Pub Date : 2024-11-23DOI: 10.1016/j.jvscit.2024.101691
Armin Tabiei MD , Nolan C. Cirillo-Penn MD , Randall R. DeMartino MD, MS , Gustavo S. Oderich MD , Bernardo C. Mendes MD
{"title":"Seventy-seven-year-old man with large endoleak status post fenestrated-branched endovascular aortic repair","authors":"Armin Tabiei MD , Nolan C. Cirillo-Penn MD , Randall R. DeMartino MD, MS , Gustavo S. Oderich MD , Bernardo C. Mendes MD","doi":"10.1016/j.jvscit.2024.101691","DOIUrl":"10.1016/j.jvscit.2024.101691","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101691"},"PeriodicalIF":0.7,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985055","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 : 2024-11-23DOI: 10.1016/j.jvscit.2024.101693
Fotios O. Efthymiou PhD, Vasileios I. Metaxas PhD, Christos P. Dimitroukas PhD, Andreas L. Tsimpoukis MD, George S. Panayiotakis PhD, Stavros K. Kakkos MD, PhD, RVT
{"title":"Low can be even lower","authors":"Fotios O. Efthymiou PhD, Vasileios I. Metaxas PhD, Christos P. Dimitroukas PhD, Andreas L. Tsimpoukis MD, George S. Panayiotakis PhD, Stavros K. Kakkos MD, PhD, RVT","doi":"10.1016/j.jvscit.2024.101693","DOIUrl":"10.1016/j.jvscit.2024.101693","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101693"},"PeriodicalIF":0.7,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985124","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 : 2024-11-22DOI: 10.1016/j.jvscit.2024.101690
Yamini Vyas MD , Joshua K. Burk MD, MBA , Jane M. Chung MD , Benjamin D. Colvard MD , Yakov L. Elgudin MD, PhD , Jae S. Cho MD
Transaortic endarterectomy (TE) is an effective and durable method of restoring patency in the aorta afflicted with atherosclerotic disease, which most commonly affects the infrarenal aorta and common iliac artery. When the suprarenal aorta is involved, the disease is usually confined to the orifices of the visceral vessels without obstruction of the aortic lumen. In rare cases, dense, calcified, exophytic, and amorphous lesions causing severe luminal obstruction, termed coral reef atherosclerosis (CRA) of the suprarenal aorta, may occur. Not all CRAs, however, are amenable to TE due to aortic wall plaque erosion and adventitial thinning. Thoracic aorta-based bypass grafting of the visceral vessels is another option if the descending thoracic aorta is clampable. However, like TE, this option may not be viable for all patients due to compromised pulmonary function or comorbidities. We present a novel alternative to TE using a Sonopet ultrasonic aspiration device in patients with CRA.
{"title":"Ultrasonic emulsification and aspiration for coral reef atherosclerosis as a novel alternative to transaortic endarterectomy and thoracic aorta-based bypass grafting","authors":"Yamini Vyas MD , Joshua K. Burk MD, MBA , Jane M. Chung MD , Benjamin D. Colvard MD , Yakov L. Elgudin MD, PhD , Jae S. Cho MD","doi":"10.1016/j.jvscit.2024.101690","DOIUrl":"10.1016/j.jvscit.2024.101690","url":null,"abstract":"<div><div>Transaortic endarterectomy (TE) is an effective and durable method of restoring patency in the aorta afflicted with atherosclerotic disease, which most commonly affects the infrarenal aorta and common iliac artery. When the suprarenal aorta is involved, the disease is usually confined to the orifices of the visceral vessels without obstruction of the aortic lumen. In rare cases, dense, calcified, exophytic, and amorphous lesions causing severe luminal obstruction, termed coral reef atherosclerosis (CRA) of the suprarenal aorta, may occur. Not all CRAs, however, are amenable to TE due to aortic wall plaque erosion and adventitial thinning. Thoracic aorta-based bypass grafting of the visceral vessels is another option if the descending thoracic aorta is clampable. However, like TE, this option may not be viable for all patients due to compromised pulmonary function or comorbidities. We present a novel alternative to TE using a Sonopet ultrasonic aspiration device in patients with CRA.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101690"},"PeriodicalIF":0.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985073","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 : 2024-11-22DOI: 10.1016/j.jvscit.2024.101692
Anne Kelly Rhudy MD , William Fleischer MD , Javier Vasquez Jr. MD, FACS , Erin Cha BA
Most thoracic aortic aneurysms (TAAs) are asymptomatic and often diagnosed at the time of rupture. TAAs involving the proximal arch require adequate coverage with thoracic endovascular aortic repair, which is timely and challenging in emergent ruptures. In situ laser fenestration is a novel method of arch revascularization. We present an 85-year-old man with zone 2 aortic pathology, a ruptured TAA, and a history of a left internal mammary to left anterior descending artery bypass. This case report demonstrates feasibility of a zone 1 repair for a ruptured TAA involving left carotid and left subclavian fenestration in a patient requiring unique attention to left internal mammary artery patency.
