced pulmonary hypersensitivity in patients with peripheral arterial disease.
{"title":"Interstitial pneumonitis following the implantation of a paclitaxel-eluting stent in a patient with peripheral arterial disease","authors":"Makoto Haga MD, PhD , Yuko Iwata MD, PhD , Jun Nitta MD, PhD , Junetsu Akasaka MD, PhD","doi":"10.1016/j.jvscit.2025.102096","DOIUrl":"10.1016/j.jvscit.2025.102096","url":null,"abstract":"<div><div>We report a case of interstitial pneumonitis after paclitaxel-eluting stent implantation for peripheral arterial disease in a 74-year-old man. Five weeks after the procedure, the patient developed dyspnea and bilateral ground-glass opacities, with a paclitaxel dose (1169 μg) exceeding the recommended limit (1034 μg). Hypersensitivity to paclitaxel likely caused interstitial pneumonitis, confirmed by elevated Krebs von den Lungen-6 levels and exclusion of other etiologies. Corticosteroid therapy improved symptoms. Clinicians should monitor for rare but serious paclitaxel-induced pulmonary hypersensitivity in patients with peripheral arterial disease.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102096"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939650","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 : 2025-12-15DOI: 10.1016/j.jvscit.2025.102094
Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS
When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) and superior mesenteric artery (SMA) have been described. We present three low-risk patients with symptomatic chronic mesenteric ischemia and occlusion of both CA and SMA treated using an alternative open surgical technique: supraceliac aorta-to-SMA bypass with reimplantation of the CA into the side of the conduit (supraceliac aorta-SMA-CA bypass), with low morbidity and excellent clinical outcomes. There are few reports of the use of this procedure in the contemporary vascular literature.
{"title":"Supraceliac aorta to superior mesenteric artery bypass with reimplantation of celiac artery into a single conduit—An alternative surgical approach for treatment of chronic mesenteric ischemia","authors":"Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS","doi":"10.1016/j.jvscit.2025.102094","DOIUrl":"10.1016/j.jvscit.2025.102094","url":null,"abstract":"<div><div>When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) and superior mesenteric artery (SMA) have been described. We present three low-risk patients with symptomatic chronic mesenteric ischemia and occlusion of both CA and SMA treated using an alternative open surgical technique: supraceliac aorta-to-SMA bypass with reimplantation of the CA into the side of the conduit (supraceliac aorta-SMA-CA bypass), with low morbidity and excellent clinical outcomes. There are few reports of the use of this procedure in the contemporary vascular literature.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102094"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940081","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 : 2025-12-13DOI: 10.1016/j.jvscit.2025.102093
Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD
Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.
{"title":"Nickel allergy complicating iliac vein stent requiring explantation","authors":"Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD","doi":"10.1016/j.jvscit.2025.102093","DOIUrl":"10.1016/j.jvscit.2025.102093","url":null,"abstract":"<div><div>Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102093"},"PeriodicalIF":0.7,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038727","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}
Chronic common femoral vein occlusion presents a significant management challenge, particularly when associated with prior intravenous drug use. We report a 52-year-old woman, sober for 10 years, with symptomatic chronic common femoral vein occlusion after two failed recanalization attempts. Successful recanalization was achieved with a Baylis radiofrequency wire (Baylis Medical), followed by balloon venoplasty and placement of a 14-mm Abre venous stent (Medtronic). The patient experienced symptomatic improvement with preserved patency at 3 months. To our knowledge, this report is the first to describe radiofrequency wire-assisted crossing of a chronic common femoral vein occlusion in a patient with a history of intravenous drug use. We also highlight technique considerations unique to the femoral region—multiplanar venography and the use of arterial landmarks to avoid the femoral artery and femoral nerve—to enhance procedural safety.
