Modifications in Near Infrared Spectroscopy for Cerebral Monitoring During Carotid Endarterectomy in Asymptomatic and Symptomatic Patients.

Background: To evaluate trends and differences in Near Infrared Spectroscopy (NIRS) monitoring during carotid endarterectomy (CEA) in patients affected by asymptomatic and symptomatic carotid artery stenosis, to predict postoperative neurological complications (PNCs).

Methods: NIRS data of CEAs performed in a University Hospital were retrospectively reviewed. All the interventions were performed under general anesthesia and patients with intraoperative complications were excluded.

Mechanical aspiration thrombectomy in the treatment of acute intrastent renal artery thrombosis.

Chimney-and-periscope technique for thoraco-abdominal aneurysm repair is a valuable treatment option in selected patients. Acute renal artery occlusion is a serious complication after this technique. We report a case of acute right renal artery occlusion, consequent to a previous chimney-and-periscope technique that was treated urgently by mechanical aspiration thrombectomy.

Use of Iliac Branch Device for Endovascular Treatment for Abdominal Aorta Aneurysm with Small Diameter Neck.

We present the case of a 78-year-old woman with a 4.5-cm symptomatic abdominal aortic aneurysm with a small diameter (13-mm diameter) infrarenal aortic neck who underwent endovascular treatment using an iliac branch device as a bifurcated aortic stent-graft.

Abdominal aorta aneurysm with hostile neck: Early outcomes in outside instruction for use in patients using the treovance stent graft.

Purpose: The efficacy and safety of endovascular aneurysm repair (EVAR), in patients outside instruction for use (IFU), is very challenging and widely debated. The aim of this study was to evaluate the placement of the Treovance abdominal aorta stent-graft in patients with hostile proximal necks considered outside IFU.

Materials And Methods: Between May 2013 and August 2014, 5 patients with outside IFU underwent EVAR with the Treovance stent-graft.

Vascular Injury Due to Humerus Fracture in Pediatric Age: When the Treatment Is Mandatory.

Background: Pink pulseless hand syndrome is a rare condition of vascular injury due to distal humerus fracture. It is characterized by radial and ulnar pulselessness in a complex of good hand perfusion which can remain pink and warm. The management and treatment of this condition is still very debated.