Recent developments in vascular surgery have occurred in many areas. The topics of intimal hyperplasia and reperfusion injury are the subject of much current research and possible methods of treatment are at an early stage of development. Advances in perioperative care have contributed to a reduction in mortality and morbidity. Endovascular techniques are being employed widely but the indicatio...

OBJECTIVES This study presents the first report on short- and long-term outcomes in redo-port access surgery after previous port access surgery (redo-PAS-PAS) for new or recurrent mitral valve (MV) and tricuspid valve (TV) disease. METHODS Our current surgical team performed redo-PAS-PAS in 26 consecutive patients who had previous port access surgery (mean age 65.8 ± 13.3 years, 46.2% female,...

Background/Aims: Inguinal incisions are a common route of access in vascular surgery. Due to anatomical challenges and a diverse bacterial flora in this area, surgical site infections (SSI) represent a common, debilitating and sometimes life-threatening complication. The INVIPS-Trial evaluates the role of Negative Pressure Wound Therapy (NPWT) on closed inguinal incisions in elective vascular s...

VOL. 53 NO. 1 MARCH 2015 SAJS 19 Recent reports suggest that endovascular ther apy is safe and effective for the treatment of pseudo­ aneurysms caused by blunt traumatic aorta injury (BTAI).[1­6] Although the numbers of patients in these reports are small, technical success approaches 100% and procedure­related mortality and complications are reported to be low.[1,2,5,7,8] This is compared with...

18 SAJS VOL 52 NO. 1 FEBRUARY 2014 Major coronary arteries have a subepicardial course through subepicardial fat and only dip into the myo­ cardium at or near their termination.[1­2] However, sometimes a variable segment of the epicardial artery can have a long intramural course or lie under a short band of cardiac muscle.[3­6] This anatomical arrangement has been variously described as an intr...

Vascular allografts in end-stage renal disease (ESRD) patients represent a particular immunological challenge. A broad HLA immunization led us to study in depth the history of two patients with vascular allografts. In Case 1 the allograft was added to a Gore-Tex graft used for haemodialysis access and no immunosuppression was administered. In Case 2 the allograft was used to prolong a renal art...

Ischaemic monomelic neuropathy (IMN) is an infrequently recognized type of neuropathy, produced after acute arterial occlusion or reduced blood flow to an extremity. In the upper limb, it usually occurs after vascular access surgery for haemodialysis. IMN has been reported largely in diabetics with peripheral neuropathy and atherosclerotic vascular disease. We report a case of IMN following art...