Endovascular Treatment of a Malpositioned Screw in the Thoracic Aorta After Anterior Spinal Instrumentation: The Screwed Aorta
An interesting case report detailing the management of an aorta that was inadvertently screwed during spinal fixation. The management and imaging encompass the use of computer tomography and intravascular ultrasound to determine the trajectory of the screw and the successful management of the patient. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Akinrinlola, A., Brinster, D. R. Tags: Endovascular Techniques Source Type: research

Stent Graft in the Treatment of Pseudoaneurysms of the Hepatic Arteries
Conclusions: Endovascular treatment of HAPs using stent graft can maintain the hepatic artery blood flow and could be considered as an alternative to embolization. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Lu, P.-H., Zhang, X.-C., Wang, L.-F., Chen, Z.-L., Shi, H.-B. Tags: Endovascular Techniques Source Type: research

Protection of Vascular Endothelial Cells Injured by Angiotensin II and Hypoxia In Vitro by Ginkgo biloba (Ginaton)
This study suggested that Ginaton could effectively protect VECs against injury, and the dose used clinically would rather be low than too high for getting better results. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Han, L., Li, M. Tags: Basic Research Articles Source Type: research

L-Carnitine Pretreatment Protects Slow-Twitch Skeletal Muscles in a Rat Model of Ischemia-Reperfusion Injury
This study aimed to evaluate the protective role of l-carnitine on the contractile properties of fast-twitch (extensor digitorum longus [EDL]) and slow-twitch (soleus [SOL]) skeletal muscles following I/R-induced injury in a rat model. Rats were divided into 4 groups (1) saline pretreatment, (2) l-carnitine pretreatment, (3) saline pretreatment and I/R, and (4) l-carnitine pretreatment and I/R. Twitch and tetanic contractions in the EDL and SOL muscles in each group were recorded. Additionally, a fatigue protocol was performed in these muscles. Twitch and tetanic contraction amplitudes were lower in the EDL and SOL muscles...
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Demirel, M., Kaya, B., Cerkez, C., Ertunc, M., Sara, Y. Tags: Basic Research Articles Source Type: research

Sequential Compression Biomechanical Device Versus Primary Amputation in Patients With Critical Limb Ischemia
Conclusion: The SCBD therapy is a cost-effective and clinically effective solution in patients with CLI having no option of revascularization. It provides adequate limb salvage while providing relief of rest pain without any intervention. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Tawfick, W. A., Hamada, N., Soylu, E., Fahy, A., Hynes, N., Sultan, S. Tags: Clinical Research Articles Source Type: research

Impact of Meteorological Conditions on Abdominal Aortic Aneurysm Rupture: Evaluation of an 18-Year Period and Review of the Literature
Conclusions: Further studies—collected at different geographic and climate areas—are necessary to prove that meteorological conditions may trigger the incidence of ruptured AAA. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Schuld, J., Kollmar, O., Schuld, S., Schommer, K., Richter, S. Tags: Clinical Research Articles Source Type: research

Fibrinogen Level as a Surrogate for the Outcome of Thrombolytic Therapy Using Tissue Plasminogen Activator for Acute Lower Extremity Intravascular Thrombosis
Conclusion: Fibrinogen level ≤150 mg/dL is associated with increased risk of major bleeding during tPA infusions. We suggest serial fibrinogen measurement as a viable method to monitor bleeding risk during lower extremity tPA infusions. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Skeik, N., Gits, C. C., Ehrenwald, E., Cragg, A. H. Tags: Clinical Research Articles Source Type: research

Popliteal Artery Entrapment Syndrome: Ultrasound Imaging, Intraoperative Findings, and Clinical Outcome
Conclusions: In this series of patients with surgically confirmed PAES, we found preoperative DUS to have perfect agreement with the intraoperative findings in diagnosing PAES. The applicability of the method seems to be emphasized by the restoration of popliteal flow and relief of arterial insufficiency after surgical release in all patients, and by the fact, that none of the healthy volunteers were able to compress the popliteal artery during plantar flexion. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Altintas, U., Helgstrand, U. V. J., Hansen, M. A., Stentzer, K. F., Schroeder, T. V., Eiberg, J. P. Tags: Clinical Research Articles Source Type: research

