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Journal of Vascular Surgery Cases Innovations and Techniques最新文献

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Report of a human avian-type aortic arch variant with a descending thoracic aortic aneurysm 报告一例人禽型主动脉弓变异伴降胸主动脉瘤
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102099
Tuna Aras MD, FEBVS , Julia Khabyuk MD , Adel Aswad MD , Martin Scaal MD , Payman Majd MD
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引用次数: 0
Coil embolization for type IA endoleak after thoracic branched endoprosthesis placement in type B dissection B型夹层胸椎支状假体置入术后IA型内漏的线圈栓塞治疗
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102101
Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD
Although the use of thoracic branched endoprosthesis to treat thoracic aortic pathologies is increasing, literature regarding the management of associated complications is limited. A large left subclavian artery infundibulum can lead to type IA endoleaks around the base of the graft branch/left subclavian artery due to a decreased seal zone along the greater aortic curvature. Here we present three cases of successful coil embolization to treat type IA endoleak after thoracic branched endoprosthesis.
尽管胸支假体治疗胸主动脉病变的应用越来越多,但有关相关并发症处理的文献却很有限。由于沿主动脉大弯曲的封闭区减少,较大的左锁骨下动脉漏斗可导致移植支/左锁骨下动脉底部周围发生IA型内漏。在此,我们报告三例成功的线圈栓塞治疗胸支假体术后IA型内漏。
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引用次数: 0
Use of a blunt multiside-hole infiltration cannula for local anesthetic delivery in endovenous laser ablation of the great and small saphenous veins 钝性多侧孔浸润套管在静脉内激光消融大隐静脉和小隐静脉局部麻醉中的应用
IF 0.7 Q4 SURGERY Pub Date : 2025-12-16 DOI: 10.1016/j.jvscit.2025.102098
Tareq Massimi MD, Hamzeh R. Shahin MD
Endovenous laser ablation is a reliable treatment for varicose veins, but traditional infiltration with sharp needles often causes discomfort and increases the risk of tissue or nerve injury. Motivated by the need for a safer and more comfortable approach, we adapted a blunt multiside-hole infiltration cannula, originally designed for liposuction, to deliver tumescent anesthesia in endovenous laser ablation. Inserted under ultrasound guidance through the same access site, it distributes anesthetic evenly with fewer punctures. This simple and low-cost technique improves patient comfort, enhances safety, and streamlines the procedure, offering a practical and more comfortable refinement.
静脉内激光消融是治疗静脉曲张的可靠方法,但传统的尖针浸润往往会引起不适,并增加组织或神经损伤的风险。由于需要一种更安全、更舒适的方法,我们采用了一种钝性多侧孔浸润插管,最初是为吸脂设计的,用于静脉内激光消融的肿胀麻醉。在超声引导下,通过相同的进入部位插入,使麻醉均匀分布,穿刺次数少。这种简单和低成本的技术提高了患者的舒适度,提高了安全性,并简化了程序,提供了实用和更舒适的改进。
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引用次数: 0
Open treatment of superior mesenteric artery pseudoaneurysm due to infective endocarditis 感染性心内膜炎所致肠系膜上动脉假性动脉瘤的开放性治疗
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102104
Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD
In this work, we describe the case of a 63-year-old man, with a history of infective endocarditis, who presented with abdominal pain, significant weight loss, and recurrent diarrheal episodes over the preceding months. Contrast-enhanced computed tomography angiography demonstrated a large pseudoaneurysm of the superior mesenteric artery, located in the mid-segment of the vessel, with poor opacification of the distal branches. The patient underwent surgical management via midline laparotomy. This case report aims to highlight the role of open surgical repair in the management of visceral artery pseudoaneurysms, as this approach allows preservation of major collateral branches and enables thorough histopathological examination to assess the underlying etiology of the lesion.
在这项工作中,我们描述了一个63岁的男性,有感染性心内膜炎的病史,在过去的几个月里,他表现出腹痛、体重明显减轻和反复腹泻。增强计算机断层血管造影显示肠系膜上动脉一巨大假性动脉瘤,位于血管中段,远端分支混浊性差。患者通过中线剖腹手术治疗。本病例报告旨在强调开放性手术修复在内脏动脉假性动脉瘤治疗中的作用,因为这种方法可以保留主要侧支,并进行彻底的组织病理学检查以评估病变的潜在病因。
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引用次数: 0
Baker's cyst leading to complete popliteal artery occlusion 贝克囊肿导致腘动脉完全闭塞
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102103
Taylor Nordan MD , Amber B. Kernodle MD, PhD, MPH , Jeffrey Lange MD , Zachary Feldman MD , Matthew T. Menard MD
Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.
