keyword
https://read.qxmd.com/read/38428055/hybrid-surgery-for-the-treatment-of-lumbar-spine-surgery-complicated-with-iliac-artery-pseudoaneurysm-arteriovenous-fistula-and-lower-limb-artery-embolism-a-rare-case-report
#21
Zhijie Liao, Linbo Liu, Heng Zhang, Qi Tang, Wentao Liu, Yi Zhang
INTRODUCTION AND IMPORTANCE: Vascular injuries during lumbar surgery are rare, but complications such as false aneurysm of the iliac artery, arteriovenous fistula, and lower limb artery embolism are even rarer. These complications can easily be misdiagnosed and result in the inability to choose an appropriate surgical approach, leading to serious consequences. CASE PRESENTATION: A 36-year-old male patient experienced swelling in both lower limbs, along with numbness, coldness, and dysfunction in his right lower limb, after undergoing a "posterior lumbar discectomy" surgery...
February 28, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38425619/acute-renal-infarction-after-a-bilateral-aortic-iliac-stent-thrombosis
#22
Beatriz Chambino, Cláudio Gouveia, Cristiana Camacho, Antony Dionisio, Ana Margarida Ribeiro, Célia Henriques
A renal infarction occurs when kidney's arterial blood supply is compromised, causing parenchymal necrosis and loss of function. It is a relatively uncommon complication and its treatment is time-dependent. We present a case where a female patient with a history of bilateral aortic-iliac stenting over 10 years before presented with chest pain, palpitations, and dyspnea associated with hypertension. The patient progressed with an acute worsening of renal function and anuria, with an urgent need for renal replacement therapy...
January 2024: Curēus
https://read.qxmd.com/read/38425616/a-successful-endovascular-treatment-of-massive-hematuria-caused-by-aorto-ureteric-fistula-a-report-of-a-rare-case
#23
Konstantinos G Seretis, Theofanis Papas, Vasileios Papaioannou, Nikolaos Giannakopoulos, Andreas M Lazaris
Fistula formation between the urinary tract and the arterial system is very rare, and usually involves the ureter and the adjacent iliac vessels. Communication of the ureter with the aorta has been described a few times worldwide, and most of them had a fatal outcome. In our case, a 79-year-old man had a history of total cystectomy for malignancy and diversion of both ureters to a single site in the right hypogastrium with the left one crossing over the aorta. He was admitted elsewhere several times for intermittent hematuria, and four months ago the diagnosis of communication of the left ureter with a mycotic aortic pseudoaneurysm was made...
January 2024: Curēus
https://read.qxmd.com/read/38420547/covering-the-intercostal-artery-branching-of-the-adamkiewicz-artery-during-endovascular-aortic-repair-increases-the-risk-of-spinal-cord-ischemia
#24
JOURNAL ARTICLE
Yoshimasa Seike, Tatsuya Nishii, Kazufumi Yoshida, Koki Yokawa, Kenta Masada, Yosuke Inoue, Tetsuya Fukuda, Hitoshi Matsuda
OBJECTIVES: This study aimed to determine the relationship between covering the intercostal artery branching of the Adamkiewicz artery (ICA-AKA) and spinal cord ischemia (SCI) during thoracic endovascular aortic repair (TEVAR). METHODS: Patients who underwent TEVAR from 2008 to 2022 were enrolled. Stent grafts covered the ICA-AKA in 108 patients (covered AKA group) and stent grafts didn't cover the ICA-AKA in 114 patients (uncovered AKA group). The characteristics of 58 patients from each group were matched based on propensity scores...
February 2024: JTCVS open
https://read.qxmd.com/read/38416319/viabahn-stent-graft-for-arterial-injury-management-safety-technical-success-and-long-term-outcome
#25
JOURNAL ARTICLE
Jan M Brendel, Tobias Mangold, Mario Lescan, Jörg Schmehl, Patrick Ghibes, Antonia Grimm, Simon Greulich, Patrick Krumm, Christoph Artzner, Gerd Grözinger, Arne Estler
BACKGROUND: The Viabahn stent graft has emerged as an integral tool for managing vascular diseases, but there is limited long-term data on its performance in emergency endovascular treatment. This study aimed to assess safety, technical success, and long-term efficacy of the Viabahn stent graft in emergency treatment of arterial injury. METHODS: We conducted a retrospective single tertiary centre analysis of patients who underwent Viabahn emergency arterial injury treatment between 2015 and 2020...
