https://www.clinsurggroup.us/journals/international-journal-of-vascular-surgery-and-medicine A Peertechz Open Access Journal en-us 13 Apr, 2026 https://www.clinsurggroup.us/articles/IJVSM-12-148.php Background: Peripheral arterial disease (PAD) is an increasingly recognized manifestation of atherosclerotic cardiovascular disease in sub-Saharan Africa (SSA). However, the condition remains frequently underdiagnosed, and many patients present at advanced stages with chronic limb-threatening ischemia (CLTI). This study aimed to describe the surgical management of PAD in Cameroon and to compare our findings with previously reported African and low- and middle-income country (LMIC) series. Methods: We conducted a retrospective case series of patients treated surgically for peripheral arterial disease between March 2025 and February 2026 at the Division of Thoracic and Cardiovascular Surgery at the Yaoundé General Hospital in Cameroon. Demographic characteristics, cardiovascular risk factors, clinical presentation, and surgical procedures were analyzed. A narrative review of the literature on PAD management in SSA and LMICs was also performed. Results: Thirty-two patients (n = 32) underwent surgical treatment for PAD. The mean age was 69 ± 5 years (range: 65 – 75), and all patients were male. Hypertension was present in 23 patients (71.8%), smoking in 15 (46.8%), and diabetes mellitus in 8 (25.0%). Most patients presented with advanced CLTI, including Rutherford stage 5 in 8 patients (25.0%) and stage 6 in 14 patients (43.7%). Twenty-four patients (n = 24, 75.0%) required amputation, including 16 major amputations and 8 minor amputations, whereas only 8 patients (25.0%) underwent limb revascularization procedures with femoro-popliteal bypass. Limb salvage was achieved in 7 of the 8 revascularized patients (87.5%). Similar patterns have been reported in several African studies, where late presentation and limited access to vascular surgery contribute to high amputation rates. Conclusion : In our setting, most patients with PAD present at advanced stages when revascularization is no longer feasible. Strengthening early diagnosis and expanding vascular surgical services are essential to reduce the burden of limb loss in sub-Saharan Africa. 11 Jan, 2025 https://www.clinsurggroup.us/articles/IJVSM-11-147.php Deep Vein Thrombosis (DVT) has been associated with high morbidity and mortality risk. It could also affect the quality of life significantly. Recurrent venous thrombosis, especially in a patient of younger age, could easily be associated with hereditary thrombophilia. Additionally, there is data that thrombophilia could be associated with chronic venous disease. When chronic venous insufficiency is present and a DVT occurs, this could increase the complexity of proper management. Therefore, this report aims to describe a case of a young woman with both hereditary thrombophilia and chronic venous insufficiency of the lower extremities, complicated with recurrent DVT. The aim is also to discuss on proper management of such complex cases. 25 Jun, 2024 https://www.clinsurggroup.us/articles/IJVSM-10-146.php Background: Traumatic Arteriovenous Fistula (TAVF) and traumatic artery aneurysms are the late complications of vascular injuries. Complications arise from neglected or undetected cases of TAVF, hence the need to promptly diagnose and manage them. Aims/Objective: this is to highlight the principles and challenges of managing traumatic recurrent AVF of the lower extremities in a low-income setting like ours. We present a 43- year man with traumatic recurrent AVF of the lower extremity, associated with chronic venous disease and ankle ulcer dating 17 years, who underwent successful treatment via open repair, in our facility, through the combined efforts of a multidisciplinary team involving vascular and plastic surgeons as well as a physiotherapist. 23 Apr, 2024 https://www.clinsurggroup.us/articles/IJVSM-10-145.php Spontaneous exteriorization of a prosthetic vascular graft is a rare complication of vascular repair. It is even rarer when there is no evidence of an infective cause. We aim to highlight this unusual complication of vascular graft and to review the literature. We report a case of a middle-aged man who was managed for total occlusion of the left external iliac artery with a non-anatomic femorofemoral graft using Poly-Tetra-Flour-Ethylene (PTFE). Five years later, he presented with exposure to the graft without obvious signs of wound infection which is a rare complication of vascular repair. The graft was test-clamped and subsequently excised when no sign of limb ischemia was noted. The wound was refreshed and closed primarily. He is still on follow-up and has no symptoms or signs of limb ischemia. Exposure of femorofemoral bypass graft can occur due to skin erosion when the graft is in contact with the dermis. Good tunelisation and avoiding angulation of prosthesis are advised to avoid this complication. 