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Case Reports in Vascular Medicine

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https://www.readbyqxmd.com/read/28396818/comment-on-failure-of-the-pipeline-embolization-device-in-posterior-communicating-artery-aneurysms-associated-with-a-fetal-posterior-cerebral-artery
#1
COMMENT
Visish M Srinivasan, Peter Kan
No abstract text is available yet for this article.
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/28348915/bradycardia-during-transradial-cardiac-catheterization-due-to-catheter-manipulation-resolved-by-catheter-removal
#2
Maheedhar Gedela, Vishesh Kumar, Kashif Abbas Shaikh, Adam Stys, Tomasz Stys
Purpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result of positive stress test, respectively. Upon engagement of the FL 3.5 catheter into the ascending aorta through the transradial approach, the first case developed bradycardia with a heart rate of 39 beats per minute...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/28255495/early-and-late-endograft-limb-proximal-migration-with-resulting-type-1b-endoleak-following-an-evar-for-ruptured-aaa
#3
Patrick T Jasinski, Demetri Adrahtas, Spyridon Monastiriotis, Apostolos K Tassiopoulos
Introduction. Seal zone failure after EVAR leads to type 1 endoleaks and increases the risk of delayed aortic rupture. Type 1b endoleaks, although rare, represent a true risk to the repair. Case Presentation. We report the case of a 65-year-old female who underwent emergent endovascular repair for a ruptured infrarenal abdominal aortic aneurysm and developed bilateral type 1b endoleaks following proximal migration of both endograft limbs. The right-side failure was diagnosed within 48 hours from the initial repair and the left side at the 1-year follow-up...
2017: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/28101395/superior-mesenteric-artery-syndrome-a-case-report-of-two-surgical-options-duodenal-derotation-and-duodenojejunostomy
#4
Yagan Pillay
Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction and its management is usually conservative with nasojejunal feeding. The pathophysiology entails the loss of the fat pad between the superior mesenteric artery and the abdominal aorta. This reduces the angle between the two vessels to less than 20 degrees with the resultant compression of the third part of the duodenum. The surgical management is usually a laparoscopic duodenojejunostomy. The two cases in our series had two different surgical procedures with good outcomes in both patients...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27957380/palpable-mass-on-the-head-after-minor-trauma
#5
K M Nikolakopoulos, C P Papageorgopoulou, I G Ntouvas, S Kakkos, I Tsolakis
Temporal artery is superficially exhibited and easily traumatized. Rarely, a minor and blunt trauma, especially in elderly who are under anticoagulants, can cause a pseudoaneurysm. Diagnosis should be based, primarily, on history and physical examination and secondarily on duplex ultrasound scanning which will lead to confirmation and preoperative planning. The therapeutical plan consists of surgical ligation and excision of the aneurysm. Surgery can be performed under local anesthesia with no postoperative major or minor complications...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27843672/management-strategy-in-non-limb-threatening-acute-ischaemia-of-limbs-should-we-rethink
#6
Syed M Asim Hussain, Thomas Joseph
The Society of Vascular Surgery and the International Society of Cardiovascular Surgery identify three types of acute limb ischaemia to inform prognosis and management. Type 1 limb ischaemia is non-limb-threatening and is currently managed conservatively. We describe three cases of Type 1 limb ischaemia with femoropopliteal occlusion that were managed differently. The first case was initially managed conservatively but resulted in an adverse outcome following worsening of ischaemia. Overall, the cases managed with earlier intervention had good outcomes suggesting that conservative management alone may not be sufficient despite resolution of symptoms...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27803837/retrograde-tibiopedal-access-as-a-bail-out-procedure-for-endovascular-intervention-complications
#7
Ahmed Amro, Alaa Gabi, Adee Elhamdani, Naveed Iqbal, Mehiar El-Hamdani
Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management of superficial femoral artery (SFA) intervention complications. Procedure/Technique. After development of a perforation while trying to cross the totally occluded mid SFA using the conventional CFA access, we were able to cross the mid SFA lesion after accessing the posterior tibial artery in a retrograde fashion and delivered a self-expanding stent which created a flap that sealed the perforation without the need for covered stent...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27800207/upper-extremity-deep-vein-thromboses-the-bowler-and-the-barista
