: Although we have witnessed several cases of late proximal type I endoleak (T1AEL) after endovascular aneurysm repair (EVAR), most patients did not have “hostile neck” preoperatively. We hypothesized that the distance between the lowest renal artery and the neck angulation point and neck length are the two most important factors for maintaining long-term proximal sealing. This study evaluated “neck hostility”, which is the product of the distance to the angulation point and the neck length, as a preoperative morphological risk factor for the development of late T1AEL after EVAR.
The insertion of a neck central venous catheter (CVC) is a common procedure in medical practice; however, malposition and complications frequently occur. A 66-year-old woman had CVC inserted through the right internal jugular vein. CVC malposition was observed on chest radiography and computed tomography. The catheter was accidentally inserted via the vertebral vein and had entered the C6–C7 intervertebral foramen, penetrating the spinal canal with the tip at the T2 epidural space.We present this rare CVC complication to demonstrate the possibility of incorrect insertion of the catheter and penetration of the spinal canal, possibly causing neuronal damage.
Thoracic outlet syndrome (TOS) is a group of conditions caused by dynamic compression of the neurovascular structures passing through the thoracic outlet, including the brachial plexus nerves, the subclavian artery (SCA), or the subclavian vein (SCV). (1-3) Neurogenic TOS (NTOS) is the most prevalent form of TOS, caused by brachial plexus compression at the scalene triangle or the subcoracoid (pectoralis minor) space. NTOS results in symptoms of neck and upper extremity pain, numbness, paresthesia, and a sense of weakness in the arm and hand.
For treatment of infected femoral artery pseudoaneurysms (IFAPs) with the covered stent, debridement technique is important but frequently ignored. Our study aims to review our experience and outcomes of patients undergoing covered stents placement and debridement with vacuum sealing drainage (VSD).
Background: We describe a simple and novel technique for cerebral protection during left subclavian artery (SA) stenting by inflation of a balloon-guiding catheter inside the aortic arch at the SA origin.Methods: A total of 12 patients with left SA stenosis underwent SA stenting with inflation of a balloon-guiding catheter inside the aortic arch at the left SA origin between January 2020 and December 2020. The SA stenting procedures under proximal protection were retrospectively reviewed to assess ischemic complications, hyperintense spots on diffusion-weighted imaging (DWI), and flow direction of left vertebral artery (VA) during balloon-guiding catheter inflation using ultrasonography (US).
Intravascular ultrasound (IVUS) may be a useful adjunct to lower extremity peripheral vascular interventions (PVI) in certain clinical scenarios. We aimed to identify patient- and physician-level characteristics associated with the use of IVUS during first-time femoropopliteal PVI.
Background: Coronary artery disease (CAD) and aortic aneurysms (AA) are two cardiovascular diseases that share a multifactorial aetiology. The influence of family history and genetics on the two diseases separately and in association is well known, but poorly elucidated. This comprehensive review aims to examine the current literature on the gene ANRIL (antisense non-coding RNA in the INK4 locus) and its associations with CAD and AA.Methods: A database search on OVID, PubMed and Cochrane to identify articles concerning single nucleotide polymorphisms (SNPs) associated with ANRIL and their respective incidences of, and impact on, CAD and AA across populations.
Background: The Impella transaortic microaxial left ventricular assist device (MLVAD) bears the risk of severe ipsilateral limb ischemia due to its percutaneous insertion through the common femoral artery (CFA). As long as the MLVAD is required for cardio - circulatory support, treatment options are limited. Therefore, we developed a temporary extracorporeal femoral - femoral crossover bypass to restore and maintain perfusion of the affected leg.Methods: From October 2018, we treated all patients with severe limb ischemia due to the MLAVD with a femoral - femoral crossover bypass.
The aim of this study was to analyze the short-term outcomes of in situ fenestration and discuss its feasibility and safety for the treatment of aortic dissection or aneurysm involving aortic arch.
Type of Research: Monocenter retrospective analysis of prospectively collected outpatient procedure dataKey Findings: When scheduling an endovascular treatment (EVT) for a peripheral artery disease (PAD), factors associated with an unexpected conversion from an outpatient to an inpatient status are the need for a general anesthesia and an arrival in the operating room after 12:00. No factor related to the comorbidities or to the PAD severity is involved.Take home Message: Outpatient EVT for PAD should not be limited by the comorbidities or the PAD severity.