Analysis of Vascular Closure Devices After Transbrachial Artery Access
Conclusions:
Use of VCD in the brachial artery following an endovascular procedure showed equivalence to MC. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - January 5, 2015 Category: Surgery Authors: Mirza, A. K. H., Steerman, S. N., Ahanchi, S. S., Higgins, J. A., Mushti, S., Panneton, J. M. Tags: Articles Source Type: research
Endovascular Treatment of Acute Portal Vein Thrombosis Using Ultrasound-Accelerated Catheter-Directed Thrombolysis
We report a case of extensive acute portal vein thrombosis (PVT) presenting with severe diffuse abdominal pain and impending small bowel infarction. The patient was successfully treated with ultrasound-accelerated catheter-directed thrombolysis (EKOS endowave system; Covidien, Mansfield, Massachusetts), which resulted in prompt recanalization of his portal vein (PV) and its tributaries. The patient eventually had ischemic stricture that necessitated bowel resection. However, we believe that our technique was successful in rapidly restoring the patency of the PV and its tributaries, and therefore, avoiding a life-threatenin...
Source: Vascular and Endovascular Surgery - January 5, 2015 Category: Surgery Authors: Abdel-Aal, A. K., Ezzeldin, I. B., Hamed, M. F., Ibrahim, R. M., Berry, M., Underwood, E. S., Saddekni, S. Tags: Articles Source Type: research
High-Risk Anatomic Variables and Plaque Characteristics in Carotid Artery Stenting
Conclusion:
Our data suggest that degree of internal carotid artery stenosis and aortic arch calcification may be associated with increased perioperative neurologic risk during carotid stenting, but arch type is not. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - January 5, 2015 Category: Surgery Authors: Morgan, C. E., Lee, C. J., Chin, J. A., Eskandari, M. K., Morasch, M. D., Rodriguez, H. E., Helenowski, I. B., Kibbe, M. R. Tags: Articles Source Type: research
Renal Infarction Complicating Fibromuscular Dysplasia
We present 3 cases of renal infarction complicating renal artery FMD in 42-, 43-, and 46-year-old females and provide a comprehensive review of the literature on this topic. In our patients, oral anticoagulation therapy was used to treat all cases of infarction, and percutaneous angioplasty was used nonemergently in one case to treat refractory hypertension. All patients remained stable at 1-year follow-up. This is consistent with outcomes in previously published reports where conservative medical management was comparable to surgical and interventional therapies. Demographic differences may also exist in patients with ren...
Source: Vascular and Endovascular Surgery - January 5, 2015 Category: Surgery Authors: Gavalas, M., Meisner, R., Labropoulos, N., Gasparis, A., Tassiopoulos, A. Tags: Articles Source Type: research
Endovascular Stent for Iatrogenic Penetrating Injury of the Thoracic Aorta
(Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Bozzani, A. Tags: Letter to the Editor Source Type: research
Heart Failure Caused by Renal Arteriovenous Fistula With Giant Renal Artery Aneurysms
We encountered an extremely rare case of a renal arteriovenous fistula (AVF) with 2 giant renal artery aneurysms (RAAs) in a 75-year-old woman who presented with congestive heart failure and pulmonary hypertension. A chest x-ray revealed cardiomegaly with a cardiothoracic ratio (CTR) of 65%. Computed tomography showed 2 giant left RAAs (diameter, 45 x 40 mm2 and 75 x 60 mm2) associated with an AVF, dilated inferior vena cava, and dilated pulmonary arteries. A radical nephrectomy was performed through a transverse laparotomy after the left renal vein, and arteries were dissected from the inferior vena cava and aorta, respec...
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Okamoto, Y., Sugimoto, T., Yamamoto, K., Yoshii, S. Tags: Case Reports Source Type: research
Solitary Kidney With Renal Artery Aneurysm Repaired by Ex Vivo Reconstruction
A 22-year-old pregnant female with pyelonephritis was found to have a 26-mm left renal artery aneurysm with unknown right kidney agenesis diagnosed by magnetic resonance imaging. Computed tomographic angiography with 3-dimensional reconstructions confirmed a saccular aneurysm localized at the bifurcation of the left posterior segmental artery. The patient ultimately underwent successful ex vivo left renal artery aneurysm repair with autotransplantation. Pathologic evaluation of the resected aneurysm confirmed the diagnosis of fibromuscular dysplasia. Fibromuscular dysplasia is the most common cause of renal artery stenosis...
