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Vascular Specialist International

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https://www.readbyqxmd.com/read/29984219/ruptured-mycotic-aneurysm-of-the-common-carotid-artery-a-case-report
#1
Dong-Il Kim, Byung-Soo Park, Dong Hyun Kim, Dae Jung Kim, Youn Joo Jung, Sang Su Lee, Hyuk Jae Jung
Mycotic aneurysms of the common carotid artery (CCA) are very rare and warrant surgical treatment to prevent rupture and death. A 89-year-old man who complained of a sore throat and swelling of the right side of neck. He had no history of trauma or neck infection. Physical examination revealed hard and pulsatile mass. Computed tomography showed initially pseudoaneurysm rupture on the right CCA with surrounding inflammation. The emergency operation revealed mycotic aneurysm rupture with CCA necrosis and was successfully done by wide debridement and carotid artery resection with interposition bypass...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984218/endovascular-treatment-of-a-saccular-aneurysm-in-the-celiomesenteric-trunk-a-case-report-and-review-of-literature
#2
Shin Ae Lee, Hwan Jun Jae, Sanghyun Ahn, Sang-Il Min, Jongwon Ha, Seung-Kee Min
To present a world-first case of a successful endovascular treatment of a celiomesenteric trunk (CMT) aneurysm. A 45-year-old man had an asymptomatic saccular aneurysm in a rare anomaly of CMT. Endovascular multiple micro-coil embolization of the common hepatic artery, splenic artery and the aneurysm was done, followed by a stent-graft deployment in the superior mesenteric artery covering the orifice to the aneurysm. Postoperative course was uneventful. Only 21 cases have been previously reported in the literature, and all were treated by open surgeries...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984217/detrimental-effects-of-endovascular-intervention-in-active-rheumatoid-vasculitis
#3
Jong Kwon Park
Balloon angioplasty can cause shear stress and tear of the vascular endothelium during mechanical dilatation, leading to increased inflammation and coagulation reactions of the vascular endothelium. Herein, a worst case of active rheumatoid vasculitis is described, where due to progressing ischemic necrosis of the leg, endovascular intervention was unavoidably performed in the presence of active rheumatoid vasculitis. After percutaneous balloon angioplasty, the patient developed recurrent thrombotic occlusion of the leg arteries, and finally, limb amputation resulted in despite vigorous treatment including medication, immunosuppression, catheter-directed thrombolysis, and post-thrombolysis anticoagulation...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984216/hybrid-surgery-to-treat-multiple-visceral-aneurysms-secondary-to-polyarteritis-nodosa
#4
Hyejin Mo, Sungsin Cho, Hwan Jun Jae, Seung-Kee Min
A 57-year-old woman presented to vascular surgery clinic with visceral artery aneurysms that were incidentally detected during regular check-up. Imaging studies revealed occlusion of the celiac axis and severe stenosis of the superior mesenteric artery and 3 aneurysms along the posterior and inferior pancreaticoduodenal arteries, as well as the right gastroepiploic artery. Endovascular embolization of all aneurysms was rejected because of the risk of hepatic ischemia. These complicated lesion caused by polyarteritis nodosa were successfully treated using a hybrid operation with coil embolization, aneurysm resection, and antegrade aorto-celiac-superior mesentery artery bypass...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984215/symptomatic-bilateral-carotid-artery-occlusion-an-uncommon-pattern-of-carotid-pathology
#5
Chrisostomos Maltezos, Christiana Anastasiadou, Anastasios Papapetrou, George Galyfos, Ioannis Sachmpazidis, Gerasimos Papacharalampous
We report an unusual case of an 83-year-old man who was admitted with dizziness and repeated drop attacks. He was diagnosed with bilateral carotid artery occlusion and he underwent a left subclavian to left carotid bypass with ringed polytetrafluoroethylene graft. The patient's postoperative course was uneventful and no symptoms presented during a 6-month follow-up. Finally, we discuss on proper management of such patients.
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984214/does-catheter-directed-thrombolysis-prevent-postthrombotic-syndrome
#6
Young-Ah Kim, Shin-Seok Yang, Woo-Sung Yun
Purpose: The aim of this study is to identify risk factors of postthrombotic syndrome (PTS) and evaluate the efficacy of catheter-directed thrombolysis (CDT) for preventing the development of PTS in patients with lower extremity deep vein thrombosis (DVT). Materials and Methods: From 2005 January to 2013 December, 139 limbs of 126 patients were included in this study who had the first episode of proximal DVT at the affected limb and who had visited our out-patient clinic...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29984213/treatment-outcomes-and-risk-factors-for-in-hospital-mortality-in-patients-with-acute-aortic-occlusion
#7
Dong-Hee Na, Deokbi Hwang, Sujin Park, Hyung-Kee Kim, Seung Huh
Purpose: The aims of the present study are to determine the outcomes after acute aortic occlusion (AAO) and analyze the risk factors for in-hospital mortality. Materials and Methods: We retrospectively analyzed 24 patients who were diagnosed with AAO from 2002 to 2017 in our registered data. Demographic and radiologic characteristics of AAOs were retrospectively collected. Perioperative treatment outcomes including in-hospital mortality were also assessed and the risk factors of in-hospital mortality were analyzed...
