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2008 ENDURANT AORTIC ENDOGRAFT EXAMPLES ESEMPI DI ENDOPROTESI AORTICA ENDURANT 2008 (Chirurgia Vascolare-ULSS 15 Alta Padovana) (Vascular Surgery -ULSS 15 Alta Padovana)
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BELL BOTTOM Perugia 2001 Phoenix 2003 Phoenix 2007
INTERNATIONAL PRESENTATIONS
ABOUT BELL BOTTOM TECHNIQUE-Presentation of the first custom made flared graft and our experience using Bell Bottom tecnique in abdominal aortic aneurysm with ectatic common iliac artery
PRESENTAZIONI UFFICIALI SULLA TECNICA BELL BOTTOM
Presentazione della prima protesi custom made e nostra esperienza con la tecnica Bell Bottom per gli aneurismi dell'aorta addominale con arterie iliache comuni ectasiche
(Chirurgia Vascolare-ULSS 15 Alta Padovana)
(Vascular Surgery -ULSS 15 Alta Padovana)
Vascular injuries
This document discusses vascular injuries, covering their mechanisms, recognition, and management. It begins with the objectives of understanding trauma management principles, vascular anatomy, and mechanisms of injury. For management, the document outlines the ABCDE primary survey, resuscitation to control bleeding and protect airways, and secondary survey. It then details the specific mechanisms of penetrating, blunt, blast, and iatrogenic vascular injuries. The document concludes by discussing principles of vascular repairs, options for peripheral repairs, and potential complications.
Renal trauma nurse teaching jan 2017
1. Renal trauma accounts for 1-5% of all traumas, with blunt trauma making up 90-95% of cases. Physical exam findings like hematuria or flank pain may indicate renal injury.
2. Non-operative management is recommended for most renal injuries. Stable patients with Grade I-IV injuries can be managed conservatively with bed rest, hydration, antibiotics and monitoring.
3. Computed tomography is the best imaging method for diagnosing and staging renal injuries in stable patients. Unstable patients may require angiography or intravenous pyelography.
liver injury
1. The liver is the second most commonly injured organ in abdominal trauma after the spleen. Liver injuries have a high mortality rate, especially with blunt trauma.
2. Liver injuries can be caused by blunt trauma from motor vehicle accidents or falls, as well as penetrating trauma from stab wounds or gunshots.
3. CT scanning is the gold standard for evaluating liver injuries and assessing their severity based on the American Association for the Surgery of Trauma (AAST) grading scale.
4. Management depends on the patient's stability and injury grade. Lower grade injuries may be managed non-operatively but higher grades often require surgery or angiography with embolization.
Liver Trauma: Classification
The document describes a standardized classification system for grading the severity of liver injuries. The classification system ranges from Grade I to Grade VI injuries, with higher grades indicating more severe injuries involving deeper lacerations, larger hematomas, and greater parenchymal disruption or vascular injuries. CT imaging is useful for evaluating the extent of injuries and assigning a grade.
Imaging abdomen trauma renal part 5 Dr Ahmed Esawy
Renal trauma can occur in 8-10% of patients with abdominal injuries, with blunt trauma being more common than penetrating injuries. CT imaging is important for evaluating renal trauma and detecting injuries such as hematomas, lacerations, and arterial extravasation. Renal injuries are classified into 5 grades based on the severity of the laceration and whether it involves the renal cortex, medulla, or collecting system. Active bleeding appears as areas of high attenuation on contrast-enhanced CT scans.
Acute Aortic Syndromes: Vascular Radiologist Point of View - Pr Ph Douek
Acute Aortic Syndromes: Vascular Radiologist Point of View - Pr Ph DouekJFIM - Journées Francophones d'Imagerie Médicale
However, it is an invasive procedure that is not straightforward to perform so is often reserved as a problem-solving tool when both the aortic root and valve are the prime source of interest.
Popliteal artery trauma
The popliteal artery and vein are vulnerable to injury due to their location behind the knee. Popliteal artery injuries have high amputation rates of around 30-35% due to the end artery nature with limited collaterals. Prompt diagnosis and surgical repair through a medial approach with interposition grafting can achieve limb salvage in over 85% of cases. Factors associated with higher amputation risks include delay in treatment, the presence of additional injuries, and blunt rather than penetrating mechanisms of injury.
