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Vascular and Endovascular Surgery

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https://www.readbyqxmd.com/read/29552944/endovascular-approach-for-management-of-bullet-embolization-to-the-heart
#1
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
https://www.readbyqxmd.com/read/29544400/preoperative-embolization-of-venous-malformations-using-n-butyl-cyanoacrylate
#2
Wibke Uller, Sherif El-Sobky, Ahmad I Alomari, Steven J Fishman, Samantha A Spencer, Amir H Taghinia, Gulraiz Chaudry
PURPOSE: The purpose of this study was to evaluate the safety and efficacy of preoperative percutaneous n-butyl cyanoacrylate (nBCA) embolization of venous malformations in children. MATERIAL AND METHODS: Clinical data were retrospectively reviewed in children who underwent embolization using nBCA followed by resection of venous malformations. RESULTS: A total of 17 embolizations were performed in 14 patients (9 females, mean age: 5.5 years; median age: 3 years; range 0...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29519202/carotid-pseudoaneurysm-after-eversion-endarterectomy-a-case-report-and-review-of-the-literature
#3
Gianfranco Varetto, Alessandra Trevisan, Giovanni Barile, Lorenzo Gibello, Flavia Spalla, Edoardo Frola, Daniele Pennica, Pietro Rispoli
BACKGROUND: Pseudoaneurysm (PA) after carotid endarterectomy (CEA) is a rare and potentially life-threatening complication, with an incidence lower than 1%. Most of the cases described report PAs after carotid patch angioplasty and are associated with infection, often caused by Staphylococci. The management of PAs can be surgical, endovascular, or hybrid. METHODS: We herein present the case of an infected carotid PA 27 days after an eversion CEA. We performed a common to internal carotid bypass with the interposition of great saphenous vein (GSV) associated with specific polyantibiotic therapy for 4 weeks...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29495959/successful-resection-of-a-large-carotid-body-tumor-masquerading-complete-encasement-of-the-internal-carotid-artery-on-preoperative-imaging
#4
Stavros K Kakkos, Peter Zampakis, George C Lampropoulos, Leonidas Paridis, Charalampos Kaplanis, Dimitra Bantouna, Konstantinos M Nikolakopoulos, Chrysanthi P Papageorgopoulou, Christina Kalogeropoulou, Ioannis A Tsolakis
A 41-year-old woman presented with a large painful and tender mass of the left side of her neck located just below the angle of the mandible. She was also complaining of frequent attacks of symptoms ranging from dizziness upon resuming the erect position to frank syncope. Color-coded duplex showed a large well-vascularized vascular mass at the level of the carotid bifurcation, suggesting the diagnosis of a carotid body tumor (CBT). A computerized tomographic angiography confirmed the diagnosis of a CBT, which measured 5...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29495958/renal-artery-dissection-in-a-patient-with-degenerative-scoliosis-a-rare-complication-caused-by-lumbar-vertebra-osteophyte
#5
Mehmet Beyazal, Münevver Serdaroglu Beyazal, Ekrem Kara, Hatice Beyazal Polat, Fatma Beyazal Çeliker, Şaban Ergene
Isolated spontaneous renal artery dissection (RAD) without known trauma is rare, and its etiology has not been determined. However, notable risk factors including hypertension, strenuous exercise, connective tissue disorders, atherosclerosis, extracorporeal shock wave lithotripsy, and cocaine abuse have been reported. To the best of our knowledge, isolated RAD caused by lumbar vertebra osteophytes in patients with degenerative lumbar scoliosis has not been reported in the literature. In this article, we present a case of RAD caused by lumbar vertebra osteophyte in a patient with degenerative scoliosis and discuss the management of the disease...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29495957/patient-experience-of-recovery-after-major-leg-amputation-for-arterial-disease
#6
Jesse A Columbo, Louise Davies, Ravinder Kang, J Aaron Barnes, Kathleen A Leinweber, Bjoern D Suckow, Philip P Goodney, David H Stone
OBJECTIVES: To date, studies of vascular amputees primarily examine quantitative outcomes following limb loss. Less is known about the patient's perspective after major lower limb amputation. Here, we define and describe the postamputation recovery period. METHODS: Qualitative study using purposive, maximum variation sampling on the variables of amputation level and times since surgery. We first conducted structured interviews with 20 participants (median age: 65 years, range: 45-88 years; 85% male; below knee amputation n = 14; above knee amputation n = 6; median time from amputation to interview = 16 months, range: 4-51 months)...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29495955/spontaneous-regression-of-parapharyngeal-arteriovenous-malformation
#7
Wen-Kai Tseng, I-Chang Su, Ming-Ting Chen, Jian-Jr Lee
Arteriovenous malformations (AVMs) are fast-flow vascular malformations that mostly occur in the head and neck region. They are typically progressive and their spontaneous regression is almost never seen. We present a case with pulsatile tinnitus and a parapharyngeal AVM. It resolved completely after diagnostic catheter-based angiography alone.
