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.

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 1 Comment
Recorded video case

TEVAR WITH PROXIMAL SCALLOP CUSTOM MADE STENT-GRAFT FOR CHRONIC POST-TRAUMATIC ANEURYSMS OF THE AORTIC ISTHMUS

This is a case of 46 years old man with a grade II blunt traumatic aortic lesion 21 years ago, without any treatment and follow up.
Today 85 mm aortic isthmus pseudoaneurysm. Obesity, moderate-severe dyspnea, refusing sternotomy for FET.
Strategy: Custom-made scalloped stent-graft (Terumo Aortic Bolton Relay 30-26-180 mm) for Zone 1 (left common carotid artery). Waiting for the stent graft customization (3 weeks), car-subcl bypass and plug in the subclavian artery (allowing more accurate fusion imaging during TEVAR: redo fusion). Dynamic four-dimensional CT (4D CT) was performed pre- (showing the left main bronchus dynamic compression by the sac) and post- operatively (showing the free flow and first stent working during the cardiac cycle). TEVAR under fusion imaging technique, rapid pacing. Cone-bone CT scan showed a good aortic lesion exclusion, confirmed at 1 month 4D CT scan.

September 14, 2020 No Comments
Case report

Endovascular treatment of in-stent restenosis of right ICA using dual layer micromesh Roadsaver stent

This is an interesting and unusual case of in-stent restenosis after CAS.

The patient had been stented on both ICA , left side with dual layer micro mesh stent and right side with an open cell design, Protege, Medtronic.

Restenosis occured on the right side where open cell stent was placed, even though leftside was stented before.

We decided to go for a “stent in stent” solution in order to achieve better result, and Roadsaver stent was chosen for this purpose.

Final result was satisfaying.

 

August 5, 2020 No Comments
Vascupedia VIEWS 2.0

Vascupedia Views Episode 9 Percutaneous Deep Vein Arterialization (pDVA) Essentials – Patient Identification, Key Success Factors, and 2 Year ALPS Registry Data with the LimFlow System

Vascupedia Views Episode 9

Percutaneous Deep Vein Arterialization (pDVA) Essentials – Patient Identification, Key Success Factors, and 2 Year ALPS Registry Data with the LimFlow System

Dr. R. Ferraresi (IT) + Dr. S. Kum (SGP)

Moderator: Dr. T. Bisdas (GR)

June 10, 2020 No Comments