Recommended
BELL BOTTOM Perugia 2001 Phoenix 2003 Phoenix 2007
INTERNATIONAL PRESENTATIONS
ABOUT BELL BOTTOM TECHNIQUE-Presentation of the first custom made flared graft and our experience using Bell Bottom tecnique in abdominal aortic aneurysm with ectatic common iliac artery
PRESENTAZIONI UFFICIALI SULLA TECNICA BELL BOTTOM
Presentazione della prima protesi custom made e nostra esperienza con la tecnica Bell Bottom per gli aneurismi dell'aorta addominale con arterie iliache comuni ectasiche
(Chirurgia Vascolare-ULSS 15 Alta Padovana)
(Vascular Surgery -ULSS 15 Alta Padovana)
Vascular injuries
This document discusses vascular injuries, covering their mechanisms, recognition, and management. It begins with the objectives of understanding trauma management principles, vascular anatomy, and mechanisms of injury. For management, the document outlines the ABCDE primary survey, resuscitation to control bleeding and protect airways, and secondary survey. It then details the specific mechanisms of penetrating, blunt, blast, and iatrogenic vascular injuries. The document concludes by discussing principles of vascular repairs, options for peripheral repairs, and potential complications.
Renal trauma nurse teaching jan 2017
1. Renal trauma accounts for 1-5% of all traumas, with blunt trauma making up 90-95% of cases. Physical exam findings like hematuria or flank pain may indicate renal injury.
2. Non-operative management is recommended for most renal injuries. Stable patients with Grade I-IV injuries can be managed conservatively with bed rest, hydration, antibiotics and monitoring.
3. Computed tomography is the best imaging method for diagnosing and staging renal injuries in stable patients. Unstable patients may require angiography or intravenous pyelography.
liver injury
1. The liver is the second most commonly injured organ in abdominal trauma after the spleen. Liver injuries have a high mortality rate, especially with blunt trauma.
2. Liver injuries can be caused by blunt trauma from motor vehicle accidents or falls, as well as penetrating trauma from stab wounds or gunshots.
3. CT scanning is the gold standard for evaluating liver injuries and assessing their severity based on the American Association for the Surgery of Trauma (AAST) grading scale.
4. Management depends on the patient's stability and injury grade. Lower grade injuries may be managed non-operatively but higher grades often require surgery or angiography with embolization.
Liver Trauma: Classification
The document describes a standardized classification system for grading the severity of liver injuries. The classification system ranges from Grade I to Grade VI injuries, with higher grades indicating more severe injuries involving deeper lacerations, larger hematomas, and greater parenchymal disruption or vascular injuries. CT imaging is useful for evaluating the extent of injuries and assigning a grade.
Imaging abdomen trauma renal part 5 Dr Ahmed Esawy
Renal trauma can occur in 8-10% of patients with abdominal injuries, with blunt trauma being more common than penetrating injuries. CT imaging is important for evaluating renal trauma and detecting injuries such as hematomas, lacerations, and arterial extravasation. Renal injuries are classified into 5 grades based on the severity of the laceration and whether it involves the renal cortex, medulla, or collecting system. Active bleeding appears as areas of high attenuation on contrast-enhanced CT scans.
Acute Aortic Syndromes: Vascular Radiologist Point of View - Pr Ph Douek
Acute Aortic Syndromes: Vascular Radiologist Point of View - Pr Ph DouekJFIM - Journées Francophones d'Imagerie Médicale
However, it is an invasive procedure that is not straightforward to perform so is often reserved as a problem-solving tool when both the aortic root and valve are the prime source of interest.
Popliteal artery trauma
The popliteal artery and vein are vulnerable to injury due to their location behind the knee. Popliteal artery injuries have high amputation rates of around 30-35% due to the end artery nature with limited collaterals. Prompt diagnosis and surgical repair through a medial approach with interposition grafting can achieve limb salvage in over 85% of cases. Factors associated with higher amputation risks include delay in treatment, the presence of additional injuries, and blunt rather than penetrating mechanisms of injury.
Renal trauma
- Up to 90% of renal injuries are due to blunt trauma from accidents.
- CT scan is now the preferred imaging modality for evaluating renal trauma as it can identify injuries like lacerations, hematomas, and vascular injuries.
