Alexandros Mallios

Vascular Surgeon
Dr Mallios is Vascular Surgeon and Vascular access expert in Paris France. He was the first to perform an endoAVF creation in Europe with the Ellipsys Vascular Access System.
  • Function: Senior Consultant
  • Speciality: Vascular Surgery
  • Country: FR
  • Working place: Institut Mutualiste Montsouris, Paris, FR


Comment on Dec 28, 2018

Alexandros Mallios commented on presentation Creation of percutaneous arteriovenous fistula in a complex case.

»Thanks for your comment - Of course note, as every new technique it is not against the existing ones but rather an addition to our armamentarium. As you know for sure distal AVFs have 50-60% maturation failure rates according to the literature especially in patients with diabetes, calcified arteries, multiple previous surgeries and IV placed in the forearm. In these patients Proximal radial artery inflow is an excellent solution (instead of a brachial artery inflow). The surgical PRA AVF has well been described in terms of advantages and technical details (see recent publication by Jennings et al in JVS). Ellipsys offers a percutaneous alternative - please check our recent publication in JVS (Mallios et al)«
Live case

CiDA: Percutaneous AV fistula between proximal radial artery and deep communicating vein

We are delighted to offer to our Vascupedians the opportunity to watch again the first live case of pAVF creation in the most important vascular access meeting in the world: CiDA. In this completely unedited video Dr Mallios creates a percutaneous AVF with the Ellipsys Vascular Access System (Avenu Medical Juan Capistrano CA USA) between the proximal radial artery and the deep communicating vein at the level of proximal forearm.

November 19, 2018 No Comments
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Recorded video case

EndoAVF creation with the Ellipsys Vascular Access System

Creation of a percutaneous AVF -endoAVF- with the Ellipsys Vascular Access System (Avenu Medical, San Juan Capistrano, CA)
After puncture of a superficial vein at the elbow level and under ultrasound visualisation, the needle is navigated through the deep communicating vein and a direct puncture of the proximal radial artery is performed. The Ellipsys catheter allows the creation of a permanent anastomosis through tissue fusion. An immediate PTA of the anastomosis accelerates maturation

August 23, 2018 No Comments
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Poll 01/08/2018 – 31/08/2018

Asymptomatic carotid artery disease

Patient’s characteristics


Gender: Female

Age: 72 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker

Symptoms: None

Previous operations: None

Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec

Poll 01/04/2019 – 30/04/2019

The AV access salvage procedure

Gender: Male

Age: 75 years old

Comorbidity: End-Stage Renal Disease, Diabetes, Arterial hypertension, Dyslipidemia, on hemodialysis in the last 5 years

Symptoms:  Acute occlusion of a surgically created left-sided brachial cephalic AV fistula