Journal Detail Information

1

Cite

Share

Sang Tae CHOI ; Keon Kuk KIM ; Woon Ki LEE ; Jung Nam LEE ; Jin Mo KANG ; Won Suk LEE ; Jeung Heum BAEK ; Yeon Ho PARK ; U Hyung SEO

Journal of the Korean Society for Vascular Surgery.2010;26(1):61-63.

Saphena varix is very rare disease that characterized by isolated distention of the saphenous vein below the sapheno-femoral junction. Saphena varix must be differentiated from other medical problems that can cause a groin mass. A 49-year-old man presented with a palpable mass on the right upper thigh and he'd had the mass for 6 months. There was no history of trauma, and the mass was especially noticeable when he was standing. On the physical examination, a 5 cm-sized soft, nontender, compressible mass was detected at the right upper medial thigh near the femoral foramen. Doppler sonography showed a saccular venous dilatation of the great saphenous vein just below the saphenofemoral junction. On computed tomography, there were superficially dilated veins in the right thigh and calf, a focal saccular aneurysm at the proximal segment of the right greater saphenous vein and no evidence of deep vein thrombosis. Aneurymal excision and stripping of the greater saphenous vein were performed. No complication was observed at the 2 week follow-up.
Aneurysm ; Dilatation ; Follow-Up Studies ; Groin ; Hernia, Femoral ; Humans ; Middle Aged ; Physical Examination ; Rare Diseases ; Saphenous Vein ; Thigh ; Varicose Veins ; Veins ; Venous Thrombosis

2

Cite

Share

New Operative Treatment of Hyperfunctioning Arteriovenous Fistula for Hemodialysis: A Case Report.

Sang Hyun AHN ; Seung Kee MIN ; Sang Il MIN ; Seong Yup KIM ; Jong Won HA ; Sang Joon KIM

Journal of the Korean Society for Vascular Surgery.2010;26(1):57-60.

Hyperfunctioning fistulas are rare complications of hemodialysis access. They give rise to devastating complications, including a steal syndrome with reduced perfusion to the dependent limb and cardiac insufficiency caused by the high shunt volume. Numerous techniques such as fistula ligation, banding, plication, T-banding and distal revascularization with interval ligation have been developed. However, each technique bears the potential for its own complications, such as failure to resolve symptoms, recurrence and technical difficulty. Herein, we report a new technique that remedies the shortcomings of the other procedures. All the patients first underwent partial aneurysmal resection and lateral aneurysmorrhaphy of the enlarged vein from just distal to the anastomosis using a 6-0 prolene running sutures and then external wrapping with an 8 mm expanded polytetrafluoroethylene graft was done for a length of approximately 5 cm. Two patients with hyperfunctioning brachiocephalic arteriovenous fistula were treated this way. Doppler measurement of the fistula flow showed a mean flow reduction of about 60%. The procedure was effective and safe, with a mean follow up of 2 months.
Aneurysm ; Arteriovenous Fistula ; Extremities ; Fistula ; Follow-Up Studies ; Humans ; Ligation ; Perfusion ; Polypropylenes ; Polytetrafluoroethylene ; Recurrence ; Renal Dialysis ; Running ; Sutures ; Transplants ; Ursidae ; Veins

3

Cite

Share

Pseudoaneurysm of the Facial Artery after the Injection of Botox.

Jong Nam KWON

Journal of the Korean Society for Vascular Surgery.2010;26(1):53-56.

Facial artery pseudoaneurysm is a rare lesion that can be mistaken for an epidermal cyst or other lesions. We present here the case of an iatrogenic pseudoaneurysm of the facial artery branch that was caused by Botox injection. Botox is frequently used for cosmetic and therapeutic purposes in any part of the body. We treated this lesion by performing aneurysmectomy, and the histopathologic analysis showed myxoid degeneration.
Aneurysm, False ; Arteries ; Botulinum Toxins, Type A ; Cosmetics ; Epidermal Cyst

4

Cite

Share

Separate Visceral Revascularization in Thoracoabdominal Aortic Aneurysm Repair: Report of 3 Cases.

Hyang Hee CHOI ; Hyung Kee KIM ; Gun Jik KIM ; Jong Tae LEE ; Seung HUH

Journal of the Korean Society for Vascular Surgery.2010;26(1):48-52.

Thoracoabdominal aortic aneurysm (TAAA) involving the roots of the celiac, superior mesenteric and both renal arteries is a rare, but potentially lethal disease. The overall postoperative mortality rate is high even when the intact TAAA is electively repaired. Furthermore, the postoperative complications are often serious and they include acute renal failure, paraplegia, respiratory distress and intestinal ischemia. The inclusion technique using a visceral-aortic patch (VAP) is considered the gold standard method for visceral artery revascularization for the treatment of TAAA. However, the inclusion technique is not feasible for patients with Marfan syndrome or for those patients with inappropriate anatomy for VAP. In such cases, separate visceral revascularization is a useful alternative and this may decrease the visceral ischemic time. Herein we report on 3 cases of TAAA, and the patients all underwent successful separate visceral revascularization, including one patient with Marfan syndrome.
Acute Kidney Injury ; Aortic Aneurysm, Thoracic ; Arteries ; Humans ; Ischemia ; Marfan Syndrome ; Paraplegia ; Postoperative Complications ; Renal Artery

5

Cite

Share

Acute Abdominal Aortic Dissection after Blunt Trauma: Report of 2 Cases.

