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.

Webinar

Recorded webinar: A new percutaneous approach for low-profile EVAR

Speaker: Prof. G. Torsello & Dr. A. Schwindt

Topics:

  • Explore how there are no tradeoffs while using the low-profile INCRAFT™ AAA Stent Graft System and should be considered as your workhorse device.
  • The PerQseal® fully absorbable closure device offers a safe and intuitive solution to the challenge of large arteriotomy percutaneous closure
March 8, 2021 No Comments
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Recorded video case

INTERDISCIPLINARY PROJECT: “3D PRINTING” AND AORTIC DISEASE FROZEN ELEPHANT TRUNK USING THE NEW E-VITA OPEN PLUS NEO (JOTEC R), AORTIC VALVE REPLACEMENT, MITRAL VALVE ANULOPLASTY, LEFT SUBCLAVIAN REVASCULARIZATION USING LEFT MAMMARY ARTERY

Clinical Summery

  • 1st February 2017, underwent an ascending aorta replacement, debranching of the Innominate artery and left common carotid artery for the acute aortic dissection
  • The patient presented pseudoaneurysm at level of aortic root, a residual dissection of the aortic arch and of the descending thoracic aorta and a moderate-severe aortic and mitral valve insufficiency
  • Depression of LV function

Surgical Tecnique

  • Aortic Valve Replacement with Stentless biological prosthesis Medtronic Freestyle n 25
  • Mitral Annuloplasty using Memo 4D n 28
  • Ascending aorta and aortic arch replacement with debranching of the Innominate artery and left common carotid artery
  • Frozen Elephant Trunk using E-vita Open plus NEO n 26
  • Unfavorable anatomy for LSA revascularization
  • Left subclavian artery revascularization using Left Mammary Artery

Thanks so much

Dr. Loris Salvador , Dr. Nicola Lamascese, Dr. Alessandro Favaro, Dr. Michele Gallo, dr. Daniele Zoni, Dr. Cheti Benazzato (anesthesiologist) , Mrs. Noemi D’Amato (perfusionist) , Mrs. Cristina Rabaglio (nurse), Mrs. Laura Chiarello (nurse)

Dr. Carlo Campana (3d printing engineer),

Mr. Luciano Ghiotto (3d printing specialist),

Dr. Leonardo Costa (biomedical engineer)

SISMA spa, StefanPlast, Valle Autotrasporti, ULSS8 Berica

 

xx

February 24, 2021 2 Comments
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Vascupedia VIEWS

Vascupedia VIEWS AAA Course Episode 17: Reintervention for limb graft occlusion

Objectives

  • To discuss when and how to use the different techniques in daily practice.
  • To review bailout options using thrombectomy devices and determine the steps to successful retrieval of the blood flow
February 2, 2021 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 16: Reinterventions for type Ib endoleak

Objectives:
– To understand principles of device- and anatomy related complications
– To discuss potential complications of type Ib endoleaks
– To explore management options in challenging scenarios
– Worth of preserving the hypogastric artery, bell-bottom vs iliac side branch

January 19, 2021 No Comments
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Podcast

A Career of Innovation w/ Dr. Michael Dake | BackTable Podcast Ep. 105

Society of Interventional Radiology (SIR) President Dr. Michael Dake tells us stories of the Aortic and Endovascular Innovations he participated in throughout various stages in his career. BackTable

January 18, 2021 No Comments
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Technical note

TAAA treatment with new precannulated off the shelf endograft

We present the case of a patient with a type IV thoracoabdominal aneurysm treated with the new off-the-shelf precannulated endograft E-nside.

step by step procedure reported in the video record

January 7, 2021 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 13: Reintervention after EVAR

Objectives:
– To review the current limitations of EVAR in challenging aortic anatomies
– To learn how to apply the different repair techniques and choose the aortic clamping sites during conversion.

December 15, 2020 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 12: Surveillance: how and how often – best medical treatment

Objectives:

  • To translate new scientific knowledge into meaningful advances in patient care
  • To understand the role of Duplex and CT imaging in defining follow-up frequency after EVAR
  • To review how surveillance can be tailored to postoperative endoleak/rupture risk
December 8, 2020 No Comments
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Vascupedia VIEWS

Vascupedia VIEWS AAA Course Episode 11: Postoperative care – Postop and the morning after, what to check before going home, PIS, need for ICU?

Objectives:

  • To learn about postoperative management in patients who have undergone EVAR
  • To discuss how to manage anticoagulation in combination with antiplatelet therapy

 

November 24, 2020 No Comments
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Vascupedia VIEWS

Vascupedia VIEWS AAA Course Episode 10 :Troubleshooting: Renal artery coverage – Demanding cannulation of the contralateral limb – Intraoperative stenosis or occlusion of the contralateral limb – Intraoperative type Ia and Ib endoleak

Objectives:

  • To gain experience in technical aspects. Need for additional assessment and/or procedures.
  • To learn specific details of complex aortic procedures
  • To explore bailout options using existing devices
November 17, 2020 1 Comment
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 9: Percutaneous access – What are the implications of morbidity, length of stay, and costs? – Large bore closure devices: lessons learned, future directions

Objectives:

  • To learn when and how to apply percutaneous technique; to learn safe femoral artery puncture and secure hemostasis.
  • To determine the steps of successful procedure in case of device dysfunction
  • To understand the different roles of dedicated vessel closure armamentarium
November 10, 2020 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 8: EVAR with infrarenal fixation – Step-by-step procedure

Objectives:

  • To appreciate the clinical settings in which infrarenal fixation is most accurate and effective in order to identify candidates for this device
  • To learn optimal techniques for treating AAA in different anatomical subsets
November 3, 2020 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 7: EVAR with suprarenal fixation – Technologies available today

Objectives:

  • To get knowledge and experience in the indication for EVAR with this type of device
  • To discuss how the use of suprarenal fixation may improve the long-term results of EVAR
  • To translate new scientific knowledge into meaningful advances in patient care

 

October 27, 2020 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 6: EVAR – Challenging aortic neck

Objectives:

  • To learn about specific complexity of some challenging situations
  • To share expected and unexpected experiences and how to deal with them
  • To demonstrate bailout procedures using limited devices that are available within a limited time window
  • To learn how to plan the procedure when the aortic neck is short/ angulated/ tapered/ bulked
October 20, 2020 No Comments
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Vascupedia VIEWS

VascupediaVIEWS AAA Course Episode 5: EVAR – Challenging “Renal Patient”

Objectives:

  • To learn how to manage your patient with renal insufficiency: medication, alternative imaging possibilities, role of supra- or infrarenal fixation on renal function outcome
  • To discuss how to deal with accessory renal arteries, what size is worth saving and how?
  • Best option in horseshoe kidney
October 13, 2020 3 Comments
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Live case

Aortic Arch Stenting

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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Recorded case
Video Thumbnail - click for more.

Case using Najuta stent graft (fenestrated) to preserve 3 branch vessels

This video is the recorded case of the treatment of the aortic aneurysm by a fenestrated stent graft, Kawasumi Najuta stent graft system to preserve all branch vessels, performed in Japan.