To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.

Transcervical endovascular management of saccular aneurysms of the extracranial internal carotid artery is an evolving treatment option. We report our experience during two decades in managing such a complex vascular scenario. Patients in this case series were symptomatic and had Eagle syndrome (elongated styloid processes in two cases and a calcified stylohyoid ligament in one case). All patients underwent endovascular stenting for expanding extracranial internal carotid artery saccular aneurysm using self-expandable covered stent grafts reinforced with a self-expanding nitinol stent. The approach was transcervical in all cases with cerebral protection by manual flow reversal.

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