Obesity and Venous thrombosis

Obesity is a world wide problem. It is now common to see obese diabetic or obese person with venous disorders. It would be a good habit to measure the BMI of patients in the clinics and give them necessary precautionary advices when they are getting admitted to the hospitals for various therapies.

Carotid interventions in severe CKD patients

carotid artery disease and outcomes in CKD

Carotid artery stenotic disease is treated by endarterectomy and angioplasty/ stenting. The trials have shown that the incidence of MI is more after surgical endarterectomy in patients in the first few months.

Biochemical MI seems to be high after endarterectomy. In renal failure patients contrast injection may be a concern and surgery may be safer than the angioplasty and stenting. In a recent study this fact has been observed. Arch Surg. 2011;146(10):1135-1141. Published online June 20, 2011.