Abstract:
:Vascular blowout syndrome (VBOS) secondary to neoplastic erosion is a dreadful complication of advanced stage malignancies that can compromise quality of life and overall prognosis in a fragile patient population. Endovascular therapy can offer minimally invasive, life-saving maneuvers both acutely and prophylactically. Four patients with end-stage malignancies eroding into various peripheral vascular beds with impending, threatened, and acute VBOS underwent successful endovascular management. Technical success was achieved in all patients with no perioperative morbidity or mortality. In all patients, endovascular intervention controlled life-threatening hemorrhage and facilitated adjunctive therapeutic modalities such as surgical tumor debulking and/or chemoradiation. In conclusion, our small case series demonstrates that endovascular therapy can offer safe and effective palliation of peripheral VBOS secondary to neoplastic erosion.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Huntress LA,Kogan S,Nagarsheth K,Nassiri Ndoi
10.1177/1538574417710600subject
Has Abstractpub_date
2017-08-01 00:00:00pages
394-399issue
6eissn
1538-5744issn
1938-9116journal_volume
51pub_type
杂志文章abstract:OBJECTIVE:To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. METHODS:Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413495461
更新日期:2013-08-01 00:00:00
abstract::The ruptured hypogastric artery aneurysm (RHAA) is a rare clinical entity with an evolving and dynamic therapeutic armamentarium. The anatomical location and varied clinical presentation can pose a challenge for successful repair. Recently, endovascular and hybrid operative repairs have significantly improved the hist...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574413475887
更新日期:2013-04-01 00:00:00
abstract::Iliac vein aneurysms are an exceedingly uncommon problem faced by vascular specialists. We report a case of a healthy 32 year old woman who had large asymptomatic bilateral external iliac vein aneurysms found incidentally on CT scan. They may present with thromboembolism, spontaneous rupture, or they may be asymptomat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574410366488
更新日期:2010-10-01 00:00:00
abstract::A 26-year-old male soldier was clinically characterized by transient fever, persistent right upper quadrant pain, hypertension, and elevated inflammatory biomarkers associated with bacterial infection. On the fifteenth day after the onset of symptoms, he had typical CT findings in polyarteritis nodosa involving only t...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420968682
更新日期:2020-10-21 00:00:00
abstract::We present cases of complex, calcified iliac occlusive disease revascularized via a combined radial-femoral access strategy. Through a 6-French, 125-cm transradial guiding catheter, antegrade guidewires and catheters are advanced into the iliac occlusion, while retrograde devices are advanced transfemorally. The trans...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418764819
更新日期:2018-08-01 00:00:00
abstract::Abnormal aortic arch anatomy is relatively uncommon but most frequently involves an aberrant right subclavian artery. Rarely, it is associated with aneurysmal dilatation of a chronic type B dissection. Under such circumstances, the abnormal anatomy may complicate therapeutics options. Furthermore, controversy exists r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408328662
更新日期:2009-06-01 00:00:00
abstract::Thoracoabdominal aortic aneurysms (TAAAs) are treated traditionally with open surgical repair; however, selective, high-risk patients can be evaluated for an endovascular approach. If the TAAA is complicated by the presence of aortic rupture, open surgical intervention is conventionally the course of action. However, ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574409335273
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:This study tests an existing Vascular Biochemistry and Haematology Outcome Model (VBHOM) on independent data and presents further refinements to the model. METHODS:Data from 306 patients who underwent lower limb amputation over a 4-year period were collated. Urea, creatinine, sodium, potassium, hemoglobin, whi...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412445600
更新日期:2012-07-01 00:00:00
abstract::Traumatic nonanastomtic disruption of an axillofemoral bypass graft (AFBG) is a relatively rare entity. However, we are reporting on an 82-year-old female who presented with a pulsating mass on her left side, which was noticed about 2 weeks after she fell on her side. The patient had undergone an ABFG about 15 years e...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574412463972
更新日期:2013-01-01 00:00:00
abstract::Symptomatic visceral aneurysms usually present with abdominal pain and shock, gastrointestinal bleeding, or hemobilia when the aneurysm ruptures. Less frequently, visceral aneurysms are found incidentally during abdominal computed tomography or angiography. Thrombosis is a frequent complication of popliteal and femora...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440503900413
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Hybrid procedures for thoracoabdominal aortic aneurysms (TAAA) have been previously described as an attractive alternative to open reconstruction. PATIENTS AND METHODS:Between 1999 and 2009, 16 patients with a median age of 67years underwent hybrid repair of a TAAA (Crawford type I: 3, type II: 3, type III:...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574409347390
更新日期:2010-02-01 00:00:00
abstract::Open repair of abdominal aortic aneurysms (AAAs) or occlusive disease can be complicated by pseudoaneurysm formation and aneurysmal dilatation of native vessels. Reports of reoperation for these new lesions have a mortality rate of 5-17% electively, and 24-88% if ruptured. These complications are commonly several year...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440503900302
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To review immediate results, patency rates, hemodynamic success, and incidence of concomitant procedures with external iliac artery stenting (EIAS). METHODS:Demographic features, category and clinical grade, Trans-Atlantic Inter-Society Consensus II classification lesion type, pre- and postprocedure ankle-b...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412442400
更新日期:2012-04-01 00:00:00
abstract::We report a case of an abdominal aortic aneurysm (AAA) that underwent inflammatory transformation which we treated medically with corticosteroids. Medical therapy resulted in resolution of presenting symptoms and observed inflammatory changes. We review the clinical features, associated pathology, diagnostic, and ther...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574413510616
