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Atypical presentation of fistula dysfunction due to brachial arterial embolization mimicking stroke
In this report, failure to recognize the upper limb ischemia would have led to delayed treatment, potentially resulting in the fistula's complete thrombosis and further limb ischemia. We highlight the importance of a diagnosis method like Doppler ultrasound, which allows for rapid evaluation at the patient's bedside.PMID:35000475 | DOI:10.1177/11297298211067686
Source: The Journal of Vascular Access - January 10, 2022 Category: Surgery Authors: Rita Vicente Laura Rodriguez Joaquim Vallesp ín Carolina Rubiella Jose Ibeas Source Type: research

Symptomatic Carotid Plaques Show Decreased (18)F-Fluorodeoxyglucose (FDG) Uptake on Positron Emission Tomography (PET) After 3 Months Follow-up from Last Symptom
Introduction: The risk of stroke is high shortly after the index symptoms in patients with carotid disease. This indicates that unstable carotid plaques stabilizes over time, which may be due to changes in composition and inflammatory activity. Inflammation is thought to be one of the leading causes in atherosclerotic plaques destabilizing leading to thrombosis. With positron emission tomography (PET) previous studies have shown increased uptake of the glucose analogue tracer [18F]-fluorodeoxyglucose (FDG) in symptomatic compared to asymptomatic carotid plaques.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: L ærke Urbak, Rasmus Sejersten Ripa, Benjamin Sandholt, Andreas Kjaer, Henrik Sillesen, Martin Graebe Source Type: research

Hypertension, Acute Stent Thrombosis, and Paraplegia 6  Months after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury in a 22-Year-Old Patient
Thoracic endovascular aortic repair (TEVAR) is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR. A 22-year-old male was admitted to the emergency department following a high-impact road traffic collision. Whole-body computed tomography (CT) scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke.
Source: Annals of Vascular Surgery - September 8, 2017 Category: Surgery Authors: Ombretta Martinelli, Federico Faccenna, Alban Malaj, Jihad Jabbour, Salvatore Venosi, Roberto Gattuso, Bruno Gossetti, Luigi Irace Tags: Case Report Source Type: research

Hypertension, acute stent thrombosis and paraplegia 6 months after TEVAR for blunt thoracic aortic injury in a 22 year old patient
TEVAR is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR.A 22-year old male was admitted to the Emergency Department following a high-impact road traffic collision. Whole body CT scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke. We decided to treat him in an endovascular fashion with a Zenith Cook (Cook Incorporated, Bloomington, IN) endograft.
Source: Annals of Vascular Surgery - September 8, 2017 Category: Surgery Authors: O. Martinelli, F. Faccenna, A. Malaj, J. Jabbour, S. Venosi, R. Gattuso, B. Gossetti, L. Irace Source Type: research

Long-term Outcome After EndoVAC Hybrid Repair of Infected Vascular Reconstructions.
CONCLUSION: The EndoVAC technique is an alternative, less invasive, option for treatment of infected vascular reconstructions in selected cases, when neither traditional radical surgery, nor conservative simple negative pressure wound therapy are considered feasible or safe. The exact indications for this alternative hybrid treatment need to be established. PMID: 26944600 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 1, 2016 Category: Surgery Authors: Thorbjørnsen K, Djavani Gidlund K, Björck M, Kragsterman B, Wanhainen A Tags: Eur J Vasc Endovasc Surg Source Type: research

Upper Extremity Ischemia as a “Warning Shot” of Cerebellar Infarction
A 44-year-old woman without cardiovascular risk factors complained of pain and coldness in the digits of her left hand. Radial and ulnar pulses were palpable, with equal brachial pressures on both sides. After a 2-hour stay in the outpatient department she developed acute headache, nausea, and vomiting. Computed tomographic scan with contrast medium revealed a floating thrombus in the left subclavian artery extending towards the origin of the vertebral artery (A). Brain magnetic resonance imaging demonstrated an infarction of the left cerebellum (B), whereupon the patient was immediately referred to the stroke unit.
Source: European Journal of Vascular and Endovascular Surgery - February 29, 2016 Category: Surgery Authors: S. Regus, W. Lang Tags: Coup D'Oeil Source Type: research

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts Source Type: research

Carotid Artery Free-Floating Thrombus Caused by Paradoxical Embolization From Greater Saphenous Vein Ascending Thrombophlebitis
We report a case of a young woman without cardiovascular risk factors who was admitted to our emergency department with listlessness and altered mental status. The clinical examination revealed right lower limb swelling. Magnetic resonance imaging and contrast-enhanced computed tomographic scans revealed a free floating thrombus of the left internal carotid artery (ICA) with a large bilateral frontal ischemic lesion. The diagnosis of a medium-sized PFO with moderate right-to-left contrast shunting was made after transesophageal echocardiography. No other cardiac sources for embolization were detected, while an ascending th...
Source: Annals of Vascular Surgery - April 28, 2013 Category: Surgery Authors: Luigi Irace, Roberto Gabrielli, Maria Sofia Rosati, Maria Fabrizia Giannoni, Anna Castiglione, Antonella Laurito, Bruno Gossetti Tags: Case Report Abstracts Source Type: research