Mark K Eskandari

..This article describes the outcomes of carotid stenting among symptomatic patients and examines the trials that have been performed regarding the treatment options...

..The focus of this article is to review the notable trials substantiating the efficacy of CEA, indications for surgery and technical components that have refined expected favorable outcomes...

..Vascular surgeons have increasingly become proficient in carotid artery stenting (CAS) as an alternative treatment modality for cervical carotid artery occlusive disease. We analyzed our early and late outcomes of CAS over the last 8 years...

..Reported are our 30-day and midterm outcomes of CAS...

..Whether outcomes after CAS are comparable to those after CEA in the larger population of patients with asymptomatic disease is unclear...

..This article attempts to shed some light on the contemporary management options in view of advances in percutaneous endoluminal interventions...

..Although the ideal EPD has yet to materialize, this review provides insight into current design systems and the accompanying strengths and weaknesses of each...

..Early outcomes and restenosis rates in these patients were analyzed and compared with those in de novo lesions...

..The primary objective of this review is to provide a heightened awareness of both anticipated and unanticipated risks of the procedure, with the hope of avoiding recurring problems...

..The lack of uniformity and long-term data hamper acceptance of this approach. This review attempts to cull all available information on this technique from recent case reports and series published in the literature...

..Switching to a distal balloon occlusion system, which is well tolerated, may be preferred to unprotected predilation. Practitioners of CAS should be versed in both...

..This review will provide a framework with regard to these devices with some specific examples cited...

..Imbalances in this system may be instrumental in compromising arterial wall integrity. The aim of this study was to show that, in an elastase-induced murine model of aneurysm formation, TIMP-1 has a protective effect...

..Here we review the relevant data on the various imaging techniques available to improve patient selection and minimize neurologic adverse events during carotid artery stenting...

..Proximal extension for a type I endoleak necessitated a bailout procedure with a "kissing" left common carotid artery bare stent...

..Carotid angioplasty and stenting seems to have equal or better outcomes in high-risk patients than carotid endarterectomy...

..Although early results have been encouraging, late outcomes have yet to be defined. Reported are long-term outcomes of supraaortic trunk stent placement with particular attention to structural failures...

..To review several cases of stent-graft infection with respective outcomes to identify clinical presentations and responses to treatment options...

..A significant proportion of patients undergoing endovascular aneurysm repair (EVAR) have common iliac artery aneurysms (CIAA). Aneurysmal involvement at the iliac bifurcation potentially undermines long-term durability...

..The use of specially designed devices appears to be technically feasible and durable, with acceptable morbidity and mortality rates...

..Carotid to subclavian artery bypass should be reserved for patients with a patent internal mammary artery conduit perfusing a coronary vessel and should be combined with proximal subclavian ligation...

..NTS. Early CAS outcomes between TS and NTS are comparable. In contrast, self-expanding nitinol TS may have a lower incidence of significant restenosis or asymptomatic occlusion when compared to NTS...

..Morbidity and mortality of acute type B thoracic aortic dissections remain alarmingly high. Endoluminal options are promising...

..Cryopreserved human allografts (CHA) may serve as acceptable alternatives when autogenous or extra-anatomic/in situ prosthetic reconstructions are not possible...

..Thoracic endovascular aortic repair (TEVAR) for acute blunt thoracic aortic injury has good early and mid-term results...

..Despite advances in endoluminal salvage for failed endografts, certain circumstances necessitate open endovascular abdominal aneurysm repair (EVAR) conversion. We review the indications for and outcomes after late EVAR explants...

..Endovascular management of both acute and chronic thoracic aortic pathology has emerged as an alternative to open surgery. We reviewed our single center experience with endovascular devices for the treatment of thoracic aortic pathology...

....

..A preexisting contralateral carotid artery occlusion has been described as a risk factor for inferior outcomes after carotid endarterectomy, but its impact on CAS outcomes is less understood...

..Late stent fatigue is a known complication after carotid artery stenting (CAS) for cervical carotid occlusive disease. The purpose of this study was to determine the prevalence and clinical significance of carotid stent fractures...

..Type I and III endoleaks require prompt, definitive repair or explantation. We review a single center experience of endovascular treatment of type I and III endoleaks...

..To evaluate a single center's experience with carotid artery stenting (CAS) and carotid endarterectomy (CEA) performed by vascular surgeons in an entirely veteran population...

..We reviewed contemporary outcomes of patients undergoing endovascular repair of TTAT (endoTTAT) and those undergoing open repair (openTTAT) to determine if current reported results support first-line use of endoTTAT...

..The present report describes stent-graft repair in two patients after complete visceral artery revascularization or "debranching."..

..Thus, the objective of this study is to determine if a WBC within the normal range is predictive of outcomes following vascular interventions...

