Yaser Jenab

  • Country: IR

Activities

Case report

Endovascular approach from radial artery for pulmonary artery stenosis after BT shunt operation

  • A 27-year-old lady presented with severe cyanosis and fatigue. Her room air oxygen saturation was 75%. She was Known case of complex congenital heart disease as Double-outlet right ventricle (tetralogy of Fallot type) with long segment of pulmonary artery atresia and large VSD which was not possible for biventricular repair. She underwent palliative modified Blalock–Taussig (BT) shunt surgery when she was 2 y/o. She had no follow up until Echocardiography and CT angiography revealed patent left BT shunt but severe left pulmonary artery stenosis adjacent to shunt.
  • Based on CT angiographic images, left radial artery approach was selected. By applying 6F guiding catheter, support catheter, 0.035 hydrophilic wire, V18 wire, 0.014 BMW it was possible to deploy coronary Sapphire balloon and 6m Express renal stent which are compatible with 6F guiding catheter and 0.014 wire. The O2 saturation increased to 86% after the procedure.
May 18, 2022 No Comments
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Awareness

Endovascular treatment of pelvic congestion syndrome caused by May-Thurner syndrome

May-Thurner syndrome (MTS) refers to compression of the left common iliac vein (CIV) by the common iliac artery. Although this is typically manifested as acute left lower extremity deep venous thrombosis, MTS is a rare cause of pelvic congestion syndrome. A 41-year-old girl presented with a 2-year history of worsening lower pelvic pains exacerbated during standing. Venography demonstrated pelvic collateralization and left CIV occlusion consistent with MTS. The left CIV was stented with complete radiographic resolution.

April 19, 2022 No Comments
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Recorded video case

Chimney graft into the left subclavian artery during thoracic endograft placement(TEVAR)

An 88-year-old man with History of open abdominal surgery due to intestinal obstruction with large residual incisional hernia, was referred due to back and flank pain with the diagnosis of Crawford Type 1 TAAA starting at the LSA and extending to the renal arteries

As the LSA bypass was not feasible due to patient’s frailty and old age, we conducted single Chimney TEVAR using a V12 inserted from the Left brachial in subclavian artery, followed by TEVAR from the LCA to the celiac trunk. Due to a severe bend in the descending aorta, procedure was more complicated which was managed by an extra stent graft. The femoral access was managed by Perclose Proglide technique.

April 2, 2022 No Comments
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Recorded video case

Catheter directed thrombolysis in acute pulmonary embolism

In this video you can watch how to do catheter directed thrombolysis in patients with acute pulmonary embolism who needs thrombolysis.

March 25, 2022 No Comments
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Case report

Phlegmasia cerulea dolens: catheter directed thrombolysis and venous stenting

  • A 43-year-old lady with history of oral contraception pill
  • She was referred to our center, after injection of 100 mg systemic alteplase due to acute iliofemoral deep vein thrombosis, severe pain and edema.
  • After 48 hours of systemic anticoagulation with therapeutic PTT range, left lower extremity deteriorated with severe pain, edema and discoloration.
  • Venography, catheter directed thrombolysis and venous stenting was done.
March 22, 2022 No Comments
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Case report

Subclavian coronary steal syndrome: Endovascular treatment

A patient with recent history of coronary artery bypass surgery, presented with left arm claudication and chest pain. CT angiography showed occluded left subclavian artery occlusion. Left distal radial artery (snuff box) and right femoral artery approaches used for revascularization of subclavian artery.

October 17, 2021 No Comments
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Basic vascular surgery skills

Endoleak Type 2: Transarterial Embolization

In an 86-year-old man with history of endovascular abdominal aortic aneurysm repair (EVAR) about 2 years ago and aneurysmal sac expansion of 2 cm, trans-arterial approach was used to close the endoleak. For embolizing a lumbar artery, the microcatheter was advanced from the internal iliac artery to the iliolumbar artery to the culprit lumbar artery and nidus. Coils and Onyx were applied.

September 21, 2021 No Comments
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