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…
bypass… Debranch First! or Why Haven’t We Done This All Along for Thoracoabdominal Aortic Aneurysms? 12 Jul 202021 Jul 2020 Context Despite all the advances in endovascular repair of thoracoabdominal aortic aneurysms, no data shows their superiority in the mid to long term compared to open repair. That is why…
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…
aortic dissection… Complicated Aortic Dissection Talk 22 Jun 201922 Jun 2019 A basic recipe for treating complicated aortic dissection #aorticsurgery #tevar
AIOD… Incidental Pheochromacytoma 11 Nov 2018 An oldie but a goodie from my first blog, "The Pipes Are Calling" on Medscape. This case came to mind when I recently diagnosed a pheochromacytoma from my clinic -middle…
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…
AIOD… The Unclampable: Strategies for Managing a Heavily Calcified Infrarenal Aorta 22 May 201723 May 2017 Leriche Syndrome -one of those disease names that adds to our work in a way that an ICD codes and even the "aortoiliac occlusive disease" fails to describe. When I…
Carotid… The Closest Thing to an Off Pump CABG -a Carotid Subclavian Bypass to Treat Unstable Angina 30 Apr 201730 Apr 2017 Patient is a 77 year old man with history of HTN, hyperlipidemia, former smoking, and CAD with CABGx5 and bilateral lower extremity bypasses who developed unstable angina consisting of…
common iliac artery aneurysm… The Geometry of Parallel Grafts in the Iliac Arteries 9 Dec 20169 Dec 2016 The development of metachronous common iliac artery aneurysm, or progression of them, after prior treatment with EVAR (endovascular aneurysm repair), particularly with "bell bottoming" is typically treated with coil embolization…
acute mesenteric ischemia… When good enough is better than perfect: a case of end stage visceral segment aortic occlusive disease 27 Sep 201627 Sep 2016 The patient is a woman in her 60’s who self referred for complaint of abdominal pain, weight loss, and rest pain of the lower extremities. She is a 40 pack…
