Bovine pericardium for graft
In specific cases where a synthetic graft cannot be used an autologous alternative is mandatory. Veins (femoral), cryopreserved allografts (if available) are common substitutes. What …
Continue ReadingHow to do a distal bypass
A distal bypass or an arterial bypass on a tibial or pedal artery is often needed especially in diabetic patients with critical lower limb ischemia. …
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Left thoracoabdominal incision
This is the skin incision for a left thoracoabdominal approach for a type IV or type III thoroabdominal aortic aneurysm open repair. The patient is …
Continue ReadingMind the left renal vein
The left renal vein usually lies anteriorly to abdominal aorta. So whenever you want to dissect an aortic aneurysm close to the renal arteries as …
Continue ReadingAorto-enteric fistula: what is the best treatment option?
Aorto-enteric fistula is a potentially disastrous condition presented most of the times after a previous AAA repair, open or endovascular. There are various options of …
Continue ReadingTips and necessities for a successful pedal bypass
Pedal bypass surgery is a highly demanding procedure with a strong possibility of instant failure and graft thrombosis. Stick adhesion to details may be useful …
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“Cardiac” pledget
This is the “cardiac” pledget. This can be used for repairing an aortic tear. How to do it? It seems a bit complicated but it …
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A “tent-suture” for correcting a bleeding from the anastomotic line
You have made your anastomosis and there is a leaking point from it. You need to put a suture there. The usual approach is to …
Continue ReadingSclerotherapy tips
Vein sclerotherapy can end up with veins half-occluded and ladies half-satisfied. Let me give some thoughts about it.
Continue ReadingObturator foramen bypass: an alternative solution for particular cases of limb ischemia
An infected groin prevents the use of femoral artery as a target for any type of revascularization. In these cases, when a revascularization of the …
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