Predictive Factors for Type II Endoleaks after Treatment of Abdominal Aortic Aneurysm by Conventional Endovascular Aneurysm Repair.

Background: The aim of this study was to identify the predictive factors for the development of type II endoleaks (EL-II) after endovascular aneurysm repair (EVAR).

Methods: We assessed the preoperative and postoperative computed tomography data of 308 patients who underwent EVAR between 2000 and 2012 and in 84 of whom primary or secondary EL-II occurred. The data analyzed were: demographics, number and diameter of lumbar arteries (LAs), inferior mesenteric artery (IMA), median sacral artery (MSA), accessory renal arteries (ARas), maximum diameter of infrarenal abdominal aortic aneurysm, diameter and length of proximal aortic neck.

Finding a needle in the common carotid artery 3 years after ingestion.

A woman presented with an ischemic stroke involving the right middle cerebral artery. Investigations revealed a foreign body in the cervical area. It was identified as a metal needle, perforating the posterior pharyngeal wall and migrating into the right common carotid artery (CCA).

Surgical management of a ballistic trauma of the right ventricle and descending thoracic aorta.

Ballistic injuries of the descending aorta are uncommon and of extremely severe prognosis. We report the case of a 55-year-old man treated for such a thoracic trauma that combined wounds of the heart and descending thoracic aorta. A combination of conventional surgical and endovascular approaches enabled successful treatment.