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Repair of a Left Brachial Artery Pseudoaneurysm After Blood Donation in a 17-Year-Old Male

  • Wed, 1/4/12 - 12:52pm
  • 1 Comments
  • 711 reads

Abstract

We present a rare case report of a 17-year-old male who developed a brachial artery pseudoaneurysm after donating blood at his high school blood drive. We describe our operative approach and review the literature on the risks of blood donation and incidence of brachial artery pseudoaneurysms.

VASCULAR DISEASE MANAGEMENT 2012;9(1):E1–E2



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Endovascular Treatment of a Giant Subclavian Artery Pseudoaneurysm Presenting 3 Years After a Gunshot Injury

  • Tue, 12/6/11 - 9:48am
  • 0 Comments
  • 923 reads

Abstract

A 29-year-old male patient presented with shortness of breath, palpitation, and back pain 3 years after a gunshot injury. Magnetic resonance imaging and selective angiography showed a giant pseudoaneurysm of the right subclavian artery. It extended into the right paratracheal and retrocaval regions, compressing the lung parenchyma.



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Entrapment of Micropuncture Sheath: A Re-access Complication with a StarClose Vascular Closure Device

  • Wed, 7/6/11 - 10:36am
  • 1 Comments
  • 2234 reads

Abstract

The majority of interventional procedures require access via the femoral artery. A variety of closure devices have been developed to facilitate access site management and early ambulation. The StarClose™ Vascular Closure System (Abbott Vascular, Abbott Park, Illinois), which features a nitinol clip, has received approval for repuncture and reclosure in patients undergoing percutaneous catheterization procedures. We report a case of entrapment of a micropuncture vascular sheath into a previously placed StarClose™ device and its successful retrieval.



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Complex Endovascular Repair of Concurrent Ruptured Arch and Descending Thoracic Aortic Aneurysms in a Patient with a Previously Replaced Abdominal Aorta

  • Fri, 6/3/11 - 8:59am
  • 0 Comments
  • 2527 reads

Abstract

Objective. To present a challenging case of a patient with contained ruptured aneurysm of her aortic arch as well as a saccular aneurysm of the descending thoracic aorta with a history of previously repaired abdominal aortic aneurysm. Methods. Technical considerations for the placement of the endograft required us to perform extra anatomic reconstruction in the form of a right carotid to left carotid artery bypass, and a left carotid to left subclavian artery bypass. This provided the 2 cm proximal landing zone required for endovascular repair of the arch aneurysm.



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Pseudoaneurysm of the Deep Femoral Artery after Pertrochanteric Hip Fracture: A Case Report

  • Fri, 6/3/11 - 8:33am
  • 0 Comments
  • 2334 reads

Abstract

Hip fractures are a common injury among the elderly. A quarter of all pertrochanteric fractures are unstable with a fractured lesser trochanter. Most of these fractures are treated with an intramedullary fixation. We report a rare complication of pseudoaneurysm formation of the deep femoral artery due to migration of the lesser trochanter after intramedular repair with the Gamma 3 Locking Nail. The patient was subsequently treated with resection of the bone fragment and reconstruction of the deep femoral artery with an autologous vein.



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Rectus Sheath Hematoma as a Complication of Ablation of Atrial Fibrillation

  • Wed, 11/3/10 - 1:37pm
  • 1 Comments
  • 4064 reads

A rectus sheath hematoma is an uncommon condition and, to the best of our knowledge, no case has been reported in the literature as a complication of radiofrequency ablation of atrial fibrillation. Along with review of the pathophysiology and anatomy of this entity we report a case of a rectus sheath hematoma complicating an atrial fibrillation ablation procedure and propose methods for treatment and prevention.



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Spontaneous Upper Limb DVT

  • Wed, 8/4/10 - 2:38pm
  • 1 Comments
  • 4109 reads


Abstract

Spontaneous upper limb deep venous thrombosis (DVT) is associated with exercise and occurs in young healthy individuals. Underlying anatomical abnormalities are often found, causing compression of the subclavian vein. Prompt thrombolysis and consideration of thoracic outlet decompression differentiate it from lower limb DVT. A case illustrating the clinical features of the condition is presented here.

VASCULAR DISEASE MANAGEMENT 2010;7:E175–E177

Key words: Paget-Schröetter syndrome; deep venous thrombosis; exe



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Aneurysm Rupture Following Limb Disconnection of a Zenith Stent Graft

  • Wed, 6/2/10 - 9:17am
  • 0 Comments
  • 3703 reads


Abstract

We report the case of a ruptured abdominal aortic aneurysm (AAA) related to a Type III endoleak which occurred 3 years after treatment of the AAA with a Zenith Cook stent graft. This report will also discuss the mechanism of occurrence and means of detection.

An 81-year-old female underwent elective treatment of a 55 mm AAA using a right aorto-uni-iliac Zenith Cook stent graft. During follow-up, a Type II endoleak was detected and was responsible for a 4 mm aneurysm sac diameter increase. At 30 months, the patient experienced a secondary AAA rupture due to a



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Intravascular Hemolysis Following Peripheral Atherectomy with the Pathway Jetstream® Catheter

  • Thu, 4/1/10 - 11:50am
  • 0 Comments
  • 5689 reads


Abstract

Intravascular hemolysis has been reported with a variety of atherectomy devices. We report a case of hemolysis after the use of the rotational aspiration Pathway Jetstream® catheter in the treatment of severe superficial femoral artery stenosis.

Key words: atherectomy, peripheral vascular disease

VASCULAR DISEASE MANAGEMENT 2010;7:E110–E111

_________________________________________________


Case Presentation

We describe a 77-year-old female ex-smoker with a known past



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Suprarenal IVC Filter Deployment with CDT for Acute DVT and Infrarenal IVC Filter Thrombus

  • Fri, 9/18/09 - 10:31am
  • 0 Comments
  • 4095 reads

Abstract

We report a patient with recurrent deep vein thrombosis (DVT) for last 8 years. He maintained therapeutic level of international normalized ratio with oral anticoagulants and aspirin. However he continued to have recurrent massive DVT, which necessitated infrarenal inferior vena cava (IVC) filter placement with catheter directed thrombolysis (CDT). Subsequently the patient presented with extension of the thrombus into the infrarenal IVC, the IVC filter and beyond the IVC filter. The patient was managed with a suprarenal IVC filter deployment and CDT.

Introduction



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