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Aim and Objectives:To study the clinical presentation of patients with renal artery disease and its outcome following revascularisationprocedures . Type of study: Retrospective study Study period: July 2013 to June 2018 Material and Methods: This is a retrospective study we made on eleven patients presented with renal artery disease either as uncontrolled hypertension(>160/100mmHg )or in association with peripheral arterial disease, at the Institute of vascular surgery , RGGGH, Chennai. These patients were subjected for open or endovascular revascularisation procedures depending on their clinical characteristics and the type of disease. Following revascularisationprocedures , these patients were followed up at 2nd week, 1st month, 3rd month and 6th monthly thereafter during the study period and the outcomes are analysed and tabulated here to present our institutional experience. Inclusion criteria: 1. Renal artery stenosis with uncontrolled HTN (>160/100mmHg) on >3 antihypertensive drugs. 2. Renal artery stenosis with recurrent episodes of pulmonary edema 3. Renal artery stenosis with Peripheral arterial disease causing life stye limiting claudication pain or CLI Exclusion criteria: 1. Renal artery stenosis with normotensive Blood pressure(

Closed supracondylar humerus fracture in children with pulseless hand though appear to have vascularity even after skeletal stabilisation may need surgical exploration for addressing vascular injury which is often accomplished by thrombectomy , primary repair or interposition graft repair. Between August 2017 and june 2018, 15 children presented with displaced closed supracondylar fracture of the humerus , 10 of them presented with absent radial and ulnar pulses treated either before or after fracture reduction based on the clinical examination findings and hand doppler assessment . Amongst these, seven patients were explored for vascular compromise even after fracture reduction and ended up in revascularisation by thrombectomy or interposition graft repair . Three patients were explored before fracture reduction , one was found to have entrapment of the brachial artery between the fracture fragments and two of them were found to have spasm of the brachial artery by the tractional force from the displaced fracture. surgical exploration before fracture reduction in all these three patients ended up in release of the brachial artery from the tractional force or from entrapped fracture fragment, resulted in distal pulse restoration and thereby avoided thrombectomy or graft repair in the growing children. children presenting with closed supracondylar humerus fracture with absent distal pulses with warm hand need high index of suspicion for exploration before fracture reduction to avoid fracture reduction manipulation associated vascular injury and thereby avoid thrombectomy and graft repair in the growing children.

Renal failure patients demanding AV access creation for Dialysis has been growing in huge numbers and the life expectancy has also been improved by the present treatment facilities. We performed transposed brachiobasilicarteriovenous fistula (TBBAVF) in single stage on 28 patients from July 2016 to June 2017. The operative time was 90?120 minutes. All patients had edema of the upper extremity that lasted for 3 to 4 weeks and 6 patients had wound complications but of less severity. Major complications were not seen. The primary patency rates at 6 months and 1 year were 100 % and 89.3% respectively. TBBAVF has good primary patency with less severe complications.