Vascular and Endovascular Review

Volume 3, 2020

Incisional Hernia Following Open Abdominal Aortic Aneurysm Repair: A Contemporary Review of Risk Factors and Prevention

Thuy-My Nguyen, Saissan Rajendran, Kilian GM Brown, Prakash Saha, Raffi Qasabian Abstract While the endovascular approach has been the treatment of choice for abdominal aortic aneurysm (AAA) repair in the modern era, open AAA repair remains a treatment option and may have a resurgence after the recent release of draft guidelines from the National Institute […]

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Restenosis After Tack Implantation is Associated with Less Complex Patterns of Restenosis Compared to Stent Implantation

Raghu Kolluri, William A Gray, Ehrin Armstrong, Brian C Fowler Abstract In-stent restenosis is complex, difficult to treat and has led to a ‘leave less metal behind’ approach to femoropopliteal intervention. Postangioplasty dissection often requires scaffolding to maintain patency. The Tack Endovascular System provides minimal-metal dissection repair that preserves future treatment options. Tack implants are

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Post-thrombotic Syndrome: Preventative and Risk Reduction Strategies Following Deep Vein Thrombosis

Adam M Gwozdz, Stephen Black, Beverley J Hunt, Chung S Lim Abstract Venous disease is common in the general population, with chronic venous disorders affecting 50–85% of the western population and consuming 2–3% of healthcare funding. It, therefore, represents a significant socioeconomic, physical and psychological burden. Acute deep vein thrombosis, although a well-recognised cause of

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Ultrasound Detection of Extracranial Carotid Artery Aneurysms: A Case Report

Fabrizio D’Abate, Cristiana Vitale Abstract The ultrasound definition of extracranial carotid artery aneurysms (ECCAs) is unclear. The threshold diameter to use for defining an extracranial carotid artery as aneurysmal is still debated. Similarly, the ultrasound method of choice for measuring the maximum diameter of ECCAs has not been agreed. In this paper we report the

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Left Renal Vein Stenting in Nutcracker Syndrome: Outcomes and Implications

Patrick Cherfan, Efthymios D Avgerinos, Rabih A Chaer Abstract Nutcracker syndrome refers to the symptomatic extrinsic compression of the left renal vein presenting most commonly as flank pain and haematuria. While surgery remains the first-line treatment, stenting is gaining more acceptance and there are now several published case series. This article highlights the outcomes of

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Radial Access for Neurointerventions

Roger Barranco Pons, Isabel Rodriguez Caamaño, Marta de Dios Lascuevas Abstract Transradial access (TRA) has become the standard approach for cardiac intervention, with a large body of evidence demonstrating a lower incidence of vascular complications, better patient experience and cost reduction. There has been increasing interest in using TRA both for diagnostic neuroangiography and for

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Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report

Raleene Gatmaitan, Keagan Werner-Gibbings, Morad Sallam, Rachel Bell, Panos Gkoutzios Abstract Splenic artery aneurysms (SAA) are a rare and life-threatening pathology. Ruptured SAA has a mortality rate of up to 25%, with increased rates of rupture in pregnancy, pseudoaneurysm, liver transplantation, portal hypertension, symptomatic SAA and diameter >2 cm. Management of SAA in pregnant women

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Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent

Raleene Gatmaitan, Keagan Werner-Gibbings, Tommaso Donati, Prakash Saha, Stephen Black Abstract May–Thurner syndrome (MTS) is caused by compression of the left iliac vein by the right iliac artery, leading to clinical manifestations of outflow obstruction in the lower limb and deep vein thrombosis. There have been increasing reports of iatrogenic MTS caused by medical implants.

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Use of the Orbital Atherectomy System in Isolated, Chronic Atherosclerotic Lesions of the Popliteal Artery

Patricia Torres Lebruno, Konstantinos P Donas, Stefano Fazzini, Charlott Elise Köhler, Arne Schwindt, Giovanni Torsello Abstract The treatment of isolated calcified lesions involving the popliteal artery are demanding and they often require stent placement to achieve acceptable luminal gain. This study evaluates the safety and performance of the orbital atherectomy system (Cardiovascular Systems Inc.) and

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Antithrombotic Therapy after Venous Stent Placement

Nicholas Xiao, Kush R Desai Abstract Chronic deep venous disease (CVD) affects millions of Americans and can result in significant morbidity, such as debilitating lower extremity oedema, venous claudication, and in severe cases, venous ulcers. CVD can be caused by thrombotic and non-thrombotic disease processes, such as deep venous thrombosis and iliac compression syndrome. Recently,

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