Despite the dominance of endovascular techniques, open repair of abdominal aortic aneurysms remains an essential option in selected patients. The retroperitoneal approach, although technically demanding, offers important advantages in complex aortic cases.
Continue ReadingWhen the Entire Aortoiliac Segment Is Calcified: Lessons from an Extensive Open Endarterectomy
Yesterday, we treated a particularly demanding case of extensive aortoiliac occlusive disease. The patient was a man in his early seventies, still active, but severely …
Continue ReadingShould we include this in complex aortic endovascular repair perioperative risk, too?
According to a study by D’Oria et al published in the Journal of Vascular Surgery last year, the median wait time until implantation of a …
Continue ReadingInfrarenal aortic occlusion: how to treat
Occlusion of the infrarenal aorta is not uncommon, often occurring at or just below the level of the lowest renal artery. Is it distinct from …
Continue ReadingAortoiliac endarterectomy, how to do it
Today, aortoiliac endarterectomy may be considered an unnecessary procedure. How will you ever need to do it with all these endovascular options? But never say …
Continue ReadingHow to deal with a retro-aortic left renal vein on a posterior approach for AAA
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Continue ReadingTips for TAAA open repair
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Continue ReadingAortic punch for a hole on the aorta
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Continue ReadingLarge anastomotic aneurysm
An anastomotic aneurysm after an open repair of an aortic aneurysm is always a surgical challenge. We dealt with a 65-year-old male who had a …
Continue ReadingHow to deal with an inflammatory AAA
An inflammatory AAA may be a very difficult case for an open repair. Because of the inflammation, the duodenum and the initial part of the …
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