Needle fenestration of popliteal artery covered stent graft to salvage inadvertent stent misdeployment

Endovascular methods have transformed treatment of lower extremity peripheral arterial disease but can still present technical challenges. We report the case of a 69-year-old man with rest pain who underwent superficial femoral artery recanalization with covered stents. During completion angiography, the distal stent was discovered to have been misdeployed into an anterior geniculate branch overlying the behind-the-knee popliteal artery. Subsequently, an endovascular reentry device was used to fenestrate the stent posteriorly to enter the lumen of the popliteal artery. Cutting balloons were used to enlarge the fenestration in the stent fabric, with placement of an additional 6 × 50-mm covered stent bridging from the popliteal artery into the fenestrated misdeployed covered stent. Completion angiography demonstrated no evidence of distal embolization and patent two-vessel runoff. The patient had an uncomplicated recovery and at 2 years of follow-up remained asymptomatic with documented popliteal stent patency

Isolated orbital roof blow-in fracture

We report a rare case of a right orbital roof blow-in fracture in a 40-year-old male with concomitant basal skull fracture and intracranial hemorrhage after a fall backward. Trauma, neurosurgery, ophthalmology, and maxillofacial surgery consultations were obtained. Conservative, non-surgical management was recommended for all injuries, and outpatient follow up for orbital fracture with no surgery offered

Isolated orbital roof blow-in fracture

We report a rare case of a right orbital roof blow-in fracture in a 40-year-old male with concomitant basal skull fracture and intracranial hemorrhage after a fall backward. Trauma, neurosurgery, ophthalmology, and maxillofacial surgery consultations were obtained. Conservative, non-surgical management was recommended for all injuries, and outpatient follow up for orbital fracture with no surgery offered

Partial Thromboplastin Time

Partial thromboplastin time (PTT) is the time it takes for a patient\u27s blood to form a clot as measured in seconds. It is used to measure the activity of the intrinsic pathway of the clotting cascade. PTT tests the function of all clotting factors except VII (tissue factor) and XIII (fibrin stabilizing factor). PTT is commonly used in clinical practice to monitor patient response to unfractionated heparin infusion to target therapeutic anticoagulation, and as part of a coagulation panel to help elucidate causes of bleeding or clotting disorders

Isolated orbital roof blow-in fracture

We report a rare case of a right orbital roof blow-in fracture in a 40-year-old male with concomitant basal skull fracture and intracranial hemorrhage after a fall backward. Trauma, neurosurgery, ophthalmology, and maxillofacial surgery consultations were obtained. Conservative, non-surgical management was recommended for all injuries, and outpatient follow up for orbital fracture with no surgery offered

Mondor Disease

Initially described in 1939 by Henri Mondor, Mondor Disease classically describes a syndrome of sclerosing superficial thrombophlebitis of the veins of the anterior thoracic wall. The most commonly involved vessel is the superior epigastric vein producing a palpable cord in the inferior outer quadrant of the breast . Also known as Mondor\u27s Cord, this rare clinical entity has also been reported as affecting the superficial penile veins . Fage is credited with first describing cording as a sign of superficial thrombophlebitis in 1870

Gracilis muscle flap for exposed prosthetic graft in the groin of a patient with previous sartorius myoplasty

Background: This video describes a technique for gracilis muscle flap for a patient with exposed prosthetic graft in the groin with prior failed sartorius myoplasty in the setting of multiple revascularization procedures