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Recorded video case

Transaxillary TEVAR with an in situ fenestrated Endurant tube endograft for a ruptured thoracoabdominal aortic aneurysm

This patient was admitted at Athens Medical Center with a contained rupture of the thoracoabdominal aorta. The CT scan revealed complete occlusion of the infrarenal aorta with collateralisation of the profunda arteries at both sites through the SMA and the Riolan anastomosis. In his previous history, the patient was treated with an aortobifemoral bypass for Leriche syndrome (2008) with graft infection (2010) and replacement of the aorta with femoral veins (2010). We planned a transaxillary TEVAR (diameter of proximal left axillary artery: 6.5cm) and triple puncture of the right axillary artery.

March 17, 2020 No Comments
Awareness

A patient perspective on Aortic Disease

The article provide the personal views, experiences and thoughts of one patient diagnosed with Bicuspid Aortic Valve syndrome (BAV), Familial Thoracic Aortic Aneurysm and Dissection (FTAAD) and Atrioventricular Block (AV block) since 2012. The author has no medical education. The contents are written in layman’s terms. You can read about one patient’s personal experience of aortic diseases.

February 10, 2020 2 Comments
Basic vascular surgery skills

Aortic aneurysm repair

This is a step by step video of the open surgical of an abdominal aortic aneurysm with a tube Dacron graft through a median laparotomy. In this video, you will learn the surgical exposure of the aneurysm, the clamping and opening of the aneurysm sac, how to deal with the lumbar arteries, the proximal and distal anastomosis and how to close the abdomen by the right way.

April 2, 2019 2 Comments
Technical note

Best Practices in Complex Aortic Disease

Recorded webinar about best practices in complex aortic disease.

Case Discussion, Questions and Answers

Prof. Mauro Gargiulo, Bologna & Prof. Giovanni Torsello Münster

March 4, 2020 No Comments
Technical note

Endovascular treatment of acute and chronic deep vein thrombosis and pulmonary embolism

Dr. Bisdas (Athens Medical Center) presents during the 12th Athens Crossroad Congress a short overview of current endovascular techniques for acute and chronic deep vein thrombosis.

March 3, 2020 No Comments
Technical note

How to use a 20 mL-syringe to explant an infected stentgraft with suprarenal fixation?

Suprarenal fixation of aortic stentgraft can be left in place when explantation is performed in uninfected situations such as ruptured endoleak or acute thrombosis. In case of infections and especially in stentgraft-enteric fistula, this strategy can promote reinfection and recurrence of the fistula. Total control of the suprarenal aorta and visceral arteries revascularisation can be achieved through a left retroperitoneal approach but with poor access to repair the bowel in case of fistula. In this situation midline laparotomy is the best approach to perform the repair of the bowel and syringe extraction represents a valuable option to explant the stentgraft

February 26, 2020 No Comments
Recorded video case

Carotid artery stenting in a complex anatomy CEA restenosis

A 73-years old female with history of previous left carotid endarterectomy and recent acute transient ischemic attack was referred to our Center to undergo carotid stenting. Her Duplex ultrasound showed severe left internal carotid artery restenosis with significant Doppler flow acceleration.

February 19, 2020 No Comments
Recorded video case

Total extraction of infected aortic and iliac branched stentgrafts.

Step by step procedure on how to explant an aortic and iliac branch endoprosthesis with minimal duration of suprarenal aortic cross clamping in a patient with altered renal function.

January 28, 2020 No Comments
Case report

Spontaneous Rupture of SFA

This is an 81-Year-old patient presented with a spontaneous rupture of the superficial femoral artery of the left leg and on arrival to hospital he developed DVT in the same leg with pulmonary emboli which makes the anticoagulation policy to be quiet interesting, IVC filter has been deployed and covered stent has been implanted in his ruptured artery with endoleak type 1 B which settled conservatively, I hope you enjoy watching this case and looking forward to all your great comments

Mr. Mohamed Omar Elfarok M.Sc, FRCSEng, FRCSEd, IME

Consultant Vascular Surgeon

Royal College of Surgeons of England Examiner

 

 

 

 

December 17, 2019 9 Comments
Poll 06/01/2020 – 31/01/2020

VASCUPEDIA@LINC – ENDOLEAKS-CASE-BASED SOLUTIONS

The topic of this month is called ENDOLEAKS-CASE-BASED SOLUTIONS and aims to provide more information to the discussants of the session about endoleaks that will take place on Thursday, January 30, 2020 in Leipzig, during the LINC symposium. Take the opportunity to answer the questions and to inform the experts about your current practice for the treatment of all type of endoleaks.

Your participation will provide unique data for an interesting discussion and your answers will challenge the experts during the session.