giovanni solimeno

Dr
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  • Function: Consultant
  • Speciality: Vascular Surgery
  • Country: IT
  • Working place: Mediterranea Cardiocentro, Napoli, IT

Activities

Comment on Sep 06, 2020

giovanni solimeno commented on presentation Step by step thrombendarteriectomy of the common femoral artery with venous patchplasty.

»Hello Martin, thank you for your sharing. Seeing the movie, the plaque you removed seems to be prolonged towards the profunda femoris. When the situation is so, we always prefer to preserve (even during the final flushing) this artery with a Coonley technique, in which the arteriotomy, and therefore the patch angioplasty, is prolonged towards the profunda with a second eversion angioplasty of the first segment of the superficial artery. Second, do you routinary use an autologous vein patch ? Considering that the vein could be useful for a future bypass in case of disease evolution, we use it only in particular situations, such as obese patients or redo-Tea of scarred groins; we routinely prefer bovine pericardium.«