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Vascular and Endovascular Surgery

Jared M Theriot, Zach M Feldman, Adam H Korayem, Rajiv K Chander, David J Finlay
INTRODUCTION: Aortobifemoral bypass is a time-honored, durable surgery allowing restoration of lower extremity blood. However, the potential for significant complications exists, impacting mortality, morbidity, and quality of life. Minimally invasive aortobiiliofemoral endarterectomy offers an alternative to prosthetic bypass and its associated complications. Here, we present a case series using remote endarterectomy for aortoiliac occlusive disease. METHODS: Nine patients with aortoiliac occlusive disease were treated at a single institution, by a single surgeon, with direct and remote endarterectomy combination...
November 14, 2018: Vascular and Endovascular Surgery
Qing Chen, Mao-Xiao Nie, Quan-Ming Zhao
OBJECTIVE: This study aimed to observe the effect of pancreatic elastase combined with angiotensin II on a stable rabbit abdominal aortic aneurysm model. METHODS: A total of 20 male New Zealand rabbits were randomly divided into groups A and B, with 10 rabbits per group. The rabbits in group A were given an intraperitoneal perfusion of pancreatic elastase, and the rabbits in group B were given continuous pumping of angiotensin II in addition to the operation of group A...
October 29, 2018: Vascular and Endovascular Surgery
Sungho Lim, Pegge M Halandras, Carlos Bechara, Bernadette Aulivola, Paul Crisostomo
OBJECTIVE: Acute mesenteric ischemia is a rare disease entity associated with high morbidity and mortality. Disparate etiologies and nonspecific symptoms make the diagnosis challenging and often result in delayed diagnosis and intervention. Open laparotomy with mesenteric revascularization and resection of necrotic bowel has been considered the gold standard of care. With recent advances in percutaneous catheter-directed techniques, multiple retrospective studies have demonstrated the outcomes of endovascular therapy...
October 25, 2018: Vascular and Endovascular Surgery
Corinna Walter, Fadi Taher, Hannes Rieger, Afshin Assadian, Jürgen Falkensammer
PURPOSE: To increase awareness of the clinical presentation, diagnostic workup, and treatment options for endograft infections. CASE REPORT: A 75-year-old male patient was admitted with suspected endograft infection 4 years after endovascular aortic aneurysm repair (EVAR). Although preoperative diagnostics showed no definitive signs of endograft infection, eventual surgical exposure of the endograft revealed signs of advanced inflammation, including the unexpected finding of an aortoduodenal fistula...
October 18, 2018: Vascular and Endovascular Surgery
Ryosuke Kowatari, Yasuyuki Suzuki, Kazuyuki Daitoku, Satoshi Taniguchi, Shinya Kakehata, Ikuo Fukuda
We report a simple endovascular repair for symptomatic aberrant right subclavian artery (ARSA) in an 11-year-old girl. She had undergone tracheostomy due to hypoxic encephalopathy after cardiac surgery and suffered from dyspnea. Computed tomography revealed tracheal stenosis caused by a vascular ring made with an ARSA and the right common carotid artery. Transcatheter ARSA embolization using an Amplatzer vascular plug and coils was performed. Symptoms improved within a few days after this intervention and no complications such as upper extremity ischemia were encountered...
October 10, 2018: Vascular and Endovascular Surgery
Gianluca Cangiano, Fabio Corvino, Francesco Giurazza, Mattia Silvestre, Francesco Amodio, Antonio Corvino, Raffaella Niola
PURPOSE: To report on the endovascular management of a patient affected by concomitant left common iliac artery and right superficial femoral artery (SFA) pseudoaneurysms after stent positioning. CASE REPORT: A 77-year-old man affected by severe lower limb atherosclerosis was previously treated with iliac and femoropopliteal Supera stenting procedures; he presented to our emergency department because of bilateral severe claudication recurrence, back pain, and right groin region swelling...
October 9, 2018: Vascular and Endovascular Surgery
Julia Schubert, Otto W Witte, Utz Settmacher, Thomas E Mayer, Albrecht Günther, Jürgen Zanow, Carsten M Klingner
Ischemic stroke due to an acute occlusion of the extracranial internal carotid artery (eICA) is associated with high morbidity and mortality. The best treatment option remains unclear. This study aims to increase the available therapeutic experience documented for surgical recanalization of acute eICA occlusions. We retrospectively reviewed all hospital records of the University Hospital Jena between 2006 and 2018 to identified patients with acute ischemic stroke due to an occlusion of the eICA who underwent emergent surgical recanalization...
October 9, 2018: Vascular and Endovascular Surgery
Bryce French, Danielle Hayes
Endovascular embolization of visceral arteries is commonly performed as treatment for aneurysms, pseudoaneurysms, and emboloradiation of liver tumors; while considered relatively safe, it is not without complications. We are reporting 2 cases of coil migration into the gastrointestinal tract. Patients were successfully managed without endoscopic or surgical coil removal. Patients were followed after discharge and noted to have no further complications from their migrated coils. These cases highlight the success of expectant management for coil migration...
October 7, 2018: Vascular and Endovascular Surgery
Joakim Nordanstig, Kristina Törngren, Kristian Smidfelt, Håkan Roos, Marcus Langenskiöld
BACKGROUND: Primary infection of the abdominal aorta is a rare pathology that may threaten the integrity of the aortic wall, while secondary aortic prosthesis infection represents a devastating complication to open surgical and endovascular aortic surgery. Curative treatment is achievable by removal of all infected prosthetic material followed by a vascular reconstruction. DESIGN AND METHODS: Twelve consecutive patients treated with the neo-aortoiliac system bypass (NAIS) procedure were reviewed...