..Endovascular repair of abdominal aortic aneurysms (EVAR) has largely supplanted open surgery over the past 2 decades. Faced with an aging population, the outcomes of EVAR among various age groups were examined...

..Percutaneous endovascular repair of ruptured abdominal aortic aneurysms (RAAAs) has better outcomes than traditional open surgical repair...

..Ultimately, the "preclose technique" can be safely applied for the Zenith device despite its large-bore delivery system...

..During follow-up, there were no cases of restenosis. CONCLUSION: Endoluminal arterial stenting of brachiocephalic arch vessels may be a viable alternative to traditional open bypass in cases of focal stenotic disease...

....

..Endovascular AAA repair did not acutely alter these anatomic findings. Patients with AAA may therefore be at lower risk of developing LCIV thrombosis owing to the nature of their anatomy...

..Long-term durability of endovascular repair of traumatic thoracic transections remains unknown, but early and midterm results are promising...

..This may be analogous to type II endoleak or endotension noted after aortic endovascular repair. We recommend PAA excision or endoaneurysmorrhaphy when feasible...

..In an effort to preserve cerebral function, urgent early CEA has been recommended in many circumstances. We analyzed outcomes of different time intervals in early CEA in comparison with delayed treatment...

..Vascular surgeons facile at CAS should expect 30-day results comparable to CEA in all age groups. Octogenarians, whether symptomatic or asymptomatic, should not be denied this form of treatment...

..The endoleak was successfully treated by endovascular means with an aortouni-iliac device, contralateral iliac plug followed by a femoral-to-femoral bypass graft...

..This case report describes an early infection of an endoluminal aortic stent graft treated initially with percutaneous drainage and ultimately with staged extraanatomic bypass and graft explantation...

..The deployment accuracy of this device allows for consistent preservation of the IIA divisional bifurcation and, thus, may allow for preservation of important pelvic collateral flow...

....

..A comparison of Excluder endograft deployment with femoral artery cutdown (FAC) versus percutaneous femoral access (PFA) for treatment of infrarenal AAA was undertaken...

..Institutional comparative outcomes of open versus stent-graft repair are also reviewed in lieu of randomized trial data...

..We present an unusual case of carotid artery stenosis 18 months after angioplasty and stenting as a result of recurrent malignancy, which was treated with repeat stent placement...

..This review looks at the successes of EVAR, based on both US Food and Drug Administration trials and independent studies comparing conventional open repair and endovascular repair...

..This case report demonstrates effective stent grafting of an arterial and an esophageal zone I neck injury after a civilian gunshot...

..The section concludes with an overview of published data on stent-graft repair of both acute and chronic aortic dissections...

..Although there have been no adverse clinical events in this group, continued close follow-up is mandatory following endovascular aneurysm repair...

..The authors present a case that required the addition of a bifurcated infrarenal EVAR to completely exclude a type III TAAA...

..The purpose of this study was to analyze outcomes of endovascular (EVAR) and open surgical repair (OSR) of elective AAA among the elderly (≥80 years)...

..Stenosis of the ECA in ipsilateral ICA occlusion can produce ischemic sequelae...

..Improvements among the class of proximal balloon occlusion devices with flow reversal have a number of theoretic advantages and are the focus of this review article...

..e., diabetes, coronary artery disease, renal failure and advanced age) and equipment (i.e., embolic protection systems and stent designs) that have been identified in the literature as predictors of poorer outcomes...

..The role of carotid angioplasty and stenting, which offers the patient a less invasive method of treating the carotid plaque, continues to evolve...

....

..We describe three cases of blunt traumatic thoracic aortic transection treated with commercially available aortic endoluminal stent grafts...

....

....

..To design a Web-based system to track adverse and near-miss events, to establish an automated method to identify patterns of events, and to assess the adverse event reporting behavior of physicians...

..Therefore, definitive treatment requires surgical resection. The authors describe a case of a patient with a carotid body tumor and review the most recent literature on this unusual topic...

..Our purpose was to determine the incidence of VTE in a consecutive series of patients undergoing Roux-en-Y gastric bypass (RYGB) to guide appropriate therapy...

..Long-term efficacy regarding the prevention of sac enlargement remains unclear, and further follow-up is suggested...

..However, open repair is associated with high rates of morbidity and mortality, particularly in multiply injured trauma patients. We reviewed our experiences of endovascular repair of acute TTAT...

..A possible exception includes patients with >/=80% carotid artery stenosis and high anatomic risk for carotid endarterectomy...

..Thus, preconditioning induces protective mechanisms to a subsequent insult within the muscularis externa...

..It is likely that in the future both CAS and CEA will coexist as potential forms of treatment in the clinical management of cerebrovascular disease...