February 28, 2024: CVIR Endovascular
https://read.qxmd.com/read/38413852/femoral-vein-stenting-versus-endovenectomy-as-adjuncts-to-iliofemoral-venous-stenting-in-extensive-chronic-iliofemoral-venous-obstruction
#26
JOURNAL ARTICLE
Mohammed Alsagheer Alhewy, Abdelaziz Ahmed Abdelhafez, Mohammed Hamza Metwally, Ehab Abd Elmoneim Ghazala, Alhussein M Khedr, Ahmed Atef Khamis, Hassan Gado, Wael Abdo Abdo Abd-Elgawad, Abdullah El Sayed, Abdelhalim A Abdelmohsen
PURPOSE: To compare femoral endovenectomy with the creation of an arteriovenous fistula (FE + AVF), versus iliofemoral endovenous stenting with the concurrent extended femoral vein (FV-S) stenting in patients with chronic iliofemoral venous obstruction (IFVO). MATERIALS AND METHODS: In a randomized prospective single-center study, 48 received (FV-S), while the other 54 had (FE + AVF). RESULTS: There were no statistically significant differences in the primary outcomes between the two groups (FV-S) and (FE + AVF) (59% vs 56...
February 27, 2024: Phlebology
https://read.qxmd.com/read/38412444/iliac-artery-stent-dislodgement-a-rare-transcatheter-aortic-valve-implantation-complication
#27
JOURNAL ARTICLE
Iosif Xenogiannis, Grigoris V Karamasis, Ioannis Lianos, Danny Dvir, Andreas S Kalogeropoulos
An 82-year-old male patient with severe, symptomatic aortic stenosis was referred for transcatheter aortic valve implantation.
February 23, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38411224/a-rare-etiology-of-frequent-ventricular-ectopy-embolic-complication-of-a-venous-iliac-stent-to-the-right-ventricle
#28
JOURNAL ARTICLE
Christy Sanchez, Christian Torres, Francisco Ujueta, Sri Mandava, Alfonso Tolentino, Joseph J Titano, Angelo LaPietra, Christos G Mihos
Peripheral venous stent migration is an exceedingly rare complication of endovascular stenting. In this clinical vignette, we present a case of a 74-year-old male with a history of endo-venous laser ablation therapy of the right greater saphenous vein complicated with an occlusion requiring a left iliac vein stent. The patient presented to the clinic months after the procedure with complaints of palpitations. Multimodality imaging revealed a stent that had become dislodged and was now located in the right ventricle, trapped within the tricuspid valve apparatus...
February 2024: Echocardiography
https://read.qxmd.com/read/38409957/endovascular-treatment-with-interwoven-nitinol-stent-for-common-femoral-artery-lesions-2-year-outcomes-of-a-single-center-experience
#29
JOURNAL ARTICLE
Veera Suwanruangsri, Surakiat Bokerd, Virapat Chanchitsopon, Sirakarn Jowcharoen
OBJECTIVE: The study aimed was to report 2-year outcomes of endovascular treatment with interwoven nitinol (Supera™) stent for common femoral artery (CFA) lesions. METHODS: We reviewed the clinical data of 20 patients who presented with CFA stenosis or occlusion and underwent balloon angioplasty followed by Supera™ stenting in CFA between February 2016 and January 2022. The outcomes were evaluated in these patients in terms of technical success, post-intervention complications, reintervention, and cumulative patency (1 year, and 2 years)...
February 26, 2024: Vascular
https://read.qxmd.com/read/38409560/thrombectomy-of-the-profunda-femoral-vein-in-iliofemoral-deep-venous-thrombosis-using-an-antegrade-popliteal-approach
#30
JOURNAL ARTICLE
Zahi Qamhawi, Daniel Kearns, Emma Wilton, Andrew Wigham
PURPOSE: Residual or undertreated inflow disease is a major cause of stent occlusion following endovascular thrombectomy for iliofemoral deep venous thrombosis (DVT). The profunda femoral vein (PFV) is an important inflow vessel alongside the femoral vein but is traditionally challenging to treat via an antegrade popliteal approach. This technical note describes a novel approach for PFV clearance in iliofemoral thrombectomy via the popliteal vein. MATERIALS AND METHODS: Eight patients underwent PFV clearance as part of iliofemoral DVT thrombectomy via an antegrade popliteal approach...
