The roof-top approach: closure
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Continue ReadingThe roof-top approach: aortic repair
So, the aorta is clamped. Proximally, at the diaphragm, and distally at both common iliacs. Get ready! Go!
Continue ReadingThe roof-top approach, part 4: aortic dissection
Step No 5: Dissect the proximal aorta What is between you and the proximal aorta is the left crus of the diaphragm. With your hand …
Continue ReadingThe roof-top approach, part 3: dissection & approach to the aorta
So you stand on the right side of the patient, you have made the roof-top incision and you are inside the peritoneal cavity. The lower …
Continue ReadingThe roof-top approach, part 2: skin incision
Roof-top approach is a totally abdominal approach to the suprarenal aorta. This means that the incision is an abdominal incision. And as the title says, …
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The roof-top approach, part 1: patient’s position
So you need to repair a suprarenal aortic aneurysm or even a type IV thoracoabdominal aortic aneurysm. There are mainly three options: a. a retroperitoneal …
Continue ReadingThe roof-top approach to the suprarenal aorta
The open repair of a suprarenal abdominal aortic aneurysm is a demanding procedure as it requires suprarenal or even supraceliac aortic clamping. The traditional approach …
Continue ReadingPopliteal artery patch-plasty: how to do
Patch-plasty of the popliteal artery (PA) is not always that easy. The artery is deep into the calf, muscle fibers surround it and even when …
Continue ReadingThe posterior approach for the treatment of vascular injuries following knee dislocation
Knee dislocation is an orthopedic injury that can lead to popliteal artery injury and subsequent acute limb ischemia. The medial approach to the popliteal vessels …
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