Topic: Asymptomatic juxta- and pararenal aortic aneurysms
Em. Professor for Surgery and Vascular Surgery
Director, Clinic for Vascular Surgery
St. Franziskus Hospital, Muenster, GER
This a case of aspiration thrombectomy of an occluded venous stent after treatment of an iliac vein compression due to ovarian cancer. We used the Indigo thrombectomy catheter (Penumbra) to remove the clot and a Veniti stent (Boston Scientific) to optimize the final result. In this video, you will learn important steps of the procedure, tips and tricks for the use of the Indigo system as well as important features of both devices.
This presentations gives an overview on DCB treatment in the BTK area.
What is the current status?
What are the factors predisposing to migration of endografts after EVAR? How are the stresses, pressure and forces distributed postiperatively? Can the geometric parameters predict future adverse effects? How are mechanical, hemodynamic and geometrical changes interconnected postinterventionally? This presentation introduces some basic hemodynamic pronciples and terminology as a means to comprehend the phenomena taking place after endograft implantation.
This is a case report of a custom iliac branch device for the treatment of an aortoiliac aneurysm. In this video, you will learn the features of the device, the most relevant steps of the procedure and how to recognize the markers of the endograft.
This is a recorded case of bilateral hypogastric artery aneurysm treated by coil embolization on the one side and an iliac-side branch device on the other side. In this video, you will learn about access vessels, decision making, how to embolize the aneurysm of the hypogastric artery, how to implant the iliac-side branch device as well as further relevant technical aspects and features of the device.
We report some cases performed with a stent-graft modified by the surgeon with internal branches for the treatment of TAAAs. In total, we have 34 cases performed with this technique and we developed and patented a low profile device to be used in almost all anatomical types of TAAAs. This device may be considered off-the-shelf graft. See also: https://vascupedia.com/presentation/an-off-the-shelf-and-low-profile-stentgraft-for-treatment-of-thoracoabdominal-aneurysms/
This presentation includes important clinical and anatomic issues, which play a relevant role in the decision making between open surgical and endovascular treatment of the SMA occlusion. Which technique is appropriate for open surgical revascularization? Which material should be used as bypass or patch? When should you go for an endovascular-first approach? Which kind of stents? Do we have evidence? All these questions are answered in this presentation.
This presentation provides a short overview of the most important features and advantages of the hybrid atherectomy, the main indications as well as important technical tips and tricks.
Revascularization strategy of a chronic iliofemoral DVT in a 45 year old female patient with venous claudication and persistent swelling of left leg.
Drug coated balloon (DCB) angioplasty has been proven a valuable tool in the treatment of femoropopliteal PAD. But do we have enough data to support the use of DCBs in AV fistula salvage procedures? In this case DCB angioplasty was performed to treat a post-thrombectomy vein stenosis.
Fusion Imaging, Vessel Navigation, 3D guidance... the list of names for integrating preoperative imaging into fluoroscopy is long. This presentation attempts to clarify the differences between 2D3D and 3D3D fusion imaging and why this can have an impact on how you structure your procedure.
This case presents a 68-year old dialysis patient with an ischemic diabetic foot. In this video, you will learn about:
(1) the anatomic challenges of diabetic foot syndrome
(2) the decision making in dialysis patients
(3) tips and tricks to cross chronic total occlusions (CTOs)
(4) how to treat the infrapoppliteal vessels and finally
(5) how to interpret the intraoperative angiographic images.
We report a clinical experience with fully percutaneous transaxillary TAVI in patients with a patent left internal mammary graft.
This is a very advanced case of a total endovascular repair of a post-type A dissection aneurysm of the aortic arch with chimney endografts for the brachiocephalic trunk and the LCCA and a periscope in Sandwich technique for the LSA. See the procedure in chapters for the different steps under: https://vascupedia.com/video/total-endovascular-treatment-of-the-aortic-arch-after-type-a-dissection-with-chimney-and-sandwich-technique/
Exploring the role of pre-and post-procedure lumen shape in predicting patient outcomes
Literature review and mini guideline for recanalisation of chronic venous outflow obstructions.
The WIfI classification system was initially published by Dr. Mills in January 2014 at JVS. The aim of this classification is to stratify the risk of limb amputation (very low, low, moderate and high risk) based on three factors: wound, ischemia and foot infection. The following presentation represents a validation of this classification in a well-defined cohort (nondiabetic patients treated by endovascular means for critical limb ischemia).
Over the last few years, we have seen emerging technology aimed at the management of AVF thrombosis. Some have been developed from cardiac and neuro-intervention methods and techniques.
The following slides demonstrate some of these systems, along with a case using one of these devises to remove AVF clot. The aim is to give clinicians insight to an alternative management and to raise constructive discussions on the future of Thrombectomy methods.