February 26, 2024: Cardiovascular and Interventional Radiology
https://read.qxmd.com/read/38398730/familiar-disposition-of-may-thurner-syndrome-a-case-series
#31
Stefanie Nowak, André Jakob, Robert Dalla Pozza, Sebastian Michel, Nikolaus A Haas, Joseph Pattathu
May-Thurner syndrome is a venous compression syndrome of the pelvic vessels that represents a relevant risk factor for thrombus formation. The standard procedure to secure a diagnosis is venography, followed by endovascular therapy as the preferred treatment choice if the patient is symptomatic. In our case series, there are three related patients with May-Thurner syndrome. A 16-year-old female was admitted with pulmonary embolism, dyspnoea and hip pain. The compression syndrome was diagnosed with interventional venography, and the patient received venous stent implantation...
February 4, 2024: Life
https://read.qxmd.com/read/38389133/incidence-and-risk-factors-of-iliac-artery-rupture-during-aortoiliac-stenting
#32
JOURNAL ARTICLE
KwangJin Lee, Sungsin Cho, Hyangkyoung Kim, Jin Hyun Joh
PURPOSE: Aortoiliac occlusive disease (AIOD) is widely prevalent and leads to severe claudication or chronic limb-threatening ischemia. Stent placement for AIOD demonstrated excellent outcomes in terms of long-term patency. However, iliac artery rupture is the most fearful complication during the aortoiliac stenting (AIS). This study aimed to evaluate the incidence and risk factors of iliac artery rupture during AIS. MATERIALS AND METHODS: A retrospective review of consecutive patients with AIOD treated with AIS from 2009 to 2021 was completed...
February 23, 2024: Vascular Specialist International
https://read.qxmd.com/read/38382641/volumetric-analysis-in-primary-and-residual-type-b-aortic-dissection-treated-with-stabilise-technique-can-predict-aortic-reintervention
#33
JOURNAL ARTICLE
Marco Ferraresi, Alessandro Carlo Luigi Molinari, Maria Katsarou, Giovanni Rossi
BACKGROUND: The aim of this study was to investigate the mid-term results of Stented-Assisted Balloon-Induced Intimal Disruption and Relamination (STABILISE) in patients with aortic dissection with the implememntation of volumetric analysis. METHODS: This was a single centre retrospective analysis of prospectively collected data. From May 2017 to September 2022, 42 patients underwent STABILISE for acute complicated or subacute high-risk aortic dissection. STABILISE was completed with DEEVAR in 24 patients...
February 19, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38379612/a-hybrid-approach-to-complex-bilateral-common-iliac-artery-and-internal-iliac-artery-aneurysm-repair
#34
Jeremy Obrand, Melissa Jones, Anirudh Mirakhur, Kenton Rommens, Randy Moore
A case of a young patient with incidental bilateral internal iliac artery aneurysms and common iliac artery aneurysms is described. A staged hybrid surgical approach was performed to preserve pelvic perfusion, with bilateral stent grafts deployed into an ipsilateral anterior division branch and contralateral posterior division branch of the internal iliac arteries. One week later, an open infrarenal aorto-bi-iliac graft was performed with distal anastomoses to the previously deployed stent grafts. The findings from the present case add to the growing number of reported cases of hybrid repair of bilateral internal iliac and common iliac artery aneurysms with preservation of pelvic perfusion...
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38379341/mid-term-results-of-endovascular-reconstruction-of-aortic-bifurcation-using-covera-stent-graft
#35
JOURNAL ARTICLE
Davide Mastrorilli, Luca Mezzetto, Elisa Zanetti, Marco Macrì, Paolo Criscenti, Edoardo Veraldi, Gian Franco Veraldi
INTRODUCTION: This article aims to evaluate the short-term and mid-term performance of a self-expanding covered stent (COVERA Plus, Bard Tempe, Arizona) during the treatment of Trans-Atlantic Inter-Society Consensus (TASC) C/D aortoiliac obstructive lesions involving the aortic bifurcation. METHODS: A single-center retrospective review of all patients who underwent endovascular reconstruction of the aortoiliac bifurcation for obstructive disease, with the use of Covera, from January 2018 to March 2023...
