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Vascular and Endovascular Surgery

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https://www.readbyqxmd.com/read/29843567/practice-patterns-of-fenestrated-aortic-aneurysm-repair-nationwide-comparison-of-z-fen-adoption-at-academic-and-community-centers-since-commercial-availability
#1
Clay Wiske, Jason T Lee, Caron Rockman, Frank J Veith, Neal Cayne, Mark Adelman, Thomas Maldonado
CONTEXT: Over the past decade, a number of endovascular approaches have evolved to treat aortic aneurysms with anatomy that is not amenable to traditional endovascular repair, although the optimal practice and referral patterns remain in question. The Zenith fenestrated (Z-Fen) endograft (Cook Medical) represents the first commercially available fenestrated graft product in the United States. OBJECTIVE: We aim to quantify practice patterns in Z-Fen use during the first 5 years of commercial availability, and we identify predictors of high and low uptake...
August 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29716476/high-reintervention-and-amputation-rates-after-outpatient-atherectomy-for-claudication
#2
Dipankar Mukherjee, Brian Contos, Erica Emery, Devon T Collins, James H Black
Outpatient use of atherectomy for peripheral arterial disease has grown rapidly and outcomes are poorly understood. We analyzed outcomes of atherectomy done for claudication, comparing office and hospital outpatient settings. Analysis of Medicare Part B claims data was performed for incident femoral-popliteal or tibial-peroneal atherectomy from 2012 to 2014. Longitudinal analysis assessed services 18 months before, during, and up to 18 months after the incident peripheral vascular intervention (PVI). Differences between office-based and hospital outpatient-based settings were assessed using χ2 and Fisher exact tests...
August 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29649954/anatomical-considerations-and-open-surgery-to-treat-juxtarenal-abdominal-aortic-aneurysms
#3
Georgiana Samoila, Ian Michael Williams
INTRODUCTION: Historically, the open approach to the abdominal aorta has been transperitoneal (TP). In comparison, a retroperitoneal (RP) incision exposes the lateral wall of the suprarenal aorta for clamp application and midline structures such as the duodenum and pancreas are not encountered. Proximal clamp position for open repair of juxtarenal abdominal aortic aneurysm (JR-AAA) is suprarenal, supra-superior mesenteric, or supraceliac. While RP and TP approaches have previously been compared for physiological reasons, there are currently no randomized controlled trials comparing these methods from an anatomical perspective...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29576007/the-evaluation-of-aortic-diameter-changes-during-long-term-follow-up-after-endovascular-treatment-of-acute-blunt-traumatic-thoracic-aortic-injuries
#4
Federico Fontana, Edoardo Macchi, Filippo Piacentino, Larissa Nocchi Cardim, Giuseppe De Marchi, Fabiane Barbosa, Gabriele Piffaretti, Raffaele Novario, Antonio Gaetano Rampoldi, Carlo Fugazzola
PURPOSE: To evaluate the variations in aortic diameters and long-term results in patients who underwent thoracic endovascular aortic repair (TEVAR) for acute blunt traumatic thoracic aortic injuries (BTTAIs). MATERIALS AND METHODS: We retrospectively evaluated 23 patients with a mean age of 39 years (range: 17-74 years) who underwent TEVAR for BTTAI between October 2000 and November 2014. All of the patients underwent computed tomography angiography (CTA) before hospital discharge as a baseline imaging for the subsequent follow-up examinations...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29576006/pretesting-with-the-injection-of-small-doses-of-contrast-media-is-dangerous-and-should-be-omitted
#5
Ingrid Böhm
No abstract text is available yet for this article.
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29576005/intravascular-ultrasound-guided-endovascular-stenting-of-renal-vein-in-nutcracker-syndrome
#6
Saroj Neupane, Nikhil Ambulgekar, Sushruth Edla, James Torey, Nithin Gottam, Hiroshi Yamasaki
No abstract text is available yet for this article.
