■ Ideal conduit diameter is 3.5 mm or greater. ■ Vein should be easily compressible. Thick-walled or noncompressible vein indicates prior superficial venous thrombosis and vein is likely not suitable for bypass….
■ 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…
■ 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,…
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…
■ 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…
