Single-Center In-Hospital and Outpatient Opioid Use for Lower Extremity Arterial Disease.

Introduction: The pain associated with lower extremity arterial disease is difficult to treat, even with lower extremity revascularization. We sought to evaluate in-hospital and post-operative opioid usage in patients with different disease severities and treatments for lower extremity vascular disease.

Methods: A retrospective review was performed for all hospital encounters for patients with an International Classification of Diseases (ICD) code consistent with lower extremity arterial disease admitted to a single center between January 2018 and March 2023.

Use of contrast ultrasound in differentiating thrombosed pseudoaneurysm from sarcoma, prior to surgery.

We describe a case of a 69-year-old male with a right-sided popliteal mass following a motor vehicle accident 15 years ago. The mass was indeterminate via multiple modalities (magnetic resonance imaging, digital subtraction angiography, and vascular ultrasound) with biopsy requested prior to surgical removal to determine the appropriate surgical team - vascular versus sarcoma oncologic surgery. Contrast ultrasound was utilized to determine if biopsy was indicated and if so, to determine the most appropriate target.

Operative Mortality and Morbidity in Ruptured Abdominal Aortic Aneurysms in the Endovascular Age.

Background: Controversy exists about technique of repair for ruptured abdominal aortic aneurysms (rAAA). We studied rAAA treated at a single tertiary center from 2005 to 2015 to determine operative morbidity and mortality in open and endovascular aortic aneurysm repair (EVAR) of rAAA.

Methods: All rAAA (n = 144) treated from 2005 to 2015 were reviewed using an IRB-approved database.