JVS-Cases Innovations and Techniques

Deadline extended. Calling all senior residents and fellows interested in learning more about the JVS editorial and review process. Apply here for the JVS internship for 2025. Apply here app.smartsheet.com/b/form/78f77e4… @FutureVascSurgn @VascularSVS

🎥 Visuals matter! Learn how to curate high-quality vascular images & videos to elevate your teaching, peer reviews, and research communication. Sharper visuals = stronger impact. 📊✨ 👉 jvscit.org/article/S2468-… #MedEd #VascularSurgery #Imaging

🚧 When bypass fails, DETOUR delivers. Two successful cases using the DETOUR system for percutaneous arterial bypass in patients with popliteal artery occlusions, offering an option before tibial bypass. @GeorgesJreij @KNagarshethMD 👉 jvscit.org/article/S2468-… #PAD #DETOUR

⚠️ Rare but deadly. Enteric fistula after ilio-mesenteric bypass for mesenteric ischemia is a high-stakes complication. This case showcases successful multiD salvage with explant, iliac transposition & bowel rsxn. 👉 jvscit.org/article/S2468-… #MesentericIschemia #EntericFistula

🦶💡 Hope for the no-option foot. This case series shows how flow-through free flaps with distal foot arterialization salvaged ischemic limbs in CLTI patients lacking pedal targets—offering durable perfusion without DVA complications. 👉 jvscit.org/article/S2468-… #CLTI #LimbSalvage

🧲📸 Imaging without compromise. Ferumoxytol-enhanced MRA enabled high-quality EVAR surveillance to detect sac expansion without iodinated or gadolinium contrast. 👉 jvscit.org/article/S2468-… #EVAR #Ferumoxytol #MRA #RenalImpairment #EndoleakDetection

🦵🔍 A post-sclerotherapy surprise. 3.5 years after treatment, an 82-year-old developed a leg mass thought to be aneurysm or malignancy. Surgical excision showed a benign reactive lesion. Always consider prior interventions. 👉 jvscit.org/article/S2468-… #Sclerotherapy #veins

🏃‍♂️🔥 Hidden in endurance. Bilateral external iliac artery endofibrosis caused exertional claudication in an ultramarathoner. Delayed diagnosis and treated with bilateral GSV patches. Don’t miss this in athletes! 👉 jvscit.org/article/S2468-… #IliacEndofibrosis #AthleteHealth

🧬💥 Not your typical PE. This case highlights successful endovascular removal of a large iliocaval fat embolus after hip surgery—expanding options for rare, high-risk emboli. 👉 jvscit.org/article/S2468-… #FatEmbolism #MechanicalThrombectomy

🧊🚫 No phantom pain here. A 58-year-old underwent BKA with cryo nerve block to key lower limb nerves—resulting in zero phantom limb pain at 1 year. Promising option for post-amputation pain prevention! 👉 jvscit.org/article/S2468-… #PhantomLimbPain #Cryoablation #Amputation

🧒🔪 Pediatric trauma, endovascular repair. A 13-year-old with a descending thoracic aortic injury from a stab wound was successfully treated with TEVAR using an iliac limb stent—life-saving hybrid approach. Thoughts? 👉 jvscit.org/article/S2468-… #PediatricTrauma #TEVAR

🦿 Groin infection meets innovation. After femoral artery infection post-radiation, this case shows how lateral femoral bypass + rectus flap reconstruction achieved infection control and limb salvage. 👉 jvscit.org/article/S2468-… #LimbSalvage #RadiationComplications

💡 Endoleak management, upgraded. This case series shows how contrast-enhanced ultrasound (CEUS) provides real-time, intraoperative guidance for endoleak detection & treatment—especially valuable in renal disease. 👉 jvscit.org/article/S2468-… #AortaEd #Endoleak #CEUS

🩺 Aortic dissection meets maternal care. This case highlights a young woman with pregnancy-associated dissection treated with staged open & endo repair—emphasizing the need to consider familial aortopathies in young patients. @VascSurgMD 👉 jvscit.org/article/S2468-… #AortaEd

🚧 When stents fail, innovate. This case shows how an endovenous bypass around an occluded, undersized Wallstent restored flow and QoL in chronic iliofemoral venous disease—using a creative Wallstent-Z stent combo. 👉 jvscit.org/article/S2468-… #VenousStenting #EndovenousBypass

🤖💡 Robotics to the rescue! Post-op chylothorax after open TAAA repair was successfully treated with robotic-assisted thoracic duct ligation using indocyanine green. A minimally invasive solution for a tough complication! 👉 jvscit.org/article/S2468-… #Chylothorax #RoboticSurgery

⚡ High-stakes extraction save! Laser-assisted TLE led to an IMA injury—salvaged endovascularly. This case highlights the need for multidisciplinary teams & subspecialty backup in complex lead removals. 👉 jvscit.org/article/S2468-… #LeadExtraction #TechniqueTuesday

🩻 STABILISE your dissection strategy! This paper breaks down the STABILISE technique for type B aortic dissection—how it works, when to use it, and why it’s redefining aortic remodeling. A must-read for aortic teams. 👉 jvscit.org/article/S2468-… #AortaEd #STABILISE #TEVAR

Calling all senior residents and fellows interested in learning more about the JVS editorial and review process. Apply here for the JVS internship for 2025. Apply here app.smartsheet.com/b/form/78f77e4… @FutureVascSurgn @VascularSVS

🏐 From misdiagnosis to comeback! A 21-year-old collegiate volleyball player with arterial TOS & CLTI due to bilateral cervical ribs is treated with staged surgery—restoring perfusion and athletic career. 👇 👉 jvscit.org/article/S2468-… #TOS #CLTI #AthleteCare #MedTwitter