981 results match your criteria Subclavian Artery Thrombosis


Kommerell diverticulum - egy ritka betegség ritka szövődményei.

Magy Seb 2020 Jun;73(2):61-68

Szív-, Ér-, és Mellkassebészeti Osztály,HM Egészségügyi Központ Budapest.

Incidence of anomalies of the aortic arch is estimated 1-2 per cent in newborn babies. Lusory artery may arise either from left sided aortic arch in 0.7-2 per cent, or from right sided aortic arch in 0. Read More

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http://dx.doi.org/10.1556/1046.73.2020.2.3DOI Listing

Ultrasound-guided double central venous access for azygos vein via the ninth and tenth intercostal veins.

J Vasc Access 2020 Jun 30:1129729820937133. Epub 2020 Jun 30.

Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.

Some patients with intestinal failure, who are dependent on total parenteral nutrition for long periods, suffer from a lack of suitable conventional venous access points, including axillary, external jugular, internal jugular, subclavian, saphenous, and the brachio-cephalic and femoral veins, due to their occlusion. Furthermore, extensive central venous stenosis and/or thrombosis of the superior and inferior vena cava may preclude further catheterization, so uncommon routes must be used, which can be challenging. In such patients, the azygos vein via the intercostal vein is a viable candidate. Read More

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http://dx.doi.org/10.1177/1129729820937133DOI Listing

Patient characteristics, patterns, and repair of aneurysms in human immunodeficiency virus-positive patients.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University Wexner Medical Center, 376 West 10(th) Avenue, Columbus, OH. Electronic address:

Objectives: Human immunodeficiency virus (HIV) is a multisystem disease and associated with vascular complications including aneurysm formation. HIV-associated aneurysms are well-documented and may present in unusual locations with concerning features. However, the majority of the literature regarding aneurysms in HIV-positive patients are limited to case series with limited data regarding aneurysm patterns. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.042DOI Listing

[Optimal method of reconstruction in patients with pathology of the 1st segment of the subclavian artery].

Angiol Sosud Khir 2020 ;26(2):133-139

Clinic and Chair of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

The study enrolled a total of 318 patients presenting with lesions of the 1st segment of the subclavian artery and the clinical course of vertebrobasilar insufficiency. All patients prior to admission had been receiving the best course of medicamentous therapy under the supervision of a neurologist for more than 6 months but with no significant clinical improvement. According to the type of the reconstructive operation on the 1st segment of the subclavian artery, all patients were subdivided into three groups. Read More

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http://dx.doi.org/10.33529/ANGIO2020218DOI Listing
January 2020

May-Thurner and Paget-Schroetter Syndromes: A Review.

Authors:
Zia Ur Rehman

Ann Vasc Dis 2020 Jun;13(2):132-136

Section of Vascular Surgery, The Aga Khan University Hospital, Karachi, Pakistan.

May-Thurner and Paget-Schroetter syndromes are rare conditions encountered by vascular surgeons. An updated knowledge about these conditions is crucial for the effective management of patients with these syndromes who are mostly young. May-Thurner syndrome (MTS) is caused by the compression of the left common iliac vein by the right common iliac artery, and it is a risk factor for left leg deep venous thrombosis (DVT). Read More

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http://dx.doi.org/10.3400/avd.ra.20-00023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315234PMC

Thoracic Outlet Syndrome in the Overhead Athlete: Diagnosis and Treatment Recommendations.

Curr Rev Musculoskelet Med 2020 Aug;13(4):457-471

Washington University School of Medicine and Barnes-Jewish Hospital, 660 S. Euclid, Campus, Box 8109, St. Louis, MO, 63110, USA.

Purpose Of Review: Neurovascular compression in the upper extremity is rare but can affect even those participating in high-level competitive athletics. To assess optimal approaches to treatment, in this review, we evaluate the current literature on neurovascular compressive syndromes affecting the upper extremity, with a special focus on the thoracic outlet syndrome (TOS).

Recent Findings: Neurovascular compression at the thoracic outlet can involve the brachial plexus, subclavian artery, or subclavian vein, each with distinct clinical manifestations. Read More

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http://dx.doi.org/10.1007/s12178-020-09643-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340704PMC

Special Communication: Evaluation and Treatment of Thoracic Outlet Syndrome During the Global Pandemic Due to SARS-CoV-2 and COVID-19.

J Vasc Surg 2020 Jun 1. Epub 2020 Jun 1.

