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Purpose: The purpose of this study was to objectify and evaluate risk factors for thromboembolic complications after treatment with a Zenith(®) Low Profile Endovascular Graft (Zenith LP). Results were compared with those in the recent literature on endovascular aortic repair (EVAR) and with the thromboembolic complications in the patient group treated with a Zenith Flex Endovascular Graft in our institute in the period before the use of the Zenith LP.Materials and Methods: All consecutive patients who were suitable for treatment with a Zenith LP endograft between October 2010 and December 2011 were included. The preprocedural computed tomography scan (CT), procedural angiographic images, and the postprocedural CT scans were evaluated for risk factors for and signs of thromboembolic complications. All patients treated between December 2007 and November 2012 with a Zenith Flex endograft were retrospectively evaluated for thromboembolic complications.Results: In the study period 17 patients were treated with a LP Zenith endograft. Limb occlusion occurred in 35 % of the patients. Limb occlusions occurred in 24 % of the limbs at risk (one limb occluded twice). In one patient two risk factors for limb occlusion were identified. Between December 2007 and November 2012, a total of 43 patients were treated with a Zenith Flex endograft. No limb occlusion or distal embolization occurred.Conclusion: Despite that this was a small retrospective study, the Zenith LP endograft seems to be associated with more frequent thromboembolic complications compared with the known limb occlusion rates in the literature and those of the patients treated with a Zenith Flex endograft in our institute. [ABSTRACT FROM AUTHOR]

An otherwise healthy 47-year-old male is described, he developed craniofacial necrotizing fasciitis of the scalp and face after having undergone dental extraction. Escherichia coli and coagulase-negative staphylococci were isolated from his wound cultures. Multiple debridement operations were necessary, with subsequent loss of his left eye and which resulted in severe mutilation. Both magnetic resonance imaging and computed tomography scanning helped to demonstrate the retrobulbar infection of his left eye. These were thus helpful to determine the extent of the disease and plan the course of surgery. Although we recognize that free flap surgery is the method of choice to cover this type of defect, we describe an alternative method of reconstruction. We have made multiple burr holes in the skull and used a low vacuum device to create a significant and viable layer of granulation tissue which was then covered with split skin grafts. [ABSTRACT FROM AUTHOR]