A Rescue Technique for Intraoperative Proximal Migration of a Nellix Stent During Endovascular Aneurysm Sealing.

Purpose: To describe a technique to rescue intraoperative migration of 1 of the 2 Nellix stents during endovascular sealing of abdominal aortic aneurysms (EVAS).

Technique: The technique requires advancement and inflation of a 10-mm angioplasty balloon into the inlet of the migrated stent via an upper limb approach. Inflation of the balloon allows completion of EVAS without risking the contralateral endobag occluding the inlet of the migrated stent.

Causes of successful medico-legal claims following amputation.

Introduction: The causes of successful medico-legal claims following amputation were reviewed.

Methods: A retrospective analysis of claims handled by the National Health Service Litigation Authority, from 2005 to August 2010, was performed. Under the Freedom of Information Act, the National Health Service Litigation Authority provided limited details on closed claims, settled with damages, following a search of their database with the term "amputation.

Medico-legal claims following amputations in the UK and Ireland.

The causes and outcomes of medico-legal claims following amputation were evaluated. A retrospective analysis of the experience of a consultant surgeon acting as an expert witness within the United Kingdom and Ireland (1990-2010). There were 154 claims referred for an opinion of which 53 related to female patients.

Deficiencies persist in the experience of UK vascular trainees: a survey of Rouleaux Club members.

Aims: To evaluate the training experience of the current United Kingdom (UK) vascular trainees.

Methods: A Web-based questionnaire was administered to 217 members of the Rouleaux Club, which represents UK vascular and endovascular trainees, between May and June 2011.

Results: A total of 153 trainees (71% response rate) completed the survey; 52% were in posts that do not offer endovascular training, 88% performed <10 peripheral angiograms, and 67% performed part or all of <10 endovascular aneurysm repairs in the last year.

Medicolegal claims following laparoscopic cholecystectomy in the UK and Ireland.

Introduction: The causes and outcomes of medicolegal claims following laparoscopic cholecystectomy were evaluated.

Subjects And Methods: A retrospective analysis of the experience of a consultant surgeon acting as an expert witness within the UK and Ireland (1990-2007).

Results: A total of 151 claims were referred for an opinion.

www.Accurate information for varicose vein patients.com?

Introduction: The aim of this study was to review the information available to the public regarding the treatment of varicose veins on dedicated UK-based websites.

Patients And Methods: Websites were identified by using the Google search engine. All identified websites were examined, noting the range of treatments explained and their stated potential complications.

Fenestrated stent-graft repair: which stent should be used to secure target vessel fenestrations?

Purpose: To investigate in an in vitro model the ability of different covered and uncovered stents to resist displacement/migration of a fenestrated stent-graft.

Methods: Three different types (2 covered, 1 bare) of commonly used 7-mm balloon-expandable stainless steel stents (Jostent, Advanta V12, and Palmaz Genesis) were investigated in a testing rig consisting of 2 overlapping tubes with 2 sets of 7-mm holes representing bilateral renal artery fenestrations and ostia. The rig was attached to a tensile tester via pneumatic clamps.

Fenestrated aortic stent grafts.

Fenestrated stent grafts have been developed to offer an endovascular treatment option to those patients with abdominal aortic aneurysms whose infrarenal necks are anatomically unsuitable for endovascular repair with standard infrarenal devices. The ability to have customized fenestrations that will preserve flow to essential visceral arteries allows proximal seal and fixation to be achieved at and above the renal level. This article discusses patient selection, stent-graft design, and the importance of accurate planning.