- Renal injuries are classified based on the Federle scale from Grade I (contusion) to Grade V (shattered kidney or main renal artery injury).
Renal injury-RADIOLOGY
This document summarizes renal injury from trauma. It notes that most renal injuries are minor (grades I-II) from blunt force and can be treated non-operatively. Imaging depends on stability and signs of injury. CT is recommended for penetrating injuries or those with gross hematuria. Major injuries (grades IV-V) involving fragmentation or devascularization of over 50% of the kidney often require nephrectomy. Minor injuries like contusions usually resolve without treatment.
Posterior Knee Dislocation
A 37-year-old female presented with left knee pain after being in a motor vehicle collision where her knee struck the dashboard. On examination, her left knee was grossly unstable and unable to extend with decreased sensation over the lateral foot. She likely suffered a posterior knee dislocation with injuries to both cruciate ligaments, the popliteal artery, and nerves. Treatment requires reduction, immobilization, assessment of vascular injury such as with CT angiography, and emergent orthopedic referral.
Rvt
This 35-year-old female patient presented with dyspnea and weakness for 19 days following a wound infection. Imaging showed a right ventricular thrombus (RVT) measuring 4cm, right ventricular dilation, and right ventricular dysfunction consistent with pulmonary embolism (PE). Laboratory tests were notable for a D-dimer of 4000. Treatment included unfractionated heparin infusion, antibiotics, and oxygen. The RVT size decreased over subsequent days with treatment. Optimal treatment of intracardiac thrombi is unclear but includes surgical embolectomy, thrombolysis, catheter removal, or anticoagulation. Mortality remains high regardless of the therapeutic approach chosen.
Peripheral Vascular Injuries
This document discusses peripheral vascular injuries. Some key points:
- Peripheral injuries account for 80% of vascular trauma cases, with the lower extremities most commonly involved.
- Combined arterial and skeletal injuries in the extremities significantly increase the risk of limb loss compared to isolated injuries.
- Diagnosing and managing vascular injuries is technically challenging, as the physiology of trauma patients is complex. Damage control techniques like shunting and ligation may be necessary.
- Hard signs of vascular injury include active bleeding, pulsatile hematoma, limb ischemia. Soft signs require further investigation like Doppler or angiography to diagnose injury.
- Surgical management involves gaining proximal and distal control, investigating the injury site, and
Lower Limb Vascular Trauma
This document provides an overview of lower limb vascular trauma, including:
- It accounts for 80% of all vascular trauma cases, with the lower extremities involved in two-thirds of patients.
- Presentation can include hard signs like active bleeding or soft signs like pulse deficits. Complications include thrombosis, embolization, and rupture.
- Diagnosis involves clinical examination, pulse oximetry, Doppler ultrasound, duplex ultrasound, and angiography.
- Management includes immediate hemorrhage control, volume resuscitation, operative strategies like suturing, grafting or shunting, and damage control techniques like ligation if needed. Case examples from the author's experience are also summarized.
Liver trauma
The document discusses liver trauma, including:
- Liver injuries occur in approximately 5% of trauma admissions and the liver's anatomy makes it susceptible to injury.
- Comprehensive knowledge of hepatic anatomy is essential to managing liver injuries, including understanding the liver's lobes, vasculature, and ligamentous attachments.
- Liver injuries are classified based on their severity; while most stable patients can now be managed non-operatively, unstable or higher grade injuries may require surgery or other interventions.
- Diagnosis involves tools like ultrasound, CT scans, and diagnostic peritoneal lavage to identify injuries and guide management approaches.
CT Imaging for Acute Aortic Syndrome
Contrast-enhanced, cardiac-gated CT is highly accurate for determining the cause of acute aortic syndrome, which can be due to aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, or unstable thoracic aneurysm. CT accurately identifies the location and extent of disease and guides urgent surgical or endovascular repair when needed to treat life-threatening conditions such as type A aortic dissection or ruptured aneurysm.
Vascular trauma
This document summarizes the assessment and treatment of vascular trauma. It discusses the history of vascular surgery, mechanisms of injury, initial assessment and treatment focusing on controlling bleeding and ischemia. Signs of arterial injury are outlined. Surgical management may involve angiography, open exploration, repair, bypass or ligation. Compartment syndrome is a risk and location of injury impacts outcomes. Treatment of venous and carotid trauma is also addressed.
