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.
Objectives:
Dr. G. Jay Bishop discusses incidence and types of thrombosis at the “Thrombotic Complications and Hypercoagulability associated with COVID-19 Infection” Tall Rounds®.
Watch the full session, http://consultqdlive.mediaspace.kaltura.com/media/0_vwdj7yal
Talking Tall Rounds® Podcast: COVID-19 Thrombotic Complications and Hypercoagulability, https://my.clevelandclinic.org/podcasts/cardiac-consult/talking-tallrounds-covid-19-thrombotic-complications-and-hypercoagulability
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An All-STARS faculty shared their most challenging cases, bail-out techniques and the lessons they learned.
Dr. Eric E. Roselli, Director of the Aorta Center, discusses Aortic Arch Stenting: The Cleveland Clinic Technique at the 2019 CLE Care of Aortic Dissection Symposium.
Sign up to learn more about the Comprehensive Lifelong Expeditious (CLE) Care of Aortic Disease™ Symposium, September 17 – 18, 2021, www.ccfcme.org/aorticdisease21
Visit the Cleveland Clinic Aorta Center, https://my.clevelandclinic.org/departments/heart/depts/aorta-center
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76-year-old man with right internal carotid artery occlusion. In 2009, left carotid endarterectomy for symptomatic carotid stenosis.
Follow-up protocol with yearly carotid ultrasound and 10 years later an asymptomatic restenosis of 90-95% was diagnosed and proposed for re-intervention.
PAD with severe bilateral aorto-iliac disease. Femoral pulses were absent.
Under local anesthesia, stenting of the left carotid axis (Roadsaver® 8x40mm) by surgical approach of the left primitive carotid artery was performed. SpiderFx 6.0 filter for cerebral protection.
The procedure and the postoperative period were uneventful and the patient was discharged one day after surgery under double antiplatelet therapy. Control ultrasound showed patency of the stent as well as the downstream artery, with no evidence of thrombi or residual stenosis.
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The second part of tips and tricks for BTK recanalisations.
Everything you need to know about retrograde access and its variations, the secrets of three vessel and foot arch recanalisation and much more…
Cleveland Clinic Heart, Vascular and Thoracic Institute Tall Rounds® highlighting the rapid response team management and treatment of acute aortic dissection.
To learn more about Tall Rounds, visit http://clevelandclinic.org/tallrounds
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Part 2 of two-part medical education video for your emergency department on the diagnosis and treatment of aortic dissection in the ER. Presented by Dr. Alan Braverman, Alumni Endowed Professor in Cardiovascular Diseases and Professor of Medicine at Washington University School of Medicine, and Director of the Marfan Syndrome Clinic there, the video addresses the presentation, risk factors to consider, appropriate diagnostic imaging, and more.
supported by The Marfan Foundation – Aortic Disease Awareness Week 2021
Part 1 of two-part medical education video for your emergency department on the diagnosis and treatment of aortic dissection in the ER. Presented by Dr. Alan Braverman, Alumni Endowed Professor in Cardiovascular Diseases and Professor of Medicine at Washington University School of Medicine, and Director of the Marfan Syndrome Clinic there, the video addresses the presentation, risk factors to consider, appropriate diagnostic imaging, and more.
supported by The Marfan Foundation – Aortic Disease Awareness Week 2021
Case report of a hand ulcer caused by venous hypertension secondary to a hemodialysis AVF outflow obstruction. Duplex evaluation was repeatedly omitted by three vascular surgeons in favor of CTA, as they diagnosed the case by first impression as a central venous stenosis. Duplex vascular ultrasound is an invaluable tool in the hands of the vascular specialist and can add real time diagnostic information that other static modalities cannot.
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This is a case of 46 years old man with a grade II blunt traumatic aortic lesion 21 years ago, without any treatment and follow up.
Today 85 mm aortic isthmus pseudoaneurysm. Obesity, moderate-severe dyspnea, refusing sternotomy for FET.
Strategy: Custom-made scalloped stent-graft (Terumo Aortic Bolton Relay 30-26-180 mm) for Zone 1 (left common carotid artery). Waiting for the stent graft customization (3 weeks), car-subcl bypass and plug in the subclavian artery (allowing more accurate fusion imaging during TEVAR: redo fusion). Dynamic four-dimensional CT (4D CT) was performed pre- (showing the left main bronchus dynamic compression by the sac) and post- operatively (showing the free flow and first stent working during the cardiac cycle). TEVAR under fusion imaging technique, rapid pacing. Cone-bone CT scan showed a good aortic lesion exclusion, confirmed at 1 month 4D CT scan.
Best of the 16 episodes Vascupedia VIEWS BTK
This is an interesting and unusual case of in-stent restenosis after CAS.
The patient had been stented on both ICA , left side with dual layer micro mesh stent and right side with an open cell design, Protege, Medtronic.
Restenosis occured on the right side where open cell stent was placed, even though leftside was stented before.
We decided to go for a “stent in stent” solution in order to achieve better result, and Roadsaver stent was chosen for this purpose.
Final result was satisfaying.
