Introduction Registries contain large bodies of information, generally collected in the course of routine clinical practice. The usefulness or value of that information depends on many issues but primarily whether it is used for a purpose consistent with the intent…
Management of infected arterial aneurysms remains a daunting surgical challenge. These infections can occur in any named vessel and often affect elderly patients with multiple medical comorbidities. Medical treatment alone with culture-directed antibiotics rarely eradicates the infection, and excision of…
Introduction Embolic and thrombotic events in the arterial and venous systems lead to end-organ malperfusion and dysfunction. In the past, open surgical procedures were used to restore vessel patency and organ function; however, with the advent of thrombolytic agents and…
Introduction Perhaps no other anatomic region contains so many vital structures in such a compact space as the neck and thoracic outlet. Injuries in this region can result in hemorrhage, stroke, upper and/or lower extremity paralysis, loss of airway, and…
Peripheral arterial aneurysms are less common than aortic aneurysms, but can cause significant morbidity and occasionally lead to death; however, the most common serious complication is end-organ loss or dysfunction. The peripheral aneurysms discussed in this chapter will be the…
Blunt injury to the popliteal artery is commonly associated with trauma to the knee of sufficient force to result in either a knee dislocation or fracture. A review of 100 blunt popliteal artery injuries at our institution found that automobile…
Groin lymphoceles and lymphocutaneous fistulas (LCFs) are rare but known complications of lower extremity vascular procedures that involve operative dissection within the femoral triangle. By definition, a lymphocele is a cystic collection of lymphatic fluid from a disrupted lymphatic channel.…
In 1908, Takayasu, a Japanese ophthalmologist, reported retinal arteriovenous shunts in a wreathlike distribution around the optic disc and microaneurysms of the retinal vessels in a 19-year-old Japanese woman. In an ensuing discussion, Onishi related similar findings in a patient…