931 results match your criteria Subclavian Artery Thrombosis


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
1 Read

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

J Vasc Access 2019 Jan 8:1129729818820205. 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
January 2019

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 2018 Dec 18. 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
December 2018
2 Reads

Middle- and long-term outcomes of hybrid technique of complicated Stanford type-B aortic dissection.

Ann Thorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiovascular Surgery, the second Hospital of Jilin University, Changchun, Jilin, China, 130041. Electronic address:

Background: To evaluate the middle- and long- 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
December 2018

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

J Assoc Physicians India 2018 May;66(5):90-91

Professor, Govt. Medical College, Calicut, Kerala.

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May 2018
12 Reads

Endovascular Reconstruction of Subclavian Artery Aneurysms in Patients with Arterial Thoracic Outlet Syndrome.

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Vascular Surgery Division, UCLA David Geffen School of Medicine, Los Angeles, CA. Electronic address:

Background: Subclavian artery aneurysms associated with thoracic outlet syndrome (TOS) have traditionally been managed by open surgical reconstruction. Endovascular subclavian artery reconstruction is novel in the setting of arterial TOS (aTOS). Our objective is to report our results with endovascular subclavian artery reconstruction in aTOS patients over a 10-year period with attention to surgical approach and late results. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.005DOI Listing
November 2018
2 Reads

Outcomes of Brachial Artery Access for Endovascular Interventions.

Ann Vasc Surg 2018 Oct 19. Epub 2018 Oct 19.

Department of Surgery, Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA.

Background: A percutaneous brachial artery (BA) approach is a suitable or even favorable alternative to femoral artery access when performing certain endovascular interventions. However, this approach may have a higher complication rate compared to femoral artery access. We analyzed our results using percutaneous BA approach for noncardiac endovascular interventions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183080
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http://dx.doi.org/10.1016/j.avsg.2018.07.061DOI Listing
October 2018
11 Reads

The distance of the primary intimal tear from the left subclavian artery predicts aortic growth in uncomplicated type B aortic dissection.

J Vasc Surg 2018 Oct 3. Epub 2018 Oct 3.

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

Objective: Controversy exists about the optimal treatment of acute uncomplicated type B aortic dissection (auTBAD). Optimal medical therapy (OMT) provides excellent short-term outcomes, but long-term results are poor. Ideally, auTBAD patients who will fail to respond to OMT in the chronic phase could be identified and undergo thoracic endovascular aortic repair. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183177
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http://dx.doi.org/10.1016/j.jvs.2018.05.245DOI Listing
October 2018
8 Reads

[Vertebrobasilar territory embolisms due to the ununited fracture of the right clavicle from 35 years ago].

Rinsho Shinkeigaku 2018 Oct 29;58(10):631-635. Epub 2018 Sep 29.

Department of Neurology, Kyoto Second Red Cross Hospital.

A 61-year-old man, with a history of right clavicular fracture 35 years prior, visited our hospital due to the sudden onset of vertigo and tinnitus following weakness and numbness in his left arm and leg. He also had a 6-month history of right arm pain with overuse. Brain MRI showed acute brain infarcts in the right posterior cerebral artery territory. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001191DOI Listing
October 2018
3 Reads

3D CT cinematic rendering of mycotic aneurysms.

Emerg Radiol 2018 Dec 19;25(6):723-728. Epub 2018 Sep 19.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 N. Wolfe St., Baltimore, MD, 21287, USA.

Mycotic aneurysms are uncommon but emergent conditions in which infection of a vessel leads to a contained rupture. Progression to frank rupture, thrombosis, distal embolization, and death can occur. The widespread availability of computed tomography (CT) and its ability to obtain high-resolution, contrast-enhanced, volumetric images rapidly has made it the modality of choice for evaluating mycotic aneurysms. Read More

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http://link.springer.com/10.1007/s10140-018-1643-6
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http://dx.doi.org/10.1007/s10140-018-1643-6DOI Listing
December 2018
1 Read

Post-operative Infection of Prosthetic Materials or Stents Involving the Supra-aortic Trunks: A Comprehensive Review.

Eur J Vasc Endovasc Surg 2018 Dec 16;56(6):885-900. Epub 2018 Aug 16.

Department of Vascular Surgery and Kidney Transplantation, University Hospital, Strasbourg, France.

