The aim of this study was to investigate the impact of number of vessels targeted by fenestrations or branches on early outcomes of fenestrated – branched endovascular aortic repair (F-BEVAR) for complex abdominal aortic aneurysms (cAAAs).
Degenerative aneurysms of the superficial femoral artery (SFA) are relatively rare and often recognized when they become symptomatic such as rupture. Infected SFA aneurysms are much rarer, especially those caused by Campylobacter fetus bacteremia. We report a case of a 67-year-old woman referred to our hospital owing to the presence of a painful reddish swelling on her left thigh. A huge SFA aneurysm rupture was diagnosed, and endovascular treatment with covered stent was performed. C. fetus was detected in the blood culture thereafter, and antibacterial therapy was successfully performed without any additional surgical interventions.
Acute occlusion of the descending thoracic aorta (DTA) is rare and associated with high morbidity and mortality. In the case described here, rescue thoracic endovascular aortic repair (TEVAR) was successful in a 59-year-old man with acute occlusion of the DTA accompanied by lower body hypoperfusion after two previous open repairs for aortic coarctation.
Pulsatile tinnitus is often a chronic and debilitating condition and normally has a vascular origin. We describe a case of pulsatile tinnitus due to an aberrant branch of the external carotid artery (ECA), which has not been reported previously.
Endovascular recanalization of occluded venous femoropopliteal bypass grafts are widely used because of easy access. This case report describes pseudoaneurysm developing four weeks after endovascular recanalization of an occluded in-situ venous femoropopliteal graft. The patient was treated for a popliteal aneurysm with a venous femoropopliteal bypass graft which subsequently occluded. Four weeks after DEB PTA the occluded graft developed three pseudoaneurysms. Impaired vessel wall healing after intraluminal paclitaxel administration could have contributed to this.
We present an unreported complication that occurred during an accidental loss of the ipsilateral limb’s wire during EVAR. During an endovascular repair of an abdominal aortic aneurysm (EVAR), unintentional loss of the ipsilateral limb’s wire during deployment and withdrawal of the endogaft’s main body occurred. The snare’s loops were entrapped while attempting to catch the wire through the limb. Multiple maneuvers were performed to detach the snare, but all were unsuccessful. We then performed a conversion to open repair.
The aim of this meta-analysis is to determine the morbidity and mortality outcomes of adult patients with aortic arch disease managed with extra-anatomical bypass avoiding median sternotomy and cardiopulmonary bypass, with simultaneous or staged hybrid zone 1 endovascular aortic repair.
Plain balloon angioplasty is regarded as the mainstay of treatment for failing vascular access with high success rate but the poor treatment durability creates significant workload and increases patient morbidity. The study aims to compare target lesion primary patency rate at 12-months between paclitaxel-coated balloon (DCB) versus plain balloon angioplasty (POBA) for treatment of dysfunctional vascular access.
Carotid endarterectomy (CEA) has a wide range of approaches, based on personal expertise and preference. We evaluated our outcome with CEA with modified eversion technique (meCEA) under local anaesthesia and whether surgeon’ experience could influence it.
Iodinated contrast media (ICM) dose is a major factor for postoperative acute kidney injury (AKI) in patients with severe chronic kidney disease (glomerular function rate [GFR] <30mL/min) during endovascular aortic repair (EVAR). Fusion imaging in hybrid rooms and carbon dioxide angiography represent alternatives but are limited by significant cost and availability. We here describe a simple technique allowing EVAR with a limited ICM dose (<5mL). Using a standard C-arm, the lowest renal artery and the hypogastric arteries are blindly catheterized based on non-contrast preoperative imaging (duplex-scan associated with non-contrast computed tomography-scan and/or magnetic resonance angiography).