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Latest Entries

Review of the literature

Micro-oxygen sensors for the forefoot in patients with critical limb ischemia

Dr. Bisdas (Vascular Surgeon, Athens, Greece) presents the Lumee micro-oxygen sensors (Profusa) for the monitoring of the forefoot perfusion in patients with critical limb-threatening ischemia. In this video, you will see the technology behind the device and how it works during the operation and the follow-up of the patient. Moreover, the current results and the key findings of the ongoing OMNIA study are summarized.

October 18, 2018 No Comments
Recorded video case

Use of the Ankura stent-graft for the treatment of thoracic aortic aneurysms

Dr. Kratimenos (Interventional Radiologist, Athens, Greece) presents a new thoracic endograft (Ankura, Lifetech) for the treatment of a challenging thoracic aortic aneurysm. In this recorded case, you will see the features of the device, the intraoperative steps and the performance of the endograft. At the end of the video, the panelists discuss the features and the benefits on the endoprosthesis and Dr. Kratimenos answers the questions of the audience.

October 15, 2018 No Comments
Awareness

The CLI Global Society

Dr. Fadi Saab presents the background, the structure and the activities of the CLI Global Society. The lack of awareness within the healthcare community and the general public remains the biggest challenge in CLI treatment. In 2017, primary amputation was still the first-line treatment and the costs of the disease were among the greatest healthcare expenditures. In this regard, the CLI Global Society has the mission to change this and to reduce both amputation and mortality rate in this cohort.

October 11, 2018 No Comments
Recorded video case

Endovascular treatment of recurrent acute deep vein thrombosis

Prof. Bisdas (Vascular Surgery, Athens, Greece) presents a recorded case of a recurrent DVT in the right common iliac vein treated by percutaneous thrombectomy and venous stenting. In this case, the operator discusses important issues like decision making, criteria for selecting the thrombectomy device and the stent, how to choose the right diameter for your stent, crucial steps during the intervention and which should be the duration and type of anticoagulation after endovascular treatment.

October 8, 2018 No Comments
Review of the literature

Decision-making in intermediate femoropopliteal lesions

Professor Katsanos (Interventional Radiology, Patras, Greece) provides an evidence-based overview of different techniques and devices for the treatment of intermediate (<15cm) femoropopliteal lesions. Which should be your first treatment strategy? Which is the role of drug-eluting stents? Do we have enough evidence about atherectomy? What is vessel prep and how important is for the durability of the treatment strategy? Is there still space for the use of stent-grafts in the SFA?

October 8, 2018 No Comments
Technical note

Removing stent grafts and implications for putting them in

"Who will do my aortic surgery when my time comes" was a common refrain among my mentors, only half jokingly. Now, the question has gained a sharpness. I think the tide will turn and the kids will do fine, but we all have to do a bit of reclamation, or open surgery will become the habit of strange eccentric artisans. I recommend calling up the retired surgeon and inviting them in for conferences and cases. Reprint masterwork atlases like Wiley's. Connect with likeminded. Before it's too late.

September 30, 2018 1 Comment
Review of the literature

Thoracoabdominal aortic aneurysm: when to treat open and when endo?

Professor Dr. Böckler (Vascular Surgeon, Heidelberg, Germany) provides an overview of the current evidence regarding decision making in the treatment of TAAA. Which patients' characteristics should influence your decision, do we have head-to-head comparisons between open surgery and endo-repair, what about the risk of spinal cord ischemia, and many other relevant questions will be answered in this presentation and discussed between the panelists.

October 5, 2018 No Comments
Poll 01/10/2018 – 31/10/2018

Critical limb-threatening ischemia – CLI Global Society

Patient’s characteristics

 

Gender: Male

Age: 79 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, chronic kidney disease (GFR: 53 ml/min/1,73m²), NYHA II, Coronary artery disease, previous CABG

Symptoms:  Toe ulceration of the left limb

Previous operations: None

ABI: incompressible, Toe pressure: 32 mmHg

Vascular Imaging – Duplex ultrasound: Isolated tibial vessel disease

Technical note

Management of the false lumen in chronic aortic dissection

False lumen (FL) thrombosis and aortic remodeling is a major predictor of survival in chronic aortic dissection (AD). Chronic AD (> 3 months) is associated with a non-compliant intimal flap, multiple fenestrations in the intimal flap and aortic branch artery communication with the FL. This makes FL thrombosis and subsequent aortic remodeling difficult to achieve with conventional thoracic EVAR devices. This presentation provides an overview of different methods to manage FL in chronic AD.

September 29, 2018 1 Comment

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