@Ieomessiok
Dear Leo as a Brazilian we are always reluctant to cheer for Argentina. This time we left this to the side. We need to recognize excellence. Congratulations on the best of all times.
Well said. He has the best outcomes reported for the largest operation performed in a human being, with over 3,800 open taaa repairs done. A master surgeon
I have never seen anyone more dedicated to the well-being of his patients. Patients always came first. He worked super-human hours to save the lives of countless patients-many were turned down by other surgeons because of the risk/complexity of the surgery. He was their last hope
@Pinar_Ozbek
@MayoVascSurgery
Digital zoom allows a three fold reduction in radiation dose compared to fusion alone. In fact the dose with digital zoom in obese patients is almost the same as the dose without digital zoom in non obese patients. Going forward this is a must for any imaging system
@JVascSurgCIT
@JamesHBlackMD
@peterjrossi
@ShereneShalhub
@umwgal
Plan your failure. At some point redo operative repair will be needed. Avoid grouping branch grafts in close proximity, make future Endo repair ease by creating landing longer Landing zones. Some of the cases I had to handle were intercostal patches too close to visceral branches
@NCP_MD
Nolan it has been an honor to work with you and all the great residents and fellows at the Mayo Clinic. I was given the chance to train 58 residents and fellows. The immense personal satisfaction by affecting so many lives through the hands and minds of others
@GustavoOderich
treats local patient for thoracic & aortic aneurysm using
#endovascular
techniques. Grateful for our patients who are willing to share their story of recovery.
@UTHealth
@EVToday
@aorticsurgeon
Highly Recommend the issue! a great summary of what is pertinent on complex aortic aneurysms and future directions of stent design. Tara and EVT team, it was an honor and privilege to work with you.
@westleyohman
@JVascSurgCIT
@JamesHBlackMD
@peterjrossi
@ShereneShalhub
@umwgal
Branch stenting pitfalls
1. Ideally at least proximal landing zone in surgical graft. If not be ready for possible retrograde dissection
2. Ideally repair based on branches > fenestrations
3. Ideally self > balloon expandable stents
4. Careful with closure devices.
@JVascSurgCIT
@JamesHBlackMD
@peterjrossi
@ShereneShalhub
@umwgal
That is an evolving answer. I think the easy ones are ruptured aneurysms or acutely complicated when the repair does not burn any bridges. Also for failed open repair when the stents are placed in surgical grafts. I don’t think is unreasonable for iliac aneurysms…
@NTsilimparis
@CircAHA
Nikos congratulations on this important paper. Pmegs are a very important part of the armamentarium and in some cases probably the best option.
@AWBeckMD
I do think if the anatomy is suitable probably yes. Mortality is substantially lower in contrast to redo open taaa. But we do need more data and more follow up. And Endo does come with need for surveillance and reinterventions.
@farkomd
Frank challenging case. Is the patient good clinical risk? Is the ascending aorta suitable for a clamp. If good risk and suitable would do an ascending aortic to distal innominate-left common carotid bypass. Best!
@VascularMD
@MayoVascSurgery
2% mortality for over 250
#TAAAs
treated by
#FBEVAR
in multiple centers. A new benchmark for comparison with alternative techniques to treat the most challenging aortic disease.
@ziegler_md
@WLGore
@SukguH
Remarkable outcomes given the challenging anatomy. Cudos to the trial design for going beyond the traditional dogma and testing the technology in a prospective study. Look forward to midterm and late results also
@m_diasneto
Marina you will be missed. What a great year. It was awesome to have you as part of our team. I hope this is just the start of many future collaborations.