Acute Carotid Stent Thrombosis: A Comprehensive Review
In conclusion, optimal perioperative antiplatelet treatment as well as technical considerations regarding the carotid artery stenting plays a determinant role. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Moulakakis, K. G., Mylonas, S. N., Lazaris, A., Tsivgoulis, G., Kakisis, J., Sfyroeras, G. S., Antonopoulos, C. N., Brountzos, E. N., Vasdekis, S. N. Tags: Review Source Type: research
Massive Hemorrhage From Multiple Hepatic Artery Aneurysms
A 66-year-old man, with an abnormal porta hepatis, consistent with tumor or inflammation, developed massive bleeding from one of numerous hepatic artery aneurysms, and coil embolization achieved control of bleeding. He died of subsequent multisystem organ failure, and the most likely diagnosis was either polyarteritis nodosa or segmental arterial mediolysis. Although the dual hepatic blood supply allows a degree of arterial embolization, this case demonstrates the risks associated with large territory hepatic arterial embolization in the presence of hemodynamic instability. We discuss the management issues related to massi...
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Kahn, S. L., McClain, J., Kaufman, J. L. Tags: Case Reports Source Type: research
Free Esophageal Perforation Following Hybrid Visceral Debranching and Distal Endograft Extension to Repair a Ruptured Thoracoabdominal Aortic Aneurysm
Free esophageal perforation following a hybrid visceral debranching and distal endograft extension to repair a ruptured thoracoabdominal aortic aneurysm (TAAA) is a rare complication. The authors report a 56-year-old male who underwent elective thoracic endovascular aortic repair of a thoracic aneurysm. Four and a half years later, he presented with a new aneurysm extending from the distal end of the thoracic stent graft to the aortic bifurcation involving all the visceral arterial branches. The TAAA ruptured while he was awaiting an elective repair, and as a result, he underwent an emergency hybrid procedure. This involve...
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Abou-Al-Shaar, H., Zaza, K. J., Sharif, M. A., Koussayer, S. Tags: Case Reports Source Type: research
Arterioenteric Fistulae Due to Pseudoaneurysms of the Right Common Iliac and Splanchnic Vessels Presenting as Upper GI Bleed
In this study, we report a case series of a right iliacoduodenal and 2 splanchnic pseudoaneurysms presenting as upper GI bleeding. These 3 cases presented with occult source of hematemesis due to the formation of arterioenteric fistula. Also discussed are the diagnostic approach used and successful treatment methods, which included placing endoprosthesis in the aorta and common iliac artery and endovascular coiling for respective cases. To the best of our knowledge, such a case of common iliac pseudoaneurysm presenting with massive hematemesis due to fistulization into duodenum has never been reported previously. (Source: ...
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Rao, P. R., Thombre, B. D., Patel, A., Dandekar, A., Singh, R., Joshi, R. M. Tags: Case Reports Source Type: research
Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era
Conclusion:
The results of hybrid repair on high-risk patients with complex TAAAs are encouraging, and this approach is a valuable alternative when branched and fenestrated endovascular techniques are not considered an option. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Väärämäki, S., Suominen, V., Pimenoff, G., Saarinen, J., Uurto, I., Salenius, J. Tags: Original Manuscripts Source Type: research
Clinical and Functional Impact of Hypogastric Artery Exclusion During EVAR
Conclusions:
Whenever anatomically feasible, at least 1 HA should be salvaged in case of bilateral involvement. In case of unilateral HA exclusion, the rate of complications is not negligible. Coil embolization is related to a higher complication rate. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Mansour, W., Capoccia, L., Sirignano, P., Montelione, N., Pranteda, C., Formiconi, M., Sbarigia, E., Speziale, F. Tags: Original Manuscripts Source Type: research
Complications and Failure of Endovenous Laser Ablation and Radiofrequency Ablation Procedures in Patients With Lower Extremity Varicose Veins in a 5-Year Follow-Up
Conclusion:
Endovenous laser ablation and RFA for the management of lower extremity varicose vein offer comparable efficacy and safety in a 5-year follow-up. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Wozniak, W., Mlosek, R. K., Ciostek, P. Tags: Original Manuscripts Source Type: research
Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery
