1,234 results match your criteria: "Subclavian Artery Thrombosis"

Kommerell's diverticulum with an aberrant subclavian artery is a rare congenital aortic arch anomaly. Therefore surgical indication and strategy are not well established. A 43-year-old man was referred to our hospital with a chief complaint of chest and back pain.

View Article and Find Full Text PDF

Background: Published reports demonstrate that the use of Castor stent-graft is a promising treatment of aortic pathologies with the need to land in zone 2. However, there is a lack of publications on the medium-term results of Castor in the European population. This research evaluates the mid-term results of the Castor stent-graft in several Polish centers for the treatment of aortic pathologies and enriches the current knowledge of Castor stent-grafts.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to explore the long-term impacts of COVID-19 on key vascular structures and clinical outcomes in individuals who had the virus.
  • Conducted at a post-COVID-19 clinic, the trial involved 72 post-COVID patients and 11 control participants, with follow-up assessments at 3, 6, and 12 months post-diagnosis.
  • Results indicated increased median intima-media thickness (IMT) in COVID-19 patients compared to controls, changes in blood cell markers and responses based on severity of infection, but no instances of deep vein thrombosis were found.
View Article and Find Full Text PDF

Aneurysms in the V1 segment of the extracranial vertebral artery are extremely rare. Furthermore, half of the cases are giant aneurysms larger than 25 mm. This study reports a case of unruptured giant V1 aneurysm of the right vertebral artery that was successfully treated with endovascular coil embolization.

View Article and Find Full Text PDF
Article Synopsis
  • This study evaluates the use of Hem-o-lok clips to close the left subclavian artery stump in patients with acute Stanford type A aortic dissection, analyzing data from 96 patients treated between January 2020 and December 2022.
  • The methods involved various surgical techniques based on individual patient anatomy, with the majority of stumps closed using a combination of Hem-o-lok clips and sutures.
  • Outcomes were successful overall, with no surgery-related deaths and effective closure of the LSA stump, demonstrating that this approach simplifies the surgical process.
View Article and Find Full Text PDF
Article Synopsis
  • The fenestrated frozen elephant trunk (FET) technique aids in treating acute type A aortic dissection by allowing better blood flow and easier surgical procedures.
  • A study of 150 patients using this technique revealed a low 30-day mortality rate of 4.7% and a high rate of false lumen thrombosis (96.6%).
  • The technique proved effective with no occurrences of significant complications like fenestration occlusion or strokes during follow-up, making it a reliable option for arch repair.
View Article and Find Full Text PDF

Although acute upper limb ischemia (AULI) is less prevalent than lower acute limb ischemia, AULI may lead to severe morbidity if not well-treated. To manage AULI appropriately, evaluation of the etiologies, risk factors, and revascularization is of importance. Here we present a case of recurrent AULI and its appropriate diagnostic and management approaches.

View Article and Find Full Text PDF

Endovascular Repair in Patients with Axillary-Subclavian Arterial Trauma.

Ann Vasc Surg

January 2025

Department of Vascular Surgery, Fundación Valle del Lili, Cali, Colombia.