#8
Seth Stake, Anne L du Breuil, Jeremy Close
Effort thrombosis of the upper extremity refers to a deep venous thrombosis of the upper extremity resulting from repetitive activity of the upper limb. Most cases of effort thrombosis occur in young elite athletes with strenuous upper extremity activity. This article reports two cases who both developed upper extremity deep vein thromboses, the first being a 67-year-old bowler and the second a 25-year-old barista, and illustrates that effort thrombosis should be included in the differential diagnosis in any patient with symptoms concerning DVT associated with repetitive activity...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27699077/a-case-of-successful-coil-embolization-for-a-late-onset-type-ia-endoleak-after-endovascular-aneurysm-repair-with-the-chimney-technique
#9
Kimihiro Igari, Toshifumi Kudo, Takahiro Toyofuku, Yoshinori Inoue
Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of "gutters," which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27559488/haematochezia-from-a-splenic-artery-pseudoaneurysm-communicating-with-transverse-colon-a-case-report-and-literature-review
#10
James O'Brien, Francesca Muscara, Aser Farghal, Irshad Shaikh
Splenic artery aneurysms (SAA) are the third most common intra-abdominal aneurysm. Complications include invasion into surrounding structures often in association with preexisting pancreatic disease. We describe an 88-year-old female, with no history of pancreatic disease, referred with lower gastrointestinal bleeding. CT angiography showed a splenic artery pseudoaneurysm with associated collection and fistula to the transverse colon at the level of the splenic flexure. The pseudoaneurysm was embolised endovascularly with metallic microcoils...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27529050/lymphedema-in-klippel-trenaunay-syndrome-is-it-possible-to-normalize
#11
Jose Maria Pereira de Godoy, Angela Río, Paloma Domingo Garcia, Maria de Fatima Guerreiro Godoy
The aim of this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome. A 24-year-old female patient reported that her family had observed edema in her right leg and port wine stains from birth. For ten years, they consulted with different specialists in the region but the prognosis did not change and no specific treatment was found. In 2014, at the age of 24, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Clínica Godoy in São José do Rio Preto...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27213074/successful-endovascular-repair-of-an-iatrogenic-perforation-of-the-superficial-femoral-artery-using-self-expanding-nitinol-supera-stents-in-a-patient-with-acute-thromboembolic-limb-ischemia
#12
Tom Eisele, Benedikt M Muenz, Grigorios Korosoglou
The treatment of acute thromboembolic limb ischemia includes well-established surgical thrombectomy procedures and, in recent times, also percutaneous rotational thrombectomy using Straub Rotarex® system. This modality not only enables efficient treatment of such thrombotic occlusion but also in rare cases may imply the risk of perforation of the occluded artery. Herein, we report the case of a perforation of the superficial femoral artery (SFA) in an elderly female patient with thromboembolic limb ischemia...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27069709/failure-of-the-pipeline-embolization-device-in-posterior-communicating-artery-aneurysms-associated-with-a-fetal-posterior-cerebral-artery
#13
Mario Zanaty, Nohra Chalouhi, Robert M Starke, Pascal Jabbour, Katherine O Ryken, Ketan R Bulsara, David Hasan
The pipeline embolization device has emerged as an important endovascular option. This is in part due to safety, efficacy, and possibly the ability to shorten the operative time considerably. With this new technology, some limitations are emerging as experience accumulates. We report three cases of posterior communicating (PCOM) artery aneurysms associated with fetal posterior cerebral artery where pipeline embolization was unsuccessful in obliterating the aneurysms. PCOM artery aneurysms associated with a fetal PCA should be managed either by microsurgical clipping or coiling when feasible...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/27019760/the-changed-route-of-anterior-tibial-artery-due-to-healed-fracture
#14
Kemal Gökkuş, Ergin Sagtas, Nuri Comert, Mehmet Bekir Unal, Murat Baloglu
We would like to highlight unusual sequelae of healed distal third diaphyseal tibia fracture that was treated conservatively 36 years ago, in which we incidentally detected peripheral CT angiography. The anterior tibial artery was enveloped three-quarterly by the healing callus of the bone (distal tibia).
