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Vascular Specialist International

Shin-Ah Son, Kyoung Hoon Lim, Gun-Jik Kim
Turner syndrome, also described as 45, X, may present with most serious cardiovascular anomalies including risk of aortic dissection and rupture. In emergency situation, management for aortic dissection with complicated anatomy accompanying vascular anomaly is challenging. Here, we report a rare case of ruptured type B aortic dissection with aberrant subclavian artery and partial anomalous pulmonary venous connection in a Turner syndrome. Through right carotid-subclavian artery bypass and thoracic endovascular aortic repair, successful hybrid endovascular management correlated with a favorable result in this emergency situation...
December 2018: Vascular Specialist International
Cesar Cuen-Ojeda, Luis O Bobadilla-Rosado, Ramon Garcia-Alva, Luis H Arzola, Javier E Anaya-Ayala, Carlos A Hinojosa
The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed...
December 2018: Vascular Specialist International
Se-Young Kim, Tae Hoon Kim, Jun-Young Choi, Yu-Jin Kwon, Dong Hui Choi, Ki Chun Kim, Min Ji Kim, Ho Kyung Hwang, Kyung-Bok Lee
Purpose: Diabetic foot wound (DFW) is known as a major contributor of nontraumatic lower extremity amputation. We aimed to evaluate overall amputation rates and risk factors for amputation in patients with DFW. Materials and Methods: From January 2014 to December 2017, 141 patients with DFW were enrolled. We determined rates and risk factors of major amputation in DFW and in DFW with peripheral arterial occlusive disease (PAOD). In addition, we investigated rates and predictors for amputation in diabetic foot ulcer (DFU)...
December 2018: Vascular Specialist International
Hakyoung Kim, Youngjin Han, Gi-Young Ko, Min-Jae Jeong, Kyunghak Choi, Yong-Pil Cho, Tae-Won Kwon
Purpose: Surgery is the most common risk factor for pulmonary embolism (PE) in patients with a recent venous thromboembolism (VTE). This study reviewed clinical outcomes of preoperative inferior vena cava filter (IVCF) use in patients with acute VTE during abdominal-pelvic cancer or lower extremity orthopedic surgeries. Materials and Methods: We retrospectively analyzed 122 patients with a recent VTE who underwent IVCF replacement prior to abdominal-pelvic cancer or lower extremity orthopedic surgery conducted between January 2010 and December 2016...
December 2018: Vascular Specialist International
Fragiska Sigala, George Galyfos, Kyriakos Stavridis, Konstantinos Tigkiropoulos, Ioannis Lazaridis, Dimitrios Karamanos, Vangelis Mpontinis, Nikolaos Melas, Ioulia Zournatzi, Konstantinos Filis, Nikolaos Saratzis
Purpose: Aim of this study is to report real-life experience on the treatment of peripheral artery disease (PAD) with a specific drug-coated balloon (DCB), and to evaluate potential prognostic factors for outcomes. Materials and Methods: This is a retrospective study reporting outcomes in patients with PAD who were treated with the Lutonix DCB during a four-year period. Major outcomes included: all-cause mortality, amputation, clinical improvement, wound healing and target lesion revascularization (TLR)...
December 2018: Vascular Specialist International
Dai Sik Ko, Sang Tae Choi, Won Suk Lee, Yong Soon Chun, Yeon Ho Park, Jin Mo Kang
Purpose: This study aimed to compare surgical revisions and balloon angioplasty after surgical thrombectomy on thrombosed dialysis access as a first event. Materials and Methods: Records of patients undergoing creation of arteriovenous grafts (AVGs) at the Gachon University Gil Medical Center between March 2008 and February 2016 were reviewed. Among them, patients who underwent treatment on first-time thrombotic occlusion after AVG creation were identified. Outcomes were primary, primary-assisted, and secondary patency...
