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Annals of Vascular Diseases

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https://www.readbyqxmd.com/read/27738476/a-rare-complication-of-spinal-cord-ischemia-following-endovascular-aneurysm-repair-of-an-infrarenal-abdominal-aortic-aneurysm-with-arteriosclerosis-obliterans-report-of-a-case
#1
Koichi Morisaki, Takuya Matsumoto, Yutaka Matsubara, Kentaro Inoue, Yukihiko Aoyagi, Daisuke Matsuda, Shinichi Tanaka, Jun Okadome, Yoshihiko Maehara
We herein report a case of a rare complication of spinal cord ischemia (SCI) following endovascular aneurysm repair (EVAR). Computed tomography showed stenosis and calcification of bilateral iliac arteries and a saccular aneurysm of the terminal aorta. Paraplegia occurred soon after balloon angioplasty of iliac arteries and EVAR. Cerebrospinal fluid drainage was not performed because the patient was on dual antiplatelet drugs. The patient was treated with intravenous methylpredonisolone and naloxone; however, this did not improve his paraplegia...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738475/giant-perigraft-seroma-after-axillobifemoral-bypass-for-leriche-s-syndrome-a-case-report
#2
Bissacco Daniele, Domanin Maurizio, Del Gobbo Alessandro, Gabrielli Livio
Perigraft seroma is a rare complication occurs after placement of any vascular graft. It is defined as the collection of a sterile, clear and acellular liquid around prosthesis. It can appear years after surgery as a soft, palpable and painless mass. We present a perigraft seroma occurred in a 75-years-patient underwent Dacron right axillo-bifemoral bypass for Leriche's syndrome. Ultrasound and computed tomography scan revealed involvement of graft left branch and bifurcation. Although several treatment options have been proposed, removal and replacement of prosthetic affected tract with another of a different material has been proved the choice with best result...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738474/lifesaving-treatment-of-acute-stanford-b-aortic-dissection-complicated-by-intestinal-ischemia-with-stent-placement-in-the-superior-mesenteric-artery-a-case-report
#3
Kenichiro Sato, Ryo Itagaki, Kenshiro Arao, Kouzou Makita
A 44-year-old man was transported to our hospital with chief complaints of back pain and paralysis of the leg. Contrast-enhanced computed tomography (CT) imaging revealed an acute Stanford B aortic dissection (AD), which was complicated by acute arterial occlusion of the left external iliac artery. The patient was treated by femorofemoral crossover bypass. Thereafter, abdominal pain was noted, and the patient was diagnosed with intestinal ischemia due to occlusion of the celiac artery and superior mesenteric artery (SMA)...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738473/peripartum-type-a-aortic-dissection-repair-using-frozen-elephant-trunk-technique
#4
Yasunori Iida, Tsutomu Ito, Yu Inaba, Sachiko Hayashi, Takahiko Misumi, Hideyuki Shimizu
A 43-year-old woman with abdominal and back pain during childbirth consulted us 1 day postdelivery. Contrast-enhanced computed tomography (CT) revealed partially thrombosed type A aortic dissection with intimal tear in the proximal descending thoracic aorta. Conservative antihypertensive treatment was started. However, her abdominal pain progressively deteriorated. Repeat CT revealed narrowing of the descending aorta true lumen and progressive bowel malperfusion. Total arch replacement was urgently performed using the frozen elephant trunk technique...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738472/a-case-of-intestinal-necrosis-after-bilateral-internal-iliac-artery-preserving-endovascular-repair-for-abdominal-aortic-aneurysm
#5
Tomomi Nakajima, Masataka Sato, Akito Imai, Yasunori Watanabe
A 79-year-old man underwent endovascular repair for abdominal aortic aneurysm (AAA), and both internal iliac arteries (IIAs) were preserved. Postoperatively, loss of appetite developed. On the fifth day, computerized tomography (CT) showed inferior mesenteric artery thrombus formation, necrosis of the descending colon and rectum, and generalized peritonitis. The endovascular devices had not migrated. A colonic resection was performed. Histological analysis confirmed intestinal necrosis associated with mesenteric thrombus...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738471/surgical-strategy-for-thoracic-aortic-pseudoaneurysm-with-sternal-adherence
