Mid-term results of endovascular treatment for symptomatic chronic nonmalignant iliocaval venous occlusive disease.

Background: The goal of this article is to present clinical and patency results of endovascular treatment of nonmalignant, iliocaval venous obstructive disease and to discuss the evolution of technical details.

Methods: From November 1995 to June 2004, 44 patients (female-male ratio, 3.9:1; left-right lower limb ratio, 8.

Extensive arterial aneurysm developing after surgical closure of long-standing post-traumatic popliteal arteriovenous fistula.

Long-standing arteriovenous fistula (AVF) can lead after closure to late arterial aneurysm formation. We report the case of an extensive iliofemoral aneurysm extending from the aorta to a left venous above-knee to below-knee popliteal bypass occurring 14 years after closure of a post-traumatic popliteal AVF. While the arterial axis, which was not dilated at closure, became aneurysmal, it is remarkable that the vein bypass performed at the same time was not altered.

Tinnitus resulting from tandem lesions of the internal carotid artery: combined extracranial endarterectomy and intrapetrous primary stenting.

Lesions of the internal carotid artery involving the bifurcation and the intrapetrous portion represent a challenging therapeutic situation. We herein report the first case of a patient suffering from tinnitus which was treated by simultaneous carotid endarterectomy of the bifurcation and transluminal angioplasty and stenting of the intrapetrous portion with a good mid-term angiographic result.

[Thoracoscopic bypass from the descending thoracic aorta to the femoral artery. Experimental study and clinical application].

Objective: Descending thoracic aorta to femoral artery bypass (DTAFB) has demonstrated usefulness in the treatment of aorto-iliac occlusive disease but related morbidity and mortality are not negligible. We wanted to determine the feasibility of thoracoscopic DTAFB and to report our clinical experience.

Material And Methods: An experimental study was performed on 8 pigs in helicoidal position under general anesthesia with right selective ventilation ).

Laparoscopy-assisted abdominal aortic aneurysm endoaneurysmorraphy: early and mid-term results.

Objectives: This study was undertaken to evaluate the consequences on patient selection and on early and mid-term results during the learning curve of a surgical team performing laparoscopy-assisted surgery to treat abdominal aortic aneurysm (AAA).

Patients And Methods: Between December 1998 and January 2002, 24 patients (22 men, 2 women; mean age, 68.2 years [range, 57-82 years]) were included in a prospective study and underwent laparoscopic transperitoneal AAA dissection followed by graft implantation through a 6 to 9 cm minilaparotomy.