These novel data demonstrate that eCFR is a durable treatment for patients with limb ischemia associated with CFA disease.

Key Points Question What is the prevalence of fibromuscular dysplasia, aneurysms, dissection, and tortuosity in extracoronary arteries of patients who developed a spontaneous coronary artery dissection (SCAD)? Findings In this case series including 173 patients with SCAD, using magnetic resonance angiography with blinded interpretation of the findings, 32% of the patients had fibromuscular dysplasia, 8% had aneurysms, and 2% had dissections; the prevalence of arterial tortuosity was similar in cases and controls. Extracoronary vascular events over a median 5-year follow-up were rare. Meaning The findings of this blinded analysis suggest that, in patients with SCAD, severe multivessel fibromuscular dysplasia, aneurysms, and dissections are infrequent and seldom associated with clinically evident vascular events.

The study did not identify useful criteria by which severe acute dysphagia could be anticipated and thereby avoided following laparoscopic fundoplication.

A case of post-traumatic pseudoaneurysm of the peroneal artery is presented. This occurred after standard open reduction and internal fixation of a Weber type C trimalleolar fracture of the left ankle in a 33-year-old man. The pseudoaneurysm was diagnosed 12 weeks post-operatively when the patient attended the pre-assessment clinic for the removal of the syndesmosis screw. Diagnosis was confirmed on ultrasonography, and the anatomical site was confirmed by a digital subtraction angiogram. The pseudoaneurysm was coiled successfully, and the syndesmosis screw was removed in theatre the next day, without any post-operative complications. We explore the aetiology of post-traumatic peroneal pseudoaneurysms, with emphasis on the pathoanatomy and management as described in literature. This is a rare complication, but is easily manageable provided an index of suspicion is maintained.