June 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29629362/chronic-cerebro-spinal-venous-insufficiency-in-multiple-sclerosis-is-it-the-end
#8
Alessandro Rasman
No abstract text is available yet for this article.
March 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29629361/complications-of-port-a-caths-in-children-with-hematologic-oncologic-diseases
#9
COMMENT
Mohamed Zouari, Hamdi Louati, Mohamed Jallouli, Riadh Mhiri
No abstract text is available yet for this article.
March 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29629360/adventitial-cystic-disease-of-the-iliac-artery-with-a-connection-to-the-hip-joint
#10
Hyung-Kee Kim, Sujin Park, Deokbi Hwang, Seung Huh
More than 700 adventitial cystic diseases (ACDs) have been reported in the literature, with most cases affecting the popliteal artery in young men. Here, we describe our treatment and etiologic consideration of a patient who presented with an ACD of the external iliac artery, known to be an extremely rare location. On preoperative imaging, the ACD had a connection to the nearby hip joint and was treated with resection of the affected segment, including ligation of the joint connection and interposition with a prosthetic graft...
March 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29629359/extended-duration-treatment-of-superficial-vein-thrombosis-of-the-lower-limbs-with-tinzaparin
#11
Konstantinos M Nikolakopoulos, Stavros K Kakkos, Chrysanthi P Papageorgopoulou, Ioannis A Tsolakis
Purpose: To identify risk factors for recurrent thromboembolic events (RTEs) and define the optimum duration of treatment with tinzaparin in patients with superficial vein thrombosis (SVT) of the lower limbs. Materials and Methods: A total of 147 consecutive patients with significant SVT were treated with subcutaneously administered tinzaparin. The composite primary endpoint of the study was RTE, deep-vein thrombosis (DVT) and/or pulmonary embolism (PE) at 120 days...
March 2018: Vascular Specialist International
https://www.readbyqxmd.com/read/29354629/rescue-technique-for-malposition-caused-by-mislabeled-stent-graft-in-thoracic-aneurysm
#12
Hyuk Jae Jung, Bong Soo Son, Do Hyung Kim, Sang Su Lee
The aim of this paper is to report a salvage treatment for malpositioned stent graft due to mislabeled product during thoracic endovascular aortic repair (TEVAR) in descending thoracic aneurysm (DTA). A 78-year-old male presented with 6.7×4.1 cm sized saccular DTA and 7.1×7.3 cm sized abdominal aortic aneurysm (AAA). DTA was initially treated by TEVAR and 2 months later AAA was treated by open aortic repair. Unfortunately, although the stent graft was correctly labeled for DTA, the actual size of product wrapped in a box was different contrary to our expectations...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354628/femoral-endovenectomy-with-iliac-stenting-for-chronic-iliofemoral-venous-occlusion
#13
Won Pyo Cho, Sungsin Cho, Min-Ji Cho, Sanghyun Ahn, Sang-Il Min, Jongwon Ha, Seung-Kee Min
A 62-year-old man with progressive swelling on his left thigh and leg was referred to the Division of Vascular Surgery. Anticoagulation therapy did not prevent or improve the symptoms of chronic deep vein thrombosis (DVT) from his left external iliac vein to posterior tibial vein. He had no trauma history nor any accidents. He underwent femoral endovenectomy, thrombectomy and stent insertion in left iliac vein. The patient had additional balloon angioplasty for stenosis in left common femoral vein. He had an uneventful postoperative recovery without complication...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354627/vascular-complications-related-to-posterior-lumbar-disc-surgery
#14
Hong Sung Jung, Dae Jung Kim, Hyo Shin Kim, Ho Kyun Lee, Soo Jin Na Choi, Sang Young Chung
Purpose: To evaluate patients who underwent surgical or endovascular treatment after vascular injury related to posterior lumbar disc surgery. Materials and Methods: We retrospectively reviewed seven cases of vascular injuries (four lacerations, one arteriovenous fistula [AVF], and two pseudoaneurysms) related to lumbar disc surgery by a posterior approach from January 1997 to December 2016 at Chonnam National University Hospital. Information of patient characteristics, diagnosis, treatment strategies, and outcomes were analyzed...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354626/intraoperative-vascular-surgical-consultation-during-non-vascular-surgeries-in-tertiary-centers-by-vascular-surgeon
#15
Sung-Bin Park, Keun-Myoung Park, Yong Sun Jeon, Soon Gu Cho, Kee Chun Hong