The Center for Thoracic Outlet Syndrome and the Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO. Electronic address:

The global SARS-CoV-2/COVID-19 pandemic has required a reduction in non-emergency treatment for a variety of disorders. This report summarizes conclusions of an international multidisciplinary consensus group assembled to address evaluation and treatment of patients with thoracic outlet syndrome (TOS), a group of conditions characterized by extrinsic compression of the neurovascular structures serving the upper extremity. The following recommendations were developed in relation to the 3 defined types of TOS (neurogenic, venous, and arterial) and 3 phases of pandemic response (preparatory, urgent with limited resources, and emergency with complete diversion of resources): (1) In-person evaluation and treatment for neurogenic TOS (interventional or surgical) is generally postponed during all pandemic phases, with telephone/telemedicine visits and at-home physical therapy exercises recommended when feasible. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.05.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262516PMC

Acute kidney injury following percutaneous mechanical thrombectomy of subclavian artery stent graft thrombosis: a case report.

CVIR Endovasc 2020 Jun 1;3(1):27. Epub 2020 Jun 1.

Department of Diagnostic and Interventional Radiology, University Hospital Merkur, Zajceva ul.19, 10000, Zagreb, Croatia.

Background: Percutaneous mechanical thrombectomy (PMT) is a well-established technique for treatment of acute arterial and venous thrombosis which inevitably leads to intravascular erythrocyte hemolysis, resulting in hemoglobinuria.

Case Presentation: We present a case of 66-year-old Caucasian female with subclavian artery aneurysm causing distal embolization and hand ischemia. The aneurysm was treated with stent graft, but with a subsequent graft thrombosis 3 months later. Read More

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http://dx.doi.org/10.1186/s42155-020-00119-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261712PMC

[Tumor Embolisms from Colon Cancer Detected on Transcatheter Examination-A Case Report].

Gan To Kagaku Ryoho 2020 Jan;47(1):138-140

Dept. of Surgery, Saiseikai Senri Hospital.

A 58-year-old woman underwent surgery and systemic chemotherapy(FOLFIRI plus panitumumab)for ascending colon cancer with multiple lymph node and liver metastases; the preoperative Virchow lymph node aspiration cytology showed adenocarcinoma.After 4 courses of chemotherapy, contrast-enhanced CT showed an embolus in the left subclavian vein.An anticoagulation therapy was started, but the embolus tended to increase. Read More

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January 2020

A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum.

Intern Med 2020 Apr 23. Epub 2020 Apr 23.

Department of Cardiology, Fukuoka University School of Medicine, Japan.

An 81-year-old man presented with shortness of breath and was referred to our hospital with suspected acute pulmonary embolism. Enhanced computed tomography revealed a right aberrant subclavian artery with a thrombosed Kommerell diverticulum (KD), as well as deep vein thrombosis in the left leg and bilateral pulmonary artery thrombosis. Thrombosis in the KD disappeared after one month of anticoagulation treatment with rivaroxaban. Read More

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http://dx.doi.org/10.2169/internalmedicine.4495-20DOI Listing

Autogenous Femoral Vein for Secondary Repair of Subclavian Arteries: A Salvage Solution for Complex Clinical Scenarios.

Ann Vasc Surg 2020 Mar 21. Epub 2020 Mar 21.

Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.

Background: Endovascular stent and prosthetic graft placement are commonplace techniques for correction of subclavian artery (SCA) lesions. However, when initial surgical repair of the SCA becomes complicated by subsequent infection or thrombosis of the repair site, stents and prosthetic grafts are no longer suitable for secondary repair due to the risk of recurrent failure and limited longevity. Autogenous tissue is more resistant to infection and has improved long-term patency, and thus may be a better option for secondary reconstruction in these complex clinical scenarios. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.02.039DOI Listing

Geometrical Evaluation of Aortic Sac Remodeling During Two-Step Thoracoabdominal Aortic Aneurysm Endovascular Repair.

Ann Vasc Surg 2020 Mar 21. Epub 2020 Mar 21.

Division of Vascular and Endovascular Surgery, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.

Background: The present study evaluates aneurysmal sac remodeling and the loss of the intercostal arteries after the first step of staged treatment of thoracoabdominal aortic aneurysms (TAAAs). The purpose of this approach is to keep the aneurysmal sac temporarily perfused to induce progressive thrombosis of the aneurysm while simultaneously allowing the spinal cord to establish adequate perfusion thereby promoting the development of collateral circulation.

