Giovanni Torsello

Activities
Ahmad Al Halabi commented on presentation Carotid artery endarterectomy with patchplasty: step by step procedure.
Gladiol Zenunaj commented on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
Gladiol Zenunaj replied to your comment on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
Konstantinos Katsanos commented on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
Giovanni Torsello commented on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
Andreas Lazaris replied to your comment on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
Nicola Troisi commented on presentation VRTD 2: Association between PTX-coated devices and overall mortality.
SMA occlusion: when open, when endo and how?
This presentation includes important clinical and anatomic issues, which play a relevant role in the decision making between open surgical and endovascular treatment of the SMA occlusion. Which technique is appropriate for open surgical revascularization? Which material should be used as bypass or patch? When should you go for an endovascular-first approach? Which kind of stents? Do we have evidence? All these questions are answered in this presentation.
Giovanni Torsello commented on presentation Carotid artery endarterectomy with patchplasty: step by step procedure.
Efstratios Georgakarakos commented on presentation Carotid artery endarterectomy with patchplasty: step by step procedure.
Omar Jibrel commented on presentation Carotid artery endarterectomy with patchplasty: step by step procedure.
Carotid artery endarterectomy with patchplasty: step by step procedure
This is a recorded case, which demonstrates step by step all relevant technical aspects of a carotid artery endarterectomy with Dacron patchplasty.
Chimney Reconstructions for Juxtarenal Aneurysms: Indications, Optimal Technique and Outcome Data
In this presentation, you will find important information about the chimney technique (chEVAR) for the treatment of juxtarenal or pararenal aortic aneurysms.
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.
Choice of antiplatelet therapy around complex revascularisation
A 79-year-old diabetic male patient with no history of coronary disease is referred to you to undergo angioplasty for tissue loss on the tips of the hallux and second toe. He is taking Aspirin 75mg. From preoperative imaging he needs a 20cm SFA occlusion stopping before the adductor hiatus recanalizing as well as multilevel tibial disease which appears to be a combination of short occlusions and stenoses. The dorsal pedal is seen in the foot and is in continuity with the arch. The PT artery appears occluded through it’s whole length.
Online education in vascular medicine
Shape your learning experience on Vascupedia
Dear colleagues, our mission is to help physicians worldwide to bring their interventions to perfection. Our hope is to indirectly contribute to safety and well-being of patients with vascular diseases.
Over a year ago, we started Vascupedia as a unique online project that we believe fulfills the need for free education in the challenging field of Vascular Medicine. Now it’s time to ask you to help us to become better for you! Are we offering the right information in the right way at the right level? Is there anything missing to support you in your quest to grow your knowledge to treat your patients in the best possible way? Please complete this short survey to make sure we will work on improving the platform to serve YOUR educational needs!
Vascular Education 2030: One Year Vascupedia
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 chronic mesenteric ischemia
Patient’s characteristics
Gender: Female
Age: 69 years old
Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)
Symptoms: Postprandial pain
Previous abdominal operations: None
DUS: Occlusion of the superior mesenteric artery
The acute limb ischemia
Patient’s characteristics
Gender: Female
Age: 65 years old
Comorbidity: Arterial hypertension, Dyslipidemia
Symptoms: Acute onset of claudication (<2 weeks), Rutherford class 3 of the left limb
Previous operations: None
ABI: 0.5
DUS: Occlusion of the left popliteal artery
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
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