Sang Tae CHOI ; Keon Kuk KIM ; Woon Ki LEE ; Jung Nam LEE ; Jin Mo KANG ; Won Suk LEE ; Jeung Heum BAEK ; Yeon Ho PARK

Journal of the Korean Society for Vascular Surgery.2010;26(1):43-47.

Abdominal vascular injury after blunt trauma does not occur very frequently. Penetrating trauma is the most common cause (90%) of abdominal vascular injury. A 57-year-old male presented with abdominal pain and color change of the right lower leg after blunt trauma. The physical examination showed rigid tenderness in the entire abdomen and no pulse in the right femoral artery. Computed Tomography (CT) demonstrated the acute aortic dissection, which extended from the infrarenal aorta to the iliac artery and there was embolic occlusion below the right common iliac artery. He underwent endarterectomy after thrombectomy, fasciotomy and small bowel segmental resection. A 65-year-old male presented with abdominal pain after an auto-bicycle crash. On the physical examination, there was tenderness and rebound tenderness noted on the entire abdomen. The CT done outside our hospital demonstrated an intramural hematoma around the descending aorta. He underwent small bowel and sigmoid segmental resection and S-colostomy. On day 1 after operation, he complained of sudden abdominal pain. He then developed the signs of acute liver and renal failure. His condition deteriorated rapidly with conservative management, and he died on day 2.
Abdomen ; Abdominal Pain ; Aged ; Aorta ; Aorta, Thoracic ; Colon, Sigmoid ; Endarterectomy ; Femoral Artery ; Hematoma ; Humans ; Iliac Artery ; Leg ; Liver ; Male ; Middle Aged ; Physical Examination ; Renal Insufficiency ; Thrombectomy ; Vascular System Injuries

6

Cite

Share

Comparative Study of Postoperative Complications of High Ligation and Stripping with Endovenous Laser Treatment for Varicose Veins.

In Mok JUNG ; Eun Mee OH ; Jung Kee CHUNG

Journal of the Korean Society for Vascular Surgery.2010;26(1):36-42.

PURPOSE: Endovenous laser treatment (EVLT) has been performed as a minimally invasive alternative to conventional surgery for saphenous vein incompetence. It is thought to minimize postoperative complications and improve the quality of life compared with high ligation and stripping. The aim of this retrospective study was to compare the postoperative complications and quality of life of EVLT with high ligation and stripping (HS). METHODS: A total of 294 patients with 390 saphenous veins were included in this study. Patients with saphenous vein incompetence were treated with either HS (n=98; HS group) or EVLT (n=196; EVLT group). Patients were evaluated preoperatively and at 1, 3 months, postoperatively. Postoperative complications, the Venous Clinical Severity Score (VCSS) and the Aberdeen Varicose Vein Symptom Severity Score (AVSS) were compared between the two groups. RESULTS: The total postoperative complication rate was 31.62%, in HS and 27.47% in the EVLT groups. Most of the complications were minor and self-limited. There were no statistical differences in the total complication rate and the occurrence of complications such as hematoma, paresthesia and phlebitis. Pain was less severe following EVLT compared to HS. The EVLT patients were discharged and resumed their normal activity earlier than the HS patients. The two groups had similar improvement of the VCSS and AVSS at 1 and 3 months, postoperatively. CONCLUSION: With the similar, comparable short-term safety outcome, both HS and EVLT may be considered as safe procedures for the treatment of varicose veins. Long-term, large population-based randomized studies with promising data for the improvement of quality of life scores will be needed for the evaluation of EVLT before it becomes a standard treatment for saphenous vein incompetence.
Hematoma ; Humans ; Ligation ; Paresthesia ; Phlebitis ; Postoperative Complications ; Quality of Life ; Retrospective Studies ; Saphenous Vein ; Varicose Veins

7

Cite

Share

Early Results of Eversion Carotid Endarterectomy.

In Chul SONG ; Hyung Kee KIM ; Yang Ha HWANG ; Hyang Hee CHOI ; Seung HUH

Journal of the Korean Society for Vascular Surgery.2010;26(1):30-35.

