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Arterial leg ulcers are a debilitating sequela of chronic ischemia, and their management, particularly in the octogenarian, is an immense challenge. ALUs are frequently a manifestation of end-stage peripheral arterial disease, and their presence portends a high morbidity and mortality. Management primarily relies on restoration of flow, but in the geriatric population, interventions may carry undue risk and pathologies may not be amenable. Adjunctive therapies that improve quality of life and decrease morbidity and mortality are therefore essential, and understanding their benefits and limitations is crucial in developing a multimodal treatment algorithm of care for the uniquely challenging octogenarian population.

Carotid artery aneurysms are a rare pathology, accounting for less than 1% of all arterial aneurysms and 0.4 to 4% of all peripheral arterial aneurysms. Owing to their exceedingly rare nature, management guidelines remain far from being standardized; however, aneurysm morphology, etiology, size, location, and patient characteristics are critical factors dictating the most appropriate management approach. As these aneurysms represent a serious and life-threatening pathology, they mandate an expedient diagnosis and an individually tailored management plan and as such, understanding the various etiologies, indications for treatment, and potential risks of deterring intervention are of utmost importance.