Aortic Endograft Infection by Pasteurella multocida: A Rare Case
Infection of an aortic endograft is a rare complication following endovascular aneurysm repair. These patients have been treated with explantation of the graft to obtain source control followed by an extra-anatomic bypass to restore circulation. The present case study describes an interesting case of Pasteurella infection involving an aortic endograft managed nonoperatively by percutaneous drainage and graft preservation. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Jayakrishnan, T. T., Keyashian, B., Amene, J., Malinowski, M. Tags: Case Reports Source Type: research
Thoracic Aortic Graft Infections Secondary to Propionibacterium Species: Two Cases and Review of the Literature
We present 2 cases of thoracic aortic graft infections secondary to anaerobic bacteria, Propionibacterium species. The first case, a 40-year-old male, was found to have an anastomotic aneurysm at the distal anastomosis of a previous thoracoabdominal aneurysm repair. During the open repair of his anastomotic aneurysm, the original graft was not incorporated and cultures later speciated Propionibacterium acnes. The second case is a 44-year-old male with a history of abdominal aortic coarctation that was repaired with a thoracic aorta to aortic bifurcation graft as a child who presented with flank pain and was found on imagin...
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Pineda, D. M., Tyagi, S., Dougherty, M. J., Troutman, D. A., Calligaro, K. D. Tags: Case Reports Source Type: research
Ruptured Juxtarenal Abdominal Aortic Aneurysm Treated With a Fenestrated EVAR Graft Intended for a Different Patient
Treatment of juxtarenal abdominal aortic aneurysms (AAAs) remains challenging. A 79-year-old male who had infrarenal endovascular repair of abdominal aortic aneurysm (EVAR) 13 years previously presented with leaking juxtarenal AAA. Emergency fenestrated EVAR (FEVAR) was performed utilizing a stent graft designed and built for a different patient. Despite the need to embolize the celiac artery prior to covering it with the stent graft in order to achieve adequate proximal seal, the patient had uneventful recovery. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Al-Jundi, W., Elboushi, A., Lees, T., Williams, R. Tags: Case Reports Source Type: research
Endovascular Management of Infected Iliofemoral Pseudoaneurysms: A Case Series
We present our experience regarding the efficacy and outcome of endovascular treatment of infected iliofemoral arterial pseudoaneurysms with covered stents. Our experience with 5 cases showed that stent grafting combined with antibiotic therapy and provisional drainage may be a safe and effective option in patients with cancer, patients with history of multiple hip revisions, and drug-addicted users. In our small case series, the reinfection rate was null and no covered stent thrombosis occurred. These results are fairly encouraging, but further studies with longer follow-up in a larger number of patients are needed to con...
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Moulakakis, K. G., Sfyroeras, G. S., Alexiou, V. G., Kakisis, J., Lazaris, A., Vasdekis, S. N., Brountzos, E. N., Geroulakos, G. Tags: Case Reports Source Type: research
Ex Vivo Resection and Renal Autotransplantation for the Treatment of a Large Renal Vein Aneurysm Causing Recurrent Pulmonary Embolism and a Coexisting Vascular Malformation: A Case Report
A 36-year-old young woman with a medical history of recurrent pulmonary embolism and chronic pelvic pain was admitted to our hospital. Contrast-enhanced imaging techniques revealed a large left renal vein aneurysm with a coexisting vascular mass. The patient was operated on electively, and the left kidney was autotransplanted to the right ileac fossa following the ex vivo resection of the vascular mass and the left renal vein aneurysm. Herein, we report an unusual coexistence of a vascular mass and recurrent pulmonary embolism treated successfully with our surgical treatment strategy. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Özyüksel, A., Aktas, S., Calıs, E., Erol, C., Sevmis, S. Tags: Case Reports Source Type: research
Innominate Artery Stenosis Presenting With Migratory Digital Ischemia
Conclusion:
Migratory digital ischemia is a rare presentation of atherosclerotic disease of the supra-aortic vessels. It represents a challenging situation for endovascular intervention due to concern about plaque dislodgment during the procedure. A retrograde balloon-stent angioplasty following distal carotid control with an open approach may be safe and effective in selected patients. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Juo, Y.-Y., Ramirez, L. R., Ruben, G. Tags: Case Reports Source Type: research
Comparative Outcomes of Ultrasound-Assisted Thrombolysis and Standard Catheter-Directed Thrombolysis in the Treatment of Acute Pulmonary Embolism
Conclusion:
This study suggests no statistical differences in clinical and hemodynamic outcomes or procedural complication rates between USAT and standard CDT for the treatment of acute PE. Prospective studies are needed to further evaluate comparative and cost-effectiveness of different interventions for acute massive and submassive PE. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Liang, N. L., Avgerinos, E. D., Marone, L. K., Singh, M. J., Makaroun, M. S., Chaer, R. A. Tags: Original Manuscripts Source Type: research