Objective: The aim of this paper was to provide recommendations for diagnosis and management in the setting of infection following open or endovascular reconstructions of the supra-aortic trunks.

Methods: A review of the Medline database was performed from 1997 to 2017 by a combined strategy of MeSh terms.

Results: The literature search identified 49 publications: 36 studies addressing prosthetic material infections and 13 studies addressing stent infections. Read More

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http://dx.doi.org/10.1016/j.ejvs.2018.07.016DOI Listing
December 2018
6 Reads

Hybrid Treatment of a True Right Subclavian Artery Aneurysm Involving the Vertebral Artery using a Covered Stent.

Ann Vasc Surg 2018 Nov 6;53:273.e7-273.e11. Epub 2018 Aug 6.

Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Cattinara ASUITs, Trieste, Italy.

Subclavian artery aneurysms (SAAs) are rare but potentially life- and limb-threatening. We present the case of a 69-year-old man with a true right SAA; the vertebral artery branched off the aneurysm and was the dominant one. A hybrid (combined open surgical and endovascular) repair was performed; the vertebral artery was anastomosed end to side to the common carotid artery through a right supraclavicular incision, then using a percutaneous high brachial artery access, a covered stent was deployed to exclude the SSA. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183058
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http://dx.doi.org/10.1016/j.avsg.2018.05.074DOI Listing
November 2018
5 Reads

Outcomes of Stentless Thoracic Endovascular Aortic Repair for Chronic DeBakey IIIb Aneurysms.

Ann Thorac Surg 2018 Nov 4;106(5):1308-1315. Epub 2018 Aug 4.

The Korea Heart Foundation, Seoul, Republic of Korea.

Background: We introduce a new endovascular procedure for favorable aortic remodeling in patients with chronic DeBakey IIIb (CDIIIb) aneurysms and present outcomes.

Methods: This study included 19 patients who underwent stentless thoracic endovascular aortic repair (TEVAR) for CDIIIb aneurysms between 2014 and 2016. Stentless TEVAR is defined as an endovascular procedure involving closure of communicating channels or obliteration of the false lumen itself using various materials. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.06.057DOI Listing
November 2018
3 Reads

Acute subclavian artery occlusion with associated clavicle fracture managed with bypass graft alone.

BMJ Case Rep 2018 Jun 28;2018. Epub 2018 Jun 28.

Department of Vascular and Endovascular Surgery, Barwon Health, Geelong, Victoria, Australia.

Subclavian artery injury is a rare consequence of clavicle fracture. It most often results from penetrating trauma but can result from blunt trauma with adjacent bone fragments causing rupture, pseudoaneurysm, dissection or thrombosis of the artery. If flow through the subclavian artery is compromised there is a risk of ipsilateral upper limb ischaemia. Read More

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http://dx.doi.org/10.1136/bcr-2018-224719DOI Listing
June 2018
15 Reads

Concomitant Hybrid Arch Vessel Reconstruction and Intracranial Clot Retrieval in Takayasu's Arteritis Presenting with Acute Cerebral Ischemia: A Case Report.

Ann Vasc Surg 2018 Oct 8;52:315.e1-315.e6. Epub 2018 Jun 8.

Department of Vascular Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.

Background: Type 1 Takayasu's arteritis (TA) predominantly affects the supra-aortic branches. Occlusive disease can cause catastrophic complications such as stroke and death. Open and endovascular techniques of revascularization are described for extracranial disease. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.03.043DOI Listing
October 2018
1 Read

A Case of Posterior Circulation Ischemic Stroke Caused by Heparin-Induced Thrombocytopenia after Detaining Hepatic Arterial Infusion Catheter.

J Stroke Cerebrovasc Dis 2018 Sep 30;27(9):e196-e200. Epub 2018 May 30.

Department of Neurological Surgery, Kagawa Rosai Hospital, Kagawa, Japan.

In Japan, hepatic arterial infusion chemotherapy (HAIC) using reservoir system is recommended for patients with hepatocellular carcinoma (HCC) whose hepatic spare ability is favorable. Arterial infusion catheter is commonly detained in hepatic artery via femoral or brachial artery. In our hospital, catheter is often inserted by puncturing the left subclavian or brachial artery considering the patient's activities of daily living (ADL) during long-term detaining. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.04.011DOI Listing
September 2018
2 Reads

Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center.