Methods: All patients with type II or type III TAAAs, having undergone 2-step endovascular treatment with at least a 2-branch endoprosthesis at our institution between April 2017 and May 2019, were retrospectively evaluated. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.03.011DOI Listing

A Case of Subclavian Artery Thrombosis.

Cureus 2020 Feb 1;12(2):e6842. Epub 2020 Feb 1.

Internal Medicine, Fatima Jinnah Medical University, Lahore, PAK.

Subclavian artery thrombosis is a rare cause of upper limb ischemia resulting from occlusion of the upper extremity blood supply. Symptomatic presentation is quite rare and therefore remains underdiagnosed by physicians. Possible catastrophic clinical consequences necessitate prompt rectification of the underlying disease and risk factors. Read More

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http://dx.doi.org/10.7759/cureus.6842DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053697PMC
February 2020

Early and mid-term outcome of frozen elephant trunk using spinal cord protective perfusion strategy for acute type A aortic dissection.

Gen Thorac Cardiovasc Surg 2020 Mar 9. Epub 2020 Mar 9.

Department of Cardiovascular Surgery, Japanese Red Cross Kyoto Daini Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto, 602-8026, Japan.

Objective: This study aimed to evaluate the prevalence of spinal cord injury in total arch replacement with frozen elephant trunk for acute type A aortic dissection using our spinal cord protection technique.

Methods: Between January 2013 and December 2017, 33 patients underwent total arch replacement with frozen elephant trunk for acute type A aortic dissection (mean age 67.9 ± 13. Read More

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http://dx.doi.org/10.1007/s11748-020-01328-zDOI Listing

Carotid-axillary bypass as an alternative revascularization method for zone II thoracic endovascular aortic repair.

J Vasc Surg 2020 Feb 5. Epub 2020 Feb 5.

Department of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany. Electronic address:

Background: We investigated the mid-term results of carotid-axillary bypass (CAB) in the setting of zone II thoracic endovascular aortic repair as an alternative method for the left subclavian artery (LSA) revascularization.

Methods: Our retrospective single cohort study included all 69 patients from March 2015 to December 2018 with zone II thoracic endovascular aortic repair and CAB for the revascularization of the LSA. Demographics and clinical data were collected. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.11.053DOI Listing
February 2020

Treatment of superior vena cava syndrome using AngioJet™ thrombectomy system.

CVIR Endovasc 2019 Aug 14;2(1):28. Epub 2019 Aug 14.

Zucker School of Medicine at Hofstra, Northwell at Staten Island University Hospital, Staten Island, NY, USA.

Background: Superior vena cava syndrome is a relatively rare presentation in which diminished venous return to the heart produces congestion of the neck, face and upper extremities. Typically, a mediastinal mass produces external compression on the superior vena cava and reduces venous return. However, superior vena cava syndrome can present acutely in the setting of vena cava thrombosis. Read More

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http://dx.doi.org/10.1186/s42155-019-0071-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966412PMC

Staged Hybrid Single Lumen Reconstruction (TIGER) in Management of Chronic Symptomatic Complex Type B Aortic Dissection, Techniques, and Literature Review.

Ann Vasc Surg 2020 May 30;65:261-270. Epub 2020 Jan 30.

Galway Clinic, Royal College of Surgeons of Ireland/ National University of Ireland Affiliated Teaching Hospitals, Galway, Ireland.

Background: Endovascular intervention for chronic symptomatic type B aortic dissection (CS-TBAD) induces aortic wall stress with negative hemodynamic cardiovascular consequences. CS-TBAD risks increased morbidity and mortality due to septum maturation with significant impact on false lumen modulation, and partial lumen thrombosis conveying the worst outcome. The aim of the TIGER technique is total aortic remodeling with true lumen expansion, false lumen regression and complete thrombosis, and stabilization of overall aortic diameter. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.12.028DOI Listing

The Safety and Efficacy of Extended TEVAR in Acute Type B Aortic Dissection.

Ann Thorac Surg 2020 Mar 5. Epub 2020 Mar 5.

Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia. Electronic address:

Background: Thoracic endovascular aortic repair (TEVAR) with endograft coverage from the left subclavian artery to the celiac artery has been hypothesized to increase spinal cord ischemia. This study analyzes the impact of extended coverage on adverse outcomes and aortic remodeling in patients with complicated acute type B aortic dissection (aTBAD).

