Carotid Plaque Inflammation Assessed by F-FDG PET/CT and Lp-PLA Is Higher in Symptomatic Patients.

Carotid plaque inflammation assessed by 2-deoxy-2-[F]fluoro-D-glucose (F-FDG) positron emission tomography/computed tomography (PET/CT) and lipoprotein-associated phospholipase A2 (Lp-PLA) levels are higher in symptomatic patients. The aim of this study was to assess correlations between F-FDG uptake on PET scan of carotid artery plaques, plasma levels of Lp-PLA, and cerebrovascular symptoms. The study included 45 consecutive patients (22 symptomatic, 23 asymptomatic) with >70% carotid stenosis.

Anteromedial thigh perforator flap to cover the inguinal region in a crossover femorofemoral bypass.

We report the case of a 48-year-old male with an exposition of a femorofemoral crossover bypass in the inguinal region and superficial femoral occlusion. This was successfully treated using an anteromedial thigh (AMT) pedicled flap based on the perforator vessel of the descending branch of the lateral circumflex femoral artery. Our report focuses on: i) considering the AMT flap as a safe and easy option to cover the inguinal region in cases of bypass exposure; ii) describing the attachment of this flap to the deep femoral artery in a patient with superficial femoral occlusion, in spite of some literature controversy.

Diagnostic accuracy of contrast-enhanced magnetic resonance angiography and duplex ultrasound in patients with peripheral vascular disease.

Introduction: Noninvasive techniques such as duplex ultrasound (DU) and contrast-enhanced magnetic resonance angiography (CE-MRA) are valid alternatives in the preoperative evaluation of such patients. Our aim is to assess the diagnostic accuracy of CE-MRA and DU in patients with peripheral arterial disease (PAD).

Methods: Forty consecutive patients underwent DU, hybrid CE-MRA, and digital subtraction angiography (DSA).

Ruptured popliteal aneurysm resulting from neurofibromatosis-a case report and review of the literature.

Rupture of an aneurysm in a patient suffering from neurofibromatosis is a rare though documented complication. Presented here is the case of a 33-year-old woman with known neurofibromatosis who underwent repair of a symptomatic popliteal aneurysm. The presentation, diagnostic evaluation, and treatment are discussed, and the literature is reviewed on this rare entity.