Efthymios Beropoulis

Activities
Efthymios Beropoulis commented on presentation VascupediaVIEWS AAA Course Episode 5: EVAR – Challenging “Renal Patient”.
Konstantinos Donas commented on presentation VascupediaVIEWS AAA Course Episode 5: EVAR – Challenging “Renal Patient”.
Endovenous treatment of acute iliofemoral vein thrombosis with aspiration thrombectomy catheter – early clinical outcomes
The acute deep vein thrombosis (DVT) affects many in- and out-hospital patients. The vast majority of these patients are treated conservatively. At this study, the safety and efficacy of an aspiration thrombectomy catheter was evaluated and showed promising results regarding clot removal for the treatment of acute DVT. E-poster presented at EVF 2018 in Athens.
Konstantinos Donas commented on presentation Postischemic compartment syndrome of lower extremity.
Postischemic compartment syndrome of lower extremity
The postischemic compartment syndrome of lower extremity could lead to devastating complications, particularly after a successful revascularization procedure.
The following presentation summarises the pathophysiology, diagnostic and treatment options for this entity.
Efthymios Beropoulis commented on presentation Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia.
Konstantinos Stavroulakis commented on presentation Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia.
Validation of the WIfI classification system in nondiabetic patients treated by endovascular means for critical limb ischemia
The WIfI classification system was initially published by Dr. Mills in January 2014 at JVS. The aim of this classification is to stratify the risk of limb amputation (very low, low, moderate and high risk) based on three factors: wound, ischemia and foot infection. The following presentation represents a validation of this classification in a well-defined cohort (nondiabetic patients treated by endovascular means for critical limb ischemia).
Topic: Asymptomatic juxta- and pararenal aortic aneurysms
Patient’s characteristics
Gender: Female
Age: 75 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, previous aortocoronary bypass grafting, previous myocardial infarction, previous smoker, peripheral arterial disease, atrial fibrillation
Symptoms: None
Previous operations: None
Aneurysm characteristics:
Max. aneurysm diameter: 54 mm
Length of proximal infrarenal neck: 0 mm
Distance between SMA and LRA: 20 mm
Diameter of renal arteries: RRA: 5,3 mm, LRA: 6 mm
Suprarenal angulation: 60°
Diameter of distal neck: 30 mm
Minimum diameter of common iliac arteries: R: 11 mm, L:9 mm
Maximum diameter of common iliac arteries: R: 11 mm, L: 14 mm
Minimum diameter of external iliac arteries: R: 7 mm, L: 6,2 mm
Filiform SFA stenosis – best treatment strategy
The femoropopliteal In-Stent-Restenosis
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
The radiation exposure
Since January 2018, employers in the U.K and Europe have had to comply with their duties under the Ionising Radiations Regulations 2017, IRR17. Previous to this most health trusts working with ionising radiation followed IRR99.
The main changes since the last edition (IRR99) that affect the operator:
- The dose limit for exposure to the lens of the eye has been reduced from 150 mSv to 20 mSv in a year. This is usually assessed using forehead monitoring bands.
It is the duty of the operator to control methods for restricting exposure to ionising radiation by use of distance and shielding etc.
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
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
The common femoral artery (CFA) disease
Gender: Male
Age: 73 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, coronary artery disease, previous CABG
Symptoms: Claudication, Rutherford stage 3
Previous operations: None
ABI: 0.5
Ilio-femoral deep vein thrombosis
45 years old female patient presenting with painful swelling of the right limb during the last 24 hours. Wells score on admission was 4 points. The duplex ultrasound scanning revealed a femoropopliteal and iliac deep vein thrombosis. No other risk factors were present. No previous operations. No thrombophilia documented.
Critical limb-threatening ischemia – CLI Global Society
Patient’s characteristics
Gender: Male
Age: 79 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, chronic kidney disease (GFR: 53 ml/min/1,73m²), NYHA II, Coronary artery disease, previous CABG
Symptoms: Toe ulceration of the left limb
Previous operations: None
ABI: incompressible, Toe pressure: 32 mmHg
Vascular Imaging – Duplex ultrasound: Isolated tibial vessel disease
Acute type B aortic dissection
VASCUPEDIA@LINC – ENDOLEAKS-CASE-BASED SOLUTIONS
The topic of this month is called ENDOLEAKS-CASE-BASED SOLUTIONS and aims to provide more information to the discussants of the session about endoleaks that will take place on Thursday, January 30, 2020 in Leipzig, during the LINC symposium. Take the opportunity to answer the questions and to inform the experts about your current practice for the treatment of all type of endoleaks.
Your participation will provide unique data for an interesting discussion and your answers will challenge the experts during the session.