Safety and Feasibility of Renal Sympathetic Denervation in Patients With Insufficient Renal Artery Length
Insufficient renal artery length for renal sympathetic denervation (RDN) is defined as having a main renal artery shorter than 20 mm in length. Such an anatomy is considered a contraindication for most of the currently available endovascular RDN devices. The concern stems from the need to distribute the ablation points to effect circumferential ablation causing sympathetic denervation, without the risk of injuring the renal artery. We postulate that if the requisite ablation points could be distributed between large caliber renal branches and the short main renal artery, RDN is likely feasible and safe. We demonstrate this...
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Pua, U., Tang, A. A. L., Ooi, Y. W., Ho, H. H., Ong, P. J. L. Tags: Letter to the Editor Source Type: research
Loss of Limb by Inadvertent Embolization of the Persistent Sciatic Artery
Persistent sciatic artery (PSA) is a rare anatomic variant and is normally clinically silent. It can be found occasionally during uterine arteries embolization (UAE) and can lead to technical failure or complications. The authors present a patient with bilateral PSAs who was referred for emergency UAE because of uncontrollable postabortion hemorrhage. Inadvertent embolization of the right PSA led to unsalvageable ischemia and amputation of the right lower limb 12 days later. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Huang, X., Tang, Y., Xu, G., Zhang, Z., Shen, L., Jin, Y. Tags: Case Reports Source Type: research
Recurrent Admissions for Respiratory Distress Caused by Large Renal AVF
In this report, we present the case of a 66-year-old female presenting with progressive dyspnea on exertion and exercise intolerance. She was diagnosed and treated for adult onset reactive airway disease. The patient underwent nephrectomy at age 18 secondary to recurrent pyelonephritis from vesicoureteral reflux. She underwent a surveillance computed tomography (CT) scan to evaluate a small ascending aneurysm that was initially detected on cardiac echocardiogram. A large left renal AVF was detected incidentally on the CT scan. The fistula was successfully treated by ligation of the renal artery with resolution of pulmonary...
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Keller, W. W., Miserlis, D., Suh, M., Dale, M., Sayyed, S., Baxter, B. T. Tags: Case Reports Source Type: research
Vocal Cord Paralysis as the First Sign of Spontaneous Carotid Dissection in a Patient With Extracranial Internal Carotid Artery Aneurysm
Conclusion:
Connective tissue systemic disorders and even mild trauma could initiate the dissection process of neck arteries. Precise diagnosis might be difficult even for an experienced neurologist, however, the final outcome is favorable. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Popov, P., Chapot, R., Tanaskovic, S., Vekic, B., Sotirovic, V., Ilijevski, N., Radak, D. Tags: Case Reports Source Type: research
Comparison of Endovenous Laser and Radiofrequency Ablation in Treating Varicose Veins in the Same Patient
Conclusion:
The EVLA procedure may be superior to RFA in certain respects. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Bozoglan, O., Mese, B., Eroglu, E., Erdogan, M. B., Erdem, K., Ekerbicer, H. C., Yasim, A. Tags: Original Manuscripts Source Type: research
A Meta-Analysis of Total Arch Replacement With Frozen Elephant Trunk in Acute Type A Aortic Dissection
Conclusions:
Total arch replacement with frozen elephant trunk provides a safe alternative to that with conventional elephant trunk in patients with acute type A aortic dissection, with acceptable early mortality and morbidity. The rates of mid- to long-term reintervention and false lumen non-thrombosis may be lower in patients undergoing the frozen than conventional elephant trunk procedure. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Takagi, H., Umemoto, T., for the ALICE Group Tags: Original Manuscripts Source Type: research
Preoperative Duplex Scanning is a Helpful Diagnostic Tool in Neurogenic Thoracic Outlet Syndrome
Conclusion:
Compression of the subclavian vein or artery on duplex ultrasonography can assist in NTOS diagnosis. Ipsilateral compression on abduction often correlates with Adson testing. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Orlando, M. S., Likes, K. C., Mirza, S., Cao, Y., Cohen, A., Lum, Y. W., Freischlag, J. A. Tags: Original Manuscripts Source Type: research
Endovascular Treatment of Inflammatory Infrarenal Aortic Aneurysms
Conclusion:
Endovascular treatment of IAAA has comparable short-term outcomes with non-IAAA. During midterm follow-up, aneurysm sac progression is rare, and perianeurysmal fibrosis decreases or remains unchanged in most cases. Hydronephrosis regression can occur in some but not all instances and thus warrants close surveillance. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Bianchini Massoni, C., Stein, P. v., Schernthaner, M., Gallitto, E., Rengier, F., Katzen, B. T., Gargiulo, M., Böckler, D., Geisbüsch, P. Tags: Original Manuscripts Source Type: research
Endovascular Treatment of Chronic Occluded Popliteal Artery Aneurysm
Critical limb ischemia may be the consequence of chronic occlusion of an aneurysm of popliteal artery. Endovascular repairs have the potential to be less invasive than open surgery and to allow the treatment, during the same procedure, of occlusive infrapopliteal diseases achieving a better distal outflow. Eleven patients with occluded popliteal artery aneurysm (PAA) underwent an endovascular repair of PAA using a new technique, by positioning of a Viabahn graft inside a bare nitinol stent, deployed at the level of aneurysm with the intent to avoid distal embolization and to assure an external scaffold for the Viabahn graf...