Vascular injury in pelvic trauma
The document discusses vascular injury in pelvic trauma. It covers pelvic anatomy, mechanisms of injury including blunt and penetrating trauma, clinical presentation, classification of pelvic fractures, and management approaches. Key points are the complex pelvic vasculature, need for rapid diagnosis and treatment given risk of hemorrhage, and use of techniques like bed sheets, MAST devices, or C-clamps to reduce pelvic fractures and stabilize patients.
Management of liver trauma in adults, 2018, by R. Lunevicius
1) The document discusses the management of liver trauma in adults, including classifications of liver injuries, principles of management, and case examples.
2) The most important factors in management are the patient's physiology and response to resuscitation, in addition to the anatomical details of the injury seen on CT scan.
3) Most patients with grades I-III injuries can be managed conservatively with observation and follow-up imaging, while grade IV injuries or unstable patients often require surgery.
july 2010 jc
This study evaluated long-term outcomes of secondary interventions for 62 patients treated with endovascular aneurysm repair (EVAR) using an AneuRx stent graft. The most common reasons for secondary interventions were type Ia (28 patients), type III (17 patients), and type II (8 patients) endoleaks. Short endovascular cuffs were often used but proved ineffective for treating type Ia endoleaks, with only 52% success and many requiring additional interventions. Overall 30-day morbidity after secondary interventions was 18% and mortality was 5%, indicating significant risks that should factor into decisions for primary EVAR versus open repair.
Liver trauma final
The document discusses liver trauma, providing details on the anatomy and physiology of the liver, classifications of traumatic liver injuries, clinical presentations, diagnostic imaging approaches including CT scans and angiography, and treatments. Key points covered include: the liver is the second most commonly injured abdominal organ from trauma but most common cause of death; injuries are often from blunt force such as motor vehicle accidents; CT scans are the diagnostic standard and can classify injuries on a scale of I-VI based on features like hematomas and lacerations; angiography can identify active bleeding for potential embolization treatment.
Renal Trauma
Renal trauma can occur from blunt or penetrating injuries. Evaluation involves stabilizing the patient, assessing for life-threatening injuries using ATLS protocols, and obtaining imaging. CT is the preferred imaging method and allows grading of injuries according to the AAST scale. Most grade I-III injuries can be managed conservatively with observation. Higher grade injuries may require angioembolization or surgery to control bleeding. Goals of management are to control hemorrhage and salvage renal tissue when possible. Patients require follow-up imaging and monitoring for early or delayed complications.
Penetrating Atherosclerotic Ulcer
Penetrating atherosclerotic ulcer (PAU) is an ulcerating atherosclerotic lesion that penetrates the aortic wall. CT is often used to evaluate PAU, showing features like a focal outpouching with adjacent hematoma. While some cases progress slowly, PAU carries a risk of complications like rupture. Treatment depends on factors like symptoms, expansion rate, and surgical risk. Careful monitoring is important due to variable prognosis.
Acs0616 Repair Of Femoral And Popliteal Artery Aneurysms
Femoral and popliteal artery aneurysms are the most common type of peripheral aneurysms. While rarely rupturing, they can cause limb-threatening complications like embolization and thrombosis if left untreated. The optimal treatment is elective repair and reconstruction, rather than emergency repair after complications occur. Factors like symptoms, aneurysm size, and extent of disease help determine the appropriate treatment approach. Preoperative evaluation involves imaging to characterize the aneurysm and assess inflow and outflow vessels. The goals of surgical repair are to eliminate embolic risk, prevent rupture, relieve mass effect if present, restore distal limb perfusion, and achieve durable reconstruction.
AVM in LIVER, Dr TRAN NGAN CHAU-Dr PHAN THANH HAI
A vascular malformation in liver detected by color Doppler ultrasound which was confimed later by CT Angio and removed by endoscopic surgery.
Saturday 1150 boukhris - aortic dissection
This document discusses the management of iatrogenic aortic dissection complicating chronic total occlusion percutaneous coronary intervention. It presents two case studies where aortic dissection occurred during CTO PCI procedures. The dissections were managed conservatively in both cases through balloon inflation and stenting at the entry point, with no need for protamine or antiplatelet interruption. Urgent imaging was performed to assess dissection extent. Both cases showed resolution of the dissection on follow up imaging, with no cardiac deaths or further complications reported. The take home messages emphasize conservative management through sealing the entry point when hemodynamically stable, with urgent imaging and follow up to monitor dissection resolution.