17 Aug, 2022 https://www.clinsurggroup.us/articles/IJVSM-8-143.php Background: Cost is a major limiting factor for dialysis in low-income countries. The objective of our study was to determine the economic cost of creating an arteriovenous fistula (AVF) for hemodialysis at the Douala General Hospital (DGH). Material and methods: We conducted a descriptive cross-sectional study including patients undergoing AVF creation at the DGH from January to April 2020. Costs were calculated using a bottom-up approach. The direct cost was composed of the sum of the cost of medical consultation, additional paraclinical tests, drugs, disposables, hotel services, food, transport and medical and nursing care. The indirect cost was calculated as the sum of the costs related to the temporary incapacity to work and the additional expenses of the families. The cost of temporary work incapacity was calculated according to human capital theory. The economic cost was the sum of the direct cost and the indirect cost. The costs were expressed as a mean with standard deviation. The calculated costs were expressed in US Dollars. Statistical significance was considered as p &lt; 0.05. Results: A total of 44 patients were included of which 29/44 (65.9%) were male. The mean age of the study population was 49.1 ± 14.7 years. The median monthly income was $172 and only 6.8% of patients had health insurance. The average direct cost per patient was $327.3 ± $212.7, with hospitalization costs accounting for 59.6% of that cost. The average indirect cost per patient was $64.5 ± $50.3. The largest proportion of these costs was due to lost productivity related to temporary work disability (45.7%). The average economic cost per patient was $391.9 ± $219.5. Direct costs accounted for 83.54% of the economic cost. Re-operation (p = 0.039), age (p &lt; 0.01) and number of hospitalization days (p &lt; 0.01) significantly affected the cost Conclusion: The cost of creating an AVF for hemodialysis was high and represented more than 2 times the median monthly income of patients and was mainly due to hospitalization costs. Therefore, there is a need to implement strategies to reduce the financial burden of arteriovenous fistula creation in our setting. 31 May, 2022 https://www.clinsurggroup.us/articles/IJVSM-8-142.php Introduction: The majority of arterial traumas concern the arteries of the limbs and today most often occur in a multiple lesion context. In addition, the iatrogenic pathology due to catheterizations, and the specific accidents of drug addiction have been added to classic vascular trauma and pose a specific management problem. Objective: The objective of this study is to compare the results of our series with other data from the literature. This, in order to elucidate the intersections as well as the differences, the purpose of which is to codify the principles of management of serious vascular trauma to the limbs. Patients and methods: A retrospective review was conducted in the Cardiovascular Surgery Department of Gafsa Hospital, of 23 patients with severe vascular limb trauma between 2012 and 2020. Patient data included socioeconomic data, mechanism lesion, the clinical admission profile, the vascular axis affected, whether or not an additional examination is carried out, the associated lesions as well as the therapeutic management and evolution. Our series excluded patients lost to follow-up as well as those admitted for minor arterial trauma. Results: The average age of our patients was 38.3 years (extremes: 3 and 81), with a clear male predominance of 86.7%. The mechanism was primarily weapon assault white (39%) followed by iatrogenic accidents (35%) and public road accidents (13%). The upper limb was the most traumatized (52%). In the most affected territories, there was the wound of the brachial artery in the first place (34.8%), followed by the territory of the common femoral artery (21.7%). The most frequent clinical picture was the association of hemorrhage with ischemia (34.8%), followed by hemorrhage (30.8%) then false aneurysms (21.7%). During our series, CT angiography was requested in 30.7% of patients, and arterial echo-Doppler for 26% of patients. The surgical intervention was an end-to-end suture (34.7%), the interposition of a venous graft was performed in 4.3% of cases, and 5 patients benefited from a bypass (21.7%). Limb salvage was 100%. Conclusion: The management of serious vascular trauma has experienced great development in terms of diagnostic and therapeutic means which aim to revascularize the affected limb and stop the bleeding, on which the functional and vital prognosis depend respectively. 