JVS-Cases Innovations and Techniques
@JVascSurgCIT
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The Journal of Vascular Surgery - Cases, Innovations and Techniques publishes peer-reviewed cases reports, images, and videos related to vascular surgery.
Joined April 2022
🫀📦 Unexpected journey of a device. A LAA occluder embolized to the pararenal aorta was retrieved endovascularly using a laparoscopic biopsy grasper via femoral access avoiding open surgery & highlighting creative bailout strategies. 👉 #AFib #LAAO.
jvscit.org
Left atrial appendage occluder devices (LAAODs) offer stroke prevention in patients with atrial fibrillation (AF) who have bleeding complications or contraindications to oral anticoagulation (OAC)....
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🚨 Zone 0 endovascular rescue. Two patients with acute ascending aortic syndromes were treated using the TAG Thoracic Branch Endoprosthesis, showing promise for high-risk cases traditionally managed with open repair. 👉 #TEVAR #Zone0 #AortaEd.
jvscit.org
In this case report, we describe two patients with acute ascending aortic syndromes who were treated endovascular with a Gore® TAG® Thoracic Branch Endoprosthesis (W.L.Gore&Associates, Flagstaff, Az,...
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🫀💥 Managing complications. Two cases of iatrogenic iliac vein injury during open aortic surgery were salvaged using cardiopulmonary bypass with hypothermia providing exposure, hemostasis & neuroprotection. A lifesaving adjunct. 👉 #AortaEd #Complications.
jvscit.org
This report discusses the management of iatrogenic injuries to the iliac vein confluence that occurred during open aortic reconstruction in two patients. Both patients underwent open aortic reconst...
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🎙️ New Episode! Tune in as authors & SVS Social Media Ambassadors bring you the latest editorials & abstracts from JVS-CIT insightful cases, innovations & techniques you won’t want to miss. 👉 #podcast #JVSCIT @kelseyum2plus @JohnCulhaneMD @AudibleBleeding.
audiblebleeding.com
In this episode, we spotlight editorials and abstracts from the Journal of Vascular Surgery Cases, Innovations, and Techniques (JVS-CIT). Editorials and Abstracts are read by Authors as well as...
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🧬🩸 When cancer mimics aneurysm. An 84-year-old with a pulsatile groin mass was thought to have a femoral pseudoaneurysm only to reveal diffuse large B-cell lymphoma infiltrating the vessel wall at surgery. A rare, eye-opening case!.👉 #Pseudoaneurysm.
jvscit.org
This report describes the case of a femoral pseudoaneurysm caused by diffuse large B-cell lymphoma in an 84-year-old man with a month-long history of a pulsatile mass in the right inguinal region....
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🩸🦿 A good example of a proven approach. This case of complex femoral vessel trauma demonstrates how temporary vascular shunts, followed by spiral vein grafting, can effectively achieve limb salvage within a damage-control framework. 👉 #VascularTrauma.
jvscit.org
Vascular trauma involving the peripheral arteries of the extremities can lead to limb loss and, in severe cases, death. These injuries pose a dual threat of hemorrhage and ischemia 1. Temporary...
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🩻✨ Complex anatomy, creative solution. A 79-year-old with post-dissection TAAA and visceral branches from the false lumen was successfully treated with a PMEG+retrograde branched graft avoiding open surgery. Innovative endovascular rescue!.👉 #AortaEd.
jvscit.org
Chronic post-dissection thoracoabdominal aneurysms exhibit rapid progression, with 63% demonstrating aneurysmal degeneration within 5 years despite initial endovascular management (proximal TEVAR...
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🫁⚠️ A rare vascular emergency. A 79-year-old with isolated unilateral absence of pulmonary artery with rupture of a mediastinal collateral aneurysm treated endovascularly. First report of rupture from a de novo collateral aneurysm. 👉 #PulmonaryArtery.
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🖤 A rare IVC surprise. A 65-year-old woman had resection of an inferior vena cava tumor revealed to be a benign melanin-pigmented lesion. Complete excision = cure, with no recurrence at 1 year. Surgical intervention was key!.👉 #IVC #ItsNotATumor.
jvscit.org
A 65-year-old woman with no significant medical history was incidentally found to have a well-circumscribed lesion in the inferior vena cava on computed tomography. Despite unremarkable clinical...
