Typical common femoral and deep femoral artery endarterectomy. How to do and technical tips worth using.
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 ReadingComplete graft eversion as a rescue maneuver for salvaging a thrombosed vein graft
When an autologous vein graft, such as a great saphenous vein bypass, thromboses, it can be very difficult to salvage. This is quite different from …
Continue ReadingPalma procedure. Old? Yes. Obsolete? No.
The Palma procedure, a femoral–femoral venous crossover bypass using the great saphenous vein, is often considered a relic of the pre-endovascular era. With the widespread …
Continue ReadingExposure of the celiac artery
The celiac trunk (celiac axis) is a short arterial trunk (~2 cm) arising from the anterior surface of the abdominal aorta, just below the aortic …
Continue ReadingLeft aorto-renal bypass graft on a suprarenal / thoracoabdominal AA repair
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Continue ReadingTips for Managing Bleeding During Aortic Anastomosis
Effective bleeding control during aortic anastomosis is crucial. Key techniques include tightening loose sutures with figure-of-eight reinforcement, using tent-like sutures to compress bleeding points, and employing pledgets—either with the sandwich technique (two pledgets) or the top-cover method (single pledget)—to seal persistent leaks. These methods enhance precision and ensure patient safety.
Continue ReadingThe Role of Suction in Surgery: More Than Meets the Eye
Suction is an indispensable tool in surgery, crucial for ensuring a clear field and facilitating the surgeon’s work. It’s not just about removing blood; it can also act as a small retractor to create space around the target area. Mastering suction use is essential for seamless surgical procedures!
Continue ReadingTips and Tricks for Vascular Anastomoses
There follow some tips to use when performing a vascular anastomosis. Remember to minimally handle the tissues, especially when dealing with an atherosclerotic vessel. Hard …
Continue ReadingSurgical Tip for Exploring SMA Embolism: Artery to the Left of Vein
Pactical tip for vascular surgeons managing SMA embolism. It is highlighted that the anatomical relationship between the superior mesenteric artery (SMA) and vein (SMV) in the root of the mesentery is crucial, emphasizing the importance of identifying the SMA to the left of the SMV and recognizing the palpable “sausage-like” structure of an embolized artery during exploration.
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