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

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
Technical note

35 Years of Progress in Aortic Surgery

Over the past 35 years, there has been extensive progress in aortic surgery for people with Marfan, Loeys Dietz, and other genetic aortic condition. Dr. Joseph Coselli, Professor, Vice-Chair, Department of Surgery & Chief, Cardiothoracic Surgery, Baylor College of Medicine, and a member of The Marfan Foundation Professional Advisory Board, discussed the advances and the options currently available for these patients. The presentation was made at The Marfan Foundation’s 35th Annual Conference in Houston, Texas,  on July 13, 2019

September 18, 2019 No Comments
Technical note

Vascular Ehlers-Danlos Syndrome

Vascular Ehlers-Danlos syndrome (vEDS) is a condition that is quite variable. People are often diagnosed when they have easy and frequent bruising that is not explained by other causes, a spontaneous bowel, or arterial tears, or because other family members are affected. Some people have characteristic facial features, thin skin, and tissue fragility, while in others the diagnosis is only made after the identification of an alteration in the type III collagen gene, COL3A1. Many people have a difficult time getting diagnosed and getting appropriate management. Dr. Peter Byers,  Professor of Pathology and Medicine, UW Medical Center and a member of The Marfan Foundation’s Professional Advisory Board, who is one of the leading experts on vEDS, provided an overview at The Marfan Foundation’s 35th Annual Conference in Houston, TX, July 13, 2019.

September 18, 2019 No Comments
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 1 Comment