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[Recurrent varicocele: causes and treatment].
Urologiia
July 2024
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.
Introduction: Among the different options for varicocele surgery, microsurgical varicocelectomy demonstrates the best results, but a relapse is subsequently detected in 1-3% of cases. It was previously believed that the cause of recurrence lies in the presence of various sources of venous outflow from the testicle, but recent studies show that the collaterals of the gonadal vein are the main reason of recurrence.
Purpose Of The Study: to determine the leading cause of recurrence, to evaluate the effectiveness and optimal surgical tactics depending on the method of primary treatment.
Kidney Transplant for a Patient With Inferior Vena Cava and Abdominal Aorta Abnormalities.
Exp Clin Transplant
June 2024
From the Department of Transplantology, Republican Research Center of Emergency Medicine, Tashkent, Uzbekistan.
Here, we describe an interesting case of a patient with the duplication of inferior vena cava, high-positioned bifurcation of the abdominal aorta with transposition of iliac arteries, and right renal aplasia associated with end-stage renal disease who underwent kidney transplant. In this case, the patient with anorectal malformations with a vaginal fistula was prepared and underwent a kidney transplant. During the surgery, we discovered duplicated inferior vena cava and transposed iliac arteries.
View Article and Find Full Text PDFAnalysis of completion intraoperative venography during first rib resection for venous thoracic outlet syndrome.
J Vasc Surg Venous Lymphat Disord
September 2024
Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospital, Philadelphia, PA. Electronic address:
Background: We evaluated the impact of completion intraoperative venography on clinical outcomes for axillosubclavian vein (AxSCV) thrombosis owing to venous thoracic outlet syndrome (vTOS).
Methods: We performed a retrospective, single-center review of all patients with vTOS treated with first rib resection (FRR) and intraoperative venography from 2011 to 2023. We reviewed intraoperative venographic films to classify findings and collected demographics, clinical and perioperative variables, and clinical outcomes.
A Double Rarity: Lost intravascular Catheter Guidewire in Persistent Left Superior Vena Cava and Coronary Sinus - A Case Report.
Vasc Health Risk Manag
June 2024
Department of Internal Medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Article Synopsis
- A 65-year-old man experienced severe health issues and required central venous catheterization, but after a tricky placement attempt, complications arose.
- The catheter was found in an unusual location due to the possible retention of the guidewire, indicating the presence of a persistent left superior vena cava (PLSVC).
- The case illustrates the rare but serious risk of guidewire retention during catheter procedures, highlighting the need for preventive measures to avoid dangerous outcomes.
Preliminary application of three-dimensional venography and fusion navigation technique in May-Thurner syndrome.
J Vasc Surg Venous Lymphat Disord
July 2024
Department of Vascular Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China. Electronic address:
Objective: The purpose of this study was to report a technique for intraprocedural guidance of endovascular iliac vein stenting procedures using three-dimensional (3D) venography images as an overlay on live biplanar fluoroscopy.
Methods: Using 3D venography and a fusion navigation technique, percutaneous transluminal angioplasty and stent placement were performed to evaluate the feasibility of using 3D venography images and the fusion navigation technique to treat MTS compared with traditional digital subtraction angiography. The general epidemiologic data (ie, age, gender), clinical manifestations (ie, major symptoms, affected extremity, CEAP [clinical, etiology, anatomy, pathophysiology] classification, comorbidity, stenosis rate), intraoperative findings (ie, stent type, stent count, stent to inferior vena cava distance, procedure time, radiation dose, contrast agent dosage), and postoperative recovery were obtained and analyzed.
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