Conclusion:
Surgical treatment for isolated, symptomatic kinking of the ICA and a history of TIA or stroke is safe, and the outcomes are acceptable. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Hao, J.-h., Zhang, L.-y., Lin, K., Liu, W.-d., Zhang, S.-g., Wang, J.-y., Li, G., Wang, L.-X. Tags: Original Manuscripts Source Type: research
Inhibitory Effect of TLR4 Gene Silencing on Intimal Hyperplasia of Vein Grafting
Conclusion:
These results showed that local silencing of TLR4 in the vein grafts could inhibit intimal hyperplasia by downregulating the expression of inflammatory factors in the vein grafts, suggesting that TLR4 can be used as a new target for therapy of vascular intimal hyperplasia. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - October 11, 2016 Category: Surgery Authors: Zhu, Z., Xu, R., Zheng, X., Wang, T., Li, D., Wang, Y., Liu, K. Tags: Original Manuscripts Source Type: research
Successful Conservative Treatment of a Kommerell Aneurysm Associated With Right-Sided Aortic Arch
Right-side aortic arch is a rare congenital aortic anomaly occurring in 0.05% to 0.1% of the general population. Approximately, half of these cases may be associated with an aberrant left subclavian artery and occasionally with aneurysmatic change at its origin known as Kommerell diverticulum or aneurysm (KA). Herein we report a challenging case of a right-side aortic arch associated with KA incidentally observed in a 73-year-old male with metastatic lung cancer. After careful multidisciplinary discussion, a conservative strategy of care was successfully adopted. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Lococo, F., Tusini, N., Brandi, L., Leuzzi, G., Galeone, C., Paci, M., Rapicetta, C. Tags: Images in Vascular Surgery Source Type: research
Interhospital Transfer of Ruptured AAAs for EVAR: Preposterous or Prudent?
(Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Wong, L. A., Milner, R. Tags: Controversies in Vascular Surgery Source Type: research
Aneurysm Formation After Endovascular Treatment of Acute Type A Dissection
We report 1 ESG treatment for this condition and the complication of a new aneurysm formation during a 6-month follow-up. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Yang, L., Wang, J. Tags: Case Reports Source Type: research
Celiac Artery Stenting in the Treatment of Intestinal Ischemia Due to the Sacrifice of the Dominant Inferior Mesenteric Artery During Endovascular Aortic Repair
A 42-year-old man had intestinal ischemia 7 weeks after endovascular abdominal aortic aneurysm repair due to sacrifice of the inferior mesenteric artery, which had compensated for the intestinal blood supply because of the total occlusion of the superior mesenteric artery (SMA) and severe stenosis of the celiac artery (CA). He was diagnosed in the active phase of Takayasu arteritis, and an emergency endovascular treatment was performed. After the SMA failed to be recanalized, a stent was successfully placed into the CA; this choice was made based on the preexisting collaterals between them. The symptoms were relieved short...
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Su, Z., Pan, T., Lian, W., Guo, D., Dong, Z., Fu, W. Tags: Case Reports Source Type: research
Patent Femoropopliteal Vein Bypass Graft 45 Years After Implantation
This article reports a case of a patent femoropopliteal vein bypass 45 years after implantation without any reintervention. The morphologic alterations observed after 45 years at this vein bypass graft are additionally discussed. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Klonaris, C., Katsargyris, A., Doulaptsis, M., Athanasiadis, D., Liakakos, T. Tags: Case Reports Source Type: research
Selective Spleen Embolization of Splenomegaly to Improve Thrombocytopenia Facilitating Open Aortic Aneurysm Repair: A Staged Approach
We present an 82-year-old man with a history of hairy cell leukemia, having an 11-cm abdominal aortic aneurysm, who also had severe thrombocytopenia (about 20 000 platelets/μL) and splenomegaly at presentation. The patient had unfavorable anatomy for endovascular aneurysm repair, and therefore, an open procedure was planned. To reduce risk for perioperative bleeding and optimize patient preoperative status, a staged approach was employed. Initially, several sessions of embolization of 2 splenic artery branches were performed with the intent to decrease spleen size and to increase platelet count thus decreasing the perio...
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Maras, D., Kontopodis, N., Dedes, A., Tsanis, A., Mazarakis, I., Gekas, C., Ioannou, C. V. Tags: Case Reports Source Type: research
