AAA… Off the guidelines: type II endoleak can derail the perfect EVAR 5 Jan 20215 Jan 2021 Every once in a while, I will make an exception to the SVS guidelines on AAA repair with regard to size at time of repair (link). I have a bunch…
AAA… Lifelong surveillance after EVAR -is it worth it? 20 Jul 202020 Jul 2020 About ten years ago, I had a patient who came to see me for moderate carotid disease. While his carotid disease was asymptomatic, he also had metastatic colon cancer. With…
AAA… The Hands of a Surgeon 29 Jul 201920 Jul 2020 My partner, Lee Kirksey, Vice-Chair of Vascular Surgery, just got a paper on-line (link) about the curiously increasing volume of open surgical repairs we were experiencing from 2010-2014 at the…
AAA… When You Pay Your Own Way, You Chose Value 28 Apr 201928 Apr 2019 The patient is an active man in his 60’s with a history of hypertension who had known about a right common iliac artery aneurysm for several years and had come…
AAA… Video Presentation: Removing Stent Grafts and It’s Implications for Putting Them In 20 Sep 2018 This was presented at Dia De La Patología Aortíca Marbella organized by Dr. Fernando Gallardo. Here is the link.
AAA… A lot of people can put in a stent graft, unfortunately only a few can take them out. 2 Sep 20182 Sep 2018 I recently had to remove a stent graft for infection and got to thinking about how the number of people who could comfortably and confidently manage that has thinned…
AAA… When both iliac systems are occluded below an abdominal aortic aneurysm: hybrid techniques on the cutting edge 2 Apr 20172 Apr 2017 The patient is an 70 year old man referred for evaluation of claudication that occurred at under a block of walking. He reported no rest pain or tissue loss. He…
AAA… Avoiding Aortic Exoleaks: principles of the proximal aortic anastomosis 30 Apr 20161 May 2016 The proximal anastomosis is the most critical portion of an open aortic aneurysm repair. Several concepts are central to creating an anastomosis that doesn't bleed at unclamping: managing narrow spaces,…
AAA… Moneyballing a Type II Thoracoabdominal Aortic Aneurysm 5 Apr 20165 Apr 2016 The innovation of sabremetrics in baseball management and finance as described in Michael Lewis’ wonderful book Moneyball wasn’t just the ability to quantify skill to predict outcomes, it was the…
AAA… If the odds are against the patient, who is for the patient? 7 Jan 20168 Jan 2016 The first patient, a man in his late 70's, ruptured in the emergency room at around four in the afternoon on a weekday, which was fortuitous, as the hospital was…
