The diagnosis was centered on clinical evaluation and angio-MRI. The therapy ended up being crossbreed. After an embolization of the arterial trunk we performed a surgical flattering associated with pseudoaneurysm and suture of maxillary and temporal orifices.Uretero-Iliac artery fistula (UIAF) is a rare condition in vascular surgery, its prognosis remains bad with increased mortality, needs rapid multidisciplinary analysis and therapy. We report the actual situation of an uretero-Iliac artery fistula in a 65-year-old patient just who underwent total pelvectomy with trans-ileal cutaneous ureterostomy (Bricker), followed by pelvic radiotherapy, and keeping of a single J ureteral stent, identified by abdominal and pelvic CT, and treated by endovascular approach.Retinal and cerebral arterioles have comparable traits. Silent infarcts tend to be related to a risk of incident lacunar stroke and dementia. The objective of our research was to figure out the correlation between silent lacunar strokes and retinopathy in clients hospitalized in our department for lacunar shots. This is an observational, retrospective study, from July 2018 to December 2019, of patients clinically determined to have lacunar stroke in the neurology division of Befelatanana Hospital, Antananarivo. Stroke had been diagnosed with brain CT scan and retinopathy had been classified according to fundus evaluation. The correlation between the existence of silent lacunar stroke and different types and stages of retinopathy had been examined. Silent lacunar lesions had been discovered on imaging in 70.59% of patients with lacunar shots. All clients with symptomatic lacunar swing, with or without connected silent lacunar lesions, were hypertensives. No statistical huge difference had been found between patients with or without linked silent lacunar lesions according to age and gender. Among customers with silent lacunar lesions, dysexecutive syndrome was more predominant in comparison with patients without hushed lesions (52.63% vs. 47.36%, P=0.03). Arteriolopathy was more prevalent in patients with silent lacunar lesions (85.71% vs. 14.28per cent, P=0.047). Silent lacunar lesions had been unique in 72% of cases (P=0.022). The existence of phase II hypertensive retinopathy was considerably correlated utilizing the existence of quiet lacunar lesions (OR 5.20 [1.02-267] [1.02-26.47], P=0.018). Upon finding of stage II hypertensive retinopathy on fundus examination, brain imaging is carried out for quiet lacunar stroke testing to enhance hypertension administration. This management is expected to prevent the occurrence of lacunar stroke and vascular alzhiemer’s disease. Vascular hemodialysis access is an extremely precious asset for patients with end-stage renal failure. Essentially problems during these accesses ought to be detected at the beginning of order to deal with all of them in time. The aim of this study would be to evaluate the effectiveness of vascular reconstructions to preserve the vascular access for hemodialysis and to analyze their benefits with regards to conserving the venous network, making use of hemodialysis catheters, time of cannulation after surgery, patency and postoperative morbi-mortality, by comparing all of them to those of recently created arterio-venous fistula (AVF). It was a retrospective, descriptive and comparative study, done from September 2012 to February 2015. It stressed patients operated for complications of their local AVF. Two teams had been compared reconstructed AVF (group 1) and recently created AVF (group 2). Demographic attributes, comorbidities, preoperative medical and paraclinical data, surgical strategies and outcomes were recorded. This data had been analyzed and contrasted 1 and P=0.023). Mid-term permeabilities were better for reconstructions, nevertheless the variations are not IgE immunoglobulin E statistically significant. Medical reconstructions appear to be a very good substitute for the treatment of complicated AVF. Our results appear to be comparable to those of this literary works. The benefits of these medical techniques in regards to conserving venous network, usage of hemodialysis catheters, time for cannulation after surgery, patency and postoperative morbi-mortality appear to be undeniable.Medical reconstructions be seemingly a highly effective alternative for the treating complicated AVF. Our results seem to be similar to paediatric emergency med those associated with the literature. The many benefits of these medical techniques in regards to conserving venous community, use of hemodialysis catheters, time for cannulation after surgery, patency and postoperative morbi-mortality seem to be unquestionable. To explain the medical anatomy associated with the femoral tripod arteries and their anatomical alternatives. Patients which underwent vascular surgery by exterior arciform method associated with Scarpa between May 2022 and July 2022 were chosen. The surgical physiology was assessed by direct observation. The foundation additionally the course of significant branches of this femoral artery (FA) had been studied. Diameters and also the length regarding the source Selleck Sodium oxamate associated with femoral profunda artery (FPA) through the midpoint associated with inguinal ligament ended up being calculated in millimeters and recorded. The noticed anatomical variants had been photographed and compared to those who work in the literature. A complete of 40 clients (34 males, 85%) had been included. The median diameter of this typical femoral artery (CFA) was 9mm (IQR 7-12mm). The Modal bifurcation ended up being noted in 95% of situations. The collateral limbs of this CFA had been discovered to be distributed the following the shallow circumflex iliac artery (SCIA) in 34 situations (85%), the trivial epigastric artery (water) in 22 situations (55%), the deep exterior pudic artery in 16 instances (40%), while the superficial exterior pudic artery in 18 instances (45%). The median diameter of this FPA ended up being 5mm (IQR 4-6mm). The FPA originated through the posterolateral region of the CFA in 90per cent of situations, from the posterior part in 5% of situations and through the medial part in 5% of cases.