Although polidocanol foam shows greater stability than STD foam perhaps remaining in the vein for longer, endothelial cell loss and damage to the media were significantly greater with STD.

Balloon denudation increased ECL but did not facilitate tunica media injury. Equivalent injury was inflicted by 1% and 3% STD.

In this series of patients with CCLI the measurement of cTnI on admission was a significant independent predictor of survival. cTnI has potential as a prognostic test to stratify patients with a high cardiovascular risk and may enable further optimisation of these high-risk patients.

This study demonstrates that preoperative duplex SPJ marking results in a high percentage of successful ligation. Given that residual persistent reflux was avoided in patients who underwent stripping of the SSV, we propose that patients who require SPJ surgery undergo duplex marking along with specific consideration with regard to treatment of the residual SSV.

IntroductionAortic endograft infection is a rare but serious complication following endovascular aneurysm repair. An unusual presentation associated with an uncommon organism is reported.Case reportA 69 year old female was prescribed but failed to complete a full course of co-amoxiclav following a forearm cat bite. Nine days later she was admitted with pyrexia, left flank pain, and haematuria. Empiric treatment for a urinary tract infection was started. Pasteurella multocida was isolated from blood culture performed during this attendance. Imaging demonstrated hydronephrosis and a 5.5 cm aortic aneurysm with features of impending leak. Emergency endovascular repair was performed without immediate complication. Four weeks following stent graft insertion, the patient was readmitted with loss of consciousness. Imaging demonstrated an infected graft with an associated psoas abscess. The endograft was explanted and reconstruction performed with the femoral vein. Only at this point was the history of a cat bite and positive blood cultures elicited and recognised as relevant.ConclusionDetailed history taking can expose unusual sources of infection. Ideally, an infected aortic endograft should be explanted and the septic focus eradicated prior to autogenous aortic reconstruction.