[Contralateral occlusion: does it affect the therapeutic management of carotid stenosis?].

Introduction: Because the contralateral carotid artery occlusion has been considered a high risk factor for ipsilateral carotid endarterectomy, some authors indicate a stenting procedure in these cases.

Aim: To evaluate whether there are different preoperative factors in patients with contralateral carotid occlusion and if the latter is associated to worse perioperative outcome.

Patients And Methods: We analysed 476 carotid endarterectomies performed in 1994-2004.

[Immediate and long-term outcomes of carotid endarterectomies in eighty-year-olds].

Aims: To compare the immediate results obtained after performing a carotid endarterectomy (cEDA) in patients in their eighties with those of younger patients, and to determine survival and stroke-free times following carotid surgery in the two groups.

Patients And Methods: Retrospective data was collected regarding a series of 319 cases of cEDA (302 patients) performed between January 1998 and December 2004. Group 1: patients aged 80 or above.

Disease progression in the contralateral carotid artery after endarterectomy.

Our objectives were to establish the incidence and progression of stenotic lesions in the contralateral carotid artery (CCA) after endarterectomy, to identify subpopulations of patients at risk of contralateral disease progression, and to evaluate the efficacy of duplex scanning surveillance at detecting these lesions. We performed a prospective study on 180 patients in whom the CCA to the operated artery was healthy or showed <70% stenosis. All patients had completed a clinical and hemodynamic follow-up program, including duplex scanning of both carotids, with sessions 3 and 6 months after surgery and then every semester until 2 years.

Surgery for aortoiliac aneurysm after kidney transplant.

Objective: Although aortoiliac aneurysm in kidney transplant patients is uncommon, aortic clamping during the surgical repair of an aneurysm could pose a risk to the grafted kidney and might also increase the risk of vascular prosthesis infection due to immunosuppression. Herein, we present our results related to the treatment of the aortoiliac aneurysm subsequent to kidney transplant.

Material And Methods: Four male kidney transplant recipients underwent surgery for aortoiliac aneurysm repair.