PURPOSE: Eversion carotid endarterectomy (ECEA) has been used in western countries with acceptable early and late results. However, there has been no report of ECEA in Korea with regard to its safety and efficacy. The goal of the present study was to determine the early results of ECEA in Korea. METHODS: From October 2008 to December 2009, 19 ECEAs were performed on 18 patients by one vascular surgeon. The patient data and radiology results were prospectively collected according to the hospital protocol. The frequency of early postoperative stroke, myocardial infarction and mortality were evaluated. In addition, the frequency of procedure-induced new brain lesions (NBL) detected by diffusion-weighted MRI (DW-MRI) within one day after the procedure and the post-procedural complications were evaluated. RESULTS: All ECEAs were performed under regional anesthesia; shunts were not necessary in any of the cases. Among a total of 19 ECEAs, there were no cases of early postoperative stroke, myocardial infarction or mortality. Other early postoperative complications included one case of temporary cerebral hyperperfusion syndrome and two hematomas that spontaneously resolved. No NBL was detected on the postoperative DW-MRI. The external carotid artery lesion was aggravated in five cases and was detected on CT angiography before discharge. CONCLUSION: The results of this study showed no strokes or NBLs after ECEA under regional anesthesia. ECEA may be used safely for the management of atherosclerotic severe carotid stenosis in Korean patients; however, further study for long-term complications of ECEA is necessary.
Anesthesia, Conduction ; Angiography ; Brain ; Carotid Artery, External ; Carotid Stenosis ; Endarterectomy ; Endarterectomy, Carotid ; Hematoma ; Humans ; Korea ; Myocardial Infarction ; Postoperative Complications ; Prospective Studies ; Stroke

8

Cite

Share

Comparison of Mid-term Results of Surgical and Endovascular Treatment for TASC C & D Lesions of the Iliac Artery.

Hyun Jin LEE ; Hyoung Tae KIM ; Jin Soo CHOI ; Young Whan KIM ; Ui Jun PARK ; Won Hyun CHO

Journal of the Korean Society for Vascular Surgery.2010;26(1):24-29.

PURPOSE: In order to establish therapeutic guidelines for TASC C & D iliac lesions, we compared outcomes of surgical and endovascular treatment. METHODS: From May 2002 to April 2007, 27 limbs of 18 patients underwent bypass operation and 23 limbs of 21 patients underwent stent placement for TASC C & D iliac lesions at Dongsan Medical Center. Age, sex, risk factor, combined diseases, clinical symptoms, treatment method, and patency rate were reviewed retrospectively. RESULTS: Technical and clinical success was achieved in all patients of the bypass group and in 95.8% of patients in the stent group. There were no complications in the surgical group, but 4 major complications in the stent group: 3 distal embolizations, and 1 arterial rupture. The primary patency rates at 6 months, 1, 2, and 3 years were all 90% in the bypass group and 95%, 89%, 89%, and 89%, respectively, in the stent group (P=0.99). The respective secondary patency rates were all 90% in the bypass group and 100%, 94%, 94%, and 94% in the stent group (P=0.56). CONCLUSION: Arterial bypass and stent placement are technically safe and effective treatment modalities in TASC C & D lesions of the iliac artery. A liberal posture to open arterial reconstruction extends the ability to treat diffuse TASC C & D lesions via endovascular means.
Extremities ; Humans ; Iliac Artery ; Posture ; Retrospective Studies ; Risk Factors ; Rupture ; Stents

9

Cite

Share

Local Complications Associated with Vascular and Endovascular Surgery.

Young Sun YOO ; Jeong Hwan CHANG

Journal of the Korean Society for Vascular Surgery.2010;26(1):11-23.

Vascular surgeons encounter a myriad of complications during the management of patients. The complications that occur associated with vascular surgery are often life threatening. Vascular surgeons have played a pioneering role in the development and introduction of new vascular and endovascular techniques, and some of the techniques changed the therapeutic options available for patients with vascular disease. Especially, with the development of endovascular surgery, there has been substantial change in the management of most vascular diseases and their complications. The best way to manage complications is to prevent them from occurring by careful planning, appropriate patient selection, extensive operator experience, and the correct use of appropriate devices. Successful operation outcomes depend on avoiding complications, as well as recognizing and promptly managing complications when they occur. This article reviews various local complications and their management in the field of vascular and endovascular surgery.
Endovascular Procedures ; Humans ; Patient Selection ; Vascular Diseases

10

Cite

Share

Noninvasive Diagnostic Modalities for Peripheral Arterial Occlusive Disease.

Jin Hyun JOH

Journal of the Korean Society for Vascular Surgery.2010;26(1):1-10.

The noninvasive vascular laboratory has become central to the evaluation of patients with peripheral arterial occlusive disease (PAOD) of the lower extremities. Most such patients have atherosclerosis as the cause of PAOD. Because noninvasive vascular laboratory techniques are widely available, relatively inexpensive, well-tolerated, and provide quantitative physiologic information, they are most commonly used as the first line objective modalities to confirm the diagnosis, establish the severity of ischemia, and estimate the anatomic level of involvement in patients that are suspected as having PAOD based on history and physical signs. This article focuses on the commonly used instruments, examination techniques, interpretive guidelines, and clinical application of each modality.
Arterial Occlusive Diseases ; Atherosclerosis ; Humans ; Ischemia ; Lower Extremity

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share