Carotid artery pseudoaneurysm results mostly from direct trauma, prior endarterectomy, prior dissection, radiation, and infections. There are many different surgical and endovascular treatment options for repair, and the choice of treatment depends on patient-, surgeon-, and institute-related factors. Studies have reported the efficacy of various endovascular techniques for aneurysm repair, including stent graft placement and coil embolization, with promising short- and long-term outcomes. In this report, we describe two cases of carotid artery pseudoaneurysm (after trauma and after carotid endarterectomy) treated successfully through transcarotid artery stenting using the flow reversal technique to minimize the risk of embolization and stroke.

High protein content, excellent amino acid profile, absence of anti-nutritional factors (ANFs), high digestibility and good palatability of fishmeal (FM), make it a major source of protein in aquaculture. Naturally derived FM is at risk due to an increase in its demand, unsustainable practices, and price. Thus, there is an urgent need to find affordable and suitable protein sources to replace FM. Plant protein sources are suitable due to their widespread availability and low cost. However, they contained certain ANFs, deficiency of some amino acids, low nutrient bioavailability and poor digestibility due to presence of starch and fiber. These unfavourable characteristics make them less suitable for feed as compared to FM. Thus, these potential challenges and limitations associated with various plant proteins have to be overcome by using different methods, i.e. enzymatic pretreatments, solvent extraction, heat treatments and fermentation, that are discussed briefly in this review. This review assessed the impacts of plant products on growth performance, body composition, flesh quality, changes in metabolic activities and immune response of fishes. To minimize the negative effects and to enhance nutritional value of plant products, beneficial functional additives such as citric acid, phytase and probiotics could be incorporated into the plant-based FM. Interestingly, these additives improve growth of fishes by increasing digestibility and nutrient utilization of plant based feeds. Overall, this review demonstrated that the substitution of fishmeal by plant protein sources is a plausible, technically-viable and practical option for sustainable aquaculture feed production.