Patient’s characteristics
Gender: Male
Age: 68 years old
Comorbidity: Arterial hypertension, active smoker
Underwent EVAR 2 years ago
Symptoms: None
DUS/CT A: Aneurysm sac growth > 7mm compared to last CT scan with evidence of type II Endoleak (Inferior mesenteric 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.
This video summarizes in 3 minutes all important steps to perform an isolated antegrade aortomesenteric bypass. The patient had a chronic occlusion of the superior mesenteric artery and underwent a primary stenting of a high-grade stenosis of the celiac trunk (CT). The endovascular recanalization of the SMA at that time was not feasible. The CT-stent occluded 8 months postimplantation with a complete thrombosis of the hepatic artery as well. The splenic artery arose from the aorta directly.
In this step by step video you can see the treatment of a vascular injury after arthroscopy and the performing of a fasciotomy.
acute type B aortic dissection with thoracic aortic aneurysm. no proximal sealing zone for TEVAR landing and dilated ascending aorta.
-Car-car-sub by pass
-Ascending aortic replacement, ascending to innominate by pass and TEVAR
@ control CTA fast aneurysm enlargement
4 inner branches (two antegrade and two retrograde) custom made endograft.
access to RRA through hole performed in the lamella
forced femoral access (no arch vessel available) with steerable sheat
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
Patient’s characteristics:
Gender: Female
Age: 79 years old
Comorbidity: Arterial hypertension, Dyslipidemia,
Implantation of a bare metal stent right SFA 4 years ago, Debulking and DCB angioplasty for ISR 2 years ago
Symptoms: Calf claudication after 50 meters
DUS: SFA stent Occlusion
This case report demonstrates the bidirectional endovascular treatment of a severe calcified CTO of the brachiocephalic trunk and the right common carotid artery
Why an interwoven nitinol stent is the ideal device for SFA/popliteal lesions.
Correlation between vessels dynamics and mechanical properties of the stent.