{"title":"Radiofrequency wire-assisted recanalization of a chronically occluded common femoral vein after intravenous drug use","authors":"Kathleen Gibson MD , Sooyeon Kim MD , Kush Desai MD","doi":"10.1016/j.jvscit.2025.102091","DOIUrl":"10.1016/j.jvscit.2025.102091","url":null,"abstract":"<div><div>Chronic common femoral vein occlusion presents a significant management challenge, particularly when associated with prior intravenous drug use. We report a 52-year-old woman, sober for 10 years, with symptomatic chronic common femoral vein occlusion after two failed recanalization attempts. Successful recanalization was achieved with a Baylis radiofrequency wire (Baylis Medical), followed by balloon venoplasty and placement of a 14-mm Abre venous stent (Medtronic). The patient experienced symptomatic improvement with preserved patency at 3 months. To our knowledge, this report is the first to describe radiofrequency wire-assisted crossing of a chronic common femoral vein occlusion in a patient with a history of intravenous drug use. We also highlight technique considerations unique to the femoral region—multiplanar venography and the use of arterial landmarks to avoid the femoral artery and femoral nerve—to enhance procedural safety.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102091"},"PeriodicalIF":0.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939654","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}
Scalp arteriovenous fistulas are rare, high-flow vascular anomalies, often of post-traumatic origin. Their management remains a subject of debate owing to the limited number of reported cases. This study presents a novel approach for the treatment of a post-traumatic right mastoid scalp arteriovenous fistula in a patient with a history of multiple unsuccessful treatments. A customized, in-house three-dimensional-printed device, designed in a donut shape, was used to enhance the precision of direct puncture embolization. This approach aimed to confine embolization exclusively to the fistula site, minimizing the risk of inadvertent occlusion of adjacent vessels and subsequent cutaneous necrosis. The treatment strategy combined endovascular embolization using precipitating hydrophobic injectable liquid with surgical resection in a single-stage procedure. The intervention was completed without intraoperative or postoperative complications. Follow-up assessments confirmed complete fistula occlusion with no recurrence and satisfactory functional and aesthetic outcomes. This innovative technique highlights the potential advantages of patient-specific three-dimensional-printed devices in optimizing embolization strategies for complex vascular malformations.
{"title":"Custom-made donut technique: An innovative approach to treating scalp arteriovenous fistula","authors":"Paolo Gennaro PhD , Flavia Cascino MD , Simone Benedetti PhD , Sandra Bracco MD , Samuele Cioni MD , Linda Latini MD","doi":"10.1016/j.jvscit.2025.102092","DOIUrl":"10.1016/j.jvscit.2025.102092","url":null,"abstract":"<div><div>Scalp arteriovenous fistulas are rare, high-flow vascular anomalies, often of post-traumatic origin. Their management remains a subject of debate owing to the limited number of reported cases. This study presents a novel approach for the treatment of a post-traumatic right mastoid scalp arteriovenous fistula in a patient with a history of multiple unsuccessful treatments. A customized, in-house three-dimensional-printed device, designed in a donut shape, was used to enhance the precision of direct puncture embolization. This approach aimed to confine embolization exclusively to the fistula site, minimizing the risk of inadvertent occlusion of adjacent vessels and subsequent cutaneous necrosis. The treatment strategy combined endovascular embolization using precipitating hydrophobic injectable liquid with surgical resection in a single-stage procedure. The intervention was completed without intraoperative or postoperative complications. Follow-up assessments confirmed complete fistula occlusion with no recurrence and satisfactory functional and aesthetic outcomes. This innovative technique highlights the potential advantages of patient-specific three-dimensional-printed devices in optimizing embolization strategies for complex vascular malformations.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102092"},"PeriodicalIF":0.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940073","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 : 2025-12-09DOI: 10.1016/j.jvscit.2025.102081
Danique J.I. Heuvelings MD, PhD , Diba Demir MD , Mariëlle M.E. Coolsen MD, PhD , Marc H.A. Bemelmans MD, PhD , Anna Prent MD , Jorinde H.H. van Laanen MD
A 58-year-old man developed a rare duodenocaval fistula a decade after cavo-bi-iliac stenting placed for chronic iliocaval occlusion after prior inferior vena cava (IVC) ligation. He presented with fever, polymicrobial bacteremia, and thrombus within the IVC stent. Imaging and endoscopy showed an infected covered stent eroding into the duodenum, creating a fistulous tract. A two-stage surgical approach repaired the damaged duodenum and removed the infected stent, followed by IVC closure using fascia lata. Extensive collateral circulation made reconstruction unsuitable. This case highlights the severe long-term risks of covered IVC stents, particularly in patients with complex venous histories.