February 20, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38375706/triglyceride-glucose-index-for-predicting-in-stent-restenosis-in-patients-with-iliac-artery-stenosis-after-percutaneous-intervention-with-stents
#36
JOURNAL ARTICLE
S Turkyilmaz, H Toz, G Turkyilmaz, Y Kuserli, A A Kavala
OBJECTIVE: To evaluate the triglyceride-glucose index (TyG index) for predicting in-stent restenosis in patients with iliac artery stenosis after percutaneous intervention with stents. PATIENTS AND METHODS: Subjects with iliac artery stenosis, who underwent an iliac stent intervention and were followed up for at least 2 years were included in the study. Subjects were grouped according to TyG index (Group A, TyG index ≤8.848; Group B 8.849 ≤TyG index ≤9...
February 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38370602/endovascular-management-of-aortoiliac-artery-occlusive-disease-with-pseudo-stenosis-of-the-external-iliac-artery
#37
Hirokazu Matsushima, Tsunehiro Shintani, Hidenori Kita, Yuto Hasegawa
In recent years, endovascular treatment has become the first-line revascularisation method for aortoiliac artery occlusive disease. Rarely, aortoiliac artery occlusive disease may be associated with stenosis of the external iliac artery (EIA) that suggested pseudo-stenosis. We describe a case of aortoiliac artery occlusive disease with EIA stenosis without calcification or atheroma. Stent grafts were inserted from the abdominal aorta to the bilateral common iliac arteries. Pre-operative computed tomography and intravascular ultrasound findings confirmed the absence of calcification or atheroma in both EIA, suggesting that the EIA had developed pseudo-stenosis...
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38369732/multicenter-registry-of-common-femoral-artery-disease-treated-with-endovascular-revascularization-using-interwoven-nitinol-stents-an-observational-retrospective-study
#38
JOURNAL ARTICLE
Kazunori Horie, Mitsuyoshi Takahara, Tatsuya Nakama, Kazuki Tobita, Akiko Tanaka, Yoshiaki Shintani, Yoshinori Tsubakimoto, Naoki Yoshioka, Naoki Hayakawa, Shinya Sasaki, Yo Iwata, Kenji Ogata, Tomonari Takagi, Tatsuki Doijiri, Masahiko Fujihara
PURPOSE: Surgical thromboendarterectomy has been the gold standard treatment for common femoral artery (CFA) disease. However, endovascular therapy (EVT) is conducted in certain patients with CFA lesions because of multiple comorbidities. The interwoven nitinol stent (IWS) has been developed to prevent stent fracture. Thus, this study aimed to evaluate the feasibility of EVT using IWS for CFA lesions in clinical practice. MATERIALS AND METHODS: This retrospective multicenter registry analyzed patients who had symptomatic lower-extremity artery disease due to CFA lesions and underwent EVT using IWS between 2019 and 2021...
February 18, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38363603/a-hemodynamic-study-of-blood-flow-models-on-various-stent-graft-configurations-during-aorto-iliac-reconstruction
#39
JOURNAL ARTICLE
Konstantinos Tzirakis, Nikolaos Kontopodis, Christos V Ioannou
PURPOSE: To compare the hemodynamic performance of three (Bottom Up non-ballet, Top-Down non-ballet, Top Down ballet) idealized stent graft configurations used during endovascular repair of abdominal aortic aneurysms, under the influence of various rheological models. METHODS: Ten rheological models are assumed and a commercial finite volume solver is employed for the simulation of blood flow under realistic boundary conditions. An appropriate mesh convergence study is performed and five hemodynamic variables are computed: the time average wall shear stress (TAWSS), oscillatory shear index (OSI), relative residence time (RRT), endothelial cell activation potential and displacement force (DF) for all three configurations...
February 13, 2024: Clinical Hemorheology and Microcirculation
https://read.qxmd.com/read/38346298/misplaced-intraspinal-venous-stent-causing-cauda-equina-syndrome-illustrative-case
#40
JOURNAL ARTICLE
Vaibhavi Shah, Thomas Johnstone, Ghani Haider, Neelan J Marianayagam, Martin N Stienen, Venita Chandra, Anand Veeravagu
BACKGROUND: Endovenous stents for deep venous thrombosis treatment can be unintentionally placed in the spinal canal, resulting in neurological deficit. OBSERVATIONS: The authors report the case of a patient presenting to our institution with intraspinal misplacement of an endovenous stent, resulting in cauda equina syndrome. The authors also performed a systematic literature review, evaluating the few previously reported cases. This review was performed according to the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
February 12, 2024: J Neurosurg Case Lessons
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