Main arena

Welcome to the Main Arena of Vascupedia. Here you can share your experience, express your opinion, participate in discussions and expand your knowledge. You can upload your presentation (case report, recorded video cases, lecture) or comment on posts of your colleagues. Your active participation will contribute to the education experience of all vascular specialists and will improve vascular care worldwide.

Case report

J MINISTERNOTOMY FOR ASCENDING AORTA AND RAPID DEPLOYMENT VALVE REPLACEMENT

We present a case of ascending an rapid deployment aortic valve replacement (Edwards Intuity Elite Prosthesis) thorough a J Ministernotomy approach in old patient.

January 4, 2020 No Comments
Case report

Spontaneous Rupture of SFA

This is an 81-Year-old patient presented with a spontaneous rupture of the superficial femoral artery of the left leg and on arrival to hospital he developed DVT in the same leg with pulmonary emboli which makes the anticoagulation policy to be quiet interesting, IVC filter has been deployed and covered stent has been implanted in his ruptured artery with endoleak type 1 B which settled conservatively, I hope you enjoy watching this case and looking forward to all your great comments

Mr. Mohamed Omar Elfarok M.Sc, FRCSEng, FRCSEd, IME

Consultant Vascular Surgeon

Royal College of Surgeons of England Examiner

 

 

 

 

December 17, 2019 9 Comments
Technical note

Recorded webinar – Percutaneous Venous Arterialization

Up to 20% of patients with Critical Limb Ischemia (CLI) are not considered good candidates for endovascular revascularization. If recanalization of a chronic occlusion of a BTK/ BTA artery proves to be impossible owing to the inability to cross an extensive occlusion or in the presence of a “desert foot”, percutaneous venous arterialization has proven to be a bailout strategy for limb salvage. Drs. August Ysa and Marta Lobato, from Vascular Surgery Dpt. Hospital de Cruces, Barakaldo (Spain), present the last update in Percutaneous Venous Arterialization technique and expose a Case in the box.

December 11, 2019 No Comments
Technical note

How to perform a clampless hybrid aortic anastomosis

In various circumstances of aortic repairs, such as heavy circumferential calcifications or shaggy aorta with extensive thrombus, open and endovascular techniques are at high risk. In such cases, aortic clamping is fraught with risks of aortic rupture or emboli while endovascular techniques may not be successful with also a risk of emboli. Hybrid techniques may be an elegant solution. We describe here a hybrid technique that allows performing an aortic anastomosis without clamping thereby avoiding the above-cited risks. This educational video will allow other vascular surgeons to reproduce the technique.

December 4, 2019 No Comments
Case report

Extreme retrograde metatarsal puncture in a complex CLI case

After an unsuccessful antegrade recanalization attempt of the ATA/DP  due to vessel perforation, an extreme retrograde puncture of the first metatarsal artery was performed. Following a  1.5 mm balloon dilatation, the rendezvous of the wires was obtained using the CART technique. 2 mm DCB balloon angioplasty of the DP, 2.5mm for the distal ATA and 3mm for the proximal ATA were subsequently performed.  The completion angio showed full blushing of the target lesion, and  excellent flow on the forefoot including the plantar arch.

December 3, 2019 No 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 2 Comments
Technical note

CLINICAL DECISION MAKING IN AV FISTULA MAINTENANCE: STEP BY STEP SALVAGE PROCEDURE

Learn how to approach a procedure of AV Fistula complex restenosis step-by-step through taped case demonstrations featuring vessel prep with HP Balloons followed by DCB. Recorded webinar by Vascupedia.

November 18, 2019 No Comments
Basic vascular surgery skills

Knee Disarticulation (Major Amputation)

Unfortunately, sometimes happens that we can not save a leg with our interventions. Here only the amputation remains. In this short film from the series “Basic vascular surgery skills” – you can follow the individual steps for disarticulation in the knee joint as a major amputation of the lower leg.

November 8, 2019 No 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
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