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1.
Ann Vasc Dis ; 14(1): 56-59, 2021 Mar 25.
Article in English | MEDLINE | ID: mdl-33786101

ABSTRACT

Isolated internal iliac artery aneurysms are rare, and there are no reports of human immunodeficiency virus (HIV)-related vasculitis in Japan. We report our experience with a 51-year-old man diagnosed with acquired immunodeficiency syndrome, discovered during the postoperative course when the patient exhibited remittent fever and susceptibility to infection after emergency interventional radiology therapy for a right isolated internal iliac artery aneurysm. The patient had positive treponema pallidum particle agglutination test result before admission, and tests for sexually transmitted disease showed positive results for HIV H-1 antibodies. The repeated fevers were attributed to HIV infection-related susceptibility.

2.
J Vasc Surg Cases Innov Tech ; 7(1): 128-132, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33718683

ABSTRACT

In the present report, we have described the case of a 79-year-old woman who presented with acute right lower limb ischemia and was diagnosed with bilateral persistent sciatic arteries and a right persistent sciatic artery aneurysm. Concomitant widespread thrombotic occlusion was present, extending from the orifice of the right internal and external iliac arteries to the below-the-knee popliteal artery. These complicated lesions were successfully treated using only percutaneous endovascular procedures, including stent-graft placement, bare metal stent implantation, and thrombolysis. Our report illustrates how a combination of techniques can achieve total endovascular repair of a persistent sciatic artery aneurysm accompanied by occlusion of the internal and external iliac arteries.

3.
Ann Vasc Surg ; 66: 667.e15-667.e20, 2020 Jul.
Article in English | MEDLINE | ID: mdl-31904515

ABSTRACT

We present a case of an 85-year-old woman with bilateral limb-threatening ischemia caused by acute-on-chronic occlusion of the infrarenal aorta. The patient once underwent endovascular recanalization using nitinol and stainless-steel bare-metal stent implantation; however, the stainless-steel stent collapsed 3 months later. In the second endovascular therapy, "Squid-Capture" modified in situ stent-graft fenestration technique followed by stent-in-stent implantation with stent graft and bare-metal stent was successfully applied, and it can be regarded as a promising treatment option for the repair of abdominal aortic occlusive disease in some limited anatomical conditions.


Subject(s)
Angioplasty, Balloon/instrumentation , Aorta, Abdominal/surgery , Aortic Diseases/therapy , Arterial Occlusive Diseases/surgery , Blood Vessel Prosthesis Implantation , Stents , Aged, 80 and over , Angioplasty, Balloon/adverse effects , Aorta, Abdominal/diagnostic imaging , Aorta, Abdominal/physiopathology , Aortic Diseases/diagnostic imaging , Aortic Diseases/physiopathology , Arterial Occlusive Diseases/diagnostic imaging , Arterial Occlusive Diseases/physiopathology , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , Female , Humans , Prosthesis Design , Prosthesis Failure , Recurrence , Treatment Outcome , Vascular Patency
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