Browsing by Author "Valdes, Francisco J."

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    Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series
    (2022) Ignacio Torrealba, Jose; Valdes, Francisco J.; Garrido, Luis; Mertens, Renato; Marine, Leopoldo; Bergoeing, Michel; Vargas, Francisco
    Background Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.
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    Stenting of innominate vein compression syndrome
    (2023) Marchesini, Michelle; Vargas, J. Francisco; Bergoeing, Michel P.; Marine, Leopoldo A.; Torrealba, Jose I.; Valdes, Francisco J.; Mertens, Renato A.
    We report the case of a 60-year-old woman who sought medical attention for left cervical and supraclavicular pain and swelling. Previous computed tomography, intravascular ultrasound, and venography studies were reviewed, confirming extrinsic compression of the left innominate vein by the left common carotid artery against the left clavicle head. Stenting of the lesion was performed, with good mid-term symptom relief and patency. It is, to the best of our knowledge, the first case study in the literature to report endovascular treatment of this syndrome. (J Vasc Surg Cases Innov Tech 2023;9:101290.)