Physician-Modified Endografts Versus Chimney/Snorkel for Ruptured and Symptomatic Juxtarenal and Paravisceral Aneurysms in the Vascular Quality Initiative.

Objectives: Ruptured and symptomatic juxtarenal and paravisceral aneurysms present technical challenges during endovascular repair. We sought to compare physician modification and fenestrated (PMEG) versus chimney/periscope/snorkel (CHIMPS) repair techniques for the treatment of ruptured and symptomatic paravisceral and juxtarenal aortic aneurysms (r/sPJAA).

Methods: Patients in the thoracic and complex endovascular aneurysm module of the Vascular Quality Initiative (VQI) national registry undergoing CHIMPS and PMEG for r/sPJAA were included.

A Contemporary Perspective on the Management of Post-Craniotomy Headache and Pain.

Purpose Of Review: This article discusses the etiology and management of post-craniotomy headache and pain. A review of available as well as investigatory treatment modalities is offered, followed by suggestions for optimal management of post-craniotomy headache.

Recent Findings: There is a dearth of evidence-based practice regarding the differential diagnosis, natural history, and management of post-craniotomy headache.

Can the idealized voider derived flow indexes be a measure of voiding efficiency and how accurate are they?

Objective: Our hypothesis was to confirm whether an idealized voider flow equation (IVFE) that we created is more accurate than trying to rely on estimated flow rates in the same patient in two consecutive voids. We also looked to confirm whether flow index (FI) can be a proxy for voiding efficiency and to identify which FI was best; those based off our own IVFE equations or those derived from the commonly used power equations.

Study Design: We used data from a previous study and calculated flow rates using our IVFE and the power equations.

A quantitative approach to the interpretation of uroflowmetry in children.

Purpose: We hypothesized that by correcting for volume and creating a flow index (FI) we could develop a reproducible and reliable means to estimate flows in children without the use of a flow nomogram. Our second hypothesis was that this volume corrected FI could define objective parameters for the different flow curves that are described in the ICCS document.

Methods: Uroflowmetry curves of 1,268 healthy children were analyzed.