J Vasc Surg 2018 Dec 24;68(6):1631-1639.e1. Epub 2018 May 24.

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

Objective: Little is known about the natural history and management of aneurysmal aortic arch branch vessels (AABVs). The objectives of this study were to assess the natural history of aneurysmal AABVs and to examine the outcomes of operative intervention.

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

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http://dx.doi.org/10.1016/j.jvs.2018.03.412DOI Listing
December 2018
2 Reads

Delayed Subclavian Artery Aneurysm Following Fixation of a Clavicular Fracture.

Vasc Endovascular Surg 2018 Aug 26;52(6):459-462. Epub 2018 Apr 26.

1 Royal Army Medical Corps, Keogh Barracks, Aldershot, United Kingdom.

Aneurysms of the subclavian artery are rare phenomena that have the potential for limb and life-threatening complications. Delayed diagnosis increases the risk of life-threatening complications or at the very least may result in a detrimental effect to both functional capacity and quality of life; primary care offers a vital opportunity to screen for such rare vascular complications and should be a consideration in all patients with evolving peripheral nerve or vascular symptoms with a history of localized clavicular trauma. We present the case of a left subclavian artery aneurysm with radial artery thrombotic sequelae following an injury and screw-plate fixation of his left clavicle. Read More

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http://dx.doi.org/10.1177/1538574418770105DOI Listing
August 2018
6 Reads

Effort thrombosis of the subclavian artery as a consequence of a unique anomaly.

J Surg Case Rep 2018 Apr 12;2018(4):rjy072. Epub 2018 Apr 12.

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

Congenital anatomic anomalies and variations are frequent in the thoracic outlet and may be associated with clinical symptoms. Arterial thoracic outlet syndrome (TOS) is characterized by subclavian artery compression and vascular pathology, almost always in the presence of a bony abnormality. We describe here a patient with arterial thromboembolism following a fall on the outstretched arm, who was found to have subclavian artery stenosis and post-stenotic dilatation in the absence of a bony abnormality. Read More

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http://dx.doi.org/10.1093/jscr/rjy072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905481PMC
April 2018
7 Reads

The effect of false lumen procedures during thoracic endovascular aortic repair in patients with chronic DeBakey type IIIB dissections.

J Vasc Surg 2018 10;68(4):976-984

Korea Heart Foundation, Seoul, Republic of Korea.

Objective: Although thoracic endovascular aortic repair (TEVAR) is commonly used for chronic DeBakey type IIIB (CDIIIB) dissections, aortic remodeling outcomes after the procedure have been unsatisfactory. Persistent retrograde flow to the false lumen (FL) through re-entry tears commonly causes treatment failure. The aim of this study was to clarify the safety and effect of the FL procedure (FLP) for aortic remodeling in patients with CDIIIB dissections. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.01.045DOI Listing
October 2018
3 Reads

False lumen intervention to promote remodelling and thrombosis-The FLIRT concept in aortic dissection.

Catheter Cardiovasc Interv 2018 Oct 30;92(4):732-740. Epub 2018 Mar 30.

Cardiology and Aortic Centre, Royal Brompton & Harefield NHS Foundation Trust; Imperial College London, London, SW3 6NP, United Kingdom.

Objective: Thoracic endovascular aortic repair (TEVAR) has changed the management of aortic dissection by induced remodelling. Beyond reconstructing the true lumen, we describe the concept of False Lumen Intervention to promote Remodelling and Thrombosis (FLIRT) in both type A and B aortic dissection.

Methods: Between 2011 and 2017, 10 patients with aortic dissection (5 type A; 5 type B) underwent FLIRT using a combination of patent foramen ovale (PFO) or atrial septal defect (ASD) occluders, coils and glue. Read More

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http://dx.doi.org/10.1002/ccd.27599DOI Listing
October 2018
13 Reads
2.107 Impact Factor

Repeat left ventricular assist device exchange with inflow or outflow correction for recurrent pump thrombosis and cerebral haemorrhage through limited incisions.

Eur J Cardiothorac Surg 2018 Oct;54(4):781-783

Division of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University, Frankfurt am Main, Frankfurt am Main, Germany.