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Palcau, L., Gouicem, D., Joguet, E., Cameliere, L., Berger, L. Tags: Case Reports Source Type: research
Adverse Events in Carotid Endarterectomy From a Medicolegal Perspective
Conclusions:
Stroke and hypoglossal nerve injury are the most frequently litigated complications, and mean damages awarded were considerable. Knowledge of issues raised in our analysis may be included in a comprehensive consent process, potentially minimizing liability and improving patient safety. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Svider, P. F., Vidal, G.-P., Zumba, O., Mauro, A. C., Haser, P. B., Graham, A., Rahimi, S. Tags: Articles Source Type: research
Videoscopic Basilic Vein Harvest for Creation of Transposed Brachiobasilic Arteriovenous Fistulae
Conclusion:
Videoscopic-assisted transposition of the basilic vein is a reasonable option for BB-AVF placement. The procedure can be performed in an acceptable expeditious fashion with near elimination of infection, wound breakdown, lymph drainage, nerve injury, and satisfactory maturation (80%) and patency rates. Technicians experienced in lower extremity vein harvest can perform this procedure successfully under the supervision of an experienced access surgeon. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Leone, J. P., Glaser, A. D., Hufstetler, R., Illig, K. A. Tags: Articles Source Type: research
Integration of Endovascular Therapy of Ruptured Abdominal and Iliac Aneurysms in the Treatment Algorithm: A Single-Center Experience in a Medium-Volume Vascular Center
Conclusion:
Following integration in the treatment algorithm, EVAR decreased total mortality in our center by 8.6%. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Raupach, J., Dobes, D., Lojik, M., Chovanec, V., Ferko, A., Gunka, I., Maly, R., Vojacek, J., Havel, E., Lesko, M., Renc, O., Hoffmann, P., Ryska, P., Krajina, A. Tags: Articles Source Type: research
Percutaneous Endovascular Reconstruction With Bare Stent Implantation for Isolated Superior Mesenteric Artery Dissection
Conclusion:
Isolated SMA dissection may be managed successfully in a variety of ways based on the clinical symptoms. In this small series, percutaneous endovascular reconstruction with bare stent implantation is a feasible treatment choice with a high success rate and good clinical outcome. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Lu, P.-H., Zhang, X.-C., Wang, L.-F., Shi, H.-B. Tags: Articles Source Type: research
Racial/Ethnic Disparities in Revascularization for Limb Salvage: An Analysis of the National Surgical Quality Improvement Program Database
Conclusion:
There remains a significant ethnic disparity in limb-salvage revascularization. Blacks comprise 29% of patients undergoing a major lower extremity amputation, but only 12% of those undergoing an open surgical procedure and 10% of those undergoing an endovascular procedure for limb salvage. The widespread adoption of endovascular revascularization techniques appears not to have had much impact on this disparity. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Hughes, K., Boyd, C., Oyetunji, T., Tran, D., Chang, D., Rose, D., Siram, S., Cornwell, E., Obisesan, T. Tags: Articles Source Type: research
Calf Muscle Venous Thrombosis: A Review of the Clinical Implications and Therapy
Calf muscle veins have been demonstrated to be one of the most frequent areas that develop deep venous thrombosis (DVT), both as an isolated finding and in combination with proximal DVT. Calf muscle venous thrombosis (CMVT) has been shown to be more frequently associated with localized calf tenderness, and when left untreated, a proportion tend to propagate proximally and may lead to pulmonary embolism. Imaging with duplex venous scanning is fairly sensitive in the diagnosis of CMVT. Treatment recommendations for CMVT are variable with some studies showing clear clinical benefit of anticoagulation therapy and others showin...
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Henry, J. C., Satiani, B. Tags: Articles Source Type: research
Endovascular Treatment of Major Abdominal Arteriovenous Fistulas: A Systematic Review
Purpose:
To review the different outcomes of the endovascular repair of major abdominal arteriovenous fistulas (AVFs).
Methods:
An online systematic review of the literature was undertaken to identify all reported cases of endovascular repair of major AVFs, covering 9 major databases as well as relevant journals up to September 2013. Our own case was included. The primary outcome was technical success and mortality, the secondary outcome was the rate of complications and the operators’ recommendations.
Results:
Forty-eight articles were reviewed totaling a number of 54 patients including our own. The most common fi...
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Nakad, G., AbiChedid, G., Osman, R. Tags: Articles Source Type: research
Open Versus Endovascular Repair of Thoracic Aortic Aneurysms: A Nationwide Inpatient Sample Study
Conclusions:
Nationwide data comparing open and TEVAR in the United States reveal decreased postoperative mortality and a decreased incidence of postoperative neurologic, cardiac, and respiratory complications for TEVAR. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 17, 2014 Category: Surgery Authors: Hughes, K., Guerrier, J., Obirieze, A., Ngwang, D., Rose, D., Tran, D., Cornwell, E., Obisesan, T., Preventza, O. Tags: Articles Source Type: research
