Vladimir Baron

  • Function: Specialist
  • Speciality: Vascular Surgery
  • Country: CO

Activities

Comment on Jul 08, 2019

Gioele Simonte replied to your comment on presentation Complex multi stage thoracoabdominal aneurysm correction. Branched endograft with forced femoral access and flap perforation.

»Thanks for asking. to fenestrate the septum we used the stiff back end of a standard Terumo wire, into a bended steerable sheat in order to ensure a perpendicular incidence angle. We did not feel necessary to use IVUS since with fusion image guidance we could easily identify the right projection and the right point to perform the fenestration«
Comment on Apr 18, 2019

Gioele Simonte replied to your comment on presentation Complex multi stage thoracoabdominal aneurysm correction. Branched endograft with forced femoral access and flap perforation.

»thanks for the comment, actually the steerable sheats used were two different Oscor . We had to use two devices since once deployed the SMA bridging stent the radius curve of the sheat we used (7 fr) turned out to be too sharp for the advancement of the CT bridging stent as we were not able to push it over the sheat curve. we had than to pick up a 10 fr with a wider curve easily resolving the problem. no experience with the Fustar in my facility«