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
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.
Learning Objective:
Gain knowledge on endovascular treatment in complex aortic diseases.
Understand the technical and clinical value of covered balloon-expandable grafts. Share experience and data
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.
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.
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
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
This is a current review of the literature regarding the endovascular treatment of the CFA disease presented during the AMP meeting in Chicago. Which treatment modality showed better outcomes: POBA, primary stenting, atherectomy, bioresorbable stents or lithoplasty?
