Resection and Reconstruction of the Inferior Vena Cava Using a Tunneled Peritoneal Graft for Renal Tumor With Thrombus: Venous Compensation via the Azygos Vein Following Early Graft Occlusion DOI Open Access

Marcos Andrés Sánchez-Rendon,

Marco Alberto Ocaña-Munguía,

Gerardo Llamas-Linares

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 28, 2024

Inferior vena cava (IVC) invasion by tumor thrombus poses a significant surgical challenge, often requiring vascular reconstruction. Standard methods, including prosthetic and autologous vein grafts, have limitations such as infection risks, anticoagulation demands, increased costs. We present the case of 66-year-old male with right renal (T3bN0M0, Neves Zincke II) gross hematuria, who underwent radical nephrectomy open thrombectomy. During surgery, extensive IVC was identified, 12×7 cm peritoneal graft used for reconstruction in absence other options. Postoperative imaging revealed initial patency; however, near-total occlusion observed day 15, asymptomatic compensation via azygos vein. Pathology clear cell carcinoma sarcomatoid rhabdoid features (ISUP/WHO grade 4) negative margins, adjuvant pembrolizumab initiated. This highlights utility grafts an emergency solution when conventional options are unavailable; this treatment also carries potential complications. Further research is needed to optimize durability improve long-term outcomes reconstructions involving IVC.

Language: Английский

ENHANCED ANTIMICROBIAL EFFICACY BY IMPREGNATION OF VASCULAR GRAFTS WITH NANOCOLLOIDAL SILVER DOI Creative Commons

Karin Lindén,

Philipp Seeger,

Samira Weißelberg

et al.

JVS Vascular Science, Journal Year: 2025, Volume and Issue: unknown, P. 100286 - 100286

Published: April 1, 2025

Language: Английский

Citations

0
Endovascular treatment of an aortocaval fistula caused by a late type II endoleak DOI Creative Commons
Giulio Accarino, Alessandra Benenati,

Giancarlo Accarino

et al.

Journal of Vascular Surgery Cases and Innovative Techniques, Journal Year: 2024, Volume and Issue: 10(2), P. 101436 - 101436

Published: Jan. 28, 2024

An aortocaval fistula (ACF) is a rare complication of abdominal aortic aneurysms (AAAs) and constitute <1% all AAAs, which increases from 2% to 6.7% in ruptured AAAs. Unlike other ruptures, most ACFs are not associated with significant blood loss on admission. The traditional treatment strategy has been open surgery, high mortality rate. Endovascular repair performed; however, the results difficult interpret due low incidence absence cases reported long follow-up duration. We report case 78-year-old man previous endovascular aneurysm performed 2015, who presented our emergency department 6 years later pain. A computed tomography angiography scan showed type Ia, Ib, II endoleaks an ACF. were selectively treated, ACF was covered polytetrafluoroethylene endograft inserted inferior vena cava. In single-case experience medium-term 24 months, safe effective for closure, no further signs endoleak or graft thrombosis. conducted literature review stent used treatment. Although guidelines currently available regarding this late after repair, using placed cava treat could be viable option selected cases.

Language: Английский

Citations

1
Prognostic value of leukocyte-glycemic index in long-term evolution of diabetic patients with peripheral arterial disease following endovascular treatment DOI Creative Commons

Adrian Vasile Mureșan,

Emil Marian Arbănași,

R Bartuś

et al.

Acta Marisiensis. Seria Medica, Journal Year: 2024, Volume and Issue: 70(2), P. 58 - 63

Published: June 1, 2024

Abstract Objective : The aim of this article is to determine the predictive value leukocyte-glycemic index in long-term evolution diabetic patients with peripheral arterial disease following endovascular treatment. Methods This retrospective observational study enrolled 127 diagnosed requiring Patients were categorized into two groups based on severity infrapopliteal atherosclerotic lesions identified during pre-operative Computer Tomography Angiography examination. Group 1 includes without severe damage artery, while 2 artery damage, by stenosis greater than 70% all arteries. primary outcome was assess association between at baseline and major amputation after percutaneous transluminal angioplasty. Results had a higher incidence cardiovascular events (p=0.009), stage IV Leriche-Fontaine (p=0.016), (p<0.001), as well an increased (p=0.004). During follow-up, above-median have risk (p=0.034), seen Kaplan-Meier analysis. Moreover, cox-regression, elevated biomarker values associated amputation, independent age, sex, factors, below-the-knee occlusion (HR:2.69, p=0.001). Conclusions Elevated are long term.

Language: Английский

Citations

1
An old but still valuable technique for popliteal artery stenosis: Endarterectomy via the posterior approach DOI Creative Commons
Serhat Hüseyın, Orkut Güçlü, Adem Reyhancan

et al.

