■ CLI with tissue loss often occurs in the setting of multilevel arterial occlusive disease. In the case of isolated diabetic tibial occlusive disease, femoral, and frequently popliteal, pulses remain palpable….
■ AAA size and/or expansion rate is an important predictor of rupture, and as such guides indication for repair in asymptomatic patients.1 ■ Other predictors for increased risk rupture include female gender,…
■ Open treatment of TAAAs consists of graft replacement with reattachment of the main aortic branches: The inclusion technique was introduced by S. E. Crawford in the 70s and refined by…
SPLENECTOMY WITH PROXIMAL SPLENIC ARTERY LIGATION AND ESOPHAGOGASTRIC DEVASCULARIZATION ■ The indications for this procedure include patients with a life-threatening complication from portal hypertension and complex mesenteric veno-occlusive disease or poor…
■ Once the history, physical examination, and noninvasive testing are complete, the surgeon must determine the next step in imaging, which may be both diagnostic and therapeutic. The patient’s functional status,…
■ Computed tomographic arteriography (CTA): CTA has assumed an increasing role in guiding peripheral vascular intervention, particularly in regard to choosing appropriate devices and optimal interventional approach (e.g., ipsilateral antegrade vs….
■ Access to a three-dimensional (3-D) workstation/program and familiarity with reconstruction software by the implanting surgeon for manipulation of the images and creating centerline pathways should be mandatory to most accurately…
■ A 65-cm 4-Fr angled catheter (e.g., Kumpe®) is advanced through the sheath and, under digital subtraction roadmapping guidance, directs the hydrophilic guidewire into the ipsilateral internal iliac artery (FIG 2)….
■ Arterial thoracic outlet syndrome (aTOS) is the least common presentation of thoracic outlet syndrome and most often involves subclavian artery compression leading to extrinsic compression, poststenotic dilatation, aneurysmal degeneration, and…
■ Computed tomography (CT) arteriography of the abdomen and pelvis, with arterial and venous pelvis, may provide additional useful information regarding the extent of aortic disease and other associated abdominal pathology…