Methods: From January 2012 to October 2018, 91 patients underwent TEVAR for aTBAD. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.12.036DOI Listing

Hemodynamic consequences of TEVAR with in situ double fenestrations of left carotid artery and left subclavian artery.

Med Eng Phys 2020 02 25;76:32-39. Epub 2019 Dec 25.

State Key Laboratory of Clean Energy Utilization, Zhejiang University, Hangzhou, China. Electronic address:

The aortic major branches after thoracic endovascular aortic repair (TEVAR) could be preserved by in situ fenestration (ISF). This study aims to explore the hemodynamic consequences of ISF-TEVAR with double fenestrations. Two patients with aortic dissection and aneurysm, respectively, were treated by ISF-TEVAR and both the left carotid artery (LCA) and left subclavian artery (LSA) were reconstructed by fenestration technique. Read More

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http://dx.doi.org/10.1016/j.medengphy.2019.10.016DOI Listing
February 2020

A novel role for milrinone in neonatal acute limb ischaemia: successful conservative treatment of thrombotic arterial occlusion without thrombolysis.

BMJ Case Rep 2019 Dec 2;12(12). Epub 2019 Dec 2.

Department of Neonatology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Acute neonatal limb ischaemia (NLI) is most frequently an iatrogenic complication, however, may also occur in utero due to thromboembolism. There is no widely accepted protocol for treatment of NLI and limited evidence to guide management. Thrombolysis and surgical management have been attempted, though both are associated with significant morbidities. Read More

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http://dx.doi.org/10.1136/bcr-2019-232440DOI Listing
December 2019

Venous thoracic outlet syndrome secondary to arterial stent implantation: A case report.

Medicine (Baltimore) 2019 Nov;98(47):e17829

Department of Vascular Surgery, West China Hospital.

Rationale: Venous thoracic outlet syndrome (VTOS) secondary to subclavian arterial stent implantation is extremely rare. Here, we firstly report this disease and the endovascular intervention using covered-stents.

Patient Concerns: An 80-year-old man who had received an acceptable stent implantation for the treatment of a right subclavian arteriovenous malformation (AVM), presented with a gradually increasing swelling and pain in his right upper extremity. Read More

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http://dx.doi.org/10.1097/MD.0000000000017829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882654PMC
November 2019

Haemodynamics of Different Configurations of a Left Subclavian Artery Stent Graft for Thoracic Endovascular Aortic Repair.

Eur J Vasc Endovasc Surg 2020 01 21;59(1):7-15. Epub 2019 Nov 21.

Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, FL, USA. Electronic address:

Objective: Branched stent grafts represent a viable option for left subclavian artery (LSA) revascularisation in patients treated by thoracic endovascular aortic repair (TEVAR) for Zone 2 lesions. This study investigated the haemodynamic performance of different LSA branched stent graft configurations as potential determinants of thrombotic and stroke risks.

Methods: A three dimensional aortic arch geometry extracted from post-operative computed tomography images of a TEVAR patient using a single LSA branched aortic endograft was modified in silico to obtain ten potential LSA branched stent graft configurations: five down facing (0-5 - 10 mm aortic protrusion with 10-12 mm internal diameter), four curved (30-60° with antegrade/retrograde orientation), and one LSA orifice misalignment. Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.06.028DOI Listing
January 2020

Subclavian-axillary arterial thrombosis and distal embolisation after traumatic anterior glenohumeral dislocation.

Rev Esp Cir Ortop Traumatol 2020 Mar - Apr;64(2):130-133. Epub 2019 Nov 18.

Angiología y Cirugía Vascular, Hospital General Universitario, Valencia, España.

Arterial vascular injury associated with anterior dislocation of the shoulder is a rare but potentially devastating complication, often seen in the context of high-energy trauma or penetrating injury. It is a medical emergency that can compromise both the viability and functionality of the limb, as well as the patient's life if it is not identified early and treated properly. However, its diagnosis can be difficult, since it requires a high index of suspicion. Read More

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http://dx.doi.org/10.1016/j.recot.2019.09.006DOI Listing
November 2019

Natural history and management of Kommerell's diverticulum in a single tertiary referral center.

J Vasc Surg 2020 Jun 7;71(6):2004-2011. Epub 2019 Nov 7.

Aortic Institute at Yale-New Haven Hospital, Yale School of Medicine, New Haven, Conn. Electronic address:

Objective: The Kommerell diverticulum (KD) is an extremely rare developmental abnormality of the aorta related to an aberrant subclavian artery (ASCA). The objective of our study was to review the natural history of KD and ASCA using our single-center experience in diagnosing and managing KD and ASCA.