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Giaquinta, A., Veroux, P., DArrigo, G., Virgilio, C., Ardita, V., Mociskyte, D., Veroux, M. Tags: Original Manuscripts Source Type: research
Rupture Risk and Etiology of Visceral Artery Aneurysms and Pseudoaneurysms: A Single-Center Experience
Conclusion:
Chronic pancreatitis seems to be a prominent risk factor for the development of VAPA in this single-center experience. Modern endovascular techniques with promising short- and long-term results could broaden indications to treat asymptomatic VAA and VAPA. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Regus, S., Lang, W. Tags: Original Manuscripts Source Type: research
A Pilot Study Assessing the Impact of 3-D Printed Models of Aortic Aneurysms on Management Decisions in EVAR Planning
Conclusion:
The 3-D printed models may be potentially useful in planning cases with EVAR. It is a paradigm that warrants further investigation. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - February 10, 2016 Category: Surgery Authors: Tam, M. D., Latham, T. R., Lewis, M., Khanna, K., Zaman, A., Parker, M., Grunwald, I. Q. Tags: Original Manuscripts Source Type: research
Single-Center Experience With Remote Endarterectomy for the Treatment of Long-Segment Superficial Femoral Artery Occlusion: Long-Term Results
Conclusions: The RE for long SFA occlusion is a feasible procedure with acceptable short- and long-term outcomes in the presence of distal arterial outflow. Good long-term patency and limb salvage can be achieved with close surveillance and with the compensation of endovascular reintervention procedures. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Karathanos, C., Spanos, K., Saleptsis, V., Antoniou, G. A., Koutsias, S., Giannoukas, A. D. Tags: Case Reports Source Type: research
Management of Lateral Plantar Artery Pseudoaneurysm After Penetrating Injury in Children
A case of lateral plantar artery pseudoaneurysm following a penetrating injury in a 10-year-old male is presented. Only a handful of such cases have been reported in the literature, and as such, a defined treatment algorithm is lacking. Our case and a review of the literature suggest that these injuries involve vessel transection, making them unsuitable for ultrasound-guided thrombin injection. In addition, the presence of bacterial contamination of the wound makes attempts at endovascular coiling prohibitive. Direct surgical exploration and ligation should remain the mainstay of therapy in most patients. (Source: Vascular...
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Andacheh, I., Chamseddin, K., Kirkwood, M. L. Tags: Case Reports Source Type: research
Giant Abdominal Aortic Aneurysms: A Case Series and Review of the Literature
Conclusion:
Due to anatomic limitation with currently available aortic endografts, giant AAAs have been traditionally repaired using a standard open surgical approach. The feasibility of endovascular aortic aneurysm repair (EVAR) with or without the use of adjunct techniques, including snorkel/chimney or fenestrated EVAR, has yet to be elucidated. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Ullery, B. W., Itoga, N. K., Lee, J. T. Tags: Case Reports Source Type: research
Endovascular Therapy for Femoropopliteal Artery Disease and Association of Risk Factors With Primary Patency: The Implication of Critical Limb Ischemia and TASC II C/D Disease
In conclusion, patients with CLI or extensive lesions have reduced patency after EVT for femoropopliteal artery disease. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Nishibe, T., Yamamoto, K., Seike, Y., Ogino, H., Nishibe, M., Koizumi, J., Dardik, A. Tags: Articles Source Type: research
