Gustavo Oderich @GustavoOderich Twitter profile

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@daidaiHK

@Afunly

@PhilipPlickert

@bokeplokalmalam

@ivXair3p

@kumar_sant92309

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@1lfi_

@donlossa

@sotwecom

@freakykitten178

@Eca64439474

@Emma__R4382

@Eca64439474

@awswhatsnew_jp

@peony_tattoo

@Eca64439474

@1lfi_

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@duckietoots

@nornXP

@OrigaTwi

@ShreddedBaker

@Mistty_eye

@Shockng

@choko_otaku

@stw_pdg

Gustavo Oderich

@GustavoOderich

2 years

@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.

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Gustavo Oderich

@GustavoOderich

2 months

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

Faisal Bakaeen MD

@FaisalBakaeen

2 months

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

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Gustavo Oderich

@GustavoOderich

4 years

@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

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Gustavo Oderich

@GustavoOderich

4 years

@AorticC @JVascSurg @neotenorioMD @UTSW_Surgery @VascularMD @UWVascsurg @AWBeckMD @MGHVascular @UMassVascSurg @AndresSchanzer Mortality of 0.5% for 4-vessel fevar in octogenarians is remarkable. The US ARC is gaining momentum. Watch out for upcoming publications with nearly 1700 patients.

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Gustavo Oderich

@GustavoOderich

1 year

@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

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Gustavo Oderich

@GustavoOderich

4 years

@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

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Gustavo Oderich

@GustavoOderich

4 years

@jmills1955 @benstarnesmd @stanfordvasc @UCSFvascular @VascularSVS @McGovernMed @AfifiRana @OPreventzaMD @BCM_Surgery @UWVascsurg @TXMedCenter Joe Thx for the kind comments. I am honored to be in Houston amongst great vascular and CV surgeons. The history and magnitude of their contributions is incredible

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Gustavo Oderich

@GustavoOderich

6 years

Emanuel Tenório presents at the #esvs meeting in Valencia on #fevar for #thoracoabdominal aortic #aneurysms with low rates of #paraplegia using #neuromonitoring and selective temporary aneurysm sac perfusion

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Gustavo Oderich

@GustavoOderich

4 years

Grateful for our amazing team!

UTHealth Houston Heart & Vascular

@UTHeartVascular

4 years

@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

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Gustavo Oderich

@GustavoOderich

2 years

@trasmussen_md @MayoVascSurgery @MayoClinic @MayoSurgEd What a Great Division of Vascular and Endovascular Surgery: Excellence, Dedication and the Highest Standards of Patient Care.

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Gustavo Oderich

@GustavoOderich

3 years

@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.

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Gustavo Oderich

@GustavoOderich

3 years

@CristianRosuMD @biggsjmd @cfbechara @AndresSchanzer @AWBeckMD @andrebrq @AorticCenter @RKTvascular @VascularMD @MurrayShames @farkomd @BenColvard @MayoVascSurgery @drbermendes Wire inside the grey cannula. Advise cutting the tip of braided wires to avoid unraveling the wire. Also for v18-14 cut the tip to become stiffer and facilitate advancement into the cannula. Advance as much as you can until resistance.

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Gustavo Oderich

@GustavoOderich

3 months

@AWBeckMD @farkomd @VascularMD @RKTvascular @cfbechara @PipeCabreraV @XavierBerardMD If there is some flow on the kidney parenchyma (duplex or Cta) yes. But if no evidence of any flow then I don’t try to recanalize. Many times there is some residual flow via collaterals and in those cases absolutely worth recanalization of the occluded stent

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Gustavo Oderich

@GustavoOderich

2 years

@trasmussen_md @NidaQadirMD CAT scan! The only time you get a cat scan is when you go to the zoo and scan a tiger or lion. CT scan please!

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Gustavo Oderich

@GustavoOderich

3 years

@PipeCabreraV @jmills1955 @farkomd @drdevirgilio @DChu80 @monteromiguel @hendolat @NEJM @Cirbosque @MISIRG1 No we almost never do. That was artistic modification of nejm!

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Gustavo Oderich

@GustavoOderich

1 year

@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.

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Gustavo Oderich

@GustavoOderich

1 year

@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…

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Gustavo Oderich

@GustavoOderich

2 months

@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.