Methods: A retrospective review of the Yale radiological database from January 1999 to December 2016 was performed. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.08.260DOI Listing
June 2020
3.021 Impact Factor

Biomechanical implications of the fenestration structure after thoracic endovascular aortic repair.

J Biomech 2020 Jan 2;99:109478. Epub 2019 Nov 2.

State Key Laboratory of Clean Energy Utilization, Zhejiang University, Hangzhou, China. Electronic address:

The inadequate landing zone during thoracic endovascular aortic repair (TEVAR) could be resolved by fenestration technology. The fenestration structure consists of a main endograft and a left subclavian artery (LSA) stent-graft. The purpose of this study is to assess the biomechanical implications of the protruding segment (PS) of the LSA stent-graft after TEVAR with in situ fenestration (ISF-TEVAR). Read More

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http://dx.doi.org/10.1016/j.jbiomech.2019.109478DOI Listing
January 2020

Endovascular Vertebral Artery Transposition Using Flow Reversal Technique for Left Subclavian Artery Stump Syndrome.

Ann Vasc Surg 2020 Feb 14;63:455.e7-455.e10. Epub 2019 Oct 14.

Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.

Background: Cerebellar strokes are a rare complication related to thoracic endovascular aortic repair (TEVAR). This can manifest in an indolent manner or as a neurological catastrophe. Often it is unclear when a surgical intervention would be needed. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.07.028DOI Listing
February 2020
2 Reads

In-Situ Fenestration of a PTFE Thoracic Aortic Stent Graft for Delayed Left Subclavian Artery Revascularization Following Frozen Elephant Trunk Repair of Type A Aortic Dissection.

Ann Vasc Surg 2020 Feb 14;63:459.e9-459.e15. Epub 2019 Oct 14.

Comprehensive Aortic Center, Keck Hospital, University of Southern California, Los Angeles, CA. Electronic address:

Left subclavian artery revascularization during endovascular repair of aortic dissection is often accomplished by left carotid-subclavian artery bypass or transposition. In situ fenestration of thoracic stent grafts provides an alternative method of revascularization without manipulation of the left carotid artery. We describe a case whereby in situ laser fenestration, combined with catheter-directed thrombectomy, was utilized to revascularize a thrombosed left subclavian artery following a frozen elephant trunk repair of type A aortic dissection. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.08.101DOI Listing
February 2020
1 Read

Preclinical Evaluation of the Accero Stent: Flow Remodelling Effect on Aneurysm, Vessel Reaction and Side Branch Patency.

Cardiovasc Intervent Radiol 2019 Dec 25;42(12):1786-1794. Epub 2019 Sep 25.

Institute for Biomedical Engineering, University of Stuttgart, Stuttgart, Germany.

Purpose: It has been hypothesized that microstents which are used to prevent coil protrusion in the treatment of cerebral aneurysms may have flow diverting and therefore occlusive effects. In a rabbit elastase aneurysm model, we investigated the aneurysm occlusion rate and vessel reaction of a braided Accero stent prototype with porosity in the lower range of other available (non-flow-diverter) microstents.

Methods: Ten aneurysms were induced the right subclavian artery in New Zealand white rabbits and treated with the Accero stent prototype. Read More

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http://dx.doi.org/10.1007/s00270-019-02345-zDOI Listing
December 2019
3 Reads

Hybrid approach to complex vascular injury secondary to blast induced scapulothoracic dissociation.

Trauma Case Rep 2019 Oct 14;23:100236. Epub 2019 Aug 14.

Geisinger Wyoming Valley, Department of Trauma Surgery, Department of Vascular Surgery, 1000 E. Mountain Blvd, Wilkes Barre, PA 18711, United States of America.

Scapulothoracic dissociation is a rare but devastating injury complex involving high velocity blunt trauma to the osseous, muscular, neurologic, and vascular structures of the shoulder girdle. Often seen following a motor vehicle or motorcycle accident, this injury complex presents with vascular trauma in over 80% of cases. We present a unique case of scapulothoracic dissociation secondary to a self-inflicted shotgun wound to the shoulder, not previously reported in the literature. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702402PMC
October 2019

Bypass strategies for common carotid artery occlusion.

Acta Neurochir (Wien) 2019 10 3;161(10):1993-2002. Epub 2019 Aug 3.

Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité - Universitätsmedizin Berlin, Berlin, Germany.

