In the landscape of vascular surgery, the advent of branched endografts has revolutionized the management of complex aortic pathologies, offering minimally invasive solutions with reduced …
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 ReadingPopliteal anastomosis on a fem-pop BPG
Occasionally, the popliteal anastomosis on a femoro-popliteal (Fem-pop) bypass graft (BPG) can be extremely tedious. Irrespective of whether it is above or below the knee, …
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 ReadingAre you looking for something? Look for evidence…
Do you want to find something? Then look for evidence. And what is evidence? It is these small clues that leads one towards the solution …
Continue ReadingSet the Omni-tract for a AAA open repair
See the following image to set the omni-tract for an infrarenal AAA open repair. After opening the abdomen through a midline incision, set the omni-tract …
Continue ReadingAnastomosis of left renal artery on an open repair of a pararenal aneurysm
Two ways to do it: Include it in the proximal (bevelled) aortic anastomosis or, Create a Carrel patch around its orifice from aortic sac BEFORE …
Continue ReadingHow to do an anastomosis with the parachute technique, …almost without any help
Remember to keep the stitch loops extended like a parachute’s suspension lines, during the first bites of the anastomosis, by applying tension on the graft …
Continue ReadingTips for TAAA repair
Here are some tips for open TAAA repair. This is my personal opinion and does not reflect absolutely the general practice. My colleagues JK (Evangelismos) …
Continue ReadingAortic punch for a hole on the aorta
In the rare cases where you need to make a hole on the aorta in order to “nail” a venous graft, the best way to …
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