Abdominal Aortic Aneurysm 2015
The document discusses various issues in abdominal aortic aneurysm (AAA) management, including screening, surveillance, predicting operative risk, and choosing between open repair and endovascular aneurysm repair (EVAR). It provides details on screening criteria in different countries, predictors of mortality for open repair, outcomes from EVAR clinical trials showing lower reintervention rates compared to open repair, and types of endoleaks after EVAR. The document also describes fenestrated and branched endografts for more complex aneurysm anatomies and notes there are still unresolved issues regarding EVAR indications.
Endoleak
endoleak, is a major drawback which less covered by a beginner centre. But, it way moy trouble if come the hand of even an axperience surgeon.
PRESENTAZIONE AL CONGRESSO DI FIRENZE 2010: DIECI ANNI DI FOLLOW UP CON ECOCO...
PRESENTAZIONE AL CONGRESSO DI FIRENZE 2010: DIECI ANNI DI FOLLOW UP CON ECOCO...Salvatore Ronsivalle
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Renal trauma
- Up to 90% of renal injuries are due to blunt trauma from accidents.
- CT scan is now the preferred imaging modality for evaluating renal trauma as it can identify injuries like lacerations, hematomas, and vascular injuries.
- Renal injuries are classified based on the Federle scale from Grade I (contusion) to Grade V (shattered kidney or main renal artery injury).
Renal injury-RADIOLOGY
This document summarizes renal injury from trauma. It notes that most renal injuries are minor (grades I-II) from blunt force and can be treated non-operatively. Imaging depends on stability and signs of injury. CT is recommended for penetrating injuries or those with gross hematuria. Major injuries (grades IV-V) involving fragmentation or devascularization of over 50% of the kidney often require nephrectomy. Minor injuries like contusions usually resolve without treatment.
Posterior Knee Dislocation
A 37-year-old female presented with left knee pain after being in a motor vehicle collision where her knee struck the dashboard. On examination, her left knee was grossly unstable and unable to extend with decreased sensation over the lateral foot. She likely suffered a posterior knee dislocation with injuries to both cruciate ligaments, the popliteal artery, and nerves. Treatment requires reduction, immobilization, assessment of vascular injury such as with CT angiography, and emergent orthopedic referral.
Rvt
This 35-year-old female patient presented with dyspnea and weakness for 19 days following a wound infection. Imaging showed a right ventricular thrombus (RVT) measuring 4cm, right ventricular dilation, and right ventricular dysfunction consistent with pulmonary embolism (PE). Laboratory tests were notable for a D-dimer of 4000. Treatment included unfractionated heparin infusion, antibiotics, and oxygen. The RVT size decreased over subsequent days with treatment. Optimal treatment of intracardiac thrombi is unclear but includes surgical embolectomy, thrombolysis, catheter removal, or anticoagulation. Mortality remains high regardless of the therapeutic approach chosen.
Peripheral Vascular Injuries
This document discusses peripheral vascular injuries. Some key points:
- Peripheral injuries account for 80% of vascular trauma cases, with the lower extremities most commonly involved.
- Combined arterial and skeletal injuries in the extremities significantly increase the risk of limb loss compared to isolated injuries.
- Diagnosing and managing vascular injuries is technically challenging, as the physiology of trauma patients is complex. Damage control techniques like shunting and ligation may be necessary.
- Hard signs of vascular injury include active bleeding, pulsatile hematoma, limb ischemia. Soft signs require further investigation like Doppler or angiography to diagnose injury.
- Surgical management involves gaining proximal and distal control, investigating the injury site, and
Lower Limb Vascular Trauma
This document provides an overview of lower limb vascular trauma, including:
- It accounts for 80% of all vascular trauma cases, with the lower extremities involved in two-thirds of patients.
- Presentation can include hard signs like active bleeding or soft signs like pulse deficits. Complications include thrombosis, embolization, and rupture.
- Diagnosis involves clinical examination, pulse oximetry, Doppler ultrasound, duplex ultrasound, and angiography.
