Aortoiliac endarterectomy as a viable alternative for revascularization in a woman with isolated aortoiliac disease and an anomalous right pelvic kidney

Although the use of aortoiliac endarterectomy to treat occlusive disease has declined since the advent of endovascular procedures and operative bypass grafting techniques, clinical scenarios still exist in which it can be useful. We present the case of a patient with right lower extremity pain at rest, an anomalous right pelvic kidney, right common iliac artery occlusion, and severe left common iliac artery stenosis. We have demonstrated that aortoiliac endarterectomy should not be considered an outdated surgical technique but a viable alternative for revascularization in a specific subset of patients

How We Do It: A Multicenter National Experience of Virtual Vascular Surgery Rotations.

ObjectiveTo describe the development and implementation of virtual vascular surgery rotations among 6 integrated vascular surgery programs.DesignA collaborative teleconference retrospectively discussing 6 independently developed virtual vascular surgery rotations to make a framework for future use.SettingUniversity of California Davis initiated a joint teleconference among the various integrated vascular surgery programs.ParticipantsVascular surgery faculty and residents from 6 programs participated in the teleconferences and drafting of a framework for building a virtual vascular surgery rotation.ResultsFour specific domains were identified in discussing the framework to build a virtual vascular surgery rotation: planning, development, curriculum, and feedback. Each domain has specific aspects in making a virtual rotation that has applicability to other surgical rotations that seek to do the same.ConclusionVirtual vascular surgery rotations are feasible and important; these electives can be established and implemented successfully with appropriate planning and consideration. This work hopes to help programs navigate this new space in education by making it more transparent and highlighting potential pitfalls

Managing central venous access during a health care crisis

10.1016/j.jvs.2020.06.112JOURNAL OF VASCULAR SURGERY7241184-