Giant External Iliac Artery Aneurysm.

Isolated external iliac artery aneurysms are a very rare occurrence. We present the case of a patient with a very large symptomatic isolated external iliac artery aneurysm found incidentally on imaging for other reasons. Due to his compressive symptoms, he underwent uncomplicated open repair of his aneurysm.

Increased resource utilization and overall morbidity are associated with general versus regional anesthesia for carotid endarterectomy in data collected by the Michigan Surgical Quality Collaborative.

Objective: Advocates for performing carotid endarterectomy (CEA) under regional anesthesia (RA) cite reduction in hemodynamic instability and the ability for neurologic monitoring, but many still prefer general anesthesia (GA) as benefits of RA have not been clearly demonstrated, reliable RA may not be available in all centers, and a certain amount of movement by the patient during the procedure may not be uniformly tolerated. We evaluated the association of anesthesia type and perioperative morbidity and mortality as well as resource utilization in patients undergoing CEA using the Michigan Surgical Quality Collaborative (MSQC) database.

Methods: Between 2012 and 2014, 4558 patients underwent CEA among the MSQC participating hospitals.

Intravascular Ultrasound for Intracranial and Extracranial Carotid Artery Stent Placement.

Intravascular ultrasound (IVUS) can provide valuable information regarding endoluminal morphology. We present the first description of IVUS-guided intracranial and extracranial carotid artery stent placement for arterial dissection. A 41-year-old female with a sudden-onset headache and blurred vision underwent a computed tomography (CT) angiogram imaging that revealed bilateral carotid artery dissections (BCAD) and a left vertebral artery dissection (VAD).

Small bowel intussusception causing a postoperative bowel obstruction following laparoscopic low anterior resection in an adult.

Adult intussusception usually presents with nonspecific symptoms such as abdominal pain, bloating, nausea, vomiting, and a change in bowel habits. Although postoperative intussusception has been described in the pediatric population, there has been little description of it in the adult population. Postoperative intussusception has unique challenges, as hydrostatic reduction may compromise bowel anastomoses.