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29486676/complete-lower-extremity-revascularization-via-a-hybrid-procedure-for-patients-with-critical-limb-ischemia
#8
Toshio Takayama, Jon S Matsumura
BACKGROUND: Complete revascularization, achieving inline flow to the foot through at least 1 patent tibioperoneal artery, is considered to be desirable for treating critical limb ischemia (CLI). Hybrid procedure, combined femoral endarterectomy and endovascular treatment, is commonly performed on patients with CLI because they often present with complicated lower extremity lesions involving the common femoral artery. This study aimed to investigate the efficacy of complete revascularization (CR) achieved by hybrid procedure on limb salvage in patients with CLI...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29486675/popliteal-venous-aneurysm-presenting-with-bilateral-pulmonary-thromboembolism
#9
Michael George Zaki Ghali, Jesse A Taylor, Mary Mallon, Patrick Gerety, Paul Shea, Sharon Weinberger, Jacqueline Urbine, Deepti Raybagkar
A 12-year-old boy presenting with chest pain and dyspnea was found to have bilateral pulmonary thromboembolism (PTE) secondary to left popliteal venous aneurysm (PVA) with thrombus. He improved with thrombolytics, developed recurrent PTE, then underwent surgical repair of his PVA. The pathophysiology, diagnosis, and management of PVA are discussed.
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29482487/two-wire-technique-with-a-gooseneck-snare-to-bail-out-the-tip-separation-of-a-crosser-catheter
#10
Yoshito Kadoya, Kan Zen, Yohei Oda, Satoaki Matoba
Tip separation of a Crosser catheter is a serious complication; however, there is limited information on bailout methods. Here, we describe a case of successful retrieval of the separated tip of a Crosser catheter using a 2-wire technique with a gooseneck snare. A 76-year-old woman with a history of hemodialysis and diabetes mellitus who developed ulcers on her right toes was diagnosed as having critical limb ischemia and underwent transfemoral antegrade endovascular treatment of the anterior tibial artery (ATA)...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29482486/endovascular-management-of-ureteroarterial-fistula-single-institution-experience-and-systematic-literature-review
#11
José D Subiela, Andrea Balla, Jesús Bollo, Jaume F Dilme, Begoña Soto Carricas, Eduard M Targarona, Oscar Rodriguez-Faba, Alberto Breda, Juan Palou
BACKGROUND: Ureteroarterial fistula (UAF) represents an uncommon complication after urological surgery; however, this is a well-documented condition in patients with predisposing risk factors. The aim of the present study is to report and analyze the endovascular management of a series of patients with UAF, treated in authors' hospital, and to report and analyze the same data concerning patients retrieved from a systematic literature review. METHODS: Authors conducted a retrospective analysis of prospectively collected data and a systematic literature review...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29482485/an-institution-wide-algorithm-for-treatment-of-type-ii-endoleak-following-endovascular-aneurysm-repair-evar
#12
Saum Rahimi, Naiem Nassiri, Lauren Huntress, Dustin Crystal, Jones Thomas, Randy Shafritz
OBJECTIVES: Multiple endovascular techniques have been described for the treatment of persistent type II endoleaks (pT2ELs) causing aneurysm sac growth following endovascular aneurysm repair (EVAR). In the event of a failed endovascular procedure and a pT2EL, a consensus regarding further treatment is lacking, and the literature suggests repeated endovascular attempts are rarely successful. Herein, we propose an algorithm for definitive management of pT2ELs with persistent sac growth following EVAR...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29463206/endovascular-retrieval-of-a-migrated-trapease-inferior-vena-cava-filter-from-the-right-atrium-a-brief-report-and-literature-review
#13
Andrew J Gunn, Nathan W Ertel
Intracardiac migration is a rare complication of inferior vena cava filters (IVCFs) that poses a significant risk to patients. Both endovascular and surgical options exist, although only a few endovascular options are described in the literature. This brief report describes the endovascular approach used to successfully remove a TrapEase IVCF from the right atrium in a single patient. A brief review of the literature is also provided.
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29448895/the-outcome-of-anticoagulation-on-endovenous-laser-therapy-for-superficial-venous-incompetence
#14
Jamie Vatish, Nusrat Iqbal, Viswa Retnasingam Rajalingam, Alok Tiwari
OBJECTIVES: The purpose of this study was to evaluate whether anticoagulation (warfarin or direct oral inhibitors) affected the success of endovenous treatment. METHODS: Patients taking anticoagulation (warfarin or direct oral inhibitors) undergoing endovenous treatment in the form of endovenous laser ablation (EVLA) were matched against controls for sex, age, leg, and vein. Data were collected prospectively between January 2012 and March 2017. The primary endpoint was failure of treatment at 6-week postoperative duplex scan...