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Gustavo Oderich

@GustavoOderich

4 years

@pk_koduri @AmputationSuck @cfbechara @RKTvascular @Dr_Bowser @AWBeckMD @VascSurgMD @aorticsurgeon It Will require the buy in from companies to make their devices compatible with upcoming technologies like IOPS. But there is no other way it has to happen. If we are lucky 3-5 years

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Gustavo Oderich

@GustavoOderich

1 year

@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.

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Gustavo Oderich

@GustavoOderich

25 days

@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!

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Gustavo Oderich

@GustavoOderich

2 years

@UTSWVascular @UTSWNews @AorticC @Philips Carlos and UTSW team. Congratulations! Thanks for advancing efforts to bring down radiation during these complex cases. We really need this!

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Gustavo Oderich

@GustavoOderich

5 years

@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.

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Gustavo Oderich

@GustavoOderich

1 year

@JVascSurgCIT @JamesHBlackMD @peterjrossi @ShereneShalhub @umwgal … when aorta is relatively normal and provides a long landing zone…and where an explant can be performed without making the Repair more complex

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Gustavo Oderich

@GustavoOderich

4 years

@Kuldeep1926 @VascularSVS @FutureVascSurgn @VascularOnline @HofstraKidney @MinaGuerges @AngioPod We had an identical case at mayo. We released the diaphragmatic muscle via small incision. Worked very well.

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Gustavo Oderich

@GustavoOderich

2 years

@trasmussen_md @MayoVascSurgery @MayoClinicSurg Todd thanks for bringing attention to classic landmark publications. It is important we all know so we don’t reinvent the wheel! Best

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Gustavo Oderich

@GustavoOderich

4 years

@RKTvascular @aorticsurgeon @AWBeckMD @VascSurgMD @VascularMD @farkomd @benstarnesmd @DrAliAzizzadeh @cfbechara 15% mortality for extent 4 taaa is prohibitive. But 5-9% for juxtarenal is also too high. I believe with overcoming learning curve mortalities <3% can be consistently achieved with fbevar. The key is keeping large hospital/surgeon volume with centralization of care.

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Gustavo Oderich

@GustavoOderich

3 months

@AWBeckMD @canuc_57 @farkomd @VascularMD @RKTvascular @cfbechara @PipeCabreraV @XavierBerardMD Disagree. Ultrasound with power Doppler is more sensitive than ct. all you need is to show some flow. But again - we have great ultrasound where I work!

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Gustavo Oderich

@GustavoOderich

3 years

@lilyej @MayoVascSurgery Two of my favorites! Wishing all the best. Now go, go, go…

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Gustavo Oderich

@GustavoOderich

1 year

@westleyohman @mattsmeds @JVascSurgCIT @JamesHBlackMD @peterjrossi @ShereneShalhub @umwgal I think with vEDS patients we still have the concern with risk of surgical complications from the repair itself, small volume experiences and potential for future complications in segments not affected by aneurysms. So I tend to be conservative. For LDS, Marfans is different…

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Gustavo Oderich

@GustavoOderich

3 months

@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

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Gustavo Oderich

@GustavoOderich

1 year

@peterjrossi @ShereneShalhub @westleyohman @JVascSurgCIT @JamesHBlackMD @umwgal I had one patient with fbevar that the toughest part of the case was to deal with the failed perclose and damaged femoral artery. Humbling experience

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Gustavo Oderich

@GustavoOderich

1 year

@ShereneShalhub @umwgal @JamesHBlackMD @JVascSurgCIT @peterjrossi Agree. Felt often is read as “endoleak”, extravasation etc

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Gustavo Oderich

@GustavoOderich

2 years

@jmills1955 @trasmussen_md @NidaQadirMD There has been over two decades that we don’t do computed axial tomography. It is helical. Not axial.

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Gustavo Oderich

@GustavoOderich

2 years

@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.

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Gustavo Oderich

@GustavoOderich

1 year

@peterjrossi @JamesHBlackMD @mattsmeds @JVascSurgCIT @ShereneShalhub @umwgal Team how about tips when you do operate (open) 1. Gentle with tissues, careful placement of retractors 2. Protect clamps 3. Felted anastomosis 4. Avoid island patches, favor branch reconstruction. What else Jim?

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Gustavo Oderich

@GustavoOderich

4 years

@Dr_Vascular @cfbechara @RKTvascular @jmills1955 @VascSurgMD @a_saratzis @SamTyagiMD @AortaSurg Percutaneous thrombectomy, probable stenting and lots of prayer

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