Technical considerations for reconstruction of extracranial carotid artery redundancy concurrent with endarterectomy.

Anatomic variations of the cervical internal carotid artery (ICA) are present in a significant incidence of the general population. These variations can include redundancy of the ICA, loops, kinks, and coils. When present, these anatomical variances must be addressed at the time of carotid endarterectomy (CEA) and may contribute to technical complexity associated with the operation.

Changes in Anesthesia Can Reduce Periprocedural Urinary Retention After EVAR.

Background: Enhanced recovery after surgery (ERAS) programs provide a streamlined approach for expedient postoperative care of high-volume procedures. Endovascular aortic repair (EVAR) has become standard treatment for abdominal aortic aneurysms and implementation of an early recovery program is warranted. Postoperative urinary retention (POUR) remains a problem lending to longer hospital stays and patient discomfort.

Identifying a Safe Carotid Stump Pressure Threshold for Selective Shunting During Carotid Endarterectomy.

Background: There is no current consensus on the best criteria for selective shunting during carotid endarterectomy (CEA). The choice of continuous neurologic assessment during awake CEA, intraoperative electroencephalogram, or carotid stump pressure monitoring as the basis for shunt placement is primarily dependent on surgeon preference. Our goal is to define a safe stump pressure threshold as a guide for selective shunting.

Thoracic endovascular aortic repair with true-false-true lumen deployment.

Endovascular treatment of aortic dissection may be complicated by challenges to navigating the true lumen. In this report, we describe treatment of a type B dissection after open type A repair with aneurysmal degeneration, a short-segment occluded true lumen, and a distal re-entry tear near the celiac artery origin. Endovascular septal fenestration and subsequent thoracic endovascular aortic repair were used to bypass the short-segment midthoracic aortic occlusion, successfully excluding the thoracic aortic aneurysm.

The Use of Smart Phone Thermal Imaging for Assessment of Peripheral Perfusion in Vascular Patients.

Background: Ankle-brachial index (ABI) is a reliable method to evaluate extremity perfusion but can be prohibitive to obtain secondary to patient discomfort or extremity trauma. This study investigates smart phone-based forward looking infrared imaging to assess peripheral perfusion using thermal ABI (tABI).

Methods: ABIs were measured by a certified vascular laboratory.

Intravascular ultrasound is a critical tool for accurate endograft sizing in the management of blunt thoracic aortic injury.

Background: Accurate measurement of true aortic luminal diameter (ALD) is critical for endograft sizing in endovascular treatment of blunt thoracic aortic injury (BTAI), but ALD is dynamic and changes with respect to patients' hemodynamic status. This study aimed to characterize how ALD at the time of diagnosis of BTAI compares with ALD at the time of endovascular repair and later at follow-up.

Methods: This is an Institutional Review Board-approved, single-institution retrospective analysis of prospectively obtained data.

Favorable discharge disposition and survival after successful endovascular repair of ruptured abdominal aortic aneurysm.

Objective: Endovascular repair of ruptured abdominal aortic aneurysm (rEVAR) has been shown to improve perioperative outcomes compared with open surgical repair (OSR). Follow-up of these patients, however, is lacking. In this study, we compare the discharge disposition and midterm survival of ruptured aneurysm patients who survived treatment with either rEVAR or OSR.