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

Percutaneous thrombectomy of multilevel iliofemoral DVT in 20y old female: a case report

In this case report a young female patient with DVT and severe symptoms was successfully treated with endovascular thrombectomy, using the Indigo CAT8 XTORQ catheter from Penumbra. You will see the case and learn some tips and tricks on handling the device.

September 13, 2019 No Comments
Technical note

Retrograde recanalisation of the peroneal. Step by step with tips and tricks

The peroneal artery often represents the last arterial supply to the foot. The retrograde puncture of this vessel is often avoided because of its deep location and its small diameter. In this video all the tricks to succeed are presented with a step by step approach and a mix of procedural and fluoroscopical imaging to better understand the procedure

September 13, 2019 No Comments
Review of the literature

VRTD: The use of PTX coated devices in everyday clinical practice following the late mortality signal

Vascupedia Round Table broadcasted on September 2nd through the Vascupedia Live App about the use of PTX coated devices in everyday clinical practice following the late mortality signal

September 6, 2019 No Comments
Technical note

How to perform Carotid Artery Stenting. Perugia way to do it

Carotid artery stenting is a delicate surgery being sometimes as fast as insidious.

We strongly believe that in order to minimize complications rate an almost obsessive attention to details in each procedural moment is essential.

In this video we report probably the most standardized procedure performed at our institution with 6 operators currently doing each passage exactly the same way.

Of course we don’t claim to show the way it should be done, but just the way we learned to do it after more than 3000 performed cases

August 21, 2019 No Comments
Recorded video case

Retrograde femoropopliteal recanalization through the dorsal pedal artery

This case demonstrates the recanalization of the femoropopliteal artery in a patient with CLTI. The reason for the solely retrograde approach was a Y-graft for AAA having the anastomoses at both common femoral arteries, the above-knee amputation of the contralateral limb and the extent of the disease. Primary stent implantation was performed by using the Pulsar-18 (Biotronik) bare-metal stent, which has a 4Fr profile and a proven efficacy according to the 4EVER trial.

July 14, 2019 No Comments
Recorded video case

TUTORIAL VIDEO: Venous arterialization using conventional “off-the-shelf” devices

Although we favor a more distal location of the AVF to circumvent the need to use covered stent extensions to destroy the valves and avoid bleeding off venous flow via collaterals, sometimes (e.g. due to extreme vessel calcification) it is unavoidable to have to look for a more proximal inflow. The versatility of the VAST maneuver allows to perform a proximal DVA at the origin of the PT artery with conventional off-the-shelf devices.”

JEVT 2019 Apr;26(2):213-218
JEVT 2019 Jun;26(3):427-428

July 7, 2019 No Comments
Technical note

Zero Contrast EVAR Round Table

This is a round table discussion about CO2 during EVAR and complex EVAR in the framework of the annual meeting of Angiodroid in Bologna, Italy. In this round table discussion, 5 European experts present current evidence and their experience about the use of CO2 in the treatment of aortic diseases (s. chapters). Moreover, the panellists discuss all important benefits and drawbacks of the technique and present for the first time the study protocol of the prospective CO2 EVAR registry.

June 28, 2019 No Comments
Awareness

The power of surgical drawings

This presentation aims to highlight the usefulness of surgical drawing in practice. It sums up experiences, planning and real cases of the past 5 years of practice in vascular surgery. As I got tremendous positive feedback from patients, colleagues, GP’s, relatives and artists, I decided to share this experience with the vascular community.

June 13, 2019 1 Comment
Case report

Endovascular repair of a complex symptomatic dissecting aneurysm of the superior mesenteric artery

Isolated dissection of the superior mesenteric artery (SMA) is rare and remains the most common reason for aneurysmal degeneration of the vessel. The treatment is challenging and not standardized. We present the case of a 50-year old male presented with a 3.3 cm dissecting aneurysm of the SMA and epigastric pain of moderate severity.

May 20, 2019 No Comments
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
Recorded video case

Endovascular Aortic Arch replacement with Kawasumi Najuta Thoracic Stent Graft System

Endovascular treatment with custom made Najuta device of a 61mm saccular aortic arch aneurysm after carotid-carotid-subclavian by pass.
Previous surgical correction of 81 mm pararenal aortic aneurysm with extraperitoneal approach.

May 10, 2019 1 Comment