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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
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.
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,
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
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.
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.
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.
This presentation deals with three important issues:
(1) What is the real incidence of limb occlusion post-EVAR?
(2) Which are the key points and risk factors behind limb occlusion?
(3) How to manage different clinical scenarios?
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.
This is a case report describing the different steps of the implantation of a fenestrated preloaded endograft to treat a juxtarenal aneurysm with calcified and tortuous iliacs.
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
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.
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.
This presentation gives an overview on the current evidence for diagnosic approach and treatment of acute and chronic iliofemoral venous outflow obstruction.
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.
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.
This presentations gives an overview on DCB treatment in the BTK area.
What is the current status?
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.
This is a case report of a custom iliac branch device for the treatment of an aortoiliac aneurysm. In this video, you will learn the features of the device, the most relevant steps of the procedure and how to recognize the markers of the endograft.