May 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29554863/laser-fenestration-for-treatment-of-a-complicated-chronic-type-b-aortic-dissection
#15
Tara Talaie, Christopher Werter, Charles Drucker, Brittany O Aicher, Robert Crawford, Shahab Toursavadkohi
We report a case of a complex chronic type B aortic dissection treated by thoracic endovascular aortic repair and laser fenestration of the false septum to preserve flow to branch vessels originating from both the true and false lumen. Dissections complicated by thoracoabdominal aneurysmal degeneration with critical organs being perfused by branches arising from both true and false lumens are rare and leave limited options for repair. Despite advancements in endovascular techniques, fenestration remains one of the only means of preserving flow to both the true and false lumens and thus was necessary in the management of our patient...
April 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29436310/ultrasound-assisted-catheter-directed-thrombolysis-for-submassive-pulmonary-embolism
#16
Prasoon P Mohan, John J Manov, Francisco Contreras, Michael E Langston, Mehul H Doshi, Govindarajan Narayanan
PURPOSE: Catheter-directed thrombolysis (CDT) is a relatively new therapy for pulmonary embolism that achieves the superior clot resolution compared to systemic thrombolysis while avoiding the high bleeding risk intrinsically associated with that therapy. In order to examine the efficacy and safety of CDT, we conducted a retrospective cohort study of patients undergoing ultrasound-assisted CDT at our institution. METHODS: The charts of 30 consecutive patients who underwent CDT as a treatment of pulmonary embolism at our institution were reviewed...
April 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29433410/snorkel-technique-for-inferior-mesenteric-artery-during-endovascular-repair-of-abdominal-aortic-aneurysm
#17
Serkan Ertugay, Ahmet Daylan, Halil Bozkaya, Emrah Oğuz, Anıl Apaydın, Mustafa Parıldar, Hakan Posacıoğlu
PURPOSE: The snorkel technique is commonly used to preserve renal arteries in juxta renal aneurysm during endovascular repair. Herein, we present a patient who underwent bifurcated endograft implantation with snorkel technique for inferior mesenteric artery (IMA) in order to preserve the major source of bowel circulation. CASE REPORT: A 69-year-old male patient was diagnosed with abdominal aortic aneurysm. His history revealed that he had bowel resection due to a car accident 30 years ago...
April 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29433409/endovascular-management-of-svc-syndrome-due-to-fibrosing-mediastinitis-a-feasibility-and-safety-analysis
#18
Shamaita Majumdar, Ramy Shoela, David J Kim, Raja Ramaswamy, Naganathan Mani, Amber Salter, Olaguoke Akinwande
PURPOSE: To assess the outcomes of endovascular management for superior vena cava (SVC) syndrome secondary to fibrosing mediastinitis (FM). METHODS: Between January 2004 and December 2016, 10 consecutive patients with endovascularly managed SVC syndrome secondary to FM were identified in an institutional database. Venograms were performed to assess the severity and location of the lesion and allow measurement for stent selection. Standard stenting and angioplasty techniques were utilized to establish luminal patency...
April 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29433408/blunt-injury-of-the-innominate-artery-what-surprises-to-expect-a-case-report
#19
Marina Dias-Neto, José F Ramos, José F Teixeira
Injuries of the supra-aortic trunk after blunt chest trauma are rare. This is a case report of a blunt traumatic lesion of the innominate artery (IA) origin that exhibited aortic arch involvement with a focus on imaging and treatment. A 41-year-old fisherman presented an IA injury secondary to a high-impact blunt chest trauma. Upon physical examination, vital signs were stable and upper extremity pulses were present. In addition to several bone fractures (costal ribs, clavicle, scapula, temporal, maxillary, and sphenoid), computed tomography angiography revealed dissection/pseudoaneurysm of the IA sparing the bifurcation...
April 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29421969/management-and-outcome-of-prosthetic-vascular-graft-infections-a-single-center-experience
#20
Maxime Elens, Muzhakkir Dusoruth, Parla Astarci, Stefano Mastrobuoni, Michel J Bosiers, Jane Nardella, Valérie Lacroix, Julien Possoz, Robert Verhelst
BACKGROUND: Prosthetic vascular graft infection (PVGI) remains a severe and challenging complication in vascular surgery with high morbidity and mortality rates. Incidence has been reported between 1% and 6%. The aim of this study was to report our experience in terms of general and surgical management as well as outcome, over 15 years. METHODS: A retrospective consecutive study was conducted of all patients treated in our department for PVGI between January 2000 and December 2015...
April 2018: Vascular and Endovascular Surgery
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