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When the IMA is larger than the occluded aorta a EJVES « coup d’oeil » from CHU de Bordeaux OR by our 🇮🇹resident Marco Campolmi An Inferior Mesenteric Artery Too Good To Go sciencedirect.com/science/articl… #aortaEd

Bilateral profunda endart, suprarenal clamp w/ eversion endarterectomy of infrarenal neck, move clamp infrafrenally, end-to-end proximal w/ aorto-bifem, IMA (red loop) direct reimplant. & SMA c-loop bypass ( retro the blue looped LRV) from ABF graft #aortaEd 1/3

3/3 postoperative CTA showing route of the SMA C loop retrograde graft retro to the reimplanted IMA #aortaEd

45y male CLI with CAD & hx of CABG POBA of rt SFA, retrograde crossing of lt CIA by balloon supported Command 0.018 gw, bilateral kissing bare metal BES Restoration of pedal pulses #vascular Fórum Vascular CLI Global Society #CLIFighter #endovascular

1st oncovas surgery in 2025, a huge retroperatoneal tumor with IVC involved. #oncovascular

#DeBakeyCVJournal case! “Congenital Fibrolipoma with Hamartomatous Changes of the Internal Jugular Vein" – Samer Regal, Tamer Khafagy, Mohamed AbdelGawad, Ehab Saad & Ahmed Ali Videos & more doi.org/10.14797/mdcvj… CardioNerds Houston Methodist CV M Quinones MD, MACC Nadeen N. Faza, M.D. #CardioEd

Ruptured Suprarenal AAA. ThoracoPhrenoLaparotomy. Supra CT clamp, 4°C Ringer by 9F Pruitt L &R RAs Beveled anastomosis including CT, SMA and RRA. While LRA was reattached using side Satinsky clamping, both limbs perfused by 12F Pruitt. 📽️captured before R then L iliac anastomosis

A shock patient after receiving a high dose of adrenaline

Here to create our own history.

Prof Ramesh K Tripathi 😉I don’t have the 2009 CTA at time of EVAR, so hard to answer if neck was safe. Nowadays we do 80% ruptures Endo. It’s a great change for our patient but we must keep in mind that sizing is often done in permissive hypoT, poor oversizing and too short distal sealing can happen

Neck length less than 15 mm and AAA >70 associated with late adverse events in patients treated with EVAR for ruptured AAA CX Symposium

Time to write our own history.

Bring everything tonight.

Extending a NAIS to get the requested length and the proper diameter Tapered tubulized bovine pericardium (20 to 10 ml Syringe as mandrel) combined to the 2 femoral veins.