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…
acute mesenteric ischemia… Abdominal Stroke Alert! 16 May 202021 Jul 2020 It is a rare day that passes without the announcement of a stroke alert at CCAD. A reflex arc of activity is initiated, as time becomes the critical metric of…
Commentary… Zebras, not horses: popliteal artery entrapment syndrome 17 Jul 201917 Jul 2019 Recalling the medical school adage, “when you hear hoofbeats, it’s probably horses, not zebras,” it is critical to think about rarities down on the differential list whenever you come across…
acute mesenteric ischemia… Life imitates social media: a ruptured type V thoracoabdominal aortic aneurysm or IT saves a life 21 Jun 201921 Jun 2019 It was only last month when I came across a post of an aortic aneurysm in a difficult spot (link) and I couldn't help chiming in some comments. Reading it…
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…
amputation… Exovascularist’s Dilemma: Where Is Our LIMA to LAD 27 May 201827 May 2018 During our daily morning huddles, peopled by cardiologists and cardiac surgeons, one thing impresses me more than anything else. The assembled interventional cardiologists, world class and renown, they who can…
AIOD… Arterial Restoration -Something New, Something Old 13 Sep 2017 Something that I recently promised Dr. James S.T. Yao, I will be working to publish on my stent removal and extended remote endarterectomy cases and techniques. Meanwhile, here is a…
Carotid… When Hybrid Seems Better: Carotid Trauma As a Model For All Trauma 24 Jun 201724 Jun 2017 History The patient is an 80 year old woman with lung cancer who was getting a port placed at her home institution. It was to be a left subclavian venous…
AIOD… Salvage: A different approach to graft infections in the groin 2 May 201714 Jun 2017 The principles of salvage are in rescuing valuable undamaged goods in the setting of catastrophe. This guided me when a patient was flown in from an outside institution to our…
complications… Reversing paralysis with a bypass 17 Jan 201617 Jan 2016 The patient is middle aged and had a type B thoracic aortic dissection (TBAD) as a consequence of recreational substances that acutely raised his blood pressure. At the outside hospital,…