Left ventricular assist devices (LVADs) may require subsequent pump exchange due to device thrombosis or thromboembolism. A limited left thoracotomy may offer advantages over standard full sternotomy in redo procedures by preserving pristine median access and decreasing the potential for re-entry injuries, postoperative bleeding and transfusion requirements. We describe repeat LVAD exchange via the left limited thoracotomy with outflow graft anastomosis to the left subclavian artery with the correction of LVAD inflow cannula angulation following recurrent LVAD thromboses. Read More

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http://dx.doi.org/10.1093/ejcts/ezy129DOI Listing
October 2018
10 Reads

Endovascular Repair of Incidentally Found Subclavian Artery Aneurysm: A Case Report From an Urban Level 1 Trauma Center.

Vasc Endovascular Surg 2018 Jul 11;52(5):382-385. Epub 2018 Mar 11.

2 Surgical Resident Doctors Hospital Columbus, Columbus, OH, USA.

Subclavian artery aneurysms (SAAs) are historically rare peripheral aneurysm. However, it can be associated with serious life-threatening complications including rupture, thrombosis, and embolism. The majority of such aneurysms are found incidentally. Read More

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http://dx.doi.org/10.1177/1538574418763208DOI Listing
July 2018
1 Read

Two Cases of Endovascular Repair with the Stent Graft for Retrograde Type A Acute Aortic Dissection with Complications.

Ann Thorac Cardiovasc Surg 2018 Mar 3. Epub 2018 Mar 3.

Department of Cardiovascular Surgery, Sendai Kosei Hospital, Sendai, Miyagi, Japan.

Thoracic endovascular aortic repair (TEVAR) is used to treat retrograde type A acute aortic dissection (RTAAD). In case 1, a 52-year-old man, who was conservatively managed, reported worsening back pain. Emergency TEVAR was performed 7 days after onset. Read More

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http://dx.doi.org/10.5761/atcs.cr.17-00200DOI Listing
March 2018
6 Reads

Patent foramen ovale, paradoxical embolism and fatal coronary obstruction.

Forensic Sci Med Pathol 2018 06 27;14(2):258-262. Epub 2018 Feb 27.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska str, Belgrade, 11000, Serbia.

A 75-year-old woman was admitted to the emergency room with chest pain and vomiting. An electrocardiogram and laboratory results were suggestive for myocardial infarction of the posterior cardiac wall. Echocardiography was indicative of aortic dissection, and a CT scan of the thoracic arteries showed a massive pulmonary thromboembolism and thrombotic occlusion of the right coronary artery (RCA). Read More

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http://dx.doi.org/10.1007/s12024-018-9963-0DOI Listing
June 2018
4 Reads

Long-Term Outcomes of Thoracic Endovascular Aortic Repair Focused on Bird Beak and Oversizing in Blunt Traumatic Thoracic Aortic Injury.

Ann Vasc Surg 2018 Jul 15;50:140-147. Epub 2018 Feb 15.

Department of Vascular and Endovascular Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Background: The acute aortic arch angle and narrow aortic diameter in young patients may lead to bird-beak configuration and excessive oversizing of the stent graft in thoracic endovascular aortic repair (TEVAR) for blunt traumatic thoracic aortic injury (BTTAI). Little is known about the association of these factors and complications in long-term follow-up. We evaluated the long-term outcomes in terms of complications, reinterventions, and survival, focusing on the effects of bird-beak configuration and oversizing. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.02.001DOI Listing
July 2018
2 Reads

Discontinuity of the arch beyond the origin of the left subclavian artery in an adult: Interruption or coarctation?

Ann Pediatr Cardiol 2018 Jan-Apr;11(1):92-96

Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.

Congenital aortic anomalies are uncommon causes of secondary hypertension and are seldom suspected in the adult age group. We present a case of aortic interruption unexpectedly diagnosed on autopsy in a 38-year-old male who presented with cardiovascular collapse. Apart from interruption, a finding unique to our case was aneurysmal dilation of the proximal descending aorta just before the obstruction with thrombosis. Read More

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http://dx.doi.org/10.4103/apc.APC_91_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803986PMC
February 2018
6 Reads

The repair of a type Ia endoleak following thoracic endovascular aortic repair using a stented elephant trunk procedure.

J Thorac Cardiovasc Surg 2018 Apr 14;155(4):1391-1396. Epub 2017 Dec 14.

