During the study period, the amputation rate declined by 36% in women and 21% in men with PAD, and similarly, open procedures decreased by 36% and 30%. Endovascular procedures, however, increased by 150% in women and 144% in men. Procedural mortality was 4.95% vs 4.37% for men (P<.0001). Female mortality

rates were persistently higher after amputations (9.89% vs 8.90%, P<.0001), open (5.49% vs 4.00%, P<.0001), and endovascular procedures (2.87% vs 2.10%, P<.0001). Time trends showed improved mortality for men and women, with a stable difference between the two.

Conclusion: The analysis of representative state administrative databases of inpatient care records demonstrated improvements in mortality and amputation rates over time. However, a gender-related disparity in PAD outcomes remains that merits further investigation. (J Vasc Surg 20 10;51:372-9.)”
“OBJECTIVE: We report a rare case of thrombosis of the Epigenetics inhibitor superior sagittal sinus associated with a parafalcine meningioma resulting in a superior sagittal sinus dural arteriovenous fistula (dAVF). We conclude that dural sinus thrombosis is a significant predisposing factor for development

of a dAVF.

CLINICAL PRESENTATION: A 60-year-old man had a left parietal parafalcine meningioma that invaded the posterior third of his superior sagittal sinus, leading to its occlusion and presumably resulting in an associated FK506 cell line dAVF. The fistula was fed by the middle meningeal and superficial temporal arteries on MK5108 nmr both sides and drained through a superior interhemispheric cortical vein into the vein of Galen and straight sinus.

INTERVENTION

AND TECHNIQUE: The parafalcine mass, which involved the sagittal sinus, was excised via a left parieto-occipital craniotomy. It was decided to resect the dAVF at a later date. Seven days after the original operation, the patient underwent a parietal interhemispheric approach for occlusion of the dAVF. Dissection proceeded until a large arterialized vein and venous pouch with multiple feeders from both external carotid arteries were observed. The vein, which was partially embedded within the falx cerebri, was collapsed, and a second indocyanine green injection confirmed cessation of blood flow.

CONCLUSION: This report supports that dAVFs are acquired lesions and that venous outflow obstruction is a significant contributing factor to their development. In meningiomas associated with the dural sinuses, diagnostic evaluation for possible dAVFs should be considered. Treatment of these lesions should be based on risk factors because spontaneous resolution after tumor excision has been reported.”
“Background: Although technical success of renal artery stenting (RAS) is high and adverse events are infrequent, clinical success (improved blood pressure and renal function) and durability have been less predictable.