11 Apr, 2022 https://www.clinsurggroup.us/articles/IJVSM-8-141.php Post-traumatic pseudoaneurysms involving the subclavian artery are uncommon and whenever diagnosed they should be repaired early because of the risk of complications such as thrombosis, gangrene, limb disability, and rupture may result in death if not reached the hospital early. Presenting a case report of a 20-year-old male who presented with a left subclavian artery pseudoaneurysm following a stab injury to the left axilla. He was referred to our institute, 20 days after the alleged assault. The presentation, diagnosis, and management of this injury are discussed. 04 Jan, 2022 https://www.clinsurggroup.us/articles/IJVSM-8-140.php Objective: To compare the clinical efficacy of Ambulatory Selective Varices Ablation under Local Anesthesia (ASVAL) and Endovenous Laser Ablation (EVLA) with concomitant phlebectomy in patients with the incompetent Great Saphenous Vein (GSV). Design: “Prospective Case Series study (C2-C3 patients) with 2 and 5 years follow-up. Methods: This was a prospective observational cohort study in a single center. Seventy-six patients (59 females) with GSV incompetence and C2-C3 were included in the prospective consecutive case study. The diameter of GSV at the 15-cm below the SFJ level was the main criterion to identify two groups of patients. Thirty-three patients (25 females, mean age 37.03) with the GSV diameter ≤6 mm were treated with ASVAL. Forty-three patients (34 females, mean age 46.19) with the GSV diameter >6 mm were treated by EVLA with concomitant phlebectomy. Clinical and functional outcomes measured by Venous Clinical Severity Score (VCSS) and clinical recurrence-free rate according to the classification of recurrent varicose veins after treatment (PREVAIT) were analyzed in 2 years follow-up. The clinical recurrence-free rate was analyzed in 5 years follow-up. Results: 2-year follow-up was detected a significant decrease in the postoperative VCSS in the ASVAL and the EVLA group (p< 0 xss=removed xss=removed xss=removed xss=removed> 6 mm). 03 Mar, 2021 https://www.clinsurggroup.us/articles/IJVSM-7-139.php Femoropopliteal lesions constitute an important part of lower extremity peripheral artery disease. Experience with these lesions contributes to reduction in morbidity and mortality. We have presented this article to bring tips and tricks to the literature that will contribute to morbidity and mortality reduction. 25 Sep, 2020 https://www.clinsurggroup.us/articles/IJVSM-6-138.php Introduction: Appendicitis is a common cause of acute abdomen; however the classic clinical signs are not often present, which can be manifested by numerous complications, but the revelation by a parietal collection remains unusual, its diagnosis can be challenging. Presentation of case: We describe the case of a 31 years old man, who complains for pain of the right flank. The clinical examination objective an erythematous and painful swelling of the right iliac fossa, the abdominal ultrasound has objectified a collection of the right flank and right iliac fossa, The CT Scan of the Abdomen/Pelvis found a voluminous collection of soft tissues of the right anterolateral abdominal and pelvic wall, hypo dense and heterogeneous, containing air, The surgical exploration objectified a huge purulent collection with subcutaneously ceacum and appendage suppurated and perforated. Conclusion: The onset of an abdominal wall abscess without a known cause needs to be thoroughly investigated, with consideration of a subjacent abdominal cause and appendicitis. 27 May, 2020 https://www.clinsurggroup.us/articles/IJVSM-6-137.php Most of the natural polymers are high molecular weight; water soluble polymers made up of monosaccharide units and joined by different kinds of linkages [1]. 03 Feb, 2020 https://www.clinsurggroup.us/articles/IJVSM-6-136.php Background: Behcet’s disease is a vasculitis, causing multisystem inflammation and resulting in oral and genital ulcers and eye and skin lesions. A proportion of suffers also have neurological involvement, termed neuro-Behcet’s disease. The purpose of this review was to investigate the psychological and neurocognitive sequelae associated with Behcet’s and neuro-Behcet’s disease and provide directions for future research. Results: Depression and anxiety are the most researched psychological conditions in Behcet’s disease and appear to be the most consistently observed disorders across studies. Depression and anxiety severity is significantly higher relative to controls, and rates are similar across Behcet’s and neuro-Behcet’s cohorts. A systematic review would be helpful to fully determine the magnitude of these psychological disorders in Behcet’s disease and elucidate correlated clinical, regional and demographic factors. Further research is also needed into somatic and psychotic conditions as existing studies have yielded inconsistent results. Attenuations in neurocognitive functioning appear to be on a continuum. Reduced cognitive functioning is observed in Behcet’s disease relative to healthy controls; however, it is observed more frequently in neuro-Behcet’s disease, and in a broader range of neurocognitive domains (visual-spatial abilities, working