Modified eversion carotid endarterectomy.

Background: Eversion carotid endarterectomy is a well-described technique for carotid endarterectomy (CEA). The advantage of this technique is a completely autogenous repair. We describe a modification of eversion endarterectomy (MEE) that expeditiously extracts the plaque through a linear incision over the common carotid artery and the proximal bulbous internal carotid artery (ICA) only, allowing primary closure.

Mycotic aneurysm and aortic graft infection presenting with vertebral body destruction requiring debridement and stabilization--a report of two cases.

Vertebral osteomyelitis may occur with mycotic aneurysms or infected aortic grafts. A high index of suspicion for these concurrent processes as well as appropriate preoperative evaluation and interspecialty communication is critical for appropriate diagnosis and treatment. Extraanatomic bypass, wide debridement of necrotic soft tissue and bony structures, and concurrent bony stabilization are important aspects of treatment.

Endovascular repair of carotid artery aneurysms following carotid endarterectomy.

Aneurysm of the carotid artery following endarterectomy is a rare entity that historically has required reoperation. Endovascular deployment of a covered stent can theoretically exclude an aneurysm while minimizing the risks seen with reoperation. Herein, we review the scientific literature on this evolving technique and report an additional case involving successful treatment of an aneurysm that developed following remote endarterectomy.

Decellularized vein as a potential scaffold for vascular tissue engineering.

Purpose: Current strategies to create small-diameter vascular grafts involve seeding biocompatible, compliant scaffolds with autologous vascular cells. Our purpose was to study the composition and strength of decellularized vein to determine its potential as a vascular tissue-engineering scaffold.

Methods: Intact human greater saphenous vein specimens were decellularized by using sodium dodecyl sulfate (SDS).

Ischemic jejunal stricture following endovascular abdominal aortic aneurysm repair -- a case report.

Endograft repair has rapidly become an alternative to conventional open repair of abdominal aortic aneurysms. Various trials continue to show decreased morbidity when compared to open repair. However, as with any new procedure, complications specifically related to this technique are being described.