Background: Common carotid artery occlusion (CCA-occlusion) is a rare condition where standard revascularization is not feasible. Here, we analyzed our experience with surgical revascularization of CCA-occlusion to develop an algorithm for selection of the most suitable bypass strategy according to the Riles classification.

Methods: During a 10-year period, 16 out of 288 patients with cerebrovascular disease and compromised hemodynamic reserve underwent revascularization for unilateral CCA-occlusion. Read More

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http://dx.doi.org/10.1007/s00701-019-04001-4DOI Listing
October 2019
2 Reads

Transposition of the left vertebral artery during endovascular stent-graft repair of the aortic arch.

J Thorac Cardiovasc Surg 2020 06 15;159(6):2189-2198.e1. Epub 2019 Jun 15.

Vascular Surgery, Department of Cardiovascular Surgery, Poliambulanza Foundation, Brescia, Italy.

Objectives: The aim of this study was to present our experience with the management of isolated left vertebral artery during hybrid aortic arch repairs with thoracic endovascular aortic repair completion.

Methods: This is a single-center, observational, cohort study. Between January 2007 and December 2018, 9 patients (4. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.06.011DOI Listing
June 2020
7 Reads

Resolution of Primary Aortic Thrombosis after Dabigatran therapy-A New Hope for the Rare and Old Disease.

Indian Heart J 2019 Mar - Apr;71(2):166-169. Epub 2019 Apr 1.

Department of Cardiology and Cardio-thoracic Surgery, Yashoda Hospitals, Raj Bhavan Road, Somajiguda, Hyderabad, Telangana, 500082, India.

The primary aortic thrombosis (PAT) is an uncommon noncardiac cause of distal peripheral embolization to lower extremities. Also, this condition develops in the absence of extensive atherosclerosis of aorta or abnormal dilatation like aneurysm of the aorta. In most of the cases, there was either no or minimal atherosclerosis of the aorta. Read More

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http://dx.doi.org/10.1016/j.ihj.2019.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620424PMC
January 2020
3 Reads

Outcomes of venous bypass combined with thoracic outlet decompression for treatment of upper extremity central venous occlusion.

J Vasc Surg Venous Lymphat Disord 2019 09 5;7(5):660-664. Epub 2019 Jun 5.

Dialysis Access Institute, Orangeburg, SC.

Background: Upper extremity central venous stenosis results from a variety of environmental and anatomic conditions, including venous thoracic outlet syndrome, the presence of device leads or catheters, and the turbulence created by the presence of arteriovenous fistulas or grafts. In cases of total occlusion, especially at the bony costoclavicular junction, options for endovascular treatment and open venous reconstruction are limited and bypass grafting may be needed. We describe our experience with venous bypass combined with thoracic outlet decompression in a cohort of symptomatic patients with subclavian vein occlusion. Read More

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http://dx.doi.org/10.1016/j.jvsv.2019.03.016DOI Listing
September 2019
13 Reads

Upper extremity arterial endovascular interventions for symptomatic vascular access-induced steal syndrome.

J Vasc Surg 2019 12 21;70(6):1896-1903.e1. Epub 2019 May 21.

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Critical hand ischemia owing to vascular access-induced steal syndrome (VASS) continues to be a significant problem. The aim of this study was to examine the outcomes of arterial endovascular interventions in the upper extremity of patients presenting with VASS.

Methods: A database of patients presenting with documented VASS between 2006 and 2016 was retrospectively queried. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.072DOI Listing
December 2019
5 Reads

Repeated arteriovenous graft thrombosis associated with subclavian artery stenosis in a patient undergoing hemodialysis.

J Vasc Access 2019 11 8;20(6):790-792. Epub 2019 May 8.

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

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http://dx.doi.org/10.1177/1129729819845564DOI Listing
November 2019
7 Reads

Intra-Arterial Aspergillosis Resulting in Recurrent Subclavian Artery Thrombosis: A Late Complication of Coronary Bypass Surgery.

J Vasc Interv Radiol 2019 Apr;30(4):621-622

Histopathology Department, King Abdulaziz Medical City, National Guards Health Affairs, P.O. Box 22490, Riyadh 11462, Saudi Arabia.

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https://linkinghub.elsevier.com/retrieve/pii/S10510443183076
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http://dx.doi.org/10.1016/j.jvir.2018.01.762DOI Listing
April 2019
26 Reads

Arterial thoracic outlet syndrome caused by cervical ribs-an unusual case report.

