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.

Vascupedia VIEWS 2.0

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
Vascupedia VIEWS 2.0

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
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

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.
Vascupedia VIEWS 2.0

VascupediaVIEWS AAA Course Episode 4: Treatment of infected aortic endograft, mycotic and inflammatory aneurysm

Objectives:

  • To learn the assessment of severity in patients with infection
  • To discuss the management of device-related complications
  • To discuss how to decide between EVAR and open surgery
  • To learn how to optimize the strategy and techniques in open surgery in case of conversion.
October 6, 2020 No Comments
Vascupedia VIEWS 2.0

VascupediaVIEWS AAA Course Episode 3: Open Surgery for AAA

Objectives:

  • To learn how to optimize the strategy and techniques in open surgery.
  • To learn different accesses to the aorta
  • To discuss the indication and technique of supraceliac, suprarenal and infrarenal clamping
September 29, 2020 No Comments
Vascupedia VIEWS 2.0

VascupediaVIEWS Part 2 Episode 2: Emergent/Ruptured AAA – EVAR or open surgery? Strategies to optimize ruptured AAA outcome

Objectives:

  • To appreciate the management of aneurysm rupture in difficult clinical settings
  • To learn which patient would benefit from which therapy?
  • To discuss how to make strategic decisions in different clinical situations and make a treatment algorithm for stable and unstable patients
  • To learn about diagnostic and timing of repair in patients with abdominal compartment syndrome
September 22, 2020 2 Comments
Awareness

Diagnosis and Treatment of Aortic Dissection in the ER Part 2

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

September 21, 2020 2 Comments
Awareness

Diagnosis and Treatment of Aortic Dissection in the ER Part 1

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

September 21, 2020 No Comments
Vascupedia VIEWS 2.0

VascupediaVIEWS Part 2 Episode 1: Elective AAA – From imaging to decision making & planning

Objectives:

  • To learn how to interpret CT-angiography in different AAA scenarios
  • To learn how to assess the underlying anatomy and plan the treatment
  • To discuss how to decide between EVAR and open surgery
  • To discuss the best treatment options for patients presenting with AAA
September 15, 2020 3 Comments
Recorded video case

TEVAR WITH PROXIMAL SCALLOP CUSTOM MADE STENT-GRAFT FOR CHRONIC POST-TRAUMATIC ANEURYSMS OF THE AORTIC ISTHMUS

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.

September 14, 2020 No Comments
Recorded video case

IVUS guided kissing endovascular lithoplasty and bare-metal-stent implantation for a coral reef aortic stenosis in visceral segment

Recorded case of a 72 yrs old woman with CLTI (Rutherford V,  TASC D lesion), not suitable for open repair, treated in a hybrid setting with IVUS guided kissing endovascular lithoplasty and bare-metal-stent implantation for a coral reef aortic stenosis in visceral segment, with a stent-graft for the right CIA and bare-metal-stent for the right CEA for the iliac high-grade stenosis and a femorofemoral bypass.

May 14, 2020 No Comments
Live case

The GORE cTAG conformable thoracic stent-graft with ACTIVE CONTROL system for the endovascular repair of a challenging thoracic aortic aneurysm

This is a case of 63 yrs old female with a very challenging TAA (7.8 cm, massive elongation of the aorta, short proximal neck and type III aortic arch), who was treated endovascularly with the new cTAG endograft. The proximal landing zone was extended through a left carotid subclavian bypass up to the LCCA and the device showed an excellent conformability to this challenging anatomy. In this video, all the important steps of TEVAR as well as of cTAG implantation are illustrated.

April 5, 2020 3 Comments
Technical note

Surgeon Modified Fenestrated EVAR 2.0

Clinical case video describing urgent correction of a proximal type I endoleak, in previous standard EVAR procedure, which caused a rapid growth of the residual aneurysmal sac. The patient was unfit for open surgery due to multiple severe comorbidities. Considering the urgency setting, the use of a market available custom-made device was not reasonable. For this reason, the patient underwent endovascular correction using a “surgeon modified” endograft (Medtronic Valiant Navion Thoracic Endograft) designed with four custom fenestrations for visceral and renal vessels.

April 5, 2020 4 Comments