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Vascupedia VIEWS 2.0

VascupediaVIEWS AAA Course Episode 3: Open Surgery for AAA

Objectives:

  • To learn how to optimize the strategy and techniques in open surgery.
  • To learn different accesses to the aorta
  • To discuss the indication and technique of supraceliac, suprarenal and infrarenal clamping
September 29, 2020 No Comments
Vascupedia VIEWS 2.0

VascupediaVIEWS Part 2 Episode 2: Emergent/Ruptured AAA – EVAR or open surgery? Strategies to optimize ruptured AAA outcome

Objectives:

  • To appreciate the management of aneurysm rupture in difficult clinical settings
  • To learn which patient would benefit from which therapy?
  • To discuss how to make strategic decisions in different clinical situations and make a treatment algorithm for stable and unstable patients
  • To learn about diagnostic and timing of repair in patients with abdominal compartment syndrome
September 22, 2020 2 Comments
Awareness

Diagnosis and Treatment of Aortic Dissection in the ER Part 2

Part 2 of two-part medical education video for your emergency department on the diagnosis and treatment of aortic dissection in the ER. Presented by Dr. Alan Braverman, Alumni Endowed Professor in Cardiovascular Diseases and Professor of Medicine at Washington University School of Medicine, and Director of the Marfan Syndrome Clinic there, the video addresses the presentation, risk factors to consider, appropriate diagnostic imaging, and more.

supported by The Marfan Foundation – Aortic Disease Awareness Week 2021

September 21, 2020 2 Comments
Awareness

Diagnosis and Treatment of Aortic Dissection in the ER Part 1

Part 1 of two-part medical education video for your emergency department on the diagnosis and treatment of aortic dissection in the ER. Presented by Dr. Alan Braverman, Alumni Endowed Professor in Cardiovascular Diseases and Professor of Medicine at Washington University School of Medicine, and Director of the Marfan Syndrome Clinic there, the video addresses the presentation, risk factors to consider, appropriate diagnostic imaging, and more.

supported by The Marfan Foundation – Aortic Disease Awareness Week 2021

September 21, 2020 No Comments
Case report

Hand Ulcer due to HD-AVF Venous Outflow Obstruction

Case report of a hand ulcer caused by venous hypertension secondary to a hemodialysis AVF outflow obstruction. Duplex evaluation was repeatedly omitted by three vascular surgeons in favor of CTA, as they diagnosed the case by first impression as a central venous stenosis. Duplex vascular ultrasound is an invaluable tool in the hands of the vascular specialist and can add real time diagnostic information that other static modalities cannot.

September 20, 2020 No Comments
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
Live case

The GORE cTAG conformable thoracic stent-graft with ACTIVE CONTROL system for the endovascular repair of a challenging thoracic aortic aneurysm

This is a case of 63 yrs old female with a very challenging TAA (7.8 cm, massive elongation of the aorta, short proximal neck and type III aortic arch), who was treated endovascularly with the new cTAG endograft. The proximal landing zone was extended through a left carotid subclavian bypass up to the LCCA and the device showed an excellent conformability to this challenging anatomy. In this video, all the important steps of TEVAR as well as of cTAG implantation are illustrated.

April 5, 2020 3 Comments