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.

E-Poster

TCAR: PUSHING CAS TO THE PIPELINE. PRELIMINARY RESULTS OF A PROSPECTIVE COHORT.

TCAR is a hibryd option for CAS offering the best cerebral protection with reverse flow system engaging the common carotid artery with the contralateral common femoral vein. The Roadster Trial has the best data never published regarding Peri-operative neurological events for a prospective multicentre Trial. The procedure could be perform under local anesthesia with the patient copletely awake.

May 10, 2019 No Comments
Technical note

Management of vascular trauma of the upper limbs

Dr. Giovanni Tinelli presents a very comprehensive overview regarding the treatment of the vascular trauma of upper limbs. His presentation includes all relevant information about definition and anatomy, classification of the injury, the different types of treatment and tips from his personal experience.

Case report

Ministernotomy for ascending aorta and aortic arch replacement with left carotid artery, right carotid artery and left axillary artery debranching.

Clinical Summary
- 28 year old male
- Traumatic aortic injury (TAI)
- Endovascular treatment
Complications
- Aortic arch and brachiocephalic trunk dissection
- Right carotid artery and left sublcavian artery occlusion
- Stroke
- Orthostatic Hypotension (Extracranial Steal Syndromes from Disease of the Aortic Branches?)
Surgery Technique
- Femoro-femoral and right axillary artery cannulation
- The aorta was accessed through a Ministernotomy

February 7, 2019 No Comments
Vascular images

Step-by-Step. OFF-PUMP TRIPLE EXTRA-ANATOMICAL BY-PASS

1. The heart is accessed through a full midline sternotomy
2. An off-pump coronary artery bypass graft is performed on the left anterior descending artery using a saphenous vein graft and 7-0 prolene continuous suture
3. The aorta is partially clamped with a side clamp and is opened through a longitudinal incision, about 2 cm length
4. A prosthesis is sutured onto the aorta with a continuous 4-0 prolene suture
5. One branch of the prosthesis is passed behind the ascending aorta,

August 8, 2018 1 Comment
Poll 01/08/2018 – 31/08/2018

Asymptomatic carotid artery disease

Patient’s characteristics

 

Gender: Female

Age: 72 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker

Symptoms: None

Previous operations: None

Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec

Recorded video case

Carotid artery stenting with the Mo.Ma™ Ultra proximal cerebral protection device

This is a recorded case presenting all the important steps of carotid artery stenting (CAS). These steps include the use of transbrachial access, the advancement of the sheath in the common carotid artery, the placement of the Mo.Ma cerebral protection device to remove all sizes of debris and the final procedure of carotid artery stenting. Finally, the interventionalists demonstrate all relevant aspects of intraoperative monitoring by transcranial doppler.

July 26, 2018 No Comments
Review of the literature

Interventional revolution in treatment of stroke

This is an overview of the current techniques and devices and the respective level I evidence regarding the endovascular treatment of acute ischemic stroke. Moreover, this presentation includes a case example with all important steps (admission to the hospital > diagnosis > endovascular treatment > recovery) of a 16yr old female patient with an acute ischemic stroke.

May 30, 2018 1 Comment
Clinical investigation

The CLEAR-ROAD study: Overview of the results

This study investigates the 30-day and 12-month outcomes of the Roadsaver carotid stent (Terumo) for the treatment of carotid artery stenosis in symptomatic and asymptomatic patients. Check the rationale of the study, the inclusion and exclusion criteria, the characteristics of the device and the take-home messages of the study.

May 27, 2018 No Comments

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