keyword
https://read.qxmd.com/read/38510096/a-case-of-successful-revascularization-and-renal-recovery-after-6%C3%A2-days-of-renal-artery-occlusion
#21
Muner M B Mohamed, Khalid M G Mohammed, MoetazBellah S A Kadoura, W Charles Sternbergh, Juan Carlos Q Velez
A 72-year-old man with peripheral arterial disease, an atrophic left kidney, and prior right renal chimney stent as part of a complex endovascular abdominal aortic aneurysm repair presented to our emergency department with right flank pain and anuria resulting from right artery occlusion. His serum creatinine on admission was 7.5 mg/dL. Computed tomography angiography 6 days after the onset of his symptoms revealed complete occlusion of the right renal artery stent. Percutaneous thrombectomy was performed restored renal blood flow...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510095/reversed-gore-excluder-conformable-main-body-as-a-conduit-between-branched-stent-graft-limb-common-iliac-artery-and-renal-artery
#22
JOURNAL ARTICLE
Pekka-Sakari Aho, Patrick Björkman, Maarit Venermo
Renal artery access might not always be achieved due to anatomical reasons during the deployment of a branched stent graft in thoracoabdominal or juxtarenal abdominal aortic aneurysms. Renal perfusion is maintained through the aneurysm sac until the iliac limbs are deployed. To preserve renal perfusion, a branched iliac limb would be needed. Such limbs with a side branch, a narrow (12-14 mm) proximal end, and a wide (16-20 mm) distal end are not commercially available. Due to the nature of their deployment mechanism, Gore Excluder distal limbs (W...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510094/endovascular-repair-of-ascending-aortic-pathologies-in-patients-unfit-for-open-surgery-case-series-and-literature-review
#23
JOURNAL ARTICLE
Marco Ferraresi, Maria Katsarou, Alessandro Carlo Luigi Molinari, Sara Segreti, Giovanni Rossi
The number of vascular centers performing endovascular repair of ascending aortic disease is constantly increasing. Accordingly to the guidelines, open surgical repair remains the gold standard for these pathologies. However, approximately one quarter of patients are deemed unfit for open surgery. In this study, we describe three cases of ascending thoracic endovascular aortic repair (TEVAR) performed at our center. All the patients were deemed unfit for open surgery by the aortic team. Two patients had an ascending aortic pseudoaneurysm, and the third had a focal type A aortic dissection...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510092/laser-assisted-trans-endograft-coil-embolization-of-a-type-ii-endoleak
#24
Kunal Mehta, Aravind S Ponukumati, Benjamin N Jacobs, David P Kuwayama
A type II endoleak after endovascular aneurysm repair can be challenging to stop. Numerous methods have been described, including trans-arterial, trans-lumbar, trans-caval, trans-endograft, peri-endograft, and open and laparoscopic surgical techniques. We present our experience with a laser-assisted trans-endograft approach, including technical variations of previous descriptions that might improve efficacy. In select cases, the laser-assisted trans-endograft approach might provide the most direct method of accessing and occluding the vessels feeding type II endoleaks...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510090/endovascular-mechanical-thrombectomy-of-iliofemoral-venous-stent-occlusion-with-the-novel-revcore-thrombectomy-system-case-reports-and-literature-review
#25
Christopher Montoya, Camilo Polania-Sandoval, Jose I Almeida
Venous in-stent restenosis is not completely understood, and the currently available treatment is usually unsatisfactory. We describe the cases of two patients treated with the RevCore thrombectomy system (Inari Medical), designed for venous in-stent thrombosis. Case 1 involves a 62-year-old woman with post-thrombotic syndrome from iliac vein stent placement 15 years earlier. Case 2 describes a 30-year-old woman with post-thrombotic syndrome from recurrent iliac vein stent occlusion, despite therapeutic anticoagulation...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510089/up-and-over-staged-endoconduit-technique-for-endovascular-aortic-aneurysm-repair
