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Basic vascular surgery skills

Knee Disarticulation (Major Amputation)

Unfortunately, sometimes happens that we can not save a leg with our interventions. Here only the amputation remains. In this short film from the series “Basic vascular surgery skills” – you can follow the individual steps for disarticulation in the knee joint as a major amputation of the lower leg.

November 8, 2019 No Comments
Recorded video case

TUTORIAL VIDEO: Venous arterialization using conventional “off-the-shelf” devices

Although we favor a more distal location of the AVF to circumvent the need to use covered stent extensions to destroy the valves and avoid bleeding off venous flow via collaterals, sometimes (e.g. due to extreme vessel calcification) it is unavoidable to have to look for a more proximal inflow. The versatility of the VAST maneuver allows to perform a proximal DVA at the origin of the PT artery with conventional off-the-shelf devices.”

JEVT 2019 Apr;26(2):213-218
JEVT 2019 Jun;26(3):427-428

July 7, 2019 1 Comment
Case report

ChEVAR for a juxtarenal aneurysm with impending rupture using brazilian endovascular devices

Totally percutaneous chimney technique for a juxtarenal impending rupture aneurysm using off-the-shelf brazilian devices in a fragile, comorbid patient. #casereport #chevar #pevar #juxtarenal

October 25, 2019 No Comments
Recorded video case

TEVAR + Endoanchor: a new less invasive and durable solution for distal thoracic disease endoextension in short & tapered necks?

Endoanchors in addition to TEVAR or EVAR may be used to achieve a tight fixation of aortic stent grafts to the aortic wall, avoiding migration and reducing the risk of Type I endoleaks and procedure failure and eventually gain long term durability.

This video is a clinical example of how In the thoracic scenario, its proper use allows the treatment of descending thoracic ulcers or aneurysms with short, tapered or angulated distal necks, avoiding the use of more extended procedures like FEVAR or BEVAR, saving time, expenses and reducing procedure invasivity.

October 21, 2019 1 Comment
Poll 04/10/2019 – 31/10/2019

Choice of antiplatelet therapy around complex revascularisation

A 79-year-old diabetic male patient with no history of coronary disease is referred to you to undergo angioplasty for tissue loss on the tips of the hallux and second toe. He is taking Aspirin 75mg. From preoperative imaging he needs a 20cm SFA occlusion stopping before the adductor hiatus recanalizing as well as multilevel tibial disease which appears to be a combination of short occlusions and stenoses. The dorsal pedal is seen in the foot and is in continuity with the arch. The PT artery appears occluded through it’s whole length.

Awareness

Aortic Disease Awareness Day – the idea behind it.

Speech made for a September 19 – Aortic Disease Awareness Day event hosted by Professor Germano Melissano and Dr Allesandro Pini for Aortic Surgeons, researchers and patients in Milano Italy, describing the idea and need from a patients perspective behind a common day to increase interest, understanding and awareness on rare aortic diseases.

September 25, 2019 No Comments
Awareness

Aortic dissection – VRTD Aortic Disease Awareness Day

Aortic dissection – Vascupedia Virtual Round Table 2019 09 19

Type B aortic dissection Current guidelines, G. Torsello –
Endovascular treatment options of type B aortic dissection, K. Stavroulakis –
Open surgery for type A aortic dissection, M. Pichlmaier –
Endovascular treatment options for type A & residual type A aortic dissection, N. Tsilimparis

September 24, 2019 No Comments
Technical note

35 Years of Progress in Aortic Surgery

Over the past 35 years, there has been extensive progress in aortic surgery for people with Marfan, Loeys Dietz, and other genetic aortic condition. Dr. Joseph Coselli, Professor, Vice-Chair, Department of Surgery & Chief, Cardiothoracic Surgery, Baylor College of Medicine, and a member of The Marfan Foundation Professional Advisory Board, discussed the advances and the options currently available for these patients. The presentation was made at The Marfan Foundation’s 35th Annual Conference in Houston, Texas,  on July 13, 2019

September 18, 2019 No Comments
Technical note

Vascular Ehlers-Danlos Syndrome

Vascular Ehlers-Danlos syndrome (vEDS) is a condition that is quite variable. People are often diagnosed when they have easy and frequent bruising that is not explained by other causes, a spontaneous bowel, or arterial tears, or because other family members are affected. Some people have characteristic facial features, thin skin, and tissue fragility, while in others the diagnosis is only made after the identification of an alteration in the type III collagen gene, COL3A1. Many people have a difficult time getting diagnosed and getting appropriate management. Dr. Peter Byers,  Professor of Pathology and Medicine, UW Medical Center and a member of The Marfan Foundation’s Professional Advisory Board, who is one of the leading experts on vEDS, provided an overview at The Marfan Foundation’s 35th Annual Conference in Houston, TX, July 13, 2019.

September 18, 2019 No Comments