{"title":"A duodenocaval fistula due to erosion of a covered vena cava stent after 10 years","authors":"Danique J.I. Heuvelings MD, PhD , Diba Demir MD , Mariëlle M.E. Coolsen MD, PhD , Marc H.A. Bemelmans MD, PhD , Anna Prent MD , Jorinde H.H. van Laanen MD","doi":"10.1016/j.jvscit.2025.102081","DOIUrl":"10.1016/j.jvscit.2025.102081","url":null,"abstract":"<div><div>A 58-year-old man developed a rare duodenocaval fistula a decade after cavo-bi-iliac stenting placed for chronic iliocaval occlusion after prior inferior vena cava (IVC) ligation. He presented with fever, polymicrobial bacteremia, and thrombus within the IVC stent. Imaging and endoscopy showed an infected covered stent eroding into the duodenum, creating a fistulous tract. A two-stage surgical approach repaired the damaged duodenum and removed the infected stent, followed by IVC closure using fascia lata. Extensive collateral circulation made reconstruction unsuitable. This case highlights the severe long-term risks of covered IVC stents, particularly in patients with complex venous histories.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102081"},"PeriodicalIF":0.7,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939649","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}
Popliteal artery entrapment syndrome can cause lower extremity claudication, paresthesia, and pain. This case describes a 68-year-old man presenting with a large popliteal artery pseudoaneurysm secondary to type III popliteal artery entrapment syndrome, resulting in pain, reduced knee flexion, and lower leg paresthesia. He underwent open surgical debulking of the pseudoaneurysm sac and popliteal artery repair via a reversed great saphenous vein interposition bypass. Postoperatively, he had triphasic pedal arterial signals with improvement of his pain, paresthesia, and ambulation. This case represents a rare presentation of an uncommon condition, highlighting the importance of surgical intervention once the condition is diagnosed correctly.
{"title":"Atypical presentation of symptomatic type III popliteal artery entrapment syndrome with resultant popliteal artery pseudoaneurysm formation","authors":"Jennifer Grimm MD , Tania Gupta BS , Amanda Filiberto MD , Jarrad Rowse MD","doi":"10.1016/j.jvscit.2025.102090","DOIUrl":"10.1016/j.jvscit.2025.102090","url":null,"abstract":"<div><div>Popliteal artery entrapment syndrome can cause lower extremity claudication, paresthesia, and pain. This case describes a 68-year-old man presenting with a large popliteal artery pseudoaneurysm secondary to type III popliteal artery entrapment syndrome, resulting in pain, reduced knee flexion, and lower leg paresthesia. He underwent open surgical debulking of the pseudoaneurysm sac and popliteal artery repair via a reversed great saphenous vein interposition bypass. Postoperatively, he had triphasic pedal arterial signals with improvement of his pain, paresthesia, and ambulation. This case represents a rare presentation of an uncommon condition, highlighting the importance of surgical intervention once the condition is diagnosed correctly.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102090"},"PeriodicalIF":0.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978901","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 : 2025-12-08DOI: 10.1016/j.jvscit.2025.102063
Shah-Jahan M. Dodwad DO , Blaz Podgorsek MD , Ezra Koh MD , Taha S. Zaidi DO , Justin E. Bird MD , Shalin S. Patel MD , Thanila A. Macedo MD , Gustavo S. Oderich MD
We report a complex case of recurrent, metastatic sex cord stromal tumor involving the pelvic vasculature and spinal nerves. Posterior and anterior approaches were required with redo iliac artery reconstruction using a temporary, redundant aortoiliac to right external iliac artery graft and iliocaval venous reconstruction. After completion of tumor resection from nerve structures, reconstruction of the right iliac veins was completed and the redundant aortoiliac arterial graft was shortened. The redundant graft minimized ischemia time, enabling meticulous dissection and tumor removal. This case underscores the importance of multidisciplinary collaboration in managing rare, aggressive malignancies with complex vascular and neural involvement.