贝克囊肿通常是一种惰性病理,非手术治疗,对有压迫症状的罕见患者进行干预。我们提出一个贝克囊肿导致致残性跛行需要血管手术干预的病人。最初,采用血管内入路;然而,由于贝克囊肿的机械压迫作用,患者经历了早期支架失效,需要开放血运重建术。本病例强调了贝克囊肿是一种罕见的跛行来源,并强调了及时开放血运重建术的优势,而不是将血管内管理作为与骨科手术相结合的主要治疗方法。
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引用次数: 0
Case report of the management of intravascular leiomyomatosis including uterine surgery, vascular surgery, hormonal management, and in vitro fertilization 血管内平滑肌瘤病的治疗包括子宫手术、血管手术、激素治疗和体外受精
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102097
Sarah C. Rubin MD , Rachel Stern MD , Carolyn Robb BA , Martin Keltz MD
Intravascular leiomyomatosis (IVL) is a rare smooth muscle tumor extending into uterine veins and beyond, usually treated with hysterectomy. We present a 33-year-old Gravida (G) 2 Para (P) 0 patient with suspected uterine sarcoma on imaging, later diagnosed intraoperatively with IVL during abdominal myomectomy. Postoperatively, pulmonary embolism required thrombectomy, followed by long-term gonadotropin-releasing hormone (GnRH) agonist therapy that reduced tumor burden until open vascular resection of the inferior vena cava was completed. Two embryo banking cycles with preimplantation genetic testing for aneuploidy were performed, leading to autologous transfer of a euploid embryo and live birth, complicated by placenta accreta requiring cesarean hysterectomy. Fertility preservation with multimodal IVL management is feasible.
血管内平滑肌瘤病(IVL)是一种罕见的平滑肌肿瘤,其范围延伸至子宫静脉及子宫外,通常采用子宫切除术治疗。我们报告了一位33岁的妊娠(G) 2 Para (P) 0患者,在影像学上怀疑子宫肉瘤,后来在腹部子宫肌瘤切除术中被诊断为术中IVL。术后,肺栓塞需要取栓,随后进行长期促性腺激素释放激素(GnRH)激动剂治疗,以减少肿瘤负荷,直到完成下腔静脉开放血管切除术。进行了两次胚胎库周期,并进行了非整倍体的植入前基因检测,导致整倍体胚胎的自体移植和活产,并伴有需要剖宫产子宫切除术的胎盘增生。多模态IVL管理保留生育能力是可行的。
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引用次数: 0
Interstitial pneumonitis following the implantation of a paclitaxel-eluting stent in a patient with peripheral arterial disease 外周动脉疾病患者植入紫杉醇洗脱支架后的间质性肺炎
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 10.1016/j.jvscit.2025.102096
Makoto Haga MD, PhD , Yuko Iwata MD, PhD , Jun Nitta MD, PhD , Junetsu Akasaka MD, PhD
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.
我们报告一例74岁男性外周动脉疾病紫杉醇洗脱支架植入术后发生间质性肺炎。术后5周,患者出现呼吸困难和双侧毛玻璃样混浊,紫杉醇剂量(1169 μg)超过推荐剂量(1034 μg)。对紫杉醇过敏可能引起间质性肺炎,经克雷布斯-冯-登-伦根-6水平升高和排除其他病因证实。皮质类固醇治疗改善了症状。临床医生应监测外周动脉疾病患者罕见但严重的紫杉醇诱导的肺超敏反应。
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引用次数: 0
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 腹腔动脉单通道移植术治疗慢性肠系膜缺血的另一种手术方法
IF 0.7 Q4 SURGERY Pub Date : 2025-12-15 DOI: 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.
当慢性肠系膜缺血患者不适合进行肠系膜支架植入术时,开放血运重建术是预防疾病进展为肠梗死和死亡的最终选择。多种开放技术用于恢复腹腔动脉(CA)和肠系膜上动脉(SMA)的血流。我们报告了三例低风险的慢性肠系膜缺血和CA和SMA闭塞的患者,他们采用了另一种开放手术技术:腹腔上主动脉-SMA搭桥并将CA重新植入导管侧(腹腔上主动脉-SMA-CA搭桥),发病率低,临床结果良好。在当代血管文献中很少有使用这种方法的报道。
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引用次数: 0
Nickel allergy complicating iliac vein stent requiring explantation 镍过敏并发髂静脉支架置入术
IF 0.7 Q4 SURGERY Pub Date : 2025-12-13 DOI: 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.
基本上所有的血管内支架,无论是不锈钢还是镍钛诺,都含有镍成分。镍过敏的发生率是常见的,但镍过敏并不总是导致临床显著的反应。这名43岁的女性因May-Thurner综合征在左髂静脉放置镍钛诺支架后出现荨麻疹、荨麻疹和不适。她接受了开放式支架解释和重建下腔静脉和左髂总静脉,随后症状得到缓解。支架相关过敏的低发生率并不保证术前检查,但我们主张对高危患者进行彻底的术前讨论。对于有症状的患者,解释是有效的。
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引用次数: 0
Radiofrequency wire-assisted recanalization of a chronically occluded common femoral vein after intravenous drug use 静脉吸毒后慢性闭塞股总静脉的射频导线辅助再通
IF 0.7 Q4 SURGERY Pub Date : 2025-12-12 DOI: 10.1016/j.jvscit.2025.102091
Kathleen Gibson MD , Sooyeon Kim MD , Kush Desai MD
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.
慢性股总静脉闭塞提出了重大的管理挑战,特别是当与既往静脉注射药物相关时。我们报告一名52岁女性,清醒10年,在两次再通失败后出现症状性慢性股静脉闭塞。使用Baylis射频导线(Baylis Medical)成功再通,随后进行球囊静脉成形术和放置14mm Abre静脉支架(美敦力)。患者在3个月时症状改善并保持通畅。据我们所知,本报告是第一个描述有静脉吸毒史的慢性股总静脉阻塞患者的射频导线辅助穿过的报道。我们还强调了股动脉区域独特的技术考虑-多平面静脉造影和使用动脉标志以避免股动脉和股神经-以提高手术安全性。
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引用次数: 0
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Journal of Vascular Surgery Cases Innovations and Techniques
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