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26904354/juxtarenal-modular-aortic-stent-graft-infection-caused-by-staphylococcus-aureus
#15
Róbert Novotný, Petr Mitáš, Jaroslav Hlubocký, Ján Hrubý, Andrey Slautin, Rudolf Špunda, Jaroslav Lindner
Introduction. We are presenting a case report of an infected modular abdominal stent graft. Case Presentation. A 67-year-old male patient three years after Cook's modular abdominal aortic aneurysm (AAA) graft implantation for juxtarenal AAA with an implantation of a stent extension into the right common iliac artery for type Ib endoleak. The patient was admitted into our center in severe condition with suspected retroperitoneal bleeding. Computed tomography angiography (CTAG) confirmed retroperitoneal bleeding in the right common iliac artery...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26885435/traumatic-arteriovenous-fistula-of-the-scalp-in-the-left-temporoparietal-region-with-intra-and-extracranial-blood-supply
#16
Feng Zheng, Herbert Augustus Pitts, Roland Goldbrunner, Boris Krischek
Traumatic AVF of the scalp is a rare abnormal vascular disease. It is defined as a communication between the high flow arterial system and the low flow venous network, which directly connects the arterial feeding vessels of the scalp and the draining veins without an intervening capillary bed. The superficial temporal artery (STA) was involved in 90% of the cases, and 71% of the patients only had one dominant feeding STA. Here, we report the case of a rare large traumatic arteriovenous fistula (AVF) of the scalp that is fed by intra- and extracranial blood supply...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26885434/high-output-cardiac-failure-resolving-after-repair-of-av-fistula-in-a-six-month-old
#17
Uygar Teomete, Rubee Anne Gugol, Holly Neville, Ozgur Dandin, Ming-Lon Young
Background. Acquired AVF in pediatrics are commonly caused by iatrogenic means, including arterial or venous punctures. These fistulae can cause great hemodynamic stress on the heart as soon as they are created. Case. A six-month-old 25-week gestation infant was referred for respiratory distress. Initial exam revealed tachypnea, tachycardia, and hypertension. There was a bruit noted on her left arm. An ultrasound showed an arteriovenous fistula. Its location, however, precluded intervention because of the high risk for limb-loss...
2016: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26819797/isolated-celiac-and-splenic-artery-dissection-a-case-report-and-review-of-the-literature
#18
Tania Moussa, Georges Nawfal, Tarek Assi, Elie El Rassy, Elie Massoud, Iskandar Daou
An isolated dissection of the celiac artery is an extremely rare condition that requires a high level of suspicion to evoke the diagnosis. Once established, the natural course is unpredictable in view of the discrepancies in its management requiring a case-by-case analysis. In this paper, we report an unusual case of spontaneous abdominal pain that was diagnosed with celiac and splenic artery rupture secondary to physical stress. This paper underlines the necessity to maintain a high level of suspicion for arterial dissections and we also review the management plan in such cases...
2015: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26788400/deep-vein-thrombosis-provoked-by-inferior-vena-cava-agenesis
#19
Raad A Haddad, Mazin Saadaldin, Binay Kumar, Ghassan Bachuwa
Inferior vena cava agenesis (IVCA) is a rare congenital anomaly that can be asymptomatic or present with vague, nonspecific symptoms, such as abdominal or lower back pain, or deep vein thrombosis (DVT). Here, we present a 55-year-old male who came with painless swelling and redness of his left lower limb. On examination, swelling and redness were noted extending from the left foot to the upper thigh; it was also warm compared to his right lower limb. Venous Doppler ultrasound was done which showed DVT extending up to the common femoral vein...
2015: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/26783493/valve-like-and-protruding-calcified-intimal-flap-complicating-common-iliac-arteries-kissing-stenting
#20
George S Georgiadis, Efstratios I Georgakarakos, Nikolaos Schoretsanitis, Christos C Argyriou, George A Antoniou, Miltos K Lazarides
Endovascular therapy for iliac artery chronic total occlusions is nowadays associated with low rates of procedure-related complications and improved clinical outcomes, and it is predominantly used as first-line therapy prior to aortobifemoral bypass grafting. Herein, we describe the case of a patient presenting with an ischemic left foot digit ulcer and suffering complex aortoiliac lesions, who received common iliac arteries kissing stents, illustrating at final antegrade and retrograde angiograms the early recognition of a blood flow obstructing valve-like calcified intimal flap protruding through the stent struts, which was obstructing antegrade but not retrograde unilateral iliac arterial axis blood flow...
2015: Case Reports in Vascular Medicine
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