98%
921
2 minutes
20
Endovascular repair of aneurysmal pathology in the aorto-iliac district presents one of the significant challenges in contemporary vascular surgery. Advances in techniques, materials, and devices have enhanced the ability of vascular surgeons in endovascular procedures, leading to the management of increasingly complex cases, with applications sometimes extending beyond the Instructions for Use (IFUs) of specific devices. In our case report, we describe the successful endovascular retrieval of a disconnected tip from an iliac branch device (IBD), preventing conversion to open surgery in a 73-year-old patient with a complex aortoiliac aneurysm. The case highlights the importance of exercising caution when treating patients with complex anatomy not in conformance with a device's IFU, even in high-volume centers with extensive endovascular expertise.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.62713/aic.3784 | DOI Listing |
J Neurointerv Surg
September 2025
Neurology, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Purpose: Endovascular treatment of intracranial atherosclerotic disease (ICAD) remains challenging due to procedural risks and stroke recurrence. Previous trials have favored aggressive medical therapy. In patients refractory to medical therapy, 'stentplasty' using expandable and retrievable devices may provide a safer alternative to balloon angioplasty by allowing controlled submaximal vessel dilation without flow arrest.
View Article and Find Full Text PDFVasc Endovascular Surg
September 2025
Luminis Health Anne Arundel Medical Center, Department of Surgery, Annapolis, MD, USA.
A 49-year-old female presented with subacute onset of severe worsening bilateral lower extremity swelling. Bilateral iliac venous thrombus and extensive thrombus of the inferior vena cava with extension to the right atrium and bilateral segmental pulmonary emboli was identified on imaging. She was initiated on therapeutic anticoagulation prior to undergoing percutaneous mechanical thrombectomy with the RevCore TM device (Inari Medical, Irvine, CA) with retrieval of white, relatively well-formed organized clot vs mass.
View Article and Find Full Text PDFInterv Cardiol
August 2025
Woodlands Health, National Healthcare Group Singapore.
Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.
View Article and Find Full Text PDFJ Int Med Res
August 2025
College of Medicine and Medical Research Institute, Chungbuk National University, Republic of Korea.
Despite advancements in endovascular equipment, life-threatening procedure-related complications, including arterial perforation, remain a concern. In particular, microguidewire entrapment in perforating arteries poses a significant risk of arterial avulsion injury. However, limited guidance exists on effectively managing such scenarios, and to the best of our knowledge, no cases of successful resolution of entrapment using nimodipine have been reported to date.
View Article and Find Full Text PDFPurpose: Assess the prevalence of thalamic AVM (tAVMs), their revealing conditions and angio-architectural features, as well as their therapeutic management.
Methods: Monocentric retrospective study (1998 to 2018) involving 748 consecutive patients with a brain AVM managed at the Pitié-Salpêtrière Hospital, from which tAVMs were retrieved. Revealing condition of the tAVMs was recorded.