Beijing Aortic Disease Center, Beijing Institute of Heart, Lung and Blood Vessel Diseases and Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Background: Type Ia endoleaks are not uncommon complications that occur after thoracic endovascular aortic repair (TEVAR). Because aortic arch vessels prevent extension of the landing zone, it is very difficult to manipulate a type Ia endoleak using an extension cuff or stent-graft, especially when the aortic arch is involved. Here, we retrospectively review our experience of surgical treatment of type Ia endoleak after TEVAR using a stented elephant trunk procedure. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2017.11.088DOI Listing
April 2018
12 Reads

Endovascular coil embolization and stenting for the treatment of iatrogenic right internal mammary artery injury: A case report.

J Int Med Res 2018 Mar 11;46(3):1271-1276. Epub 2018 Jan 11.

1 Department of Cardiology, First Affiliated Hospital, 26441 School of Medicine, Zhejiang University , Hangzhou, Zhejiang Province, China.

A 54-year-old Chinese woman presented with a 10-year history of repeated paroxysmal palpitations. She was diagnosed with paroxysmal supraventricular tachycardia by 12-lead electrocardiogram and was advised to undergo catheter-based radiofrequency ablation. During the procedure, a rare complication occurred that was diagnosed as a right internal mammary artery penetrating injury. Read More

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http://dx.doi.org/10.1177/0300060517740307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972256PMC
March 2018
9 Reads

Outcomes following operative management of thoracic outlet syndrome in the pediatric patients.

Vascular 2018 Aug 4;26(4):410-417. Epub 2018 Jan 4.

1 Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houstan, TX, USA.

Objectives Thoracic outlet syndrome, a condition commonly reported in adults, occurs infrequently in the pediatric population. The objective of this study was to assess the outcome of surgical interventions of thoracic outlet syndrome in pediatric patients. Methods Clinical records of all pediatric patients with thoracic outlet syndrome who underwent operative repair from 2002 to 2015 in a tertiary pediatric hospital were reviewed. Read More

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http://dx.doi.org/10.1177/1708538117747628DOI Listing
August 2018
15 Reads

[Venous thromboembolic complications in patients with cardiovascular implantable electronic devices].

Angiol Sosud Khir 2017;23(4):69-74

Ryazan State Medical University named after Academician I.P. Pavlov, Ryazan, Russia.

The problem of venous thromboembolic complications (VTECs) in patients with cardiovascular implantable electronic devices (CIEDs) is extremely important today because of an annually increasing number of surgical interventions for life-threatening arrhythmias and chronic heart failure. There are hitherto no clearly defined reliable risk factors for VTECs due to heterogeneity of the available literature data. Some sources point to elevated thrombus formation in patients with a large number of electrodes, in repeat operative interventions, in the presence of a temporary pacemaker, in implantation on the left side, silicon cover of an electrode, others refute these facts. Read More

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March 2018
8 Reads

[Hybrid intervention for a multilevel aneurysmatic lesion of the aorta in a patient with multifocal atherosclerosis].

Angiol Sosud Khir 2017;23(4):55-59

Regional Clinical Hospital, Krasnoyarsk, Russia.

A multilevel aneurysmatic lesion of the aorta is a rare pathology. The authors describe herein a clinical case report regarding stage-wise treatment of a patient presenting with aneurysms of the thoracic and abdominal portions of the aorta and a haemodynamically significant lesion of coronary and carotid arteries. Strategy of surgical management was decided upon collegially. Read More

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March 2018
11 Reads

Ischemic Stroke in a Patient with Parry-Romberg Syndrome.

J Stroke Cerebrovasc Dis 2018 Jan 12;27(1):e9-e10. Epub 2017 Oct 12.

Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California; VA Greater Los Angeles HCS, Los Angeles, California; Olive View-UCLA Medical Center, Sylmar, California; Keck School of Medicine at USC, Los Angeles, California. Electronic address:

Objective: This study aimed to discuss a case of a patient with a known diagnosis of Parry-Romberg syndrome (PRS) presenting with ischemic stroke, the second such reported case.

Background: PRS is a rare genetic disorder with progressive hemifacial atrophy, which usually presents within the first 2 decades of life. Neurologic manifestations include trigeminal neuralgia with associated deafness, hemifacial pain with associated migraine headaches, seizures, movement disorders, and neuropsychiatric symptoms. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.08.032DOI Listing
January 2018
10 Reads

Hybrid technique for the management of thoracoabdominal aortic thrombosis and symptomatic Trans-Atlantic Inter-Society Consensus "C" aorto-iliac disease.

