Volume 7 - Issue 6 - June 2010
Case Study »
Simvastatin-Induced Vasculitis with Secondary Mesenteric Ischemia and Intestinal Infarction
Abstract
We report an unusual presentation of vasculitis associated with simvastatin. A 69-year-old female patient presented with a 1-day history of acute abdominal pain. However, she had recently been placed on a statin and had started to complain of abdominal pain 2 weeks after starting the medication. Initial investigation of her abdominal pain was negative. An exploratory laparotomy revealed necrotic bowel, which was resected. A pathology report noted acute and chronic vasculitis. A computed tomographic angiogram prior to her exploratory laparotomy showed no arterial
Book Review »
Review of Textbook on Peripheral Vascular Disease
Title: Peripheral Vascular Disease (ISBN-13: 9780763755386, Paperback, 204 pages, © 2011)
Authors: Alvar Alonso, MD, David D. McManus, MD, Daniel Z. Fisher, MD
Publisher: Jones & Bartlett Learning (Sudbury, Massachusetts, www.jblearning.com)
Dr. Alonso is a cardiology fellow at the University of Massachusetts Medical School in Worcester. Dr. McManus is an assistant professor of medicine at the University of Massachusetts Medical School, UMass Memorial Medical Center and, Dr. Fisher is the director of Interventional Cardiology and the Inter
Interview »
CREST: Further Data Analysis Confirms Wisdom of Appropriate Patient Stratification
What can you tell us about the latest findings from the CREST trial (Carotid Revascularization Endarterectomy vs. Stenting Trial) and the further evaluation of the data?
There is now more “texture” to the data, but the conclusion is still that there are no significant differences between the outcomes with carotid artery stenting (CAS) and carotid endarterectomy CEA). In essence, there were more minor strokes in the CAS group and more myocardial infarctions (MI) in the CEA group. Since there were three endpoints, they essentially evened out. The debates have tended to
Case Report »
Aneurysm Rupture Following Limb Disconnection of a Zenith Stent Graft
Abstract
We report the case of a ruptured abdominal aortic aneurysm (AAA) related to a Type III endoleak which occurred 3 years after treatment of the AAA with a Zenith Cook stent graft. This report will also discuss the mechanism of occurrence and means of detection.
An 81-year-old female underwent elective treatment of a 55 mm AAA using a right aorto-uni-iliac Zenith Cook stent graft. During follow-up, a Type II endoleak was detected and was responsible for a 4 mm aneurysm sac diameter increase. At 30 months, the patient experienced a secondary AAA rupture due to a
Commentary »
Endograft Assessment for EVAR Follow-up
In this issue of Vascular Disease Management, the article “Aneurysm Rupture Following Limb Dissection of a Zenith Stent-Graft” by Houbballah et al points out several important issues regarding placement and long-term follow-up of patients with endovascular grafts used to treat aneurysmal disease. First, it is important to thoroughly understand the “anatomy” of the endovascular graft that you are using. In particular, as it relates to the Cook Zenith graft, it is important to understand the relationships between the overlapping zones of the limb placed in the pr