Medicine, Journal Year: 2024, Volume and Issue: 103(26), P. e38693 - e38693

Published: June 28, 2024

Isolated popliteal artery occlusions are rare compared with femoropopliteal occlusive diseases. Although endovascular procedures have gained importance in treatment, conventional surgery remains the gold standard. In this study, we reviewed endarterectomy and patch plasty using a posterior approach. Fourteen patients who underwent for isolated were retrospectively examined. Patients assessed terms of age, sex, risk factors, such as accompanying diseases smoking, surgical method anesthesia, incision type, preoperative postoperative pulse examination, ankle-brachial indices, patency, wound infection, complications, treatment applied. Twelve (85.7%) male, 2 (14.3%) female. Limb ischemia was critical (ABI < 0.7) 11 (78.5%) patients. The average duration hospitalization 8 ± 3.7 days on average, length follow-up 17 3.4 months. Thrombosis complications requiring secondary intervention did not develop during early period. While patency rate first 6 months 100%, it 92.8% 1st year 85.7% 2nd year. Surgical approach lesions is preferred by vascular surgeons prioritized method, sufficient recanalization low perioperative morbidity mortality rates. Furthermore, promising because does prevent below-knee bypass, which subsequent stage treatment. Moreover, great saphenous vein protected, acceptable early- mid-term results encouraging.

Language: Английский

Citations

0
Infection Control in Prosthetic Surgery DOI Creative Commons

Giulia Ianni,

Francesco Pizza, Andrea Siani

et al.

Updates in surgery/Updates in surgery series, Journal Year: 2024, Volume and Issue: unknown, P. 123 - 132

Published: Oct. 14, 2024

Language: Английский

Citations

0
Explantation of Infected Fenestrated Endovascular Aortic Repair Device DOI Creative Commons
Hamza Hanif, Pierce Massie, Rachel C. Danczyk

et al.

Journal of Vascular Surgery Cases and Innovative Techniques, Journal Year: 2024, Volume and Issue: 11(1), P. 101686 - 101686

Published: Nov. 19, 2024

Language: Английский

Citations

0
Traumatic injury to vascular prosthetic anastomosis: A case report and diagnostic approach DOI Open Access
Nulvin Djebbara-Bozo,

Emilie Arntoft Pedersen,

Maria Arvad Serifi

et al.

International Journal of Surgery Case Reports, Journal Year: 2024, Volume and Issue: 123, P. 110239 - 110239

Published: Sept. 5, 2024

Language: Английский

Citations

0
Narrative Review of CTO Composition to Develop Biomimetic Models of Chronic Limb-Threatening Ischemia to Enhance Revascularization Strategies DOI Creative Commons
Eimear Wallace, Muireann B. O'Reilly,

Joseph Tannian

et al.

JVS-Vascular Insights, Journal Year: 2024, Volume and Issue: 2, P. 100147 - 100147

Published: Jan. 1, 2024

ObjectivePeripheral artery disease affects over 200 million people worldwide and is a chronic vascular characterized by impaired blood flow to the lower limbs. Chronic limb-threatening ischemia most advanced form of peripheral with pain at rest due total occlusions within arteries This review explores composition revascularization strategies being used treat highlights importance biomimetic models enhance strategies.MethodsA literature on occlusions, strategies, occlusion analogues in using PubMed databases was performed December 2023 through June 2024. We included studies that evaluated safety, efficacy mortality adults undergoing interventions.ResultsStudies suggest consist lipid, fibrous, calcium components, which significantly impede or obstruct affected Revascularization first-line treatment restore limbs, crossing bypassing thereby preventing amputations death. However, current approaches are often ineffective when attempting cross large complex multi-material require significant improvement.ConclusionsTo do this, comprehensive understanding CTO positioning required. From realistic arterial containing fibrotic calcific can be created aid creation development devices capable successfully improve outcomes.

Language: Английский

Citations

0
Resection and Reconstruction of the Inferior Vena Cava Using a Tunneled Peritoneal Graft for Renal Tumor With Thrombus: Venous Compensation via the Azygos Vein Following Early Graft Occlusion DOI Open Access

Marcos Andrés Sánchez-Rendon,

Marco Alberto Ocaña-Munguía,

Gerardo Llamas-Linares

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 28, 2024

Inferior vena cava (IVC) invasion by tumor thrombus poses a significant surgical challenge, often requiring vascular reconstruction. Standard methods, including prosthetic and autologous vein grafts, have limitations such as infection risks, anticoagulation demands, increased costs. We present the case of 66-year-old male with right renal (T3bN0M0, Neves Zincke II) gross hematuria, who underwent radical nephrectomy open thrombectomy. During surgery, extensive IVC was identified, 12×7 cm peritoneal graft used for reconstruction in absence other options. Postoperative imaging revealed initial patency; however, near-total occlusion observed day 15, asymptomatic compensation via azygos vein. Pathology clear cell carcinoma sarcomatoid rhabdoid features (ISUP/WHO grade 4) negative margins, adjuvant pembrolizumab initiated. This highlights utility grafts an emergency solution when conventional options are unavailable; this treatment also carries potential complications. Further research is needed to optimize durability improve long-term outcomes reconstructions involving IVC.

Language: Английский

Citations

0