Introduction A service line strategy has long been used by medical centers to counter inefficiency in provision of multidisciplinary care, improve quality, and capitalize on high-frequency diseases with well-reimbursed treatments. Common examples are neuroscience, cancer, and wound care services. The…
Chronic exertional compartment syndrome (CECS) is a nonatherosclerotic cause of claudication that is often referred to a vascular surgeon. As the name implies, it is exercise-induced leg pain that usually presents in young, active patients such as athletes and military…
Pancreatic Malignancies Pancreatic cancer is currently the fourth leading cause of cancer death within the United States with 56,770 new cases and 45,750 deaths estimated for 2019. Five-year survival remains poor at an estimated 10%. Improving long-term survival is therefore…
Introduction Over the past 20 years, surgical treatment of primary and secondary malignancies involving the arteries and veins has become more aggressive. This is due in part to careful patient selection, improvement in surgical techniques and critical care, and the…
Introduction Cervical sympathectomy was first performed to treat a patient with hyperhidrosis by Kotzareff in 1920. Subsequently, Diez performed the first lumbar sympathetic chain ganglia resection to treat a patient with thromboangiitis obliterans (TAO) in 1924, and reported 100% success…
Introduction Complex regional pain syndrome (CRPS) is a chronic pain condition, usually affecting an extremity and associated with inflammatory and autonomous changes. Pain can be spontaneous or induced by a specific stimulus, usually out of proportion to the inciting event,…
Acknowledgments We would like to gratefully acknowledge the assistance of Irwin Goldstein, MD, Director of Sexual Medicine at San Diego Sexual Medicine, Alvarado Hospital, San Diego, California, in providing us with images from selective internal pudendal arteriography and intraoperative photographs…
Introduction While management of acute arterial occlusion is a core skillset of the vascular surgeon, treating a child with an acutely ischemic extremity can be especially challenging. This is an uncommon problem so few surgeons have significant experience, particularly with…
Background Pediatric end-stage renal disease (ESRD) is a challenge for caregivers, nephrologists, and surgeons. The number of children and adolescents beginning ESRD care is steadily decreasing from a high of 17.5 per million in 2004 to 13.8 per million in…
Introduction Pediatric trauma is the leading cause of death in children older than one year in the United States. Although vascular injuries are infrequent, occurring in 0.6% to 1% of trauma patients, , they constitute an important cause of mortality…