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

Recanalization techniques of chronic iliofemoral vein occlusions

This video resumes the steps of performing a recanalization and stenting of a post-thrombotic iliofemoral vein oclussion including phlebographic and IVUS assessment.

Key words: Venous stenting, venous recanalization, posthrombotic syndrome, iliofemoral occlusion, deep vein thombosis, IVUS

August 14, 2018 1 Comment
Case report

Treatment of a large thoracoabdominal aneurysm with narrow access vessels

This case report describes the treatment of a thoracoabdominal aneurysm with narrow access vessels and an upward facing right renal artery. The use of a flexible self expanding covered stent facilitates the attachment of the target vessel with your branch. To reduce the risk of paraplegia, a staged procedure was performed.

August 12, 2018 No Comments
Vascular images

Step-by-Step. OFF-PUMP TRIPLE EXTRA-ANATOMICAL BY-PASS

1. The heart is accessed through a full midline sternotomy
2. An off-pump coronary artery bypass graft is performed on the left anterior descending artery using a saphenous vein graft and 7-0 prolene continuous suture
3. The aorta is partially clamped with a side clamp and is opened through a longitudinal incision, about 2 cm length
4. A prosthesis is sutured onto the aorta with a continuous 4-0 prolene suture
5. One branch of the prosthesis is passed behind the ascending aorta,

August 8, 2018 No Comments
Poll 01/08/2018 – 31/08/2018

Asymptomatic carotid artery disease

Patient’s characteristics

 

Gender: Female

Age: 72 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker

Symptoms: None

Previous operations: None

Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec

Recorded video case

Carotid artery stenting with the Mo.Ma™ Ultra proximal cerebral protection device

This is a recorded case presenting all the important steps of carotid artery stenting (CAS). These steps include the use of transbrachial access, the advancement of the sheath in the common carotid artery, the placement of the Mo.Ma cerebral protection device to remove all sizes of debris and the final procedure of carotid artery stenting. Finally, the interventionalists demonstrate all relevant aspects of intraoperative monitoring by transcranial doppler.

July 26, 2018 No Comments
Recorded video case

Paving and cracking technique for severely calcified SFA lesions

This is a recorded case about the treatment of a severely calcified chronic total occlusion (CTO) of the SFA in a patient with critical limb ischemia. In this video, you will see all the important steps of such an intervention: 1. puncture 2. cross-over sheath advancement 3. crossing of the lesion 4. vessel preparation 5. paving and cracking and 6. final treatment.

July 17, 2018 3 Comments
Case report

Endovascular options for the treatment of AIOD and popliteal artery thrombosis in a case of acute limb ischemia

Surgical thrombectomy is considered the first line strategy for the treatment of acute iliac axis and femoro-popliteal thrombosis, but in some cases it can be inconclusive and lead to controlateral and/or distal embolization and dissection.
This is a case report describing the endovascular options for the treatment of aorto-iliac obstructive disease complicated by popliteal artery thrombosis after failure of surgical trans-femoral iliac thrombectomy in a patient with acute limb ischemia.

July 14, 2018 No Comments
Technical note

Hybrid revascularization of an acute iliac vessel occlusion: Keep the hypogastric patent

Bilateral hypogastric artery occlusion is associated with increased morbidity in patients with acute limb ischemia. Although transfemoral lilac thrombectomy is considered a straightforward procedure, it might lead to an occlusion of the hypogastric artery. However, simple endovascular techniques can be helpful in keeping the hypogastric arteries patent.

July 7, 2018 2 Comments
Technical note

Principles of EVAR planning and sizing – Chapter 2: Sizing & Oversizing

This is the second chapter of the EVAR tutorial about planning and sizing of the endovascular AAA repair. Following topics are included:
- How to measure exactly the right diameter of our proximal landing zone?
- How to oversize in angulated necks?
- Which ancillary products should be available in challenging cases?
- How to select the length and diameter of the iliac limbs?
- Specific scenarios

July 4, 2018 4 Comments
Question to the Vascupedians

Results – Polling Station June 18

This presentation summarizes the results of the first topic of the polling station about asymptomatic juxta- and suprarenal aortic aneurysms.
Total number of votes: 103.
The results are now open for discussion.

July 2, 2018 No Comments
Review of the literature

Gutters after Chimney EVAR: How „PERICLES and PROTAGORAS“ can protect ACHILLES heel?

One of the main topics at each meeting is the discussion about the importance and clinical relevance of gutter-related endoleaks after ch-EVAR. Herein, we present you an overview of the most important causative mechanisms for the development of persistent gutters and tips to treat and minimize the risk of appearance.

July 1, 2018 2 Comments
Review of the literature

Iliofemoral outflow obstruction: Awareness, Diagnostic approach, Treatment strategies

This presentation gives an overview on the current evidence for diagnosic approach and treatment of acute and chronic iliofemoral venous outflow obstruction.

June 30, 2018 No Comments
Recorded video case

Venous arterialisation for no option CLI: Limflow procedure

This case demonstrates the unique Limflow procedure for the so-called 'no option' CLI patients. This term is used for advanced disease with occlusion of the pedal arteries used for distal bypass or angioplasty targets. This 'desert foot' also represents an end-stage pathology that commonly leads to failure of all conventional revascularization attempts. In this video, you will learn the steps of the procedure, all devices needed and important technical tips and tricks for a successful outcome.

June 28, 2018 3 Comments
Recorded video case

Aspiration thrombectomy for venous stent occlusion at the iliac vein

This a case of aspiration thrombectomy of an occluded venous stent after treatment of an iliac vein compression due to ovarian cancer. We used the Indigo thrombectomy catheter (Penumbra) to remove the clot and a Veniti stent (Boston Scientific) to optimize the final result. In this video, you will learn important steps of the procedure, tips and tricks for the use of the Indigo system as well as important features of both devices.

June 22, 2018 2 Comments
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

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