Institutional Cost of Unplanned 30-Day Readmission Following Open and Endovascular Surgery
Conclusion:
The cost of index hospitalization and 30-day unplanned readmission are similar for open and endovascular procedures. Readmitted patients had a higher mean index hospitalization cost irrespective of open or endovascular procedure. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Gracon, A. S. A., Liang, T. W., Easterday, T. S., Weber, D. J., Butler, J., Slaven, J. E., Lemmon, G. W., Motaganahalli, R. L. Tags: Original Manuscripts Source Type: research
von Willebrand Factor and Prekallikrein in Plasma Are Associated With Thrombus Volume in Abdominal Aortic Aneurysms
Conclusion:
von Willebrand factor activity and concentration of prekallikrein may both be of importance regarding the evolution of thrombus in abdominal aortic aneurysm and possible biomarkers for aneurysm growth. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Ghulam, Q. M., Bredahl, K. K., Gram, J. B., Lönn, L., Goetze, J. P., Sillesen, H. H., Eiberg, J. P. Tags: Original Manuscripts Source Type: research
Safety and Effectiveness of the Denali Inferior Vena Cava Filter: Intermediate Follow-Up Results
Conclusion:
The Denali filter is safe during deployment and readily retrievable. The overall safety following deployment is similar to those reported in the literature, and the incidence of filter fractures and migration appears to be less than the previous generation of Bard devices. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Reis, S. P., Kovoor, J., Sutphin, P. D., Toomay, S., Trimmer, C., Pillai, A., Reddick, M., Kalva, S. P. Tags: Original Manuscripts Source Type: research
The Role of the Model of End-Stage Liver Disease Score in Predicting Outcomes of Carotid Endarterectomy
Conclusion:
High MELD score places asymptomatic patients undergoing carotid endarterectomy at a higher risk of adverse outcomes in the 30 days following surgery. This provides further empirical evidence for risk stratification when considering treatment for these patients. Outcomes of medical management or carotid stenting should be investigated in high-risk patients. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Krafcik, B. M., Farber, A., Eslami, M. H., Kalish, J. A., Rybin, D., Doros, G., King, E. G., Siracuse, J. J. Tags: Original Manuscripts Source Type: research
Endovascular Repair of Ruptured Infected Arteries as a Temporizing Measure Versus Destination Therapy
Conclusion:
The literature review supports endovascular repair with a stent graft as a temporizing measure for infected ruptured arteries in an emergent setting and, in select cases, as a destination therapy. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 13, 2016 Category: Surgery Authors: Shahi, N., Kwon, J. J., Arosemena, M., Salvatore, D. M., DiMuzio, P. J., Abai, B. Tags: Original Manuscripts Source Type: research
Late Leakage of the Aortic Stump After Removal of an Infected Graft: Successful Surgical Treatment
We present a case of late aortic stump disruption that required revision after 12 months from graft removal. Our strategy consisted of avoiding reexposure of the pararenal aorta by creating a new supraceliac stump with healthy aortic wall after antegrade visceral debranching. This case confirms the need for long-term surveillance of aortic stumps. The use of a supraceliac approach minimizes the risk of intraoperative blowout and postoperative disruption. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - June 9, 2016 Category: Surgery Authors: Stefano, B., Franco, N., Emanuele, B., Iacopo, B. Tags: Case Reports Source Type: research
Simultaneous Endovascular Treatment of Tandem Internal Carotid Lesions: Case Report and Review of Literature
The incidence of concomitant extracranial carotid artery stenosis and ipsilateral intracranial carotid aneurysm has been reported to vary between 2.8% and 5%. These complex lesions may present a challenge for treatment decision-making. This case report describes an asymptomatic male patient with severe carotid bifurcation stenosis, coupled with an unruptured supraclinoid internal carotid aneurysm. Both lesions were treated simultaneously. Patient underwent carotid stenting followed by aneurysm coiling in the same setting without any complication. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - June 9, 2016 Category: Surgery Authors: Cvetic, V., Dragas, M., Colic, M., Vukasinovic, I., Radmili, O., Ilic, N., Koncar, I., Bascarevic, V., Ristanovic, N., Davidovic, L. Tags: Case Reports Source Type: research
Systemic Multiple Aneurysms Caused by Vascular Ehlers-Danlos Syndrome
Systemic multiple aneurysms are rare and usually associated with collagen tissue disease, such as Ehlers-Danlos syndrome (EDS) or Marfan syndrome. In the present case, we describe a 39-year-old male patient with systemic multiple aneurysms and acute intraperitoneal hemorrhage who was clinically diagnosed with vascular EDS. Coil embolization of the distal segment of the common hepatic artery was performed, which resolved the patient’s symptoms. With this case presentation, we aim to increase the awareness of vascular EDS among clinicians and emphasize the extreme fragility of the arteries in patients with vascular EDS...
Source: Vascular and Endovascular Surgery - June 9, 2016 Category: Surgery Authors: Gui, X., Li, F., Wu, L., Zheng, Y. Tags: Case Reports Source Type: research
