http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Carlos A. Hinojosa,Javier E. Anaya-Ayala,Hugo Laparra-Escareno,Rene Lizola,Adriana Torres-Machorro 대한혈관외과학회 2017 Vascular Specialist International Vol.33 No.3
Marfan syndrome is a connective tissue disorder associated with aortic dissection, aneurysmal degeneration and rupture. These cardiovascular complications represent the main cause of mortality, therefore repair is indicated. We present a 35-year-old woman who experienced acute onset of chest pain. Her imaging revealed a chronic DeBakey type I dissection with aortic root dilation and descending thoracic aneurysmal degeneration. She underwent a Bentall procedure and endovascular exclusion of the descending thoracic aortic aneurysm. She was closely followed and 2 years later a computed tomography angiography (CTA) revealed the aneurysmal degeneration of the thoracoabominal aorta and bilateral iliac arteries. The patient underwent a composite reconstruction using multivisceral branched and bifurcated Dacron grafts. At 5 years from her last surgery, a CTA revealed no new dissection or further aneurysmal degenerations. Aortic disease in Marfan patients is a complex clinical problem that may lead to secondary or tertiary aortic reconstructions; close follow-up is mandatory.
Carlos A. Hinojosa,Javier E. Anaya-Ayala,Hugo Laparra-Escareno,Rene Lizola,Adriana Torres-Machorro 대한혈관외과학회 2016 Vascular Specialist International Vol.32 No.2
The aortic bifurcation and iliac vessels are common sites of atherosclerotic occlusive disease causing the clinical expression known as “Leriche’s syndrome”. An aortobifemoral bypass grafting in the setting of a septic groin remains a significant challenge to vascular surgeons. We present a 65-year-old male with complete occlusion of the distal aorta and iliac arteries; he had undergone a leftaxillo-femoral and femoral-femoral artery bypass 2 years prior to our evaluation. Owing to a complex graft infection in the right groin and worsening lower extremity ischemia, we performed an aortobifemoral reconstruction through the right obturator membrane. This report highlights the safety and efficacy of the obturator bypass for avoiding infected groins while preserving vascular continuity and durability with 78 months of secondary patency rate.
Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure
Cesar Cuen-Ojeda,Luis O Bobadilla-Rosado,Ramon Garcia-Alva,Luis H. Arzola,Javier E. Anaya-Ayala,Carlos A. Hinojosa 대한혈관외과학회 2018 Vascular Specialist International Vol.34 No.4
The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed. Patient recovered well and after 12 months postoperation her large wound is healing favorably with a clean and well granulated bed. Iliofemoral venous bypass is a feasible treatment for non-healing ulcer of lower extremity.
Jose I. Martínez-Quesada,Javier E. Anaya-Ayala,Santiago Mier y Terán-Ellis,Montserrat Miranda-Ramírez,Luis H. Arzola,Christopher Ruben-Castillo,Juan C. Aramburo,Jesus M. de los Ríos,Carlos A. Hinojosa 대한혈관외과학회 2022 Vascular Specialist International Vol.38 No.2
Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavianbrachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.
Successful Treatment of a Superficial Femoral Artery Pseudoaneurysm with Balloon Tamponade
Hugo Laparra-Escareno,Cesar Cuen-Ojeda,Ramon García-Alva,Gabriel Lopez-Pena,Javier E. Anaya-Ayala,Carlos A. Hinojosa 대한혈관외과학회 2019 Vascular Specialist International Vol.35 No.3
The development of post-catheterization arterial pseudoaneurysms is one of the most common vascular access complications following angiographies and endovascular interventions. Different therapeutic options to treat these lesions have been used. We herein report the case of a 79-year-old woman who was referred to our service for evaluation with a post-catheterization superficial femoral artery pseudoaneurysm measuring 4 cm. Owing to the anatomical location of the arterial pseudoaneurysm and the patient’s refusal to undergo open surgery, we treated the lesion using an endovascular approach with a balloon tamponade. The procedure was successful, and the patient recovered well and was discharged from the hospital without complications. At 6-month follow-up she remained symptom-free and without recurrence.
Cesar Cuen-Ojeda,Javier E. Anaya-Ayala,Rene Lizola,Julio A. Navarro-Iniguez,Lizeth Luna,Manuel Guerrero-Hernandez,Carlos A. Hinojosa 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.1
Iodinated contrast is the most common contrast agent used during endovascular abdominal aneurysm repair (EVAR). However, its use may worsen kidney function in patients with renal insufficiency. Previous studies have demonstrated the safety and effectiveness of carbon dioxide (CO2)-EVAR. Here, we report cases of three male patients with mild renal insufficiency (mean age: 79 years) that successfully underwent CO2-EVAR using INCRAFT ultra-low profile endografts. CO2 angiography provided the necessary vascular roadmap for safe and effective percutaneous EVAR, eliminating the need for iodinated contrast media and preventing contrastinduced nephropathy.