{"title":"Thoracic endovascular repair of a ruptured thoracic aortic aneurysm with in situ laser fenestration of the left subclavian and left common carotid artery","authors":"Anne Kelly Rhudy MD , William Fleischer MD , Javier Vasquez Jr. MD, FACS , Erin Cha BA","doi":"10.1016/j.jvscit.2024.101692","DOIUrl":"10.1016/j.jvscit.2024.101692","url":null,"abstract":"<div><div>Most thoracic aortic aneurysms (TAAs) are asymptomatic and often diagnosed at the time of rupture. TAAs involving the proximal arch require adequate coverage with thoracic endovascular aortic repair, which is timely and challenging in emergent ruptures. In situ laser fenestration is a novel method of arch revascularization. We present an 85-year-old man with zone 2 aortic pathology, a ruptured TAA, and a history of a left internal mammary to left anterior descending artery bypass. This case report demonstrates feasibility of a zone 1 repair for a ruptured TAA involving left carotid and left subclavian fenestration in a patient requiring unique attention to left internal mammary artery patency.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101692"},"PeriodicalIF":0.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985070","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 : 2024-11-20DOI: 10.1016/j.jvscit.2024.101685
Ashley N. Flinn Patterson MD, Marlin W. Causey MD
{"title":"Advanced limb reimplantation: program concepts and surgical approach","authors":"Ashley N. Flinn Patterson MD, Marlin W. Causey MD","doi":"10.1016/j.jvscit.2024.101685","DOIUrl":"10.1016/j.jvscit.2024.101685","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101685"},"PeriodicalIF":0.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985117","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 goals of treating type B aortic dissections include maintaining or restoring blood supply in cases of organ malperfusion, preventing aortic rupture, promoting aortic remodeling, and preventing disease progression and aneurysmal degeneration. The European Society of Vascular and Endovascular Surgery guidelines recommend endovascular treatment for patients with complicated acute/subacute type B aortic dissections and those failing medical management. Several techniques have been used over the past few decades. Recently, the STABILISE (Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair) technique has been proposed to treat type B aortic dissections. This method involves proximal thoracic aortic stent grafting with the deployment of distal bare stents, followed by ballooning to intentionally rupture the intimal lamella, allowing the true lumen to fully expand and resulting in a “single-channeled aorta.” Since its adoption, several authors have reported satisfactory results, demonstrating that the technique is safe and effective, and it could be considered a serious attempt to promote positive aortic remodeling over time. This paper provides an analysis of presurgical preparation and planning, detailed procedural description during surgery, necessary support equipment, and strategies for perioperative management.
