The primary etiology of pelvic venous disorder is multifactorial and challengeable in vascular surgery as it mandates multidisciplinary team cooperation for its evaluation and management.

Methods

All patients investigated for pelvic venous disorder in a high-volume, tertiary referral university hospital were identified and analyzed retrospectively during the period (March 2021 through September 2022). Demographic and medical data were scored. Agreement between the noninvasive modalities (computed tomographic venography [CTV] or magnetic resonance venography [MRV]) and diagnostic venography in detecting the refluxing pelvic veins was analyzed. Sensitivity, specificity, and diagnostic accuracy are also measured. No patients’ treatments were reported in this study as the treatment is scheduled in other sessions in some cases and is out of the scope of this article. All patients had a diagnostic …

Endovascular treatment options of aorto-iliac occlusive disease have emerged, leading to better outcomes in more complex pathology, which typically involves a reconstruction of the aortic bifurcation. The Covered Endovascular Reconstruction of Aortic Bifurcation (CERAB) configuration was introduced in 2013, in an attempt to optimize outcomes, when compared to the kissing stent configuration, which was traditionally the preferred endovascular technique for this pathology. CERAB aims to optimize geometry, and with that the arterial flow patterns that are associated with loss of patency. In CERAB, the aortic bifurcation is reconstructed using three balloon-expandable covered stents in a tight connection with each other and with an appropriate wall apposition, thereby minimizing geometrical mismatch (Fig. 1a-c). The reconstruction can be extended on both sides and could be combined with chimney, or parallel, grafts in aortic side branches that need to be preserved. In the current paper, the details of the CERAB technique are described and supported by evidence derived from pre-clinical studies that confirm the more optimal geometry and flow patterns compared to kissing stents. Also, a summary is provided of published clinical evidence, including technical and clinical outcomes of the technique. These data show promising early results, with patency rates in line with those achieved with open surgery, also in patients with extensive disease. Finally, the potential modes of failures and future developments are discussed.

The Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) reconstruction is an endovascular technique, developed to reconstruct the aortic bifurcation in the most optimal anatomical and physiological manner. Short-term data were promising, but long-term data are still lacking. The objective was to report the long-term outcomes of CERAB for extensive aorto-iliac occlusive disease and to identify predictors for loss of primary patency.

Methods

Consecutive electively treated patients with CERAB for aorto-iliac occlusive disease in a single hospital were identified and analyzed. Baseline and procedural data and follow-up were collected at 6-weeks, 6 months, 12 months, and annually thereafter. Technical success, procedural, and 30-day complications were evaluated, as well as overall survival. Patency and freedom from target lesion revascularization rates were analyzed using Kaplan …

IntroductionCarotid atherosclerosis is one of the several etiological factors for stroke and is considered an important health problem with a high burden of disease in the western world and in developing countries.AimThis study is aimed at investigating the prevalence of asymptomatic carotid artery stenosis (ACAS) in patients with peripheral arterial disease (PAD) and identifying the predictive factors of ACAS in patients with PAD.Patients and methodsBetween September 2016 and August 2017, 750 patients with PAD (Fontaine IIb–IV) underwent percutaneous transluminal angioplasty in the Department of Vascular Surgery. Patients aged less than 50 years old and those who had a previous cerebrovascular event or carotid artery intervention were excluded ( = 105). The remaining 645 patients underwent preoperative screening for ACAS using carotid duplex ultrasonography examination. The degree of internal carotid artery (ICA) stenosis was determined by the criteria of Society of Radiologists in Ultrasound Consensus Conference.ResultsWe found that 302 (46.8%) patients had patent carotid arteries without any evidence of atherosclerotic plaque, whereas 343 (53.2%) patients had ACAS. The prevalence of significant ICA stenosis (≥70% stenosis) was 2.8%. ICA occlusion was detected in 0.6%. Univariate analysis revealed that age older than 65 years ( = 0.013), male sex ( = 0.022), hypertension ( < 0.001), and ischemic heart disease ( = 0.016) are predictive factors of critical carotid artery stenosis, which is defined as peak systolic velocity more than 230 cm/s with diameter reduction of at least 50%.Discussion and conclusionPatients with …