iliocaval venous… Chronic IVC occlusion causing venous claudication and ulcers requires treatment 8 Apr 201710 Apr 2017 The patient is a gentleman from out of state who had called about problems he was having with walking and with leg ulcers that wouldn't heal. He is in his seventies…
Uncategorized… The Clot Gun: Popliteal Venous Aneurysms Are Not Varicose Veins 13 May 2016 The basics of this air rocket pictured above is the projectile, attached by tube to a large bladder which when compressed by external force, ejects the projectile upwards. These are…
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,…
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,…
acute mesenteric ischemia… The inferior mesenteric artery is a poor target for revascularization in chronic mesenteric ischemia 13 Dec 201513 Dec 2015 The patient was referred to me after having undergone an intervention for chronic mesenteric ischemia. She is over 70 years of age and had lost over thirty pounds in 3 months…
Carotid Oblique Incisions Do Not Compromise Exposure During Carotid Endarterectomy 14 Feb 2015 I was asked to assist one of my otolaryngology colleagues in extirpating a neck tumor that encroached on the carotid artery at the base of the skull early in my…
techniques The 10 Minute Renal PTAS 24 Oct 2014 The trick to doing a 10 minute renal PTAS is all in the planning and visualization. Firstly, the CTA with 3D reconstruction (TeraRecon) gives excellent diagnostic images for arteries above…