Medicine (Baltimore) 2019 Mar;98(11):e14778

Department of Hand Surgery, The First Affiliated Hospital.

Rationale: Cervical ribs are rare conditions, occurring in 0.05% to 3.0% of the population. Read More

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http://dx.doi.org/10.1097/MD.0000000000014778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426594PMC
March 2019
14 Reads

Therapeutic strategies of thromboembolic events in patients with inflammatory bowel diseases: Two case reports.

Medicine (Baltimore) 2019 Mar;98(9):e14622

Department of Gastroenterology, Jiangsu Province Hospital of Chinese Medicine (Affiliated Hospital of Nanjing University of Chinese Medicine), Nanjing, China.

Rationale: Inflammatory bowel disease (IBD), including Crohn disease (CD) and ulcerative colitis (UC), is characterized by chronic inflammatory condition and immunological abnormalities, which probably develop into venous thromboembolic events (VTEs). VTE in IBD patients mostly occurs at deep venous thrombosis (DVT) and pulmonary embolism (PE). The complications are extremely important in clinical practice considering the high mortality rate. Read More

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http://dx.doi.org/10.1097/MD.0000000000014622DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831449PMC
March 2019
13 Reads

Hybrid Aortic Arch Debranching and TEVAR Is Safe in a Private, Community Hospital.

Ann Vasc Surg 2019 May 20;57:41-47. Epub 2019 Feb 20.

University of California, Riverside School of Medicine, Harvey Nurick MD, Inc., Synergy CT Surgery Partnership, Riverside, CA.

Background: Hybrid open cervical vessel debranching and thoracic endovascular aortic repair (TEVAR) is a treatment option in the management of aortic arch or proximal descending thoracic aortic aneurysms. However, these patients are often referred to tertiary care academic centers for aneurysm repair. Our study looks to assess the safety and outcomes of open cervical debranching and TEVAR within a private, community hospital setting. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.002DOI Listing
May 2019
7 Reads

Type B Aortic Dissection after Nellix Endovascular Aneurysm Sealing.

Ann Vasc Surg 2019 Jul 11;58:378.e5-378.e9. Epub 2019 Feb 11.

Department of Vascular Surgery, Singapore General Hospital, Singapore; Vascular Service, Sengkang General Hospital, Singapore.

Background: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular aneurysm repair devices and decrease rates of reintervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms. Since its inception, EVAS has gained much popularity especially for patients with concomitant common iliac aneurysms, with good long-term durability suggested by several studies. Currently, the known complications of EVAS, while considered uncommon, include endoleaks, renal artery, and limb thrombosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193011
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http://dx.doi.org/10.1016/j.avsg.2018.11.014DOI Listing
July 2019
17 Reads

Aortic Arch Thrombosis Associated with Fetal Cytomegalovirus Viremia.

AJP Rep 2019 Jan 1;9(1):e23-e26. Epub 2019 Feb 1.

Pediatric Cardiology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

Cytomegalovirus(CMV) associated thrombosis has been reported sporadically in the medical literature; however, its antenatal scenario has not been documented. We herein present the antenatal, Doppler's ultrasound and magnetic resonance angiographic features of thrombosis in the aortic arch showing extension toward the medial lumen of the brachiocephalic trunk with critical occlusion of the left common carotid artery and left subclavian artery in a term fetus to raise obstetricians'/ neonatologists'/pediatric cardiologists' awareness for the association between CMV viremia and intrauterine thrombosis that caused cerebral injury, neurodevelopmental impairment, and permanent sequela. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675631
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http://dx.doi.org/10.1055/s-0038-1675631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358456PMC
January 2019
22 Reads

Successful free flap salvage upon venous congestion in bilateral breast reconstruction using a venous cross-over bypass: A case report.

Microsurgery 2020 Jan 28;40(1):74-78. Epub 2019 Jan 28.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Abdominal free flaps such as the muscle sparing transverse rectus abdominis myocutaneous (ms-TRAM) or deep inferior epigastric artery perforator (DIEP) flap represent the gold standard in autologous breast reconstruction. We describe a salvage procedure during bilateral free flap breast reconstruction due to insufficient venous drainage using a venous cross-over bypass. A 54-year-old woman with a thrombosis of the left subclavian port-system in the medical history was elected for simultaneous bilateral breast reconstruction with ms-TRAM and DIEP flaps. Read More

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http://dx.doi.org/10.1002/micr.30423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003917PMC
January 2020
31 Reads

The role of vascular echography in the management of complications associated with central venous access for hemodialysis in cancer patients: two case reports and literature review.

