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BACKGROUND: This study was undertaken to document the results of our current practice of open mesenteric revascularization to enable comparison with the recent trend of percutaneous endovascular therapy for the treatment of chronic mesenteric ischemia. METHODS: Patients were identified via operation code data as well ongoing audit data from 1992 until 2006. Only patients with a history of chronic mesenteric ischemia secondary to atherosclerosis for 3 months or longer were included in the study.

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“Unfortunately, this is a symptom of a broken system in the way the [Defense Department] acquires systems,” said Todd Harrison,the director of defense budget studies at the Center for Strategic and Budgetary Assessments. “It sets requirements in suchexcruciating detail that it basically forecloses the opportunity for real competition. And what companies like General Dynamicsare doing is trying a back door around that, through Congress.”.

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