memory, acquired knowledge, processing speed, long-term memory encoding and retrieval). Methodological limitations in existing studies, thus far, have not allowed for further synthesis of the data, such as through meta-analysis, and the field would benefit from several large-sample, multi-site studies using broad cognitive assessment batteries. Conclusions: Assessments of psychological functioning should be included as part of routine practice in clinics treating patients for Behcet’s disease. The potential for neurocognitive impairment should also be considered, particularly in those with neuro-Behcet’s. Appropriate referral pathways for psychiatric, psychological or neuropsychological intervention and treatment can then be offered, so that the psychological and neurocognitive needs in this patient cohort can be appropriately met. 31 Dec, 2019 https://www.clinsurggroup.us/articles/IJVSM-5-135.php Overall objective: To describe the demographic, morbidity and indications for valvular heart valve surgery, operated with ON-X mechanical valves at the San Ignacio Hospital between 2006-2015. Describe the experience of the Hospital, the reasons for the surgeries and the evolution of these, with special emphasis on type and level of anticoagulation and complications. 24 Jul, 2019 https://www.clinsurggroup.us/articles/IJVSM-5-134.php Overall objective: Identify the more important variables that determine the prognosis and survival of patients with cyanotic heart disease who that underwent to pulmonary systemic fi stula in San Ignacio Hospital between January 2006 and June 2017. 12 Mar, 2019 https://www.clinsurggroup.us/articles/IJVSM-5-133.php Background: Complex stenosis and iliac occlusions (TASC C-D) often require surgical revascularization. Since 2007, several studies have studied the performance of endovascular revascularizations via brachial or radial anterograde approach with a good success rate. Material and methods: We performed a retrospective and analytical study, comprising a series of 30 patients who underwent an endovascular treatment within the vascular surgery department of the Military Hospital Avicenna of Marrakech Morocco between January 2014 and February 2016. 24 Jan, 2019 https://www.clinsurggroup.us/articles/IJVSM-5-132.php The role of perforator vein incompetence (PVI) in the development of venous hypertension, chronic venous insufficiency (CVI) and ulceration has been well recognized for over a century. However, while minimally invasive endovenous ablative therapies have revolutionized the management of superficial truncal vein insufficiency, the definitive indications for intervention and management of PVI still remains somewhat debatable and unclear. This review will attempt to clarify the indications for intervention as well as look at the evidence for different methods of treatment in established PVI. 27 Dec, 2018 https://www.clinsurggroup.us/articles/IJVSM-4-131.php Objective: due to the advantages of Laser Assisted Vascular Anastomosis (less occurrence of myointimal hyperplasia with better hemodynamic evolution, shorter surgical time, absence of diameter incompatibility, absence of anaphylaxis, easy execution) the evaluation of the ideal diode laser wavelength to perform anastomosis in elastic arteries, without solder, is a great advance in the surgical practice. 03 Nov, 2018 https://www.clinsurggroup.us/articles/IJVSM-4-130.php Introduction: Lichen simplex chronicus (LSC) is a skin condition characterized by thick, leathery, scaly and extremely itchy patches of skin. It is a common pathology (up to 12% of population) with signifi cant effect on quality of life without any established clear etiology or treatment. 29 Dec, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-129.php Acute Limb Ischaemia (ALI) can be a devastating clinical emergency with potentially life or limb threatening consequences. The commonest aetiologies of ALI are traumatic, embolic or thrombotic. While traumatic ALI is fairly obvious in the trauma victim, embolic and thrombotic ALI may mimic other clinical conditions such as neurological disease which may cause delays in diagnosis. 04 Sep, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-128.php Venous thromboembolism, presenting as deep vein thrombosis (DVT) is a disease affected by aging, with a low rate of about 1 per 10,000 annually before the fourth decade of life, rising rapidly after age 45 years, and approaching 5–6 per 1000 annually by age 80. 26 Aug, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-127.php Primary Antiphospholipid antibody syndrome is a rare disease associated with thromboembolic events which may affect either the arterial or the venous vasculature.Acute myocardial infarction is rarely associated with APS, especially as fi rst manifestation. We present here a case of primary ntiphospholipid antibody syndrome in young man, which present as acute myocardial infarction. 