Research

Celiac Artery Vasculitis

Jesse Chait , Albert Pavalonis , Sareh Rajaee, Anil Hingorani, Enrico Ascher

Isolated celiac artery vasculitis is an uncommon disease rarely reported in the Western literature. In this case report, we describe a 52-year-old Chinese male presenting with abdominal pain who was diagnosed with nonspecific celiac artery vasculitis and was successfully treated with a short course of oral corticosteroids.

Etiology of iliocaval stent thrombosis.

Aurshina A, Ascher E, Haggerty J, Marks N, Rajaee S, Hingorani A.

Although correction of iliac vein stenosis is safe and efficacious, one of its major complications is iliac vein stent thrombosis. In an attempt to examine the cause of iliac vein stent thrombosis, we reviewed the location of underlying lesions encountered after thrombectomy or thrombolysis of iliac vein stents.

Resolution times of endovenous heat-induced thrombosis.

Kibrik P, Chait J, Arustamyan M, Alsheekh A, Rajaee S, Marks N, Hingorani A, Ascher E.

Lower extremity endovenous ablation has become the primary treatment modality for symptomatic venous reflux disease. Endovenous heat-induced thrombosis (EHIT) has been reported as one of the primary complications of these venous ablative procedures. Our aim was to determine how long EHITs take to resolve and the factors affecting this length of time.

Clean or Dirty? A Systematic Review of Splash Basin Use and Its Infectious Potential in Orthopaedic Surgery.

Rezzadeh K, Parikh H, Guanche I, Debbi E, Rajaee S, Schwarzkopf R, Paiement G.

Splash basins are used in orthopaedic surgery cases to wash and hold instrumentsintraoperatively. This systematic review aims to summarize information on contamination of splash basins intraoperatively.

Drug-Eluting Stents: New Tools for the Armamentarium Against Peripheral Arterial Disease.

Rajaee S, Hurtado CM, Sumpio B.

With the growing epidemic of diabetes and hyperlipidemia, there is an ever-increasing prevalence of peripheral arterial disease (PAD) of the lower extremities. The complications of PAD can be devastating and can increase the economic burden on the healthcare system. Traditionally, open revascularization procedures have been the mainstay of treatment for lower extremity PAD. Cardiac comorbidities are common among patients with PAD and as such may prohibit open revascularization. With the advent of minimally invasive endovascular procedures, the threshold for revascularization opportunities has increased. Despite promising early results of percutaneous transluminal angioplasty (PTA), atherectomy, and stenting, long-term outcomes are hindered by neointimal hyperplasia, which accounts for high restenosis and thrombosis rates. The utility and efficacy of drug-eluting stents in decreasing restenosis rates has been well demonstrated for coronary artery disease. This article will present a review of the current literature available on the use of drug-eluting (polymer-free) and drug-coated (polymer) stents for lower extremity PAD.

Radiation exposure during non-thrombotic iliac vein stenting.

Chait J, Davis N, Ostrozhynskyy Y, Rajaee S, Marks N, Hingorani A, Ascher E.

Iliac vein stenting; May Thurner syndrome; cumulative air kerma; endovascular procedures; fluoroscopy time; radiation exposure; vascular surgery; venous insufficiency.

Spontaneous hemorrhage from varicose veins: A single-center experience.

Hingorani A, Chait J, Kibrik P, Alsheekh A, Marks N, Rajaee S, Hingorani A, Ascher E.

Whereas the commonly described manifestations of venous insufficiency include telangiectasia, varicose veins (VVs), edema, skin changes, and ulcers, we have noted some patients who present with external hemorrhage from lower extremity VVs. Because there are few recent data examining this entity, we herein describe our experience.

Superior Mesenteric Artery Thrombosis after Necrotizing Pancreatitis.

Chait J, Duffy E, Marks N, Rajaee S, Hingorani A, Ascher E.

Vascular complications secondary to acute pancreatitis carry a high morbidity and mortality, often because of their hemorrhagic or thrombotic effects. When thrombosis presents, it is typically localized to the splanchnic venous system. In this report, we present a case of acute superior mesenteric artery thrombosis secondary to necrotizing pancreatitis after a laparoscopic cholecystectomy. The patient was successfully treated with catheter-directed thrombolysis and mechanical thrombectomy.

Radiofrequency Ablation Increases the Incidence of Endothermal Heat-Induced Thrombosis.

Chait J, Kibrik P, Alsheekh A, Ostrozhynskyy Y, Marks N, Rajaee S.

Inflammatory pseudotumor after ceramic-on-ceramic total hip arthroplasty.

Campbell J, Rajaee S, Brien E, Paiement GD.

We present a unique case of a symptomatic adverse local tissue reaction in a patient with a ceramic-on-ceramic total hip bearing surface. To our knowledge, this pathological finding has not yet been described in a ceramic-on-ceramic articulation without a cobalt-chromium alloy trunnion or modular neck component as a source of metal wear. We conclude that despite its mechanical mostly benign wear characteristics, ceramic wear debris is not entirely inert and may lead to the development of adverse local tissue reaction.