Comparing carotid endarterectomies with or without shunting in symptomatic and asymptomatic patients.

Background: Recent research shows that placement of an intraluminal shunt during a carotid endarterectomy (CEA) can be associated with postoperative complications. Therefore, we compared CEA operations with or without shunting to further analyze their clinical outcomes.

Methods: From the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, 13,736 cases between 2016 and 2019 were analyzed to compare adult symptomatic and asymptomatic carotid stenosis patients who underwent a CEA operation, with or without shunt placement.

Modified Staple Aneurysmorrhaphy for Treating Arteriovenous Fistula-Related Venous Aneurysms.

Autogenous arteriovenous fistulas (AVFs) are the preferred access for hemodialysis. AVF occasionally develop venous aneurysms, and we report a modified staple aneurysmorrhaphy technique for treatment. Briefly, the lateral wall of the venous aneurysm is dissected and a longitudinal staple resection performed.

Ultrasound-guided thrombin injection of iatrogenic pseudoaneurysm at a community hospital.

The purpose of this study was to report the success rate of treating pseudoaneurysm using ultrasound-guided thrombin injection at a community hospital. Over 16-month period, 42 patients with femoral artery pseudoaneurysms were treated using ultrasound-guided thrombin injection. Our results showed that ultrasound-guided thrombin injection has a high success rate, and can be safely performed at a community hospital.