Library

Welcome to the Library of Vascupedia. Use our filters on the left side of the page to quickly find the content of your interest. You may select an area of interest and the respective indication or the media type.

Recorded video case

Retrograde femoropopliteal recanalization through the dorsal pedal artery

This case demonstrates the recanalization of the femoropopliteal artery in a patient with CLTI. The reason for the solely retrograde approach was a Y-graft for AAA having the anastomoses at both common femoral arteries, the above-knee amputation of the contralateral limb and the extent of the disease. Primary stent implantation was performed by using the Pulsar-18 (Biotronik) bare-metal stent, which has a 4Fr profile and a proven efficacy according to the 4EVER trial.

July 14, 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 No Comments
Technical note

Zero Contrast EVAR Round Table

This is a round table discussion about CO2 during EVAR and complex EVAR in the framework of the annual meeting of Angiodroid in Bologna, Italy. In this round table discussion, 5 European experts present current evidence and their experience about the use of CO2 in the treatment of aortic diseases (s. chapters). Moreover, the panellists discuss all important benefits and drawbacks of the technique and present for the first time the study protocol of the prospective CO2 EVAR registry.

June 28, 2019 No Comments
Awareness

The power of surgical drawings

This presentation aims to highlight the usefulness of surgical drawing in practice. It sums up experiences, planning and real cases of the past 5 years of practice in vascular surgery. As I got tremendous positive feedback from patients, colleagues, GP's, relatives and artists, I decided to share this experience with the vascular community.

June 13, 2019 1 Comment
Case report

Endovascular repair of a complex symptomatic dissecting aneurysm of the superior mesenteric artery

Isolated dissection of the superior mesenteric artery (SMA) is rare and remains the most common reason for aneurysmal degeneration of the vessel. The treatment is challenging and not standardized. We present the case of a 50-year old male presented with a 3.3 cm dissecting aneurysm of the SMA and epigastric pain of moderate severity.

May 20, 2019 No Comments
E-Poster

TCAR: PUSHING CAS TO THE PIPELINE. PRELIMINARY RESULTS OF A PROSPECTIVE COHORT.

TCAR is a hibryd option for CAS offering the best cerebral protection with reverse flow system engaging the common carotid artery with the contralateral common femoral vein. The Roadster Trial has the best data never published regarding Peri-operative neurological events for a prospective multicentre Trial. The procedure could be perform under local anesthesia with the patient copletely awake.

May 10, 2019 No Comments
Recorded video case

Endovascular Aortic Arch replacement with Kawasumi Najuta Thoracic Stent Graft System

Endovascular treatment with custom made Najuta device of a 61mm saccular aortic arch aneurysm after carotid-carotid-subclavian by pass.
Previous surgical correction of 81 mm pararenal aortic aneurysm with extraperitoneal approach.

May 10, 2019 1 Comment
Question to the Vascupedians

Pseudoaneurysm of a superior mesenteric artery branch with an artery-to-portal vein fistula.

This work could be of interest because the clinical scenario represents a rare entity. Moreover the endovascular technique of coil embolization required particular attention to avoid distal coils embolization into the portal vein due to the high-flow of the arterovenous fistula.

May 10, 2019 No Comments
E-Poster

Endovenous treatment of acute iliofemoral vein thrombosis with aspiration thrombectomy catheter – early clinical outcomes

The acute deep vein thrombosis (DVT) affects many in- and out-hospital patients. The vast majority of these patients are treated conservatively. At this study, the safety and efficacy of an aspiration thrombectomy catheter was evaluated and showed promising results regarding clot removal for the treatment of acute DVT. E-poster presented at EVF 2018 in Athens.

May 9, 2019 No Comments
Recorded video case

Right visceral rotation

Dr. Alan B Lumsden (Houston Methodist, DeBakey Heart and Vascular Center) presents in a unique video step by step how to perform a right visceral rotation for the removal of an IVC filter penetrating the aorta and creating aortic dissection.

May 6, 2019 No Comments
Recorded video case

Left visceral rotation

Dr. Alan B Lumsden (Houston Methodist, DeBakey Heart and Vascular Center) presents step by step how to perform a left visceral rotation for the treatment of aortic diseases

May 6, 2019 No Comments
Poll 01/05/2019 – 31/05/2019

The radiation exposure

Since January 2018, employers in the U.K and Europe have had to comply with their duties under the Ionising Radiations Regulations 2017, IRR17. Previous to this most health trusts working with ionising radiation followed IRR99.

The main changes since the last edition (IRR99) that affect the operator:

  • The dose limit for exposure to the lens of the eye has been reduced from 150 mSv to 20 mSv in a year. This is usually assessed using forehead monitoring bands.

It is the duty of the operator to control methods for restricting exposure to ionising radiation by use of distance and shielding etc.

Clinical investigation

The value of peripheral arterial IVUS in decision making

Despite the continuous development of endovascular modalities we still base our therapy in conventional angiographic imaging. IVUS might help us, however, to better understand the characteristics of the disease and guide our treatment. This presentation summarizes the value of peripheral arterial IVUS in our decision making process.

April 17, 2019 1 Comment
Case report

Complex multi stage thoracoabdominal aneurysm correction. Branched endograft with forced femoral access and flap perforation

acute type B aortic dissection with thoracic aortic aneurysm. no proximal sealing zone for TEVAR landing and dilated ascending aorta.

-Car-car-sub by pass
-Ascending aortic replacement, ascending to innominate by pass and TEVAR

@ control CTA fast aneurysm enlargement

4 inner branches (two antegrade and two retrograde) custom made endograft.
access to RRA through hole performed in the lamella
forced femoral access (no arch vessel available) with steerable sheat

April 13, 2019 4 Comments