更新日期:2014-01-01 00:00:00
abstract::Anatomical variations of the digestive system arteries are important due to their clinical significance. However, anomalies in the inferior mesenteric artery (IMA) are the least common compared with the celiac trunk and superior mesenteric artery. This report describes the case of a 67-year-old man with an extremely r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412445217
更新日期:2012-07-01 00:00:00
abstract::In this article, a novel technique for the treatment of ruptured abdominal aortic aneurysm secondary to proximal type 1 endoleak as a result of progressive neck dilatation after endovascular aneurysm repair is reported. A 74-year-old man with multiple comorbidities including severe ischemic heart disease, congestive c...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408315203
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Lymphaticovenular anastomosis (LVA) is becoming a treatment option for lymphedema. It is challenging to perform LVA when a lymphatic vessel is too far from a vein to anastomose directly. METHODS:We applied vein grafting for simultaneous multisite LVA (SM-LVA), when there was a considerable distance between ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574415614402
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:When critical limb ischemia (CLI) occurs in patients with thromboangiitis obliterans (TAO) or Buerger's disease, smoking cessation alone may be insufficient to relieve rest pain and promote wound healing. Accordingly, adjunctive measures are warranted to restore adequate blood flow required for limb salvage. Th...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574417744085
更新日期:2018-02-01 00:00:00
abstract::Left recurrent laryngeal nerve paralysis was first described in 1897 by Ortner in a patient with mitral valve disease. However, this paralysis has also been attributed to other cardiovascular pathologies, such as thoracic aortic aneurysms. In 1971, Parodi introduced the endoluminal technique by inserting endovascular ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440604000111
更新日期:2006-01-01 00:00:00
abstract::As increasing experience and comfort with endovascular interventions performed in an outpatient setting has occurred, the safety and cost effectiveness of performing these procedures without an overnight stay were analyzed, especially when endovascular procedures were combined with open vascular operations requiring a...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440203600312
更新日期:2002-05-01 00:00:00
abstract::Bilateral internal carotid artery agenesis is a very rare congenital anomaly, which may be accompanied by various types of associated vascular abnormalities, included intracranial aneurysms or dolichoectatic change of posterior circulation. In this article, we present unique, and to the best of our knowledge, the firs...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574409347393
更新日期:2010-01-01 00:00:00
abstract::Visceral artery pseudoaneurysms are common complications of pancreatitis that carry a high mortality rate. Early detection and treatment of the pseudoaneurysms should be done as they carry high mortality following rupture. The splenic artery is the commonest artery involved followed by gastroduodenal and pancreaticodu...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954309
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:To present a case of aortic sac occlusion using an Amplatzer vascular plug II (AVP). CASE REPORT:A patient with sigmoid malignancy and an infrarenal aortic aneurysm ultimately required an axillobifemoral graft for acute limb ischemia. The sac was ligated at subsequent laparotomy. Persistent filling of the sac ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411433297
更新日期:2012-02-01 00:00:00
abstract::Acute arterial disruptions of the thoracic aorta are rare and often lethal. They are most often due to blunt trauma and occur most commonly just distal to the left subclavian artery origin in the setting of multisystem injuries. The very proximal nature of the lesion in survivors makes open surgical repair hazardous, ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800404
更新日期:2004-07-01 00:00:00
abstract::One of the most feared complications following vascular reconstruction is infection due to the attendant risks of limb loss, sepsis, or death. The reported incidence of infection following infrainguinal prosthetic graft infection is 2.5% with associated mortality rates and amputation rates of 18% and 41%, respectively...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408326265
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:Radial artery access is widely utilized in coronary angiography with reported lower rates of vascular complications and better patient comfort. There is limited data in the literature regarding radial access in peripheral endovascular procedures. We hypothesize that radial access is safe and feasible for per...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420906942
更新日期:2020-05-01 00:00:00
abstract::Open surgical repair is the standard treatment for a ruptured infrarenal abdominal aortic aneurysm (rAAA). This approach is associated with mortality rates of up to 70%, with significant surgery-related morbidity among survivors. In selected patients, endoluminal repair (ER) of an rAAA under local anesthesia may allow...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800302
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Open repair (OR) for popliteal artery aneurysm (PAA) has recently been challenged by endovascular repair (ER) as the primary choice of treatment. The aim of the present study was to evaluate time trends in treatment modality and compare outcomes between OR and ER among electively operated patients after star...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417742762
更新日期:2018-02-01 00:00:00
abstract::Patients with end-stage renal disease (ESRD) who present with critical limb ischemia (CLI) have become an increasingly common and complex treatment problem for vascular surgeons. Dialysis patients have high short-term mortality rates regardless of whether revascularization is pursued. ESRD patients with CLI can be man...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574416674843
更新日期:2016-11-01 00:00:00
abstract::Acute renal artery occlusion is a rare but threatening problem; optimal therapeutic treatment remains a challenge, and ultimate outcomes are still to be defined. In the last decades, several reports or short-case experiences have been reported describing the use of selective infusion of lytic agents into renal artery ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408314445
更新日期:2008-08-01 00:00:00