Ahmad Al Halabi

Mr.
Vascular and endovascular surgeon, Phlebologist, MRCS (Ireland)
  • Function: Consultant
  • Speciality: Vascular Surgery
  • Country: DE
  • Working place: Ameos Bremerhaven Mitte, Bremerhaven, DE

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.«
Comment on Jun 05, 2018

Giovanni Torsello commented on presentation Carotid artery endarterectomy with patchplasty: step by step procedure.

»Thank you, Dr. Dr. Georgakarakos for your comment. I have no personal experience with bovine pericardium but a long positive experience with Dacron patch. Therefore I have not changed my strategy. Until 1997 I have used autologous vein as patch material. However, by Duplex US I found increased dilatation of the treated segment sometimes also with parietal thrombus load. This is the reason why I switched to alloplastic material. For elongated ICA our preferred technique is the eversion. For the next weeks we are preparing a video. In case you have alternatives please feel free to show your own experience. Warm regards G.Torsello«
Poll 01/05/2019 – 31/05/2019

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.

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Poll 01/08/2019 – 31/08/2019

The Type II Endoleak

Patient’s characteristics

 

Gender: Male

Age: 68 years old

Comorbidity: Arterial hypertension, active smoker

Underwent EVAR 2 years ago

Symptoms:  None

DUS/CT A: Aneurysm sac growth > 7mm compared to last CT scan with evidence of type II Endoleak (Inferior mesenteric artery)

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Poll 01/11/2018 – 30/11/2018

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.

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Poll 01/05/2019 – 31/05/2019

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.

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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

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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

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Poll 01/12/2018 – 31/12/2018

Chronic deep vein thrombosis and postthrombotic syndrome

Case presentation:

41 years old female patient presenting with swelling of both limbs, diffuse aching, heaviness and tiring of both extremities since 5 years from a previous deep vein thrombosis on both limbs. At the time of presentation, the patient showed severe dermatoliposclerosis on the right extremity and ulceration at the level of the left internal malleolus. The patient had no other risk factors except Factor V Leiden mutation.

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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

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