Library

We present the case of a patient with a type IV thoracoabdominal aneurysm treated with the new off-the-shelf precannulated endograft E-nside.

step by step procedure reported in the video record

We present a case of a 57-year-old patient who underwent total abdominal hysterectomy plus right salpingoophorectomy in 2018, subsequently performed diagnostic images showing an injury that occupies the lumen of the inferior vena cava and extends from the right iliac vein to the atrium; initially percutaneous extraction is attempted, which is failed, which is why the patient is scheduled for open surgery (laparotomy) in conjunction with the department of hepato-biliary and cardiovascular surgery; in the operating room, it is approached by incision of Mercedes Benz, performing disinsertion and hepatic mobilization exposing the inferior vena cava, the same is incised and the tumor mass is betrayed until the lesion is completely removed.

Vascular Surgeons David Dexter and Steven Abramowitz discuss endovascular treatment of lower extremity DVT, including patient selection and risks and benefits of catheter-directed therapy (CDT), mechanical thrombectomy, and pharmaco-mechanical thrombolysis. BackTable

Objectives:
– To review the current limitations of EVAR in challenging aortic anatomies
– To learn how to apply the different repair techniques and choose the aortic clamping sites during conversion.

What’s an alternative arterial access site? Why do we need it? Where to access? Who should we select for these strategies?

Objectives:

• To translate new scientific knowledge into meaningful advances in patient care
• To understand the role of Duplex and CT imaging in defining follow-up frequency after EVAR
• To review how surveillance can be tailored to postoperative endoleak/rupture risk

Interactive webinar recorded 01/12/20

Topics

• – IVUS guided venous recanalization: How to do it
• – Computed tomography venography vs. intravascular ultrasound in the diagnosis iliofemoral vein stenosis
• – Future of IVUS based therapies for venous leg ulcers
• – IVUS vs. fluoroscopic guided recanalization for iliofemoral obstruction:
• Effective option to reduce radiation exposure during intervention.
• – EUS & IUS guided endovascular venous recanalization

Are the outcomes affected by crossing type? How do we classify arterial dissections? Which dissection should be treated with additional tools?

Interventional nephrologist Dr. Neghae Mawla from Dallas Nephrology Associates walks us through his experiences with endovascular AV Fistula creation, including devices, patient prep, procedure steps and post procedure care.

More information: BackTable.com

My presentation at Annual Congress of Portuguese Society of Cardiac, Thoracic and Vascular Surgery about LIMBSAVE Registry

Welcome

Michael Lichtenberg

OCT guided arterial recanalisation: How to interpret it and how do it

Arne Schwindt

Evidence for OCT guided atherectomy

Michael Lichtenberg

OCT-guided imaging work below the knee

Jaafer Golzar

Recorded case example of OCT imaging

Christos Rammos

Final discussion and closing remarks

Michael Lichtenberg

Objectives:

• To learn about postoperative management in patients who have undergone EVAR
• To discuss how to manage anticoagulation in combination with antiplatelet therapy

Interventional Cardiologist Fadi Saab and Interventional Radiologist Sabeen Dhand discuss Percutaneous Deep Venous Arterialization (DVA) for critical limb ischemia (CLI), including workup, technique, and follow-up.

More information: BackTable.com

SMA vein interposition bypass with reimplantation of jejunal arteries
Dissecting aneurysm of the SMA with previous ligation of hepatic artery due to a ruptured aneurysm 3 years before

Objectives:

• To gain experience in technical aspects. Need for additional assessment and/or procedures.
• To learn specific details of complex aortic procedures
• To explore bailout options using existing devices

Objectives:

• To learn when and how to apply percutaneous technique; to learn safe femoral artery puncture and secure hemostasis.
• To determine the steps of successful procedure in case of device dysfunction
• To understand the different roles of dedicated vessel closure armamentarium

Learn the basics of peripheral CTOs and recanalization techniques in the femoropopliteal and tibial arteries.