Longitudinal Outcomes After Tibioperoneal Angioplasty Alone Compared to Tibial Stenting and Atherectomy for Critical Limb Ischemia
Conclusions: Patients undergoing TA alone compared to concomitant stenting or atherectomy for ulceration demonstrated no improvement in limb salvage. Future analysis of adjunctive tibioperoneal interventions is essential to temper cost, as they fail to improve long-term limb salvage. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Reynolds, S., Galinanes, E. L., Dombrovskiy, V. Y., Vogel, T. R. Tags: Clinical Research Articles Source Type: research

Is There an Alternative to the Surgical Above-Knee Bypass in Treatment of Superficial Femoral Artery Disease? Experiences With Viabahn Stent Graft
Conclusion: Viabahn revealed similar short-term primary and secondary patencies but lower mid-term primary patency. It provides a good alternative therapy to pAKB. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Jebran, A. F., Popov, A. F., Zenker, D., Bireta, C., Friedrich, M., Danner, B. C., Bougioukas, I., Schoendube, F. A., Stojanovic, T. Tags: Clinical Research Articles Source Type: research

Endovascular Versus Medical Therapy for Uncomplicated Type B Aortic Dissection: A Qualitative Review
Conclusion: The TEVAR with BMT does not provide survival benefit compared to BMT alone, 2 years following uncomplicated type B aortic dissection. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 19, 2013 Category: Surgery Authors: Merola, J., Garg, K., Adelman, M. A., Maldonado, T. S., Cayne, N. S., Mussa, F. F. Tags: Clinical Controversy Article Source Type: research

Atypical Presentation of Priapism in a Patient With Acute Iliocaval Deep Venous Thrombosis Secondary to May-Thurner Syndrome
We report on a 42-year-old male who presented with priapism, severe scrotal swelling, and left lower extremity pain and swelling. Initial management of priapism failed, and he was noted to have both cavernosal and glandular venous obstruction. Computed tomography (CT) was performed and identified extensive acute thrombosis involving the distal inferior vena cava and the left iliac veins. Pharmacomechanical thrombolysis (PMT) was started over the course of two days. At completion of thrombolysis, the culprit lesion in the left common iliac vein was treated with angioplasty and stenting. His postoperative course was uneventf...
Source: Vascular and Endovascular Surgery - August 6, 2013 Category: Surgery Authors: Alhalbouni, S., Deem, S., Abu-Halimah, S., Sadek, B. T., Mousa, A. Tags: Case Reports Source Type: research

Spontaneous Recanalization of an Occluded Middle Cerebral Artery in a Patient With Moyamoya
Moyamoya disease is a rare cerebrovascular disorder that is characterized by progressive stenosis of the distal portion of the internal carotid artery and its main branches. Here the authors present the first case of spontaneous recanalization of an occluded middle cerebral artery in a woman with moyamoya who had not undergone surgical or endovascular treatment. Although the exact mechanisms remain unclear, spontaneous recanalization in moyamoya could be considered a possible phenomenon. Thus, the neurosurgeons should always pay attention to the pathological variety of dynamic changes in the cerebrovascular structure in mo...
Source: Vascular and Endovascular Surgery - August 6, 2013 Category: Surgery Authors: Eom, K. S., Kim, D. W., Choi, S.-S., Kang, S. D. Tags: Case Reports Source Type: research

Brachial Artery Aneurysm With "Blue Finger Syndrome" After Ligation of a Remote Brachial Artery-Cephalic Vein Fistula
We report a case of an immunosuppressed, patient with renal transplant who presented with delayed onset digital ischemia following ligation of a remotely created brachial artery-cephalic vein fistula. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - August 6, 2013 Category: Surgery Authors: Garza, R., Dangleben, D. A., Welkie, J. F. Tags: Case Reports Source Type: research

Report of 2 Cases of Primary Epithelioid Hemangioendothelioma of the External Iliac Vein
The epithelioid hemangioendothelioma (EHE) is a rare type of endothelial neoplasm found mainly in soft tissues and visceral organs and in extraordinary cases in large veins like the iliac veins. Currently, there is an active discussion in which EHE behavior, classification, new diagnostic tools, and treatment procedures are proposed. Here, we present 2 cases of EHE and discuss our experience in diagnosis and treatment of this neoplasm. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - August 6, 2013 Category: Surgery Authors: Munoz, A., Diaz-Perez, J. A., Romero-Rojas, A. E., Hernandez, E., Martin-Berdazco, F. Tags: Case Reports Source Type: research