14 Aug, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-126.php Takayasu’s arteritis (TA) is an infl ammatory disease of large vessels that predominantly affects the aorta and its main branches such as supra-aortic trunks, renal and digestive arteries. The diagnosis is based on criteria proposed by the American College of Rheumatology and modifi ed by Sharma. These vascular lesions present a problem of surgical indications because of their pathogenic particularity. In this work, we report our experience on the diagnosis and management of two cases of TA. 04 Apr, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-125.php Vascular injury during total hip replacement is a rare condition with the incidence varying between 0.1% and 0.3%. However when develops, it has a potential of serious complications such as extremity loss and even death. 04 Apr, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-124.php Background: Renal failure is a systemic disorder and has destructive effects among all organs including cardiovascular system. The development of postoperative acute kidney injury has been recognized as one of the strongest risk factor for mortality in patients undergoing cardiac surgery. 22 Mar, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-123.php Objectives: Recently, the model for End-Stage Liver Disease (MELD) was proposed for the prediction of survival in transjugular intrahepatic portosystemic shunt (TIPS) patients. We therefore compared the prognostic accuracy of the MELD model and the Child-Pugh score, in an unselected cohort of TIPS patients followed long-term. 24 Feb, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-122.php Surgical ventricular restoration is a procedure designed to restore or remodel the left ventricle. Surgical ventricular restoration by means of the Dor procedure is a surgical option in patients with coronary artery disease, postinfarction left ventricular aneurysm (LV aneurysm) or ischemic dilated cardiomyopathy with or without ventricular tachycardia. 16 Feb, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-121.php Rheumatoid arthritis is a chronic systemic infl ammatory disease, Rheumatoid arthritis can affect the pericardium, myocardium, and endocardium. RA increases cardiovascular morbidity and mortality by accelerated atherosclerosis. 03 Feb, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-120.php The frequency of peripheral arterial disease (PAD) increases with advancing age similar to that of osteoporosis [1], which is the most common bone disease worldwide and a growing public health issue for the aging population. 02 Feb, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-119.php Background: Excessive perioperative bleeding remains a major complication following open heart surgery, resulting in increased morbidity and mortality of some patients in our institution. 24 Jan, 2017 https://www.clinsurggroup.us/articles/IJVSM-3-118.php Background: Circulating factors during exercise training are implicated in the adaptive mechanisms of physical conditioning. However, there is lack of information regarding the effect of basketball training on circulating growth and vascular remodeling factors in adolescents. 31 Dec, 2016 https://www.clinsurggroup.us/articles/IJVSM-2-117.php Introduction: Acknowledging the superior long term patency of infrainguinal saphenous bypass to distal popliteal artery, debate continues regarding the choice of alternative conduits and possible surgical adjuncts to improve inflow and graft salvage. The objective of this retrospective study was to determine the effectiveness of proximal anastomotic patch as adjunct to open surgical below the knee popliteal revascularization. 04 Oct, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-115.php Objectives: Diabetic patients are prone to early development of vasculopathy, resulting in lower limb ischemia, which can lead to non-healing ulcers, foot infection, loss of limb, and even death. These patients need revascularization of their limb either using endovascular or open surgical techniques. Not all patients are suitable for endovascular treatment warranting the open surgical revascularization techniques. 20 Sep, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-114.php The International Diabetes Federation (IDF) reported that the global prevalence of diabetes (DM) in adults was 8.3% in 2013 expecting to rise beyond 592 million by 2035 with a 10.1% global prevalence [1]. Guidelines have been published for the treatment of this major disease and its complications [2,3]. 29 Jun, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-113.php Myxomas are the most common primary cardiac tumors, rarely found in the right atrium. Myxomas usually seen in women, typically between the ages of 40 and 60. We present a case of giant right atrial myxoma that prolapsing through the tricuspid valve into the right ventricle, in a 37-year-old man with constitutional symptoms. There was a discrepancy between atrial mass and intensity of symptoms. Our patient underwent surgical treatment with excision. 