Since my last post, I have relocated to Cleveland Clinic Abu Dhabi in the United Arab Emirates. I am now the Chief of Vascular Surgery at this remarkable campus of the Cleveland Clinic. I have moved my family of 4 with 21 suitcases to a new country and region on the opposite side of the planet from all that is familiar. My mission is to bring the Clinic’s main campus culture and expertise to our other main campus here in Abu Dhabi. The hospital was conceived over a decade ago by H.R.H. Sheikh Zayed bin Sultan Al Nahyan, the father of the U.A.E., and only opened in 2015. Cleveland Clinic Abu Dhabi is the most comprehensive and focused healthcare effort in this country and region, and I am proud and honored to be part of it. It is in my opinion the most modern healthcare facility on this planet. In the Department of Vascular Surgery, we aim to provide the full range of consultative and surgical services available at the Cleveland Clinic’s Ohio campus involving diseases of the arteries, veins, and lymphatics. Our guiding principles will be, same as in Ohio, that of clinical excellence, research, education, and innovation delivered with focus on the patient. On this Eid Al Adha, starting tomorrow, I pray for peace to you and our shared world.
I have used many different flavors of image post processing software including Osiris, Vitrea, and now Aquarius, aka TeraRecon. But I notice that outside of endovascular planning, people rarely use the virtual 3D reconstructed images (the pretty pictures) for anything other than posting images for publication in JVS, and even there I think we have reached saturation.
I have found 3D reconstruction to be especially useful for open surgical planning, and that is by doing two things. First, on viewing the 3DVR data, I reorient and center on the surgeon’s perspective, using left button to rotate the picture around the zero at the center of the screen, and the right mouse button to grab the whole image and recenter as necessary.
I then window-level in tissue density -this is done by pressing both the right and left mouse buttons, but you can choose this off the menu.
I can plan the incisions and exposures from any angle -in this case, I can see the saphenous vein and its relative proximity to the CFA to perform an in site bypass to the AK POP. And I see the loci of the tributaries that I may need to ligate.
This is a powerful tool that is often overlooked.