Vascular 2018 Jun 12;26(3):331-334. Epub 2017 Oct 12.

Department of Vascular and Endovascular Surgery, Waikato Hospital, Hamilton, New Zealand.

Objective Thrombotic disease of the thoracic and abdominal aorta co-existing with aorto-iliac disease is a rare clinical association, which poses a great therapeutic challenge and adds to the complexity of the open surgical repair. Method We describe a case of 53-year-old woman with symptomatic thrombus in the thoracic and abdominal aorta down to the aortic bifurcation, which was successfully treated by Thoracic EndoVascular Aortic Repair via the left subclavian artery, open thrombectomy and aorto-iliac bypass. Result Completion angiogram performed through the axillary cannula showed good flow in the aorta, visceral vessels and iliac arteries. Read More

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http://dx.doi.org/10.1177/1708538117718645DOI Listing
June 2018
5 Reads

Implantation of Unibody Single-Branched Stent Graft for Patients with Type B Aortic Dissections Involving the Left Subclavian Artery: 1-Year Follow-Up Outcomes.

Cardiovasc Intervent Radiol 2017 Nov 5;40(11):1678-1686. Epub 2017 Sep 5.

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

Objective: To report the early results of castor device, a kind of unibody single-branched stent graft, in the treatment of type B aortic dissection (TBAD) involving the LSA.

Methods: From April 2013 to February 2014, 21 patients with TBADs underwent TEVAR with LSA revascularization by unibody single-branched stent grafts. Three patients with penetrating aortic ulcers in the aortic arch received additional reconstruction of left common carotid artery with chimney technique. Read More

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http://dx.doi.org/10.1007/s00270-017-1748-4DOI Listing
November 2017
43 Reads

Staged open repair for a complex adult aortic coarctation.

J Card Surg 2017 Aug;32(8):500-503

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

We describe a two-stage open repair for a complex aortic coarctation in an adult. A total arch replacement with an elephant trunk was performed via a median sternotomy followed in 10 days by a replacement of the descending aorta through a left thoracotomy. Read More

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http://dx.doi.org/10.1111/jocs.13179DOI Listing
August 2017
8 Reads

Paget-Schroetter syndrome complicated by an incidental pulmonary embolism.

BMJ Case Rep 2017 Aug 2;2017. Epub 2017 Aug 2.

Vascular Surgery, Dumfries and Galloway Royal Infirmary, Dumfries, Dumfries and Galloway, UK.

A young man presented with the severe right upper limb swelling following a heavy weight lifting that was thought to be caused by a biceps tendon rupture. However, subsequent investigations confirmed the diagnosis of Paget-Schroetter syndrome that was associated with an incidental pulmonary embolism. The patient underwent a successful thrombolysis followed by a surgical thoracic outlet decompression. Read More

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http://dx.doi.org/10.1136/bcr-2017-219982DOI Listing
August 2017
4 Reads

Sandwich Technique for Endovascular Repair of Acute Type A Aortic Dissection.

J Endovasc Ther 2017 Oct 26;24(5):647-653. Epub 2017 Jul 26.

2 Department of Vascular Surgery, Municipal Hospital of XinJiang Province, China.

Overview: To describe a new endovascular procedure for acute type A aortic dissection (TAAD) repair.

Methods: Between 2013 and 2016, 12 patients (average age 54±9.6 years; 10 men) with acute TAAD (mean EURO score 11. Read More

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http://dx.doi.org/10.1177/1526602817721674DOI Listing
October 2017
3 Reads

Acute Type B Dissection Causing Collapse of EVAR Endograft and Iliac Limb Occlusion.

Ann Vasc Surg 2018 Jan 21;46:206.e1-206.e4. Epub 2017 Jul 21.

Division of Vascular Surgery, Stanford University, Stanford, CA. Electronic address:

We describe a rare case of acute type B dissection (ATBDs) causing collapse of a previously placed infrarenal stent graft, resulting in acute limb ischemia due to left iliac limb thrombosis in a 59-year-old male. The patient presented with acute back and abdominal discomfort radiating to his back, bilateral buttock stabbing discomfort and left > right thigh and calf rest pain. CT angiography showed a spiral type B dissection with collapse of the proximal portion of the endovascular repair of aortic aneurysm (EVAR) device and left limb occlusion. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.07.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842241PMC
January 2018
8 Reads

Contemporary management of subclavian and axillary artery injuries-A Western Trauma Association multicenter review.