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29576004/volumetric-nephrogram-represents-renal-function-and-complements-aortic-anatomic-severity-grade-in-predicting-evar-outcomes
#7
Mark D Balceniuk, Lauren Trakimas, Claudia Aghaie, Doran Mix, Khurram Rasheed, Matthew Seaman, Jennifer Ellis, Roan Glocker, Adam Doyle, Michael C Stoner
INTRODUCTION: Chronic kidney disease (CKD) is a predictor of poor outcomes for patients undergoing endovascular aortic aneurysm repair (EVAR). Anatomic severity grade (ASG) represents a quantitative mechanism for assessing anatomical suitability for endovascular aortic repair. Anatomic severity grade has been correlated with repair outcomes and resource utilization. The purpose of this study was to identify a novel renal perfusion metric as a way to assist ASG with predicting EVAR outcomes...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29562828/the-effect-of-malignancy-on-outcomes-following-revascularization-for-critical-limb-ischemia-a-case-control-study
#8
Tom Calderbank, Ahmed Karim, Mike Wall, Arooj Syed, Robert S M Davies, Athanasios Saratzis
AIM: Malignancy is common in patients presenting with critical lower limb ischemia (CLI). However, outcomes in patients with concomitant active malignancy and CLI have not been well defined in comparative prospective analyses. Using contemporary prospective data, we aimed to assess outcomes following revascularization in patients with CLI and active malignancy. METHODS: A nested case-control study was performed using data from 2 tertiary referral centers for vascular disease...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29554859/unilateral-acute-renal-artery-embolism-an-index-case-of-successful-mechanical-aspiration-thrombectomy-with-use-of-penumbra-indigo-aspiration-system-and-a-review-of-the-literature
#9
Ali Yousif, Rajesh Samannan, Mazen Abu-Fadel
Acute renal artery embolism (RAE) is a rare condition associated with significant morbidity and mortality. The treatment strategy for RAE includes anticoagulation with or without thrombolysis or surgical or endovascular embolectomy. We describe here a case presentation of acute RAE secondary to atrial fibrillation treated successfully with Penumbra Indigo Aspiration System, a novel device in peripheral endovascular interventions. Our patient had ongoing symptoms and acute renal failure on presentation with contraindication to thrombolysis given hypertensive emergency...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29554858/racial-and-socioeconomic-disparities-after-carotid-procedures
#10
Todd R Vogel, Robin L Kruse, Ryan J Kim, Viktor Y Dombrovskiy
BACKGROUND: Race has been associated with inferior outcomes after multiple procedures, but the association of socioeconomic status with procedures for cerebrovascular disease is not well established. MATERIALS AND METHODS: Elective carotid artery stenting (CAS) and carotid endarterectomy (CEA) procedures were identified in the National Inpatient Sample, 2012 to 2014. Median household income was estimated from patient ZIP codes. Chi-square and multivariable logistic regression analysis evaluated outcomes, accounting for age, race, gender, comorbidities, procedure, income, insurance, and hospital characteristics...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29554857/aortic-graft-infection-secondary-to-iatrogenic-transcolonic-graft-malposition
#11
Jacqueline J Blank, Abby E Rothstein, Cheong Jun Lee, Michael J Malinowski, Brian D Lewis, Timothy J Ridolfi, Mary F Otterson
Aortic graft infections are a rare but devastating complication of aortic revascularization. Often infections occur due to contamination at the time of surgery. Iatrogenic misplacement of the limbs of an aortobifemoral graft is exceedingly rare, and principles of evaluation and treatment are not well defined. We report 2 cases of aortobifemoral bypass graft malposition through the colon. CASE REPORT: Case 1 is a 54-year-old male who underwent aortobifemoral bypass grafting for acute limb ischemia...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29554856/pseudoaneurysm-of-the-radial-artery-after-a-bicycle-fall
#12
Thomas Ratschiller, Hannes Müller, Thomas Schachner, Andreas Zierer
We report a case of a 64-year-old man who developed a painful pulsatile mass in the distal forearm after a bicycle fall with fracture of the wrist. Ultrasonography confirmed a 2.5-cm large pseudoaneurysm of the radial artery. The patient underwent surgical exploration. The pseudoaneurysm was resected and the defect in the arterial wall was reconstructed with an autologous saphenous vein patch. We suggest that the double arterial supply of the hand should be preserved whenever possible.
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29552943/pulmonary-artery-pseudoaneurysm-in-hyper-ige-syndrome-rare-complication-with-successful-endovascular-management
#13
Arun Sharma, Sanjeev Kumar, Priya Jagia
Hyper-IgE syndrome also known as Job syndrome is characterized by elevation of circulating immunoglobulin (IgE) levels and is usually associated with recurrent bacterial infections of the skin and sinopulmonary tract. Though bacterial pulmonary abscess and pneumatocele formation have been described, pulmonary artery pseudoaneurysm in Job syndrome has not been reported in literature. Our report describes a case of large pulmonary artery pseudoaneurysm in a child with Job syndrome, who presented with massive hemoptysis...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29528841/endovascular-treatment-of-symptomatic-thoracic-aneurysm-due-to-periaortic-lymphoma
#14
Jan Raupach, Jan Vales, Jan Vojacek, Petr Hoffmann, Miroslav Lojik, Katerina Kamaradova, Pavla Cabelkova, Vendelin Chovanec, Ondrej Renc, Antonin Krajina, Radovan Maly
An aggressive periaortic lymphoma could very rarely invade the aortic wall. We present a unique case of a patient with symptomatic thoracic aneurysm and imminent rupture due to the periaortic lymphoma, in which endovascular treatment using stent graft was applied. After stabilization of the aorta and histological confirmation of aggressive B-cell lymphoma by computed tomography-guided biopsy, the antilymphoma therapy was initiated. Despite the full treatment, the patient died 12 months later.