#26
JOURNAL ARTICLE
Andres V Figueroa, Mira T Tanenbaum, Jose Eduardo Costa-Filho, Marilisa S Gonzalez, Mirza S Baig, Carlos H Timaran
Adverse iliofemoral anatomy can preclude complex endovascular aortic aneurysm repair. This study aims to describe the "up-and-over" staged endoconduit technique to improve access and avoid vascular injury before complex endovascular aneurysm repair. A staged procedure for complex endovascular aortic aneurysm repair is performed using an endoconduit (W.L. Gore & Associates). After obtaining contralateral femoral access, the extension of iliofemoral disease is assessed using angiography. The endoconduit is advanced "up and over" the aortic bifurcation and delivered percutaneously into the common femoral artery to treat a diseased access site and maintain intact the ipsilateral femoral access for future stent graft deployment...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510088/a-direct-aorta-to-segmental-artery-bypass-for-prevention-of-spinal-cord-ischemia-after-endovascular-aortic-repair
#27
JOURNAL ARTICLE
Kevin T Kim, Ting I Wang, R Gregory Conway, Shahab Toursavadkohi, Jacob Cherian
Spinal cord ischemia remains a persistent challenge after endovascular aortic aneurysm repair. We present a novel direct aorta to segmental artery bypass before aneurysm repair in a 64-year-old woman presenting with an enlarging aneurysm following dissection. Through an eighth intercostal incision, a polyester graft was sewn into the aorta using pledgeted sutures. An entry needle was used to directly access the previously treated aortic segment, and the opening was stented and angioplasty was performed to create inflow...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510086/extensive-iliofemoral-and-femoropopliteal-venous-thrombosis-in-a-young-patient-with-iliocaval-atresia
#28
Antonio Solano, Alejandro Pizano, Valentin Figueroa, Andrea Klein, Jacqueline Babb, Vivek Prakash, Khalil Chamseddin, Gerardo Gonzalez-Guardiola, Melissa L Kirkwood, Michael C Siah
Inferior vena cava (IVC) atresia is a rare congenital anomaly. Standardized treatment is not well defined due to its uncommon presentation, with this pathology associated with an increased risk of unprovoked lower extremity deep vein thrombosis (DVT). We present a case of a 32-year-old man who was admitted for bilateral lower extremity edema and pain and was found to have bilateral extensive iliofemoral and femoropopliteal DVT, absence of IVC filling, and extensive tortuous collateralization arising from the pelvic veins to the azygos vein...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38510085/the-semi-compliant-balloon-bounce-technique-for-total-femoral-approach-during-fenestrated-branched-endovascular-aortic-aneurysm-repair
#29
JOURNAL ARTICLE
Guilherme B Lima, Nolan C Cirillo-Penn, Jesse Chait, Randal R DeMartino, Bernardo C Mendes
A total femoral approach for fenestrated-branched endovascular aortic aneurysm repair has been increasingly favored to minimize risks of aortic arch manipulation. We describe a novel technique to support the advancement of endovascular devices into a target vessel. Following catheterization of the intended target artery and deployment of the diameter-reducing ties, a Coda semi-compliant balloon (Cook Medical) is advanced and inflated immediately above the target artery. It is used as a support as the wire, catheter, or sheath "bounces" on the balloon, stabilizing the support wire to advance stent grafts, balloons, or sheaths into the downward renal or mesenteric vessels...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38509023/anterograde-aortic-bypass-technique-for-renal-preservation-in-aneurysmal-repair-with-horseshoe-kidney-a-novel-approach-with-reduced-renal-ischemic-time
#30
JOURNAL ARTICLE
Mickael Palmier, Myriam Cherel, Didier Plissonnier
The purpose of this article is to highlight an innovative technique in the surgical management of aortic aneurysms in the presence of a horseshoe kidney. The technique involves an anterograde aortic bypass from the distal thoracic aorta to the major renal artery with the primary advantage to a significant reduction in renal ischemia time.
