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Surgical treatment of a rare brachial artery aneurysm post-arteriovenous fistula closure after kidney transplant: A case report.
World J Clin Cases
July 2024
Department of General Surgery, Ankara University School of Medicine, Ankara 06100, Türkiye.
Article Synopsis
- Brachial artery aneurysms are rare dilations of the artery that can be true or pseudoaneurysms, with the case report focusing on a true aneurysm and its surgical repair.
- A 61-year-old male experienced swelling and pain in his right arm for six months, leading to the diagnosis of a true brachial artery aneurysm linked to an arteriovenous fistula, which was surgically repaired using a graft from his saphenous vein.
- There is limited literature on managing true brachial artery aneurysms, and while surgery is the main treatment, endovascular repair may also be a viable option.
Article Synopsis
- In 2021, a multi-disciplinary group developed the Symptoms-Varices-Pathophysiology (SVP) classification system to effectively categorize patients with pelvic venous disorders (PeVD) due to limited data on existing tools.
- A study conducted from January 2018 to January 2019 reviewed the medical records of 70 female patients treated for PeVD, assessing factors like age, race, intervention types, and their categorization under the SVP system.
- Results showed the average patient age was 47.4, with a significant proportion exhibiting symptoms related to S2 disease, such as dyspareunia, and lower extremity varicosities were present in 35% of patients at the time of
Transabdominal motor evoked potential neuromonitoring of lumbosacral spine surgery.
Spine J
September 2024
Department of Orthopedics, Houston Methodist Health System, 6560 Fannin Street, Houston, TX 77030, USA.
Background Context: Transcranial Motor Evoked Potentials (TcMEPs) can improve intraoperative detection of femoral plexus and nerve root injury during lumbosacral spine surgery. However, even under ideal conditions, TcMEPs are not completely free of false-positive alerts due to the immobilizing effect of general anesthetics, especially in the proximal musculature. The application of transcutaneous stimulation to activate ventral nerve roots directly at the level of the conus medularis (bypassing the brain and spinal cord) has emerged as a method to potentially monitor the motor component of the femoral plexus and lumbosacral nerves free from the blunting effects of general anesthesia.
View Article and Find Full Text PDFModified medial gastrocnemius myocutaneous flap with extended anterior, inferior and/or posterior boundaries: Anatomical observation and report of a clinical series of 33 flaps.
Injury
June 2024
Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Introduction: Reports on medial gastrocnemius myocutaneous (MGM) flaps with extended inferior and posterior boundaries are rare, and information about the MGM flaps with extended anterior boundaries is unavailable. Thus, this study aimed to investigate the vascular anatomical basis and clinical reliability of the modified MGM flap with extended anterior, inferior and/or posterior boundaries.
Methods: Five fresh lower limb specimens from patients with recurrent tumours in the thigh were immediately irrigated and perfused.
Short-term patency of iliofemoral to tibial bypass with vascular allografts in a minority population: A retrospective analysis of a single center acute care facility.
Vascular
March 2024
Department of Surgery, Division of Vascular Surgery, Harlem Hospital, Columbia University, New York, NY, USA.
Objective: The aim of this study was to examine the short-term patency rates and associated factors of open lower limb, iliofemoral to tibial bypass using cryopreserved saphenous vein (CSV) in a minority population at an acute care hospital in New York City.
Methods: A retrospective analysis of patients undergoing infra-inguinal bypass from iliofemoral vessels to tibial arteries with CSV between March 2020-April 2022 at an acute care facility (Harlem Hospital Center, Harlem, New York) was performed. Data including patient demographics, comorbidities, type of operation, follow-up surveillance, and salvage procedures were collected.
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