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29528840/endovascular-repair-of-incidentally-found-subclavian-artery-aneurysm-a-case-report-from-an-urban-level-1-trauma-center
#15
Randall W Franz, Simon R Fraser
Subclavian artery aneurysms (SAAs) are historically rare peripheral aneurysm. However, it can be associated with serious life-threatening complications including rupture, thrombosis, and embolism. The majority of such aneurysms are found incidentally. Historically, SAA have been repaired via an open approach. Increasing case reports demonstrate successful management of SAAs with endovascular repair. The present report describes a case of incidentally discovered large proximal saccular subclavian aneurysm with suspected remote traumatic etiology with a successful endovascular repair...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29528839/deep-brachial-artery-pseudoaneurysm-following-arthroscopic-shoulder-debridement
#16
Andrew E Yang, Jamie M Hall, Gilford S Vincent, Lowell Chambers
Vascular injuries resulting from arthroscopic surgeries are rare with a reported incidence of 0.005% of elective orthopedic procedures. We report a case of a 49-year-old male who developed a deep brachial artery pseudoaneurysm following an arthroscopic shoulder debridement and lysis of adhesions. He was successfully embolized with resolution of the pseudoaneurysm within 6 weeks of treatment. A review of the literature demonstrates that pseudoaneurysm formation after arthroscopic procedures is rare and pseudoaneurysms of the deep brachial artery have yet to be reported...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29528838/a-rare-case-of-axillary-artery-pseudoaneurysm-due-to-shoulder-dislocation-treated-with-percutaneous-thrombin-injection
#17
Sotirios Giannakakis, Ioannis Sachmpazidis, Anastasios Papapetrou, George Galyfos, Georgios Sachsamanis, Gerasimos Papacharalampous, Chrisostomos Maltezos
The incidence of combined neurovascular injuries among patients with high-energy shoulder trauma ranges from 27% to 44%. However, the presentation of an axillary artery pseudoaneurysm (PSA) due to shoulder dislocation without an associated osseous fracture is a very rare condition. Moreover, treatment of combined neurologic and vascular injuries of the shoulder remains controversial. Additionally, minimally invasive treatments such as thrombin injection have been mainly evaluated in patients with iatrogenic femoral artery PSAs...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29519203/port-a-cath-catheter-embolization-to-distal-pulmonary-artery-branches-two-tailored-percutaneous-retrieval-approaches
#18
Ana Rita G Francisco, José Duarte, Eduardo Infante de Oliveira
Several types of intravascular devices and catheters are frequently used for long-term drug therapy, especially for oncological patients. As a result, complications are becoming increasingly common, namely catheter embolization. Retrieving these devices is important, as embolized fragments may lead to serious consequences, such as arrhythmias, myocardial injury, thrombosis, infection, and even perforation and death. We describe 2 cases of long-term drug catheter (Port-A-Cath) fracture, incidentally documented in a routine chest radiograph...
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29495956/non-small-cell-lung-cancer-invading-the-descending-thoracic-aorta-surgical-resection-without-using-cardiopulmonary-bypass-and-without-cross-clamping-the-aorta-long-term-follow-up-of-2-cases
#19
A F Honguero-Martínez, M D García-Jiménez, P León-Atance, M Landaluce-Chaves
Lung cancer can sometimes invade vital adjacent mediastinal structures, such as the descending thoracic aorta. We describe 2 cases where pulmonary resection was performed en bloc including a patch of the descending thoracic aorta. These procedures were easily performed using an aortic endoprosthesis in the same anesthetic procedure. We also comment some aspects about an intraoperative endoleak, postoperative evolution, and long-term follow-up.
July 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29552944/endovascular-approach-for-management-of-bullet-embolization-to-the-heart
#20
Alireza Mojtahedi, Sohail Contractor, Piotr S Kisza
Bullet embolization to the right heart through the vasculature is seen infrequently in cases presenting with penetrating trauma. Patients with unstable hemodynamic status are managed operatively. For a patient with stable hemodynamic parameters, diagnostic evaluation such as computed tomography angiogram, echocardiogram, or angiography could be performed to select the best treatment option. Endovascular treatment is employed infrequently in these cases but can be a viable option for select patients. We present a case of a bullet embolus to the right ventricle treated successfully with endovascular approach and discuss the technical aspects of this approach...
May 2018: Vascular and Endovascular Surgery
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