#6
Yu Inaba, Tsutomu Ito, Sachiko Hayashi, Yasunori Iida, Takahiko Misumi, Hideyuki Shimizu
A thoracic aortic pseudoaneurysm is a life-threatening complication following thoracic aortic surgery. We describe a surgical strategy for this pseudoaneurysm with a high risk for rupture during median sternotomy. The pseudoaneurysm was distended and widely adherent to the posterior sternum. Elective cardiopulmonary bypass and moderate hypothermia were established, and sternotomy was performed without left ventricle distention or brain ischemia. Total arch replacement was successful and the patient was discharged on post operative day (POD) 18...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738470/migration-of-the-zenith-flex-device-during-endovascular-aortic-repair-of-an-infrarenal-aortic-aneurysm-with-a-severely-angulated-neck
#7
Yukihisa Ogawa, Hiroshi Nishimaki, Kiyoshi Chiba, Kenji Murakami, Yuka Sakurai, Keishi Fujiwara, Takeshi Miyairi, Yasuo Nakajima
A woman in her 80s with an infrarenal aortic aneurysm was scheduled for endovascular aortic repair (EVAR). The aneurysm had a severely angulated neck (SAN), and the Zenith Flex device was selected. Completion angiography showed migration of the main body resulting in right renal artery stenosis. A Palmaz genesis was placed across the renal orifice. The patient had no renal dysfunction and was discharged 7 days after EVAR. If Zenith Flex devices are used for a SAN, it is necessary to consider not only the position of the renal artery but also the appropriate position of the stent-graft...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738469/a-case-of-tandem-plug-embolization-for-an-aberrant-right-subclavian-artery-during-debranching-thoracic-endovascular-aortic-repair
#8
Tatsushi Onzuka, Yasuhisa Oishi, Hikaru Uchiyama, Yoshie Ochiai, Atsuhiro Nakashima, Kenji Shinozaki
Aberrant right subclavian artery embolization is problematic in debranching thoracic endovascular aortic repair, because concomitant bypass grafting to the right upper arm may hinder complete embolization. We report a case of a thoracic aortic aneurysm with aberrant right subclavian artery successfully treated with debranching thoracic endovascular aortic repair and bypass grafting. Although endoleakage was found from aberrant right subclavian artery after single use of Amplatzer vascular plug, additional deployment of Amplatzer vascular plug II completely eliminated residual endoleakage...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738468/two-stage-hybrid-repair-in-a-patient-with-acute-type-a-aortic-dissection-associated-with-right-aortic-arch-with-aberrant-left-subclavian-artery-originating-from-a-kommerell-diverticulum
#9
Toshio Doi, Kimimasa Sakata, Takayuki Gyoten, Saori Nagura, Akio Yamashita, Kazuaki Fukahara, Keiju Kotoh, Naoki Yoshimura
Right aortic arch with aberrant left subclavian artery and Kommerell diverticulum are rare anomalies. A 42-year-old man was referred with sudden-onset chest pain. Enhanced computed tomography (CT) showed a right aortic arch with early thrombosed acute type A aortic dissection and an aberrant left subclavian artery arising from a Kommerell diverticulum. Medical therapy was instituted; however, follow-up CT revealed an ulcer-like projection. The patient was managed with a two-stage hybrid procedure comprising total arch replacement and endovascular repair and experienced no postoperative complications...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738467/repair-of-internal-iliac-artery-aneurysm-anastomosed-to-donor-renal-artery-in-a-renal-transplant-patient
#10
Takashi Yamauchi, Hiroshi Takano, Keiwa Kin, Shuusaku Maeda
We herein report a successful repair of an internal iliac artery aneurysm in a renal transplant patient. At renal transplantation, the main renal artery and accessory renal artery had been anastomosed to the right internal iliac artery and right external iliac artery, respectively. The patient underwent resection and graft replacement of the iliac artery aneurysm with reattachment of the main renal artery to the right external iliac artery through a midline laparotomy with repeated topical cold perfusion for renal protection...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738466/surgical-treatment-of-abdominal-aortic-aneurysm-with-congenital-solitary-pelvic-kidney-and-superior-mesenteric-artery-stenosis