March 20, 2024: Vascular and Endovascular Surgery
https://read.qxmd.com/read/38508643/prescriber-decision-making-on-antithrombotic-therapy-after-endovascular-intervention-for-peripheral-artery-disease-a-protocol-for-a-discrete-choice-experiment
#31
JOURNAL ARTICLE
Alison Zhu, Robert Tang, Saissan Rajendran, Hamid Hajian, Sarah Joy Aitken
INTRODUCTION: Peripheral artery disease (PAD) is a major risk factor for cardiovascular morbidity and mortality, despite surgical and endovascular treatments. Emerging evidence supports the use of immediate antithrombotic medications after endovascular intervention for PAD, however, there is a lack of consensus regarding choice and duration of antithrombotic therapy. Prescriber decision-making is a complex process, with prior studies demonstrating patient factors can influence variability in antithrombotic therapy for PAD...
March 20, 2024: BMJ Open
https://read.qxmd.com/read/38508445/the-evaluation-of-outcomes-after-thoracic-endovascular-aortic-repair-for-type-b-aortic-dissection-in-mainland-china
#32
REVIEW
Heyue Jia, Pengfei Yuan, Shanshan Wu, Rui Yang, Hai-Lei Li, Wei Guo, Duanduan Chen, Jiang Xiong
OBJECTIVE: To assess the mortality and outcomes following thoracic endovascular aortic repair (TEVAR) in patients with type B aortic dissection (TBAD) in mainland China, and to compare these outcomes with data from Western countries, while analyzing the potential reasons for differences among different countries. METHODS: An extensive literature search spanning from January 1999 to October 2023 was conducted using PubMed, Cochrane Library, and Embase databases for studies on endovascular treatment for TBAD...
March 18, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38508410/be-aware-of-routine-punctures
#33
JOURNAL ARTICLE
Yingxin Tan, Xiaojun Shu
No abstract text is available yet for this article.
March 18, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38505409/diagnostic-clinical-management-and-outcomes-in-patients-with-spinal-dural-arteriovenous-fistula
#34
JOURNAL ARTICLE
Andreas Filis, Sergio M F Romualdo, Kay Engellandt, Ibrahim El-Battrawy, Dino Podlesek, Tareq A Juratli, Ilker Y Eyüpoglu, Gabriele Schackert, Mido Max Hijazi
BACKGROUND: Spinal dural arteriovenous fistulas (SDAVFs) are rare spinal vascular malformations, but account for 70 to 80% of all spinal arteriovenous malformations. SDAVFs can be treated either surgically or endovascularly, with surgical treatment appearing to lead to higher closure rates. Our aim was to analyze the demographic data, diagnostic history, treatment characteristics and clinical short- and long-term outcomes. METHODS: The medical records of 81 patients who underwent surgical ( n  = 70, 86...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38505359/trends-in-abdominal-aortic-aneurysm-repair-incidence-comorbidity-treatment-and-mortality-a-danish-nationwide-cohort-study-1996-2018
#35
JOURNAL ARTICLE
Anders Møller, Nikolaj Eldrup, Jørn Wetterslev, Dorthe Hellemann, Henning Bay Nielsen, Klaus Rostgaard, Henrik Hjalgrim, Ole Birger Pedersen
BACKGROUND: Significant changes in Western populations' abdominal aortic aneurysm (AAA) epidemiology have been reported following the introduction of screening, endovascular AAA repair, and reduced tobacco consumption. We report incidence and mortality of AAA repair in Denmark from 1996 to 2018, where AAA screening was not implemented. METHODS: Nationwide cohort study of prospective data from population-based Danish registries covering 1996 to 2018. We identified 15,395 patients undergoing first-time AAA repair using the Danish Vascular Registry...
