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Poll 05/09/2019 – 30/09/2019

Online education in vascular medicine

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Recorded video case

Use of endoanchors for EVAR sealing in case of ruptured AAA

63 y.o. patient treated in the emergency setting for ruptured AAA
Endovascular repair planned despite proximal hostile anatomy and left iliac aneurysm with thrombus.
procedure details:
-bilateral percutaneous access
-bifurcated endurant endograft implant (left hypogastric embolization)
-partial left renal artery coverage @ control angio (intentional aggressive deployment)
-renal stenting
-type Ia endoleak after renal stenting, persistent after re-ballooning
-endoleak correction with endoanchors

December 2, 2018 No Comments
Recorded video case

Emergency triple chimney in a patient with giant symptomatic pararenal pseudoaneurysm and subsequent gutter embolization

We report a case of pararenal pseudoaneurysm endovascular correction with triple chimney technique and the following gutter embolization procedure

Key points:

-Previous fEVAR attempt (failed because of extremely tortuous accesses)
-Emergency procedure during the night
-Bilateral percutaneous femoral access
-Double axillary puncture on both sides
-Challenging endograft advancement on through and through guidewire
-Triple ChEVAR (SMA, RRA, LRA)
-Subsequent gutter embolization

November 18, 2018 3 Comments
Vascular images

Syncopal episode with spontaneous bleeding of common femoral artery and pulmonary embolism

Female patient, 72 yo, obesity, hypertension and cerebral hemorrhage in 2003 in her history. She was admitted due to a syncopal episode. Brain CT was negative. Body-CT revealed an active bleeding from the deep (PFA) and common femoral artery (CFA) and massive pulmonary thromboembolism (TEP). A selective embolization with Onyx and a covered stent was deployed to treat the bleeding. Catheter-directed thrombolysis (AngioJet) was performed to treat TEP and an IVC filter was deployed for DVT.

October 30, 2018 No Comments