{"title":"STABILISE technique to promote aortic remodeling in acute/subacute type B dissection","authors":"Daniele Mascia MD, Sarah Tinaglia MD, Annarita Santoro MD, Benedetta Mangili MD, Ferdinando B.A. Valente MD, Germano Melissano MD","doi":"10.1016/j.jvscit.2024.101687","DOIUrl":"10.1016/j.jvscit.2024.101687","url":null,"abstract":"<div><div>The goals of treating type B aortic dissections include maintaining or restoring blood supply in cases of organ malperfusion, preventing aortic rupture, promoting aortic remodeling, and preventing disease progression and aneurysmal degeneration. The European Society of Vascular and Endovascular Surgery guidelines recommend endovascular treatment for patients with complicated acute/subacute type B aortic dissections and those failing medical management. Several techniques have been used over the past few decades. Recently, the STABILISE (Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair) technique has been proposed to treat type B aortic dissections. This method involves proximal thoracic aortic stent grafting with the deployment of distal bare stents, followed by ballooning to intentionally rupture the intimal lamella, allowing the true lumen to fully expand and resulting in a “single-channeled aorta.” Since its adoption, several authors have reported satisfactory results, demonstrating that the technique is safe and effective, and it could be considered a serious attempt to promote positive aortic remodeling over time. This paper provides an analysis of presurgical preparation and planning, detailed procedural description during surgery, necessary support equipment, and strategies for perioperative management.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101687"},"PeriodicalIF":0.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160554","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 : 2024-10-28DOI: 10.1016/j.jvscit.2024.101662
Amir Ahmad Arabzadeh MD , Mohammadreza Kalantarmotamedi MD , Babak Sabet MD , Niki Tadayon MD
This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.7%) included hematoma, transient ischemic attack, myocardial infarction, stroke, and death. Late complications involved myocardial infarction, death, transient ischemic attack, stroke, and reintervention. The 1-year follow-up showed a significant (>70%) restenosis rate of only 1.9%. The novel technique in carotid endarterectomy seems to be a safe and effective alternative to patch angioplasty, offering advantages for selected patients. Further studies are required.
{"title":"Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study","authors":"Amir Ahmad Arabzadeh MD , Mohammadreza Kalantarmotamedi MD , Babak Sabet MD , Niki Tadayon MD","doi":"10.1016/j.jvscit.2024.101662","DOIUrl":"10.1016/j.jvscit.2024.101662","url":null,"abstract":"<div><div>This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.7%) included hematoma, transient ischemic attack, myocardial infarction, stroke, and death. Late complications involved myocardial infarction, death, transient ischemic attack, stroke, and reintervention. The 1-year follow-up showed a significant (>70%) restenosis rate of only 1.9%. The novel technique in carotid endarterectomy seems to be a safe and effective alternative to patch angioplasty, offering advantages for selected patients. Further studies are required.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101662"},"PeriodicalIF":0.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704798","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 report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen.
{"title":"Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection","authors":"Rudra Pandya BSc , Luc Dubois MSc , Oonagh Scallan MD","doi":"10.1016/j.jvscit.2024.101659","DOIUrl":"10.1016/j.jvscit.2024.101659","url":null,"abstract":"<div><div>This case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101659"},"PeriodicalIF":0.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743777","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 : 2024-10-26DOI: 10.1016/j.jvscit.2024.101664
Lauren Cralle MD, Kathryn DiLosa MD, MPH, Steven Maximus MD
Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
胸腹主动脉近端曾进行过开孔血管内主动脉修复术，其变性是一个复杂的问题，且修复方案有限。以前，治疗的唯一选择是改良的内移植物或通过内移植物剥离进行开放式转换。在此，我们描述了使用戈尔胸腹腔多支内支架在先前放置的开孔装置近端发生变性的情况下排除 III 度胸腹腔动脉瘤的方法。
{"title":"Endovascular repair with the Gore thoracoabdominal multibranch endoprosthesis for proximal degeneration after prior fenestrated endovascular aortic repair","authors":"Lauren Cralle MD, Kathryn DiLosa MD, MPH, Steven Maximus MD","doi":"10.1016/j.jvscit.2024.101664","DOIUrl":"10.1016/j.jvscit.2024.101664","url":null,"abstract":"<div><div>Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101664"},"PeriodicalIF":0.7,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704801","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 : 2024-10-26DOI: 10.1016/j.jvscit.2024.101666
Quynh-Anh L. Dang BS, BBA , Ciaran S. O'Brien MD , William Rothstein MD , Chase Brown MD , Venkat Kalapatapu MD
Type A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B dissection, malperfusion of the left renal artery, and compression of the EVAR with left external iliac limb occlusion. These were treated successfully with iliac thrombectomy and dissection stent placement.
{"title":"Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts","authors":"Quynh-Anh L. Dang BS, BBA , Ciaran S. O'Brien MD , William Rothstein MD , Chase Brown MD , Venkat Kalapatapu MD","doi":"10.1016/j.jvscit.2024.101666","DOIUrl":"10.1016/j.jvscit.2024.101666","url":null,"abstract":"<div><div>Type A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B dissection, malperfusion of the left renal artery, and compression of the EVAR with left external iliac limb occlusion. These were treated successfully with iliac thrombectomy and dissection stent placement.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101666"},"PeriodicalIF":0.7,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743778","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号