2024: Clinical Epidemiology
https://read.qxmd.com/read/38504140/the-role-of-the-vascular-surgeon-in-transcatheter-aortic-valve-implantation
#36
JOURNAL ARTICLE
Enrico Gallitto, Gianluca Faggioli, Francesco Saia, Tullio Palmerini, Rodolfo Pini, Antonio Giulio Bruno, Francesca Maria Feroldi, Moad Alaidros, Gabriele Ghetti, Nevio Taglieri, Stefania Caputo, Francesco Donati, Cinzia Marrozzini, Mauro Gargiulo
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has become the standard treatment for severe aortic valve stenosis in patients at increased surgical risk. Percutaneous transfemoral (TF) is the access of choice due to its reduced invasiveness and perioperative morbidity/mortality compared with the trans-axillary, aortic, and apical routes. On the other hand, vascular access complications (VACs) of the TF access are associated with prolonged hospitalization, 30-day, and 1-year mortality...
March 19, 2024: Vascular
https://read.qxmd.com/read/38501043/trends-in-lower-extremity-artery-disease-repair-incidence-comorbidity-and-mortality-a-danish-nationwide-cohort-study-1996-2018
#37
JOURNAL ARTICLE
Anders Møller, Nikolaj Eldrup, Jørn Wetterslev, Dorthe Hellemann, Henning Bay Nielsen, Klaus Rostgaard, Henrik Hjalgrim, Ole Birger Pedersen
BACKGROUND: The prevalence of occlusive lower extremity artery disease (LEAD) is rising worldwide while European epidemiology data are scarce. We report incidence and mortality of LEAD repair in Denmark from 1996 through 2018, stratified on open aorto-iliac, open peripheral, and endovascular repair. METHODS: A nationwide cohort study of prospective data from population-based Danish registers covering 1996 to 2018. Comorbidity was assessed by Charlson's Comorbidity Index (CCI)...
2024: Vascular Health and Risk Management
https://read.qxmd.com/read/38499146/usefulness-of-motor-evoked-potential-measurement-and-analysis-of-risk-factors-for-spinal-cord-ischaemia-from-300-cases-of-thoracic-endovascular-aortic-repair
#38
JOURNAL ARTICLE
Mizuki Ando, Yuya Kise, Yukio Kuniyoshi, Shotaro Higa, Takaaki Nagano, Kojiro Furukawa
OBJECTIVE: This study investigated the usefulness of motor evoked potentials (MEPs) for intra-operative monitoring to detect the risk of spinal cord ischaemia (SCI) during thoracic endovascular aortic repair (TEVAR). Risk factors for SCI in TEVAR were also analysed. METHODS: Among 330 TEVARs performed from February 2009 to October 2018, 300 patients underwent intra-operative MEP monitoring. SCI risk groups were extracted based on MEP amplitude changes using a cutoff value of 50%...
March 16, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38499145/left-lower-limb-arteriovenous-fistula-secondary-to-post-thrombotic-syndrome
#39
JOURNAL ARTICLE
Yunping Liu, Zhoupeng Wu
No abstract text is available yet for this article.
March 16, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38498941/unstable-carotid-artery-thrombus-in-a-patient-with-covid-19-infection
#40
JOURNAL ARTICLE
Patrick J Kato, Jesse Kato, Jarred A Napier, Rhami Khorfan, Abdulhameed Aziz
We present a case of an unvaccinated, 43-year-old African American female patient with COVID-19 infection and clinical evidence of a left hemispheric stroke. A non-occlusive thrombus with a radiographic target lesion was identified on computed tomography angiography (CTA). A multi-disciplinary discussion regarding concern for embolization was provided due to its unstable nature, as well as evidence of recent stroke. Given her acute COVID-19 infection, symptomatology, and radiographic findings, it was concluded that the etiology of her stroke appeared most consistent with a hypercoagulable-related embolism rather than an atheroembolic event...
March 18, 2024: Vascular and Endovascular Surgery
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