Two-year outcome with preferential use of infrainguinal angioplasty for critical ischemia.

Objective: Infrainguinal angioplasty provides a minimally invasive alternative to bypass surgery in patients with critical ischemia. This study aimed to determine the 2-year patency, limb salvage, and survival rates in patients who underwent infrainguinal angioplasty in a unit where angioplasty is used preferentially whenever possible for critical ischemia.

Methods: A total of 333 consecutive patients who presented with rest pain, tissue loss, or both and who underwent an infrainguinal intervention in the 4-year period between January 1998 and January 2002 were divided into femoropopliteal and femorodistal groups.

Stroke after varicose vein foam injection sclerotherapy.

This report describes an ischemic stroke after foam injection sclerotherapy of varicose veins in a patient with a patent foramen ovale. Foam injection sclerotherapy has created resurgence in the minimally invasive treatment of varicose veins. The United States Food and Drug Administration halted a clinical phase 2 trial of a commercial preparation of polidocanol microfoam in 2003 because of concerns relating to possible gas embolism.

Tumor embolus: a case report and review of the literature.

Peripheral embolization of macroscopic tumor fragments is an uncommon occurrence. A patient with a previously undiagnosed primary lung adenocarcinoma who presented with an acutely ischemic limb is described. Following review of the literature, the characteristics of tumor embolization are discussed.

Operative and endovascular management of extracranial vertebral artery aneurysm in Ehlers-Danlos syndrome:a clinical dilemma--case report and literature review.

The most prevalent lesion of the vertebral artery is an atheromatous plaque located at its origin from the subclavian artery. A case of successful management of a symptomatic vertebral artery aneurysm due to Ehlers-Danlos syndrome is reported. The patient had asymptomatic posterior intracerebral artery dissection on the contralateral side.

Endovascular management of a pancreaticoduodenal aneurysm: a clinical dilemma.

Purpose: To report the successful endovascular embolization of a pancreaticoduodenal aneurysm (PDA).

Case Report: A 56-year-old man with a history of pancreatitis presented with insidious, progressive epigastric pain for the preceding 6 months. Contrast-enhanced computed tomography (CT) and selective hepatic digital subtraction angiography identified a 7.