#11
Takaaki Saito, Hiroki Tanaka, Naoto Yamamoto, Kazunori Inuzuka, Masaki Sano, Naoki Unno
We report the rare case of a 54-year-old man with uncontrolled renovascular hypertension, who was found to have an abdominal aortic aneurysm with congenital solitary pelvic kidney and superior mesenteric artery stenosis. A single renal artery branched from aneurysmal aortic bifurcation, and both the renal artery and the superior mesenteric artery (SMA) had severe stenosis at their origins. The aneurysm was repaired with a bifurcated Dacron graft, to which the renal artery was anastomosed. SMA bypass was created between the graft's left limb and the SMA using another Dacron graft...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738465/pancreatic-arcade-artery-aneurysm-a-rare-complication-after-replacement-of-thoracoabdominal-aortic-aneurysm
#12
Mitsuru Sato, Shunsuke Kawamoto, Yoshikatsu Saiki
Aneurysm in the pancreatic arcade artery is an uncommon event, and is usually associated with the condition of median arcuate ligament syndrome. The stenosis at the base of the celiac axis has been presumed to be attributable to a relative increase in flow and pressure within the pancreatic arcade, resulting in subsequent development of the aneurysm. We, herein, present a rare case with rapid development of a pancreatic arcade artery aneurysm immediately after the replacement of a thoracoabdominal aortic aneurysm...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738464/endovascular-treatment-of-type-ib-endoleak-after-evar-using-the-ibd-device-a-case-report
#13
Georgios Vourliotakis, Panagiotis G Theodoridis, Stylianos Pikis, Vasileios D Tzilalis
In the modern endovascular era, abdominal aortic aneurysm repair is still not free of complications with re-interventions following endovascular aneurysm repair (EVAR) being more common than with open surgical repair. A variety of endovascular, open surgical and combined techniques were described according to the anatomical considerations and general health of the patient to achieve the best possible result after these complications. In cases of type Ib endoleak following aorto-uni-lateral EVAR for an abdominal aortic aneurysm, the use of the internal branched device (IBD) constitutes a safe and effective technique...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738463/acute-aortic-dissection-occurring-behind-the-wheel-report-of-11-cases
#14
Takamichi Yoshizaki, Naoyuki Kimura, Tomoyasu Hirano, Atsushi Yamaguchi, Hideo Adachi
We investigated the clinical picture of non-traumatic acute aortic dissection (AAD) occurring behind the wheel. Between 1990 and 2014, AAD had occurred in 11 patients while driving (nine men, mean age; 58.3 years, seven commercial drivers). The symptoms included chest and/or back pain (n = 9) and syncope (n = 2). One patient with syncope caused a traffic accident. Ten patients had type A dissection (DeBakey type I) and 1 type B dissection. In-hospital mortality was 9.9% (1/11). Our data showed if affected drivers are transported to a hospital in a timely fashion, a good surgical outcome can be expected...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738462/risk-factors-in-patients-with-venous-stasis-related-skin-lesions-without-major-abnormalities-on-duplex-ultrasonography
#15
Kotaro Suehiro, Noriyasu Morikage, Osamu Yamashita, Takasuke Harada, Makoto Samura, Yuriko Takeuchi, Takahiro Mizoguchi, Kimikazu Hamano
Purpose: To clarify the risk factors for venous stasis-related skin lesions in the legs in patients without major abnormalities on duplex ultrasonography (DUS). Methods: Fifty patients (nine males and 41 females, age 27-93 years) with symptoms of C4 or greater according to the Clinical, Etiological, Anatomical, Pathological (CEAP) classification, but having no abnormalities on DUS were reviewed for known risk factors for chronic venous insufficiency (CVI) such as older age (>70 years), obesity (body mass index [BMI] >30 kg/m(2)), short walking distance (<200 m/day), reduced ankle range of motion (<20°), and occupation requiring prolonged standing (>8h per day)...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738461/evaluation-of-d-dimer-in-screening-deep-vein-thrombosis-in-hospitalized-japanese-patients-with-acute-medical-diseases-episodes
