Interdisciplinary Successful Revascularization of Traumatic Occlusion of the Right Common Carotid Artery.

Blunt carotid artery injury (BCI) poses a rare yet severe threat following vascular trauma, often leading to significant morbidity and mortality. We present a case of a 33-year-old male who suffered complete thrombotic occlusion of the right common carotid artery (CCA) following a workplace accident. Clinical evaluation revealed profound neurological deficits, prompting multidisciplinary surgical intervention guided by the Denver criteria (Grade I - disruption inside the vessel that results in a narrowing of the lumen by less than 25%; Grade II - dissection or intramural hematoma causing greater than 25% stenosis; Grade III - comprises pseudoaneurysm formation; Grade IV - causes total vessel occlusion; Grade V - describes vessel transection with extravasation).

Real-world effectiveness of fingolimod in patients with multiple sclerosis in Bulgaria.

Introduction: Fingolimod, a sphingosine-1-phosphate receptor agonist used for the treatment of multiple sclerosis (MS). Our goal was to assess the impact of fingolimod on quality of life in patients with relapsing-remitting multiple sclerosis (RRMS) after 2 years of treatment in this real-world study.

Patients And Methods: This was a 2-year, prospective, observational study conducted in Bulgaria in RRMS patients treated with fingolimod.

[A case of anterior tibial artery pseudoaneurysm].

We present a case of traumatic pseudoaneurysm of the anterior tibial artery in a 74-years-old male. The patient had history of a trauma on his left calf--a penetrating wound caused by a knife. The primary surgical treatment in a traumatological ward resulted in a good non-ischemic condition without signs of bleeding.

[Initial experience in endovascular treatment of abdominal aortic aneurysms in Bulgaria].

The abdominal aneurysm imposes prominent epidemiological impact due to its high incidence and life threatening complications. The first steps in endovascular treatment of abdominal aneurysms in Bulgaria are herein described. Five bifurcated and one straight stent-grafts were implanted in the ,,St.

[Trophic foot lesions in patients with chronic bellow knee arterial occlusions].

We operated 51 patients with chronic arterial occlusions of the bellow knee arteries in 2002 and 2003. Sixteen patients had foot lesions, and 8 of them had bones involved (most frequently--the toes). The rest had only skin and soft tissue involvement in the lesions.