Muenster Master Class

Dr. Fadi Saab (Interventional cardiologist) demonstrates important technical steps for the optimization of tibioperoneal interventions in patients with critical limb-threatening ischemia (CLTI). In this video, you will find information about the steps of retrograde puncture, important tips, the explanation of CTOP classification and many other technical issues. Moreover, the experts discuss the feasibility and safety of retrograde puncture and share their experience on the CLTI treatment

Dr. Bisdas (Vascular Surgeon, Muenster, Germany) explains step by step the deployment of a branched endograft for the endovascular treatment of thoracoabdominal aortic aneurysms. Check out important technical issues about the positioning of the anterior markers, the right recognition of the markers for each branch and the importance of the J tip for a precise and successful implantation of the branched endograft.

Dr. Bisdas (Vascular Surgeon, Muenster, Germany) performs a chimney endografting for a penetrating and symptomatic aortic ulcer. In this live case, you will see the most important steps for a successful chEVAR. Moreover, the experts discuss extensively important technical issues and potential challenges during the procedure.

Dr. Bisdas (Vascular Surgeon, Athens, Greece) performs a live implantation of the new TREO stent-graft (Terumo Aortic) for the treatment of an infrarenal AAA. In this video, you will see all the new features of the device and important intraprocedural steps for a successful EVAR. Furthermore, the panelists will discuss the need for a new EVAR endograft and they express their opinion about the TREO stent-graft. In the end, the operator answers questions about the aim and scope of Vascupedia.

Dr. Reimers and Dr. Ferraresi (Interventional Cardiologists, Milan, Italy) present an overview of the challenges and treatment options in patients with critical limb-threatening ischemia and chronic kidney disease (CKD). They explain the BAD and SAD classification and its impact on the final outcome. Finally, a comprehensive review of the literature regarding different treatment options in CKD and hemodialysis patients with CLI is provided.

Dr. Bisdas (Vascular Surgeon, Athens, Greece) presents the Lumee micro-oxygen sensors (Profusa) for the monitoring of the forefoot perfusion in patients with critical limb-threatening ischemia. In this video, you will see the technology behind the device and how it works during the operation and the follow-up of the patient. Moreover, the current results and the key findings of the ongoing OMNIA study are summarized.

Dr. Kratimenos (Interventional Radiologist, Athens, Greece) presents a new thoracic endograft (Ankura, Lifetech) for the treatment of a challenging thoracic aortic aneurysm. In this recorded case, you will see the features of the device, the intraoperative steps and the performance of the endograft. At the end of the video, the panelists discuss the features and the benefits on the endoprosthesis and Dr. Kratimenos answers the questions of the audience.

Dr. Fadi Saab presents the background, the structure and the activities of the CLI Global Society. The lack of awareness within the healthcare community and the general public remains the biggest challenge in CLI treatment. In 2017, primary amputation was still the first-line treatment and the costs of the disease were among the greatest healthcare expenditures. In this regard, the CLI Global Society has the mission to change this and to reduce both amputation and mortality rate in this cohort.

Dr. Bisdas (Vascular Surgery, Muenster, Germany) presents a recorded case of a recurrent DVT in the right common iliac vein treated by percutaneous thrombectomy and venous stenting. In this case, the operator discusses important issues like decision making, criteria for selecting the thrombectomy device and the stent, how to choose the right diameter for your stent, crucial steps during the intervention and which should be the duration and type of anticoagulation after endovascular treatment.

Professor Katsanos (Interventional Radiology, Patras, Greece) provides an evidence-based overview of different techniques and devices for the treatment of intermediate (<15cm) femoropopliteal lesions. Which should be your first treatment strategy? Which is the role of drug-eluting stents? Do we have enough evidence about atherectomy? What is vessel prep and how important is for the durability of the treatment strategy? Is there still space for the use of stent-grafts in the SFA?

Professor Dr. Böckler (Vascular Surgeon, Heidelberg, Germany) provides an overview of the current evidence regarding decision making in the treatment of TAAA. Which patients’ characteristics should influence your decision, do we have head-to-head comparisons between open surgery and endo-repair, what about the risk of spinal cord ischemia, and many other relevant questions will be answered in this presentation and discussed between the panelists.

Giovanni Torsello (Vascular Surgeon, GER) presents and discusses with the experts the latest results from an experimental head-to-head investigation of different bridging stent-grafts (BSG) used in fenestrated aortic endografting.
How does the material respond to balloon dilatation? Which are the forces that might lead to the dislocation of the BSG from a fenestration? Endoleak of unknown origin after fEVAR: could be associated with material fatigue?

Dr. Lovato (Interventional Radiologist, Bologna, Italy) presents exclusively in Vascupedia and discusses with the experts his first experience with the brand new low-profile thoracic endograft from Medtronic (Valiant Navion) for the treatment of different thoracic aortic pathologies. In the recorded case you will see the case planning, the new characteristics of the device, the comfortable deployment mechanism, and the intra- and postoperative performance of the endograft.

Professor Trimarchi (Vascular Surgeon, Milan, Italy) provides a unique overview of different endovascular treatment options of malperfusion syndrome in patients suffering acute type B dissection.
Which is the definition of malperfusion?
Which are the clinical and laboratory signs of malperfusion?
How to treat the malperfusion?
Finally, Professor Trimarchi describes important technical tips and tricks to have a successful outcome in the devastating complication after aortic type B dissection