Purpose: There are many types of intraoperative consultations by vascular surgeons during non-vascular surgery. Therefore, we examined the current state of intraoperative consultations during non-vascular surgery in a single center. Materials and Methods: From January 2014 to December 2015, we reviewed records of 40 patients (0.3%) who received an intraoperative consultation from a vascular surgeon for 10,734 non-vascular surgeries in Inha University Hospital. We examined patient characteristics, operative details, and clinical results...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354625/neuropsychological-outcome-one-year-after-carotid-revascularization-a-before-and-after-study
#16
Laura Casas-Hernanz, Maite Garolera, Dolors Badenes, Salvador Quintana, Susana Millán, Noemi Calzado, Jorge de Francisco, Josep Royo, Miquel Aguilar
Purpose: The aim of our study was to determine the clinical profile of patients considered cognitive 'responders' to surgery in order to establish clinical variables associated with a favorable cognitive performance. Materials and Methods: A total of 70 patients were included in the study. A well-validated, comprehensive standardized neurocognitive battery of tests of about 2 hours was administered. Patients were examined twice, 1-week before surgery and 1-year postoperatively...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354624/comparison-of-clinical-outcomes-between-surgical-repair-and-endovascular-stent-for-the-treatment-of-abdominal-aortic-aneurysm
#17
Jun Ho Yang, Jong Woo Kim, Ho Chul Choi, Hyun Oh Park, In Seok Jang, Chung Eun Lee, Seong Ho Moon, Jeong Hun Byun, Jun Young Choi
Purpose: This study was performed to compare the treatment outcomes between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in a South Korean population. Materials and Methods: We performed a retrospective review of the medical records of 99 patients with AAAs who were managed at Gyeongsang National University Hospital between January 2005 and December 2014. We reviewed the demographic characteristics and perioperative treatment outcomes of patients with AAA undergoing EVAR or OSR...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354623/occurrences-and-results-of-acute-kidney-injury-after-endovascular-aortic-abdominal-repair
#18
Jeahong Lee, Keun-Myoung Park, Sungteak Jung, Wonpyo Cho, Kee Chun Hong, Yong Sun Jeon, Soon Gu Cho, Jung Bum Lee
Purpose: Acute kidney injury (AKI) is an important postoperative complication that may impact mortality and morbidity. The incidence of AKI after elective endovascular aneurysm repair (EVAR) is not known well. The aim of this study is to assess the incidence of AKI after elective EVAR and examine the impact of AKI. Materials and Methods: Data were collected and analyzed retrospectively from 78 elective EVARs for abdominal aortic aneurysm (AAA) among 102 total cases of conventional EVAR performed in Inha University Hospital from 2009 to 2015...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354622/safety-and-efficacy-of-catheter-direct-thrombolysis-in-management-of-acute-iliofemoral-deep-vein-thrombosis-a-systematic-review
#19
REVIEW
Ahmed Elbasty, James Metcalf
Purpose: Catheter direct thrombolysis (CDT) has been shown to be an effective treatment for deep venous thrombosis. The objective of the review is to improve safety and efficacy of the CDT by using ward based protocol, better able to predict complications and treatment outcome through monitoring of haemostatic parameters and clinical observation during thrombolysis procedure. Materials and Methods: MEDLINE, EMBASE, CENTRAL and Web of Science were searched for all articles on deep venous thrombosis, thrombolysis and correlations of clinical events (bleeding, successful thrombolysis) during thrombolysis with hemostatic parameters to March 2016...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28955702/aorto-uni-iliac-stent-grafting-and-femoro-femoral-bypass-in-a-patient-with-a-failed-and-catastrophic-endovascular-aortic-aneurysm-repair
#20
Wonho Kim, Min Suk Choi, Jin Ho Choi
A 78-year-old man presented at Eulji University Hospital due to an abdominal aortic aneurysm with maximum diameter of 52 mm, which had been increased from 45 mm over 6 months. He underwent embolization of the left internal iliac artery with vascular plug, prior to endovascular abdominal aortic repair with a bifurcated stent graft system. Unfortunately, the inserted vascular plug was maldeployed and protruded into left external iliac artery, and caused acute limb ischemia. Because revascularization of the occluded segment was failed, emergent hybrid approach with aorto-uni-iliac stent grafting and femoro-femoral bypass was done, successfully...
September 2017: Vascular Specialist International
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