#16
Hiroshi Matsuo, Yoshie Nakajima, Tomohiro Ogawa, Makoto Mo, Junichi Tazaki, Takahiro Doi, Norikazu Yamada, Takeo Suzuki, Hiromu Nakajima
Objective: To investigate the usefulness of D-dimer as a screening method as well as to explore potent predictors of deep vein thrombosis (DVT) in hospitalized Japanese patients with acute medical diseases/episodes. Methods and Subjects: This study was a multi-center, prospective, observational study. The inclusion criteria were hospitalized patients at high risk of developing venous thromboembolism with; (1) congestive heart failure, acute exacerbation of chronic obstructive pulmonary disease, infectious diseases, or inflammatory diseases, (2) bed rest ≥4 days, and (3) ≥60 years old...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738460/thrombosis-of-the-saphenous-vein-stump-after-varicose-vein-surgery
#17
Hiroto Rikimaru
We evaluated thrombus extension in the proximal stump of the saphenous vein at 6 days, 4 weeks, and 16 weeks after saphenous vein surgery performed between July 2013 and March 2014 (18 patients, 29 limbs, and 31 stumps) using duplex ultrasonography. All thrombotic events were classified as endovenous heat-induced thrombosis (EHIT). Thrombus was observed in 27 stumps (87.1%), with only four (12.9%) stumps remaining without thrombus on postoperative day 6. Thrombus as EHIT class 2 was observed in one stump and as EHIT class 3 in another; in the remaining 25 stumps, it was observed as EHIT class 1 postoperatively...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738459/treatment-of-primary-varicose-veins-in-japan-japanese-vein-study-xvii
#18
Hirono Satokawa, Takashi Yamaki, Hirohide Iwata, Masahiro Sakata, Norihide Sugano, Toshiya Nishibe, Makoto Mo, Norikazu Yamada, Takehisa Iwai
Purpose: This study aimed at clarifying the changes in treatments for primary varicose veins in Japan. Methods: A questionnaire was mailed to the members of the Japanese Society of Phlebology. The contents of the survey covered the treatment and treatment strategy of varicose vein cases in 2013. The results were examined and compared with the results of previous surveys conducted by the aforesaid society in 1998, 2004 and 2009. Results: Of 36078 patients, 43958 limbs were reported from 201 institutions. Saphenous type was the most common type of varicose veins that developed in patients aged 70-79 years...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738458/long-term-outcomes-of-surgical-treatment-with-in-situ-graft-reconstruction-for-secondary-aorto-enteric-fistula
#19
Munetaka Hashimoto, Hitoshi Goto, Daijirou Akamatsu, Takuya Shimizu, Ken Tsuchida, Keiichiro Kawamura, Yuta Tajima, Michihisa Umetsu
Objectives: The optimal surgical management for secondary aorto-enteric fistula (sAEF) is controversial. Here, we report the long-term outcomes of a surgical treatment with in situ graft reconstruction for sAEF that was performed at our hospital. Methods: Between 2009 and 2012, 10 consecutive patients (8 males, 2 females, mean age 75.9 years) with sAEF were surgically treated with in situ graft reconstruction. Perioperative and long-term outcomes were reviewed retrospectively by medical records. Results: Clinical manifestations, including gastrointestinal bleeding, shock, sepsis, and back and abdominal pain, were observed during the treatment of the patients...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27738457/the-effect-of-steroid-therapy-on-postoperative-inflammatory-response-after-endovascular-abdominal-aortic-aneurysm-repair
#20
Kazuto Maruta, Atsushi Aoki, Tadashi Omoto, Hirofumi Iizuka, Hiroyuki Kawaura
Objectives: Unexpected systemic inflammatory response with high fever and increase in C-reactive protein (CRP) occurred frequently after endovascular abdominal aortic aneurysm repair (EVAR). This excessive inflammatory response affects the postoperative course. We evaluated the effects of steroid on the postoperative inflammatory response after EVAR. Methods: Steroid therapy, intravenous infusion of methylprednisolone 1000 mg just after the anesthesia induction, was started since December 2012. After induction of the steroid therapy, 25 patients underwent EVAR with steroid therapy (Group S)...
2016: Annals of Vascular Diseases
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