Intrinsic structural failure of prosthetic grafts is a known long-term complication of vascular reconstruction with prosthetic conduits. Pseudoaneurysm formation more commonly develops at anastomotic sites and the general incidence of non-anastomotic aneurysms is thought to be less than 3%.
Cloud-based, surgical augmented intelligence (Cydar Medical, Cambridge, UK) can be used for surgical planning and intraoperative guidance during complex endovascular aortic procedures. We aim to compare radiation exposure and other operative safety metrics, as well as post-operative renal outcomes, using a manually matched cohort of aortic procedures.
Common femoral artery (CFA) endarterectomy is considered the gold standard for the treatment of CFA disease. Some patients with CFA occlusive disease have significant comorbidities, which may be prohibitive to undergoing open surgery. Several endovascular treatment options of the CFA such as atherectomy, angioplasty, and/or stenting are available but have not been widely adopted. Our aim of this study was to describe our experience in expanding the use of atherectomy in the outpatient setting for the treatment of CFA disease.
Anterior lumbar interbody fusion is a spinal approach that has been associated with decreased pain, enhanced recovery, and increased fusion rates compared with other lumbar fusion techniques. This approach involves careful dissection through the lower abdomen to the spine, which requires a thorough understanding of relevant anatomy and anatomic variations. One such anatomical variation is an ectopic pelvic kidney (EPK) caused by failure of the mesonephros to rise past the pelvic brim during the 9th week of development.
Popliteal vein aneurysms (PVA) are rare and usually diagnosed incidentally, with thromboembolic events being a common initial presentation. While primary venous aneurysms rarely have clinical significance, PVAs can be fatal due to increased risk of recurrent deep vein thrombosis (DVT) and pulmonary embolism (PE). Venous duplex is the recommended diagnostic modality, and there is lack of consensus on the need for surgical intervention in all cases of PVA. Current literature recommends surgical repair for symptomatic or large venous aneurysms due to low morbidity and low rates of aneurysm recurrence, while smaller PVAs can be managed nonoperatively, as anticoagulation and surgical repair showed comparable results.
Isolated proximal common carotid artery (CCA) stenosis is uncommon in comparison to bifurcation disease. Most cases are after radiation to head and neck and solitary atherosclerotic disease is rare. Due to its location, open direct reconstruction or transfemoral stenting presents unique challenges in treatment of these lesions. We present an analysis of five non-radiation related proximal CCA stenosis cases which were treated with retrograde stenting.
Endovascular repair offers an alternative to conventional surgical repair for injuries at the level of the innominate artery bifurcation. We describe an endovascular approach to this injury using covered stents in a kissing configuration.
We hypothesize that Consensus, an AI-powered search engine for scientific research publications, and ChatGPT, an AI large-language model, can generate a publishable medical case report without the need for human editing when provided with the necessary inputs.
AI modalities have gained increasing popularity in educating patients on various medical conditions. While there have been studies analyzing different AI generated answers to medical questions, this has not been done with patient questions related to dialysis. Therefore, the objective of this study is to assess the accuracy, completeness, and readability of three different AI modalities and their generated answers regarding dialysis that patients are likely to ask vascular surgeons. This research aims to provide insights into the effectiveness of AI in addressing specific medical inquiries.