Article Synopsis
  • Arterial trauma to the axillary subclavian segment poses significant health risks, and endovascular therapy is emerging as a preferable treatment option over traditional surgical methods due to the complexity of accessing these vessels.
  • A study conducted over 15 years at a university hospital in Cali, Colombia, analyzed outcomes for 32 patients with traumatic injuries to these arteries who received endovascular treatment, with most patients being young and male.
  • The findings revealed that the majority of injuries were penetrating (mostly from gunshot wounds), with a low incidence of intraoperative complications, but notable occurrences of pseudoaneurysms and thrombosis among the patients treated.
View Article and Find Full Text PDF
Article Synopsis
  • - Cogan's syndrome (CS) is a type of vasculitis that can cause various symptoms, including coronary artery stenosis and problems with vision and hearing.
  • - A case study of a middle-aged woman highlighted the importance of recognizing CS, as she had elevated markers in her vascular system that led to the diagnosis.
  • - The report encourages clinicians to consider CS when patients show recurrent coronary artery issues and to conduct thorough patient histories for better diagnosis.
View Article and Find Full Text PDF
Article Synopsis
  • Thoracic endovascular aortic repair is a key treatment for aortic dissection, particularly with methods like in situ fenestration (ISF) and single-branch stent graft (SBSG) implantation, which have their own pros and cons.
  • The study analyzed 88 patients (67 in the SBSG group and 21 in the ISF group) to compare perioperative outcomes and one-year follow-up results, finding a 100% success rate with no major complications in either group.
  • Results showed the SBSG group had a lower endoleak rate (3% vs. ISF's 9.5%) and a higher rate of complete thrombosis, while both groups saw significant improvements in the
View Article and Find Full Text PDF
Article Synopsis
  • * A case study is highlighted involving a 56-year-old woman with breast cancer whose chemoport catheter migrated into her heart, leading to dysfunction during chemotherapy, which was detected through chest X-ray.
  • * The migration was successfully managed using a snare technique, emphasizing the importance of fast detection and collaboration among healthcare professionals when complications arise.
View Article and Find Full Text PDF
Article Synopsis
  • Early use of EcMELLA has shown better outcomes, but guidelines for its use are still unclear, especially concerning risks related to access routes and contraindications like left ventricular thrombosis.
  • In a case study, a 74-year-old patient with heart failure and left ventricular thrombosis successfully received a single-access EcMELLA treatment after surgery, leading to significant recovery and discharge after 31 days.
View Article and Find Full Text PDF
Article Synopsis
  • Some clinicians use endografts to partially cover the left subclavian artery (LSA) during TEVAR treatment to address issues with the proximal landing zone (PLZ).
  • A computational fluid dynamics (CFD) study was conducted to observe the hemodynamic changes in the LSA following this procedure, revealing factors that could lead to thrombosis or arteriosclerosis.
  • Results showed that covering half the LSA ostium increased local blood flow velocity, decreased wall shear stress, and created turbulent blood flow, suggesting that this approach could heighten long-term health risks such as stroke.
View Article and Find Full Text PDF
Article Synopsis
  • * The patient was treated using a hybrid procedure that combined open surgery to remove blood clots with endovascular techniques to protect the vertebral artery from embolic issues.
  • * Post-procedure, the patient regained normal pulse and function in the affected arm, and no signs of stroke were found; however, the case highlights that there are few documented instances of using embolic protection in such urgent cases.
View Article and Find Full Text PDF
Article Synopsis
  • * BCV thrombosis (BCVT) is rare but can lead to severe complications like superior vena cava syndrome, especially in patients with risk factors such as previous cancers or central venous access.
  • * A case involving an 82-year-old woman with multiple health issues highlighted the need for careful pre-procedural imaging and consideration of new technologies to mitigate risks when dealing with BCVT.
View Article and Find Full Text PDF
Article Synopsis
  • The study evaluates the effectiveness of thoracic endovascular aortic repair (TEVAR) using the Castor single-branched stent-graft for patients with type B aortic dissection (TBAD) and the revascularization of the left subclavian artery (LSA).
  • A multicenter analysis included 180 patients treated over several years, with outcomes showing high technical success but some early mortality and complications.
  • The findings suggest that TEVAR with the Castor device is a safe and feasible method, with a majority achieving complete thrombosis of the false lumen after one year, indicating its potential for restoring normal blood flow.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigated the occurrence of branch thrombosis in patients treated for aortic arch issues using an arch branched device (ABD), focusing on how clinical and geometric factors may influence this risk.
  • Out of 39 patients, thrombus formation was observed in 10% of branches, primarily associated with specific measurements like wider stent diameters and higher body mass index (BMI).
  • Overall, the technical success of the procedure was high at 97%, but there were notable rates of serious adverse events, early and late mortality, and stroke following the treatment.
View Article and Find Full Text PDF
Article Synopsis
  • * Symptoms usually arise from the aneurysm pressing on nearby structures, but serious issues like rupture or blood clots can also occur.
  • * A case study of a 30-year-old woman shows successful treatment of a 15-mm asymptomatic right-sided SAA using surgical resection and end-to-end anastomosis.
View Article and Find Full Text PDF
Article Synopsis
  • * A 20-something woman experienced severe arm pain and a painless mass in her right armpit, which led to the discovery of absent pulses in her arteries and a CT scan revealing a partially thrombosed aneurysm from the right axillary artery.
  • * She was treated with methotrexate and corticosteroids, resulting in a decrease in aneurysm size and alleviation of symptoms after three months.
View Article and Find Full Text PDF
Article Synopsis
  • The study explores the use of the Castor single-branched stent graft in treating type B aortic dissection while preserving the left subclavian artery during thoracic endovascular aortic repair (TEVAR).
  • From November 2020 to June 2023, 29 patients underwent treatment, showing a high technical success rate of 96.6% and no in-hospital complications like mortality or stroke.
  • Follow-up results indicated significant improvements in true lumen diameter and favorable abdominal aortic branch perfusion patterns, with most branches showing stable perfusion post-procedure.
View Article and Find Full Text PDF
Article Synopsis
  • Coexistence of pulmonary embolism (PE) and arterial thrombosis is uncommon and presents unique treatment challenges due to the lack of standardized protocols.
  • A case study of a 73-year-old man revealed successful treatment for both PE and left subclavian artery embolism using AngioJet mechanical thrombectomy and brachial artery surgery.
  • After the procedures, the patient showed significant recovery and maintained good health during a 9-month follow-up period, suggesting this combined approach may be effective for similar cases.
View Article and Find Full Text PDF
Article Synopsis
  • Thoracic endovascular aortic repair (TEVAR) is an effective treatment for complicated acute type B aortic dissection (aTBAD), but questions remain regarding coverage length and its effects on aortic health.
  • A study reviewed 92 patients who underwent TEVAR, comparing standard coverage (zones 3 and 4) to extended coverage (zones 3 to 5), revealing extended TEVAR required longer coverage and led to better outcomes in terms of false lumen closure and fewer reinterventions.
  • Overall, extended TEVAR was found to be safe and reduced complications, but more long-term follow-up is needed to confirm any potential survival advantages over standard procedures.
View Article and Find Full Text PDF
Article Synopsis
  • * The echocardiogram identified significant heart defects, including an interrupted aortic arch and a large ventricular septal defect, but the presence of a patent ductus arteriosus prevented immediate complications from this reversed flow.
  • * Ultimately, the infant was diagnosed with DiGeorge syndrome, underwent corrective surgery for the interrupted aortic arch, and restored normal blood flow in the basilar artery, highlighting the critical nature of recognizing these congenital vascular anomalies.
View Article and Find Full Text PDF