PURPOSE The purpose of this study was to utilize an objective endpoint analysis of aneurysm treatment, which is based on the primary objective of aneurysm repair, and to apply it to a consecutive series of patients undergoing open and endovascular repair. METHOD Aneurysm-related death was defined as any death that occurred within 30 days of primary aneurysm treatment (open or endovascular), w...

The improvement of vascular imaging has allowed the acquisition of vascular images with higher resolution while minimizing the risks and discomfort to patients. As imaging developments continue to progress, establishment of valid clinical-based evidence, before the application of each innovation, will assure maintenance of the current trend. Also, as the vascular surgeon adopts a more comprehen...

<60 years, the age-specific rate of amputations increased significantly (p1⁄40.003) from 21.1 to 61.1 per 100 000 over the study period (RR1⁄41.33, 95% CI 1.09 to 1.61). Therapeutic endovascular procedure rates increased significantly (p<0.001) for men aged 60 to 74 years (RR1⁄41.65; 95% CI 1.42 to 1.92) and 75 years or older (RR1⁄42.6; 95% CI 1.96 to 3.47). Equally, a significant increase (p<0...

PURPOSE Retroperitoneal iliac procedures can enable successful endovascular repair of abdominal aortic aneurysm (AAA) in patients who otherwise would not be anatomically eligible. The purpose of this study was to determine perioperative outcome with adjunctive retroperitoneal procedures compared with standard bilateral femoral exposure. METHODS Between August 1997 and November 2002, 164 patie...

Post-catheterization pseudoaneurysms are increasingly prevalent due to widespread use of endovascular procedures. Ultrasound-guided thrombin injection has emerged as a treatment of choice for these pseudoaneurysms. We review our experience performing this procedure for a series of cases from 2007 to 2010 with different clinical manifestations at a single hospital in Hong Kong. We achieved a hig...

Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...

AIM The aim of this study to evaluate the feasibility of establishing endovascular neurosurgery in remote resource-poor neuro-hospital setup and evaluate its outcome. MATERIALS AND METHODS Retrospective analysis of diagnostic and therapeutic endovascular neurosurgical procedures performed during September 2013-June 2016. RESULTS A total of 174 diagnostic cerebral and spinal digital subtract...

Rapid advances in endovascular technology and procedural breakthroughs have contributed to a dramatic transformation of the entire field of thoracic aortic surgery less than 15 years after the first report of on stent-graft repair of thoracic aortic aneurysms. (1) TEVAR procedures can be challenging and, at times, extraordinarily difficult. They require seasoned endovascular experience and refi...

DISCUSSION Many surgeons default to holding the scope in a curved position. Due to the length and the ever decreasing calibre of modern scopes, the transmission of torque is reduced, resulting in decreased rotation of the tip in response to movements of the hand. Consequently, the operator resorts to excessive movements in a ‘windscreen wiper’ motion. Using this technique improves the ability o...