J Vasc Bras 2018 Jul-Sep;17(3):257-261

Hospital Aristides Maltez, Liga Bahiana Contra o Câncer, Unidade de Terapia Intensiva, Salvador, BA, Brasil.

Central venous catheter implantation for hemodialysis is commonly performed in large centers and its complications are sometimes associated with insufficient training of those who perform it, but may also be related to the patient's clinical condition. The present study reports two cases of complications related to use of a short-stay catheter for hemodialysis. In the first case, the cannula was inadvertently inserted into the left subclavian artery, causing arterial thrombosis, which was conservatively managed and good collateral perfusion was documented with vascular echography. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1677-5449.000418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326130PMC
January 2019
52 Reads

Use of a temporary shunt to preserve the patency of a hemodialysis graft while performing ipsilateral axillo-femoral bypass.

J Vasc Access 2019 Sep 8;20(5):553-556. Epub 2019 Jan 8.

1 Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.

Increased blood flow in the subclavian artery feeding a vascular access for hemodialysis can rarely induce steal phenomena in the vertebral and internal mammary artery leading to potentially life-threatening conditions. On the contrary, transient interruption of blood flow in the subclavian artery feeding a dialysis arteriovenous fistula can theoretically induce access thrombosis. Here, we describe a technical maneuver preserving continuous ipsilateral upper arm access flow when constructing a unilateral axillo-femoral polytetrafluoroethylene bypass operation for critical limb ischemia in a hemodialysis patient. Read More

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http://dx.doi.org/10.1177/1129729818820205DOI Listing
September 2019
10 Reads

Concomitant embolism in the subclavian and pulmonary artery.

Rozhl Chir Summer 2018;97(10):478-481

Introduction: Pulmonary embolism is a life-threatening condition that causes obstruction of the pulmonary arteries by an embolus, most often originating from the venous system of the lower limbs or pelvic veins. Depending on the extent of the embolism, an acute right-sided heart failure may result, with subsequent death. Paradoxical embolism is a condition in which a venous thrombus is embolized into the systemic circulation arteries by a right-to-left heart shunt. Read More

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April 2019
12 Reads

Comparison of Chimney Technique and Single-Branched Stent Graft for Treating Patients with Type B Aortic Dissections that Involved the Left Subclavian Artery.

Cardiovasc Intervent Radiol 2019 May 18;42(5):648-656. Epub 2018 Dec 18.

Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, People's Republic of China.

Objective: To compare the short-term efficiency of two different endovascular repairs for type B aortic dissection involving the left subclavian artery.

Methods: From February 2013 to March 2016, a cohort of 43 patients with TBADs involving the LSA underwent thoracic endovascular aortic repair (TEVAR) in two departments, consisting of 22 (Group A) with chimney grafts (CGs) and 21 (Group B) with single-branched stent graft (SBSG). Results of the two groups in perioperative and follow-up period (≥ 3 months) were comparatively analyzed, especially on aortic remodeling. Read More

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http://link.springer.com/10.1007/s00270-018-2145-3
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http://dx.doi.org/10.1007/s00270-018-2145-3DOI Listing
May 2019
45 Reads

Long-Term Outcomes of Hybrid Technique of Complicated Type B Aortic Dissection.

Ann Thorac Surg 2019 05 13;107(5):1319-1325. Epub 2018 Dec 13.

Department of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, Jilin, China. Electronic address:

Background: The purpose of this study was to evaluate the midterm and long-term clinical outcomes of aortic implantation of stent grafts under direct vision (hybrid surgical treatment).

Methods: From March 2009 to December 2014, 285 patients presented with type B aortic dissection. Of these, 35 complicated patients underwent hybrid surgical treatment. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.11.023DOI Listing
May 2019
7 Reads

Polycythemia Rubra Vera Presenting as Unilateral Clubbing Due to Left Subclavian Artery Thrombosis.

J Assoc Physicians India 2018 May;66(5):90-1

Professor, Govt. Medical College, Calicut, Kerala.

We report the case of a 29 year old male who presented with burning pain in the tips of fingers of left hand and recurrent episodes of amarausis fugax. Examination revealed polycythemia, unilateral clubbing with positive Adson's test in left upper limb. Evaluation revealed thrombosis of the left subclavian artery in CT angiography. Read More

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May 2018
51 Reads