- Management includes immediate hemorrhage control, volume resuscitation, operative strategies like suturing, grafting or shunting, and damage control techniques like ligation if needed. Case examples from the author's experience are also summarized.
Liver trauma
The document discusses liver trauma, including:
- Liver injuries occur in approximately 5% of trauma admissions and the liver's anatomy makes it susceptible to injury.
- Comprehensive knowledge of hepatic anatomy is essential to managing liver injuries, including understanding the liver's lobes, vasculature, and ligamentous attachments.
- Liver injuries are classified based on their severity; while most stable patients can now be managed non-operatively, unstable or higher grade injuries may require surgery or other interventions.
- Diagnosis involves tools like ultrasound, CT scans, and diagnostic peritoneal lavage to identify injuries and guide management approaches.
CT Imaging for Acute Aortic Syndrome
Contrast-enhanced, cardiac-gated CT is highly accurate for determining the cause of acute aortic syndrome, which can be due to aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, or unstable thoracic aneurysm. CT accurately identifies the location and extent of disease and guides urgent surgical or endovascular repair when needed to treat life-threatening conditions such as type A aortic dissection or ruptured aneurysm.
Vascular trauma
This document summarizes the assessment and treatment of vascular trauma. It discusses the history of vascular surgery, mechanisms of injury, initial assessment and treatment focusing on controlling bleeding and ischemia. Signs of arterial injury are outlined. Surgical management may involve angiography, open exploration, repair, bypass or ligation. Compartment syndrome is a risk and location of injury impacts outcomes. Treatment of venous and carotid trauma is also addressed.
Vascular injury in pelvic trauma
The document discusses vascular injury in pelvic trauma. It covers pelvic anatomy, mechanisms of injury including blunt and penetrating trauma, clinical presentation, classification of pelvic fractures, and management approaches. Key points are the complex pelvic vasculature, need for rapid diagnosis and treatment given risk of hemorrhage, and use of techniques like bed sheets, MAST devices, or C-clamps to reduce pelvic fractures and stabilize patients.
Management of liver trauma in adults, 2018, by R. Lunevicius
1) The document discusses the management of liver trauma in adults, including classifications of liver injuries, principles of management, and case examples.
2) The most important factors in management are the patient's physiology and response to resuscitation, in addition to the anatomical details of the injury seen on CT scan.
3) Most patients with grades I-III injuries can be managed conservatively with observation and follow-up imaging, while grade IV injuries or unstable patients often require surgery.
july 2010 jc
This study evaluated long-term outcomes of secondary interventions for 62 patients treated with endovascular aneurysm repair (EVAR) using an AneuRx stent graft. The most common reasons for secondary interventions were type Ia (28 patients), type III (17 patients), and type II (8 patients) endoleaks. Short endovascular cuffs were often used but proved ineffective for treating type Ia endoleaks, with only 52% success and many requiring additional interventions. Overall 30-day morbidity after secondary interventions was 18% and mortality was 5%, indicating significant risks that should factor into decisions for primary EVAR versus open repair.
Liver trauma final
The document discusses liver trauma, providing details on the anatomy and physiology of the liver, classifications of traumatic liver injuries, clinical presentations, diagnostic imaging approaches including CT scans and angiography, and treatments. Key points covered include: the liver is the second most commonly injured abdominal organ from trauma but most common cause of death; injuries are often from blunt force such as motor vehicle accidents; CT scans are the diagnostic standard and can classify injuries on a scale of I-VI based on features like hematomas and lacerations; angiography can identify active bleeding for potential embolization treatment.
Renal Trauma
Renal trauma can occur from blunt or penetrating injuries. Evaluation involves stabilizing the patient, assessing for life-threatening injuries using ATLS protocols, and obtaining imaging. CT is the preferred imaging method and allows grading of injuries according to the AAST scale. Most grade I-III injuries can be managed conservatively with observation. Higher grade injuries may require angioembolization or surgery to control bleeding. Goals of management are to control hemorrhage and salvage renal tissue when possible. Patients require follow-up imaging and monitoring for early or delayed complications.
