Endovascular therapy, as opposed to surgical bypass, has become the mainstay for peripheral arterial disease even in long segment occlusions. Complications can occur during the arterial access, catheter manipulation, balloon dilation, and/or stent placement. Given the high prevalence of comorbidities such as diabetes, hypertension, renal dysfunction, and coronary artery disease in these patients, early identification of procedural complications and initiation of treatment are of paramount importance. This review aims to provide comprehensive data on the identification and management of commonly encountered endovascular complications during endovascular interventions in peripheral arterial disease.

Background: To establish safety profile for oral use of a classical Ayurvedic Ghrita formulation indicated in menstrual disorder known as Vataj Artava Dushti recent scientific techniques were used to fulfill the criteria of WHO guidelines for herbal drug formulations like heavy metal content and microbial load estimation, chromatography and others physic- analytical characteristic.Methods: In the present study formulated ghrita sample was selected for estimation of refractive index, total ash value acid, iodine, saponification, loss on drying, PH, fat content, sugar content, heavy metals namely lead (Pb), cadmium (Cd), mercury (Hg), acid value, iodine value, by ICP-MAS, TLC and HPTLC.Results: SEM- EDX shows presence of elements like Carbon, Oxygen and Aluminum, Lead, Calcium, Magnesium, Zinc. Refractive index 1.459, total ash 12%, saponification technique 55.26, Iodine value 4.32, acid value 6.6, PH 5.23 Loss on drying 0.32 fat 76.58% and sugar content 13.37%, Mercury <10 ppb, Lead 2.33 ppm, Cadmium 0.20 ppm. Total bacterial count 0.5×103, total fungal count <103. TLC and HPTLC results reveals presence of active compound.Conclusions: The Physico-analytical, heavy metals, microbial and chromatographic study of the formulated ghrita follows the standard parameters. This study can be helpful for the future research regarding establishment of safety profile and therapeutic efficacy of ghrita formulations.

Introduction: Zygomatic arch (ZA) fractures are common in facial trauma. The imaging techniques for the ZA include submentovertex (SMV) and jug handle (a variation of the SMV view) views. These radiographic techniques require neck hyperextension to make the canthomeatal line parallel to the film receptor. Most of the time, these patients will be having cervical injuries also which makes these imaging techniques challenging. Aims and Objectives: This observational study aimed to estimate the efficacy of modified tangential Peeyush's technique (MTP technique) as an alternative to SMV view in patients with ZA fracture along with neck pain. Materials and Methods: A digital panoramic radiography machine and other standard equipment for radiography were used. Twenty patients with clinically diagnosed ZA fracture were selected and imaged using two different techniques, i.e., technique A (canthomeatal line to be about 30°–45° in relation to image receptor) and technique B (MTP technique). Images obtained with both techniques were evaluated for the presence of ZA fracture. The results were tabulated and compared. Results: Technique A showed partial visualization of ZA in 55% of the cases, whereas ZAs were not visualized in 45% of cases. ZA was evident in 100% of the sample selected in technique B (MTP technique). Conclusion: Modified Peeyush's tangential technique can be applied in patients having ZA fracture with neck pain.