22 Jun, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-112.php Renal artery aneurysms (RAAs) are rare. They are often identied incidentally during abdominal computed tomography (CT) screening for other diseases. They are occasionally identied as a rare abdominal emergency due to rupture of a left renal artery aneurysm. 25 May, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-111.php Almost 8% to 14% of patients undergoing coronary artery bypass grafting (CABG) have significant internal carotid artery stenosis requiring treatment [1]. A carotid artery disease, especially when a high-risk plaque is present, represents an important risk factor for stroke after cardiac surgery, in particular after CABG. 13 Apr, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-110.php Purpose of study: Hemoptysis is a common emergency coming to the pulmonary medicine and general Medicine department. Massive hemoptysis has high mortality even after surgical treatment. Bronchial artery embolization is an effective alternative to surgery for controlling hemoptysis, with high success rate. 23 Feb, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-109.php A 70-year-old male presented with two days increasing dyspnea. His past medical history was notable for deep venous thrombosis with consecutive pulmonary embolism (PE). Diagnostic workup showed normal blood pressure (130/80mmHg), sinus tachycardia with SIQIII-pattern on electrocardiogram, and elevation of troponin (0.22ng/nl). 08 Jan, 2016 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-2-108.php Objectives: To assess the outcomes of infra-inguinal aneurysms admitted to a regional vascular unit. Methods: All patients admitted with a primary diagnosis of infra inguinal aneurysms were identified from clinical coding lists over a four-year period (January 2008–May 2012). All patients were identified through clinical coding and records were checked to confirm diagnosis, management and outcome, with data analysed using SPSS v18. 01 Dec, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-107.php In a patient with a known history of aortic surgery, presence of upper gastrointestinal bleeding requires a high index suspicion for the possibility of aorto-enteric fistula. Aorto-enteric fistula is an uncommon but known complication occurring after abdominal aortic reconstruction. However, there are few reported cases of enteric fistulas arising after splanchnic artery aneurysm repair. 25 Nov, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-106.php A 56-year-old man with past medical history of hypertension on treatment with valsartan and left fibula fracture 15 years ago, presented with a 2-month history of paresthesia on the left lower limb after working many hours on a vineyard in a squatting position. During the physical exam, the patient presented symmetric pulses on all extremities and a palpable, pulsatile mass on the left popliteal fossa. 30 Oct, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-105.php A 65 year old male presented to the causality department of our hospital with one day history of burning chest pain in the right upper half of the chest radiating to the right axilla and the left precordial region associated with diaphoresis. 30 Sep, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-104.php A 73-year-old male patient was diagnosed with thrombotic obstruction of the left common iliac vein (LCIV). Computed tomography imaging revealed a known -under follow-up- isolated aneurysm of the right common iliac artery that seemed to directly obstruct the LCIV. Given the patient’s renal insufficiency as well as the size and anatomy of the aneurysm, the patient underwent open repair. 27 Jul, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-103.php Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, with a prevalence of 29% in those older than 70 years or aged 50-70 years who are either smokers or diabetic [1,2]. The majority of persons with this condition are asymptomatic, and less a fifth report typical intermittent claudication [3]. 28 May, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-102.php We report a case of effective trans catheter repositioning of an ICD lead that was displaced during a trans venous extraction procedure of another malfunctioning ICD lead. This original technique was effective also in screwing-in the active fixation tip of the lead. Skilled operators could take into account this technique to avoid the re-opening of the device pocket, when dealing with specific situations at high risk of infection. 14 May, 2015 https://www.clinsurggroup.us/Vascular-Surgery-Medicine/IJVSM-1-101.php Introduction: A congenitally absent inferior vena cava (IVC) is a rare condition that is recognized to be associated with deep venous thrombosis (DVT), especially in young adults. It may be not apparent until later in life.