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

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
Vascupedia VIEWS 2.0

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
Vascupedia VIEWS 2.0

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
Vascupedia VIEWS 2.0

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
Vascupedia VIEWS 2.0

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
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

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 3 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 4 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
Case report

Surgeon modified Fenestrated EVAR: step by step procedure

This is a tutorial about performing on table standard EVAR fenestration and subsequent aneurysm repair in the present case the patient was unfit for surgery and had a large left accessory renal artery. He was treated with infrarenal surgeon modified endograft and accessory renal artery overstenting. Successful treatment and satisfying control CT scan

 

November 30, 2019 3 Comments
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