December 2018: Vascular Specialist International
Joon Whoi Cho, Jae Jeong Choi, Eunhae Um, Sung Min Jung, Yong Chan Shin, Sung-Won Jung, Jae Il Kim, Pyong Wha Choi, Tae Gil Heo, Myung Soo Lee, Heungman Jun
Purpose: Thrombosis of the portal vein, known as pylephlebitis, is a rare and fatal complication caused by intraperitoneal infections. The disease progression of superior mesenteric venous thrombosis (SMVT) is not severe. This study aimed to determine the clinical features, etiology, and prognosis of SMVT. Materials and Methods: We retrospectively reviewed the medical records of 41 patients with SMVT from March 2000 to February 2017. We obtained a list of 305 patients through the International Classification of Disease-9 code system and selected 41 patients with SMVT with computed tomography...
December 2018: Vascular Specialist International
Joung Taek Kim, Young Sam Kim, Yong Han Yoon, Cheol Wong Kang, Wan Ki Baek, Do Hyun Kim
Purpose: The traumatic transection is located in the normal sized aortic isthmus where the angle is curved. We found a reversal of upper and lower blood pressure differences among patients who underwent thoracic endovascular aortic repair (TEVAR) for transection of the thoracic aorta. We investigated the isthmus stenosis in patients who underwent TEVAR for aortic injury using computed tomography. Materials and Methods: Sixteen patients who underwent TEVAR for transection were divided in two groups: the aortic narrowing (AN) group and the non-aortic narrowing (NAN) group...
September 2018: Vascular Specialist International
Jonggeun Lee, Seogjae Lee, Su Wan Kim, Jee Won Chang
Purpose: The aim of this study is to analyze postoperative outcomes for carotid endarterectomy (CEA) in addition to the preoperative clinical characteristics related to selective shunting based on dual monitoring with stump pressure (SP) and electroencephalography (EEG). Materials and Methods: We retrospectively reviewed medical records of 70 patients who underwent CEA from March 2010 to December 2017. CEA was performed under general anesthesia and selective shunting was done if the SP was lower than 35 mmHg regardless of EEG or if intraoperative EEG showed any changes different from preoperative one regardless of SP...
September 2018: Vascular Specialist International
Jun Hyung Kim, Byung Jun So, Seung Jae Byun, Kyung Yun Kim
Purpose: Although common femoral artery endarterectomy (CFAE) is regarded as the standard treatment modality for common femoral artery (CFA) disease, availability of advanced endovascular techniques has resulted in an increased number of CFA disease being treated. We evaluated clinical outcomes in a contemporary series of patients who were treated for CFA disease using endarterectomy alone or combined with endovascular treatment. Materials and Methods: We retrospectively reviewed 46 patients from November 2001 through December 2007...
September 2018: Vascular Specialist International
Ahmed Elbasty, Nadeem Mughal, Michael Delbridge
Purpose: Achieving an effective seal with the Nellix endovascular aneurysm system is dependent on filling the stent bags with an appropriate volume of polymer. Calculating this volume preoperatively is essential and can be performed manually or using three-dimensional (3D) software. The aim of this project was to compare the accuracy of these two methods relative to the actual polymer volume used. Materials and Methods: Consecutive patients undergoing Nellix aneurysm repair were included in this retrospective study...
September 2018: Vascular Specialist International
Stavros K Kakkos, George C Lampropoulos, Konstantinos M Nikolakopoulos, Ioannis A Tsolakis, Spyros I Papadoulas, Evangelos C Papachristou, Dimitrios Goumenos, Miltos K Lazarides
Purpose: There is currently debate if brachio-basilic vein fistula (BBVF) should be performed as a one-stage or two-stage procedure. The aim of the present study was to perform a systematic review and meta-analysis on BBVF staging. Materials and Methods: On February 25, 2016, a search for randomized-controlled trials (RCTs) on BBVF procedures was performed in MEDLINE and Scopus databases. Meta-analyses were performed with fixed-effect or random-effects models as appropriate with risk ratios (RRs)...
September 2018: Vascular Specialist International
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
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
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
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
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
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
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
Alessandro Rasman
No abstract text is available yet for this article.
March 2018: Vascular Specialist International
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