{"title":"Complex iliac artery and iliocaval venous reconstruction using temporary, redundant graft to facilitate resection of recurrent metastatic sex stromal tumor","authors":"Shah-Jahan M. Dodwad DO , Blaz Podgorsek MD , Ezra Koh MD , Taha S. Zaidi DO , Justin E. Bird MD , Shalin S. Patel MD , Thanila A. Macedo MD , Gustavo S. Oderich MD","doi":"10.1016/j.jvscit.2025.102063","DOIUrl":"10.1016/j.jvscit.2025.102063","url":null,"abstract":"<div><div>We report a complex case of recurrent, metastatic sex cord stromal tumor involving the pelvic vasculature and spinal nerves. Posterior and anterior approaches were required with redo iliac artery reconstruction using a temporary, redundant aortoiliac to right external iliac artery graft and iliocaval venous reconstruction. After completion of tumor resection from nerve structures, reconstruction of the right iliac veins was completed and the redundant aortoiliac arterial graft was shortened. The redundant graft minimized ischemia time, enabling meticulous dissection and tumor removal. This case underscores the importance of multidisciplinary collaboration in managing rare, aggressive malignancies with complex vascular and neural involvement.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102063"},"PeriodicalIF":0.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940075","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 : 2025-12-08DOI: 10.1016/j.jvscit.2025.102080
Matthew Bye MD , Adam Rizkalla MD , Camille Murr MD , Hela Saidi MD , Priya Brahmbhatt DO , Aaron Bedi BS , Joseph M. Zuniga MD
Transperitoneal and traditional retroperitoneal approaches through a flank incision both have advantages and disadvantages. This report suggests a third approach, a retroperitoneal aortobifemoral bypass through a midline abdominal incision. This approach carries benefits of both approaches in select patients with infrarenal aortoiliac occlusive disease. In this innovative technique, a patient with rest pain and wound with aortoiliac occlusive disease is treated through a midline retroperitoneal approach.
{"title":"Midline incision retroperitoneal aortobifemoral bypass","authors":"Matthew Bye MD , Adam Rizkalla MD , Camille Murr MD , Hela Saidi MD , Priya Brahmbhatt DO , Aaron Bedi BS , Joseph M. Zuniga MD","doi":"10.1016/j.jvscit.2025.102080","DOIUrl":"10.1016/j.jvscit.2025.102080","url":null,"abstract":"<div><div>Transperitoneal and traditional retroperitoneal approaches through a flank incision both have advantages and disadvantages. This report suggests a third approach, a retroperitoneal aortobifemoral bypass through a midline abdominal incision. This approach carries benefits of both approaches in select patients with infrarenal aortoiliac occlusive disease. In this innovative technique, a patient with rest pain and wound with aortoiliac occlusive disease is treated through a midline retroperitoneal approach.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102080"},"PeriodicalIF":0.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940083","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 : 2025-12-08DOI: 10.1016/j.jvscit.2025.102083
Tuong-Anh Mai-Phan MD, PhD , Hien Minh Tran MD, MSc , Ngoc Son Vu MD , Duc Chi Tieu MD, PhD , Khanh-Phat Thai MD , Kim-Long Le MD, MSc
Mesenteric arteriovenous malformation is a rare vascular anomaly that can worsen portal hypertension and cause life-threatening gastrointestinal bleeding. We report a 37-year-old man with chronic portal and mesenteric vein thrombosis who presented with recurrent hematochezia refractory to endoscopic and medical therapy. Imaging demonstrated diffuse mesenteric arteriovenous malformation with venous congestion. A staged hybrid strategy was performed: selective embolization reduced shunt flow, followed by bowel resection and creation of a mesocaval shunt. Histopathology confirmed extensive venous abnormalities. The patient recovered uneventfully, and no recurrent bleeding occurred during 9 months of follow-up.
{"title":"Hybrid surgical and endovascular management of severe gastrointestinal hemorrhage from mesenteric arteriovenous malformation","authors":"Tuong-Anh Mai-Phan MD, PhD , Hien Minh Tran MD, MSc , Ngoc Son Vu MD , Duc Chi Tieu MD, PhD , Khanh-Phat Thai MD , Kim-Long Le MD, MSc","doi":"10.1016/j.jvscit.2025.102083","DOIUrl":"10.1016/j.jvscit.2025.102083","url":null,"abstract":"<div><div>Mesenteric arteriovenous malformation is a rare vascular anomaly that can worsen portal hypertension and cause life-threatening gastrointestinal bleeding. We report a 37-year-old man with chronic portal and mesenteric vein thrombosis who presented with recurrent hematochezia refractory to endoscopic and medical therapy. Imaging demonstrated diffuse mesenteric arteriovenous malformation with venous congestion. A staged hybrid strategy was performed: selective embolization reduced shunt flow, followed by bowel resection and creation of a mesocaval shunt. Histopathology confirmed extensive venous abnormalities. The patient recovered uneventfully, and no recurrent bleeding occurred during 9 months of follow-up.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102083"},"PeriodicalIF":0.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939651","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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