J Trauma Acute Care Surg 2017 12;83(6):1023-1031

From the Department of General Surgery, Gundersen Health System (C.J.W., T.H.C.), Department of Medical Research, Gundersen Medical Foundation (K.J.K., L.D.R.), La Crosse, WI; Division of General Surgery, Michael E. DeBakey Department of Surgery, Ben Taub Hospital (J.M.C., S.R.T.), Baylor College of Medicine, Houston, TX; Department of Surgery, Division of Trauma & Critical Care Medical College of Wisconsin (K.J.C., M.A.B.), Milwaukee, WI; Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center (J.L.S., V.P.A.), Pittsburgh, PA; Department of Surgery, Medical University of South Carolina (E.A.E., S.M.L.), Charleston, SC; Division of Acute Care Surgical Services, Virginia Commonwealth University School of Medicine (R.J.A.), Richmond, VA; Department of Surgery, Cooper University Hospital (M.P., L.C-W.), Camden, NJ; Department of Surgery, Denver Health Medical Center (C.C.B., C.J.F.), Denver, CO; Department of Surgery, Marshfield Clinic (D.C.C., J.C.R.), Marshfield, WI; Trauma Services, Wesley Medical Center (P.B.H., G.M.B.), Wichita, KS; and Department of Trauma Services, Via Christi Hospital on Saint Francis (J.M.H., K.L.), Wichita, KS.

Background: Subclavian and axillary artery injuries are uncommon. In addition to many open vascular repairs, endovascular techniques are used for definitive repair or vascular control of these anatomically challenging injuries. The aim of this study was to determine the relative roles of endovascular and open techniques in the management of subclavian and axillary artery injuries comparing hospital outcomes, and long-term limb viability. Read More

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http://dx.doi.org/10.1097/TA.0000000000001645DOI Listing
December 2017
23 Reads

Endovascular repair of subclavian artery aneurysms: results from a single-center experience.

Perfusion 2017 Nov 12;32(8):670-674. Epub 2017 Jul 12.

Department of Vascular Surgery, Xuan Wu Hospital and Institute of Vascular Surgery, Capital Medical University, Beijing, China.

Objective: To present our experience of the endovascular treatment of subclavian artery aneurysms (SAAs) and analyze the clinical manifestations, imaging findings and treatment outcomes.

Methods: In this retrospective study, nine patients with SAAs underwent endovascular stent placement in our center between July 2011 and June 2016. Clinical features, imaging findings, treatment outcomes and follow-up results of these SAA patients were retrospectively analyzed. Read More

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http://dx.doi.org/10.1177/0267659117720988DOI Listing
November 2017
4 Reads

Trans-oesophageal echocardiography for acute systemic embolism: Check the heart don't forget the aorta.

Presse Med 2017 Sep 12;46(9):874-876. Epub 2017 Jun 12.

Hospices civils de Lyon, hôpital de la Croix-Rousse, cardiology department, 69004 Lyon, France; Hospices civils de Lyon, université Claude-Bernard Lyon 1, université de Lyon, CREATIS, CNRS UMR5220, Inserm U1044, INSA-Lyon, 69100 Lyon, France.

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http://dx.doi.org/10.1016/j.lpm.2017.05.019DOI Listing
September 2017
1 Read

Vascular TOS-Creating a Protocol and Sticking to It.

Diagnostics (Basel) 2017 Jun 10;7(2). Epub 2017 Jun 10.

Division of Vascular Surgery, Department of Surgery, Ronald Reagan Medical Center at the University of California, Los Angeles, CA 90095, USA.

Thoracic Outlet Syndrome (TOS) describes a set of disorders that arise from compression of the neurovascular structures that exit the thorax and enter the upper extremity. This can present as one of three subtypes: neurogenic, venous, or arterial. The objective of this section is to outline our current practice at a single, high-volume institution for venous and arterial TOS. Read More

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http://dx.doi.org/10.3390/diagnostics7020034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5489954PMC
June 2017
8 Reads

Amplatzer Vascular Plug 4 Insertion for the Treatment of a Left Subclavian Artery Pseudoaneurysm.

