Library

Objectives:

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

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

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

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

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

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

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

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

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.

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

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

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

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.

This video/audio tutorial explains all the passage to obtain a correct pre-operative planning and sizing for ChEVAR.

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

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