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🧬 When genes meet aneurysms. A 55-year-old with rare multisegmented abdominal & popliteal aneurysms had an LTBP3 variant linked to systemic disease. Case underscores the value of genetic testing & counseling in vascular patients. 👉 #Aneurysm #Genetics.
jvscit.org
An aneurysm is a localized arterial dilation that can occur in various body segments; multisegmented aneurysms are rare. This case report discusses a 55-year-old male with incidental multisegmented...
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🦠🦵 COVID-19’s vascular shadow. A 34-year-old developed acute limb ischemia just 4 days post-diagnosis, with recurrent thrombosis despite embolectomies & anticoagulation, ultimately needing bypass. Prolonged hypercoagulability demands vigilance. 👉
jvscit.org
Research indicates that COVID-19 induces endotheliitis, hypercoagulation, and hypofibrinolysis due to virus-induced endothelial dysfunction. We present a case of a 34-year-old male with acute limb...
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Dr Genovese discussing when to bypass first for CLTI patients. Great data presented. #CLIfighters #AMP2025 #FromTheMeeting
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Dr Winscott presenting on managing limb complications in a great morning session. #AMP2025 #CLIfighters #FromTheMeeting
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⚡ Rare complication alert. After laser-assisted lead extraction, a patient developed an arteriovenous fistula requiring open surgical repair with CPB. Highlights the need for vigilance & surgical backup in complex extractions. 👉 #LeadExtraction.
jvscit.org
Percutaneous extraction of pacemaker and defibrillator leads is considered a safe and effective procedure in up to 97% of cases, with lower morbidity compared to open thoracic surgery, this technique...
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Dr Steinberg discussing the importance of Achilles tendon lengthening for TMA to improve gait. #CLTIfighter #AMP2025 #FromtheMeeting
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🦵🔧 When stents misbehave. This case details repair of Viabahn stent-graft migration & extreme kinking in a popliteal aneurysm using repositioning, additional stent-grafts & Supera relining. Safe, feasible, effective. 👉 #PoplitealAneurysm.
jvscit.org
The leading endovascular treatment method of popliteal artery aneurysm is deployment of stent-graft within the lumen of the popliteal artery. Potential complications encompass incomplete exclusion of...
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🩻💡 Chyle leak after subclavian aneurysm repair? Herein, a protocolized, multi-modality approach; surgical, dietary, pharmacologic & interventional to resolve leaks quickly & protect prosthetic grafts from infection. 👉 #ChyleLeak #SubclavianAneurysm.
jvscit.org
A 63-year-old man presented to the vascular surgery clinic with an enlarging left subclavian artery aneurysm owing to proximal compression by the anterior scalene muscle. He underwent open repair...
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🦵💡 When lymphedema is end-stage, go big. This report details a radical lower extremity debulking technique for severe cases—reviving a century-old last-resort therapy to restore function & quality of life. 👉 #Lymphedema #LimbSalvage @Kuldeep1926.
jvscit.org
Debulking procedures have been a last-resort therapy for end-stage lymphedema for more than a century. Multiple techniques have been described, and the approach as a whole has fallen in and out of...
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🚨 Rare & ruptured! A PDA pseudoaneurysm ruptured post-EVAR in a patient with celiac artery stenosis from MALS, likely due to flow surge via the SMA-PDA arcade. Saved with emergent coil embolization. Must-know complication!.👉 #EVAR #Pseudoaneurysm #MALS.
jvscit.org
Pancreaticoduodenal artery (PDA) aneurysm is rare. A 79-year-old man with an abdominal aortic aneurysm and celiac artery stenosis caused by median arcuate ligament compression underwent endovascular...
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🧠🚀 TAAAs with tight aortas? Meet FEM-SMART. A novel, staged total transfemoral approach for multi-branch thoracoabdominal aneurysm repair in patients with narrow aortic lumens—100% technical success, no major complications. 👉 #TAAA #FEMSMART.
jvscit.org
An 87-year-old male presented with a painful, pulsatile mass on the left leg, diagnosed as a high-flow arteriovenous malformation (AVM) with an occluded, calcified popliteal artery. The AVM was...
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