The proper geometry for a brachiocephalic arteriovenous fistula
A brachiocephalic arteriovenous fistula (AVF) is a great fistula for renal patients. It’s simple to create, the involved vessels are usually of acceptable caliber and …
Continue ReadingHow to close the divided diaphragm on a TAAA repair
Re-approximating the divided diaphragm after a left thoracoabdominal incision is not that easy. Running or interrupting suturing?
Continue ReadingProfundaplasty: an alternative way
The standard profundaplasty is a patch angioplasty. No doubt, it is a nice way but not without weaknesses. If you use a vein patch you …
Continue ReadingLet the blood … “back” flowing
Do you want to know a good trick for the very-very distal anastomosis on a distal bypass?
Continue ReadingMind the vein length…
So you need to use a vein as a graft for a bypass. Definitely, it must not be long as it may kink leading to …
Continue ReadingClose this abdomen now!!!
So, everything went well, and it is time now to close the abdomen. What an issue? Piece of cake. Is it so? Abdominal incisions are …
Continue ReadingRepair of iliac vein or IVC tear: the invisible hole
So, we are talking about venous intra-abdominal bleeding. From an iliac vein or inferior vena cava injury. If this is from a visible point check …
Continue ReadingHow to do a lower limb embolectomy on an obese patient
Can you think of a really fat person presenting with acute lower limb ischemia? Think of someone whose thigh is twice as normal size. Of …
Continue ReadingRepair of iliac vein or IVC tear: the visible hole
An iliac vein or worse an IVC (inferior vena cava) tear can be a nightmare. The patient may bleed heavily, and quickly the patient’s situation …
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