VASCULAR DISEASE MANAGEMENT
February 2015, Vol. 12, No. 2
CASE REPORT AND REVIEW
Popliteal Vein Aneurysms: The Diagnostic and Surgical Dilemma
Roger L. Flekser, MD; Walid Mohabbat, MD
From North Shore Vein Clinic and Specialist Vascular Clinic, Sydney, Australia.
Primary venous aneurysms are exceedingly rare. Despite their paucity popliteal venous aneurysms (PVAs) represent a potential source of thromoemboli and can therefore be associated with fatal or near fatal pulmonary emboli. Here we report a case of a large popliteal aneurysm, which resulted in a pulmonary embolus. The diagnosis and more importantly surgical management of PVAs remain uncertain. This case highlights the diagnosis, and surgical approach to such aneurysms.
Iatrogenic Subclavian Artery Catheterization During Single Incision Chest Port Placement
Issam Kably, MD, and Dmitriy Meshkov, MD
From University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida.
Chest port is an integral part in the treatment of various malignancies. Placement of this intravascular device is achieved most commonly through a double incision approach, and recently by utilizing a newer single incision technique. The single incision technique is associated with better cosmetic outcomes, with decreased infection rates and tissue injury. In this case, during routine double port placement utilizing single incision subcutaneous infraclavicular approach, inadvertent access through the right subclavian artery at the origin of the right vertebral artery was performed. The defect was repaired with a novel approach utilizing a 7mm x 7mm Hyperform compliant balloon under fluoroscopic guidance. At the conclusion of the procedure patient had no neurological deficits and intact vascular exam of the upper extremities.
Erik E. Debing, MD, Discusses the IN.PACT Belgian Diabetic Drug-Coated Balloon Trial
Interview by Jennifer Ford
* Articles are subject to change at the editor’s discretion.