IVC resection and reconstruction for en bloc tumor excision is safe, even when extensive repairs are necessary. Replacement of the IVC with prosthetic graft avoids extremity venous complications and likely contributes to quality of survival. Survival depends on tumor behavior and degree of IVC involvement, where primary and patch repair has a better prognosis than circumferential resection.

This experience demonstrates both the feasibility and effectiveness of PA for a selected group of patients with venous ulcers who fail conventional therapy with compression.

There is measurable and significant reduction in ulcer size and ultimate healing following ablation of incompetent superficial and perforator veins in patients who have failed conventional compression therapy.

36 months. True lumen volume increased progressively in both group A (114 mL to 174 mL), and group B (124 mL to 190 mL) from baseline to 36 months. False lumen volume decreased in group A (150 mL to 88 mL) and group B (351 mL to 250 mL), respectively; while total thrombus load in the false lumen increased from 73% to 80% for group A and 84% to 87% in group B in 3 years. Eight patients (4 in each group) showed an increase in total aortic volume of Ͼ10%. Twelve patients showed a static volume and 12 patients showed a shrinkage. Aortic volume change had no relationship to pathology, stent graft sizing, and thrombus load, but was positively associated with the placement of a longer graft. There was a small but progressive distal migration of stent grafts in all patients (3.1, 4.5, and 4.6 mm at 6, 12, and 36 months), more prominent in shorter stent grafts (Ͻ160 mm). No mortality, rupture, or secondary interventions occurred during follow-up.Conclusions: Aortic remodeling after TEVAR in chronic dissection is a continuous process. There were no significant differences between chronic dissections and aneurysms in all volumetric parameters. Treating chronic dissections early before aneurysm formation did not seem to have a morphologic advantage.Objective: Reintervention rates are higher for endovascular aneurysm repair (EVAR) compared with open repair (OR) due to endoleak treatments, while surgical reoperations for bowel obstruction and abdominal hernias are higher after OR. However, readmission rates for nonoperative conditions after aneurysm repair are not well documented. We sought to determine reasons for statewide nonoperative readmissions within the first year after open abdominal aortic aneurysm (AAA) repair and EVAR.Methods: Patients who underwent an elective AAA repair in California over a 4-year period were identified from the Office of Statewide Health Planning and Development (OSHPD) administrative database. All patients who had a readmission within 1 year were included for evaluation. Readmission rates as well as diagnoses associated with each readmission were analyzed and recorded.Results: From 2005 to 2008, there were 22,972 operations for elective aneurysm repair, 13,454 EVAR (59%), and 9,518 OR (41%). Postoperatively, there was a 30% readmission rate following OR and a 28% readmission rate after EVAR (P ϭ .02). The most common principle diagnoses associated with readmission after either type of AAA repair were infection (14.5%), cardiac problems (13.7%), and failure to thrive (12.7%). Patients who underwent OR were more likely to be readmitted with diagnoses associated with failure to thrive (P Ͻ .0001), gastrointestinal complications (P Ͻ .0001), wound infection (P ϭ .04), and small bowel obstruction (SBO; P Ͻ .0001). Those who underwent EVAR were more likely to be readmitted with diagnoses of cardiac conditions (P Ͻ .0001), device-related complications (P Ͻ .0001), cardiovascular accident (CVA) (P ϭ .011), and renal complications (P Ͻ .0001).Conclusion: Nonoperative readmission rates within 1 year of e...

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