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Technical note

Endovascular revascularisation of left brachiocephalic vein with covered balloon-expandable stent

A 36 y.o. female with a right brachial-cephalic upper arm direct hemodialysis access presented with symptoms of central venous hypertension due to severe stenosis at the transition between the right brachiocephalic vein and the SCV. After PTV of the lesion, due to residual stenosis, a balloon-expandable covered stent (BeGraft Peripheral, Bentley) was deployed restoring the lumen. The CT-angiography performed 19 months later confirmed the patency of the stent-graft.

March 11, 2019 No Comments
Technical note

Management and tricks in treating aortic endograft infections

Dr. Xavier Berard (Bordeaux University Hospital) presents in a unique way a comprehensive overview of all currently available treatment strategies for the challenging aortic endograft infections. This includes information about the optimal surgical approach and access, tips and tricks on how to remove the endograft with or without suprarenal fixation and the ideal material (biologic or synthetic) to repair the aortic root.

Technical note

Management of vascular trauma of the upper limbs

Dr. Giovanni Tinelli presents a very comprehensive overview regarding the treatment of the vascular trauma of upper limbs. His presentation includes all relevant information about definition and anatomy, classification of the injury, the different types of treatment and tips from his personal experience.

Technical note

Complex endovascular repair

Dr. Gustavo Oderich summarizes in his presentation all important aspects of the endovascular repair of complex aortic aneurysms. The evolution from EVAR to more complex techniques, the upcoming trials, the different stent designs, the current strategies regarding the reduction of SCI, first data about the quality of life in these patients and the impact of simulation on the outcomes of complex endovascular repair are some key issues that are discussed in this paper.

Poll 01/03/2019 – 31/03/2019

The chronic mesenteric ischemia

Patient’s characteristics

 

Gender: Female

Age: 69 years old

Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)

Symptoms:  Postprandial pain

Previous abdominal operations: None

DUS: Occlusion of the superior mesenteric artery

Technical note

Open Conversion for Failed EVAR: Increasing Need and Different Strategies

Late open conversion after EVAR shows an increasing incidence and is mostly related to arterial degeneration and/or material fatigue. Dr. Michael Makaroun provides a unique overview of different techniques for the challenging open conversion for failed EVAR.

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