Saum Rahimi

Stylocarotid artery syndrome

Stylocarotid artery syndrome is a rare condition that results from compression of the internal or external carotid artery by the styloid process of the temporal bone. Here we present the case of a patient suffering from syncope, monoparesis of the right arm, and dysarthria due to recurrent transient ischemic attacks that resulted from severe compression of the midsegment of the left extracranial internal carotid artery between an elongated styloid process and a C2 vertebral body osteophyte. This case demonstrates successful surgical management of a condition rarely encountered by the vascular surgeon.

Acute radiation syndrome after endovascular AAA repair.

Acute radiation syndrome or radiation sickness is a serious illness that occurs after the body receives a high dose of radiation, typically over a short period of time. This condition may be underrecognized by interventionalists and must be considered whenever performing complex endovascular procedures.

Endovascular Repair of Abdominal Aortic Aneurysm With Extreme Iliac Artery Tortuosity

Iliac artery tortuosity can be a limiting factor in treating abdominal aortic aneurysms by endovascular means. In this case, a 6F catheter guiding sheath was used to allow tracking of the superstiff wire to straighten the iliac artery on the left. This allowed for tracking of the larger sheath so that a bifurcated device could be completed. This technique may be useful in dealing with extreme iliac tortuosity if one is unable to advance the superstiff wire.

Adverse Events in Carotid Endarterectomy From a Medicolegal Perspective

Objectives: Characterize factors raised in carotid endarterectomy litigation. Methods: Outcomes, alleged causes of malpractice, and other factors were evaluated. Results: Of the 37 verdicts and settlements, defendants were not liable in 25 (67.5%) cases. Frequently reported complications included stroke (51.3%) and hypoglossal nerve injury (27.0%), with other complications including airway compromise, vocal cord injury, and death. No cases reported myocardial infarction. Cerebral monitoring was mentioned in 2 cases, while inadequate informed consent, delayed diagnosis, and requirement of additional surgery were alleged in numerous instances. Settlements and jury awards averaged US

Endovascular Repair for Ruptured Abdominal Aortic Aneurysms has Improved Outcomes Compared to Open Surgical Repair.

895 833 and US

CREG1 Interacts with Sec8 to Promote Cardiomyogenic Differentiation and Cell-Cell Adhesion

1.53 million, respectively. Conclusions: Stroke and hypoglossal nerve injury are the most frequently litigated complications, and mean damages awarded were considerable. Knowledge of issues raised in our analysis may be included in a comprehensive consent process, potentially minimizing liability and improving patient safety.

Fibrodysplastic implications for transvenous embolization of a high-flow pelvic arteriovenous malformation in Osler-Weber-Rendu syndrome

Introduction: Ruptured abdominal aortic aneurysm (rAAA) remains a critical diagnosis, and research is needed to address outcomes following surgical repair. The purpose of this study was to compare nationwide outcomes for patients who received either endovascular repair (EVAR) or open surgical repair (OSAR) for rAAA. Methods: The Medicare Provider Analysis and Review file from 2005 to 2009 was used to identify patients diagnosed with rAAA and treated with either EVAR or OSAR. Those patients with both procedures were excluded. Primary outcomes included mortality, postoperative complications, and readmission rates. Secondary outcomes included hospital resource utilization and length of stay (LOS). Results: A total of 8480 patients with rAAA who underwent EVAR (n = 1939) or OSAR (n = 6541) were identified. On multivariate regression, the likelihood of dying in the hospital after OSAR compared to EVAR was significantly greater (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.74-2.18). There was significantly greater frequency of postoperative complications after OSAR compared to EVAR (OR = 2.1, 95%CI = 1.86-2.37, P < .0001). Freedom from readmission after OSAR was significantly greater than that after EVAR. Total hospital cost for all services after EVAR was greater than that after OSAR (US

Carotid Stenosis in Cardiac Surgery—No Difference in Postoperative Outcomes

100 875 vs US

An Institution-Wide Algorithm for Treatment of Type II Endoleak Following Endovascular Aneurysm Repair (EVAR)

89 035; P < .0001), but intensive care unit (ICU) cost for EVAR was significantly less than that for OSAR (US

PC078. Rising Incidence of Femoral Pseudoaneurysm After Cardiac Catheterization Results in Significant Increases in Hospital Cost and Length of Stay

5516 vs US