Topic: Asymptomatic juxta- and pararenal aortic aneurysms
Em. Professor for Surgery and Vascular Surgery
Director, Clinic for Vascular Surgery
St. Franziskus Hospital, Muenster, GER
This presentation was presented by Dr. Marc Bosiers at the LINC 2017 Congress.
Preliminary 12-month results on 180 out of 220 patients & preliminary 24-month results on 110 out of 220 patients suggest at least a non-inferiority of Zilver PTX stenting versus prosthetic Above-The-Knee bypass surgery, with similar patency results and less complications.
We describe the surgical management of bilateral common femoral aneurysms. When should they be operated? What is your preferred method?
This is a current overview of the evidence and techniques regarding the time and type of endoleak treatment as well as information about postoperative anticoagulation. Moreover, we provide our institution's algorithm about the surveillance protocol of endoleaks after EVAR procedures.
This review summarizes the relevant classification systems for arteriovenous malformations relevant for treatment.
This short tutorial is the first chapter of an online workshop about the principles of EVAR planning. Herein, you will find all important steps for a successful preparation of your EVAR procedure. What about drawing? What should I draw? What are the anatomic issues need to be addressed and considered? and much more information.
Transcubital access to the patent IMA which is responsible for a Type 2 Endoleak.
I recently developed an off the shelf stentgraft for treatment of thoracoabdominal aortic aneurysms involving the visceral branches. With this off the shelf device, aneurysms can be treated with any anatomical configuration of the visceral vessels, such as only 1, 2, 3 or 4 branches. I began to have the idea of developing this device from a technique of internal branches that I developed for treatments of thoracoabdominal aneurysms. We performed almost 40 patients with this technique.
This case report demonstrates the bidirectional endovascular treatment of a severe calcified CTO of the brachiocephalic trunk and the right common carotid artery
A primary ''leave-nothing-behind'' approach is favored by many physicians in the treatment of femoropopliteal PAD. It remains, however, unclear which is the best treatment option when we have to leave ''something'' behind. In this case the Eluvia DES was used to treat a flow limiting dissection after POBA of a long femoropopliteal CTO.
This is a short video with two technical tips for the treatment of severely angulated necks with standard EVAR (Endurant, Medtronic) if an open surgical repair is not indicated. The first tip starts with the release of the top cap before the opening of the contralateral gate and the second tip is a solution to pull safely back the top cap if you have a conflict with the suprarenal stent. However, do not forget that this is an outside the IFU implantation of the device.
This is a case of a thoracoabdominal aortic aneurysm treated by a low-profile branched endograft. In this video, you will find our algorithm for staging the aortic procedures, to reduce the risk of spinal cord ischemia, the steps of the procedure, important tips and tricks for a successful outcome and finally, the impact of the totally percutaneous approach for the quick recovery of the patient.
This is a challenging case of a patient with severe claudication due to multi-level disease expanding from the common iliac up to the popliteal artery. The treatment includes the use of directional atherectomy for vessel preparation and DCB as antiproliferative therapy. The whole procedure is performed with CO2-angiography instead of contrast agent in order to avoid acute kidney injury. Learn also the best approach to treat patients with a multi-level disease, i.e. which lesion first.
Although the measurement of Ankle-brachial-Index (ABI) is considered a fundamental skill in the diagnosis and assessment of peripheral arterial disease as well as predictive tool for cardiovascular events, real-world practice shows that current teaching and practice in undergraduate medical curricula is far from ideal. this article provides twelve easy-to-follow useful tips to enhance the comprehension and teaching of ABI and favors the simultaneous teaching of Dopler waveform examination.
Chronic kidney disease (CKD) limits the outcomes of endovascular therapy in patients with PAD, while the use of contrast agent can lead to a further deterioration of the renal function. CO2 angiography and endovascular lithotripsy were used in this case in order to limit the need for nephrotoxic contrast agent in a patient with CLI and CKD.
Dedicated vein devices might improve the outcomes of endovascular treatment for the treatment of acute and chronic deep vein thrombosis. This short presentation summarizes a 2 center experience with the Veniti Vici Venous Stent System.
This recorded video case from CICE 2018, presents an endovascular treatment of the SFA and the infrapopliteal arteries in a patient with chronic limb-threatening ischemia (CLTI) by using CO2-angiography (Angiodroid).
This is an overview of current clot removal techniques for pulmonary embolism to prevent RV failure and decompensation as well as pulmonary hypertension. Moreover, the institution's algorithm for the treatment of the pulmonary embolism is presented.