Objective: To review the experience of our institution in repairing isolated iliac artery aneurysm (isolated IAA) in the last 10 years. Introduction: Unlike abdominal and combined aortoiliac artery aneurysms, isolated iliac artery aneurysms (IIAAs) are uncommon. An isolated iliac artery aneurysm is dened as a twofold increase in the diameter of the iliac artery without a coexisting aneurysm at another location. IIAA was encountered infrequently in the past, comprising 0.9% to 4.7% of all intra-abdominal aneurysms according to a review of previous studies; however, in recent times, many asymptomatic IIAAs have been detected incidentally because of the widespread use of abdominal ultrasonography and computed tomography. Methods: The medical records of patients who underwent isolated IAA repair at Institute of vascular sciences, MMC and RGGGH, Chennai, India, were reviewed, to obtain information on patients' demographics, vascular risk factors, type of treatment and outcome Results: A total of 13 patients with 18 aneurysms, 11 men(84.6%) 2 women(15.4%), with a mean age of 58.1±6 years, and two paediatric patients of age 11yrs (Female) and 3 months (Male) were treated. The mean diameter was 4.6 ± 1.0 for non-ruptured at elective repair; 5.5±2.1 cm on the emergency cases. The majority of aneurysms were at the common iliac artery. All of them except one, underwent open repair.Ten (84%) had elective operations, and two (16%) emergency repair for ruptured aneurysm. Hypertension and diabetes were seen as the most common risk factors with most of the patients were smokers. One was a known case of CKD and the paediatric female was a known case of RHD. There was one postoperative death in this series, patient succumbed on POD 1. Conclusion: This case series reviews the literature with regard to the natural history, diagnostic workup, and treatment of iliac artery aneurysms. For patients undergoing elective repair, preoperative imaging with computed tomography or magnetic resonance is advocated. Repair is recommended for good-risk patients with aneurysms larger than 3.5 cm as there is high chances of rupture with increasing diameter.

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Vascular injuries of the upper limb are commonly encountered in our tertiary care center. It ranges from simple accidental cut injury to a major crush injury with severe contaminated soft tissue, bony and nerve injury. In our study we have retrospectively analyzed the case records of those who had vascular injuries, distal to the deltopectoral groove, managed with vascular repair as an emergency procedure.We studied the pattern of injury, demographics, associated injuries and patency of vascular repair done. Iatrogenic injuries were excluded. 14.6% of injuries involved the pediatric age group. About 82 patients were included in the study. Majority (87%) were males. Mean age was 59.5 years. Mean duration from injury to vascular repair was 5 hours. Blunt injuries were predominant(63.4%). Brachial artery was commonly involved. Interposition repair with autologous reversed great saphenous vein was frequently used procedure. 51.2% of injuries had associated bony injury and 41.2% had nerve injuries. The patency rate of vascular repair was highest in brachial artery repair group, followed by forearm vessels repair group. The limb salvage rate was 97.6%.

Objective: Aim of this study is to evaluate the outcomes following unilateral iliac revascularization by iliac endarterectomy followed by ileo-femoral bypass in patients with TASC C and TASC D Aorto-iliac lesion, with respect to patency and limb salvage. Method of study: Prospective study.Results: A total of 26 patients underwent unilateral iliac intervention during the period from August 2016 to January 2017. Mean age at presentation was 68 years (range 45-78). Primary graft patency rate was 92% at end of 1 year. Limb salvaged rate was 100%. No early graft failure was seen. Late graft failure was seen in one patient. Conclusion:Unilateral iliac revascularization is a viable option in patients with TASC C and D Aorto-iliac lesions, not amenable to endovascular therapy and severe comorbidities.