Infected PTFE graft

Supra Renal Abdominal Aortic Aneurysms

Aortic aneurysms of the abdominal aorta are often seen in very sick patients in our clinics in public hospitals  Many times they are not suitable for the operations due to systemic problems. Endorepairs are expensive and they are not done in many public hospitals run by the governments. These are the images of the patient with symptomatic supra renal AAA involving the visceral branches. The aortic patch with all these branches was anastomosed to another graft from the main stem.  The aneurysm cavity shows the erosion of the vertebral bodies. The inter vertebral discs between the eroded vertebral bodies are seen in cavity. This is due to the late presentation of the patients which is common in people who are not able to get the interventions at an early stage. 

Endorepair of Aortic aneurysms, is it a failure?

Superglue and varicose veins

Carotid Endarterectomy

In India, carotid artery intervnetions are less often performed than coronary artery interventions. There are many reasons for the same. Carotid endarterectomy is also less often performed. In the elderly people there is tendency to consider angioplasty and stenting for carotid stenosis. But the studies are saying that the carotid endarterectomy is safer in the older people than the stenting. In a study published EJVES  it was shown that Carotid Endarterectomy was safer in the short-term than stenting, because of an increased risk of stroke associated with stenting in patients over the age of 70 years. Stenting should be avoided in older patients, but may be as safe as endarterectomy in younger patients.Determination of the efficacy and ultimate balance between the two procedures requiresfurther data on long-term stroke recurrence.

Eur J Vasc Endovasc Surg (2011) 41, 153e158