Ann Vasc Surg 2017 Aug 4;43:311.e5-311.e7. Epub 2017 May 4.

Department of Interventional Radiology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

We report the case of a 74-year-old male with an incidental finding of a pseudoaneurysm at the base of his neck arising from the left subclavian artery. Initial treatment with ultrasound-guided thrombin injection was unfortunately unsuccessful with early recanalization. An Amplatzer Vascular Plug 4 device was introduced into the neck of the pseudoaneurysm endovascularly with successful thrombosis and occlusion of the pseudoaneurysm. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.02.011DOI Listing
August 2017
5 Reads

Prognosis associated with redo cardiac resynchronization therapy following complete device and lead extraction due to device-related infection.

Europace 2018 05;20(5):808-815

Department of Cardiology, Heart Center Brandenburg, Bernau/Berlin, and Medical School Brandenburg, Germany.

Aims: An increase in the number of cardiac resynchronization therapy (CRT) device implantations worldwide has led to a consequent increase in the number of infections associated with the device, making extraction of the CRT device inevitable. Redo CRT implantation after treatment and recovery following device extraction is challenging. This study aimed to evaluate the success rate, complications, and long-term prognosis of redo CRT implantation, including the rates of subclavian, cava, and coronary sinus (CS) vein thrombosis as well as re-infection. Read More

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https://academic.oup.com/europace/article/20/5/808/3111604
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http://dx.doi.org/10.1093/europace/eux030DOI Listing
May 2018
6 Reads

Predictors of Stable Aortic Dimensions in Medically Managed Acute Aortic Syndromes.

Ann Vasc Surg 2017 Jul 5;42:143-149. Epub 2017 Apr 5.

Department of Vascular Surgery, Policlinico San Donato IRCCS, University of Milan, San Donato Milanese, Italy.

Background: We aimed to identify predictors of stable aortic dimensions in medically managed type B aortic dissections (TBAD).

Methods: Medically managed TBAD patients from the International Registry of Acute Aortic Dissection with available aortic measurements at up to 24 months were included. Growth rate was calculated by dividing the largest descending diameter at the latest end point not influenced by intervention minus initial descending diameter, by the recorded time interval. Read More

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http://dx.doi.org/10.1016/j.avsg.2017.01.012DOI Listing
July 2017
13 Reads

Symptomatic Intragraft Thrombus following Endovascular Repair of Blunt Thoracic Aortic Injury.

Ann Vasc Surg 2017 Jul 5;42:305.e7-305.e12. Epub 2017 Apr 5.

Division of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA. Electronic address:

Thoracic endovascular aortic repair (TEVAR) can be complicated by graft collapse, endoleaks, and stent migration. The incidence of these complications and other outcomes is poorly understood in young trauma victims who receive endovascular aortic repair of blunt thoracic aortic injury (BTAI). A 29-year-old pedestrian was struck by a vehicle resulting in polytrauma including BTAI with transection distal to the left subclavian artery origin. Read More

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http://dx.doi.org/10.1016/j.avsg.2016.12.007DOI Listing
July 2017
9 Reads

Brachial plexus compression due to subclavian artery pseudoaneurysm from internal jugular vein catheterization.

Indian J Nephrol 2017 Mar-Apr;27(2):148-150

Department of Microbiology and Immunology, Kamla Nehru Hospital, Allahabad, Uttar Pradesh, India.

Internal jugular vein (IJV) catheterization has become the preferred approach for temporary vascular access for hemodialysis. However, complications such as internal carotid artery puncture, vessel erosion, thrombosis, and infection may occur. We report a case of brachial plexus palsy due to compression by right subclavian artery pseudoaneurysm as a result of IJV catheterization in a patient who was under maintenance hemodialysis. Read More

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http://dx.doi.org/10.4103/0971-4065.179334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358159PMC
March 2017
9 Reads

Successful thrombolysis of left subclavian arterial thrombosis with intravenous bolus dose of tenecteplase.

Indian Heart J 2017 Jan - Feb;69(1):101-103. Epub 2016 Dec 15.

Department of Cardiology, Yashoda Hospital, Somajiguda, Hyderabad, Telangana State, India. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S00194832163007
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http://dx.doi.org/10.1016/j.ihj.2016.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319131PMC
September 2018
2 Reads