So you need to repair a suprarenal aortic aneurysm or even a type IV thoracoabdominal aortic aneurysm. There are mainly three options: a. a retroperitoneal …
Continue ReadingThe roof-top approach to the suprarenal aorta
The open repair of a suprarenal abdominal aortic aneurysm is a demanding procedure as it requires suprarenal or even supraceliac aortic clamping. The traditional approach …
Continue ReadingPopliteal artery patch-plasty: how to do
Patch-plasty of the popliteal artery (PA) is not always that easy. The artery is deep into the calf, muscle fibers surround it and even when …
Continue ReadingThe posterior approach for the treatment of vascular injuries following knee dislocation
Knee dislocation is an orthopedic injury that can lead to popliteal artery injury and subsequent acute limb ischemia. The medial approach to the popliteal vessels …
Continue ReadingThe 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 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 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 …
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