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.

Case report

ChEVAR for a juxtarenal aneurysm with impending rupture using brazilian endovascular devices

Totally percutaneous chimney technique for a juxtarenal impending rupture aneurysm using off-the-shelf brazilian devices in a fragile, comorbid patient. #casereport #chevar #pevar #juxtarenal

October 25, 2019 No Comments
Recorded video case

TEVAR + Endoanchor: a new less invasive and durable solution for distal thoracic disease endoextension in short & tapered necks?

Endoanchors in addition to TEVAR or EVAR may be used to achieve a tight fixation of aortic stent grafts to the aortic wall, avoiding migration and reducing the risk of Type I endoleaks and procedure failure and eventually gain long term durability.

This video is a clinical example of how In the thoracic scenario, its proper use allows the treatment of descending thoracic ulcers or aneurysms with short, tapered or angulated distal necks, avoiding the use of more extended procedures like FEVAR or BEVAR, saving time, expenses and reducing procedure invasivity.

October 21, 2019 1 Comment
Awareness

Aortic Disease Awareness Day – the idea behind it.

Speech made for a September 19 – Aortic Disease Awareness Day event hosted by Professor Germano Melissano and Dr Allesandro Pini for Aortic Surgeons, researchers and patients in Milano Italy, describing the idea and need from a patients perspective behind a common day to increase interest, understanding and awareness on rare aortic diseases.

September 25, 2019 No Comments
Awareness

Aortic dissection – VRTD Aortic Disease Awareness Day

Aortic dissection – Vascupedia Virtual Round Table 2019 09 19

Type B aortic dissection Current guidelines, G. Torsello –
Endovascular treatment options of type B aortic dissection, K. Stavroulakis –
Open surgery for type A aortic dissection, M. Pichlmaier –
Endovascular treatment options for type A & residual type A aortic dissection, N. Tsilimparis

September 24, 2019 No Comments
Technical note

35 Years of Progress in Aortic Surgery

Over the past 35 years, there has been extensive progress in aortic surgery for people with Marfan, Loeys Dietz, and other genetic aortic condition. Dr. Joseph Coselli, Professor, Vice-Chair, Department of Surgery & Chief, Cardiothoracic Surgery, Baylor College of Medicine, and a member of The Marfan Foundation Professional Advisory Board, discussed the advances and the options currently available for these patients. The presentation was made at The Marfan Foundation’s 35th Annual Conference in Houston, Texas,  on July 13, 2019

September 18, 2019 No Comments
Technical note

Vascular Ehlers-Danlos Syndrome

Vascular Ehlers-Danlos syndrome (vEDS) is a condition that is quite variable. People are often diagnosed when they have easy and frequent bruising that is not explained by other causes, a spontaneous bowel, or arterial tears, or because other family members are affected. Some people have characteristic facial features, thin skin, and tissue fragility, while in others the diagnosis is only made after the identification of an alteration in the type III collagen gene, COL3A1. Many people have a difficult time getting diagnosed and getting appropriate management. Dr. Peter Byers,  Professor of Pathology and Medicine, UW Medical Center and a member of The Marfan Foundation’s Professional Advisory Board, who is one of the leading experts on vEDS, provided an overview at The Marfan Foundation’s 35th Annual Conference in Houston, TX, July 13, 2019.

September 18, 2019 No Comments
Poll 05/09/2019 – 30/09/2019

Online education in vascular medicine

Shape your learning experience on Vascupedia

 

Dear colleagues, our mission is to help physicians worldwide to bring their interventions to perfection. Our hope is to indirectly contribute to safety and well-being of patients with vascular diseases.

Over a year ago, we started Vascupedia as a unique online project that we believe fulfills the need for free education in the challenging field of Vascular Medicine. Now it’s time to ask you to help us to become better for you! Are we offering the right information in the right way at the right level? Is there anything missing to support you in your quest to grow your knowledge to treat your patients in the best possible way? Please complete this short survey to make sure we will work on improving the platform to serve YOUR educational needs!

Poll 01/08/2019 – 31/08/2019

The Type II Endoleak

Patient’s characteristics

 

Gender: Male

Age: 68 years old

Comorbidity: Arterial hypertension, active smoker

Underwent EVAR 2 years ago

Symptoms:  None

DUS/CT A: Aneurysm sac growth > 7mm compared to last CT scan with evidence of type II Endoleak (Inferior mesenteric artery)

Technical note

Zero Contrast EVAR Round Table

This is a round table discussion about CO2 during EVAR and complex EVAR in the framework of the annual meeting of Angiodroid in Bologna, Italy. In this round table discussion, 5 European experts present current evidence and their experience about the use of CO2 in the treatment of aortic diseases (s. chapters). Moreover, the panellists discuss all important benefits and drawbacks of the technique and present for the first time the study protocol of the prospective CO2 EVAR registry.

June 28, 2019 No Comments
Awareness

The power of surgical drawings

This presentation aims to highlight the usefulness of surgical drawing in practice. It sums up experiences, planning and real cases of the past 5 years of practice in vascular surgery. As I got tremendous positive feedback from patients, colleagues, GP’s, relatives and artists, I decided to share this experience with the vascular community.

June 13, 2019 1 Comment
Recorded video case

Endovascular Aortic Arch replacement with Kawasumi Najuta Thoracic Stent Graft System

Endovascular treatment with custom made Najuta device of a 61mm saccular aortic arch aneurysm after carotid-carotid-subclavian by pass.
Previous surgical correction of 81 mm pararenal aortic aneurysm with extraperitoneal approach.

May 10, 2019 1 Comment
Recorded video case

Right visceral rotation

Dr. Alan B Lumsden (Houston Methodist, DeBakey Heart and Vascular Center) presents in a unique video step by step how to perform a right visceral rotation for the removal of an IVC filter penetrating the aorta and creating aortic dissection.

May 6, 2019 No Comments
Recorded video case

Left visceral rotation

Dr. Alan B Lumsden (Houston Methodist, DeBakey Heart and Vascular Center) presents step by step how to perform a left visceral rotation for the treatment of aortic diseases

May 6, 2019 No Comments
Case report

Complex multi stage thoracoabdominal aneurysm correction. Branched endograft with forced femoral access and flap perforation

acute type B aortic dissection with thoracic aortic aneurysm. no proximal sealing zone for TEVAR landing and dilated ascending aorta.

-Car-car-sub by pass
-Ascending aortic replacement, ascending to innominate by pass and TEVAR

@ control CTA fast aneurysm enlargement

4 inner branches (two antegrade and two retrograde) custom made endograft.
access to RRA through hole performed in the lamella
forced femoral access (no arch vessel available) with steerable sheat

April 13, 2019 4 Comments
Basic vascular surgery skills

Aortic aneurysm repair

This is a step by step video of the open surgical of an abdominal aortic aneurysm with a tube Dacron graft through a median laparotomy. In this video, you will learn the surgical exposure of the aneurysm, the clamping and opening of the aneurysm sac, how to deal with the lumbar arteries, the proximal and distal anastomosis and how to close the abdomen by the right way.

April 2, 2019 No Comments
Live case

Step by step implantation of the first EVAR stent-graft with divided main body

This is a recorded case of the new Altura stent graft (Lombard). The device has kept well-known features of previous EVAR devices such as active suprarenal fixation, a fabric graft, and a robust nitinol stent. The flexibility produced by the division of the main body has the potential to significantly improve many issues of EVAR performance.

March 25, 2019 No Comments