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Christiana Anastasiadou,Sotiris Giannakakis,George Galyfos,Livieris Livieratos,George Kastrisios,Anastasios Papapetrou,Chrisostomos Maltezos 대한혈관외과학회 2019 Vascular Specialist International Vol.35 No.2
Dorsalis pedis artery (DPA) aneurysms are very rare and fewer than 60 cases have been reported in the literature. Most affected patients present with false aneurysms after orthopedic surgery or trauma. Here we report an unusual case of a giant DPA pseudoaneurysm after cannulation for arterial line placement in a patient newly diagnosed with systemic lupus erythematosus (SLE). A diagnostic delay resulted in necrosis of the overlying skin. Excision of the pseudoaneurysm, ligation of the DPA, and debridement of the foot dorsum were performed, followed by a second flap coverage surgery. Although a DPA false aneurysm is rare after arterial line removal, it can cause the serious complications of skin necrosis, rupture and toe necrosis. Arterial puncture sites should be carefully monitored, especially in patients with SLE or other vasculitis.
Angelos Megalopoulos,Christiana Anastasiadou,Konstantinos Galanos-Demiris,George Trellopoulos,Stavros Galanis 대한혈관외과학회 2019 Vascular Specialist International Vol.35 No.4
We presented a challenging case of a patient diagnosed with abdominal aortic aneurysm (AAA), peripheral artery disease, and chronic mesenteric ischemia (CMI). Herein, we describe the treatment in this high-risk patient diagnosed with CMI who also had critical limb ischemia and his AAA had rapidly expanded. First we performed angioplasty and celiac arterial stenting. Afterwards, we proceeded to perform balloon angioplasty of the iliac arteries and chimney endovascular aneurysm repair (Ch-EVAR) preserving the inferior mesenteric artery (IMA). The patient was discharged three days later and his IMA remained patent eighteen months post-operation. A thorough pre-operative assessment is essential in such challenging cases. Minimally invasive procedures like endovascular therapy and the chimney technique extend the prognoses in high-risk patients.
Symptomatic Bilateral Carotid Artery Occlusion: An Uncommon Pattern of Carotid Pathology
Chrisostomos Maltezos,Christiana Anastasiadou,Anastasios Papapetrou,George Galyfos,Ioannis Sachmpazidis,Gerasimos Papacharalampous 대한혈관외과학회 2018 Vascular Specialist International Vol.34 No.2
We report an unusual case of an 83-year-old man who was admitted with dizziness and repeated drop attacks. He was diagnosed with bilateral carotid artery occlusion and he underwent a left subclavian to left carotid bypass with ringed polytetrafluoroethylene graft. The patient’s postoperative course was uneventful and no symptoms presented during a 6-month follow-up. Finally, we discuss on proper management of such patients.