September 19, 2018: Vascular and Endovascular Surgery
Kallie Roberts, Betty Fan, Robert Brightwell
True renal artery aneurysms are rare. Ruptured aneurysms are even rarer but can have devastating consequences. Renal artery aneurysms most commonly occur in patients with hypertension, atherosclerosis, or fibromuscular dysplasia. Treatment options can range from embolization to nephrectomy. We describe an interesting case of spontaneous accessory renal artery aneurysm rupture in a 44-year-old female with neurofibromatosis type 1 (NF1) who otherwise had no medical problems. She was successfully treated with selective coil embolization, recovered without complications, and maintained preoperative renal function...
September 17, 2018: Vascular and Endovascular Surgery
Fabien Lareyre, Julie Reverso-Meinietti, Joseph Carboni, Alice Gaudart, Réda Hassen-Khodja, Juliette Raffort
Although intravesical therapy with bacillus Calmette-Guérin (BCG) has proven its efficiency in the treatment of early-stage bladder cancer, infectious complications can occur and mycotic aneurysms represent a rare but life-threatening complication. Here, we report the case of an aortic graft infection in a patient with abdominal aortic aneurysm who received BCG instillations for the treatment of bladder cancer. Based on the current knowledge on this rare vascular complication, we discuss factors that may have contributed to its occurrence and review issues to optimize its management and early detection...
September 13, 2018: Vascular and Endovascular Surgery
Sven Zhorzel, Albert Busch, Matthias Trenner, Benedikt Reutersberg, Michael Salvermoser, Hans-Henning Eckstein, Alexander Zimmermann
PURPOSE: Outcomes of open iliac artery repair (OIR) and endovascular iliac artery repair (EVIR) were compared at a tertiary referral vascular center. METHODS: From 2004 to 2015, all patients treated for isolated iliac artery aneurysms (IAAs) were retrospectively identified, and patient records and computed tomography (CT) scans were analyzed. The primary end point was overall survival; secondary end points were 30-day mortality and morbidity and freedom from reintervention...
September 4, 2018: Vascular and Endovascular Surgery
Victor A Rodriguez-Rapale, Jorge L Martinez-Trabal
INTRODUCTION: Little has been reported regarding endovascular therapy with stent of renal artery hilar aneurysms. To that end, we herein report the outcomes of 3 hilar renal artery aneurysms (RAA) treated with an endovascular technique that makes use of a covered stent and coil embolization in the repair of hilar RAA and deem using this technique is better than traditional open approach with back-table repair and autotransplatation. METHODS: Since November 2014, 3 consecutive patients have been referred to the vascular surgery service for evaluation of a right RAA; these patients' aneurysms were diagnosed with a CT arteriogram prior to evaluation...
September 4, 2018: Vascular and Endovascular Surgery
Vikram Puram, Danielle Lyon, Nedaa Skeik
Hypersensitivity vasculitis (HV) or leukocytoclastic vasculitis is a rare small-vessel vasculitis that may occur as a manifestation of the body's extreme allergic reaction to a drug, infection, or other foreign substance. Characterized by the presence of inflammatory neutrophils in vessel walls, HV results in inflammation and damage to blood vessels, primarily in the skin. Histologically, when neutrophils undergo leukocytoclasia and release nuclear debris into the vasculature, vascular damage manifests as palpable purpura...
August 20, 2018: Vascular and Endovascular Surgery
Christiana Anastasiadou, Angelos Megalopoulos, Karmen Tasiopoulou, Vasileios Intzos
Aneurysmal arterial dilatation is an infrequent complication following arteriovenous fistula ligation. Herein, we are describing a case in which a 49-year-old transplanted patient developed a true, symptomatic, brachial artery aneurysm 25 years after transplantation and 12 years after ligation of his radiocephalic wrist fistula. Treating strategy included aneurysmectomy and reversed vein interposition using ipsilateral, dilated branch of cephalic vein. Two years postoperatively, the patient remains without complications...
August 20, 2018: Vascular and Endovascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Vascular and Endovascular Surgery
Armando C Lobato
No abstract text is available yet for this article.
November 2018: Vascular and Endovascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Vascular and Endovascular Surgery
Danielle Lowry, Mujahid Saeed, Parth Narendran, Alok Tiwari
OBJECTIVE: There is a generally accepted hypothesis that patients with diabetes mellitus (DM) have a higher burden of atherosclerotic disease below the knee compared to patients without DM (NDM). The aim of this review was to summarize the evidence regarding this hypothesis. METHODS: The literature was searched for papers that compared the anatomical distribution of atherosclerotic disease in patients with DM and those without using radiological imaging. Search terms used included "diabetes mellitus," "peripheral vascular disease," "distribution of disease," "angiography," "computed tomography angiography," and "magnetic resonance angiography...
October 2018: Vascular and Endovascular Surgery
Yaping Zhao, Zhong Chen, Wayne W Zhang, Sheng Wang, Yaoguo Yang, Liao Yang
OBJECTIVE: This study aimed to compare, using optical coherence tomography (OCT), the outcomes of bioabsorbable drug-eluting stent with those of bare metal stent (BMS) following implantation in porcine iliac artery. METHODS: After the placement of BMS and bioabsorbable drug-eluting stents, we used OCT and digital subtraction angiography to investigate stent appositions, arterial neointima, evagination, and restenosis at 1 and 3 months. RESULTS: At 1 and 3 months after stent implantation, OCT study was performed to investigate 32 stents and 21 788 struts...
October 2018: Vascular and Endovascular Surgery
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