Open aortic surgery volume experience at a regionalized referral center and impact on Accreditation Council for Graduate Medical Education trainees.

Objective: The objective of this study was to review our institute's open aortic surgery volume experience and its impact on Accreditation Council for Graduate Medical Education trainees.

Methods: A review was conducted of the vascular surgery department's operative database for all cases that underwent aortic aneurysm repair, whether open aortic repair (OAR), endovascular aneurysm repair (EVAR), or fenestrated EVAR (FEVAR). We also reviewed our graduating trainees' case logs.

Open versus Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms.

Background: Visceral artery aneurysms and pseudoaneurysms (VAAP) represent a rare and potential life-threatening disease with a documented incidence of 0.1-2.0%.

Preoperative weight loss before bariatric surgery.

Hypothesis: Preoperative weight loss reduces the frequency of surgical complications in patients undergoing bariatric surgery.

Design: Review of records of patients undergoing open or laparoscopic gastric bypass.

Setting: A comprehensive, multidisciplinary obesity treatment center at a tertiary referral center that serves central Pennsylvania.

The azygos system as a rare alternative for chronic indwelling catheters placement.

Chronic indwelling catheters are plagued with a high rate of complications, including infection, central venous occlusion, or thrombosis. When direct access to the superior or inferior vena cava is not possible, venography may identify alternatives that might be viable with current endovascular techniques. This case report describes the successful placement of a tunneled catheter for total parenteral nutrition in the azygos arch through a small collateral vein from the left jugular vein in a patient with no other alternatives because of superior vena cava occlusion and inferior vena cava thrombophlebitis.