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Review of the literature

Hemodynamic and mechanical interpretation of the clinical performance of abdominal aortic endografts: principles and considerations

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.

June 19, 2018 1 Comment
Recorded video case

Endovascular treatment of bilateral hypogastric artery aneurysms

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.

June 18, 2018 No Comments
Case report

TAAA: Back table surgeon-modified stent-graft with internal branches

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/

June 18, 2018 No Comments
Technical note

SMA occlusion: when open, when endo and how?

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.

June 16, 2018 No Comments
Case report

Surgical thrombectomy and DCB angioplasty for AV fistula salvage

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.

June 13, 2018 2 Comments
Recorded case
Video Thumbnail - click for more.

Cannulating the endoAVF

Case courtesy of Prof. Dr. med. Frank Dellanna from DaVita Clinical Research Deutsch GmbH Dusseldorf, DE. The everlinQ and everlinQ 4 endoAVF Systems have been issued European CE Mark and Health Canada Medical Device License for the creation of an arteriovenous fistula for hemodialysis and are not approved for sale in the United States.
Review of the literature

Differences between 2D3D and 3D3D Fusion Imaging – why it matters

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.

June 13, 2018 No Comments
Recorded video case

Endovascular treatment of a complex case of ischemic diabetic foot syndrome in a chronic kidney disease patient

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.

June 11, 2018 3 Comments
Case report

Fully Percutaneous Transaxillary Transcatheter Aortic Valve Implantation in patients with a patent left internal mammary graft

We report a clinical experience with fully percutaneous transaxillary TAVI in patients with a patent left internal mammary graft.

June 11, 2018 5 Comments
Recorded video case

Total endovascular treatment of the aortic arch after type A dissection with chimney and sandwich technique

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/

June 11, 2018 9 Comments
Clinical investigation

Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia

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).

June 10, 2018 2 Comments
Technical note

Aspirational Mechanical Thrombectomy in AVF

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.

June 10, 2018 2 Comments

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