Penetrating Atherosclerotic Ulcer
Penetrating atherosclerotic ulcer (PAU) is an ulcerating atherosclerotic lesion that penetrates the aortic wall. CT is often used to evaluate PAU, showing features like a focal outpouching with adjacent hematoma. While some cases progress slowly, PAU carries a risk of complications like rupture. Treatment depends on factors like symptoms, expansion rate, and surgical risk. Careful monitoring is important due to variable prognosis.
Acs0616 Repair Of Femoral And Popliteal Artery Aneurysms
Femoral and popliteal artery aneurysms are the most common type of peripheral aneurysms. While rarely rupturing, they can cause limb-threatening complications like embolization and thrombosis if left untreated. The optimal treatment is elective repair and reconstruction, rather than emergency repair after complications occur. Factors like symptoms, aneurysm size, and extent of disease help determine the appropriate treatment approach. Preoperative evaluation involves imaging to characterize the aneurysm and assess inflow and outflow vessels. The goals of surgical repair are to eliminate embolic risk, prevent rupture, relieve mass effect if present, restore distal limb perfusion, and achieve durable reconstruction.
AVM in LIVER, Dr TRAN NGAN CHAU-Dr PHAN THANH HAI
A vascular malformation in liver detected by color Doppler ultrasound which was confimed later by CT Angio and removed by endoscopic surgery.
Saturday 1150 boukhris - aortic dissection
This document discusses the management of iatrogenic aortic dissection complicating chronic total occlusion percutaneous coronary intervention. It presents two case studies where aortic dissection occurred during CTO PCI procedures. The dissections were managed conservatively in both cases through balloon inflation and stenting at the entry point, with no need for protamine or antiplatelet interruption. Urgent imaging was performed to assess dissection extent. Both cases showed resolution of the dissection on follow up imaging, with no cardiac deaths or further complications reported. The take home messages emphasize conservative management through sealing the entry point when hemodynamically stable, with urgent imaging and follow up to monitor dissection resolution.
Abdominal Aortic Aneurysm 2015
The document discusses various issues in abdominal aortic aneurysm (AAA) management, including screening, surveillance, predicting operative risk, and choosing between open repair and endovascular aneurysm repair (EVAR). It provides details on screening criteria in different countries, predictors of mortality for open repair, outcomes from EVAR clinical trials showing lower reintervention rates compared to open repair, and types of endoleaks after EVAR. The document also describes fenestrated and branched endografts for more complex aneurysm anatomies and notes there are still unresolved issues regarding EVAR indications.
Endoleak
endoleak, is a major drawback which less covered by a beginner centre. But, it way moy trouble if come the hand of even an axperience surgeon.
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Bringing AI into a Mid-Sized Company: A structured Approach
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
ENDURANT CASES
- 1. Endurant STENT GRAFT SYSTEM in clinical practice DEPARTMENT OF CARDIOVASCULAR DISEASE VASCULAR AND ENDOVASCULAR SURGERY CITTADELLA Chief: Salvatore Ronsivalle
- 2. v A. Z ., male, 73 years old v Three aorto-coronaric-by pass v Right upper pulmonary lobectomy v Dyslipidemia v Carotid atherosclerosis v Aorto-Bisiliac Stent Graft ENDURANT (ENBF3216C145EE, ENLW1624C80EE, ENLW1624C120EE ) v Bilateral Bell Bottom Technique v 2 Coils (Cook IMWCE 35 20 20) Fibrin glue 10cc Pre-surgery angio-CT scan Aorto-Bisiliac AneurysmAorto-Bisiliac Aneurysm
- 8. Pre-discharge control CDU with and without ECHOCONTRAST
- 9. Pre-discharge control CDU with and without ECHOCONTRAST
- 10. Follow up control angio-CT scan
- 11. Follow up control angio-CT scan
- 12. Follow up control angio-CT scan
- 13. Follow up control angio-CT scan
- 15. Aorto-Bisiliac AneurysmAorto-Bisiliac Aneurysm v S. A., male, 72 years old v Dyslipidemia v Carotid atherosclerosis v Aorto-Bisiliac Stent Graft ENDURANT (ENBF2816C145EE, ENLW1624C120EE, ENLW1620C80EE) v Bilateral Bell Bottom Technique v 4 Coils (Cook IMWCE 35 20 20) Fibrin glue 7 cc Pre-surgery angio-CT scan
- 18. Pre and post fibrin glue + coils aneurysmogram
- 20. Follow up control angio-CT scan