acute limb ischemia… The shunt as temporary bypass -a modest proposal 3 Aug 20194 Aug 2019 The rise of cardiopulmonary bypass life support has also given a rise to the need to keep large, obstructive cannulas in femoral arteries. ECMO cannulas are often kept in for…
amputation… Never say never 30 Jul 2019 If you work long enough, you will not only see everything, but you may end up doing something that you say you would never do. You will be confronted with…
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…
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…
limb salvage… Bypasses still work -a guest post from Dr. Max Wohlauer 7 Dec 20169 Dec 2016 Max Wohlauer, a recent graduate, is now Assistant Professor of Surgery at the Medical College of Wisconsin in the Division of Vascular Surgery. He sent along a case which is published…
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…
bypass… The femoral bifurcation does not tolerate endovascular miscalculation 18 Dec 2015 The patient presented with complaints of leg and foot pain with sitting and short distance calf claudication, being unable to walk more than 100 feet. This is unusual because sitting…
bypass… The Ilio-femoral-popliteal remote endarterectomy -The Concept Behind Extended Remote Endarterectomy is Moving Inflow from the Groin to the Knee 28 Oct 201528 Oct 2015 Why perform such an extensive endarterectomy when just a few stents will do? This is a valid question, given the relative safety of interventions and the durability of bypasses. There…
amputation… When Better is Better Than Good 13 Oct 201513 Oct 2015 The dictum that better is the enemy of good is one of the old chestnuts carried around surgery training forever. It is an admonition against an unhealthy perfectionism that arises…
EndoRE… My First Intentional Stent Removal Case -Arterial Restoration 4 Sep 20154 Sep 2015 In 2007, at which I had performed about 20 standard EndoRE (Remote Endarterectomy, LeMaitre Vascular) cases over about two years, this patient in his later 40's presented to me with…
