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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

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
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 1 Comment
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