BACKGROUND For patients with large abdominal aortic aneurysms, randomized trials have shown an initial overall survival benefit for elective endovascular repair over conventional open repair. This survival difference, however, was no longer significant in the second year after the procedure. Information regarding the comparative outcome more than 2 years after surgery is important for clinical ...

A review was performed to compare the results of endovascular therapy (stenting and angioplasty) with surgical techniques to repair adult aortic coarctation. The immediate improvement in hypertension and the morbidity were similar across all groups. Surgical therapy was associated with a very low risk of restenosis and recurrence, whereas endovascular therapy had a much higher incidence of rest...

749 Endovascular therapy to relieve intermittent claudication or critical limb ischemia in patients with lowerextremity peripheral artery disease is now firmly established as an alternative to surgical revascularization. The advent of novel technologies allows percutaneous interventions of increasingly complex arterial disease previously reserved for surgical interventions. Although the durabil...

A patient with an unruptured intracranial aneurysm has three options: surgical clip placement, endovascular coil occlusion, and observation. The decision making about management of these lesions should be based on the risk of aneurysm rupture and the risks associated with surgical or endovascular intervention. For patients who require interventions, factors such as aneurysm recurrence rate, its...

Chronic limb-threatening ischemia (CLTI) is often seen in older patients; however, younger patients can still be affected as well and this has been poorly characterized. Our goal was to characterize CLTI treatment patterns the commercially insured non-Medicare population. The IBM MarketScan Commercial Database queried for newly diagnosed with from 2016 2018. International Classifications of Dis...

Novel aortic catheter-based resuscitation interventions aimed at control of noncompressible torso hemorrhage and resuscitative perfusion are undergoing active research and development. These methods have been reported as resuscitative endovascular balloon occlusion of the aorta, selective aortic arch perfusion, and profound hypothermia (emergency preservation and resuscitation). These intervent...

OBJECTIVE To evaluate the long-term outcome of endovascular and open treatment for nonatherosclerotic renal artery disease (NARAD). DESIGN Retrospective review. SETTING Academic institution. PATIENTS Fifty-five patients (47 women; mean age, 40 years) with NARAD. Underlying disease included Takayasu arteritis in 31 and fibromuscular dysplasia in 24. INTERVENTIONS Open revascularization a...

BACKGROUND We apply an innovative and novel analytic approach, based on reliability engineering (RE) principles frequently used to characterize the behavior of manufactured products, to examine outcomes after peripheral endovascular intervention. We hypothesized that this would allow for improved prediction of outcome after peripheral endovascular intervention, specifically with regard to ident...

Peripheral arterial disease (PAD) is a common disorder associated with a high risk of cardiovascular mortality and continues to be under-recognized. The major risk factors for PAD are similar to those for coronary and cerebrovascular disease. Management includes exercise program, pharmacologic therapy and revascularization including endovascular and surgical approach. The optimal revascularizat...

INTRODUCTION Acute mesenteric ischaemia (AMI) continues to have a high mortality, ranging from 60 to 80%. PRESENTATION OF CASE A 78-year-old male presented with a 20-hour history of abdominal pain, secondary to a superior mesenteric artery (SMA) thromboembolic occlusion diagnosed on computed tomography (CT) angiography. Following confirmation of bowel viability at laparotomy, endovascular int...