BACKGROUND Randomized trials and observational studies have shown that perioperative morbidity and mortality are lower with endovascular repair of abdominal aortic aneurysm than with open repair, but the survival benefit is not sustained. In addition, concerns have been raised about the long-term risk of aneurysm rupture or the need for reintervention after endovascular repair. METHODS We ass...

OBJECT Considerable evolution has occurred in treatment options for cerebral aneurysms. Development of endovascular techniques has produced a significant change in the treatment of ruptured and unruptured intracranial aneurysms. Adoption of endovascular techniques and increasing numbers of patients undergoing endovascular treatment may affect health care expenditures. Geographic assessment of g...

Three recently published trials, MR RESCUE, IMS III, and SYNTHESIS Expansion, evaluating the efficacy and safety of endovascular treatment of acute ischemic stroke have generated concerns about the future of endovascular approach. However, the tremendous evolution that imaging and endovascular treatment modalities have undergone over the past several years has raised doubts about the validity o...

BACKGROUND Small intracranial aneurysms pose significant challenges to endovascular therapy. Surgical clipping is considered by many to be the preferred treatment for these lesions. We present the results of the first study comparing the 2 treatment modalities in small ruptured aneurysms. METHODS AND RESULTS Between 2004 and 2011, 151 patients with small ruptured aneurysms (≤3 mm) were treate...

salmonella is a gram-negative, non-spore forming facultative anaerobic, motile bacilli. in developing countries, non-typhoidal salmonella (nts) accounts for the steadily increase in the proportion of human infections in recent decades. the clinical presentations of non-typhoidal salmonella infection are protean, including gastroenteritis (the most common one), bacteremia, septic arthritis, oste...

Endovascular abdominal aortic aneurysm repair has completely transformed the treatment of elective aneurysmal disease, but endovascular surgeons have been slow to adopt these techniques for ruptured aneurysms. There are endovascular skills and management techniques that are valuable to both vascular and general surgeons in the emergent setting. An endovascular approach to this disease process d...

interventional treatment of ruptured intracranial aneurysms in patients with subarachnoid hemorrhage is a standard therapy based on evidence from randomized trials. simple coiling is still used for most of the cases. modern coil technology provides a wide variety of complex shaped coils for faster procedures and reliable dense packing. the assistance of stents and balloons widens the indication...

behcet’s disease is a rare immune mediated systemic vasculitis which besides it’s more frequent involvement of eyes and skin,   sometimes present with aortic pseudo aneurysm and more rarely cardiac inflammatory masses.a 51-year-old patient with behçet’s disease presented with two symptomatic aortic pseudoaneurysms concomitant with a right atrial mass. computed tomography (ct) revealed one supra...

In recent years, technical developments have made endovascular procedures attractive therapeutic options and enabled the endovascular surgeon to redefine the management of cerebral aneurysms. However, as the number of aneurysms undergoing endovascular therapy has grown, so has the number of patients with incompletely treated aneurysms who are presenting for further management. In cases of failu...

BACKGROUND Two randomized trials have shown similar mid-term outcomes for survival and quality of life after endovascular and conventional open repair of abdominal aortic aneurysms (AAA). With reduced hospital and intensive care stay, endovascular repair has been hypothesized to be more efficient than open repair. The Dutch Randomized Endovascular Aneurysm Management (DREAM) trial was undertake...